Block 9 Wound Healing & Personality Theory MCQ's

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  • 1/5 Questions

    A 65 year old alcoholic man is diagnosed with cirrhosis after 40 years of heavy drinking. Which of the following is most likely associated with his diagnosis?

    • Fibrosis
    • Regeneration
    • Repair
    • Regeneration at repair
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About This Quiz

A trait is a characteristic that makes an individual behave in a certain way and the trait theory approach is one of the prominent areas of personality psychology. Wounds are treated in different ways depending on their causes. The block 9 wound healing & personality theory MCQ's is designed to help you understand the block. Try it out!

Block 9 Wound Healing & Personality Theory MCQs - Quiz

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  • 2. 

    During your inquiry of his past medical history, your new patient, a 35-year-old male, reports that you are the 5th primary care doctor he has had during the past 7 years. Upon further inquiry, the patient informs you that, at first, he likes his doctors, but eventually they frustrate him by not listening to him, at which point he confronts them. Such confrontation inevitably results in him firing his physician and finding another one. Which of the following most accurately describes this patient's interpersonal process with his physicians?

    • Counter-transference

    • Emotionally corrective experience

    • Parapiaxis

    • Repetition-compulsion

    Correct Answer
    A. Repetition-compulsion
    Explanation
    The patient's pattern of repeatedly firing his physicians and finding new ones after feeling frustrated suggests a repetition-compulsion. This term refers to the unconscious tendency to repeat past experiences, even if they are negative or harmful. In this case, the patient may be unconsciously seeking to recreate a familiar dynamic where he feels unheard and confronts his doctors. This pattern may stem from unresolved issues or traumas from his past, leading him to unconsciously seek out situations that mirror those experiences.

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  • 3. 

    A fourth year resident is working in the "burn unit" following a patient that received 3rd degree burns. The burns are healing and relatively mature scars have formed. As time goes by the scars seem to be getting a little smaller and undergo shape changes. He asks his attending what is responsible for this phenomenon. Which of the following is the most likely answer to his question?

    • Endothelial cells are synthesizing Thromboxane A2 which constricts blood vessels

    • Fibroblasts are converting collagen type 3 to collagen type 1

    • Metalloproteinases are acting upon the scars

    • Macrophages are synthesizing complement components

    • Neutrophils are releasing lysosomal enzymes

    Correct Answer
    A. Metalloproteinases are acting upon the scars
    Explanation
    Metalloproteinases are enzymes that break down proteins, including collagen. In the context of scar formation, metalloproteinases play a role in remodeling the scar tissue by breaking down the excess collagen and allowing for the formation of new, healthier tissue. Therefore, it is likely that metalloproteinases are responsible for the observed phenomenon of the scars getting smaller and undergoing shape changes over time.

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  • 4. 
    This section of heart shown was taken during an autopsy from a 45 year old man with a history of familial hypercholesterolemia. Which of the following is most consistent with the section shown? - ProProfs

    This section of heart shown was taken during an autopsy from a 45 year old man with a history of familial hypercholesterolemia. Which of the following is most consistent with the section shown?

    • Healing by regeneration and repair

    • Healing by repair via secondary union

    • Healing by repair via primary intention

    • Healing by regeneration via primary union

    • Healing by regeneration via secondary intention

    Correct Answer
    A. Healing by repair via secondary union
    Explanation
    The section of the heart shown in the autopsy is consistent with healing by repair via secondary union. This is because secondary union refers to the healing process that occurs when there is a delay in wound closure or when the wound edges are not approximated. In this case, the section of the heart shows evidence of repair rather than regeneration, indicating that the healing process occurred without the wound edges being brought together. This is consistent with the concept of healing by repair via secondary union.

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  • 5. 

    During your surgery rotation, you are asked to re-suture a patient with dehiscence of his surgical incsion. Two days later the patient comes to the emergency room with wound dehiscence and profuse bleeding from his surgical incision. Which of the following proteins is most likely defective? (Wound dehiscence: is a surgical complication in which a wound breaks open along surgical suture.)

    • Collagen type 1

    • Collagen type 5

    • Elastin

    • Fibrillin

    Correct Answer
    A. Collagen type 5
    Explanation
    Collagen type 5 is most likely defective in this scenario. Collagen is an important protein that provides strength and stability to tissues, including in wound healing. Collagen type 5 is specifically involved in the formation of fibrils, which are essential for wound closure and tissue repair. If collagen type 5 is defective, it can lead to impaired wound healing and increased risk of wound dehiscence. This can explain why the patient experienced wound dehiscence and profuse bleeding from the surgical incision.

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  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 05, 2012
    Quiz Created by
    Chachelly
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