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During the acute operation of a patient after a traffic accident and after repeated unsuccessful intubation, an acute coniotomy is performed (cutting the conic ligament and securing the airway through this opening in the larynx). This is subsequently replaced by a tracheotomy due to the expected long-term artificial lung ventilation. During this procedure, 2-3 cartilaginous rings of the trachea are cut. What type of cartilage is here?
During successful resuscitation, a 68-year-old female patient suffered fractures of several ribs. The extracellular matrix of the hyaline cartilage, which connects the bony part of the rib to the sternum, calcifies in older age (is encrusted with calcium salts). This makes the cartilage less elastic and even brittle, making it more susceptible to fractures. Which of the sulfated glycosaminoglycans is most abundant in the extracellular matrix of cartilage?
A 67-year-old woman suffers from back and hip pain. Physical examination reveals that she has a slightly stooped posture and is slightly shorter than she was a few years ago. The patient is most likely suffering from osteoporosis, which particularly affects postmenopausal women. To confirm this, a bone density measurement, called densitometry, is performed using X-rays. What should the measured bone density be to confirm osteoporosis?
A 7-week-old infant is brought to the emergency department for severe hypothermia. Such a small child does not have enough muscle mass to produce heat through muscle tremors, and at the same time, his body has a large surface area causing easier heat loss. Newborns and infants have a special way of producing heat through non-shivering thermogenesis using brown adipose tissue. What does the basic structure of this tissue look like?
A 67-year-old otherwise perfectly healthy woman decides to work in her garden on a hot summer day. She spends several hours in the garden in direct sunlight without any fluid intake. Suddenly she becomes dizzy, falls down and loses consciousness. A few hours later, her neighbour finds her and calls an ambulance, which takes her to hospital. Nothing serious happened to the woman during the fall. The cause of the collapse was clearly overheating accompanied by severe dehydration. To be sure and to rule out other causes of the collapse, the patient's blood is taken and sent to the laboratory. What's the hematocrit likely to be in this patient? (illustrative figure – blood smear)
The family is at home on a Saturday afternoon playing board games together. Already during the afternoon, two family members have a headache and feel slightly dizzy. In the evening, the situation worsens and the younger daughter starts vomiting and is noticeably sleepy. The parents take her and her older sister, who is also unwell, to the emergency. There, it is discovered that the cause is carbon monoxide poisoning, which the whole family has poisoned during the afternoon and evening thanks to the broken tankless gas water heater in the bathroom. Carbon monoxide binds to hemoglobin about 210 times more strongly than oxygen, forming carboxyhemoglobin and occupying oxygen-binding sites. The result is tissue anoxia. Which of these parameters will be reduced as a result of carbon monoxide poisoning?
Achondroplasia is an autosomal dominant disease that leads to a disorder of endochondral ossification. A typical picture is a disproportionate growth disorder. However, the trunk is almost normal length, the limbs are very short. Another feature is a brachycephalic skull (pear-shaped), a broad forehead, and supraorbital arches. Which type of cartilage is the model for the newly formed bone?
During successful resuscitation, a 68-year-old female patient suffered fractures of several ribs. The extracellular matrix of the hyaline cartilage, which connects the bony part of the rib to the sternum, calcifies in older age (is encrusted with calcium salts). This makes the cartilage less elastic and even brittle, making it more susceptible to fractures. Which of the sulfated glycosaminoglycans is most abundant in the extracellular matrix of cartilage?
A 55-year-old former athlete develops severe secondary knee arthritis as a result of repeated injuries and surgeries. The condition is so severe and limits the man's normal life that he decides to undergo total knee arthroplasty (knee replacement). All tissues are replaced, including the menisci. Which description most closely matches the histological composition of the meniscal tissue?
A 30-year-old man is brought to the emergency department 15 minutes after he fell off the ladder. On arrival, he is unresponsive to verbal and painful stimuli. His pulse is 70/min and his blood pressure is 130/85 mmHg. A CT scan of the head shows a fracture in the anterior cranial fossa and a 1.5 cm laceration in the left anterior frontal gyrus. Which of the following would be the most common cell type in the scar at the injured region of the frontal lobe?
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