Cellular Signaling and Extracellular Matrix Quiz
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Questions and Answers

Which type of signaling involves a cell releasing a substance that affects its own activity?

  • Endocrine signaling
  • Paracrine signaling
  • Autocrine signaling (correct)
  • Synaptic signaling
  • Which type of collagen is primarily found in the basement membrane?

  • Collagen type II
  • Collagen type I
  • Collagen type IV (correct)
  • Collagen type III
  • What is the main function of proteoglycans and hyaluronan in the extracellular matrix?

  • Providing tensile strength and recoil
  • Connecting matrix elements to each other and to cells
  • Providing hydration and swelling pressure (correct)
  • Acting as signaling molecules
  • Which of the following statements about growth factors is TRUE?

    <p>They can promote cell migration and differentiation. (B)</p> Signup and view all the answers

    How do growth factors promote entry into the cell cycle?

    <p>By promoting the synthesis of cellular proteins. (B)</p> Signup and view all the answers

    Which of these is NOT true about the extracellular matrix (ECM)?

    <p>The ECM is primarily composed of water and lipids. (B)</p> Signup and view all the answers

    Which type of signaling is involved when hormones travel through the bloodstream to reach their target cells?

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

    Which of the following is NOT a role of the ECM during wound healing?

    <p>Directly killing bacteria (B)</p> Signup and view all the answers

    Which of the following growth factors is NOT released during the hemostasis phase of wound healing?

    <p>Vascular endothelial growth factor (VEGF) (B)</p> Signup and view all the answers

    What is the primary function of polymorphonuclear leukocytes (PMNs) during the inflammation phase of wound healing?

    <p>Release of pro-inflammatory cytokines (A)</p> Signup and view all the answers

    Which of the following cells are responsible for the removal of dead PMNs from the wound site via apoptosis?

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

    Which of the following is a defining characteristic of the proliferation phase of wound healing?

    <p>Synthesis of new extracellular matrix components (C)</p> Signup and view all the answers

    What is the primary function of fibroblasts during the proliferation phase of wound healing?

    <p>Synthesis of collagen and other ECM components (B)</p> Signup and view all the answers

    Which of the following events is NOT characteristic of the remodeling and maturation phase of wound healing?

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

    Which of the following factors can potentially lead to delayed wound healing?

    <p>Presence of chronic infection (D)</p> Signup and view all the answers

    Which of the following is NOT directly involved in re-epithelialization?

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

    What is the primary function of angiogenesis in wound healing?

    <p>To provide nutrients and oxygen to the growing tissue (D)</p> Signup and view all the answers

    Which of the following factors is NOT primarily responsible for initiating endothelial cell migration during angiogenesis?

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

    What is the significance of the leakiness of newly formed blood vessels in wound healing?

    <p>It contributes to the edematous appearance of the healing tissue (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of granulation tissue?

    <p>Dense collagen fibers (A)</p> Signup and view all the answers

    What is the primary role of fibroblasts in wound healing?

    <p>To synthesize collagen and other extracellular matrix components (A)</p> Signup and view all the answers

    After wound healing is complete, what happens to the many nonfunctional blood vessels that were formed during angiogenesis?

    <p>They are degraded, leaving few vessels in the mature scar (D)</p> Signup and view all the answers

    Which of the following best describes the relationship between the wound healing processes of re-epithelialization and angiogenesis?

    <p>Angiogenesis occurs before re-epithelialization (C)</p> Signup and view all the answers

    What is the primary function of fibroblasts in the wound healing process?

    <p>Fibroblasts are responsible for the synthesis and deposition of the extracellular matrix, including collagen and elastin. (D)</p> Signup and view all the answers

    Why is the extracellular matrix (ECM) important for the maintenance of blood vessels?

    <p>The ECM provides structural support for blood vessels and aids in the regulation of growth factors essential for their integrity. (C)</p> Signup and view all the answers

    Which of the following is NOT a key cytokine involved in the remodeling phase of wound healing?

    <p>Fibroblast Growth Factor (FGF) (C)</p> Signup and view all the answers

    How does oxygen contribute to the formation of mature collagen in wound healing?

    <p>Oxygen is essential for the hydroxylation of proline and lysine residues in collagen, which is critical for proper bonding and structure. (C)</p> Signup and view all the answers

    What is the main reason for the reduction in cellularity at the wound site during the remodeling phase?

    <p>The cells are undergoing apoptosis, a programmed cell death process, as they are no longer needed. (C)</p> Signup and view all the answers

    What distinguishes healing by first intention from healing by second intention?

    <p>Healing by first intention is characterized by a clean wound with minimal tissue loss, while second intention involves a larger, more complex wound with significant tissue loss. (D)</p> Signup and view all the answers

    What is the primary role of contractile fibroblasts (myofibroblasts) during wound healing?

    <p>Myofibroblasts contribute to the contraction of the wound, drawing the edges closer together. (C)</p> Signup and view all the answers

    What are hypertrophic scars and keloids primarily a result of?

    <p>An excessive production of collagen fibers during the remodeling phase. (C)</p> Signup and view all the answers

    Which of these cell types can regenerate after injury, but only to a limited extent?

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

    Which of the following is NOT a defining characteristic of labile cells?

    <p>They are limited in their ability to regenerate in response to injury. (B)</p> Signup and view all the answers

    Permanent cells, unlike labile and stable cells, are characterized by their inability to:

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

    Which of the following is an example of a tissue that primarily relies on repair rather than regeneration after injury?

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

    Which of the following BEST describes the process by which damaged tissue is restored to its original state?

    <p>Regeneration, involving the proliferation of uninjured cells. (C)</p> Signup and view all the answers

    What is the main reason why labile cells can regenerate more easily than stable cells?

    <p>Labile cells contain a pool of stem cells. (D)</p> Signup and view all the answers

    Which of the following statements is TRUE about the healing process?

    <p>Healing always involves both regeneration and repair. (D)</p> Signup and view all the answers

    Which of the following is a defining characteristic of the repair process?

    <p>Formation of scar tissue as a result of connective tissue deposition. (C)</p> Signup and view all the answers

    Which of the following conditions is NOT a systemic factor that can impede wound healing?

    <p>Excessive UV light exposure (D)</p> Signup and view all the answers

    Which of the following best describes the difference between a hypertrophic scar and a keloid?

    <p>Hypertrophic scars remain within the wound boundaries, while keloids extend beyond the original wound. (C)</p> Signup and view all the answers

    What is the underlying cause of dehiscence, a complication of wound healing?

    <p>Increased pressure on the wound site, often due to abdominal distention. (C)</p> Signup and view all the answers

    Which of the following is a potential consequence of chronic wound infection?

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

    Which of the following is a specific example of a neoplasia arising from a wound?

    <p>Marjolin's ulcer (D)</p> Signup and view all the answers

    Which of the following factors directly influences the effectiveness of wound healing by promoting granulation tissue formation?

    <p>UV light exposure (C)</p> Signup and view all the answers

    Which of the following scenarios is LEAST likely to contribute to wound dehiscence?

    <p>A patient with a healthy weight undergoing a routine skin graft procedure. (D)</p> Signup and view all the answers

    Which statement MOST accurately reflects the impact of nutrition on wound healing?

    <p>A balanced diet with sufficient protein, vitamin C, zinc, and magnesium promotes efficient wound healing. (D)</p> Signup and view all the answers

    Flashcards

    Healing

    The body's response to injury for restoring normal structure and function.

    Regeneration

    Process by which some tissues replace damaged components and return to a normal state.

    Repair

    Healing that occurs through proliferation of connective tissue, leading to fibrosis and scarring.

    Labile Cells

    Cells that continuously divide and can easily regenerate after injury.

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    Stable Cells

    Cells that can multiply in response to stimuli but lose ability post-adolescence.

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    Permanent Cells

    Cells that lose the ability to proliferate around birth and cannot regenerate.

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    Growth Factors

    Substances that are crucial for tissue repair and regeneration.

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    Wound Healing Process

    Sequence of events leading to the restoration of normal tissue after injury.

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    Function of ECM

    Extracellular matrix supports cells and regulates tissue structure.

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    Stages of Wound Healing

    Include hemostasis, inflammation, proliferation, and remodeling.

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    Hemostasis

    Immediate response with blood vessel constriction and clot formation.

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    Inflammation Phase

    Begins after hemostasis; influx of immune cells to prevent infection.

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    Cytokines in Inflammation

    Proinflammatory signals like IL-1, IL-6, and TNF-α are released.

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    Proliferation Phase

    Rebuilding of the wound with new tissue, collagen, and extracellular matrix.

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    Macrophages

    Immune cells that clear debris and support healing in inflammation.

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    Cell Division

    The process by which a cell splits into two or more daughter cells.

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    Autocrine Signaling

    Cell responds to signals it releases itself.

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    Paracrine Signaling

    Signaling between adjacent cells, influencing their behavior.

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    Endocrine Signaling

    Long-distance signaling via hormones carried in the blood.

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    Extracellular Matrix (ECM)

    A network of proteins surrounding cells vital for tissue structure and repair.

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    Fibrous Structural Proteins

    Proteins like collagen and elastin provide strength and elasticity to tissues.

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    Basement Membrane

    A thin layer of ECM associated with epithelial and mesenchymal cells.

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    Wound contraction

    The process where a wound reduces in size as new tissues form.

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    Re-epithelialization

    Recovery of a wound involving migration and proliferation of keratinocytes.

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    Angiogenesis

    The formation of new blood vessels from existing ones, vital for healing.

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    Granulation tissue

    Tissue that forms in wounds, characterized by a pink, soft appearance and new capillaries.

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    Fibroblasts

    Cells that proliferate in wounds to produce collagen and support tissue repair.

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    Collagen deposition

    The process of connective tissue formation which provides strength to the wound area.

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    VEGF

    Vascular Endothelial Growth Factor; a key molecule that stimulates angiogenesis.

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    ECM formation

    Extracellular Matrix formation; a network that supports cells in tissues.

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    Hydroxylation

    A chemical process that modifies proline and lysine for collagen formation.

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    Remodeling

    The process of rearranging and modifying the extracellular matrix over time.

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    Cytokines

    Cell signaling molecules that influence inflammation and tissue healing.

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    Myofibroblasts

    Modified fibroblasts that help contract wounds during healing.

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    Hypertrophic Scars

    Raised scars that occur from excessive tissue formation at the wound site.

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    Healing by First Intention

    A type of wound healing with minimal tissue loss and clean edges.

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    Factors Affecting Wound Healing

    Local and systemic influences that impact how wounds heal.

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    Local Factors

    Elements at the wound site that can enhance or hinder healing, like infection and blood supply.

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    Systemic Factors

    Overall bodily conditions affecting healing, such as age and nutrition.

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    Keloid

    Scar tissue that grows beyond its original boundaries and does not regress.

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    Exuberant Granulation

    Excessive granulation tissue that protrudes and hinders healing.

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    Dehiscence

    Wound rupture often occurring after abdominal surgery due to pressure.

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    Osteomyelitis

    Bone infection that can occur in chronic wounds, such as diabetic ulcers.

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