Inflammation Overview
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Questions and Answers

What is the primary function of inflammation?

Inflammation is a protective response that aims to eliminate the initial cause of cell injury, infectious agents, necrotic cells, and initiate the process of repair.

Which of the following are components involved in inflammatory responses? (Select all that apply.)

  • Plasma proteins and chemical mediators (correct)
  • Blood vessels (correct)
  • White blood cells and platelets
  • Extracellular matrix and stromal cells (correct)
  • Chronic inflammation typically has a rapid onset, lasting for a short period.

    False

    Which of the following is the main cell type involved in acute inflammation?

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

    What are the five cardinal signs of inflammation?

    <p>Heat, Redness, Swelling, Pain, Loss of function</p> Signup and view all the answers

    Leukocytosis, an increase in white blood cell count, is a systemic effect associated with inflammation.

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

    Aside from infections, what other stimuli can trigger acute inflammation?

    <p>Other triggers include trauma, exposure to various chemical and physical agents like heat, cold, burns and radiation, chemicals such as acids, alkali, bacterial toxins or metals, tissue necrosis due to any cause, foreign bodies, and immunologic reaction.</p> Signup and view all the answers

    What are the two major changes involved in vascular changes during acute inflammation?

    <p>The changes are alterations in vessel caliber, leading to increased blood flow (vasodilation), and structural changes that allow plasma proteins to leave the circulation (increased vascular permeability).</p> Signup and view all the answers

    The movement of protein-rich fluid and even blood cells into the extravascular tissues is known as ______ and often leads to tissue ______.

    <p>increased vascular permeability, edema</p> Signup and view all the answers

    What type of edema is associated with inflammation?

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

    What are the five Rs when referring to the steps of the inflammatory response?

    <p>The five Rs are recognition of the injurious agent, recruitment of leukocytes, removal of the agent, regulation of the response, and resolution of the response.</p> Signup and view all the answers

    Which of the following cell types is dominant in chronic inflammation?

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

    What is the characteristic feature of serous inflammation?

    <p>Exudation of cell-poor fluid</p> Signup and view all the answers

    What is the main difference between serous and fibrinous inflammation?

    <p>Serous inflammation involves the leakage of cell-poor fluid, while fibrinous inflammation involves the leakage of fibrinogen, which forms fibrin clots, indicating a more severe injury.</p> Signup and view all the answers

    What is suppurative (purulent) inflammation and how is it characterized?

    <p>It involves the collection of large amounts of pus, an exudate consisting of many neutrophils, debris from necrotic cells, and edema fluid. It is often associated with bacterial infections.</p> Signup and view all the answers

    Which two outcomes of acute inflammation are NOT desirable?

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

    Chronic inflammation is characterized by infiltration of mononuclear cells, macrophages, lymphocytes, and plasma cells.

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

    Eosinophils are characteristically found in parasitic infections and allergic diseases such as asthma.

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

    What is the primary function of mast cells?

    <p>Histamine release</p> Signup and view all the answers

    What are the two primary mechanisms of tissue repair?

    <p>The two primary mechanisms of tissue repair are regeneration and scar formation.</p> Signup and view all the answers

    Regeneration is more likely in tissues that have a high regenerative capacity, such as skin and intestines.

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

    What is the primary function of the immune system?

    <p>The immune system is responsible for protecting the body against an array of microorganisms and removing damaged cells and destroying cancer cells.</p> Signup and view all the answers

    Describe the difference between innate and adaptive immunity.

    <p>Innate immunity is the body's first line of defense against invaders, providing immediate, nonspecific protection. Adaptive immunity is specific and takes a bit longer to develop, providing specialized protection based on the particular pathogen or antigen involved.</p> Signup and view all the answers

    Cellular immunity, also known as T-cell function, destroys the antigen directly.

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

    Humoral immunity is associated with the production of antibodies by B-cells

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

    What are the three primary types of immune system malfunctions that lead to altered immune responses?

    <p>The three types of immune system malfunctions are exaggeration, misdirection, and diminution.</p> Signup and view all the answers

    What type of immune response is characterized by an inappropriate response to an antigen?

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

    Autoimmune disorders involve the immune system attacking the body's own cells and tissues.

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

    Immunodeficiency refers to a weakened immune system, leaving the body susceptible to infections.

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

    Opportunistic infections are caused by pathogens that usually cause disease even in healthy individuals.

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

    What is the difference between primary and secondary immunodeficiency?

    <p>Primary immunodeficiency is a genetic or congenital defect in the immune system, while secondary immunodeficiency arises from an underlying disease or factor that suppresses the immune system.</p> Signup and view all the answers

    AIDS is caused by the human immunodeficiency virus, which attacks and weakens the immune system.

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

    Study Notes

    Inflammation

    • Inflammation is a protective response to eliminate the cause of cell injury, infectious agents, and necrotic cells, initiating the repair process.
    • Inflammatory responses involve interactions between blood vessels, white blood cells, platelets, plasma proteins (coagulation/fibrinolytic, kinin, complement), and extracellular matrix/stromal cells (fibrous proteins, adhesive glycoproteins, proteoglycans, basement membrane).
    • The Five Rs of inflammation: Recognition of the injurious agent, recruitment of leukocytes, removal of the agent, regulation (control) of the response, and resolution (repair).
    • Acute inflammation: Fast onset (minutes to hours), short duration (minutes to days), mainly neutrophils, usually mild and self-limited tissue injury and fibrosis.
    • Chronic inflammation: Slow onset (days to years), long duration, monocyte/macrophages and lymphocytes, often severe and progressive tissue injury and fibrosis.
    • Cardinal signs of acute inflammation: Heat, redness, swelling, pain, and loss of function.
    • Systemic effects of inflammation: Fever (elevated body temperature), elevated plasma levels of acute phase proteins, leukocytosis (increased white blood cells), increased heart rate, high blood pressure, decreased sweating, rigors (shivering), chills (perception of cold), malaise, and anorexia.
    • Stimuli for acute inflammation: Infections (bacteria, fungi, viruses, parasites), trauma, various chemical and physical agents (heat, cold, burns, radiation), chemicals (acids, alkalis, bacterial toxins, metals), tissue necrosis (from any cause), foreign bodies, and immunologic reactions.
    • Components of acute inflammation: Vascular changes (alterations in vessel caliber resulting in increased blood flow (vasodilation) and structural changes that permit plasma proteins to leave the circulation (increased vascular permeability)) and cellular events (emigration of leukocytes from the microcirculation and accumulation in the focus).
    • Increased vascular permeability leads to the movement of protein-rich fluid and even blood cells into extravascular tissues, increasing interstitial fluid osmotic pressure and causing fluid outflow from the blood into tissues, producing tissue edema.
    • Edema: Transudate (hydrostatic pressure imbalance across vascular endothelium, fluid of low protein content, typical in non-inflammatory conditions) and Exudate (alteration in normal permeability of small blood vessels in the injured area, fluid of high protein content, typical in inflammation).
    • Morphologic patterns of acute inflammation: Serous (exudation of cell-poor fluid into spaces created by injury), fibrinous (greater vascular permeability allows molecules like fibrinogen to pass the endothelial cells), suppurative/purulent (collection of pus, exudate consisting of many neutrophils, debris of necrotic cells, and edema fluid), and ulcer (local defect of the surface of an organ or tissue produced by sloughing/shedding of inflamed necrotic tissue).
    • Outcomes of acute inflammation: Complete resolution, healing by connective tissue replacement (scarring or fibrosis), and progression to chronic inflammation.
    • Chronic Inflammation: Inflammation of prolonged duration (weeks to years). Characterized by infiltration with mononuclear cells, including macrophages, lymphocytes, and plasma cells, tissue destruction, and repair. Cells characteristic of chronic inflammation: Macrophages, CD4 and CD8 lymphocytes.
    • Eosinophils are characteristic in inflammatory sites around parasitic infections and allergic diseases (such as asthma). Mast cells are a source of histamine in early allergic reactions.
    • Tissue repair: Regeneration (replacement of damaged cells by similar parenchymal cells, typical response to injury in the rapidly dividing epithelia (like skin and intestines), requires intact connective tissue), Scar formation (the injured tissues are incapable of regeneration, tissue damage is severe , occurs by laying down of connective (fibrous) tissue.

    Immunity

    • The immune system protects the body against microorganisms, removes damaged cells, and destroys cancer cells.
    • Innate immunity provides immediate, nonspecific protection (skin and mucous membranes).
    • Adaptive immunity takes 7-10 days to develop, but is specific to the antigen (cellular or humoral immunity).
      • T-cell function destroys the antigen.
      • B-cell function produces antibodies.
    • Altered immune responses: Exaggeration (hypersensitivity), misdirection (autoimmune), diminution (immunodeficiency).
    • Hypersensitivity is an inappropriate response to an antigen, resulting in inflammation and destruction of healthy tissue. Types of hypersensitivity reactions include: Type I (IgE-mediated), Type II (cytotoxic), Type III (immune-complex mediated), and Type IV (cell- mediated).
    • Autoimmune disorders: The body's normal defenses become self-destructive, perceiving self-cells as foreign.
    • Immunodeficiency: A diminished or absent immune response, increasing susceptibility to infections. Primary immunodeficiency is genetic or congenital; secondary is an underlying disease or factor that suppresses the immune system (infection, malnutrition, hepatic disease, drug therapy, or stress). Immunodeficiency states predispose patients to opportunistic infections. AIDS is an acquired immunodeficiency syndrome caused by the human immunodeficiency virus (HIV), which attacks and weakens the immune system, is transmitted through various means, and is a deadly, sexually transmitted disease.

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    Description

    Explore the essential concepts of inflammation, including its protective role against infections and tissue injury. The quiz delves into acute and chronic inflammation, the Five Rs of inflammation, and the key components involved in the inflammatory response. Test your understanding of the mechanisms and signs associated with this critical biological process.

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