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Pathology · Cell death: apoptosis
Sample itemWhich feature favors apoptosis over necrosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Cell shrinkage with membrane-bound apoptotic bodies and minimal inflammation
Apoptosis is regulated cell death with cell shrinkage, chromatin condensation, fragmentation into apoptotic bodies, and little inflammatory response. Necrosis disrupts membranes and provokes inflammation.
Option by option
A. Random enzymatic digestion of adjacent tissue
Apoptosis is controlled rather than random tissue digestion.
B. Cell swelling with membrane rupture and neutrophilic inflammation
This describes necrosis.
C. Cell shrinkage with membrane-bound apoptotic bodies and minimal inflammation (correct)
Correct. Contained apoptotic bodies limit inflammation.
D. Release of large amounts of intracellular enzymes
Major enzyme release is typical of membrane-disrupting necrosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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