Inflammation: Acute vs Chronic
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Questions and Answers

What is the purpose of inflammation?

  • To initiate the response to injury (correct)
  • To prevent phagocytosis from occurring
  • To inhibit the healing process
  • To maintain tissue damage

Which of the following is NOT a classical sign of acute inflammation?

  • Pus formation (correct)
  • Pain
  • Redness
  • Swelling

What are the two main types of exudates formed during acute inflammation?

  • Hemorrhagic and serous exudates
  • Eosinophilic and neutrophilic exudates
  • Granulomatous and suppurative exudates
  • Serous and fibrous exudates (correct)

Which factor is NOT typically a stimulus for inflammation?

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

What is the primary process involved in bacterial killing during inflammation?

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

What is the primary role of cytokines in inflammation?

<p>Mediating immune and inflammatory reactions (D)</p> Signup and view all the answers

Which cytokines are known to be pro-inflammatory?

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

What is a primary function of histamine in inflammatory response?

<p>Causing vasodilation and increasing permeability (D)</p> Signup and view all the answers

Which of the following compounds is involved in vasodilation during inflammation?

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

Which cell type predominantly produces leukotrienes?

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

What effect do chemokines have in the immune response?

<p>Act as proteins that enhance chemotaxis of leukocytes (A)</p> Signup and view all the answers

What is a key difference between acute and chronic inflammation?

<p>Acute inflammation resolves quickly, while chronic inflammation lasts longer (A)</p> Signup and view all the answers

What roles do prostaglandins play in the process of inflammation?

<p>Fever and pain induction (B)</p> Signup and view all the answers

What characterizes the onset of acute inflammation compared to chronic inflammation?

<p>It is usually faster. (B)</p> Signup and view all the answers

Which cellular component is primarily associated with acute inflammation?

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

Which of the following is a common feature of chronic inflammation?

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

Which of the following factors is less prominent in acute inflammation?

<p>Long-term exposure (C)</p> Signup and view all the answers

What is the likely outcome of tissue injury in acute inflammation?

<p>Mild and self-limited damage (A)</p> Signup and view all the answers

Which of the following cardinal signs is NOT typically present in acute inflammation?

<p>None; all are present (C)</p> Signup and view all the answers

Which of the following stimuli is typically associated with chronic inflammation?

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

What process is primarily linked to the fluid transudation observed in acute inflammation?

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

What is one cause of increased vascular permeability?

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

Which type of cells are primarily involved in the early inflammatory response?

<p>PMN’s (polymorphonuclear neutrophils) (C)</p> Signup and view all the answers

What is the role of opsonisation in phagocytosis?

<p>To mark particles for engulfment (B)</p> Signup and view all the answers

Which of the following best describes the nature of chemical mediators?

<p>They act as chemical messengers during inflammatory responses. (C)</p> Signup and view all the answers

What type of phagocytic cells are monocytes and macrophages primarily classified as?

<p>Involved in chronic inflammation (B)</p> Signup and view all the answers

Which chemical mediator type is derived from endothelial cells and fibroblasts during an immune response?

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

Which of the following is NOT a typical enzyme released by neutrophils and macrophages at an inflamed site?

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

What is a common pattern of inflammation characterized by the presence of pus?

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

Study Notes

Inflammation

  • Local response of tissue to injury
  • Stimulus can be variable:
    • Microbial
    • Immunological
    • Physical
    • Chemical

Types of Inflammation

  • Acute inflammation
  • Chronic inflammation

Features comparing Acute & Chronic Inflammation

  • Onset:
    • Acute: Fast
    • Chronic: Slow
  • Cellular infiltrate:
    • Acute: Mainly neutrophils
    • Chronic: Monocytes/macrophages & lymphocytes
  • Tissue Injury & Fibrosis:
    • Acute: Usually mild and self-limited
    • Chronic: Extensive tissue damage with fibrosis
  • Local & systemic factors:
    • Acute: Prominent
    • Chronic: Less prominent
  • Presence of cardinal signs:
    • Acute: Likely to be present
    • Chronic: No cardinal signs
  • Presence of stimulus:
    • Acute: Short term exposure
    • Chronic: Long term exposure
  • Response:
    • Acute: Resolution, healing, or progression to chronic
    • Chronic: Fibrosis and angiogenesis

Causes of Inflammation

  • Infections:
    • Bacteria
    • Viruses
    • Fungi
    • Parasites
  • Tissue necrosis:
    • Physical and chemical injuries
    • Heart attack
    • Collection of dead tissue in a confined space
  • Trauma:
    • Blunt and penetrating trauma
    • Burns, frostbite, chemicals
  • Foreign bodies:
    • Splinters, sutures, bones, finger nails
    • Popcorn kernels
  • Immune (hypersensitivity reactions):
    • Triggered by environmental factors
    • Or autoimmune diseases

Cardinal Signs of Inflammation

  • Rubor (redness)
  • Calor (heat)
  • Tumor (swelling)
  • Dolor (pain)
  • Loss of function

Events in Acute Inflammation

  • Vascular events:
    • Persistent vasodilation
    • Elevation of hydrostatic pressure
    • Increased in vascular permeability
    • Transudation of fluid into extracellular space
    • Slowing or statis of microcirculation
  • Cellular events:
    • Leucocyte recruitment to site – chemotaxsis
    • Phagocytosis of particles – engulfment of particles

Causes of Increased Vascular Permeability

  • Endothelial cell contraction
  • Endothelial injury:
    • Direct
    • Leukocyte-induced
  • Increased transcytosis fluid
  • Leakage from new blood vessels

Phagocytosis

  • Two types of phagocytic cells:
    • PMN's: part of the early inflammatory response
    • Monocytes & macrophages
  • Opsonisation: 'marker'

Neutrophils and Macrophages

  • When at inflamed tissue site release proteolytic enzymes:
    • Protease
    • Collagenase
    • Elastase
    • Lipase

Patterns of Inflammation

  • Serous
  • Fibrinous
  • Suppurative (purulent)
  • Ulcerative

Chemical Mediators

  • Chemical messenger that acts upon a blood vessel, inflammatory cells or other cells to cause an inflammatory response
  • Exogenous
  • Endogenous:
    • Plasma
    • Leucocytes
    • Endothelial cells
    • Fibroblasts

Chemical Mediators - CYTOKINES

  • Chemical proteins produced by many cells including:
    • PMN's
    • Macrophages
    • B lymphocytes
    • Epithelial cells

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Description

This quiz explores the local response of tissue to various injuries, comparing acute and chronic inflammation. It covers the features, causes, and characteristics defining both types of inflammation, highlighting their differences and the factors influencing them.

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