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Chpts 67
Pharmacology for Nursing Care
48
Pharmacology
Undergraduate 1
11/12/2012

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Cards

Term
Immune responses in which targets are attacked directlyh by immune system cells.
Definition
Cell mediated immunity
Term
Immune responses that are mediated by antibodies.
Definition
Humoral immunity
Term
what is the purpose of B-cells?
Definition
they make antibodies and mediate humoral immunity
Term
Are cytolytic T-cells part of cell-mediated or humoral immunity?
Definition
Cell mediated
Term
What are T-cells made?
Definition
Thymus
Term
Which T-cells are attacked by HIV?
Definition
Helper T-cells
Term
what are macrophages found?
Definition
in all organs and tissues
Term
What cells are the primary scavengers in the body?
Definition
macrophages
Term
what is the most critical role of macrophages in immunity?
Definition
the activation of T-cells
Term
Where are dendritic cells found?
Definition
lymph nodes and lymphoid tissue
Term
Which cells are found in the skin and soft tissues and are derived from basophils?
Definition
Mast cells
Term
What is devoured by neutrophils in humoral immunity?
Definition
cells that have been tagged with antibodies of the immunoglobulin G (IgG) class.
Term
What is attacked and destroyed by eosinophils?
Definition
Parasitic worms, or foreign particles which have been coated with antibodies of the immunoglobulin E (igE) class.
Term
What are the alternative names for antibodies?
Definition
immunoglobulins and gamma globulins
Term
Where are antibodies produced?
Definition
B lymphocytes
Term
What are the five classes of antibody, and where is each found?
Definition

IgA - Mucoius membranes of the GI tract

IgD - surface of mature B-cells

IgE - The surface of Mast cells

IgG - blood

IgM - surface of mature B-cells

Term
Which two antibody classes are receptors for antigen recognition?
Definition
IgM and IgD
Term
Which two antibody classes fix complement?
Definition
IgM and IgG
Term
What are the five features that cell-mediated and humoral immunity share?
Definition

1. Specificity - both are triggered by specific antigens

2. Diversity - both can respond to millions of different antigenic determinants

3. Memory - re-exposure produces a faster, larger and more prolonged response compared with initial exposure

4. Time Limitation - Neither immune responses last indeffinitely

5. Selectivity for Antigens of Nonself Origin - under normal conditions both target only foreign antigens.

Term
What enables the immune system to differentiate between self and nonself?
Definition
Major histocompatibility complex (MHC)
Term
When the immune system loses its ability to discriminate between self and nonself, this type of disease is the result.
Definition
autoimmune disease
Term
What are the three phases of the immune response?
Definition

1. Recognition phase - when the mature lymphocyte encounters its matching antigen.

2. Activation phase - recognition activates the lymphocyte, which undergoes proliferation and differentiation into daughter cells.

3. Effector phase - the immune systems attempts to eliminate the specific antigen that initiated the response.

Term
What guides cytotoxic T-cells toward target cells and provides the basis for distinguishing between self and nonself?
Definition
Major histocomptibilty complex (MHC)
Term
Which cells are MHC molecules NOT found on?
Definition
erythrocytes
Term
Any mediator molecule other than an antibody that is released by any immune system cell.
Definition
cytokine
Term
A cytokine released by a lymphocyte.
Definition
Lymphokine
Term
A cytokine released by a mononuclear phagocyte.
Definition
monokine
Term
Which cells are involved in the production of antibodies?
Definition

1. B cells

2. Helper T cells

Antigen presenting cells (macrophages or dendritic cells)

Term
What event initiates the production of antibodies?
Definition
A virgin B cell and an antigen presenting cell (APC) bind.
Term
Which two forms of daughter cell do B cells differentiate into?
Definition

1. plasma cells, which manufacture antibodies

2. memory B cells, which await the next antigen exposure

Term
What happens if there are no CD4 helper T cells?
Definition
B cells are unable to proliferate and produce antibodies.
Term
What do antibodies work with in order to rid the body of antigens?
Definition

1. phagocytic cells (macrophages and neurtrophils)

2. the complement system

Term
A system of at least 20 serum proteins which, when activated, can cause multiple effects including cell lysis, opsonization, degranulation of mast cells, and infiltration of phagocytes.
Definition
The complement system
Term
What is the only protective action that antibodies can take by themselves?
Definition
neurtraliztion of toxins and viruses
Term
What are the two branches of cell-mediated immunity and what are the characteristics of each?
Definition

1. CD4 helpter T lymphocytes plus macrophages (delayed type hypersensitivity)

2. CD8 cytolytic T lymphocytes (target cell lysis)

Term
What substance is the major stimulus for macrophage activation?
Definition
interferon gamma
Term

Which types of cells have receptors that can recognize specific antigens?

 

a. macrophages

b. cytolytic T lymphocytes

c. dendritic cells

d. complement

Definition
b. cytolytic T lymphocytes
Term

Which cells make antibodies?

 

a. Complement

b. Helper T cells

c. Dendritic cells

d. B lymphocytes

Definition
d. B lymphocytes
Term

Delayed Type Hypersensitivity (DTH) is also known as:

 

a. cell-mediated immunity

b. complement

c. humoral immunity

d. Major Histocompatibility Complex

Definition
a. cell-mediated immunity
Term

A molecule that triggers a specific immune response and then becomes the target of that response is a(n):

 

a. antibody

b. antigen

c. dendritic cell

d. cytokine

Definition
b. antigen
Term
A group of genes that codes for MHC molecules, which are found on the surface of cells.
Definition
Major histocompatibility complex (MHC)
Term
What is the difference between Class I and Class II MHC (major histocompatibility complex) molecules?
Definition
Class I are found on vitrually all cells while Class II molecules are only found on B cells and APC (antigen presenting cells)
Term
What is the first step in B cell activation?
Definition
Binding of an antigen to it receptor on the B cell.
Term
What stimulates the B cell at the end of its activation?
Definition
Cytokines released by the CD4 cell after it binds with an antigen-MHC II complex on the B cell
Term
What is opsonization?
Definition
The coating of bacteria with antibodies
Term
How does the complement system cause cell lysis?
Definition
It forms pores in the bacterial cell membrane
Term
In which two ways does cell mediated immunity work?
Definition

1. delayed-type hypersensitivity

2. lysis of target cells by CTLs (cytolytic T lymphocytes)

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