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Two healthy individuals have a healthy son. His physical, motor, psychological, and social development fully corresponded to his age. Now at the age of two, the patient is admitted for a suspected fracture of the right tibia. The injury is negative and the mechanism of fracture is unknown. In addition, he was already hospitalized once 5 months ago for a left radius fracture. The mechanism of fracture was not identified here either. Physical examination reveals limited mobility of the right lower extremity, soreness in the lower tibia and gluteal region and a relatively greater amount of bruising on the body overall. Slightly bluish sclerae are noticeable. X-ray confirms the diagnosis of a fracture of the right tibia. Basic laboratory findings (blood count and biochemistry) are normal. Genetic testing shows that the disease is caused by a mutation and defect in collagen formation associated with, among other things, increased bone fragility. This is the disease In this disease, glycine is replaced by other, larger amino acids in the structure of collagen. Which type of collagen is affected in this disorder?
55-year-old wo man with a history of chronic kidney disease comes to the physician for a 2-month history of easy fatigability. Physical examination shows subconjunctival pallor. Her hemoglobin concentration is 80 g/l. Treatment with erythropoietin has been administered. A peripheral blood smear is obtained one week after treatment. A photomicrograph of the smear after specialized staining is shown. The prominent color of the intracellular structure in some of the cells is most likely the result of staining which of the following?
A 33-year-old man visits a general practitioner's office complaining of loss of smell, frequent nosebleeds, difficulty swallowing, and hoarseness. During the interview he admits to cocaine use since his college days. Subsequent examination in the ENT clinic, to which the patient is referred, reveals the presence of severe inflammation of the nasal mucosa and a disrupted cartilage structure in the nasal septum. What type of collagen predominates in this type of cartilage?
A 75-year-old woman has been suffering from right hip pain for a long time. An X-ray showed signs of severe osteoarthritis. Therefore, the patient underwent total hip replacement. Histological examination of the surgical specimen revealed a significantly damaged articular surface with marked cartilage degeneration. Which of the following factors is primarily responsible for the poor regeneration of articular cartilage?
A 16-year-old boy fell and injured his knee during the school’s recent game. A physical examination showed strong instability of the knee and an MRI examination confirmed a rupture of the anterior cruciate ligament. What type of tissue is the anterior cruciate ligament?
A 54-year-old woman presents with numbness and weakness in her lower extremity as well as pain that radiates from her lower back down the back of the thigh. Imaging reveals that the patient has a herniated intervertebral disk. This occurs when the softer center of the disk, the nucleus pulposus, herniates out of the stronger outer portion, the annulus fibrosus. What is typical for the tissue forming the annulus fibrosus?
A 62-year-old man has a red, warm, painful lesion on his skin that extends across his calf from the popliteal fossa to the ankle. This condition is diagnosed as cellulitis, a bacterial infection of the deeper layers of the skin. The red colour, increased temperature, and pain of the affected area are due to an inflammatory response to the infection. In the patient, this inflammatory reaction is largely caused by the release of pro-inflammatory substances from the cells of the immune system, which are abundant in the connective tissue. Which of the following cell types are involved?