Pathology chapter
PATHOLOGY

Inflammation and Repair

203 practice questions · 74 study notes
Start chapter practice

Questions

QUESTION 121
A lung biopsy shows neutrophils filling alveolar spaces and congested blood vessels. Which diagnosis matches this pattern?
QUESTION 122
Which tissue-resident macrophages are found in the central nervous system?
QUESTION 123
Which pair of cytokines induces alternative macrophage activation?
QUESTION 124
Which interaction is specifically described as essential to strong chronic inflammatory reactions such as granulomatous inflammation?
QUESTION 125
Which two processes sustain persistent macrophage accumulation at a site of inflammation?
QUESTION 126
Which disease exemplifies chronic inflammation of the arterial wall induced partly by excessive production and tissue deposition of endogenous cholesterol and other lipids?
QUESTION 127
Which exogenous agent causes chronic inflammatory lung disease after prolonged inhalation because it is nondegradable?
QUESTION 128
Prolonged production of which acute-phase protein is particularly associated with amyloidosis in chronic inflammation?
QUESTION 129
Which infectious disease should always be excluded as the cause when granulomas are identified?
QUESTION 130
Which acute-phase protein promotes rouleaux formation by neutralizing the negative surface charge of red cells?
QUESTION 131
A synovial biopsy from a patient with longstanding rheumatoid arthritis shows lymphocytes, antigen-presenting cells, and plasma cells clustered into structures resembling lymph-node follicles. What are these structures called?
QUESTION 132
Which eosinophil granule constituent is toxic to parasites but can also injure epithelial cells?
QUESTION 133
What cellular process produces multinucleated Langhans giant cells in granulomas?
QUESTION 134
Which cytokine produced by Th1 cells activates macrophages through the classical pathway?
QUESTION 135
How do activated T lymphocytes reinforce the macrophage–lymphocyte cycle that sustains chronic inflammation?
QUESTION 136
Which special stain is specifically mentioned for identifying M. tuberculosis during investigation of granulomatous inflammation?
QUESTION 137
Which CD4 T-cell subset secretes IL-4, IL-5, and IL-13 and is important in defense against helminthic parasites?
QUESTION 138
Activated macrophages in a granuloma have pink granular cytoplasm and indistinct cell boundaries, giving them an epithelial resemblance. What are these cells called?
QUESTION 139
A patient with chronic inflammation develops anemia associated with reduced iron availability. Increased production of which peptide accounts for this finding?
QUESTION 140
Which group of cytokines is identified as important mediators of the systemic response to inflammation?
QUESTION 141
Why can nonimmunogenic foreign bodies produce persistent macrophage activation and granuloma formation?
QUESTION 142
A patient has chronic bacterial osteomyelitis with an inflammatory exudate persisting for months. Which cell type can remain prominent in this exudate?
QUESTION 143
In chronic liver injury with impaired hepatocyte proliferation, some regenerative stem cells reside in which specialized niches?
QUESTION 144
What term describes scarring caused by chronic inflammation in parenchymal organs such as the liver or kidney?
QUESTION 145
A healing skin wound contains pink, soft, granular tissue composed of proliferating fibroblasts, extracellular matrix, and new blood vessels. What is this tissue called?
QUESTION 146
Which group of normally quiescent cells can proliferate in response to growth factors during wound healing?
QUESTION 147
Why does injury to cardiac muscle usually result in a scar?
QUESTION 148
Which molecules allow cells to bind extracellular matrix proteins and transmit signals that can stimulate proliferation?
QUESTION 149
Which cells are the most important source of growth factors at sites of tissue injury?
QUESTION 150
Which cytokine, produced mainly by Kupffer cells, initially makes hepatocytes competent to respond to growth factor signals during liver regeneration?
QUESTION 151
Which process restores damaged tissue by proliferation of surviving cells that retain the capacity to generate its mature cells?
QUESTION 152
A patient with severe burns develops a syndrome resembling septic shock without infection. What is this syndrome called?
QUESTION 153
What is the fate of the two daughter cells produced by asymmetric division of a stem cell?
QUESTION 154
After cytokine priming during liver regeneration, which pair of growth factors stimulates hepatocyte proliferation?
QUESTION 155
A liver abscess causes extensive tissue destruction with collapse of the reticulin framework. What repair outcome is expected despite the regenerative capacity of surviving hepatocytes?
QUESTION 156
Following injury to the gastrointestinal epithelium, preservation of which component allows ready regeneration?
QUESTION 157
What is the sequence of inflammatory cell recruitment during the first 6 to 48 hours of skin wound healing?
QUESTION 158
Within minutes of a traumatic skin injury, which component forms the hemostatic plug that stops bleeding?
QUESTION 159
Which extracellular matrix component enables tissues to recoil and recover their shape after physical deformation?
QUESTION 160
Which protein provides a scaffold for subsequent ECM deposition, angiogenesis, and reepithelialization in healing wounds?
Previous
Page 4 of 6
Next

Study notes

Protective functions of inflammation and acute–chronic progression
Inflammation brings circulating host defenses into vascularized tissues affected by infection or injury, allowing elimination of harmful agents and initiation of repair. →
Cardinal signs, stages, and harmful consequences of inflammation
Inflammation produces recognizable external signs and proceeds through a sequence of defensive and reparative steps. Under some circumstances, the reaction itself causes disease. →
Inflammatory reactions: initiation, tissue injury, and impaired defense
Inflammation begins with recognition of microbes or damaged cells by tissue cells. It contributes to tissue injury in several diseases, while inadequate inflammation increases susceptibility to infection. →
Causes of inflammation and transition to tissue repair
Inflammation may be triggered by infection, tissue necrosis, foreign bodies, or immune reactions. After elimination of the offending agents, repair replaces injured tissue. →
Recognition of microbes and damaged cells in inflammation
Inflammation begins when cellular receptors and circulating proteins recognize microbes or necrotic cells. →
Major components and early vascular changes of acute inflammation
Acute inflammation delivers plasma proteins and leukocytes to sites of infection or tissue injury through coordinated vascular and cellular responses. →
Inflammatory fluid leakage, edema, and stasis
Increased microvascular permeability follows vasodilation and allows protein-rich fluid to enter extravascular tissues. →
Lymphatic responses and initial leukocyte recruitment
Acute inflammation increases lymphatic drainage and recruits circulating leukocytes through a sequence of endothelial interactions and tissue migration. →
Selectins in leukocyte rolling and fluid accumulation mechanisms
Selectins mediate early leukocyte attachment to endothelium. The accompanying fluid-formation material contrasts transudates with inflammatory exudates. →
Exudates, transudates, and leukocyte recruitment
Inflammation increases vascular permeability and recruits leukocytes through a sequence of interactions with the endothelium. →
Leukocyte integrin ligands and the dynamics of rolling
Leukocyte adhesion molecules bind specific endothelial ligands. Weak selectin interactions slow leukocytes so that they can recognize additional adhesion molecules. →
Integrin-mediated firm adhesion of leukocytes
Leukocytes stop rolling and attach firmly to endothelium at sites of inflammation through coordinated activation of leukocyte integrins and endothelial integrin ligands. →
Leukocyte diapedesis, chemotaxis, and early inflammatory infiltrates
After adhering to endothelium, leukocytes cross the vessel wall and follow chemical gradients toward injury. The predominant recruited cell changes with time. →
Evolution and exceptions in inflammatory leukocyte infiltrates
Early neutrophil predominance commonly gives way to longer-lasting macrophage infiltration, but the inflammatory stimulus can alter this pattern. →
Phagocytosis and intracellular destruction of microbes
Recruited neutrophils and monocytes are activated by microbial products, necrotic cells, and local cytokines to destroy microbes and clear dead tissue. →
Functional differences between neutrophils and macrophages
Neutrophils and macrophages share phagocytosis, migration into tissues, and chemotaxis, but differ in origin, longevity, and responses to activation. →
Reactive oxygen and nitrogen species in microbial killing
Activated phagocytes generate destructive oxygen- and nitrogen-derived molecules that damage microbial cellular constituents. →
Phagolysosomal killing and leukocyte granule contents
Phagocytosis brings microbes into intracellular compartments where granule enzymes and reactive oxygen and nitrogen species destroy them. →
Neutrophil extracellular traps and leukocyte-mediated tissue injury
Activated leukocytes destroy microbes but can also injure normal tissues through extracellular release of antimicrobial substances. →
Additional inflammatory cells and subsidence of acute inflammation
Besides neutrophils and macrophages, several immune cell types contribute to inflammatory defense and allergic reactions. →
Sources, activation, and control of inflammatory mediators
Chemical mediators initiate and regulate inflammation. They may originate from local cells or from circulating precursors activated at the inflammatory site. →
Histamine and serotonin as vasoactive mediators
Vasoactive amines are preformed mediators that influence vascular responses during inflammation. →
Arachidonic acid metabolism and prostaglandin production
Arachidonic acid supplies lipid mediators that participate in vascular and cellular reactions of acute inflammation. →
Actions of thromboxane, prostacyclin, leukotrienes, and lipoxins
Arachidonic acid metabolites regulate vascular reactions, platelet aggregation, and leukocyte recruitment; some also suppress inflammation. →
Major inflammatory mediators and pharmacologic inhibition of eicosanoids
Inflammatory mediators have overlapping vascular and leukocyte effects. Drugs targeting eicosanoid synthesis can reduce inflammatory symptoms. →
Corticosteroids, leukotriene receptor antagonists, and cytokines
Inflammatory responses can be reduced by suppressing mediator production or blocking mediator receptors. Cytokines coordinate immune and inflammatory reactions. →
TNF and IL-1: production and leukocyte recruitment
Tumor necrosis factor (TNF) and interleukin-1 (IL-1) promote leukocyte adhesion to endothelium and migration through vessels during inflammation. →
Local and systemic actions of TNF and IL-1
Tumor necrosis factor (TNF) and interleukin-1 (IL-1) support leukocyte recruitment and activation, produce systemic inflammatory responses, and provide therapeutic targets in chronic inflammation. →
Inflammatory cytokines: sources and principal actions
Cytokines coordinate systemic inflammatory responses, leukocyte recruitment, and macrophage activation. Their roles overlap between acute and chronic inflammation. →
Chemokines and other cytokines in acute inflammation
Chemokines direct leukocyte movement during inflammation and maintain the normal anatomical distribution of cells within tissues. →
Complement activation: pathways and convergence on C3
The complement system comprises soluble proteins and membrane receptors involved mainly in antimicrobial defense and pathological inflammatory reactions. →
Complement effector functions and membrane attack complex
Following C3 cleavage, complement activation produces mediators of inflammation, opsonins for phagocytosis, and a membrane attack complex that lyses cells. →
Complement regulation and diseases caused by regulatory defects
Complement regulators protect normal host tissues by limiting active complement fragments and removing deposited fragments. Failure of this protection can cause tissue injury. →
Complement activation, functions, and disease
Complement supports host defense, but its activation on host tissues or inadequate regulation can contribute to disease. →
Other inflammatory mediators: PAF, coagulation receptors, kinins, and neuropeptides
Several additional mediator systems influence vascular responses, platelet activation, pain, and inflammatory signaling, although some of their roles remain uncertain. →
Acute inflammation: morphology and serous exudates
Acute inflammatory reactions share vascular and cellular changes, while their specific morphologic patterns can help identify the underlying cause. →
Fibrinous inflammation, purulent inflammation, and abscesses
Acute inflammation can produce fibrin-rich exudates or pus. The composition and subsequent fate of these exudates determine their morphologic appearance and consequences. →
Morphology of inflammatory exudates, abscesses, and ulcers
Inflammatory lesions differ in their exudates, distribution of tissue necrosis, cellular composition, and subsequent repair. →
Outcomes of acute inflammation and the chronic inflammatory response
Acute inflammation typically ends in resolution, connective tissue replacement, or progression to chronic inflammation. The outcome depends partly on the injury, affected tissue, and host response. →
Causes and disease associations of chronic inflammation
Chronic inflammation can arise from persistent infection, inappropriate immune responses, or prolonged exposure to harmful substances. →
Chronic inflammation: morphology and outcomes
Chronic inflammation combines inflammatory cell infiltration, tissue destruction, and attempts at repair. →
Macrophages: functions, tissue locations, and origins
Macrophages are professional phagocytes with roles in host defense, inflammation, and repair. Their circulating counterparts are monocytes. →
Classical and alternative macrophage activation
Macrophages follow two major activation pathways, classical and alternative, according to the activating signals they receive. →
Macrophage functions and persistence in chronic inflammation
Activated macrophages help eliminate injurious agents and initiate repair, while also causing much of the tissue injury in chronic inflammation. →
Lymphocytes and macrophage populations in chronic inflammation
Lymphocytes amplify chronic inflammation, while macrophages differ in their developmental origins and activation-dependent functions. →
T-cell subsets and lymphocyte–macrophage feedback in chronic inflammation
CD4 T-cell subsets produce distinct cytokines that shape inflammation. Reciprocal interactions between lymphocytes and macrophages sustain chronic inflammatory reactions. →
Tertiary lymphoid organs and other cells in chronic inflammation
Chronic inflammatory reactions may contain organized lymphoid structures, eosinophils, and persistent neutrophilic infiltrates. →
Granulomatous inflammation: formation and morphology
Granulomatous inflammation is a form of chronic inflammation characterized by collections of activated macrophages, often accompanied by T lymphocytes and sometimes central necrosis. →
Evaluation of granulomas and systemic inflammatory responses
Granulomas narrow the possible causes of inflammation, while cytokines can produce systemic reactions even when inflammation is localized. →
Fever, inflammatory leukocytosis, and granulomatous reactions
Systemic inflammatory responses include fever and changes in circulating leukocytes. The target passage also describes granulomatous findings in tuberculosis and leprosy. →
Tissue reactions in selected granulomatous diseases
Granulomatous diseases differ in their causes, inflammatory cell composition, and patterns of necrosis. →
Acute-phase proteins and systemic manifestations of inflammation
Systemic inflammation alters blood cell counts, induces hepatic plasma protein synthesis, and produces metabolic and constitutional effects. →
Septic shock, systemic inflammatory response syndrome, and tissue repair
Severe systemic inflammation can cause widespread abnormalities, while repair restores tissue architecture and function through regeneration and scar formation. →
Proliferative capacity and tissue regeneration
A tissue's ability to repair injury depends partly on the proliferative capacity of its cells and the preservation of its supporting framework. →
Growth signals and stem cells in tissue regeneration
Regeneration combines proliferation of surviving cells with the production of mature cells from stem cells. →
Tissue regeneration and growth factors in repair
Regeneration depends on the tissue involved, its capacity for cell proliferation, and preservation of the supporting tissue structure. →
Repair growth factors and the importance of the liver framework
Growth factors support repair through effects on fibroblasts, keratinocytes, blood vessels, and extracellular matrix. Liver regeneration also depends on preservation of tissue structure. →
Mechanisms of liver regeneration and repair by scarring
The liver regenerates through residual hepatocyte proliferation or stem cell repopulation, with the dominant mechanism determined by the injury. →
Early stages of skin wound healing and granulation tissue
Skin wounds progress through hemostasis, inflammation, and cell proliferation before remodeling produces a fibrous scar. →
Scar remodeling, wound union, and angiogenesis
Later wound repair reorganizes deposited connective tissue, while new vessel formation supports healing and has wider roles in ischemia and tumor growth. →
Angiogenesis and early connective tissue deposition in wound healing
Repair involves new vessel formation, fibroblast recruitment, and deposition of extracellular matrix (ECM), followed by maturation into a scar. →
Extracellular matrix functions, forms, and contribution to fibrosis
The extracellular matrix (ECM) regulates cell behavior and supplies the structural scaffold needed for regeneration. Persistent injury can instead lead to replacement of normal tissue by connective tissue. →
Structural and adhesive proteins of the extracellular matrix
Extracellular matrix (ECM) components provide tensile strength, recoil, resistance to compression, and attachment sites that support wound repair. →
Integrin signaling and fibroblast activity in scar formation
Cells interact with the extracellular matrix (ECM) through integrins. During wound repair, fibroblasts and myofibroblasts migrate, contract the wound, and synthesize connective tissue proteins. →
Collagen accumulation, scar remodeling, and matrix degradation
Scar maturation reflects the balance between extracellular matrix (ECM) synthesis and degradation. Remodeling strengthens the wound while reducing scar size. →
Morphology of healing tissue and factors delaying wound repair
Granulation tissue develops at an injury site and progresses toward a collagen-rich scar. Infection, metabolic disease, nutritional deficiency, and glucocorticoids can interfere with repair. →
Impaired wound healing and chronic ulcers
Local mechanical factors, inadequate perfusion, and foreign material can impair tissue repair. Chronic ulcers illustrate several distinct mechanisms of healing failure. →
Wound dehiscence, excessive scarring, and contractures
Abnormal repair may produce wound rupture, excessive scar tissue, or exaggerated wound contraction. →
Organ fibrosis and the basic inflammatory response
Fibrosis in chronic disease shares mechanisms with cutaneous scar formation. Inflammation coordinates recognition and removal of injury, followed by regulation and repair. →
Acute inflammatory vascular changes and leukocyte recruitment
Inflammation changes vascular flow and permeability and recruits circulating leukocytes into affected tissues through a sequence of endothelial interactions. →
Leukocyte killing, inflammatory mediators, and morphologic patterns
Leukocytes eliminate microbes and debris using mechanisms that can also injure normal tissue. Inflammatory mediators coordinate these responses, which produce recognizable morphologic patterns. →
Chronic inflammation, systemic effects, and tissue regeneration
Persistent inflammatory stimuli produce chronic cellular responses and scarring. Inflammation also has systemic effects, while tissue regeneration depends on the proliferative capacity of surviving cells. →
Scar formation, wound healing, and C-reactive protein
Repair by scarring replaces injured tissue with connective tissue when regeneration cannot occur. The passage also describes factors affecting wound healing and the significance of C-reactive protein in inflammation. →
Mechanism and causes of an elevated erythrocyte sedimentation rate
The erythrocyte sedimentation rate (ESR) increases when red cells aggregate and sediment more rapidly. This passage explains how inflammatory proteins promote aggregation and lists conditions associated with elevated ESR. →
NEETx
Learn. Practise. Remember.