Question 1
Question
Wound edges are not opposed in healing by
Answer
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Primary intention
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Secondary intention
Question 2
Question
Which type of healing involves more granulation tissue?
Answer
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Primary intention
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Secondary intention
Question 3
Question
Wound edges are opposed in what type of healing?
Answer
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Primary intention
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Secondary intention
Question 4
Question
Which protein acts as a framework for cell growth during primary intention?
Answer
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Fibrin
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Fibrinogen
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Collagen
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Thrombin
Question 5
Question
Surface dehydration of a wound results in...
Answer
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Scab formation
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Scar formation
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Blood clotting
Question 6
Question
As the blood clot disappears during healing by primary intention, what feature forms?
Answer
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Dermal scar
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Granulatory bundle
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Fibrin mesh
Question 7
Question
Healing by primary intention:
The wound edges are brought close together so that there is a narrow incision. The wounded area fills with a [blank_start]blood clot[blank_end] which has a [blank_start]fibrin[blank_end] mesh that acts as a framework for cell growth. The surface of the wound dehydrates which forms a [blank_start]scab[blank_end]. There is [blank_start]acute[blank_end] inflammation around the edges of the wound. The epidermis thickens and grows along the cut edge of the dermis to meet in the midline. [blank_start]Granulation[blank_end] tissue grows into the blood clot that filled the wound space and this produces a [blank_start]dermal[blank_end] scar.
Answer
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blood clot
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fibrin
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scab
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acute
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Granulation
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dermal
Question 8
Question
The inflammatory reaction is less intense in healing by primary intention.
Question 9
Question
Wound contraction is higher in wounds healing by secondary intention.
Question 10
Question
Wound contraction is due to cells specifically known as...
Answer
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Myofibroblasts
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Fibroblasts
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Tubuloblasts
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Centrioblasts
Question 11
Question
If a wound is infected, surgeons will...
Question 12
Question
Healed wounds eventually become as strong as normal skin.
Question 13
Question
Healed wounds don't get any stronger after approximately...
Question 14
Question
Healed wounds get stronger because of...
Answer
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Cross-linking of collagen
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Increased amount of collagen
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Decreased amount of granulation tissue
Question 15
Question
Areas that have a greater blood supply will generally heal
Question 16
Question
Vitamin C deficiency interferes with
Question 17
Question
Moving a wound early on while it is healing can delay healing.
Question 18
Question
Wound dehiscence is an example of
Answer
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Deficient scar formation
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Excessive scar formation
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Contraction
Question 19
Question
Keloid scarring is an example of
Answer
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Excessive scar formation
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Contractions
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Deficient scar formation
Question 20
Question
Exuberant granulations occur when...
Answer
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The granulation tissue grows faster than the epithelial covering
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Fibroblasts proliferation is not regulated correctly
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Excessive amounts of collagen are deposited by hyperactive fibroblasts
Question 21
Question
Aggressive fibromatoses are due to...
Answer
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Excessive scar formation
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Deficient scar formation
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Contractions
Question 22
Question
Which type of problem to do with wound repair is considered nearly malignant?
Answer
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Aggressive fibromatoses
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Exuberant granulations
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Wound dehiscence
Question 23
Question
Label the diagram
Answer
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Intact
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Destroyed
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Resolution
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Scar
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Stable
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Permanent
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Granulation
Question 24
Question
Cytokines released in wound healing are similar to those in bone healing.
Question 25
Question
A bone fracture disrupts blood vessels. This results in...
Answer
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Haematoma
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Dermal scar
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Angiogenesis
Question 26
Question
Osteoblasts which help to deposit bone and repair fractures are sourced from where?
Answer
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Bone ends
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Periosteum
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Spleen
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Thymus
Question 27
Question
Deposition of the uncalcified matrix during bone healing anchors the bone ends but [blank_start]does not[blank_end] give structural rigidity. This is known as the [blank_start]soft[blank_end] tissue callus. When [blank_start]woven[blank_end] bone is deposited this forms teh [blank_start]bony[blank_end] callus and structural rigidity increases with time to allow weight to be put on the bone. Eventually the [blank_start]bony[blank_end] callus is remodelled and woven bone is replaced by [blank_start]lamellar[blank_end] bone with the m[blank_start]edullary[blank_end] cavity being restored (bone marrow chamber).
Answer
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does not
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soft
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woven
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bony
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bony
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lamellar
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edullary
Question 28
Question
The soft tissue callus is associated with
Answer
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Woven bone
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Lamellar bone
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Uncalcified bone matrix
Question 29
Question
Select the statement that is true
Answer
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Woven bone has collagen fibres randomly oriented whereas lamellar bone has collagen fibres arranged along lines of stress
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Woven bone has collagen fibres oriented parallel whereas lamellar bone has collagen fibres arranged randomly
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The soft tissue callus is associated with lamellar bone
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Uncalcified bone matrix is deposited by osteoclasts which originate from the periosteum around the bone
Question 30
Question
Uncalcified bone matrix is also known as...
Answer
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Osteoid
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Osteoclast
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Osteocyte
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Osteoblast
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Osteoma
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Osteomatous matrix
Question 31
Question
Select the correct order from fracture to the healing of a bone fracture.
Answer
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Haematoma -> Osteoid -> Woven bone -> Lamellar bone
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Woven bone -> Lamellar bone -> Haematoma -> Osteoid
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Osteoid -> Woven bone -> Haematoma -> Lamellar bone
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Osteoid -> Haematoma -> Woven Bone -> Lamellar bone
Question 32
Question
Woven bone is a similar strength to lamellar bone.
Question 33
Question
Bone healing is quicker in
Question 34
Question
Problems with bone healing:
D[blank_start]eformity[blank_end] - due to malalignment when repositioning fracture
Soft tissue getting in between broken bone
Delayed union progressing to [blank_start]Non[blank_end]-union - fracture ends keep moving
Pseudo[blank_start]arthrosis[blank_end] - [blank_start]synovial[blank_end] cavity at the site of the fracture
Avascular [blank_start]necrosis[blank_end] - death of a section of bone due to is[blank_start]chaemia[blank_end]
Osteo[blank_start]myelitis[blank_end] - especially in open fractures
Answer
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eformity
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Non
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arthrosis
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synovial
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necrosis
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chaemia
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myelitis