IASM 48: Process in Healing of Health and Disease Flashcards

1
Q
What are the 4 stages of tissue response to injury
1.
2.
3.
4.
A

Acute inflammation
Demolition
Healing, Repair
Resolution

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2
Q

What is meant by repair?
Replacement of lost tissue by __________ tissue
Granulation tissue matures to form scar (_____ tissue)

A

Replacement of lost tissue by granulation tissue

Granulation tissue matures to form scar (fibrous tissue)

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3
Q

In repair, there is replacement of lost tissue by granulation tissue. Name 3 components of granulation tissues?

A

Proliferating capillaries to deliver more oxygen and nutrients
Fibroblasts and myofibroblasts
Macrophages

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4
Q

What is meant by regeneration?

Lost tissue is replaced by ___________

A

Lost tissue is replaced by a similar type of tissue

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5
Q

By regenerative capacity of cells, we can divide the cells into 3 types.

  1. __________- Continuous division, cells in the cell cycle
  2. __________- Cells came out from cell cycle, but able to go back into the cycle
  3. __________- Cells exited the cell cycle already, non-proliferative
A
  1. Labile cells- Continuous division, cells in the cell cycle
  2. Stable cells- Cells came out from cell cycle, but able to go back into the cycle
  3. Permanent cells- Cells exited the cell cycle already, non-proliferative
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6
Q

By regenerative capacity of cells, we can divide the cells into 3 types.
Are they able to divide? Are they in the cell cycle?
1. Labile cells-
2. Stable cells-
3. Permanent cells-

A
  1. Labile cells- Continuous division, cells in the cell cycle
  2. Stable cells- Cells came out from cell cycle, but able to go back into the cycle
  3. Permanent cells- Cells exited the cell cycle already, non-proliferative
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7
Q
By regenerative capacity of cells, we can divide the cells into 3 types. 
Provide examples of each type?
1. Labile cells- 
2. Stable cells- 
3. Permanent cells-
A
  1. Labile cells- RBCs, Skin, lining of organs
  2. Stable cells- Liver cells
  3. Permanent cells- Neurones, Cardiac Muscle Cells
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8
Q

In regeneration, there will be proliferation of the surrounding ____________ cells. However, the cells will need to stop proliferating after the effect of the injury has been healed, because when they keep multiplying, it will result in a _______.

A

In regeneration, there will be proliferation of the surrounding undamaged specialized cells. However, the cells will need to stop proliferating after the effect of the injury has been healed, because when they keep multiplying, it will result in a tumour.

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9
Q

Scar formation
_______ will secrete extracellular matrix components. This includes type ___ collagen.
Eventually type ___ collagen will be replaced by type ___ collagen for permanent scar formation.

A

Scar formation
Fibroblasts will secrete extracellular matrix components. This includes type 3 collagen.
Eventually type 3 collagen will be replaced by type 1 collagen for permanent scar formation.

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10
Q

Healing of skin wounds- Scar Formation

  1. Acute ______ results in formation of a _______
  2. There is epithelial _________ and formation of ________ tissue
  3. Capillaries reformed and ___________ are deposited
  4. Formation of a scar
A

Healing of skin wounds

  1. Acute inflammation results in formation of a scab
  2. There is epithelial regeneration and formation of granulation tissue
  3. Capillaries reformed and collagen fibres are deposited
  4. Formation of a scar
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11
Q

Healing of bone fractures

  1. __________ engulf the debris and dead cells
  2. ________ formation to bridge the gap
  3. Activity of two types of cells : _______ (building) and ________ (Destroying)
  4. Formation of __________ bone to replace the callus
  5. Fracture site becomes invisible
A

Healing of bone fractures

  1. Phagocytes engulf the debris and dead cells
  2. Callus formation to bridge the gap
  3. Activity of two types of cells : Osteoblasts (building) and Osteoclasts (Destroying)
  4. Formation of lamellar bone to replace the callus
  5. Fracture site becomes invisible
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12
Q

What is the difference between healing by primary intention and healing by secondary intention? Compare the following:

  • Amount of Granulation tissue
  • Amount of Necrotic tissue
  • Size of scar
  • Speed of process
A

Primary Intention VS Secondary Intention

  • Less VS More
  • Less VS More
  • Small VS Large
  • Faster VS Slower
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13
Q

Name 2 reasons that will slow down the healing process in human bodies

A
  1. Poor nutrition (e.g. lack of protein and Vitamin C)

2. Steroid Administration (Steroids are anti-inflammatory)

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14
Q

Name 1 reason that will enhance the healing effect

A

UV light will accelerate healing in human bodies

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15
Q

Complications of wound healing:
When wound has broken, it is called ______
When excessive scar tissue is formed, it is called ____
When nerve endings are not put together, it will cause _____
Pigmentation is caused by breakdown of _______ with excessive bleeding
Narrowing, Stenosis of lumen is called ________

A

Complications of wound healing:
When wound has broken, it is called dehiscence
When excessive scar tissue is formed, it is called Keloid
When nerve endings are not put together, it will cause neuroma
Pigmentation is caused by breakdown of haemosiderin with excessive bleeding
Narrowing, Stenosis of lumen is called Cicatrization

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16
Q

Fill in the blanks
Cardiac cells can only undergo ______ but not ______.
Regeneration/ Repair

A

Cardiac cells can only undergo repair but not regeneration.

17
Q

Which type of muscle has the greatest capacity to regenerate

Cardiac, Skeletal, Smooth

A

Smooth muscle

18
Q

What will result when there’s a poor apposition during the damage to the neurones?

A

Traumatic Neuroma

19
Q

For stem cells,
Multipotent stem cells give rise to…
Pluripotent stem cells give rise to…

Fill in: Divide to limited cell types, or give rise to all cell types

A

For stem cells,
Multipotent stem cells give rise to limited cell types
Pluripotent stem cells give rise to all cell types

20
Q

Compare embryonic stem cells and adult stem cells

  • Risk of rejection
  • Specialization
  • Risk of forming tumours
A

Embryonic stem cells VS Adult Stem Cells

  • Higher risk of rejection VS Lower Risk of Rejection
  • More difficult to specialize to specific tissues VS Easier to coax into specialization
  • Higher risk for forming tumours VS Lower risk of forming tumours

(Basically, adult stem cells better)