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Wound Healing & Chronic Inflammation

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102 Questions

What is the primary function of macrophages in the granulation tissue?

To phagocytose and secrete factors for wound healing

What is the primary component of the provisional matrix that is remodeled during the remodelling phase?

Type III collagen

What is the primary mechanism of wound contraction during the remodelling phase?

Myofibroblast contraction

What is the primary function of endothelial cells in the granulation tissue?

To form new blood vessels for nutrition

What is the characteristic of the granulation tissue that gives it its name?

Its appearance in skin

What is the primary reason for the reduction in cell and capillary density during the remodelling phase?

Due to the action of proteases

What is the primary difference between primary and secondary intention in wound healing?

The mechanism of wound closure

What is the primary goal of the wound healing process?

To restore tissue integrity

What determines whether the wound healing process results in regeneration or repair?

Cell type and tissue architecture

What is the primary function of haemostasis in wound healing?

To activate the coagulation cascade

Which phase of wound healing is characterized by vessel rupture and bleeding?

Haemostasis

What is the difference between regeneration and repair in wound healing?

Regeneration involves the restoration of tissue to normal, while repair involves the replacement of lost tissue with fibrous scar

Why does wound healing impose a huge financial burden on healthcare systems?

Because wound healing is a complex and lengthy process

What is the primary difference between labile, stable, and permanent cells in wound healing?

Their frequency of cell division

What is the primary function of neutrophils during the inflammation process?

Phagocytosis of bacteria and foreign material

Which cell type is responsible for synthesizing matrix proteins during granulation tissue formation?

Fibroblast

What is the role of cytokines and growth factors released during the inflammation process?

To act as chemo-attractants

What is the primary function of platelets in the inflammatory response?

Forming a thrombus at the site of injury

What is the role of macrophages during the inflammation process?

Phagocytosing remaining debris and secreting cytokines and growth factors

What is the primary function of prostaglandins, leukotrienes, and histamine during the inflammation process?

Inducing vasodilation

What is the primary function of granulation tissue?

Replacing damaged tissue with new tissue

What is the primary factor that determines how quickly a wound heals?

Nutritional status of the patient

What is the main difference in the healing process between oral and skin wounds?

Oral wounds have faster epithelial cell migration and proliferation

What is a common complication of chronic wounds?

All of the above

What is the role of osteoclasts in wound healing?

Bone resorption

What is the primary function of hyperbaric oxygen therapy in wound healing?

To increase oxygen delivery to the wound site

What is the term for the abnormal formation of scar tissue?

All of the above

What is the main difference between oral and skin wound healing in terms of the immune response?

Oral wounds have a more rapid and quickly resolved immune response

What is the purpose of maggot therapy in wound healing?

To debride the wound

What is the primary function of recombinant growth factors in wound healing?

To enhance cell migration and proliferation

What is the term for the condition where wounds become stuck in the inflammatory phase?

Chronic wound

What is the primary goal of the wound healing process?

To restore tissue integrity and function

What determines whether the wound healing process results in regeneration or repair?

Cell type and tissue architecture

During which phase of wound healing does vessel rupture and bleeding occur?

Haemostasis

What is the main difference in the healing process between oral and skin wounds?

Oral wounds heal faster and with less scarring

What is the primary difference between primary and secondary intention in wound healing?

Primary intention involves suturing, secondary intention involves granulation tissue

What is the main factor that contributes to the huge financial burden of wound healing on healthcare systems?

All of the above

What is the primary function of haemostasis in wound healing?

To stop bleeding and promote coagulation

What is the primary function of platelets in wound healing?

To form a clot and trap themselves within

Which of the following cells is short-lived and removes bacteria and foreign material during the inflammation process?

Neutrophil

What is the role of cytokines and growth factors released during the inflammation process?

To act as chemoattractants

What is the primary function of fibroblasts during the granulation tissue formation?

To synthesize matrix proteins

What is the primary role of keratinocytes in wound healing?

To proliferate and migrate over the wound bed

What is the main characteristic of granulation tissue?

Its appearance in skin

What is the primary function of prostaglandins, leukotrienes, and histamine during the inflammation process?

To cause vasodilation

What is the primary function of type I collagen in wound healing?

To provide strength to the wound

Which of the following cells is responsible for phagocytosis of remaining debris during the granulation tissue formation?

Macrophage

What is the primary function of thrombus formation during the wound healing process?

To form a clot and stop bleeding

What is the primary difference between primary and secondary intention in wound healing?

Wound edge apposition

What is necessary for remodelling in wound healing?

Proteases, such as collagenases

How long does it take for a wound to reach 70-80% of its original strength?

2-3 months

What is necessary for the cross-linking of collagen I?

Vitamin C

What is the primary reason for the formation of hypertrophic scars?

Excessive collagen synthesis

What is the primary role of osteoclasts in tooth socket healing?

Bone resorption

What is the effect of irradiation on wound healing?

It impairs wound healing

What is the primary difference between oral and skin wound healing?

Oral wounds heal faster than skin wounds

What is the primary function of maggot therapy in wound healing?

To debride necrotic tissue

What is the primary consequence of wound healing on the skin architecture?

Macroscopic disturbance of the normal skin architecture

What is the primary factor that contributes to the formation of chronic wounds?

Accumulation of pro-inflammatory signals

What is the primary function of recombinant growth factors in wound healing?

To stimulate angiogenesis

What is the primary role of the provisional matrix in wound healing?

To provide a scaffold for tissue regeneration

What is the primary effect of poor blood supply on wound healing?

It impairs wound healing

What is the primary function of osteoblasts in bone formation?

Synthesise the organic matrix of bone and control its mineralization

What is the term for the canal in cortical bone that contains osteocytes and blood vessels?

Haversian canal

Which cell type is likely to be the main mechano-sensitive cell in bone?

Osteocytes

What is the result of osteoblasts finishing their bone formation process?

They differentiate into osteocytes or bone lining cells

What is the primary function of osteoclasts in bone remodelling?

Responsible for bone resorption

What is the term for the bone structure that is composed of bone cells, bone marrow, and erythrocytes?

Cortical bone

What is the primary function of bone lining cells?

Detect changes in loading environment and expose bone surface for resorption

What is the result of fluctuations in serum calcium on bone homeostasis?

It impacts bone homeostasis

What is the primary function of the primary ossification centre?

Differentiation of perichondrial cells into osteoblasts

What is the role of chondrocytes in endochondral ossification?

To secrete cartilaginous matrix and proliferate

What is the site of longitudinal bone growth?

Growth plate

What type of bone tissue is optimized to provide the greatest amount of support for minimum mass?

Trabecular bone tissue

What is the function of trabecular bone tissue?

To facilitate calcium exchange

What is the structure that forms in the epiphyses?

Secondary ossification centre

What is the region of the bone where chondrocytes are arranged in columns?

Growth plate

What is the characteristic of compact bone tissue?

It is the main weight-bearing structure

What type of bone formation occurs in long bones?

Endochondral ossification

What is the main function of osteoblasts in bone development?

Bone formation

What type of bone is the femur?

Long bone

What is the term for the process by which bones grow in size?

Appositional growth

What is the function of osteoclasts in bone development?

Bone resorption

What is the role of the RANK/RANK ligand system in skeletal homeostasis?

Regulation of osteoclast activity

What type of bone is the skull?

Flat bone

What is the term for the formation of bone tissue from mesenchymal cells?

Intramembranous ossification

What is the primary function of osteoclasts in bone remodelling?

Breaking down mineral components of bone

What is the role of the Cl-/HCO3– exchanger in osteoclasts?

Regulating pH levels in the sealed zone

What is the consequence of aberrant bone remodelling?

Skeletal pathology

What is the primary function of cathepsin K in osteoclasts?

Digesting collagen

What is the term for the dynamic process of bone resorption and formation?

Bone remodelling

What is the primary function of osteoblasts in bone remodelling?

Forming new bone tissue

What is the result of osteoclast activity in the bone?

Breakdown of bone tissue

What is the primary consequence of disruptions in alveolar bone remodelling?

Skeletal pathology

What is the primary function of osteoclasts?

To resorb bone tissue

What is the role of RANKL in osteoclast formation?

To bind to RANK on osteoclast precursors

What is the function of OPG in the RANKL-RANK axis?

To act as a soluble decoy receptor for RANKL

What is the primary regulator of osteoclast differentiation and bone resorption?

Low serum calcium levels

What is the cell surface receptor for RANKL on osteoclast precursors?

RANK

What is the primary function of M-CSF in osteoclast formation?

To promote osteoclast precursor proliferation

Which of the following is NOT a characteristic of osteoclasts?

Osteoblast precursors

What is the primary function of PTH in regulating osteoclast formation?

To act indirectly through osteoblasts to stimulate osteoclast formation

This quiz covers the four phases of wound healing, including cell types and signals, primary and secondary intention, healing in bone and tooth sockets, and factors that delay wound healing. Learn about the importance of wound healing and why oral wounds heal faster and without scarring.

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