Ch 10

Question 1

how long does the inflammatory response, fibroblastic repair, and maturation remodeling phase last

Answer 1

inflammatory-immediate- 48hrs
fibroblastic repair-first few day and last upto 4-6 wks
maturation remodeling- last up to a year

Question 2

what are the five signs of inflammation

Answer 2

redness(rubor)
swelling (tumor)
Pain(dolor)
increase temp (calor)
loss of function

Question 3

cells that produce collagen and elastic

Answer 3

fibroblasts

Question 4

cells that are the primary mean of providing the body with immune capabilities

Answer 4

lymphocytes

Question 5

phagocytic cells of the immune system

Answer 5

macrophages

Question 6

period of scar formation

Answer 6

fibroplasia

Question 7

during this period of healing, proliferative and regenerative activity leading to scar formation and repair of the injured tissue follows the vascular and exudative phenomena of inflammation

Answer 7

fibroblastic repair phase

Question 8

the formation of a delicate connective tissue called ________ occurs with the breakdown of the fibrin clot

Answer 8

granulation tissue

Question 9

which has less tensile strength and tends to be found in the fibroblastic repair phase (type 1 or 3 collagen)

Answer 9

type 3

Question 10

this phase features a realignment or remodeling of the collagen fibers that make up scar tissue according to the tensile forces

Answer 10

maturation-remodeling phase

Question 11

during the maturation-remodeling phase does type 1 or 3 3 collagen laid down

Answer 11

type 1

Question 12

what does wolf law state

Answer 12

states that bone and soft tissue will respond to the physical demands placed on them, causing them to remodel or realign along lines of tensile force

Question 13

what is poor vascular supply due to

Answer 13

related to a failure in the initial delivery of phagocytic cells and fibroblasts necessary for scar formation

Question 14

a wound that has smooth edges that are in good appostion will tend to heal by….

Answer 14

primary intention

Question 15

a wound that has jagged separated edges must heal by…

Answer 15

secondary intention

Question 16

corticosteriods inhibit what in early stages

Answer 16

fibroplasia
capillary proliferation
collagen synthesis
tensile strength

Question 17

when do keloid occur

Answer 17

when the rate of collagen production exceeds the rate of collagen breakdown during the maturation phase

Question 18

true or false

keeping the wound moist allows the necrotic debris to more easily go to the surface and be shed

Answer 18

true

Question 19

excessive profileration of normal cells in the normal tissue arrangement

Answer 19

hyperpasia

Question 20

abnormal development of tissue

Answer 20

dysplasia

Question 21

coversion of one kind of tissue into a form that is not normal for that tissue

Answer 21

metaplasia

Question 22

how long does a the healing period of a hamstring strain last

Answer 22

6-8 wks

Question 23

true or false

the closer an injury is to the cell body, the more difficult the regenerative process

Answer 23

true

Question 24

what is the regeneration rate for a nerve

Answer 24

very slow only 3 to 4 millimeter per day

Question 25

which conditions can inhibit the healing process

Answer 25

anemia and diabetes

Question 26

_______ lay down new bone and _______ remove and break down bone according to the forces placed on it

Answer 26

osteoblast and osteoclast

Question 27

where does avasular necrosis often occur

Answer 27

head of the femur

Question 28

what happens if osetoclastic activity is greater than osteoblastic activity

Answer 28

it can lead to a stress fracture

Question 29

what are the examples of cutaneous pain

Answer 29

sharp, bright, and burning

Question 30

what are the examples of deep pain

Answer 30

pain stems from tendons, muscles, joints, periosteum, and blood vessels

Question 31

where does visceral pain originate

Answer 31

internal organs

Question 32

where in the body does gate control occur

Answer 32

spinal cord level

Question 33

it may take up to 20 minutes to complete, and the questionnaire is administered every 2 to 4 wks

Answer 33

McGill Pain questionnaire

Question 34

it measures the frequency of certain behaviors such as housework, recreation, and social activities that produce pain

Answer 34

activity pain indicators