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Absite Killer immunology
All of the interleukin and immune system stuff from absite killer
41
Medical
Professional
01/19/2014

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Term
IL-4
Definition
Interleukin that stimulates B cell to become plasma cell
Term
Immunoglobulin(S) that can fix compliment
Definition
IgM or IgG (need 2 IgGs)
Term
Immunoglobulin(s) that are opsonins
Definition
IgM and IgG
Term
Most abundant immunoglobulin in serum
Definition
IgG
Term
Immunoglobulin that crosses placenta
Definition
IgG
Term
White blood cell(s) which are targets for IgE mediated histamine release
Definition
Basophils and mast cells
Term
Type of allergic reaction a/w IgE
Definition
Type I hypersensitivity
Term
Conditions that cause high IgE levels
Definition
Atopy and parasitic infections
Term
Compliment components that are anaphylotoxins
Definition
C3a and C5a
Term
Compliment components that make up membrane attack complex
Definition
C5-C9
Term
MHC I
# function
# found on what cells
# number of chains
Definition
# activates CD8 cells, target for cytotoxic T cells
# found on all nucleated cells
# single chain
Term
MHC II
# function
# found on what cells
# number of chains
Definition
# activates CD4 cells, helper T cells, stimulates Ab formation
# on all APCs (B cells, dendrites, monocytes
# 2 chains
Term
Functions of natural killer cells
Definition
# Recognizes cells witout self MHC
# responsible immunosurvaillance against cancer
Term
Importance of helper T cells
Definition
# secretes IL-4 (stimulates B cells)
# secretes IL-2 (causes maturation of T cells)
# involved in delayed-type hyper sensitivity (brings in inflammatory cells by chemokine secretion)
Term
Compliment cascade activated by Ab
Definition
classic pathway
Term
Compliment cascade activated by bacteria
Definition
alternate
Term
Point of convergence of classic and alternate compliment pathways
Definition
C3
Term
Type I hypersensitivity rxn
Definition
# Immediate hypersensitivity
# Bee stings, peanuts and hay fever
Term
Pathophys of type I hyper sensitivity rxn
Definition
IgE bind Ag, basophils bind the Ab-Ag complex and release major basic protein which causes mast cells and basophils release histamine, serotonin and brydikinin
Term
Type II hypersensitivity rxn
Definition
# IgG and IgM react with cell bound Ag
# ABO incompatibility, Rh incompatibility, Graves disease, Myasthenia, ITP
Term
Type III hypersensitivity rxn
Definition
# Immune complex deposition
# serum sickness, RA, SLE
Term
Type IV hypersensitivity rxn
Definition
# delayed-type hypersensitivity (Ag stimulation of previously sensitized T cells)
# Tb skin test contact dermititis
Term
Function of IL-2
Definition
Converts KN cell to lymphokine activated killer
Term
Best test to evaluate cell-mediated immunity
Definition
Intradermal skin test
Term
Source of histamine in blood
Definition
basophils
Term
Source of histamine in tissue
Definition
mast cells
Term
Name of toxin and type responsible for gram negative sepsis
Definition
Lipopolysaccharide A is an endotoxin
Term
SvO2 of sepsis
Definition
> 77 % (normal is 66-77%)
Term
SvO2 of cyanide poisoning
Definition
> 77% (normal is 66-77%)
Term
Meaning of SvO2 < 66%
Definition
decreased Cardiac output or decreased SaO2
Term
4 likeliest places for an intraabdominal abscess
Definition
1. sub-diaphragmatic
2. sub-hepatic
3. interloop
4. pelvic
Term
Tx for c. diff colitis
Definition
Oral vanco or IV/PO flagyl
Term
Bacteria that cause infections that present within hours post-op
Definition
Beta-hemolytic strep or clostridial infections
Term
Coagulas status of staph aureus
Definition
negative
Term
Aminoglycides
# cidal or static
# MOA
# mechanism of resistance
Definition
# bacteriocidal
# irreversibly bind to ribosome
# resistance due to decreased active transport
Term
Tetracyclines
# cidal or static
# MOA
Definition
# bacteriostatic
# reversibly binds to 30S ribosomal subunit
Term
Clindamycin
# cidal or static
# MOA
Definition
# bacteriostatic
# reversibly binds to the 50S ribosomal subunit
Term
Vancomycin
# MOA
# mechanism of resistance
Definition
# binds to plasma membran
# altered to cell wall structure
Term
Mechanism of resistance of MRSA
Definition
Altered binding protein
Term
Amphotericin
# MOA
# adverse reactions
Definition
# binds sterols to alter fungal cell wall
# renal impairment (80%), anemia, fever
Term
Quinolones
# MOA
Definition
# inhibits DNA gyrase
** PO and IV routes bioequivalent
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