Back Exercise Science/Sports Medicine Unit 6 – INJURY AND HEALING PROCESS Unit Review Questions Name __________________________________________ Period ____________ Directions: For each of the following questions choose the most correct answer. 1. Acute mean: A. nice looking B. sudden onset C. long duration D. painful 2. Inflammation is: A. the body’s normal response to injury that encourages proper healing B. a process that occurs when injury happens that interferes with the body’s ability to heal properly C. synonymous with swelling D. both B and C are correct 3. An example of a chronic injury is: A. While playing basketball, a player jumps up for a rebound, comes down on someone’s foot, and encounters pain and swelling on the lateral side of the ankle B. While playing football, a player cleats get caught in the grass as he is rotating. He has some pain but continues to play but notices some catching and popping in the knee C. While running track, an athlete trips on a hurdle, lands on the out stretched hand and brakes the ulna and radius D. A novice tennis player is practicing his backhand for a whole practice and wakes up the next morning with pain and stiffness in the elbow 4. The acute phase of inflammation usually lasts about: A. 2 hours B. 2 days C. 2 weeks D. 2 years 5. An injury that develops over an extended period of time is a(n): A. acute injury B. chronic injury C. definition of inflammation D. an injury that cannot be healed through the normal steps of inflammation Unit SIX – Injury and Healing Process 1 Utah State Office of Education Back Exercise Science/Sports Medicine 6. Fibroblasts: A. increase circulation by causing vasodilation B. engage in phagocytosis C. produce collagen D. produce vessel buds that lead to the development of new blood vessels 7. The signs of inflammation are most apparent in the: A. first stage of inflammation B. second stage of inflammation C. third stage of inflammation D. fourth stage of inflammation 8. Cleaning up cell debris mainly occurs in the: A. Inflammation Phase B. Repair and Regeneration Phase C. Maturation Phase D. Macrophagic Phase 9. The inflammatory phase that usually lasts the longest is the: A. Acute Phase B. Subacute Phase C. Remodeling Phase D. Repair and Regeneration Phase 10. Wolff’s Law states that: A. inflammation occurs in increments consistent to the stress that caused the damage B. each stage of inflammation will progress independent of the previous stage C. the inflammatory process is the body’s normal response to injury D. tissue grows and heals according to the stresses placed upon it 11. Hypoxia is: A. the decrease in oxygen to a tissue or cell that may result in cell death B. cell death that occurs due to initial trauma of an injury C. a process that occurs in the subacute phase which increases blood flow to the involved area D. a process that occurs in the maturation phase that results in strengthening of the newly formed tissue 12. The only tissue in the body that does not heal with “scar tissue” is: A. muscle B. skin C. bone D. ligament Unit SIX – Injury and Healing Process 2 Utah State Office of Education Back Exercise Science/Sports Medicine 13. Scar tissue is mostly composed of: A. epithelial tissue B. collagen fibers C. fibroblasts D. neutrophils 14. Scar tissue forms: A. as a normal part of healing B. only when an injury is not taken care of properly C. in joints as a result of significant injury D. both B and C 15. Collagen is: A. just as strong as the original tissue B. nothing like the original tissue C. different from the original tissue but does the job D. superior to the original tissue 16. A complete rupture occurs as a result of a: A. 1st degree injury B. 2nd degree injury C. 3rd degree injury D. 4th degree injury 17. The Subacute phase usually lasts about: A. 4 weeks B. 6 weeks C. 8 weeks D. 1 year 18. Adhesions are: A. links in the collagen chains that increase strength of healing tissue B. overgrowths of scar tissue which tend to limit motion C. blockages that form in damaged blood vessels that decrease blood loss D. links formed by fibroblasts that anchor them to the tissue they are repairing 19. List the 3 degrees of injury and explain the signs and symptoms of each. 20. Name the stages of healing using both of the common names for each, explain generally what occurs in each, and the time frame of each. Unit SIX – Injury and Healing Process 3 Utah State Office of Education Back Exercise Science/Sports Medicine 21. List the 5 signs of inflammation. 22. Name 2 causes of pain. 23. Give 2 examples of acute injury and 2 examples of chronic injury. 24. Match each phase of inflammation on the left with its alternate name on the right. A. Acute Phase B. Subacute Phase C. Remodeling Phase Unit SIX – Injury and Healing Process 1. Repair and Regeneration Phase 2. Inflammation Phase 3. Maturation Phase 4 Utah State Office of Education Back Exercise Science/Sports Medicine Unit 6 – INJURY AND HEALING PROCESS Unit Review Questions - KEY Name __________________________________________ Period ____________ Directions: For each of the following questions choose the most correct answer. 1. Acute mean: A. nice looking B. sudden onset C. long duration D. painful 2. Inflammation is: A. the body’s normal response to injury that encourages proper healing B. a process that occurs when injury happens that interferes with the body’s ability to heal properly C. synonymous with swelling D. both B and C are correct 3. An example of a chronic injury is: A. While playing basketball, a player jumps up for a rebound, comes down on someone’s foot, and encounters pain and swelling on the lateral side of the ankle B. While playing football, a player cleats get caught in the grass as he is rotating. He has some pain but continues to play but notices some catching and popping in the knee C. While running track, an athlete trips on a hurdle, lands on the out stretched hand and brakes the ulna and radius D. A novice tennis player is practicing his backhand for a whole practice and wakes up the next morning with pain and stiffness in the elbow 4. The acute phase of inflammation usually lasts about: A. 2 hours B. 2 days C. 2 weeks D. 2 years 5. An injury that develops over an extended period of time is a(n): A. acute injury B. chronic injury C. definition of inflammation D. an injury that cannot be healed through the normal steps of inflammation Unit SIX – Injury and Healing Process 5 Utah State Office of Education Back Exercise Science/Sports Medicine 6. Fibroblasts: A. increase circulation by causing vasodilation B. engage in phagocytosis C. produce collagen D. produce vessel buds that lead to the development of new blood vessels 7. The signs of inflammation are most apparent in the: A. first stage of inflammation B. second stage of inflammation C. third stage of inflammation D. fourth stage of inflammation 8. Cleaning up cell debris mainly occurs in the: A. Inflammation Phase B. Repair and Regeneration Phase C. Maturation Phase D. Macrophagic Phase 9. The inflammatory phase that usually lasts the longest is the: A. Acute Phase B. Subacute Phase C. Remodeling Phase D. Repair and Regeneration Phase 10. Wolff’s Law states that: A. inflammation occurs in increments consistent to the stress that caused the damage B. each stage of inflammation will progress independent of the previous stage C. the inflammatory process is the body’s normal response to injury D. tissue grows and heals according to the stresses placed upon it 11. Hypoxia is: A. the decrease in oxygen to a tissue or cell that may result in cell death B. cell death that occurs due to initial trauma of an injury C. a process that occurs in the subacute phase which increases blood flow to the involved area D. a process that occurs in the maturation phase that results in strengthening of the newly formed tissue 12. The only tissue in the body that does not heal with “scar tissue” is: A. muscle B. skin C. bone D. ligament Unit SIX – Injury and Healing Process 6 Utah State Office of Education Back Exercise Science/Sports Medicine 13. Scar tissue is mostly composed of: A. epithelial tissue B. collagen fibers C. fibroblasts D. neutrophils 14. Scar tissue forms: A. as a normal part of healing B. only when an injury is not taken care of properly C. in joints as a result of significant injury D. both B and C 15. Collagen is: A. just as strong as the original tissue B. nothing like the original tissue C. different from the original tissue but does the job D. superior to the original tissue 16. A complete rupture occurs as a result of a: A. 1st degree injury B. 2nd degree injury C. 3rd degree injury D. 4th degree injury 17. The Subacute phase usually lasts about: A. 4 weeks B. 6 weeks C. 8 weeks D. 1 year 18. Adhesions are: A. links in the collagen chains that increase strength of healing tissue B. overgrowths of scar tissue which tend to limit motion C. blockages that form in damaged blood vessels that decrease blood loss D. links formed by fibroblasts that anchor them to the tissue they are repairing Unit SIX – Injury and Healing Process 7 Utah State Office of Education Back Exercise Science/Sports Medicine 19. Describe the 3 degrees of injury and explain the signs and symptoms of each. a. First Degree 1. Results when the tissues have been overly stretched 2. This commonly results in “micro-tears” in the tissue that may not be apparent at a macroscopic level 3. Symptoms include: i. Pain ii. Minor swelling iii. Loss of function that may or may not limit activity iv. Integrity of the fibers is generally maintained b. Second Degree 1. Results when the tissue is partially torn i. Moderate pain ii. Moderate Swelling iii. Loss of function that usually limits activity iv. may result is some ecchymosis v. Integrity of the fibers is affected with joint laxity or decreased strength c. Third Degree 1. A complete rupture of the tissue i. Sever Pain ii. Moderate to sever swelling iii. Probable ecchymosis iv. Complete loss of integrity of the joint or complete loss of function 20. Name the stages of healing using both of the common names for each, explain generally what occurs in each, and the time frame of each. Acute (Inflammation)Phase 48-72 hours Signs of inflammation are appernent and cells debris is being cleaned us Subacute (Repair and regeneration) Phase 3-4 Weeks Normal blood flow is regained and the regeneration of damaged tissue with collagen is begun Remodeling (Maturation) Phase Up to 1 year Collagen fibers are strengthened Unit SIX – Injury and Healing Process 8 Utah State Office of Education Back Exercise Science/Sports Medicine 21. List the 5 signs of inflammation. Pain Heat Redness Swelling Loss of Function 22. Name 2 causes of pain. Activation of free nerve ending (pain receptors) due to initial trauma Chemicals 23. Give 2 examples of acute injury and 2 examples of chronic injury. Responses will be varied 24. Match each phase of inflammation on the left with its alternate name on the right. A. Acute Phase 2 B. Subacute Phase 1 C. Remodeling Phase 3 Unit SIX – Injury and Healing Process 1. Repair and Regeneration Phase 2. Inflammation Phase 3. Maturation Phase 9 Utah State Office of Education
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