Inflammatory Response & Management Flashcards

1
Q

What is the primary purpose of inflammation in the body?
* A) Cause pain and swelling
* B) Increase metabolism
* C) Protect, localize, and prepare injured tissue for healing
* D) Decrease blood flow to the injured area

A

C

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2
Q

Which of the following is typically not a characteristic sign of inflammation?
* A) Heat
* B) Redness
* C) Bruising
* D) Pain

A

C

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3
Q

Redness during inflammation is caused by:
* A) Increased metabolism
* B) Accumulation of fluid
* C) Vasodilation and increased blood flow
* D) Muscle guarding

A

C

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4
Q

What causes heat in an inflamed area?
* A) Infection
* B) Muscle spasms
* C) Increased metabolism
* D) Nerve compression

A

C

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5
Q

Pain during inflammation is due to:
* A) Muscle fatigue
* B) Chemical irritants or pressure on nerve endings
* C) Dehydration
* D) Heat production

A

B

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6
Q

Which of the following is not typically found in inflammatory exudate?
* A) Red blood cells
* B) Platelets
* C) Cartilage cells
* D) White blood cells

A

C

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7
Q

Muscle spasm during inflammation primarily serves to:
* A) Cause more injury
* B) Increase inflammation
* C) Protect and immobilize the area
* D) Strengthen surrounding muscles

A

C

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8
Q

Prolonged muscle guarding may lead:
* A) Improved blood flow
* B) Decreased metabolism
* C) Muscle spasm and low-grade inflammation
* D) Reduction in pain

A

C

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9
Q

What is the correct sequence in the cycle of trauma related to muscle spasm?
* A) Pain → Retention of metabolites → Restricted movement → Spasm
* B) Spasm → Pain → Retention of metabolites → Restricted movement
* C) Spasm → Restricted movement → Retention of metabolites → Pain
* D) Pain → Spasm → Restricted movement → Retention of metabolites

A

B

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10
Q

How can the trauma cycle be interrupted?
* A) Rest alone
* B) Massage only
* C) Ice only
* D) Medication and Ice

A

D

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11
Q

Which is the shortest phase of soft tissue healing?
* A) Remolding phase
* B) Fibroplastic phase
* C) Inflammatory (acute) phase
* D) Chronic phase

A

C

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12
Q

What is the typical duration of the inflammatory phase?
* A) 1-2 hours
* B) 48-72 hours
* C) 1-2 weeks
* D) One month

A

B

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13
Q

Fibroplasia refers to the laying down of:
* A) Type I muscle fibers
* B) White blood cells
* C) Type II fibroblasts (scar tissue)
* D) Nerve fibers

A

C

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14
Q

In which phase does collagen alignment along lines of stress occur?
* A) Inflammatory phase
* B) Remodeling/maturation phase
* C) Fibroplastic phase
* D) Resting phase

A

B

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15
Q

How long can the remodeling/maturation phase last?
* A) 2-3 days
* B) 1-2 weeks
* C) 3 months to 1 year
* D) Indefinitely

A

C

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16
Q

Margination in the cellular phase refers to:
* A) Red blood cell clumping
* B) Platelet activation
* C) White blood cells lining vessel walls
* D) Collagen synthesis

A

C

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17
Q

Diapedesis is the process of:
* A) Blood clot formation
* B) White blood cells passing through vessel walls
* C) White blood cells lining vessel walls
* D) Collagen synthesis

A

C

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18
Q

Phagocytosis involves:
* A) Clotting
* B) Vasodilation
* C) Cellular debris removal
* D) Scar formation

A

C

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19
Q

Primary healing occurs when:
* A) There is a large gap between wound edges
* B) There is minimal scar tissue formation
* C) There is excessive collagen production
* D) Vascularization is poor

A

B

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20
Q

Proper healing is dependent on all except:
* A) Elimination of cellular debris
* B) Adequate blood supply
* C) Avoiding re-injury
* D) Continuous inflammation

A

D

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21
Q

Excessive force during the remodeling phase can:
* A) Improve healing
* B) Delay healing
* C) Have no effect
* D) Stop fibroplast activity

22
Q

The SAID principle refers to:
* A) Applying heat for healing
* B) The body’s ability to adapt to imposed demands
* C) Rest as the best healing approach
* D) Use of medication for inflammation

23
Q

Which phases are most influenced by the SAID principle?
* A) Inflammatory and remodeling
* B) Fibroplastic and remodeling
* C) Inflammatory and fibroplastic
* D) None of them

24
Q

Chemical trauma causing inflammation could be due:
* A) Foreign proteins
* B) Adhesives or latex
* C) Bone fracture
* D) Psychological stress

25
What type of inflammation trigger is psychological stress considered? * A) Allergic * B) Physical * C) Chemical * D) Psychosomatic
D
26
Which of the following is NOT a principle typically included in RICE or PRICE? * A. Ice * B. Rest * C. Heat * D. Elevation
C
27
The primary aim of the RICE protocol is to: * A. Stimulate collagen synthesis * B. Control chronic inflammation * C. Control acute inflammation and support healing * D. Increase metabolic activity
C
28
Which of the following is NOT a primary effect of cold application? * A. Reduced Pain * B. Increased tissue metabolism * C. Decreased circulation * D. Reduced secondary hypoxic injury
B
29
Compared to heat, cold: * A. Penetrates less deeply * B. Stimulates inflammation * C. Penetrates more deeply * D. Is less effective in acute injury
C
30
Which of the following cold sensations is experienced last during application? * A. Burning * B. Aching * C. Numbness * D. Cold
C
31
Crushed ice is more effective than ice cubes because: * A. It melts slower * B. It’s colder * C. It confirms botter to the joint * D. It contains more water
C
32
Cryokinetics combines cold therapy with: * A. Immobilization * B. Stretching * C. Active Exercise * D. Electrical Stimulation
C
33
Cryokinetics is typically used during which healing phase? * A. Acute inflammatory phase * B. Fibroplastic/subacute phase * C. Remodeling phase * D. Chronic inflammatory stage
B
34
Raynaud’s Phenomenon is a contraindication for cryotherapy because it: * A. Increases blood flow too quickly * B. Causes excessive swelling * C. Triggers abnormal vascular response in extremities * D. Stimulates nerve regeneration
C
35
Symptoms of Raynaud’s phenomenon include: * A. Hyperthermia and redness * B. Pain, numbness, tingling, cyanosis * C. Joint stiffness * D. Muscle fatigue
B
36
The primary purpose of compression is to: * A. Reduce inflammation by increasing capillary flow * B. Increase tissue metabolism * C. Reduce swelling and fluid accumulation * D. Immobilize the limb
C
37
Compression works by influencing which physiological forces? * A. Thermal conduction * B. Starling’s Law (hydrostatic + osmotic pressures) * C. Gravity and momentum * D. Neural inhibition and reflex activity
B
38
Which of the following is NOT a method of applying compression? * A. Elastic wraps * B. Hydrocollator packs * C. Braces * D. Compressive pads
B
39
Compression can help align torn tissue by: * A. Reducing metabolic rate * B. Enhancing fluid seepage into tissue * C. Limiting swelling that separates the fibers * D. Reversing blood clotting
C
40
Elevation helps reduce swelling by: * A. Slowing metabolism * B. Increasing lymphatic resistance * C. Lowering capillary hydrostatic pressure * D. Enhancing blood pressure
C
41
For optimal effect, the injured area should be elevated: * A. Just below the heart * B. At heart level * C. No elevation is necessary * D. Above the heart
D
42
The purpose of rest in RICE protocol is to: * A. Promote healing * B. Prevent further injury and inflammation * C. Increase joint stiffness * D. Improve blood clotting
B
43
During early healing, complete rest should eventually transition to: * A. Vigorous exercise * B. Painful stretching * C. Restricted function and gradual reloading * D. Electrical stimulation
C
44
Secondary hypoxic injury refers to: * A. Initial trauma caused by external forces * B. Additional tissue death due to restricted oxygen * C. Inflammatory cell activation * D. Muscle tearing from overload
B
45
Which treatment is most effective in minimizing secondary hypoxic injury? * A. Heat * B. Elevation * C. Cold application * D. Massage
C
46
Cold therapy decreases: * A. Tissues stiffness * B. Pain and circulation * C. Tissue oxygenation * D. Metabolic waste clearance
B
47
Compression prevents swelling from seeping into tissues by: * A. Breaking down proteins * B. Raison osmotic pressure * C. Inhibiting hydrostatic flow * D. Forcing fluid away from injury
D
48
Swelling under injured tissue can: * A. Stimulate fibroblasts * B. Assist regeneration * C. Separate tissue fibers and delay healing * D. Improve nerve conduction
C
49
50
Compression and cold are most effective when used: * A. Alternately in 12-hour intervals * B. Immediately and continuously for the first 24 hours * C. After 48 hours rest * D. In the remodeling phase
B