Inflammation Flashcards

1
Q

What are the physiological hallmarks of acute inflammation?

A

Localized vasodilation, increased vascular permeability, and leukocyte infiltration.

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2
Q

What are neutrophil extracellular traps (NETs)?

A

NETs are structures released by neutrophils composed of chromatin and cytotoxic proteins, involved in trapping and killing pathogens.

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3
Q

Describe the process of wound healing by primary intention.

A

Healing where wound edges are closely approximated; minimal tissue loss and rapid healing with minimal scarring.

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4
Q

What is the role of fibroblasts in wound healing?

A

Fibroblasts synthesize collagen and extracellular matrix components essential for wound repair and scar formation.

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5
Q

How does chronic inflammation differ from acute inflammation?

A

Chronic inflammation persists over weeks to months, characterized by dense lymphocyte and macrophage infiltration.

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6
Q

What is the function of complement component C3b?

A

C3b acts as an opsonin, enhancing phagocytosis by binding to microorganisms and marking them for destruction.

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7
Q

Describe the clinical manifestations of inflammation.

A

Local signs include redness, heat, swelling, and pain; systemic effects include fever and elevated acute phase reactants.

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8
Q

Explain the mechanisms of fever.

A

Fever is triggered by pyrogens, stimulating prostaglandin release in the hypothalamus, raising the body’s temperature set point.

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9
Q

Why is oxygen crucial for wound healing?

A

Oxygen is essential for cellular metabolism, collagen synthesis, and microbial killing during wound healing.

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10
Q

Differentiate between hypertrophic scars and keloid scars.

A

Hypertrophic scars remain within the boundaries of the wound and regress over time; keloid scars extend beyond the wound edges and are permanent.

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11
Q

What are the stages of normal wound healing?

A

Hemostasis, inflammation, proliferation (granulation tissue formation and epithelialization), and remodeling (maturation).

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12
Q

How does diabetes mellitus affect wound healing?

A

Diabetes impairs wound healing due to microvascular disease, reduced immune function, and altered collagen synthesis.

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13
Q

What are the physiological changes in aging that affect wound healing?

A

Decreased perfusion, thinning and less elastic skin, and impaired immune response contribute to delayed wound healing in older adults.

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14
Q

Explain the role of leukotrienes in inflammation.

A

Leukotrienes cause smooth muscle contraction, increased vascular permeability, and leukocyte chemotaxis during inflammation.

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15
Q

What are the systemic effects of inflammation?

A

Fever, leukocytosis, and elevated acute phase reactants (e.g., CRP, fibrinogen) are systemic responses to inflammation.

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16
Q

Describe the role of platelets in inflammation.

A

Platelets promote clot formation, release inflammatory mediators, and contribute to vascular repair during inflammation.

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17
Q

Why does hypoproteinemia prolong inflammation?

A

Hypoproteinemia impairs fibroblast proliferation and wound healing due to inadequate protein availability for tissue repair.

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18
Q

What are the functions of the kinin system in inflammation?

A

The kinin system produces bradykinin, which enhances vascular permeability, causes pain, and induces smooth muscle contraction.

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19
Q

How does fibrin deposition affect wound healing?

A

Excessive fibrin impedes wound healing by forming fibrous adhesions and delaying tissue remodeling.

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20
Q

Describe the role of macrophages in wound healing.

A

Describe the role of macrophages in wound healing.
Answer: Macrophages phagocytose debris, secrete growth factors, and promote tissue repair and remodeling during wound healing.

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21
Q

What are the functions of histamine in inflammation?

A

Histamine causes vasodilation, increases vascular permeability, and promotes smooth muscle contraction during inflammation.

22
Q

How does malnutrition affect wound healing?

A

Malnutrition delays wound healing due to inadequate nutrient supply needed for cellular metabolism and collagen synthesis.

23
Q

Explain the process of wound dehiscence.

A

Wound dehiscence is the separation of wound edges due to inadequate collagen synthesis or excessive strain on sutures.

24
Q

What are the complications of wound dehiscence?

A

Risk of infection, delayed healing, and potential need for surgical intervention characterize wound dehiscence.

25
Q

Describe the process of wound contraction.

A

Myofibroblasts exert contractile forces on wound edges, reducing wound size during healing; excessive contraction can lead to deformity.

26
Q

How does obesity increase the risk of wound dehiscence?

A

Adipose tissue is difficult to suture, increasing tension on wound edges and predisposing to wound dehiscence.

27
Q

What is the role of leukocytes in inflammation?

A

Leukocytes (white blood cells) migrate to the site of injury, phagocytose pathogens, and release inflammatory mediators.

28
Q

Explain the role of cytokines in inflammation.

A

Cytokines regulate immune responses by activating leukocytes, promoting inflammation, and modulating cell proliferation and differentiation.

29
Q

What are the functions of prostaglandins in inflammation?

A

Prostaglandins cause pain, fever, and vasodilation, contributing to inflammation and immune response modulation.

30
Q

How do environmental factors influence wound healing?

A

Temperature extremes, humidity, and cleanliness affect microbial growth and wound healing progression.

31
Q

Describe the phases of wound healing.

A

Inflammatory phase involves hemostasis and leukocyte infiltration; proliferative phase includes granulation tissue formation; maturation phase remodels collagen.

32
Q

What are the effects of diabetes on wound healing?

A

Diabetes impairs wound healing due to microvascular complications, reduced collagen synthesis, and impaired immune response.

33
Q

Explain the role of macrophages in wound healing.

A

Macrophages phagocytose debris, release growth factors, and modulate inflammation during wound healing.

34
Q

How do neutrophils contribute to wound healing?

A

Neutrophils migrate to the wound site, release cytokines, and form neutrophil extracellular traps (NETs) to kill pathogens.

35
Q

Describe the role of collagen in wound healing.

A

Collagen provides structural support, promotes wound closure, and contributes to tissue strength during wound healing.

36
Q

What is the role of growth factors in wound healing?

A

Growth factors stimulate cell proliferation, angiogenesis, and extracellular matrix production during wound healing.

37
Q

Explain the process of angiogenesis in wound healing.

A

Angiogenesis involves the formation of new blood vessels from pre-existing vessels, providing oxygen and nutrients to the wound.

38
Q

How does inflammation affect wound healing?

A

Controlled inflammation promotes healing by clearing debris and stimulating tissue repair processes; excessive inflammation delays healing.

39
Q

What are the functions of mast cells in inflammation?

A

Mast cells release histamine and cytokines, triggering inflammation, vasodilation, and leukocyte recruitment to the site of injury.

40
Q

Describe the process of phagocytosis in inflammation.

A

Phagocytosis involves engulfing and digesting pathogens or debris by phagocytes, such as neutrophils and macrophages, during inflammation.

41
Q

How do systemic factors influence wound healing?

A

Systemic factors like nutrition, age, and comorbidities affect wound healing by altering immune response, collagen synthesis, and tissue perfusion.

42
Q

What is the role of nutrition in wound healing?

A

Adequate nutrition supports cellular metabolism, collagen synthesis, and immune function, promoting optimal wound healing.

43
Q

Describe the differences between acute and chronic inflammation.

A

Acute inflammation is short-term, characterized by neutrophil infiltration, while chronic inflammation persists, involving lymphocytes and macrophages.

44
Q

How does fever aid in combating infection?

A

Fever enhances immune responses, inhibits bacterial growth, and promotes leukocyte activity, aiding in pathogen clearance.

45
Q

Explain the role of platelets in hemostasis and inflammation.

A

Platelets form clots to stop bleeding, release inflammatory mediators, and promote wound healing during inflammation.

46
Q

What are the functions of cytokines in inflammation?

A

Cytokines regulate immune responses, promote inflammation, and modulate cell proliferation and differentiation during wound healing.

47
Q

How does oxygen availability influence wound healing?

A

Adequate oxygen supports cellular metabolism, collagen synthesis, and antimicrobial activity, essential for effective wound healing.

48
Q

Describe the role of growth factors in wound healing.

A

Growth factors stimulate cell proliferation, angiogenesis, and extracellular matrix production, promoting tissue repair during wound healing.

49
Q

What are the complications of impaired wound healing?

A

Impaired wound healing can lead to infection

50
Q

Describe the role of nitric oxide (NO) in inflammation.

A

Nitric oxide is a vasodilator produced by endothelial cells and macrophages during inflammation, enhancing blood flow and facilitating leukocyte migration to the site of injury.