PAEA Surgery End Of Rotation (EOR) Practice Exam

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Prepare for the PAEA Surgery EOR Exam. Test your knowledge with flashcards and multiple choice questions, with hints and detailed explanations. Gear up for your surgical rotation success!

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Which healing stage achieves wound contraction and tensile strength?

  1. Inflammatory

  2. Epithelialization

  3. Tissue remodeling

  4. Granulation

The correct answer is: Tissue remodeling

The healing stage that achieves wound contraction and increases tensile strength is tissue remodeling. During this phase, which can last for months to years after the initial injury, collagen fibers are reorganized, mature, and align according to mechanical stress. This process enhances the strength and integrity of the scar, making it more resilient. Wound contraction refers to the process where the edges of a wound draw together, reducing its size. It is facilitated by myofibroblasts, which develop during this phase and help pull the wound margins closer together. Additionally, as the collagen matures, the tensile strength of the tissue increases, making the wound site stronger over time. This stage is crucial for the full restoration of functional integrity in the affected area. The other stages, while important in the overall healing process, do not primarily focus on these aspects. The inflammatory stage involves hemostasis and inflammation to prevent infection. Epithelialization focuses on the reformation of the epithelial layer over the wound. Granulation involves the formation of new connective tissue and blood vessels, which are essential for wound healing but do not concentrate on contraction and tensile strength in the same manner as tissue remodeling does.