Pathology · single question

Which tissue characteristics make tissue MORE sensitive to radiation damage?

  1. Hypocellular, hypovascular, hypoxic tissue
  2. Hypercellular, hypervascular tissue
  3. Avascular, dense cortical bone
  4. Highly keratinized epithelium
Show answer and explanation

Correct answer: A. Hypocellular, hypovascular, hypoxic tissue

  • A. Correct. The classic radiation injury triad — hypocellular (fewer cells), hypovascular (fewer blood vessels), and hypoxic (low oxygen) tissue — leads to poor healing capacity and increased risk of complications like osteoradionecrosis.
  • B. Hypercellular, hypervascular tissue generally has better healing capacity, the opposite of radiation-damaged tissue characteristics.
  • C. While cortical bone can be affected, the classic 'triad' described for heightened radiosensitivity/poor healing specifically references the hypo-cellular/vascular/oxic state, not simply density.
  • D. Highly keratinized epithelium is not specifically described as the determining radiosensitivity factor in this classic triad.

Note: Radiation produces the classic triad: Hypocellular + Hypovascular + Hypoxic tissue, leading to poor wound healing, osteoradionecrosis risk, and fragile tissues.

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