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S09 Pathology 1b
Quiz 2
60
Other
Professional
05/21/2009

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Term
cytokines (ex: IL-1, TNF = fever in acute inflammation / IL-8, TNF = chemotaxis)
Definition
___ are polypeptide messengers from cells important in cellular immune response.
Term
1. abscess formation 2. resolution 3. progression to chronic inflammation 4. healing w/a scar
Definition
Explain the healing process of acute inflammation.
Term
Labile tissues (skin, oral mucosa, gut, hematopoietic tissue)
Definition
___ tissues are ones in which stem cells are readily available to replace damaged populations. They are constantly being regenerated in order to repair ordinary wear and tear.
Term
stable (cells of glands, liver, kidney, most connective tissue)
Definition
___ tissues do not normally divide, but with the right stimulus they will, replacing lost tissue.
Term
permanent (nerve cells, skeletal and cardiac muscle)
Definition
___ tissues cannot divide, so damage can only heal with fibrosis (scarring).
Term
chronic inflammation
Definition
Granulation tissue, chronic inflammatory cells and scar tissue are characteristics of ____ inflammation.
Term
chronic
Definition
Cells of ____ inflammation include macrophages, lymphocytes, plasma cells and sometimes eosinophils.
Term
granulomatous inflammation
Definition
Epithelioid macrophages, granulomas and multinucleated giant cells are all characteristics of ___ inflammation.
Term
False! They are very different.
Definition
T/F: Granulation tissue and granulomatous inflammation are very similar.
Term
organization and repair
Definition
___ and ___ is when cells are not able to regenerate. It restores strength, but not function and results in a scar.
Term
granulation
Definition
___ tissue contains capillaries, macrophages and fibroblasts.
Term
primary (sutured wounds, small scar)
Definition
Healing by ___ intention is the healing of closely apposed surfaces.
Term
secondary
Definition
Healing by ___ intention is healing of an open wound. Scarring is more obvious.
Term
keloid
Definition
___ is exuberant scar tissue which some folks are predisposed, especially those who have more pigmented skin.
Term
bone
Definition
Healing of ___ includes osteoblasts, an osteoid and a callus.
Term
lymphocytes
Definition
T cells, B cells and plasma cells are all _____.
Term
Type I anaphylaxis
Definition
Type ___ allergic reaction is when plasma produces IgE to antigen. IgE attaches to mast cells and cross-links with another IgE.
Term
anaphylatoxin
Definition
What does the "a" is C3a / C5a stand for?
Term
histamine / serotonin
Definition
In Type I allergic reaction, when mast cells degranulate ____ and ___ are released immediately.
Term
I anaphylaxis
Definition
Airway swelling is an example of Type __ ___.
Term
2 cytotoxic
Definition
Type ___ ___ is when B cells mistake normal cells as intruders. They transform to plasma cells, manufacture IgG/IgM which coats normal cells and the cell dies.
Term
II cytotoxic immune reactions
Definition
Rh incompatibility is an example of Type ___ ____.
Term
group A strep
Definition
Rheumatic heart disease is when antibodies to group ___ strep mistakenly attack heart tissues.
Term
2 cytotoxic immune reaction
Definition
Rheumatic heart disease is an example of type ___ ___.
Term
type II, pancardium (whole heart)
Definition
Rheumatic Heart Disease, type ___ hypersensitivity, affects the endocardium, myocardium and pericardium... aka ___cardium.
Term
type III
Definition
Type ___ hypersensitivity is an immune complex disease such as serum sickness and arthus reaction.
Term
type III
Definition
Lupus erythematosus and polyarteritis nodosum are type ___ hypersensitivities.
Term
T cells
Definition
__-cells are involved in type IV delayed hypersensitivity.
Term
Type IV
Definition
Hepatitis B and tuberculin reaction are type ___ hypersensitivities.
Term
IV
Definition
T-cells destroy any cells containing HBV in hepatitis B. This is a type ___ reaction.
Term
Type I
Definition
Angioedema is often a type __ reaction to ACE inhibitors.
Term
lupus erythematosus
Definition
___ ___ is an autoimmune disease that affects females in reproductive years. It is a type III hypersensitivity.
Term
Chronic discoid lupus
Definition
___ ___ ___ causes skin lesions (plaques with pigmented margins that heal with scar) in 25% of cases.
Term
acute systemic lupus
Definition
___ ___ ___ cause mild photosensitive non-scarring skin lesions and butterfly-shaped malar rash.
Term
acute systemic lupus
Definition
___ ___ ___'s oral lesions resemble lichen planus.
Term
acute systemic lupus
Definition
Kidney disease is the #1 cause of death in ___ ___ ___. This also affects the heart, blood and joints.
Term
discoid, systemic
Definition
___ lupus is treated with topical steroids. ___ lupus is a serious health problem and is treated with steroids and other immunosuppressives.
Term
rheumatoid arthritis
Definition
___ ___ is a chronic, symmetrical inflammationof the joints. The cause is unknown and is more common in females.
Term
pannus
Definition
___ is a thickening of synovial fluid/membrane in rheumatoid arthritis.
Term
ulnar... toward the ulna / away from the thumb
Definition
In rheumatoid arthritis, the classic appearance is ___ deviation of the fingers.
Term
scleroderma
Definition
___ is an autoimmune disease in females of reproductive age. Collagen is deposited in skin and organs leading to fibrosis / loss of function.
Term
scleroderma
Definition
Symmetrical widening of the PDL is a clinical sign of ___.
Term
scleroderma
Definition
___ is difficult to manage and steroids are not very helpful.
Term
scleroderma
Definition
___ may lead to microstomia or pathologic fractures of the mandible.
Term
B cells
Definition
When ___ cells are deficient, x-linked hypogammaglobulinemia, selective IgA deficiency, transient hypogammaglobulinemia and common variable immunodeficiencies may occur. These cells are effective in bacterial infections.
Term
t cells
Definition
__ cell deficiency may lead to rampant periodontitis or be caused by digeorge syndrome. these cells are effective in viral, bacterial, protozoal and fungal infections.
Term
DiGeorge Syndrome
Definition
___ ___ is when the 3rd / 4th branchial pouches fail to form. There is no thymus, therefore no t-cell production; also no parathyroids, therefore no PTH --> hypocalcemia. A patient may have face or heart defects.
Term
SCID
Definition
Combined B/T cell deficiency may be caused by ____ and may lead to rampant periodontitis.
Term
phagocytic cells
Definition
Deficiencies in ___ cells deal with bacterial and fungal infections and may lead to rampant periodontitis, papillon Lefevre syndrome or chronic granulomatous disease of childhood.
Term
phagocytic cell
Definition
Papillon Lefevre syndrome is a ___ cell deficiency.
Term
phagocytic
Definition
chornic granulomatous disease of childhood is a __ cell deficiency.
Term
T and B (trick question!)
Definition
SCIDS may cause ___ cell deficiencies.
Term
T cell
Definition
DiGeourge syndrome may cause __ cell deficiencies.
Term
b cells
Definition
x-linked hypogammagloculinemia may cause __ cell deficiencies.
Term
cyclic neutropenia
Definition
__ ___ is the periodic drop in neutrophil count. Usually 3 week cycle.
Term
CD4 T cells, B cells need T cells to direct them
Definition
AIDS affect ___ ___ cells.
Term
acute
Definition
___ HIV infection has a 2-3 week mono-like illness.
Term
500, 200
Definition
CD4 < ___ = opportunistic infections begin. CD4 < ___ = AIDS defining illnesses begin.
Term
AIDS
Definition
Candidiasis, ulcers, periodontitis, hairyleukoplakia, shingles, herpes and neoplasia may be signs of ___.
Term
AIDS
Definition
___ can affect the lungs (p. carinii pneumonia, atypical TB), CNS (dementia, infections), neoplasia (squamous cell carcinoma, lymphoma), skin (bacterial, viral, fungal), GI (diarrhea).
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