Patho Quiz Chapter 2

37 Questions  I  By Caitlinnorthcutt
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Patho. Quiz. Chapter 2.

  
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  • 1. 
    Tears are considered to part of the 1. first line of defense2. second line of defense3. third line of defense4. specific defense5. nonspecific defense
    • A. 

      1,4

    • B. 

      1,5

    • C. 

      3,4

    • D. 

      2,5


  • 2. 
    A specific defense for the body is
    • A. 

      Phagocytosis

    • B. 

      Sensitized T lympocytes

    • C. 

      The inflammatory response

    • D. 

      Intact skin and mucous membrane


  • 3. 
    The inflammatory process is caused by
    • A. 

      Phagocytosis of foreign material

    • B. 

      Local vasodilaiton

    • C. 

      Any tissue injury

    • D. 

      Formation of purulent exudate


  • 4. 
    Chemical mediators released during the inflammatory response include
    • A. 

      Albumin and fibrinogen

    • B. 

      Pyrogens and cell enzymes

    • C. 

      Macrophages and neutrophils

    • D. 

      Histamine and prostaglandins


  • 5. 
    Which of the following result directly from the release of chemical mediators following a moderate burn injury1. pain2. local vasoconstirciton3. increased capillary permeability4. pallor
    • A. 

      1,2

    • B. 

      1,3

    • C. 

      2,3

    • D. 

      2,4


  • 6. 
    Which of the following helps to localize and contain the foreign material during an inflammatory response?
    • A. 

      Lymphocytes

    • B. 

      Exudate

    • C. 

      Fibrinogen

    • D. 

      Antibodies


  • 7. 
    Edema or tissue swelling associtated with inflammation results directly from
    • A. 

      Increased fluid and protein in the interstitial compartment

    • B. 

      Increased phagocytes in the affected area

    • C. 

      Decreased capillary permeability

    • D. 

      General vasoconstruction


  • 8. 
    The warmth and redness ralted to the inflammatory response results from
    • A. 

      Increased intertitial fluid

    • B. 

      Production of complement

    • C. 

      Large number of wbcs entering the area

    • D. 

      Increased blood flow into the area


  • 9. 
    What is the correct order of the following events in the inflammatory response immediately after tissue injury1. increased permeability of blood vessels2. dialtion of blood vessels3. transient vasoconstruction4. migration of leukocytes to the area5. hyperemia
    • A. 

      5 3 2 1 4

    • B. 

      1 2 4 5 3

    • C. 

      2 3 5 4 1

    • D. 

      3 2 5 1 4


  • 10. 
    The process of phagocytosis involves the
    • A. 

      Ingestion of foreign material or cell debris by leukocytes

    • B. 

      Shift of fluid and protein out of capillaries

    • C. 

      Formation of a fibrin mesh around the infected area

    • D. 

      Movement of erythrocytes through the capillary wall


  • 11. 
    Systematic effects of severe inflammation include
    • A. 

      Local erythema and warmth

    • B. 

      Loss of movement at the affected joint

    • C. 

      Fatigue anorexia and mild fever

    • D. 

      Abcess formation


  • 12. 
    The term leukocytosis means
    • A. 

      Increased white blood cells in the blood

    • B. 

      Decerased white blood cells in the blood

    • C. 

      Increased number of immature white blood cells

    • D. 

      Significant change in the proportion of one type of WBC


  • 13. 
    Which of the following statements applies to fever
    • A. 

      Viral infection must be present

    • B. 

      Heat loss mechanism have been stimulated

    • C. 

      It is caused by a signal to the thalamus

    • D. 

      It results from release of pyrogens into the circulation


  • 14. 
    Mechanisms to bring an elevated body temperature down to the normal level include
    • A. 

      General cutanerous vasodilation

    • B. 

      Generalized shivering

    • C. 

      Increased heart rate

    • D. 

      Increased matabolic rate


  • 15. 
    Replacement of damaged tissue by similar cells is termed
    • A. 

      Fibrosis

    • B. 

      Regeneration

    • C. 

      Resolution

    • D. 

      Repair by scar tissue


  • 16. 
    Scar tissue consists primarly of
    • A. 

      Granulation tissue

    • B. 

      Epithelial cells

    • C. 

      Collagen fibers

    • D. 

      New capillaires and smooth muscle fiber


  • 17. 
    Which of the following promotes rapid healing
    • A. 

      Closely approximated edges of a wound

    • B. 

      Prescense of foreign material

    • C. 

      Exposure to radiation

    • D. 

      Vasoconstruction in the involved area


  • 18. 
    Which is the best description of granulation tissue
    • A. 

      Multiple layers of collagen fibers and epithelial cells

    • B. 

      Several layers of new epithelial cells

    • C. 

      White fibrous tissue

    • D. 

      Fibroblast and vascular endothelial cells


  • 19. 
    Glucocorticoids are used to treat inflammation because they directly
    • A. 

      Promotethe release of prostaglandins at the site

    • B. 

      Decrease capillary permeability

    • C. 

      Mobilize lymphcytes and neutrophils

    • D. 

      Prevent infection


  • 20. 
    Which of the following drugs relieves fever and pain but is not an antiflammatory agent
    • A. 

      Acetaminophen

    • B. 

      Prednisone

    • C. 

      Aspirin

    • D. 

      Ibuprofen


  • 21. 
    Patients taking glucocoticoids for long periods of time are likely to develop all of hte following except
    • A. 

      Fragile bones

    • B. 

      Wasting of skelatal muscle

    • C. 

      Opportunistic infections

    • D. 

      Relief of fever


  • 22. 
    A burn area in which the epidermis and part of the dermis is destroyed is classfied as
    • A. 

      Full thickness

    • B. 

      Deep partial thickness

    • C. 

      Superfical partial thickenss

    • D. 

      First degree


  • 23. 
    A woman has burns on the anterior serfaces of her right arem chest and right leg. the percentage of body surface area bruned is approx.
    • A. 

      13.5 %

    • B. 

      18%

    • C. 

      22.5%

    • D. 

      31.5%


  • 24. 
    The characteristic apperance of a full thickness burn is
    • A. 

      Painful with multiple blisters

    • B. 

      Heavy bleeding

    • C. 

      Red with some swelling

    • D. 

      Dirty firm charred or white surface


  • 25. 
    A major source of infection in burn areas is
    • A. 

      The skin grafts

    • B. 

      Microbes surviving in the hair follicles of the burn area

    • C. 

      Circulation blood bringing mircobes to the burn wound

    • D. 

      The patients hands transferring microbes


  • 26. 
    A large burn area predispses to decreased blood pressure because
    • A. 

      Bleeding occurs under the burn surface

    • B. 

      The heart is damaged by toxic materials

    • C. 

      Fluid and protein shift out of the vascualr compartment

    • D. 

      Vasoconstriction occurs in the burn area


  • 27. 
    During an inflammatory response erythem is caused by
    • A. 

      Vasodilation in the area

    • B. 

      Increased capillary permeability

    • C. 

      Irritation of sensory nerve endings by histamine

    • D. 

      Increased leukocytes in the area


  • 28. 
    The advantages of applying a biosynthetic skin substitute to a large area of full thickness skin loss include1. reduced risk of infection2. decreased loss of plasma protein and fluid3. developing more strong fibrous scar tissue4. more rapid healing5/ regneration of all glands nerves and hair follicles
    • A. 

      1 3

    • B. 

      4 5

    • C. 

      1 2 4

    • D. 

      2 3 5


  • 29. 
    Which substance would usually be found in a serous exudate1. sodium chloride2. erythrocytes3. plasma proteins4. pus
    • A. 

      1 2

    • B. 

      1 3

    • C. 

      2 3

    • D. 

      2 4


  • 30. 
    Isoenzymes in the circulating blood
    • A. 

      Are a type of plasma protein normally present in the circulating blood

    • B. 

      Often indicated the precise location of an imflammatory response

    • C. 

      Are normally released from leukocytes during an inflammatory resoponse

    • D. 

      Are pyrogens causing low grade fever


  • 31. 
    A serous exudate is best described as
    • A. 

      Watery colorless exudate

    • B. 

      Thick sticky cloudy secreation

    • C. 

      Thick greenish material containing microbes

    • D. 

      Brownish clotted material


  • 32. 
    Systemic manifestaions of an inflammatory response include
    • A. 

      Edmea and erythema

    • B. 

      Area of necrosis and loss of function

    • C. 

      Pain and tenderness

    • D. 

      Elevated c reactive preotein and leukocytosis


  • 33. 
    Application of an ice to an injured knee reduces edema by
    • A. 

      Promoting return of lymph fluid

    • B. 

      Causing local vasoconstriction

    • C. 

      Increasing the rate of tissue repair

    • D. 

      Causing sytemic vasodilation


  • 34. 
    Healing of large areas of skin loss (including dermis and epidermis) would best take place through
    • A. 

      Rapid mitosis and regeneration of skin layers

    • B. 

      Resolution of damaged cells

    • C. 

      Covering area with biosyntheic skin substitute

    • D. 

      Graft of fibrous tissue


  • 35. 
    Prostaglandins are produced from _____ and cause ____
    • A. 

      Activated plasma proetin increased capiallry permeability

    • B. 

      Mast cells membranes vasodilation increased capiallary permeability pain

    • C. 

      Platents attract meutrophils chemotaxis

    • D. 

      Mast cell granules activate histamine and kinins


  • 36. 
    The number of neutrophils are increased significally
    • A. 

      During allergic reactions

    • B. 

      During chronic inflammation

    • C. 

      To produce antibodies

    • D. 

      In order to increase phagocytosis


  • 37. 
    An abcess is an example of a
    • A. 

      Serous exudate

    • B. 

      Purulent exudate

    • C. 

      Fibrinous exudate

    • D. 

      Hemorrhagic exudate


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