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Granulomatous Inflammation Overview
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Granulomatous Inflammation Overview

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Questions and Answers

What is the distinctive pattern of chronic inflammation seen in hand granulomatous inflammation?

  • Lymphocytic infiltrate
  • Activated macrophages with epithelioid appearance (correct)
  • Chronic inflammation with eosinophils
  • Acute inflammation with neutrophils
  • Which of the following is NOT listed as a potential cause of hand granulomatous inflammation?

  • Foreign bodies like endogenous talc
  • Specific infections like mycobacteria
  • Viral infections (correct)
  • Unknown causes like sarcoidosis
  • What type of cells are commonly found in a focal area of granulomatous inflammation?

  • Neutrophils
  • Epithelioid cells and giant cells (correct)
  • Plasma cells
  • T cells
  • In hand granuloma, what are epithelioid histiocytes known for?

    <p>Abundant pink granular cytoplasm</p> Signup and view all the answers

    What is a characteristic feature of giant cells in hand granuloma?

    <p>Multinucleation due to fusion of macrophages</p> Signup and view all the answers

    Which type of giant cell is specifically associated with tuberculosis or foreign body reactions?

    <p>Langhans giant cell</p> Signup and view all the answers

    What is the main player in chronic inflammation?

    <p>Macrophages</p> Signup and view all the answers

    Which type of monocytes migrate to tissues and differentiate into macrophages?

    <p>Blood monocytes</p> Signup and view all the answers

    What is the function of IFN-y in macrophage activation?

    <p>Induce classical (M1) macrophage activation</p> Signup and view all the answers

    What is a hallmark of chronic inflammation?

    <p>Inducing considerable tissue destruction</p> Signup and view all the answers

    How do activated lymphocytes and macrophages affect each other in the inflammatory response?

    <p>Stimulate each other and release mediators</p> Signup and view all the answers

    What type of inflammation involves the formation of granulomas?

    <p>Chronic inflammation</p> Signup and view all the answers

    What are the main characteristics of chronic inflammation according to Dr. C.Hand?

    <p>Active inflammation, attempts at healing by connective tissue, and tissue destruction</p> Signup and view all the answers

    What is one of the histological features of active inflammation in chronic inflammation?

    <p>Increased neutrophils count</p> Signup and view all the answers

    Which disease is mentioned by Dr. C.Hand as an example of primary chronic inflammation?

    <p>Tuberculosis (TB)</p> Signup and view all the answers

    How does chronic inflammation typically progress from acute inflammation?

    <p>By proliferation of fibroblasts and small blood vessels</p> Signup and view all the answers

    What is the role of macrophages in chronic inflammation according to Dr. C.Hand?

    <p>To play a part in tissue destruction</p> Signup and view all the answers

    What are the common cells present during active inflammation in chronic inflammation?

    <p>Macrophages, lymphocytes, and plasma cells</p> Signup and view all the answers

    What is the primary mechanism by which fever is induced in response to pyrogens like LPS?

    <p>Elevated levels of TNF and IL-1 leading to increased prostaglandins</p> Signup and view all the answers

    Which acute-phase protein acts as an opsonin by binding to microbial cells to aid in their elimination?

    <p>C-reactive protein (CRP)</p> Signup and view all the answers

    In the context of inflammation, what is the main cellular infiltrate seen in acute inflammation?

    <p>Neutrophils</p> Signup and view all the answers

    Which type of inflammation is characterized by mild and self-limited tissue injury, usually with fast onset?

    <p>Acute inflammation</p> Signup and view all the answers

    What is the primary feature that distinguishes granulomatous inflammation from other types of inflammation?

    <p>Presence of multinucleated giant cells</p> Signup and view all the answers

    Which setting is most likely to lead to serous inflammation?

    <p>Blister formation</p> Signup and view all the answers

    What type of inflammation is characterized by the outpouring of thin fluid, such as serum, from serous cavities?

    <p>Fibrinous inflammation</p> Signup and view all the answers

    What type of inflammation involves the accumulation of modified macrophages known as epithelioid cells?

    <p>Granulomatous inflammation</p> Signup and view all the answers

    Which type of inflammation involves the exudation of large amounts of plasma proteins, including fibrinogen?

    <p>Fibrinous inflammation</p> Signup and view all the answers

    What type of inflammation is associated with the formation of an ulcer?

    <p>Necrotising inflammation</p> Signup and view all the answers

    In which type of inflammation might one observe a collection of serous effusion separating the epidermis from the dermis?

    <p>Serous inflammation</p> Signup and view all the answers

    Which type of inflammation is characterized by accumulations of stringy pale fibrin?

    <p>Fibrinous inflammation</p> Signup and view all the answers

    What are the main characteristics of chronic inflammation according to Dr. C.Hand?

    <p>Active inflammation, attempts at healing by connective tissue, tissue destruction</p> Signup and view all the answers

    What is a primary cause of chronic inflammation according to Dr. C.Hand?

    <p>Primary diseases like Tuberculosis and Rheumatoid arthritis</p> Signup and view all the answers

    How does chronic inflammation typically differ from acute inflammation?

    <p>Chronic inflammation shows attempts at healing by connective tissue, while acute inflammation does not</p> Signup and view all the answers

    What histological feature is associated with active inflammation in chronic inflammation?

    <p>Proliferation of fibroblasts and small blood vessels</p> Signup and view all the answers

    Which type of inflammation can progress from acute inflammation and involve recurrent episodes?

    <p>Primary chronic inflammation</p> Signup and view all the answers

    In chronic inflammation, what cell types are commonly present and contribute to the ongoing inflammatory process?

    <p>Macrophages, lymphocytes, and plasma cells</p> Signup and view all the answers

    What is the main function of oxygen metabolites secreted by macrophages in chronic inflammation?

    <p>Exhibit cytotoxic effects on invaders</p> Signup and view all the answers

    In chronic inflammation, which type of macrophage activation involves the production of nitric oxide (NO) and reactive oxygen species (ROS)?

    <p>Classical (M1)</p> Signup and view all the answers

    What is the reciprocal relationship between lymphocytes and macrophages in the context of inflammatory responses?

    <p>They stimulate each other's activation and release mediators that affect other cells</p> Signup and view all the answers

    What role do growth factors secreted by macrophages play in chronic inflammation?

    <p>Attracting fibroblasts for tissue repair</p> Signup and view all the answers

    Which type of monocytes migrate to tissues and differentiate into macrophages in chronic inflammation?

    <p><em>Blood monocytes</em></p> Signup and view all the answers

    What are the main functions of proteases secreted by macrophages in chronic inflammation?

    <p>Breaking down extracellular matrix (ECM)</p> Signup and view all the answers

    What is the main histological feature seen in fibrinous pericarditis?

    <p>Deposits of fibrin on pericardium</p> Signup and view all the answers

    In suppurative inflammation, what is the primary component of the abscess?

    <p>Neutrophils and cellular debris</p> Signup and view all the answers

    What defines an ulcer in the context of inflammation?

    <p>Acute inflammatory exudate in the crater</p> Signup and view all the answers

    What is the main characteristic of an empyema?

    <p>Hollow area filled with pus</p> Signup and view all the answers

    What distinguishes fibrinous inflammation from other types of inflammation?

    <p>Precipitation of masses of fibrin</p> Signup and view all the answers

    Which type of inflammation involves a pink meshwork of fibrin exudate overlying a surface?

    <p>Fibrinous pericarditis</p> Signup and view all the answers

    Which type of inflammation involves the formation of necrotizing and gangrenous tissues?

    <p>Granulomatous inflammation</p> Signup and view all the answers

    What is the defining feature of an abscess in purulent inflammation?

    <p>Pus filled with neutrophils and cellular debris</p> Signup and view all the answers

    What cellular infiltrate is common in serous inflammation?

    <p>Mesothelial cells</p> Signup and view all the answers

    Which characteristic is not typically seen in granulomatous inflammation?

    <p>Presence of serous effusion</p> Signup and view all the answers

    What is a potential outcome of fibrinous inflammation in the body cavities?

    <p>Pericarditis with strands of fibrin</p> Signup and view all the answers

    What distinguishes serous inflammation from other types of inflammation?

    <p>Outpouring of thin fluid</p> Signup and view all the answers

    What is the primary cellular infiltrate in acute inflammation?

    <p>Neutrophils</p> Signup and view all the answers

    Which of the following is elevated in acute-phase response and acts as an opsonin by binding to microbial cells for elimination?

    <p>C-reactive protein (CRP)</p> Signup and view all the answers

    What is a key feature that distinguishes chronic from acute inflammation?

    <p>Presence of macrophages</p> Signup and view all the answers

    Which factor released by microbes induces the response leading to fever by increasing prostaglandins?

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

    What type of inflammation is characterized by the accumulation of stringy pale fibrin?

    <p>Fibrinous inflammation</p> Signup and view all the answers

    Which cytokines are responsible for inducing the constitutional symptoms like malaise and somnolence observed during inflammation?

    <p>Tumor necrosis factor (TNF), interleukin-1 (IL-1)</p> Signup and view all the answers

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