Acute/Chronic Inflammation + Hemodynamics/Thrombosis

Descripción

Medicine Test sobre Acute/Chronic Inflammation + Hemodynamics/Thrombosis, creado por Trey W el 19/07/2020.
Trey W
Test por Trey W, actualizado hace más de 1 año
Trey W
Creado por Trey W hace alrededor de 4 años
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Resumen del Recurso

Pregunta 1

Pregunta
Which of the following is not a sign of acute inflammation?
Respuesta
  • Pain
  • Functio Laesa
  • Swelling
  • Erythema
  • Warmth
  • Angiogenesis

Pregunta 2

Pregunta
List the main components of the 1st (vascular) phase of acute inflammation.
Respuesta
  • Vascular dilation --> smooth muscle relaxation --> endothelial cell contraction --> increase in vascular permeability
  • Smooth muscle relaxation --> vascular dilation --> endothelial cell contraction --> increase in vascular permeability
  • Endothelial cell contraction --> increase in vascular permeability --> vascular dilation --> smooth muscle relaxation
  • Endothelial cell contraction --> increase in vascular permeability --> smooth muscle relaxation --> vascular dilation

Pregunta 3

Pregunta
Bradykinin has effects similar to histamine, but these effects become evident later in the inflammation process.
Respuesta
  • True
  • False

Pregunta 4

Pregunta
Your patient has been bitten by a venomous snake. You would expect activation of the complement cascade through which pathway?
Respuesta
  • Classical pathway
  • Alternative pathway
  • Lectin pathway
  • Complement pathway

Pregunta 5

Pregunta
Nitric oxide, prostaglandins, leukotrienes, cytokines and PAF are all examples of
Respuesta
  • Plasma-derived mediators of inflammation
  • Cell-derived mediators of inflammation
  • Complement-derived mediators of inflammation
  • Lymphocyte-derived mediators of inflammation

Pregunta 6

Pregunta
The process by which leukocytes are marginalized and become attached to the endothelium of vessels is called
Respuesta
  • Margination
  • Pavementing
  • Exudation
  • Diapedesis

Pregunta 7

Pregunta
IL-1 and TNF are the primary endogenous pyrogens released from leukocytes or macrophages
Respuesta
  • True
  • False

Pregunta 8

Pregunta
Which major cell types would you expect to see in the 3rd (organization) stage of wound healing and repair?
Respuesta
  • Activated macrophages
  • Endothelial cells
  • Fibroblasts
  • Polymorphonuclear neutrophils

Pregunta 9

Pregunta
Wound healing by first/primary intention includes: formation of a scab, scavenger action of PMNs, formation of granulation tissue, and scarring.
Respuesta
  • True
  • False

Pregunta 10

Pregunta
With persistent injury that leads to chronic inflammation,
Respuesta
  • the symptoms are prominent
  • CT proliferation occurs as inflammation subsides
  • Exudate is comprised of neutrophils
  • Exudate is comprised of lymphocytes and macrophages

Pregunta 11

Pregunta
A patient's kidney was affected by inflammation for 2-3 months. What type of cells would you expect to see in the tissue?
Respuesta
  • Lymphocytes
  • Macrophages
  • Fibroblastic scarring
  • Plasma cells

Pregunta 12

Pregunta
You are observing tissue slides and see many multinucleated giant cells. What underlying reaction/inflammation probably caused this?
Respuesta
  • Granulomatous
  • Ulcerative
  • Pseudomembranous
  • Acute

Pregunta 13

Pregunta
Which of the following chemotaxins are endogenous?
Respuesta
  • Necrotic cells
  • Fibrinopeptides
  • Lipopolysaccharide
  • IL-8
  • LTB4

Pregunta 14

Pregunta
Under ____ conditions, phagocytosis involves a respiratory burst and killing by way of free radicals. This form of phagocytosis _____ contained within the cell.
Respuesta
  • anaerobic; is
  • anaerobic; is not
  • aerobic; is
  • aerobic; is not

Pregunta 15

Pregunta
Macrophages appear at the site of inflammation 3-4 days after onset of infection/trauma and are typically present in chronic inflammation.
Respuesta
  • True
  • False

Pregunta 16

Pregunta
Which of the following pathologies are characterized by serous inflammation, the mildest form of inflammation?
Respuesta
  • Purulent tracheobronchitis
  • Peptic ulcer
  • 2nd degree burn
  • Strep throat

Pregunta 17

Pregunta
Which of the following complication(s) are associated with granulomas?
Respuesta
  • Bleeding from eroded blood vessels into cavities
  • Fibrosis
  • Chronic persistence
  • Pseudomembranous inflammation

Pregunta 18

Pregunta
Which of the following cell types do not divide regularly, but can be stimulated to divide if necessary?
Respuesta
  • Stable cells
  • Labile cells
  • Permanent cells
  • Mitotic cells

Pregunta 19

Pregunta
Which of the following is not a factor that can significantly delay wound healing?
Respuesta
  • Site of the wound
  • Mechanical factors
  • Age
  • Nurtritional factors
  • Vitamin C intake

Pregunta 20

Pregunta
You observe the following signs in your patient: leukocytosis, fever, increased CRP and increased ESR. What causes the increase in hepatic synthesis of CRP?
Respuesta
  • Cytokines, mainly IL-6 and IL-1.
  • Cytokines, mainly IL-8
  • PGE1 and IL-1
  • Insulin synthesis

Pregunta 21

Pregunta
In early wound organization of granulation tissue you would likely see
Respuesta
  • Proliferation of fibroblasts
  • Dense collagen sclerosis
  • Neovascularization
  • Fibronectin synthesis

Pregunta 22

Pregunta
Albumin, synthesized by the liver and pancreas, is the major protein generating vascular oncotic pressure.
Respuesta
  • True
  • False

Pregunta 23

Pregunta
Non-inflammatory edema is characterized by
Respuesta
  • Increased endothelial permeability
  • Transudate
  • Exudate
  • Increased colloid osmotic pressure

Pregunta 24

Pregunta
Which of the below options are clinical examples of edema?
Respuesta
  • Cirrhosis of the liver
  • CHF
  • Nephrotic syndrome
  • Lymphatic obstruction

Pregunta 25

Pregunta
Blushing of the cheeks is an example of passive hyperemia.
Respuesta
  • True
  • False

Pregunta 26

Pregunta
A "nutmeg" liver is the result of
Respuesta
  • hepatic congestion due to left heart failure
  • one too many "cinnamon challenges"
  • hepatic congestion due to right heart failure
  • hepatic steatosis

Pregunta 27

Pregunta
Factors increasing one's risk for hemorrhage include:
Respuesta
  • severe increase in platelets
  • coagulation factor deficiency
  • capillary fragility
  • platelet dysfunction

Pregunta 28

Pregunta
Metrorrhagia is defined as profound menstrual bleeding and is considered a form of hemorrhage.
Respuesta
  • True
  • False

Pregunta 29

Pregunta
Arterial rupture is often due to weakening of the vessel walls and venous rupture is often due to injury.
Respuesta
  • True
  • False

Pregunta 30

Pregunta
A 65-year-old female alcoholic is found to have sever liver cirrhosis and facial edema. Which of the following directly contributes to this form of edema?
Respuesta
  • Decreased lymphatic flow
  • Decreased oncotic pressure
  • Increased venous pressure
  • Decreased arterial pressure

Pregunta 31

Pregunta
Which of the following substances provides a framework for a clot?
Respuesta
  • Thrombin
  • RBCs
  • Plasmin
  • Fibrin

Pregunta 32

Pregunta
A healthcare worker develops a small thrombus in their lower leg. What is the most likely fate of the thrombus?
Respuesta
  • Embolize to the heart
  • Lysis and resolution
  • Embolize to the lungs
  • Organization and extension

Pregunta 33

Pregunta
A 70-year-old male has a hard time catching his breath and has a dry cough that worsens at night. Diffuse pulmonary edema is noted. The cause of this patient's edema is right-sided heart failure.
Respuesta
  • True
  • False

Pregunta 34

Pregunta
Twin brothers present to your ED with acute conditions; one with volvulus and one with testicular torsion. With respect to the damaged tissues, you would expect to see a RED infarct in these cases.
Respuesta
  • True
  • False

Pregunta 35

Pregunta
You are a pathology PA are looking at an area of tissue that looks to be consistent with a pale/white infarct that is mottled. Which of the following injuries/mechanisms could explain this?
Respuesta
  • Pulmonary infarction that is now receiving blood from bronchial arteries
  • Hepatic infarction perfused by collateral vessels after a few days
  • Myocardial infarction perfused by collateral vessels after a few days
  • This description is highly unlikely

Pregunta 36

Pregunta
A patient, known to be in shock, is hypotensive, acidotic, and has oliguria. What stage of shock is the patient probably in?
Respuesta
  • Compensated
  • Decompensated
  • Irreversible
  • Cardiogenic

Pregunta 37

Pregunta
A paradoxical embolus is a venous embolus that travels to the arterial circulation via the foramen ovale or interventricular septal defect.
Respuesta
  • True
  • False

Pregunta 38

Pregunta
Intravascular coagulation is the result of the interaction of which factors?
Respuesta
  • Coagulation proteins
  • Hemodynamic changes
  • Platelets
  • Endothelial cells

Pregunta 39

Pregunta
Virchow's triad comprises the three predisposing conditions for pathologic thrombi including: endothelial cell injury, hypocoagulability of the blood and hemodynamic changes.
Respuesta
  • True
  • False

Pregunta 40

Pregunta
Alternating bands of RBCs and platelets/fibrin, also known as Lines of Zahn, appear in venous clots due to the dynamic nature of blood flow.
Respuesta
  • True
  • False
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