Overview of Inflammation
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Questions and Answers

What is the primary goal of the inflammatory reaction?

  • To restrict the spread of the injurious agent
  • To create a barrier of fibrin to prevent further damage
  • To trigger the production of antibodies to neutralize the agent
  • To deliver cells and molecules of host defense to the site of injury (correct)
  • What is a key characteristic of acute inflammation?

  • The presence of macrophages and lymphocytes
  • The exudation of fluid and plasma proteins (correct)
  • The formation of scar tissue
  • The development of granulomas
  • Which of the following is NOT a step in the inflammatory response?

  • Production of antibodies (correct)
  • Recruitment of leukocytes
  • Removal of the agent
  • Recognition of the injurious agent
  • What are the two major components of acute inflammation?

    <p>Vascular changes and cellular response (D)</p> Signup and view all the answers

    What is the main effect of vasodilation in acute inflammation?

    <p>Increased blood flow to the site of injury (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of chronic inflammation?

    <p>Predominant presence of neutrophils (polymorphonuclear leukocytes) (D)</p> Signup and view all the answers

    Which of the following is NOT a common cause of acute inflammation?

    <p>Formation of granulomas (D)</p> Signup and view all the answers

    Which of the following statements accurately describes the role of neutrophils in acute inflammation?

    <p>Neutrophils are the first line of defense against invading pathogens and are involved in phagocytosis and the release of inflammatory mediators. (A)</p> Signup and view all the answers

    Which of the following is NOT a cardinal sign of inflammation?

    <p>Loss of sensation (D)</p> Signup and view all the answers

    Which of the following is an example of a persistent infection that can lead to chronic inflammation?

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

    Which of the following immune-mediated inflammatory diseases is characterized by chronic inflammation in the joints?

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

    Which of the following best describes the process of cellular recruitment in acute inflammation?

    <p>Leukocytes adhere to the endothelium of blood vessels, then roll and migrate through the vessel wall to the site of injury. (C)</p> Signup and view all the answers

    Which of the following best describes the mechanism by which edema occurs in inflammation?

    <p>All of the above. (D)</p> Signup and view all the answers

    Flashcards

    Inflammation

    A defensive response to foreign agents and tissue damage.

    Five Rs of Inflammation

    Steps in the inflammatory response: Recognition, Recruitment, Removal, Regulation, Resolution.

    Acute Inflammation

    Rapid, short-duration inflammation with neutrophil predominance.

    Vascular Changes

    Include vasodilation and increased permeability for inflammation.

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    Cardinal Signs of Inflammation

    Classic signs include redness, heat, swelling, pain, and loss of function.

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    Cellular recruitment

    The process of leukocytes moving from circulation to injury sites.

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    Activation of leukocytes

    Process enabling leukocytes to eliminate harmful agents.

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    Neutrophils

    The primary leukocytes involved in acute inflammation.

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    Stimuli for Acute Inflammation

    Factors that trigger acute inflammatory reactions.

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    Chronic Inflammation

    Prolonged inflammation lasting weeks to years, causing tissue injury and healing.

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    Mononuclear cells

    Cells such as macrophages and lymphocytes involved in chronic inflammation.

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    Immune-mediated inflammatory diseases

    Chronic diseases caused by immune system response against itself or invaders.

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    Study Notes

    Inflammation Overview

    • Inflammation is a defensive response to foreign invaders and necrotic tissue.
    • Key components are vascular reaction and cellular response, both activated by mediators from plasma proteins and cells.
    • Inflammation's purpose is to dilute, destroy, or neutralize harmful agents (microbes, toxins).
    • Inflammation and the repair process can cause harm.
    • The goal of the inflammatory response is to bring defense cells and molecules to the site of infection or tissue damage.

    Steps of the Inflammatory Response (Five Rs)

    • Recognition of the injurious agent.
    • Recruitment of leukocytes.
    • Removal of the agent.
    • Regulation (control) of the response.
    • Resolution (repair).

    Outcomes of Acute Inflammation

    • Elimination of the harmful stimulus, followed by repair of the damaged tissue.
    • Persistent injury resulting in chronic inflammation.

    Acute Inflammation Characteristics

    • Rapid onset and short duration.
    • Characterized by fluid and plasma protein exudation and a predominantly neutrophilic leukocyte accumulation.

    Two Major Components of Acute Inflammation

    • Vascular changes:

      • Vasodilation: Increased blood vessel caliber leading to increased blood flow.
      • Increased vascular permeability: Changes in vessel walls that allow plasma proteins to leave the circulation.
    • Cellular events:

      • Cellular recruitment: Leukocytes move from the circulation to the site of injury.
      • Activation of leukocytes: Enabling them to eliminate the offending agent.
      • Principal leukocytes during acute inflammation are neutrophils (polymorphonuclear leukocytes).

    Stimuli for Acute Inflammation

    • Infections (bacterial, viral, fungal, parasitic).
    • Trauma and various physical and chemical agents (thermal injury, irradiation, toxicity).
    • Tissue necrosis (physical, chemical).
    • Foreign bodies (splinters, dirt, sutures, crystal deposits).
    • Immune reactions (hypersensitivity reactions) against environmental substances or "self" tissues.

    Cardinal Signs of Inflammation

    • Redness: Caused by dilated blood vessels in the affected area.
    • Heat: Caused by increased blood flow to the area, felt in peripheral areas (skin).
    • Swelling (edema): Caused by fluid buildup outside blood vessels.
    • Pain: Caused by chemical mediators and tissue distortion from edema.
    • Loss of function: Affected body part may not function normally.

    Chronic Inflammation

    • Prolonged duration (weeks to years).
    • Continuing inflammation, tissue injury, and healing (often by fibrosis) proceed simultaneously.

    Chronic Inflammation Characteristics

    • Infiltration with mononuclear cells (macrophages, lymphocytes, plasma cells).
    • Tissue destruction, mainly from inflammatory cell products.
    • Repair involving new vessel proliferation (angiogenesis) and fibrosis.

    Chronic Inflammation Settings

    • Persistent infections by microbes (difficult to eradicate).
    • Immune-mediated inflammatory diseases (rheumatoid arthritis, inflammatory bowel disease, psoriasis).
    • Prolonged exposure to potentially toxic agents (nondegradable exogenous materials like inhaled silica).

    Granulomatous Inflammation

    • Distinctive pattern of chronic inflammation characterized by aggregates of activated macrophages.

    Granuloma Formation

    • Formation under 3 settings:
      • Persistent T-cell responses to certain microbes (tuberculosis).
      • Immune-mediated inflammatory diseases (Crohn's disease).
      • Foreign bodies (sutures, splinters) - foreign body granulomas.
    • Granulomas also seen in sarcoidosis (a disease of unknown etiology).

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    Related Documents

    Inflammation PDF

    Description

    This quiz covers the essential aspects of inflammation, including its purpose, key components, and the stages of the inflammatory response. It highlights the five Rs: recognition, recruitment, removal, regulation, and resolution. Additionally, the outcomes and characteristics of acute inflammation are explored.

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