Inflammation Flashcards

1
Q

Who was the first person to describe the four cardinal signs of inflammation?

A

Celsus

The four cardinal signs are rubor (redness), tumor (swelling), calor (heat), and dolor (pain).

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2
Q

What is the fifth clinical sign of inflammation added by Rudolf Virchow?

A

Loss of function (function laesa)

This sign highlights the impact of inflammation on the function of affected tissues.

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3
Q

What process did Elit Metchnikof discover?

A

Phagocytosis

This process involves the ingestion of pathogens by immune cells.

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4
Q

What mediates the vascular changes of inflammation according to Sis uhomas Lewis?

A

Chemical substances such as histamine

Histamine is produced locally in response to injury.

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5
Q

What hallmark feature characterizes acute inflammation?

A

Increased vascular permeability

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6
Q

What is the most common mechanism of increased vascular permeability?

A

Endothelial cell contraction

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7
Q

What are selectins responsible for in the context of inflammation?

A

‘Rolling’ of leukocytes

Selectins play a key role in the initial steps of leukocyte adhesion.

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8
Q

What are integrins required for in the inflammatory response?

A

Adhesion of leukocytes

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9
Q

What molecule is required for transmigration (diapedesis) of leukocytes?

A

PECAM molecule or CD31

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10
Q

What is chemotaxis?

A

Single direction targeted movement of WBCs

This movement is influenced by exogenous or endogenous molecules.

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11
Q

What are opsonins?

A

Special chemicals required for opsonisation

Examples include complement proteins like C3b, lectins, and antibodies.

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12
Q

What types of receptors are involved in phagocytosis?

A

Mannose receptors, scavenger receptors, receptors for opsonins

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13
Q

What is the most efficient bactericidal system of neutrophils?

A

H,°,-MPO-halide system

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14
Q

What test is used to monitor the functioning of phagocytes?

A

Nitroblue tetrazolium test

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15
Q

What are neutrophil extracellular traps (NETS)?

A

Extracellular fibrillar networks that provide antimicrobial substances

They are produced by neutrophils in response to chemicals.

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16
Q

What is a characteristic of ‘cold abscesses’?

A

Lack classic features of acute inflammation such as warmth and redness

17
Q

What is the most important chemical mediator of acute inflammation?

18
Q

From which essential fatty acid is arachidonic acid derived?

A

Linoleic acid

19
Q

What role do prostaglandins play in inflammation?

A

Involvement in the pathogenesis of pain and fever

PGE2 is specifically noted for its hyperalgesic effect.

20
Q

What do lipoxins do during inflammation?

A

Suppress inflammation by inhibiting leukocyte recruitment

21
Q

What does the ‘C’ in CRP stand for?

A

Carbohydrate antigen of pneumococcus

22
Q

What percentage of plasma proteins do complement proteins constitute?

23
Q

What does Eculizumab prevent?

A

Conversion of C5 to C5a

24
Q

What is the commonest type of acute inflammation?

A

Catarrhal inflammation

25
Name some anti-inflammatory cytokines.
* Adiponectin * IL-10 * IL-6 * IL-4 * TGF beta
26
What tissues have a limited capacity to regenerate after injury?
Stable tissues ## Footnote The liver is an exception.
27
What is not seen in acute inflammation?
Granuloma formation
28
What is a common cause of necrotizing granuloma?
* TB * Syphilis * Histoplasma * Cat's scratch disease * Wegner's granulomatosis * RA * Hodgkin's disease * Byssinosis
29
Important macrophages include which of the following?
* Histiocytes * Kupffer cells * Osteoclasts * Mesangial cells * Hoffbauer cells * Littoral cells * Type A synoviocytes
30
What are the components of the basement membrane?
* Laminin * Collagen IV * Fibronectin * Tenascin * Entactin * Proteoglycans (perlecan)
31
What is the most abundant glycoprotein in the basement membrane?
Laminin
32
What causes degradation of the basement membrane?
Metalloproteinases
33
What type of collagen is found in hyaline articular cartilage?
Type II
34
What is regeneration in the context of tissue healing?
Replacement of lost tissue by living tissue of similar kind
35
What is granulation tissue formed by?
Budding of new capillaries (neovascularization)
36
What is the sequence of appearance of cells in wound healing?
* Platelets * Neutrophils * Macrophages * Fibroblasts
37
What causes fibrosis?
TGF-ß