Healing and Repair Part 2

Description

IHD (Pathology) Quiz on Healing and Repair Part 2, created by 0 9 on 29/01/2017.
0 9
Quiz by 0 9, updated more than 1 year ago
0 9
Created by 0 9 about 7 years ago
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1

Resource summary

Question 1

Question
Wound edges are not opposed in healing by
Answer
  • Primary intention
  • Secondary intention

Question 2

Question
Which type of healing involves more granulation tissue?
Answer
  • Primary intention
  • Secondary intention

Question 3

Question
Wound edges are opposed in what type of healing?
Answer
  • Primary intention
  • Secondary intention

Question 4

Question
Which protein acts as a framework for cell growth during primary intention?
Answer
  • Fibrin
  • Fibrinogen
  • Collagen
  • Thrombin

Question 5

Question
Surface dehydration of a wound results in...
Answer
  • Scab formation
  • Scar formation
  • Blood clotting

Question 6

Question
As the blood clot disappears during healing by primary intention, what feature forms?
Answer
  • Dermal scar
  • Granulatory bundle
  • 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
  • blood clot
  • fibrin
  • scab
  • acute
  • Granulation
  • dermal

Question 8

Question
The inflammatory reaction is less intense in healing by primary intention.
Answer
  • True
  • False

Question 9

Question
Wound contraction is higher in wounds healing by secondary intention.
Answer
  • True
  • False

Question 10

Question
Wound contraction is due to cells specifically known as...
Answer
  • Myofibroblasts
  • Fibroblasts
  • Tubuloblasts
  • Centrioblasts

Question 11

Question
If a wound is infected, surgeons will...
Answer
  • Try to close the wound so it heals by primary intention
  • Leave the wound to heal by secondary intention

Question 12

Question
Healed wounds eventually become as strong as normal skin.
Answer
  • True
  • False

Question 13

Question
Healed wounds don't get any stronger after approximately...
Answer
  • 3 months
  • 1 week
  • 1 month

Question 14

Question
Healed wounds get stronger because of...
Answer
  • Cross-linking of collagen
  • Increased amount of collagen
  • Decreased amount of granulation tissue

Question 15

Question
Areas that have a greater blood supply will generally heal
Answer
  • Faster
  • Slower

Question 16

Question
Vitamin C deficiency interferes with
Answer
  • Collagen synthesis
  • Collagen degradation
  • Myofibroblast contraction

Question 17

Question
Moving a wound early on while it is healing can delay healing.
Answer
  • True
  • False

Question 18

Question
Wound dehiscence is an example of
Answer
  • Deficient scar formation
  • Excessive scar formation
  • Contraction

Question 19

Question
Keloid scarring is an example of
Answer
  • Excessive scar formation
  • Contractions
  • Deficient scar formation

Question 20

Question
Exuberant granulations occur when...
Answer
  • The granulation tissue grows faster than the epithelial covering
  • Fibroblasts proliferation is not regulated correctly
  • Excessive amounts of collagen are deposited by hyperactive fibroblasts

Question 21

Question
Aggressive fibromatoses are due to...
Answer
  • Excessive scar formation
  • Deficient scar formation
  • Contractions

Question 22

Question
Which type of problem to do with wound repair is considered nearly malignant?
Answer
  • Aggressive fibromatoses
  • Exuberant granulations
  • Wound dehiscence

Question 23

Question
Label the diagram
Answer
  • Intact
  • Destroyed
  • Resolution
  • Scar
  • Stable
  • Permanent
  • Granulation

Question 24

Question
Cytokines released in wound healing are similar to those in bone healing.
Answer
  • True
  • False

Question 25

Question
A bone fracture disrupts blood vessels. This results in...
Answer
  • Haematoma
  • Dermal scar
  • Angiogenesis

Question 26

Question
Osteoblasts which help to deposit bone and repair fractures are sourced from where?
Answer
  • Bone ends
  • Periosteum
  • Spleen
  • 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
  • does not
  • soft
  • woven
  • bony
  • bony
  • lamellar
  • edullary

Question 28

Question
The soft tissue callus is associated with
Answer
  • Woven bone
  • Lamellar bone
  • Uncalcified bone matrix

Question 29

Question
Select the statement that is true
Answer
  • Woven bone has collagen fibres randomly oriented whereas lamellar bone has collagen fibres arranged along lines of stress
  • Woven bone has collagen fibres oriented parallel whereas lamellar bone has collagen fibres arranged randomly
  • The soft tissue callus is associated with lamellar bone
  • 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
  • Osteoid
  • Osteoclast
  • Osteocyte
  • Osteoblast
  • Osteoma
  • Osteomatous matrix

Question 31

Question
Select the correct order from fracture to the healing of a bone fracture.
Answer
  • Haematoma -> Osteoid -> Woven bone -> Lamellar bone
  • Woven bone -> Lamellar bone -> Haematoma -> Osteoid
  • Osteoid -> Woven bone -> Haematoma -> Lamellar bone
  • Osteoid -> Haematoma -> Woven Bone -> Lamellar bone

Question 32

Question
Woven bone is a similar strength to lamellar bone.
Answer
  • True
  • False

Question 33

Question
Bone healing is quicker in
Answer
  • Children
  • Adults

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
  • eformity
  • Non
  • arthrosis
  • synovial
  • necrosis
  • chaemia
  • myelitis
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