Inflammation and Immune Response Quiz
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Questions and Answers

What is the primary function of fluid accumulation in tissues during inflammation?

  • To reduce the pH and dilute toxins. (correct)
  • To concentrate toxins at the site of injury.
  • To prevent capillary pore opening.
  • To promote microbial growth.

Which of the following is NOT a classic external sign of inflammation?

  • Tumor (swelling).
  • Rubor (redness).
  • Pallor (paleness). (correct)
  • Calor (heat).

What is the primary component of a transudate?

  • Watery filtrate of blood. (correct)
  • Cellular debris and microbial organisms.
  • Protein-rich filtrate of blood.
  • Thick, fibrin-rich fluid.

Purulent exudate is characterized by its high concentration of which component?

<p>Proteins, WBCs, microbial organisms, cellular debris. (B)</p> Signup and view all the answers

What is the term for an accumulation of fluid in a body cavity due to inflammatory or noninflammatory processes?

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

What is the process called when chemical signals attract WBCs to the site of injury?

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

What event is described by leukocytosis during inflammation?

<p>The release of increased numbers of WBCs from bone marrow. (D)</p> Signup and view all the answers

What is the difference between serous and sanguineous exudate?

<p>Serous is clear and watery, while sanguineous contains blood. (B)</p> Signup and view all the answers

Which type of white blood cell is also known as a polymorphonuclear leukocyte (PMN)?

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

What are the immature forms of neutrophils referred to as?

<p>Bands or stabs (C)</p> Signup and view all the answers

Which of the following is NOT classified as a granulocyte?

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

What is the process by which neutrophils engulf and destroy foreign matter called?

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

During phagocytosis, what are the extensions of the cytoplasm that surround foreign matter?

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

What is the term for the structure that contains engulfed foreign matter inside a phagocyte?

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

What is the primary function of the free radicals released during a respiratory burst in neutrophils?

<p>Disrupting microbial membranes (A)</p> Signup and view all the answers

Which of the following is a primary function of C-reactive protein (CRP)?

<p>Marking foreign material for phagocytosis. (B)</p> Signup and view all the answers

What is measured using a white blood cell (WBC) differential?

<p>The different types and percentages of WBCs (A)</p> Signup and view all the answers

An elevated erythrocyte sedimentation rate (ESR) primarily indicates which of the following conditions?

<p>An active inflammatory process. (B)</p> Signup and view all the answers

What physiological process is associated with prolonged secretion of serum amyloid A?

<p>Chronic inflammation resulting in amyloidosis. (C)</p> Signup and view all the answers

Which laboratory test is used as a biomarker for increased risk of myocardial infarction in patients with coronary artery disease?

<p>High sensitivity CRP. (D)</p> Signup and view all the answers

What effect does increased level of hepcidin in the bloodstream have?

<p>Diminished iron storage which leads to anemia. (B)</p> Signup and view all the answers

Which of the following is an effect of the inflammatory mediator substance P?

<p>Pain, hypotension, and increased vascular permeability. (D)</p> Signup and view all the answers

What is the main effect of platelet-activating factor in the inflammatory response?

<p>Vasodilation and increased vascular permeability. (C)</p> Signup and view all the answers

Fibrinogen's role in blood is best described as

<p>binding to red blood cells and causing them to stack. (A)</p> Signup and view all the answers

What is the primary role of phospholipase in the inflammatory process?

<p>To break down phospholipids into arachidonic acid. (A)</p> Signup and view all the answers

How do NSAIDs mitigate inflammation?

<p>By preventing the breakdown of arachidonic acid and inhibiting COX-1 and COX-2 pathways. (B)</p> Signup and view all the answers

Which prostaglandins are considered ‘good PGs’ and what are their beneficial roles?

<p>PG1, enhancing gastric mucus production, renal perfusion, and platelet aggregation. (C)</p> Signup and view all the answers

What is the specific action of COX-2 inhibitors in managing inflammation?

<p>They inhibit the production of only PG2 prostaglandins. (A)</p> Signup and view all the answers

How do TNF inhibitors and IL inhibitors reduce inflammation?

<p>By inhibiting the production of TNF alpha and interleukins. (B)</p> Signup and view all the answers

Which of the following is an accurate description of chemokines?

<p>They are proteins that attract leukocytes to the site of injury. (C)</p> Signup and view all the answers

What is the role of acute phase proteins in the body's inflammatory response?

<p>To assist in phagocytosis of microbes and facilitate the analysis of inflammation. (D)</p> Signup and view all the answers

Which of the following best describes the function of cytokines?

<p>They modulate inflammatory responses by either amplifying or deactivating the process. (B)</p> Signup and view all the answers

What is the primary mechanism by which medications reduce fever?

<p>Inhibiting prostaglandin (PG) formation (A)</p> Signup and view all the answers

Why should children and adolescents avoid aspirin or salicylate-containing products when they have a fever?

<p>They have been linked to Reye's syndrome in young people with viral infections. (D)</p> Signup and view all the answers

What physiological process causes the sensation of chills during the onset of a fever?

<p>Blood vessels constricting and muscles shivering to generate heat. (D)</p> Signup and view all the answers

What is the physiological response that occurs as a fever is resolving and the hypothalamic temperature returns to normal?

<p>Vasodilation and intense sweating (diaphoresis) (C)</p> Signup and view all the answers

What are pyrogens in relation to fever?

<p>Inflammatory mediators released by white blood cells that reset the hypothalamic temperature. (D)</p> Signup and view all the answers

What is the term for the enlargement of lymph nodes due to inflammatory processes?

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

Why do lymph nodes enlarge during an inflammatory process?

<p>Due to the active proliferation of lymphocytes. (A)</p> Signup and view all the answers

What is the primary role of lymph nodes in the body?

<p>To mature lymphocytes and filter lymphatic fluid, collecting debris. (D)</p> Signup and view all the answers

Which of the following is NOT a function of prostaglandins (PGs) produced by the COX-1 pathway?

<p>Induction of fever and pain (C)</p> Signup and view all the answers

Which inflammatory mediator is primarily responsible for bronchospasm and bronchiole edema?

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

Which of the following is a systemic effect of TNF-alpha?

<p>Promotion of vasodilation (D)</p> Signup and view all the answers

What are the major cytokines produced by macrophages during an inflammation reaction?

<p>TNF-alpha, IL-1, and IL-6 (D)</p> Signup and view all the answers

In severe sepsis, the overproduction of cytokines like TNF and ILs can lead to which of the following?

<p>Shock, disseminated intravascular coagulation, and possible death (B)</p> Signup and view all the answers

Which of the following is NOT a typical outcome of acute inflammation?

<p>Immediate formation of new bone tissue (D)</p> Signup and view all the answers

What is involved in the resolution of acute inflammation?

<p>Normalization of vascular permeability, deactivation of chemical mediators, and apoptosis of WBCs (D)</p> Signup and view all the answers

When does the inflammatory reaction result in scar tissue formation instead of regeneration?

<p>When inflammation involves tissues incapable of regenerating cells, and cellular debris cannot be cleared (B)</p> Signup and view all the answers

Flashcards

Leukocytosis

The process of white blood cells (WBCs) being released from the bone marrow into the bloodstream, usually in response to inflammation or infection.

Five Cardinal Signs of Inflammation

The five cardinal signs of inflammation: redness (rubor), swelling (tumor), heat (calor), pain (dolor), and loss of function (functio laesa).

Chemotaxis

The process by which white blood cells (WBCs) are attracted to the site of inflammation or infection.

Transudate

Fluid that leaks from blood vessels into tissues during inflammation, containing little protein and mainly a watery filtrate of blood.

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Effects of Inflammation on pH

Inflammation causes increased fluid in the tissues, diluting toxins and lowering the pH, making the environment less favorable for microbial growth.

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Purulent Exudate (Pus)

A fluid rich in protein, WBCs, microbial organisms, and cellular debris, typically found in infections.

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Abscess

A localized, walled-off collection of purulent exudate (pus) within tissue.

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Vascular Permeability Phase

The phase of inflammation where capillary pores open, allowing fluid, WBCs, and platelets to move into the tissues.

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What are phospholipases?

Enzymes that break down phospholipids, key components of white blood cell membranes, releasing arachidonic acid.

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What is arachidonic acid?

A fatty acid released by phospholipases, serving as a precursor to crucial inflammatory mediators.

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What are prostaglandins?

A group of molecules that regulate inflammation, pain, and other physiological processes.

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What is cyclooxygenase (COX)?

Inhibition of this enzyme by NSAIDs prevents the production of both PG1 and PG2 prostaglandins.

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What are PG1 prostaglandins?

These prostaglandins promote beneficial processes like gastric mucus production, renal perfusion, and clot formation.

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What are PG2 prostaglandins?

These prostaglandins are mainly involved in promoting inflammation, pain, and edema.

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What are cytokines?

Proteins released by white blood cells that amplify or deactivate inflammation.

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What are chemokines?

Proteins that attract white blood cells to the site of injury.

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What are acute phase proteins?

Proteins produced by the liver in response to inflammation, aiding in immune defense.

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What are White Blood Cells (WBCs)?

White blood cells, also known as leukocytes, are crucial components of the immune system responsible for defending the body against infections and foreign invaders.

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What are neutrophils?

Neutrophils are a type of WBC known for their rapid response to infection. They engulf and destroy bacteria and other harmful microbes through a process called phagocytosis.

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What are bands or stabs?

Immature neutrophils are called bands or stabs. They are released from the bone marrow when the body needs more neutrophils to fight an infection.

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What are segmented neutrophils (segs)?

Mature neutrophils have multi-segmented nuclei and are sometimes called segmented neutrophils (segs). They are highly active in engulfing and destroying harmful invaders.

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What is phagocytosis?

Phagocytosis is the process by which neutrophils engulf and destroy invading microbes or cellular debris. It involves recognition, engulfment, and breakdown of the foreign material.

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What is a respiratory burst?

A respiratory burst occurs when neutrophils produce free radicals (superoxides) to damage microbial membranes. This is a powerful mechanism for killing bacteria.

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What are free radicals?

Free radicals contain a superoxide anion (O2-) which is a highly reactive oxygen molecule with a free electron. They damage microbial membranes and can also harm host cells.

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How do antioxidants protect healthy tissues during inflammation?

Antioxidant vitamins like A, C, E, and beta carotene can help protect healthy tissues from damage caused by free radicals during inflammatory processes.

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Antipyretics

A type of medication that reduces fever by inhibiting the production of prostaglandins.

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Reye's Syndrome

A life-threatening condition that occurs when a viral infection triggers mitochondrial failure, leading to liver failure and brain damage.

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Chills

The sensation of coldness that occurs when your body temperature is lower than your hypothalamic set point, triggering shivering and vasoconstriction.

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Hypothalamic temperature-control center

The part of the brain that regulates body temperature.

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Pyrogens

Chemicals released by white blood cells that trigger fever by resetting the hypothalamic temperature-control center.

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Fever Response

The process of the body increasing its temperature to fight infection.

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Lymphadenopathy

The enlargement of lymph nodes due to inflammation.

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Lymph nodes

Small, bean-shaped organs located throughout the body that filter lymph fluid and contain lymphocytes.

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What is C-reactive protein (CRP)?

C-reactive protein (CRP) is a protein in the blood that increases during inflammation. It is a key indicator of inflammation, helping mark foreign material for immune responses and activate the complement system.

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What is high sensitivity CRP (hsCRP)?

High sensitivity CRP (hsCRP) is a specific test that measures a type of CRP associated with increased risk of heart attacks in individuals with coronary artery disease.

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What is fibrinogen and its role in inflammation?

Fibrinogen is a blood protein that increases during inflammation. When elevated, it causes red blood cells to clump together, leading to a higher erythrocyte sedimentation rate (ESR).

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What is the erythrocyte sedimentation rate (ESR)?

Erythrocyte sedimentation rate (ESR) is a laboratory test that measures how quickly red blood cells settle in a sample of blood. A high ESR indicates active inflammation in the body.

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What do elevated CRP, fibrinogen, and ESR indicate?

Elevated levels of CRP, fibrinogen, and ESR are often found together during an active inflammatory process, indicating a high likelihood of inflammation in the body.

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What is serum amyloid A (SAA)?

Serum amyloid A (SAA) is a protein that increases during inflammation. Prolonged elevation of SAA contributes to amyloidosis, a condition associated with long-term inflammation.

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What is hepcidin and its role in inflammation?

Hepcidin is a hormone that regulates iron levels in the blood. Elevated hepcidin levels are associated with decreased iron storage, a condition that can lead to anemia in chronic inflammatory conditions.

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What are some major proinflammatory mediators?

Tumor necrosis factor-alpha (TNF-alpha), interleukins (ILs), histamine, kinins, platelet-activating factor (PAF), prostaglandins, leukotrienes, and substance P are some of the key inflammatory mediators, each contributing to different aspects of the inflammatory process.

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COX-1 pathway's role

Prostaglandins (PGs) produced by the COX-1 pathway play a crucial role in maintaining normal bodily functions like gastric mucus secretion, renal blood flow, and blood clotting. They are not directly involved in inflammation.

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COX-2 pathway's role

Prostaglandins (PGs) produced by the COX-2 pathway are responsible for the uncomfortable symptoms of inflammation, such as fever, swelling, and pain. They contribute to the inflammatory response itself.

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Leukotrienes' role

Leukotrienes are inflammatory mediators that cause bronchospasm and bronchiole edema, primarily contributing to the symptoms of asthma and allergic reactions.

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Cytokine's action

TNF-alpha, IL-1, and IL-6 are major cytokines produced by macrophages during inflammation. They trigger fever, loss of appetite, and lethargy, contributing to the systemic effects of inflammation.

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TNF-alpha's action

TNF-alpha plays a crucial role in regulating body's response to inflammation. It increases WBC release, promotes energy mobilization, and triggers the release of corticosteroids, ultimately impacting weight and energy balance.

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TNF-alpha's role in sepsis

Sepsis is a severe condition where bacteria enter the bloodstream, leading to a systemic inflammatory response. This triggers a cascade of events, including hypotension, vasodilation, rapid heart rate, and decreased blood pH.

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Outcomes of acute inflammation

Acute inflammation can have three potential outcomes: complete resolution, healing by connective tissue formation, or chronic, persistent inflammation. Ideally, acute inflammation resolves quickly, eliminating the harmful stimulus and restoring the tissue to its normal state.

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Resolution of inflammation

Resolution of inflammation involves a restoration of normal tissue function. This process includes the normalization of vascular permeability, clearance of inflammatory mediators, removal of debris and edema, and apoptosis of WBCs, restoring the tissue to its original state.

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Study Notes

Inflammation and Inflammatory Response

  • Inflammation is a multi-stage process involving vascular and cellular changes, potentially including systemic changes.
  • White blood cells (WBCs) are recruited to damaged areas and secrete mediators that control the process, from initial injury to resolution or long-term inflammation.
  • Effective inflammation clears injury, promotes healing, and resolves.
  • Chronic inflammation, as seen in conditions like rheumatoid arthritis, tuberculosis, and atherosclerosis, can persist and cause ongoing damage.
  • Inflammatory conditions diminish quality of life and can cause discomfort and organ dysfunction.
  • Cell biologists are continually uncovering inflammatory mediators, which could be drug targets, but our current understanding is incomplete.

Types of Inflammation

  • Two types exist: acute and chronic.
  • Acute inflammation is a rapid reaction to injury, clearing harmful agents, promoting healing, and self-limiting (hours/days).
  • Chronic inflammation is a persistent reaction that inhibits healing and causes ongoing cellular damage and organ dysfunction.

Acute Inflammation

  • Triggered by various stimuli (infections, injury, toxins, etc.).
  • Involves characteristic vascular and cellular changes.
  • Two main phases: vascular and cellular.
    • Vascular phase: initial vasoconstriction followed by prolonged vascular permeability (increased leakiness of blood vessels).
    • Cellular phase: attraction and migration of WBCs to the injury site.
  • Vascular Permeability promotes fluid leakage into tissues, diluting toxins, lowering pH, preventing microbial growth.
  • The inflamed area becomes congested, warm, red, and swollen.

Clinical Concepts

  • Classic signs of inflammation: rubor (redness), tumor (swelling), calor (heat), dolor (pain), and loss of function.
  • Exudates (pus): fluid containing WBCs, microbes, and cellular debris.
  • Transudates: fluid containing little protein.
  • Effusions: fluid accumulation in body cavities.
  • Leukocytosis: increased WBC count in response to inflammation.
  • Margination: WBCs lining up along blood vessel walls at injury site.

Cell Types and Functions

  • Neutrophils: short-lived, crucial in early inflammation, perform phagocytosis.
  • Monocytes/Macrophages: long-lived, take over phagocytosis roles from neutrophils, central in chronic inflammation.
  • Lymphocytes: important in chronic inflammation.
  • Granulocytes: neutrophils, basophils, eosinophils (include granules in cytoplasm).
  • Various chemical signals (cytokines, chemokines) regulate inflammation.

Inflammatory Mediators

  • Numerous substances mediate inflammation as described as inflammatory mediators.
  • Key categories: cytokines (TNF-alpha, ILs), chemokines, acute-phase proteins (CRP, fibrinogen, etc.).

Clinical Concepts (cont.)

  • Laboratory tests (CRP, ESR, fibrinogen) can indicate ongoing inflammation.
  • Different WBC types (neutrophils, lymphocytes, eosinophils, basophils, monocytes) vary over time during inflammatory processes.
  • Phagocytosis: process of engulfing and destroying foreign material by WBCs.
  • Respiratory burst: release of reactive oxygen species by neutrophils to kill microbes in phagocytosis.
  • Antioxidant vitamins counteract free-radical damage.

Systemic Effects and Clinical Concept

  • Fever, pain, anorexia, malaise, fatigue, lymphadenopathy are common symptoms.
  • Inflammatory mediators (like prostaglandins, cytokines) cause these systemic responses.
  • Elevation of acute-phase proteins suggests inflammatory activity (e.g., CRP, ESR increase).

Chronic Inflammation

  • Persistent inflammation lasting weeks to months (no resolution or healing).
  • Caused by various factors: ongoing infection, hypersensitivity disorders, autoimmune diseases.
  • Histological changes (granulomas).
  • Specific agents or unknown factors may cause persistent or unremitting inflammation.

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Test your knowledge on the key concepts of inflammation and the immune response. This quiz covers important definitions, processes, and classifications associated with inflammation and related physiological responses. Perfect for students studying biomedical sciences or healthcare.

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