Wound Healing and Tissue Regeneration Quiz
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Questions and Answers

Which type of cell is most likely to regenerate after injury, and why?

  • Labile cells, because they have a continuous pool of stem cells that can divide and replace damaged tissue. (correct)
  • All cell types can regenerate equally, as the body naturally repairs damaged tissues.
  • Stable cells, because they are capable of limited proliferation in response to stimuli.
  • Permanent cells, because they are able to proliferate around the time of birth.
  • Which of the following statements accurately describes the difference between regeneration and repair in tissue healing?

  • Both regeneration and repair involve the formation of scar tissue, but regeneration is more efficient.
  • Both regeneration and repair involve the replacement of damaged tissue with identical cells, but regeneration is slower.
  • Repair involves the formation of scar tissue, while regeneration involves the replacement of damaged tissue with identical cells. (correct)
  • Regeneration involves the formation of scar tissue, while repair involves the replacement of damaged tissue with identical cells.
  • Which of the following is NOT a characteristic of labile cells?

  • They have limited ability to proliferate after adolescence. (correct)
  • They can easily regenerate after injury.
  • They have a pool of stem cells.
  • They are continuously dividing throughout life.
  • Which of the following is an example of a stable cell type?

    <p>Liver parenchymal cells (C)</p> Signup and view all the answers

    Which of the following is NOT a primary function of the extracellular matrix (ECM) in wound healing?

    <p>Directly stimulating cell growth by producing growth factors (B)</p> Signup and view all the answers

    Which of the following inflammatory cells is primarily responsible for debridement of the wound during the inflammatory phase?

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

    Which cell type is least likely to regenerate after injury, resulting in scar formation?

    <p>Cardiac muscle cells (B)</p> Signup and view all the answers

    Which of the following factors plays a crucial role in tissue repair?

    <p>Growth factors (D)</p> Signup and view all the answers

    Which of the following growth factors is NOT directly involved in wound healing as described in the text?

    <p>Vascular endothelial growth factor (VEGF) (B)</p> Signup and view all the answers

    Which of the following statements accurately describes the role of polymorphonuclear leukocytes (PMNs) in the inflammatory phase of wound healing?

    <p>They release pro-inflammatory cytokines that contribute to the inflammatory cascade and prevent infection. (C)</p> Signup and view all the answers

    Why is the proliferative potential of cells important in the context of tissue healing?

    <p>It influences the speed at which the healing process occurs. (A)</p> Signup and view all the answers

    Which of the following is a potential complication that can affect wound healing?

    <p>Excessive inflammation. (D)</p> Signup and view all the answers

    During which phase of wound healing do fibroblasts become actively involved in the process?

    <p>Proliferation (D)</p> Signup and view all the answers

    Which of the following is a FALSE statement regarding the role of hemostasis in wound healing?

    <p>Hemostasis is a short-lived process, lasting only seconds after injury. (A)</p> Signup and view all the answers

    Which of the following correctly describes the role of the inflammatory phase in wound healing?

    <p>It is a complex cascade of events characterized by the recruitment of different inflammatory cells. (A)</p> Signup and view all the answers

    Which of the following is a potential consequence of a prolonged or interrupted inflammatory phase in wound healing?

    <p>Increased scar formation and impaired tissue regeneration. (B)</p> Signup and view all the answers

    What is the primary cellular component that replaces polymorphs by the third day post-injury?

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

    Which phase of wound healing is characterized by the formation of a fragile and deeply red granulation tissue?

    <p>Granulation tissue phase (C)</p> Signup and view all the answers

    Which of the following local factors can hinder wound healing?

    <p>Presence of foreign bodies (D)</p> Signup and view all the answers

    What distinguishes the mechanism of healing by second intention from primary healing?

    <p>Wound contraction by myofibroblasts (D)</p> Signup and view all the answers

    Which complication of wound healing is characterized by excessive collagen accumulation within the wound boundaries?

    <p>Hypertrophic scar (A)</p> Signup and view all the answers

    When does scar tissue typically reach its final maturation phase after wound healing?

    <p>4 weeks (B)</p> Signup and view all the answers

    What happens to epithelial cells at the wound margins during the healing process?

    <p>They migrate and proliferate (B)</p> Signup and view all the answers

    Which systemic factor is NOT associated with delayed wound healing?

    <p>Good nutritional status (D)</p> Signup and view all the answers

    What is the result of wound dehiscence?

    <p>Wound rupture (A)</p> Signup and view all the answers

    Which of the following best describes the appearance of the newly formed granulation tissue?

    <p>Deep red and granular (C)</p> Signup and view all the answers

    What significant characteristic is observed in wounds healing by second intention that is absent in those healing by primary intention?

    <p>Significant tissue loss (C)</p> Signup and view all the answers

    What type of tissue abnormality can develop from chronic wound infection, increasing the risk of amputation?

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

    Which systemic factor could lead to poor blood supply affecting healing in elderly individuals?

    <p>Age-related vascular changes (C)</p> Signup and view all the answers

    Which of the following correctly describes the final appearance of a scar after maturation?

    <p>Pale and less vascularized (D)</p> Signup and view all the answers

    Which condition describes scar tissue that grows beyond the original wound boundaries?

    <p>Keloid (D)</p> Signup and view all the answers

    What is the most common cause of dehiscence in surgical wounds?

    <p>Excessive abdominal pressure (B)</p> Signup and view all the answers

    What is the role of fibroblasts in the extracellular matrix?

    <p>Production of elastin and organization of the extracellular matrix (A)</p> Signup and view all the answers

    Which cytokine is not commonly associated with the remodeling phase of wound healing?

    <p>Growth factor (GF) (D)</p> Signup and view all the answers

    What differentiates healing by first intention from healing by second intention?

    <p>Degree of tissue loss and wound closure technique (A)</p> Signup and view all the answers

    What mediates physical contraction during the wound healing process?

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

    How long can the remodeling of scar tissue take after its initial formation?

    <p>Months to years (C)</p> Signup and view all the answers

    What can result from persistent cellularity at a wound site?

    <p>Hypertrophic scars or keloids (B)</p> Signup and view all the answers

    Which growth factors modulate the release within the extracellular matrix?

    <p>FGF2 and TGF-β (A)</p> Signup and view all the answers

    What occurs during the final stages of wound healing in terms of cellular presence?

    <p>Disappearance of vessels and inflammatory cells (D)</p> Signup and view all the answers

    What is the primary process that re-epithelialization involves?

    <p>Migration and proliferation of keratinocytes (C)</p> Signup and view all the answers

    Which growth factor initiates endothelial cell migration in the angiogenesis process?

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

    What is a key characteristic of the newly formed blood vessels during tissue repair?

    <p>They are leaky and contribute to tissue edema. (A)</p> Signup and view all the answers

    Granulation tissue is characterized by the presence of which of the following components?

    <p>Thin-walled capillaries and fibroblasts (B)</p> Signup and view all the answers

    What role do metalloproteases play in wound healing?

    <p>Facilitate proteolytic degradation of the basement membrane (C)</p> Signup and view all the answers

    What is the main cellular component of granulation tissue?

    <p>Fibroblasts (D)</p> Signup and view all the answers

    Which of the following correctly describes the maturation stage of newly formed vessels?

    <p>Vessels are remodeled and organized into capillary tubes. (D)</p> Signup and view all the answers

    What is the earliest time frame in which fibroblasts appear at the wound site?

    <p>24 hours post-wounding (B)</p> Signup and view all the answers

    Flashcards

    Healing

    The body's response to injury for restoration of normal structure and function.

    Regeneration

    A process where tissues replace damaged components and return to a normal state.

    Repair

    Healing that involves proliferation of connective tissue, resulting in fibrosis and scarring.

    Labile cells

    Cells that continuously divide throughout life and can easily regenerate after injury.

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    Stable cells

    Cells that lose ability to proliferate after adolescence but can still multiply in response to stimuli.

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    Permanent cells

    Cells that lose proliferative ability around birth and cannot regenerate, leading to scarring.

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    Proliferative potential

    Classification of cells based on their ability to divide and regenerate after injury.

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    Growth factors

    Substances important for tissue repair, aiding in the healing process.

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    Function of ECM

    ECM provides mechanical support and determines cell polarity and growth.

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    Wound Healing Phases

    Four overlapping phases: Hemostasis, Inflammation, Proliferation, Remodeling.

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    Hemostasis

    Immediate response to injury involving vascular constriction and clot formation.

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    Inflammation Phase

    Occurs 1-2 days post-injury, led by inflammatory cells like PMNs and macrophages.

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    Pro-inflammatory Cytokines

    Molecules released by PMNs that drive inflammation, crucial for fighting infection.

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    Proliferation Phase

    Phase when new tissue forms consisting of collagen and extracellular matrix.

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    Tissue Micro-environments

    Localized conditions in tissues essential for proper cell function and proliferation.

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    Chemotaxis

    The movement of inflammatory cells towards the wound site due to chemical signals.

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    Hydroxylation of Proline and Lysine

    A chemical modification essential for collagen maturation that requires oxygen.

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    Fibroblasts

    Cells responsible for producing elastin and organizing the extracellular matrix (ECM).

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    Extracellular Matrix (ECM)

    A network that supports cell migration and modulates growth factor release.

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    Remodeling Phase

    The process where the extracellular matrix composition changes during wound healing.

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    Cytokines in Remodeling

    Substances like TNF-α and TGF-β that regulate the remodeling phase of wounds.

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    Myofibroblasts

    Contractile fibroblasts that aid in physical contraction during wound healing.

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    Healing by First Intention

    A method of wound healing characterized by clean, approximation of wound edges with minimal tissue loss.

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    Hypertrophic Scars and Keloids

    Types of scars formed due to persistent cellularity at the wound site.

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    Acute inflammatory response

    Initial immune reaction within 24 hours, featuring polymorphs and later macrophages.

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    Polymorphs

    Type of white blood cells that appear early in the healing process to fight infection.

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    Macrophages

    Immune cells that clear debris and replace polymorphs by the third day.

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    Epithelial migration

    Basal epidermal cells move towards the wound margins to repair skin.

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    Granulation tissue

    New vascular tissue formed during healing, appears red and fragile.

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    Wound contraction

    Process where a wound shrinks in size, facilitated by myofibroblasts.

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    Healing by Second Intention

    Type of healing involving larger tissue loss, often left open to granulate.

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    Re-epithelialization

    The recovery of a wound through the migration and proliferation of keratinocytes.

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    Angiogenesis

    The formation of new blood vessels from existing ones, aiding tissue repair.

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    Collagen deposition

    The accumulation of collagen fibers at a wound site to provide structure and support.

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    Metalloproteases

    Enzymes that help degrade extracellular matrix components during tissue remodeling.

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    Factors affecting wound healing

    Various local and systemic factors that influence the healing process of wounds.

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    Local factors

    Factors affecting wound healing that are specific to the wound site, like infection and blood supply.

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    Systemic factors

    Factors affecting healing that are related to the overall health of the individual, such as age and diabetes.

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    Dehiscence

    The unintentional reopening of a wound, often occurring post-surgery due to pressure.

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    Hypertrophic scar

    A raised scar that forms within the boundaries of the original wound due to excess collagen.

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    Keloid

    A type of scar that grows beyond the original wound boundaries and does not regress.

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    Osteomyelitis

    A bone infection that can occur from chronic wounds, spreading to underlying bone.

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