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Stuff I Don't Remember from Immunology
USMLE Step 1 Immunology
35
Medical
Graduate
04/14/2011

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Cards

Term
In the spleen, is the red pulp on the inside or outside?
Definition
Red pulp = outside
White pulp = inside
Term
What tissue origin are lymphocytes from?
Definition
mesenchymal
Term
Are there any afferent vessels to the thymus?
Definition
no
Tight blood-thymus barrier exists
Term
What HLA is associated with hemochromatosis?
Definition
A3
Term
What HLA is assoc w/ grave's disease?
Definition
B8
Term
What HLA is assoc w/ multiple sclerosis, hay fever, SLE and Goodpastures?
Definition
DR2
Term
What HLA is assoc w/ T1DM?
Definition
DR3 and 4
Term
What HLA is assoc w/ RA?
Definition
DR4
Term
What HLA is assoc w/ B12 def (pernicious anemia) and Hashimoto's?
Definition
DR5
Term
What HLA is assoc w/ steroid-responsive nephrotic syndrome?
Definition
DR7
Term
What do Th1 cells secrete? What do they do?
Definition
IL-2 = activates helper and cytotoxic T cells
IFN-gamma = activates macros
Term
What 2 Ig's activate complement?
Definition
IgG and IgM
Term
Deficiency of what complement component leads to hereditary angioedema?
Definition
C1 esterase
Term
What disease is caused by the deficiency of DAF (GPI-linked enzymes)?
Definition
Paroxysmal Nocturnal Hemoglobinuria
Term
What is the mnemonic for what the IL's do?
Definition
Hot T-Bone stEAk
IL-1 = fever, IL-2 = stims T cells, IL-3 = stims Bone marrow, IL-4 = stims IgE prod, IL-5 = stims IgA prod
Term
What cell surface proteins are present on NK cells?
Definition
receptors for MHC I, CD16, CD56
Term
What cell surface proteins are located on macrophages?
Definition
MHC II, B7, CD40, CD14 (bound by endotox/LPS), rec for Fc and C3b
Term
T1DM, multiple sclerosis and Guillain-Barre are what type of hypersenstivity?
Definition
IV
Term
XR. Recurrent bacterial infections after 6 mos due to opsonization defects. Decrease in immunoglobulins of all classes, only pro-B
Definition
Brutons agammaglobulinemia
Defect in BTK (tyr kinase) blocks pro-B from forming Pre-B
Term
Increased IgM and decreased everything else. Pyogenic infections
Definition
Hyper-IgM syndrome
Defective CD40L on Th cells (can't class switch)
Term
IgA def. Sinus and lung infections, milk allergies and diarrhea.
Definition
Selective Ig def
Defect in isotype switching. Usually w/ IgA
Term
Decreased plasma cells, nl B cells, decreased Ig
Definition
Common Variable Immunodef
Defect in B cell maturation
Term
Tetany, recurrent viral/fungal infxns, congenital heart and great vessel defects
Definition
DiGeorge Sx
Thymus and parathyroids fail to dev
Term
Disseminated mycobac infections, decreased Th1 response, decreased IFN-gamma
Definition
IL-12 rec def
Term
Coarse Facies, staph Abscesses, retained Teeth, increased IgE, Dermatologic probs
Definition
Hyper-IgE (Job's) syndrome
Th cells fail to produce IFN-gamma
Term
Def in B and T cells. SCID
Definition
Def IL-2 rec (X-linked), adenosine deaminase def (adenine is toxic to B and T cells), failure to synthesize MHC II antigens
Term
Cerebellar defects, spider angiomas, IgA def
Definition
Ataxia-telangiectasia
Defect in DNA repair enz
IgA def
Term
Triad of thrombocytopenic purpura, Infections and Eczema, decreased IgM and increased IgE/IgA
Definition
Wiskott-Alrich
XR
Progressive deletion of B and T cells
Term
Recurrent bac infections, absent pus formation, delayed separation of the umbilicus
Definition
Leukocyte adhesion deficiency
Defect in IFA-1 integrin on phagocytes
Neutrophilia
Term
Recurrent pyogenic infections by staph and strep, partial albinism and peripheral neuropathy
Definition
Chediak-Higashi
AR
defect in microtubular function
Term
Susceptibility to catalase+ orgs (S. aureus, E. coli, aspergillus)
Definition
Chronic granulomatous dx
Lack of NADPH oxidase
Negative nitroblue tetrazolium dye reduction test
Term
What does azathioprine do?
Definition
Precursor of 6-mercaptopurine
Term
What is Filgrastim and Sargramostim?
Definition
Filgrastim = G-CSF (granulocyte)
Sargramostim = GM-CSF (granulocyte macrophage)
Term
What is alpha-interferon used in?
Definition
Hep B and C, Kaposi's, leukemias, malignant melanoma
Term
What is beta-inferon used for?
Definition
multiple sclerosis
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