Inflammation Quiz
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Questions and Answers

What is the primary purpose of inflammation?

  • To stop blood flow
  • To enhance pain sensation
  • To eliminate the initial cause of cell injury (correct)
  • To promote tumor growth
  • Which of the following is NOT a recognized cause of inflammation?

  • Tissue necrosis
  • Infections
  • Foreign bodies
  • Excessive exercise (correct)
  • Which of these definitions correctly describes acute inflammation?

  • Only occurs in response to infections
  • Gradual onset and long duration
  • Rapid onset and short duration (correct)
  • Consistent over months or years
  • What is a potential side effect of acute inflammation?

    <p>Potential tissue necrosis</p> Signup and view all the answers

    Which factor is known to trigger inflammation?

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

    How does chronic inflammation differ from acute inflammation?

    <p>Chronic inflammation occurs over longer durations.</p> Signup and view all the answers

    Which term refers to inflammation that is specific and can be long-lasting?

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

    What is the main clinical sign of inflammation?

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

    What primarily initiates the increase in C-reactive protein in response to inflammation?

    <p>Inflammatory stimuli</p> Signup and view all the answers

    What happens during the process of leukocytosis in acute inflammation?

    <p>Increase in leukocyte numbers</p> Signup and view all the answers

    Which of the following factors does NOT modify the outcome of acute inflammation?

    <p>Duration of inflammation</p> Signup and view all the answers

    What is the primary function of the cellular events in acute inflammation?

    <p>Phagocytosis of pathogens</p> Signup and view all the answers

    What leads to edema during acute inflammation?

    <p>Vascular permeability changes</p> Signup and view all the answers

    What defines the resolution of acute inflammation?

    <p>Minimal tissue damage and regenerative capability</p> Signup and view all the answers

    What is the outcome when there is substantial tissue destruction from inflammation?

    <p>Scarring and fibrosis</p> Signup and view all the answers

    Which of the following accurately describes the term 'chronicity' in inflammation?

    <p>Persistent inflammation due to unaddressed factors</p> Signup and view all the answers

    What is the role of chemical mediators during inflammation?

    <p>They contract endothelial cells and widen intercellular gaps.</p> Signup and view all the answers

    Which of the following correctly describes vascular stasis in acute inflammation?

    <p>It causes local slowing of circulation due to increased blood viscosity.</p> Signup and view all the answers

    What is the significance of fibrinogen in inflammatory fluid exudate?

    <p>It forms a network that helps phagocytic cells move.</p> Signup and view all the answers

    What occurs during the arteriolar vasodilatation phase of inflammation?

    <p>The inflamed area appears red and warm.</p> Signup and view all the answers

    What is a characteristic feature of fibrinous inflammation?

    <p>Exudate rich in fibrin with a little fluid component</p> Signup and view all the answers

    How does acute inflammation affect lymphatic vessels?

    <p>They facilitate the drainage of edema fluid and dead tissue.</p> Signup and view all the answers

    What can result from the failure to completely remove fibrin during organization?

    <p>Proliferation of fibroblasts and scar formation</p> Signup and view all the answers

    What is the primary result of increased vessel permeability during acute inflammation?

    <p>Escape of a protein-rich fluid leading to swelling.</p> Signup and view all the answers

    Which type of inflammation is exemplified by the presence of bullae in mild burns?

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

    What is one of the functions of inflammatory fluid exudate?

    <p>It localizes the infection by entangling pathogens.</p> Signup and view all the answers

    What defines membranous inflammation?

    <p>Formation of a false membrane of necrotic tissue and fibrin</p> Signup and view all the answers

    Which process allows leukocytes to migrate to the site of infection?

    <p>Vascular stasis allowing for their emigration.</p> Signup and view all the answers

    What is the outcome associated with a cellular exudate rich in red blood cells?

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

    In which situation would one most likely observe an adherent, dense, grey pseudo-membrane?

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

    Which type of inflammation is primarily driven by an immune reaction rich in eosinophils?

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

    What is a potential consequence of acute non-suppurative inflammation?

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

    What is a characteristic feature of a lung abscess?

    <p>A central liquefactive necrosis</p> Signup and view all the answers

    Which component is NOT typically found in pus?

    <p>Living bacteria</p> Signup and view all the answers

    What is the fate of a large abscess if it is not surgically incised?

    <p>Typically results in spontaneous rupture</p> Signup and view all the answers

    What characteristic is associated with the pus that forms during cellulitis?

    <p>Thin and slowly forming</p> Signup and view all the answers

    Which bacteria is commonly associated with cellulitis?

    <p>Streptococcus haemolyticus</p> Signup and view all the answers

    What is an unusual characteristic of pus?

    <p>It has a foul odor when caused by E. coli</p> Signup and view all the answers

    What is the most common site for carbuncles?

    <p>Back of neck and scalp</p> Signup and view all the answers

    Which process allows for the rapid spread of infection in cellulitis?

    <p>Liquefying fibrin by streptokinase</p> Signup and view all the answers

    What defines acute suppurative inflammation?

    <p>Presence of liquefactive necrosis and pus formation</p> Signup and view all the answers

    Which organism is commonly associated with acute suppurative inflammation?

    <p>Escherichia coli</p> Signup and view all the answers

    In the context of an abscess, which of the following statements is true?

    <p>It is characterized by a cavity filled with pus.</p> Signup and view all the answers

    What is the primary cause of pus formation during acute suppurative inflammation?

    <p>Dying neutrophils and liquefaction of necrotic tissue</p> Signup and view all the answers

    Which type of inflammation lacks pus formation?

    <p>Non-suppurative inflammation</p> Signup and view all the answers

    What is the central zone of necrosis in an abscess primarily composed of?

    <p>Necrotic core</p> Signup and view all the answers

    Which type of acute inflammation is characterized by a serous fluid exudate?

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

    What is the role of neutrophils in acute suppurative inflammation?

    <p>To accumulate and release enzymes causing tissue liquefaction</p> Signup and view all the answers

    Study Notes

    Inflammation Overview

    • Inflammation is a protective response to eliminate the initial cause of cell injury and initiate tissue repair.
    • Causes include infections, trauma, tissue necrosis, foreign bodies, and immune reactions.
    • Key intended learning outcomes include understanding the meaning of inflammation, factors triggering it, clinical signs, vascular and cellular events, advantages and side effects of acute inflammation, its outcome, differences between chronic inflammation (specific and non-specific), and types of granulomatous reactions.

    Types of Inflammation

    • Inflammation is categorized as acute or chronic based on duration.
    • Acute inflammation has a rapid onset and short duration (days). Chronic inflammation is prolonged (months to years).

    Acute Inflammation

    • Cardinal signs (described by Celsus): Rubor (redness), Tumor (swelling), Calor (heat), Dolor (pain) and Functio laesa (loss of function)
    • Vascular phase involves transient vasoconstriction (insignificant), arteriolar vasodilation increasing blood flow (redness/warmth), and increased vessel permeability leading to fluid exudate (edema/swelling). Vascular stasis is also observed.
    • Cellular phase involves leukocyte recruitment, their function (ingesting, killing, and eliminating necrotic tissues or foreign substances), and their activated functions, including margination, rolling, adhesion, transmigration, and chemotaxis.
    • Types of acute inflammation (suppurative/localized, non-suppurative/diffuse) include Suppurative (pus formation—abscess, cellulitis) and Non-suppurative (no pus—catarrhal, fibrinous, serous, membranous, allergic, haemorrhagic).
    • Fate of acute inflammation can be resolution (tissue heals), scarring and fibrosis.
    • Inflammation can progress to chronic inflammation if the injurious agent cannot be eliminated completely.

    Chronic Inflammation

    • Inflammation of prolonged duration.
    • It arises from various causes: failure of defense mechanisms in resolving acute inflammation, or persistent and/or non-degradable antigens/infection (e.g., Mycobacterium tuberculosis, silica particles, autoimmune diseases).
    • Main inflammatory cells are macrophages, lymphocytes, and plasma cells (sometimes eosinophils or mast cells).
    • Macrophages undergo phagocytosis, formation of giant cells (foreign bodies, TB), and secrete cytokines and growth factors.
    • T-helper lymphocytes (CD4+ T cells) play a critical role in chronic inflammation.
    • Chronic inflammation is characterized by infiltration of mononuclear cells (macrophages, lymphocytes, plasma cells), tissue repair by fibrosis, and thick-walled blood vessels.

    Granuloma

    • Granulomas are nodular aggregates of macrophages with variable lymphocyte, plasma cell, and sometimes giant cell mix.
    • Macrophages transform into epithelioid cells and giant cells.
    • Central necrosis may be present (e.g., caseous necrosis in tuberculosis).
    • Examples of granulomatous lesions (pathological conditions caused by granulomas) are tuberculosis, leprosy, syphilis, and sarcoidosis.
    • Granuloma formation is stimulated by chronic inflammation with persistent/non-degradable antigens.

    Fate of Granuloma

    • Granulomas may persist for a long time.
    • They may slowly resolve and disappear.
    • Granulomas can transform into fibrosis/tissue scarring.
    • Granulomas can coalesce and damage surrounding tissues, causing cavities with necrotic material.

    Conclusion

    • Inflammation is a complex response to injury and is crucial for tissue repair.
    • Both acute and chronic inflammation have different characteristics and outcomes with specific cells involved.
    • Understanding the different types of inflammation and their processes can assist in diagnosis and treatment.

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    Description

    Test your knowledge on the nature of inflammation with this quiz. It covers key definitions, causes, and differences between acute and chronic inflammation. Discover the main clinical signs and potential side effects that accompany inflammation.

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