NURSING ANM AND GNM

NURSING EXAM QUESTIONS

PATHOLOGY AND GENETICS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Coagulative necrosis is involved in
A
Cerebral infarction
B
Acute pancreatitis
C
Renal infarction
D
Pulmonary T.B
Explanation: 

Detailed explanation-1: -Coagulative necrosis is most easily recognized in the liver, kidney, myocardium, or skeletal muscle, in which the temporary preservation of cell outlines also preserves tissue architecture so that the outlines of hepatic plates, renal tubules, or muscle bundles are visible at the light microscopic level.

Detailed explanation-2: -Comment: Renal infarcts usually appear as well-demarcated, wedge-shaped or triangular areas of coagulative necrosis that extend from the capsular surface into the medulla. The characteristic shape results from the kidney’s unique vascular supply.

Detailed explanation-3: -Many conditions can cause coagulative necrosis in different areas of your body. One example in which coagulative necrosis occurs is a heart attack (myocardial infarction). During a heart attack, one or more coronary arteries that carry blood to your heart become blocked.

Detailed explanation-4: -There is a hemorrhagic zone in the middle where the cells are dying or have not quite died along with damaged blood vessels that are leaking, and then normal renal parenchyma at the far right. This is an example of coagulative necrosis.

Detailed explanation-5: -Hypoxic injury is the cause of coagulative necrosis. Re-establishment of blood flow or oxygen supply is reperfusion. This is important for management. Hence, for this pattern of tissue damage, studies such as Doppler ultrasound are useful to determine blood flow.

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