Acute inflammation

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Which of the following best describes serous inflammation?

Inflammation marked by the exudation of cell-poor fluid into spaces created by injury to surface epithelia or body cavities

What is the fluid in serous inflammation typically like?

Cell-poor and not infected by destructive organisms

What is the term for the accumulation of fluid in body cavities?

Effusion

Which conditions can cause effusions consisting of transudates?

Reduced blood outflow in heart failure

What does a skin blister resulting from a burn or viral infection represent?

Accumulation of cell-poor fluid within the damaged epidermis

Which body cavities can be affected by serous inflammation?

Peritoneum, pleura, and pericardium

Which of the following is true about fibrinous exudate?

It can be dissolved by fibrinolysis and cleared by macrophages

What is the histological appearance of fibrin in a fibrinous exudate?

Eosinophilic meshwork of threads

What can happen if fibrin is not removed from a fibrinous exudate?

It can lead to the formation of scar tissue

What does the conversion of fibrinous exudate to scar tissue lead to?

Opaque fibrous thickening of the pericardium

Which body cavities are commonly affected by fibrinous inflammation?

Pleural cavity

What triggers the development of a fibrinous exudate in inflammation? (2 ans)

Large leaks in the blood vessels

How is a fibrinous exudate cleared from the site of inflammation?

Fibrinolysis by macrophages

Which of the following is the most common cause of purulent inflammation?

Bacterial infection

What is the main component of pus in purulent inflammation?

Neutrophils

What are abscesses?

Localized collections of pus

What is the central region of an abscess composed of?

Necrotic leukocytes and tissue cells

What may happen to an abscess over time?

It may become walled off and replaced by connective tissue

What is the main characteristic of purulent inflammation?

Production of pus, consisting of neutrophils and liquefied debris

What is the primary cause of purulent (suppurative) inflammation?

Infection with pyogenic (pus-producing) bacteria

What is the typical histological appearance outside the central region of an abscess?

Fibroblastic proliferation and vascular dilation

What is the recommended approach for persistent or critical abscesses?

Surgical drainage

What is the most common location for ulcers to occur?

Stomach

What is the main cause of ulcers in the skin and subcutaneous tissue of the lower extremities in older persons?

Circulatory disturbances

Which type of inflammation is often present in ulcers?

Both acute and chronic inflammation

What is the characteristic histological appearance of ulcers during the acute stage?

Polymorphonuclear infiltration and vascular dilation

What happens to the margins and base of an ulcer with chronicity?

Fibroblast proliferation

What is an ulcer?

A local defect or excavation of the organ or tissue surface

Which of the following is NOT one of the outcomes of acute inflammation?

Formation of abscesses

What is the usual outcome when the injury is limited or short-lived and there has been little tissue destruction?

Complete resolution

When does healing by connective tissue replacement occur?

After substantial tissue destruction

What happens during healing by connective tissue replacement?

Connective tissue grows into the area of damage or exudate

When does the acute inflammatory response progress to chronic inflammation?

When it cannot be resolved

What is the process involved in resolution of acute inflammation?

Removal of cellular debris and microbes by macrophages

What is the outcome of resolution of acute inflammation?

Restoration of the site of acute inflammation to normal

What are the variables that may modify the basic process of inflammation?

All of the above

What is the main process involved in the resorption of edema fluid in the resolution of acute inflammation?

Lymphatic drainage

Test your knowledge on the morphologic patterns of acute inflammation, specifically focusing on serous inflammation. Learn about the characteristics and exudation of cell-poor fluid in this type of inflammation.

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