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Questions and Answers
What is the first line of defense in the body's immune system?
Which of the following is NOT a function of the inflammatory response?
What characterizes the second line of defense in the immune response?
Which statement best describes the role of normal flora?
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Which of the following distinguishes acute inflammation from chronic inflammation?
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What is the main trigger for activating the inflammatory response?
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Which term describes the body's innate defenses that are present at birth?
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What is a primary characteristic of acquired immunity compared to innate immunity?
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Which of the following is considered a local manifestation of inflammation?
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How does inflammation contribute to tissue healing?
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What role does the normal microbiome play in the immune system?
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What is the primary benefit of inflammation in the immune response?
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Which cellular component is primarily responsible for initiating inflammation?
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What occurs during the vasodilation phase of inflammation?
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Which immune function does not occur due to inflammation?
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What is a characteristic sign of acute inflammation?
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Which of the following cells connects both innate and acquired immune responses?
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What is the primary function of cytokines in the immune system?
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Which of the following is a physical barrier in the first line of defense?
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What role do granulocytes play in the immune response?
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What is the primary characteristic of wound healing by secondary intention?
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What role do platelets play in the inflammatory phase of wound healing?
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What occurs during the remodeling and maturation phase of wound healing?
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Which factor is NOT a typical cause of dysfunctional wound healing?
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Which statement best describes granulation tissue?
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What is the primary complication associated with dehiscence?
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What is a common consequence of impaired contraction in wound healing?
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What is a significant consideration when evaluating wound healing in geriatric patients?
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What is the primary composition of scar tissue formed during the repair phase of wound healing?
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What is a likely effect of excessive bleeding on wound healing?
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What is the primary role of monocytes in the immune response?
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Which cells participate in both innate and acquired immune responses?
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What is the first step of phagocytosis?
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Which local manifestation is NOT associated with acute inflammation?
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Which type of exudate is characterized by a thick and clotted consistency?
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What systemic manifestation occurs due to the release of pyrogens?
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What typically indicates the presence of a bacterial infection in exudate?
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Which process characterizes chronic inflammation?
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Which component of acute inflammation is characterized by a rise in the number of circulating white blood cells?
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What is the final step in the phagocytosis process?
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Study Notes
Lines of Defence in the Body
- First Line (Innate Immunity): Physical, mechanical, and biochemical barriers present at birth, including the skin and mucous membranes.
- Second Line (Inflammation): Activated for tissue damage response, aimed at protecting the body.
- Third Line (Acquired Immunity): Slower, specific response targeting pathogens, involving memory for rapid future responses.
Inflammatory Process
- Purpose: Protects from injury, prevents infection, promotes healing.
- Activation: Involves rapid biochemical and cellular responses that are non-specific.
- Signs: Redness, heat, swelling, pain, potential loss of function.
Cellular Components of Inflammation
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Key Cells:
- Mast Cells: Activate inflammation.
- Dendritic Cells: Link innate and acquired immunity.
- Leukocytes: Include granulocytes (basophils, eosinophils, neutrophils), monocytes/macrophages, and lymphocytes.
- Cytokines: Crucial for immune signaling and cell activation.
Phagocytosis Steps
- Phagocytosis: Process by which cells engulf and destroy damaged cells/foreign materials.
- Steps: Recognition, engulfment, phagosome formation, fusion with lysosomal granules, destruction of the target.
Acute vs. Chronic Inflammation
- Acute Inflammation: Lasts 8-10 days, characterized by local manifestations including heat, swelling, redness, pain, and exudative fluids.
- Chronic Inflammation: Persists for more than 2 weeks, often due to inadequate acute response, characterized by pus formation and incomplete healing.
Exudate Variants
- Serous: Watery, clear; indicates early inflammation.
- Fibrinous: Thick, clotted; indicates severe inflammation.
- Purulent: Contains pus; signifies bacterial infection.
- Hemorrhagic: Blood-filled; involves erythrocytes.
Wound Healing Phases
- Phase I (Inflammatory): Begins immediately, involves coagulation, infiltration of healing cells.
- Phase II (Proliferation): Starts 3-4 days post-injury, dominated by macrophage activity, fibroblast proliferation, granulation tissue formation, and epithelialization.
- Phase III (Remodelling): Occurs weeks to years after injury, involves cellular differentiation and scar remodeling.
Dysfunctional Wound Healing
- Causes: Ischemia, excessive bleeding, obesity, diabetes, infection, inadequate nutrients, smoking, and medication effects.
- Dehiscence: Wound separation at the suture line, occurs 5-12 days post-surgery, requires prompt intervention.
Impaired Contraction
- Contractures: Excessive scar tissue contraction can limit joint movement, necessitating surgery or therapy for restoration.
Pediatric and Geriatric Considerations
- Newborns: Gain innate immunity from maternal sources; gut microbiome development is influenced by breast milk.
- Geriatrics: Diminished immune function, increased risk for impaired healing due to chronic illnesses and medications.
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Description
This quiz focuses on the key concepts of innate immunity, particularly inflammation and wound healing as outlined in Chapter 6. Participants will explore the lines of defense, stages of inflammation, and the pathophysiology related to altered body defense mechanisms. Additionally, it covers acute vs. chronic inflammation and the role of inflammation in tissue repair.