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

    What is the primary focus of this chapter?

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

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

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

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

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

    What causes immune suppression during surgery and injury?

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

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