Surgical Stress Response and Systemic Changes Quiz
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Questions and Answers

What term is used to describe the collective changes in body metabolism, wound healing, and immunity in response to tissue injury?

  • Surgical stress response (correct)
  • Systemic tissue effects
  • Trauma-induced changes
  • Metabolic injury syndrome

Which of the following is not a component involved in bringing about the surgical stress response?

  • Hormones
  • Neural circuits
  • Physiotherapy (correct)
  • Inflammation-related cytokines

What is the potential consequence of the metabolic effects of injury that can lead to or prolong multiple organ dysfunction syndrome (MODS)?

  • Enhanced wound healing
  • Improved immune function
  • Amplification of abnormal processes (correct)
  • Reduced inflammation

Why do surgeons need to understand the metabolic response to injury?

<p>To care optimally for their patients (B)</p> Signup and view all the answers

What is the main drawback of the metabolic effects of injury according to the text?

<p>Potential for sepsis and complications (A)</p> Signup and view all the answers

How do local tissue injury, whether surgical or accidental, lead to systemic changes in vital organ function?

<p>Through a series of systemic changes involving hormones, cytokines, and neural circuits (D)</p> Signup and view all the answers

What is the primary focus of this chapter?

<p>Metabolic responses to injury (D)</p> Signup and view all the answers

During the catabolic phase, what is the main physiological role?

<p>To conserve circulating volume and energy stores (D)</p> Signup and view all the answers

What triggers the systemic inflammatory response syndrome (SIRS) during the catabolic phase?

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

What are the main effects of the catabolic phase of injury?

<p>Muscle breakdown, weight loss, hyperglycemia (D)</p> Signup and view all the answers

What is the role of surgical critical care in relation to the metabolic effects of injury?

<p>To restore the patient to a situation for return to normality (A)</p> Signup and view all the answers

What are the avoidable factors that compound the metabolic response to injury?

<p>Not mentioned in the text (D)</p> Signup and view all the answers

What marks the transition from the catabolic phase to the anabolic phase?

<p>Subsiding of the catabolic phase (B)</p> Signup and view all the answers

What leads to hospital deaths in developed countries after successful treatment of major trauma?

<p>'Complex physiological processes' and later systemic effects of injury (A)</p> Signup and view all the answers

What causes immune suppression during surgery and injury?

<p>'Infammatory-type processes' (A)</p> Signup and view all the answers

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