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39 Cards in this Set
- Front
- Back
what is the first phase of wound healing and how long does it last?
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Inflammation, days one through 10
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which cell type has the predominant role during the inflammation phase?
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Macrophages
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which is the first cell type to arrived in a wound?
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platelets
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which cell type is most abundant during the first two days in a wound?
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PMN's
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which cell type is most abundant days three through four in a wound?
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Macrophages
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which cell type is most abundant days five and up in a wound?
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fibroblasts
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what is the second phase of wound healing, and how long does it last?
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proliferation, days five through 21
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what is the predominant cell type during the proliferation phase?
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Fibroblasts
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what is the third phase of wound healing? And how long does it last?
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Remodeling/maturation, days 21 to 1 year
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when does neovascularization begin?
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proliferation phase
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when does collagen production begin?
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around day seven, during proliferation phase
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when does collagen production peak?
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around 21 days
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which collagen type is predominant in early wound healing?
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collagen type III
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what happens to collagen type III during the maturation phase
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by maturation phase, day 21, collagen type III has been completely replaced by collagen type I
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when does collagen type I synthesis begin?
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days 3 through four
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what is the most common amino acid in collagen?
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proline
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which collagen amino acids are required for cross-linking?
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hydroxy proline,( hydroxylated proline) and hydroxylysine, (hydroxylated lysine)
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what is required for the hydroxylation of proline?
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Vitamin C, oxygen, iron, and alpha-ketoglutarate
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what is the most common type of collagen in the body?
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Type I, found in skin and bones and tendons
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where is collagen type II found?
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cartilage
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Where is collagen type 4 found?
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Basement membrane
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where is collagen type 5 found?
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cornea
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how long should we wait before revising a scar?
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At least one year to allow the scar to mature
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which type of cell is the last cell to arrive at a wound?
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lymphocytes
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what is the main component of the extracellular matrix?
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Collagen
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what is the most important factor in wound healing via primary intention?
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Tensile strength, collagen disposition and cross-linking
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what is the most important factor in wound healing via secondary intention?
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Epithelial integrity
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which cell is involved in wound contraction?
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Myofibroblasts
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how can we counteract the negative effects of steroids on wound healing?
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vitamin A
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how does radiation affect wound healing?
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By impairing fibroblasts
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what is the difference between hypertrophic scars and keloids?
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collagen in hypertrophic scars are limited to the confines of scar
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what is the inheritance pattern of keloids
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autosomal dominant
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what is the growth factor associated with hypertrophic scars and keloids?
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TGF-beta
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what are the treatment options for keloids?
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Pressure, steroids, silicone, and radiation
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what is the effect of bacteria on wound healing?
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Decreasing oxygen content and collagen lysis
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what bacterial count is considered a wound infection?
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>10 to the fifth/centimeter squared
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how do foreign bodies affect wound healing?
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They retard granulation tissue formation
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what is the most common cause of leg ulcers?
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Venous insufficiency
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what is the role of the nervous system on wound healing?
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None
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