3.1 Inflammation
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Questions and Answers

What are the hallmark signs of acute inflammation?

  • Nausea, vomiting, abdominal pain, and diarrhea
  • Heat, redness, swelling, and pain (correct)
  • Fever, chills, fatigue, and headache
  • Pallor, dizziness, shortness of breath, and sweating

What happens shortly after an injury that leads to a rise in temperature in the affected area?

  • Decreased heart rate
  • Coagulation of blood
  • Vasodilation and increased blood flow (correct)
  • Constriction of blood vessels

What is the term for the passage of cells from the blood vessels into the injured tissue?

  • Hemostasis
  • Thrombolysis
  • Extravasation (correct)
  • Hematopoiesis

Which type of agents can cause acute inflammation through toxic gases and acids?

<p>Chemical agents (C)</p> Signup and view all the answers

What role do leukocytes play in the process of inflammation?

<p>Adhering to endothelium and phagocytosing pathogens (A)</p> Signup and view all the answers

Which term refers to the loss of function associated with acute inflammation?

<p><em>Functio laesa</em> (D)</p> Signup and view all the answers

Which pro-inflammatory cytokines induce fever and stress hormone production?

<p>TNFα and IL-1 (D)</p> Signup and view all the answers

What is the role of IL-6 in response to TNFα and IL-1?

<p>Stimulates the release of acute-phase proteins (D)</p> Signup and view all the answers

Which complement components play a role in increasing vascular permeability?

<p>C3a and C5a (C)</p> Signup and view all the answers

What do TNFα and IL-1 induce the synthesis of?

<p>IL-6 and IL-8 (A)</p> Signup and view all the answers

How do pro-inflammatory cytokines activate the coagulation cascade?

<p>By promoting platelet aggregation (A)</p> Signup and view all the answers

What is the function of PGE in the context of inflammation?

<p>Promoting vasodilation (B)</p> Signup and view all the answers

What are kinins involved in, particularly bradykinin?

<p>Increasing capillary permeability, causing hyperthermia and redness (D)</p> Signup and view all the answers

What is the primary function of clotting factors?

<p>Producing fibrin peptides during the final steps of the clotting process (B)</p> Signup and view all the answers

What occurs during the vascular stage of inflammation?

<p>Increase in cellular metabolism leading to higher local temperature (C)</p> Signup and view all the answers

What is the primary role of neutrophils and macrophages during the cellular stage of inflammation?

<p>Phagocytosis of bacteria and cellular debris (A)</p> Signup and view all the answers

What is the primary function of cell adhesion molecules (CAM) in the context of inflammation?

<p>Participating in the inflammatory response by enabling migration of immune cells (D)</p> Signup and view all the answers

What occurs during the process of leukocyte trafficking?

<p>Migration of leukocytes out of the vasculature to the site of infection (C)</p> Signup and view all the answers

What is a mechanism by which inflammation termination occurs?

<p>Production and release of transforming growth factor (TGF) beta from macrophages (C)</p> Signup and view all the answers

What molecules are upregulated during the termination of inflammation?

<p>Anti-inflammatory molecules such as the Interleukin 1 receptor antagonist (C)</p> Signup and view all the answers

What are the potential outcomes of inflammation?

<p>Complete restoration of the inflamed tissue, fibrosis, abscess formation, and chronic inflammation (B)</p> Signup and view all the answers

What occurs at the end stages of inflammation?

<p>All of the above (D)</p> Signup and view all the answers

What is a consequence of extensive tissue destruction during inflammation?

<p>Formation of a scar composed largely of collagen (A)</p> Signup and view all the answers

What occurs during chronic inflammation?

<p>Presence of macrophages in the injured tissue (D)</p> Signup and view all the answers

What is required for extravasation of leukocytes from blood vessels into inflamed tissues?

<p>Expression of selectins and integrins (A)</p> Signup and view all the answers

Which family of proteins are selectins part of?

<p>Mucins (D)</p> Signup and view all the answers

Which selectin is primarily expressed on endothelial cells during inflammation?

<p>Selectin P (A)</p> Signup and view all the answers

Which type of molecules do selectins bind to on leukocytes?

<p>Carbohydrates (C)</p> Signup and view all the answers

What type of proteins are integrins?

<p>Heterodimeric proteins (B)</p> Signup and view all the answers

Deficiency in which integrin chain leads to leukocyte adhesion deficiency?

<p>β2 chain (C)</p> Signup and view all the answers

Which type of CAMs contain both Ig-like domains and mucin domains?

<p>Ig-superfamily CAMs (B)</p> Signup and view all the answers

What is responsible for leukocyte migration to the mucosa?

<p>Ig-superfamily CAMs (D)</p> Signup and view all the answers

What process involves leukocytes loosely binding to selectin E and P on endothelial cells during inflammation?

<p>Rolling adhesion (C)</p> Signup and view all the answers

Which type of agents can cause acute inflammation through biological means?

<p>Bacteria (B)</p> Signup and view all the answers

Which of the following is NOT part of the hallmark signs of acute inflammation as described by the Romans?

<p>Pruritus (itching) (C)</p> Signup and view all the answers

Which of the following is responsible for leukocytes adhering to the endothelium in the injured area?

<p>Mediators of inflammation (B)</p> Signup and view all the answers

Which of the following is NOT a biological agent that can cause acute inflammation?

<p>Chemical agents (C)</p> Signup and view all the answers

Which of the following is responsible for increasing vascular permeability during inflammation?

<p>Mediators of inflammation (A)</p> Signup and view all the answers

Which of the following is responsible for the loss of function associated with acute inflammation?

<p>Functio laesa (A)</p> Signup and view all the answers

Which prostaglandin promotes platelet aggregation and vasoconstriction?

<p>Prostaglandin thromboxane A2 (A)</p> Signup and view all the answers

Which leukotriene is a potent chemoattractant of neutrophils?

<p>Leukotriene B4 (C)</p> Signup and view all the answers

Which molecule among the following is not responsible for causing dilation and increased permeability of capillaries?

<p>Prostaglandin E1 (C)</p> Signup and view all the answers

Which of the following is not a function of Platelet-activating factor (PAF)?

<p>Contributes to the synthesis of TNFα and IL-1 (D)</p> Signup and view all the answers

Which of the following does NOT increase vascular permeability during inflammation?

<p>Prostaglandin F2α (D)</p> Signup and view all the answers

Which of the following does NOT induce fever and stress hormone production?

<p>IL-10 (A)</p> Signup and view all the answers

What is a mechanism that contributes to the downregulation of pro-inflammatory molecules during inflammation termination?

<p>The production of anti-inflammatory lipoxins (C)</p> Signup and view all the answers

Which mechanism is responsible for the initiation of apoptosis in neutrophils during inflammation termination?

<p>The production of resolvins and protectins (C)</p> Signup and view all the answers

What is the primary function of transforming growth factor (TGF) beta during inflammation termination?

<p>Production of anti-inflammatory cytokines (B)</p> Signup and view all the answers

What process contributes to the termination of inflammation by promoting the departure of macrophages through the lymphatics?

<p>The initiation of the anti-inflammatory program (C)</p> Signup and view all the answers

Which mechanism plays a role in reducing neutrophil recruitment during inflammation termination?

<p>The upregulation of anti-inflammatory molecules (C)</p> Signup and view all the answers

What is the primary role of IL-4 and IL-10 during inflammation termination?

<p>Induction of downregulation of TNFα, IL-1, IL-6, and IL-8 (B)</p> Signup and view all the answers

What is the primary function of C-reactive protein (CRP) in the context of inflammation?

<p>CRP initiates the classical pathway of the complement system. (A)</p> Signup and view all the answers

What is the main role of Interleukin 8 (IL-8) in the process of inflammation?

<p>IL-8 promotes chemotaxis and induces extravasation of granulocytes. (B)</p> Signup and view all the answers

Which of the following processes is not directly mediated by pro-inflammatory cytokines during inflammation?

<p>Tissue repair and regeneration. (D)</p> Signup and view all the answers

What is the primary function of Interleukin 1 (IL-1) during inflammation?

<p>IL-1 induces the production of stress hormones, such as norepinephrine. (C)</p> Signup and view all the answers

Which of the following is not a consequence of increased vascular permeability during inflammation?

<p>Differentiation of macrophages. (D)</p> Signup and view all the answers

What is the role of complement components C3a and C5a during inflammation?

<p>C3a and C5a increase vascular permeability and stimulate chemotaxis. (D)</p> Signup and view all the answers

Which selectin is primarily expressed on leukocytes of blood cells?

<p>Selectin L (A)</p> Signup and view all the answers

Which integrin chain deficiency leads to leukocyte adhesion deficiency (LAD)?

<p>β2 (A)</p> Signup and view all the answers

Which selectin is synthesized de novo following stimulation by e.g., cytokines?

<p>Selectin E (C)</p> Signup and view all the answers

Which phase of leukocyte extravasation involves leukocytes loosely binding to selectin E and P on endothelial cells?

<p>Phase I (C)</p> Signup and view all the answers

Which selectin is released when the granules fuse with the endothelial cell membrane?

<p>Selectin P (D)</p> Signup and view all the answers

Which type of CAMs contain both Ig-like domains and mucin domains?

<p>MAdCAM-1 (C)</p> Signup and view all the answers

Which complement components play a role in increasing vascular permeability?

<p>C3a and C5a (B)</p> Signup and view all the answers

Which selectin is not expressed on the endothelium during inflammation?

<p>Selectin L (B)</p> Signup and view all the answers

Which CAM is responsible for migration of leukocytes to the mucosa?

<p>MAdCAM-1 (C)</p> Signup and view all the answers

Which pro-inflammatory cytokines induce fever and stress hormone production?

<p>TNFα and IL-1 (B)</p> Signup and view all the answers

What is the primary function of pro-inflammatory cytokines TNFα and IL-1?

<p>Promote chemotaxis and degranulation of neutrophils (C)</p> Signup and view all the answers

Which molecules are involved in increasing vascular permeability during inflammation?

<p>Complement components C3a and C5a (A)</p> Signup and view all the answers

What is the role of Interleukin 6 (IL-6) in response to TNFα and IL-1?

<p>Stimulate the release of acute-phase proteins (C)</p> Signup and view all the answers

Which molecules stimulate chemotaxis of neutrophils, eosinophils, and monocytes?

<p>Complement components C3a and C5a (A)</p> Signup and view all the answers

Which component plays a role in activating the classical pathway during inflammation?

<p>Tumor necrosis factor alpha (TNFα) (C)</p> Signup and view all the answers

What is a consequence of pro-inflammatory cytokines activating the coagulation cascade?

<p>Increased release of leukotrienes (C)</p> Signup and view all the answers

What is one of the mechanisms involved in inflammation termination?

<p>Downregulation of receptor activity (D)</p> Signup and view all the answers

During the resolution of inflammation, which molecules are responsible for inducing downregulation of pro-inflammatory cytokines?

<p>Transforming growth factor (TGF) beta (B)</p> Signup and view all the answers

What is the role of resolvins and protectins synthesized from omega-3 polyunsaturated fatty acids in inflammation termination?

<p>Initiate apoptosis in neutrophils (C)</p> Signup and view all the answers

What is the outcome of chronic inflammation?

<p>Extensive tissue destruction and scar formation (C)</p> Signup and view all the answers

Which molecules are involved in the upregulation during the inflammation termination process?

<p>Lipoxins (D)</p> Signup and view all the answers

What is the main role of apoptosis during inflammation termination?

<p>Induce programmed cell death in pro-inflammatory cells (C)</p> Signup and view all the answers

What is the meaning of the suffix 'itis' in medical terms?

<p>Inflammation (C)</p> Signup and view all the answers

Which disease is characterized by the inflammation of the mammary gland?

<p>Mastitis (A)</p> Signup and view all the answers

What is a hallmark diagnostic feature of acute mastitis?

<p>Presence of leukocytes in milk (D)</p> Signup and view all the answers

What is the purpose of the California Mastitis Test (CMT)?

<p>To detect the presence of leukocytes (A)</p> Signup and view all the answers

Which of the following is not a common cause of mastitis?

<p>Influenza virus (C)</p> Signup and view all the answers

What is the primary role of leukocytes in the context of mastitis?

<p>To fight infection (D)</p> Signup and view all the answers

What is the primary role of Interleukin 1 (IL-1) during inflammation?

<p>Inducing fever and stress hormone production (C)</p> Signup and view all the answers

Which prostaglandin promotes platelet aggregation and vasoconstriction?

<p>Prostaglandin F (D)</p> Signup and view all the answers

Which type of agents can cause acute inflammation through biological means?

<p>Biological agents (C)</p> Signup and view all the answers

What is the term for the passage of cells from the blood vessels into the injured tissue?

<p>Extravasation (B)</p> Signup and view all the answers

What role do leukocytes play in the process of inflammation?

<p>Infiltrating the injured tissue to fight off pathogens (A)</p> Signup and view all the answers

What is the primary function of clotting factors?

<p>Activating the coagulation cascade (D)</p> Signup and view all the answers

Which stage of inflammation involves the movement of leukocytes into the area of injury?

<p>Cellular stage (A)</p> Signup and view all the answers

Which of the following is a consequence of increased vascular permeability during inflammation?

<p>Swelling and impaired function (B)</p> Signup and view all the answers

Which cells are the first to arrive at the site of infection during inflammation?

<p>Cells of innate immunity (C)</p> Signup and view all the answers

Which of the following is involved in the process of leukocyte trafficking to the site of inflammation?

<p>Migration of leukocytes to the site of infection (B)</p> Signup and view all the answers

Which of the following is responsible for the production of fibrin peptides during the final steps of the clotting process?

<p>Clotting factors (D)</p> Signup and view all the answers

Which of the following is a consequence of the cell adhesion molecules (CAM) on endothelial cells during inflammation?

<p>Migration of leukocytes to participate in the inflammatory response (B)</p> Signup and view all the answers

Flashcards

What are the hallmark signs of acute inflammation?

Heat, redness, swelling, and pain.

What happens shortly after an injury that causes a rise in temperature in the affected area?

Vasodilation and increased blood flow.

What is the term for the passage of cells from the blood vessels into the injured tissue?

The passage of cells from the blood vessels into the injured tissue.

Which type of agents can cause acute inflammation through toxic gases and acids?

Toxic gases and acids.

Signup and view all the flashcards

What role do leukocytes play in the process of inflammation?

Adhering to endothelium and phagocytosing pathogens.

Signup and view all the flashcards

Which term refers to the loss of function associated with acute inflammation?

The loss of function associated with acute inflammation.

Signup and view all the flashcards

Which pro-inflammatory cytokines induce fever and stress hormone production?

Pro-inflammatory cytokines that trigger fever and stress hormone production.

Signup and view all the flashcards

What is the role of IL-6 in response to TNFα and IL-1?

Stimulates the release of acute-phase proteins.

Signup and view all the flashcards

Which complement components play a role in increasing vascular permeability?

C3a and C5a.

Signup and view all the flashcards

What do TNFα and IL-1 induce the synthesis of?

IL-6 and IL-8.

Signup and view all the flashcards

How do pro-inflammatory cytokines activate the coagulation cascade?

By promoting platelet aggregation.

Signup and view all the flashcards

What is the function of PGE in the context of inflammation?

Promoting vasodilation.

Signup and view all the flashcards

What are kinins involved in, particularly bradykinin?

Increasing capillary permeability, causing hyperthermia and redness.

Signup and view all the flashcards

What is the primary function of clotting factors?

Producing fibrin peptides during the final steps of the clotting process.

Signup and view all the flashcards

What occurs during the vascular stage of inflammation?

Increase in cellular metabolism leading to higher local temperature.

Signup and view all the flashcards

What is the primary role of neutrophils and macrophages during the cellular stage of inflammation?

Phagocytosis of bacteria and cellular debris.

Signup and view all the flashcards

What is the primary function of cell adhesion molecules (CAM) in the context of inflammation?

Participating in the inflammatory response by enabling migration of immune cells.

Signup and view all the flashcards

What occurs during the process of leukocyte trafficking?

Migration of leukocytes out of the vasculature to the site of infection.

Signup and view all the flashcards

What is a mechanism by which inflammation termination occurs?

Production and release of transforming growth factor (TGF) beta from macrophages.

Signup and view all the flashcards

What molecules are upregulated during the termination of inflammation?

Anti-inflammatory molecules such as the Interleukin 1 receptor antagonist.

Signup and view all the flashcards

What are the potential outcomes of inflammation?

Complete restoration of the inflamed tissue, fibrosis, abscess formation, and chronic inflammation

Signup and view all the flashcards

What occurs at the end stages of inflammation?

All of the above

Signup and view all the flashcards

What is a consequence of extensive tissue destruction during inflammation?

Formation of a scar composed largely of collagen.

Signup and view all the flashcards

What occurs during chronic inflammation?

Presence of macrophages in the injured tissue.

Signup and view all the flashcards

What is required for extravasation of leukocytes from blood vessels into inflamed tissues?

Expression of selectins and integrins.

Signup and view all the flashcards

Which family of proteins are selectins part of?

Mucins.

Signup and view all the flashcards

Which selectin is primarily expressed on endothelial cells during inflammation?

Selectin P.

Signup and view all the flashcards

Which type of molecules do selectins bind to on leukocytes?

Carbohydrates.

Signup and view all the flashcards

What type of proteins are integrins?

Heterodimeric proteins.

Signup and view all the flashcards

Deficiency in which integrin chain leads to leukocyte adhesion deficiency?

β2 chain.

Signup and view all the flashcards

Which type of CAMs contain both Ig-like domains and mucin domains?

Ig-superfamily CAMs.

Signup and view all the flashcards

What is responsible for leukocyte migration to the mucosa?

Ig-superfamily CAMs.

Signup and view all the flashcards

What process involves leukocytes loosely binding to selectin E and P on endothelial cells during inflammation?

Rolling adhesion.

Signup and view all the flashcards

Which type of agents can cause acute inflammation through biological means?

Bacteria.

Signup and view all the flashcards

Which of the following is NOT part of the hallmark signs of acute inflammation as described by the Romans?

Pruritus (itching).

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Which of the following is responsible for leukocytes adhering to the endothelium in the injured area?

Mediators of inflammation.

Signup and view all the flashcards

Which of the following is NOT a biological agent that can cause acute inflammation?

Chemical agents.

Signup and view all the flashcards

Which of the following is responsible for increasing vascular permeability during inflammation?

Mediators of inflammation.

Signup and view all the flashcards

Which of the following is responsible for the loss of function associated with acute inflammation?

Functio laesa.

Signup and view all the flashcards

Which prostaglandin promotes platelet aggregation and vasoconstriction?

Prostaglandin thromboxane A2.

Signup and view all the flashcards

Which leukotriene is a potent chemoattractant of neutrophils?

Leukotriene B4.

Signup and view all the flashcards

Which molecule among the following is not responsible for causing dilation and increased permeability of capillaries?

Prostaglandin E1.

Signup and view all the flashcards

Which of the following is not a function of Platelet-activating factor (PAF)?

Contributes to the synthesis of TNFα and IL-1.

Signup and view all the flashcards

Which of the following does NOT increase vascular permeability during inflammation?

Prostaglandin F2α.

Signup and view all the flashcards

Which of the following does NOT induce fever and stress hormone production?

IL-10.

Signup and view all the flashcards

What is a mechanism that contributes to the downregulation of pro-inflammatory molecules during inflammation termination?

The production of anti-inflammatory lipoxins.

Signup and view all the flashcards

Which mechanism is responsible for the initiation of apoptosis in neutrophils during inflammation termination?

The production of resolvins and protectins.

Signup and view all the flashcards

What is the primary function of transforming growth factor (TGF) beta during inflammation termination?

Production of anti-inflammatory cytokines.

Signup and view all the flashcards

What process contributes to the termination of inflammation by promoting the departure of macrophages through the lymphatics?

The initiation of the anti-inflammatory program.

Signup and view all the flashcards

Which mechanism plays a role in reducing neutrophil recruitment during inflammation termination?

The upregulation of anti-inflammatory molecules.

Signup and view all the flashcards

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