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WSU Pathophysiology Unit 4
Chapters 6,7,8,& 9
270
Pathology
Undergraduate 3
02/19/2011

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Term
Josh received a donated kidney from an anyonymous donor. He starts to have some bloating like symptoms after a few days. He visit his doctor and after they draw his blood, it is found that his WBC count is elevated. They find that they are reacting to the donated kidney. What type of graft rejection does this fall under?
Definition
Acute Graft Rejection
Term
After a macrophage binds to a T helper cell, what cytokine is released?
Definition
Interlukin 1
Term
You eceive a shot of immunoglobulin, what type of immunity is this?
Definition
Passive Immunity
Term
HIV is classified as what type of virus?
Definition
Retrovirus
Term
Someone steps on a rusty nail. They need to reeive a tetnus shot because their last booster shot was 7 yrs ago. Even though there is virtually no nutrients to sustain life on the nail, why are we concerned about them contracting Clostridia, the bacteria that causes tetanus?
Definition
Because Clostridia has the ability to form endospores.
Term
Jason is experiencing very bad hay fever, what antibody is involved in this allergic response?
Definition
IgE
Term
In the question above, we classify an allergic response as a?
Definition
Type I Hypersensitivity
Term
Histamine is what type of mediator?
Definition
Inflammatory mediator
Term
If a disease has a very infectivity, what is meant?
Definition
Has a very high chance of causing disease in an individual
Term
Jessica has been diagnosed with SLE. She later has heart problems later in life. Are these heart conditions due to her autoimmune dysfunction?
Definition
YES!
Term
This disease causes B cells to not fully differentiate.
Definition
Bruten's Agammaglobulinemia Syndrome
Term
What is the MHC?
Definition
A group of genes that code for cell markers.
Term
Haptens are usually not recognized until when?
Definition
Until they attach to a carrier protein.
Term
Someone receeived a gash to their upper arm. They never had it stitched and now they have a scar that extends beyond the boundary of the wound. What is the scar called?
Definition
Keloid
Term
Jake comes to the ER w/ a severe rash all over his legs. He tells the nurse that the must have brushed up against poison ivy and it was causing these rashes. What type of hypersensitivity is this?
Definition
Type IV Hypersensitivity
Term
Oliver visits his doctor c/o severe hip px, especially during movement. After some xrays they find that there isn't anything that should be causing his severe px. He is asked a few questions and they find that he suffered a reallly bad fall a few years ago. And t seems to keep bothering him. The px he is experiencing is caused by inflammation. What type of inflammation is this?
Definition
Chronic Inflammation
Term
What is the body's first line of defense?
Definition
Physical and Biochemical barriers
Term
Wha is the cleanup process called during wound repair?
Definition
Debridement
Term
When interleukins are present, what is happening?
Definition
B cells are being told to differentiate into Plasma cells or B memory cells
Term
When a baby is under 8 wks old, why do they test everything if suspected of an infection?
Definition
They don't have fully developed immune system and are not able to localize the infection.
Term
Gram positive bacteria stain what color?
Definition
purple
Term
When a fibrin clot is dissolved to be replaced by normal tissue what is this called, and in what phase is this in wound repair?
Definition
Fibrinolysis
Reconstructive Phase
Term
After you receive a sliver, you have an extremely painful swelling of where the sliver went in. You thought you got it all out, but the swelling never went away. One day it bursts, and a lot of pus and the sliver come out. What is this discharge called?
Definition
Purulent exudate
Term
When an antigen is flagged by antibodies to be eaten by macrophages, what is this process called?
Definition
Opsonization
Term
During inflammation, what inflammatory mediator causes pain?
Definition
Prostagladins
Term
HIV affects cells w/ what CD?
Definition
CD 4 (T cells)
Term
If someone has a high titer of IgM's in their blood, what do we know about that individual?
Definition
They have an illness or just had one
Term
This is an x-linked recessive disorder, here IgM production is markedly decreased.
Definition
Wiskott Aldrich's Syndrome
Term
Why would you give someone FFP if they are immunodeficient?
Definition
To give them some antibodies to be able to fight off infection
Term
If I build up an immunity against someone else's cell markers, what type of immunity is this?
Definition
Alloimmunity
Term
You fall asleep in your math class. You begin to drool all over your textbook. If we were to analyze your drool, the antibodies contained in the drool would have how many Fab would one of those antibodies have?
Definition
IgA's which are dimers. This would mean that they have 4 fabS
Term
Fred goes to the ER with severe inflammation due to an injury incurred while lighting hand sanitizer on his arm. During his healing process he develops an infection. Certain molecules in his body will create Membrane Attack Complexes (MAC) to destroy invading pathogens. This is part of what type of immunity? What system does this belong to? Which specifically cause the MAC's to be formed?
Definition
Innate immunity; Complement System; C6-C9
Term
Jana received HIV from a bad organ transplant. She is now suffering from some severe respiratory problems caused by a pathogen that normally doesn't cause problems in a healthy adult. What is most likely causing this respiratory distress and what is it classified as? What does this virus affect and what enzyme does it contain that makes it a problem?
Definition
Pneumocystic Jarovechi (PCP), Opportunistic Disease; It affets cells with CD4 (T-helper cells); Reverse Transcriptase
Term
Lucy is experiencing symptoms that seem to indicate Infectious Mononucleosis. Her doctor orders a CBC, what will helook for to confirm his suspicions?
Definition
Leukocytosis, specifically lymphocytes since this is caused by EBV
Term
Josh is 4 years old and seems to constantly be getting sick. His mother takes him into the doctor to see why this is the case. In a CT scan they find that he has an extremely small thymus gland. What does Josh have? What does this gland do?
Definition
DiGeorge's Syndrome; Maturation of T-cells
Term
Cassie has severe hay fever. Lately she has been taking medications to help deal w/ the hay fever season. What is one medication that she could be taking? What antibodies deal w/ this response? What type of hypersensitivity is it? If she is given a dose of IgG's for her specific allergen, what is this called?
Definition
Antihistamines; IgE; Desensitization or Hyposensitization
Term
John slices his fingers open w/ a can opener. What portion of the immune system has already been compromised to the cut? What will respond quicklyto the wound? How can we tell that it is occurring? What is the route to get phagocytes to help contain the infection? If it is unable to kill all the pathogens but only sequester them, what will form? To heal the wounds, what responds? Will this activiate the kinin system?
Definition
1st line of defense; inflammation; redness swelling, heat, and pain; Margination, Diapedesis, Exudation, then Phagocytosis; Granuloma; Coagulation System; No,kinin is activated during the intrinsic pathway, the extrinisc was activated in this because of tissue damage.
Term
Paula has a high tendency to get sick if exposed to somene w/ a cold. After many times of being sick she decides that she will see an immunologist. Her immunologist finds that she has a low IgM response. What is this called? How is this passed on? Is it unusual for Paula to experience this disorder? Why?
Definition
Wiskott-Aldrich Syndrome; it is an x-linked recessive disease; very unusual because it is usually the males that are affected.
Term
Greg finally received a kidney transplant. About 2 wks into his recovery he starts to have similar symptoms to what he was experiencing before. His surgeon finds that his new kidney has suffered some tissue damage causing the problems. They find no antibodies for the antigenic determinants ont he kidney. What type of graft rejection is he experiencing? This falls under which type of hypersensitivity? What is another name for the antigenic determinants on kidney?
Definition
Acute Graft Rejection; Type IV; Epitopes
Term
Colt comes to the ER w/ severe vomiting and diarrhea. They find out that he went on a camping trip and may have had some uncooked beef. They confirm that he is suffering fromt he bacteria E-Coli. Inside the GI tract this bacteria is classifed as? Inside us when it causes problems it is classified as?
Definition
Mutualistic; Parasitic
Term
Hailey was trying to do too many things at once, and at one point as she is trying to help a customer with a lantern, she receives some very bad gashes to her fingers from the lantern. What system will activate to stop the bleeding? Some bacteria enter the body and are picked up by some macrophages. The macrophages recognize it as foreign and create what type f molecule to present it to the immune system? What cell will it bring it to? This cell will activate which responses? How do these cells communicate? These processes all fall under what type of immunity?
Definition
Coagulation system; MHC class II molecules; T-Helper cells; cell mediated and antibody mediated responses; interleukins; adaptive or specific immunity
Term
If a person is given antigen A and later is given Antigen B, a ____ response to antigen B will result in?
Definition
Primary Response
Term
Activation of the complement system produces compounds which
Definition
opsonizes bacteria
Term
Joshua recently received a kidney transplant organ rejection occurred after 2 weeks. The primary mechanism for rejection is
Definition
Immune response against donor HLA antigens & Immune response against receiptant HLA antigens
Term
The mast cell, a major activator of inflammation, intiates the inflammatory response by
Definition
Degranulation & mediator synthesis
Term
Which of the following Hypersensitivity reactions does not involve antibody
Definition
Type IV
Term
The immunoglobulin that crosses the placenta confers _______ to the fetus.
Definition
Passively Acquired Immunity
Term
When ahistamine and serotonin are released
Definition
microcirculation blood flow improves
Term
If a person has innate resistance to a disease, the person has
Definition
Natural Immunity
Term
The immuneresponse can be divided into two responses, humoral and cell-mediated these two mechanisms include
Definition
B-cells, T-cells, Antibodies, & Complement
Term
Innate resistance or immunity
Definition
depends on physical, mechanical, and biochemical barriers
Term
Cathelicidins are antimicrobial peptides
Definition
produced by epithelial cells
Term
Complement is
Definition
a series of proteins in the blood
Term
Diapedesis is a process in which
Definition
neutrophils migrate from the bloodstream to an injured tissue site
Term
Interferon
Definition
prevents viruses from infecting healthy host cells.
Term
The sequence of events within the vasculature is:
Definition
arteriorlar vasoconstriction, vasodilation, increased capillary permeability, plasma leakage, and site of injury edema.
Term
The inflammatory response
Definition
minimizes injury and promotes healing
Term
The alternative complement pathway is activated by
Definition
gram negative bacterial and fungal cell wall polysaccharides
Term
The C3b subcomponent of complement
Definition
opsonizes microbes to facilitate phagocytosis
Term
The activation of Hageman factor impacts all three plasma protein systems by
Definition
activation of the kinin system by a fragment of Hageman factor.
Term
The sequence for phagocytosis is
Definition
margination, diapedesis, recognition, adherence, ingestion, fusion w/ lysosomes inside the phagocyte, and destruction of the target.
Term
Swelling during acute inflammation is caused by
Definition
the fluid exudate
Term
Recognition of abnormal environmental components so cells can respond to these sustances is by binding to cellsurface receptors. Cells involved in innate resistance have
Definition
pattern recognition receptors (PRRs)
Term
Mast cell degranulation releases
Definition
histamin, IL-4, and eosinophil chemotactic factor of anaphylaxis
Term
Interleukin 10
Definition
suppresses growth of lymphocytes and production of proinflammatory cytokines
Term
Soluble tumor necrosis factor-alpha
Definition
enhances endothelial cell adhesion molecule expression
Term
Characteristic systemic manifestations of acute inflammation include
Definition
fever caused by the release of IL-1 by neutrophils and macrophages.
Term
Chronic inflammation is characterized by
Definition
lymhocytic and macrophagic infiltration
Term
Scar tissue is
Definition
nonfunctional collagenous and fibrotic tissue
Term
These are predominant phagocytes arriving early at inflammatory and infection sites.
Definition
Neutrophils
Term
________unlike neutrophils, function for a longer time and later in the inflammatory response and are involved in the activation of the adaptive immune system
Definition
Macrophages
Term
They serve as primary defenders against parasites and help regulate vascular mediators released from mast cells by preventing more inflammatory activity than is needed.
Definition
Eosinophils
Term
________recognize and eliminate virus infected cells and cancerous cells
Definition
Natural cell killers
Term
______returns injured tissues to an approximation of their original structure and physiologic function
Definition
Resolution
Term
______if filled with new capillaries and is surrounded by fibroblasts and macrophages.
Definition
Granulation tissue
Term
Immunogenicity depends on
Definition
host foreignness
Term
Which is/are capable of forming clones?
Definition
Both T & B cells
Term
Which cells is/are stimulated by IL-2?
Definition
T cells and NK cells
Term
Which bind w/ MHC class I molecule?
Definition
cytotoxic T cells
Term
HLA's
Definition
are not found on the surfaces of erythrocytes
Term
CD4 markers are associate w/
Definition
T helper cells
Term
Antibodies are produced by
Definition
plasma cells
Term
An immunoglobulin contains
Definition
2 heavyy and 2 light polypeptide chains
Term
The antibody class that has the highest concentration in the blood is
Definition
IgG
Term
Which of the following antibodies is first to challenge the antigen?
Definition
IgM first to challenge the antigen
Term
The primary immune response involves:
Definition
a latent period followed by peak antibody production
Term
The B cell receptor complex consists of
Definition
antigen-recognition molecules
Term
Cytokines and their recptors function
Definition
as chemical signals between cells
Term
Clonal selection
Definition
occurs primarily after birth and throughout life
Term
Immunologic tolerance develops because
Definition
self-reactive lymphocytes are eliminated in the primary lymphoid organs
Term
Endogenous antigens
Definition
may be produced by cancerous cells
Term
Cytotoxic T cells
Definition
inhibit virus infected cells
Term
Antibody is effective against
Definition
extracellular viruses
Term
Adhesion molecule pairings involve
Definition
cytoxic T cell CD8 --> MHC class I on APC
Term
Transforming growth factor (TGF) functions to
Definition
stimulate wound healing
Term
____are necessary o induce both humoral and cellular immune responses
Definition
T helper cells
Term
A second challenge by the same, earlier antigen results in an ____immune response characterized by more antibody production in a shorter time than the initial or first challenge
Definition
anamnestic
Term
______function to avoid attacking self-antigens or avoid overactivation of immune responses
Definition
T regulatory cells
Term
_____ cause activation of large populations of T lymphocytes irrespective of antigen specificity.
Definition
Superantigens
Term
The ______consists of antibodies in bodily secretions that protect the body against antigens yet to pentrate the skin or mucous membranes.
Definition
secretory immune system
Term
Which of the following is not characteristic of hypersensitivity
Definition
Prior contact unnecessary to elicit a response
Term
When the body produces antibodies against it's own tissue it is
Definition
hypersensitivity/autoimmunity
Term
Damage in glomerulonephritis is d/t the formation of antigen/antibody complexes meditated by
Definition
the humoral immune system
Term
Which of the following is an alloimmune disorder?
Definition
Graft rejection
Term
The most frequently observed selective antibody dependent immunodeficiency is a deficit of
Definition
IgA
Term
An infusion of plasma may be used to treat
Definition
hypogammaglobulinemia
Term
Deficiencies in B-cell immune responses are supected when unusual or recurrent sever infections are caused by:
Definition
encapsulated bacteria
Term
A positive HIV antibody test signifies that the
Definition
individual is infected w/ HIV and likely so for life.
Term
Which is true of AIDS?
Definition
The individual will have decreased numbers of CD4 cells or T helper cells
Term
Which is characteristic of hypersensitivity
Definition
Sensitization required
Intolerance to self antigens
Reactions may be immediate or delayed
Term
When the body produces antibodies against antigens of the same species, it is a/an
Definition
opsonization
Term
Graves Disease
Definition
cytotoxic/tissue specific
Term
Serum Sickness
Definition
immune complex
Term
Allergic Rhinitis
Definition
IgE mediated
Term
Systemic Lupus erythematosus (SLE)
Definition
immune complex
Term
Contact dermatitis
Definition
cell mediated
Term
Hemolytic anemia
Definition
cytotoxic/tissue specific
Term
Graft Rejection
Definition
cell-mediated
Term
Sequestered Antigen
Definition
traumatized tissue releases antigens
Term
Neoantigen
Definition
integration of drug into plasma membrane of a cell
Term
Maternal antibody destroys platelets in the fetus and neonate
Definition
both autoimmunity and alloimmunity
Term
Antibody binds w/ recptors for neural transmitters on muscle cells
Definition
autoimmunity
Term
B-cell receptors signaling defect
Definition
little or no B cell maturation or antibody
Term
Alternative complement pathway defect
Definition
secondary C3 deficiency
Term
Normal flora describes
Definition
microorganisms usually present on body surfaces
Term
The ability of a microbe to cause disease is called
Definition
Virulence
Term
An opportunistic infection is
Definition
an infection by a weak pathogen or normal flora when the immune system is compromised.
Term
Pathogens enter the body through
Definition
inhalation
Term
When bacteria overcome body defense and enter the blood, it is called
Definition
septicemia
Term
a virus is
Definition
an intracellular parasite
Term
Lack of permanent immunity against a virus is due to
Definition
antigenic drift of the same virus that is not recognized at a later time by the immune system as foreign.
Term
Antigenic drift
Definition
results from mutations
Term
Endotoxins
Definition
activate the inflammatory process and cause fever
Term
Viurses
Definition
contain either DNA or RNA
Term
Fungi
Definition
can adpat to the host's enviroment and low oxygen environments
Term
The hallmark of most infectious disease is fever. Characteristics of fever include:
Definition
an indirect effect of endogenous pyrogen from the host's cells on the hypothalamus
Term
The primary immune response from vaccination
Definition
is increased by booster injections to increase the number of memory cells and sustain protective levels of both antibodies and T cells
Term
Antibiotics
Definition
may inhibit the synthesis of bacterial cell walls
Term
Antibiotic sensitive microbes mutate and develop resistance to particular antibiotics. Resistance occurs because of
Definition
alteration of bacterial cell membranes so that the antibiotic no longer enters the bacterial cell
Term
As the body is bombarded by foreign invaders, the immune's sequentil response is
Definition
1. neutrophils arrive at the invasion site
2. complement attaches to the invader
3. macrophages engulf foreign matter
4. macrophages present antigens from ingested invaders tot he host's cell
5. helper T cells multiply and activate B cells
Term
The sequence of viral host cell infection is
Definition
1. adsorption
2. penetration
3. uncoating
4. insertion of viral genome into the host cell
5. rlease of new infective virions
Term
Staphylococcus produces:
Definition
toxins
Term
Neisseria gonorrhoeae is transmitted ______, and it
Definition
1. sexually
2. infects urethra and produces a protease tht digests IgA
Term
Antigen resembles human myocardial tissue
Definition
Group A streptococci
Term
Antibodies that can react to human red blood cells ("hint: TB")
Definition
Mycoplasma pneumoniae
Term
What is another name for papoaviruses and how are they transmitted?
Definition
1. human warts
2. transmitted sexually
Term
How is Hep B transmitted
Definition
sexually
Term
This antibiotic are cell wall inhibitors
Definition
PCN
Term
Name the antibiotic that is inhibitors of protein synthesis and assembly
Definition
Tetracycline
Term
Diseases caused by fungi are called
Definition
mycoses
Term
What can be part of the normal body flora and act as opportunists?
Definition
Fungi
Term
What are the steps of viral replication?
Definition
1. absorption
2. penetration
3. uncoating
4. replication
5. assembly
6. release new virons
Term
_______ provides the RNA and DNA to replicate, and the host cells provide the energy and resources.
Definition
viruses
Term
The formation of endospores is known as
Definition
sporulation
Term
What do gram positive bacteria produce?
Definition
exotoxins
Term
Name some examples of exotoxins
Definition
botulism
tetanus
staph food poisoning
toxic shock syndrome
Term
Gram negative bacteria produce
Definition
endotoxins
Term
Bacteria are
Definition
Unicellular
Term
Bacteria are classified as
Definition
Aerobic
Anaerobic
Term
________can live as Opportunists, commensals, and intracellular and extracellular parasites
Definition
Bacteria
Term
In the modes of disease transmission what is contact transmission
Definition
direct
indirect
droplet
Term
What mode of transmission for disease is contaminated food, water, blood, vector
Definition
common vehicle transmission
Term
People who are carrying the pathogen but do not appear to be ill
Definition
Carrier
Term
Ability of a microorganism to invade and colonize w/in the host
Produces infection
How likely a person is to get infected
Definition
Infectivity
Term
Ability of a pathogen to induce an immune response
Definition
Immunogenicity
Term
Amount required to kill a host
Definition
Virulence
Term
Ability of a pathogen to cause disease
Definition
Pathogenicity
Term
Living together
Definition
Symbiosis
Term
Both the host and the microorganism benefit
Definition
Mutualism
Term
One organism benefits, the other is neutral
Definition
Commensalism
Term
One organism benefits, the other is harmed
Definition
Parasitism
Term
(HAART) Highly active antiretroviral therapy is used in the treatment of
Definition
HIV
Term
The pathology of ________ disease shows how the virus infects cells utilizing the CD4 antigen receptor. It infects mainly CD4 (T helper cells) what disease is this?
Definition
HIV
Term
Concentration of HIV is
High in______
Low in ______
Definition
High in blood and semen
low in vaginal fluid, tears, sweat, breast milk
Term
What disease is a retrovirus
Definition
HIV
Term
What infects cells by binding to a surface receptor and inserting their RNA into the target cell
Definition
Retroviruses
Term
In what illness does a viral enzyme, reverse transcriptase convert the RNA to DNA and inserts the viral genetic material into the target cell DNA.
Definition
HIV (Retrovirus)
Term
Pneumocystis Jaroveci (PCP) is linked to what disease?
Definition
HIV
Term
-x-linked recessive diorder
-IgM production is depressed
(m=w upside down m)
Definition
Wiskott-Aldrich Syndrome
Term
Produces other type of antibodies but does not produce IgA
Definition
Selective IgA deficiency
Term
-Partial or complete lack of the thymus
-Patient demonstrates lymphopenia and decreased T cell function
Hint: Di = two T's
Definition
Di George Syndrome
Term
Failure of Early B cells to become mature B cells
Hint: B to B/Have no IgG's
Definition
Bruton's Agammaglobulinemia Syndrome
Term
Immunodeficiencies can put a pt at risk for
Definition
(GVHD) Graft-versus-host disease
Term
Occurs during leukcyte development in the fetus/embryo and can affect one or more white cell lines. Also known as a primary immunodeficiencies and is rare
Definition
Congential
Term
Unusally manifested by the tendency to develop unusual or recurrent infections
Definition
Immunodeficiencies
Term
What are the 3 types of Graft Rejection?
Definition
1. Hyperacute
2. acute
3. chronic
Term
Occurs after months or years of normal function and reaction to minor HLA antigens
Definition
Chronic graft rejection
Term
Rejection is cell-mediated and occurs approx. 2 wks after the transplant.
Definition
Acute Graft Rejection
Term
What type of hypersensitivity is Acute Graft Rejection?
Definition
Type IV hypersensitivity
Term
What type of drugs are used to try to minimize the response of Acute Graft Rejection?
Definition
Immunosuppressive
Term
Antibody binds to tissue and activates an inflammatory response this results in the cessation of blood flow to the graft---"white graft."
Definition
Hyperacute Graft Rejection
Term
What type of hypersensitivity is Hyperacute Graft Rejection?
Definition
Type II Hypersensitivity
Term
What occurs when an individual's immune system reacts against antigen of other members of the same species?
Definition
Alloimmunity
Term
What are the symptoms of SLE and their percentages
Definition
S/S:
Arthriits 90%
Vasculitis and rash 70-80% (discoid lupus)
Renal disease 40-50-%
Anemia 50%
Cardiovascular disease 30-50%
Term
What disease is chronic, systemic inflammatory disease that has the production of autoantibodies against DNA, histones, RNA. Also has a (wolf-like) red facial rash
Definition
SLE
Term
What is the name of the test used to diagnose SLE
Definition
ANA=anti-nuclear antibody
Term
_______is a breakdown of tolerance in which the body's immune system begins to recognize self-antigens as foreign
Definition
Autoimmunity
Term
What are the theories of autoimmunity?
Definition
Exposure to a previously sequestered antigen
Development of a neoantigen
Complications of an infectious disease
Alteration of T regulator cells
Term
Usually haptens that become immunogenic by binding to self proteins?
Definition
Neoantigen
Term
This is a delayed hypersensitivity ex poison ivy. Many acting as haptens the process take days but the effects can last for years (blisters, peeling weeping) ex PPD test or transplant rejection?
Definition
Type IV hypersensitivity
Term
In Type IV what cells are sesitized to attack tissues and release lymphokines that recruit macrophages?
Definition
T cytotoxic cells
T helper cells
Term
In type III there are two types of autoimmune diseases
Definition
lupus
RA
Term
Antibody reacts w/ free, soluble antigen to form complexes that precipitate in the tissues. This hypersensitivity bind/activate complement, and cause tissue damage.
Definition
Type III Hypersensitivity
Term
What treatment is used for hyposensitization or desensitization shots. It is producing IgG "blocking antibodies"
Definition
treatment for Type I
Term
Also called immediate hypersensitivity. A mast cell-bound IgE antibody reacts w/ antigen and stimulates mast cell degranulation
Definition
Type I hypersensitivity
Term
IgE mediated
Definition
Type I
Term
Tissue Specific
Definition
Type II
Term
Immune complex mediated
Definition
type III
Term
T cell mediated
Definition
type IV
Term
Immune response that results in damage to the host
Definition
Hypersensitivity
Term
hypersensitivity to antigen from environment
Definition
allergy
Term
hypersensitivity to antigen from self
Definition
autoimmunity
Term
hypersensitivity to antigen from donor
Definition
alloimmunity
Term
Cell-mediated function is present at birth, but antibody production and phagocytic activity are deficient
Definition
fetal and neonate immunity
Term
Triggers a release of histamine from mast cells
Definition
IgE
Term
Contains a secretory component
Definition
IgA
Term
Long-term immunity, it's transported across the placenta. Known as a monomer and a gamma globulin
Definition
IgG
Term
Very effective activator of the complement system. Known as the "sheriff" pentamer (5-star the monkey wears)
Definition
IgM
Term
____Lymphocytes develop into antibody-producing plasma cells. Is part of antibody-mediated (humoral)immunity
Definition
B lymphocytes
Term
Lymphocytes that are cell-mediated immunity. Recognize specific antigens and can directly attack abnormal cells
Definition
t lymphocytes
Term
Name of the most important cells of the adaptive immune system
Definition
lymphocytes
Term
changes response to whatever the stimulus is
Definition
adaptive immunity
Term
response is the same. it's specific; presence of an antigen
Definition
non-adaptive immunity
Term
Belong to host
body fails to recognize as "self" are responsible for Autoimmune diseases
Definition
autoantigens
Term
antigens from other members of host's species
*blood antigens and tissue transplants
Definition
alloantigens
Term
A molecule that is not large enough to induce an immune response by itself. may trigger an immune response when bound to a larger molecule.
Definition
Hapten
Term
An antigen is large and complex it's know as a
Definition
epitope or antigenic determinants
Term
A ______ is more immunogenic if it is
large
organic
complex in structure
foreign "non-self"
Definition
Antigen
Term
A molecule recognized by products of the immune system; T lymphocytes, B lymphocytes, and antibodies.
-identifies cell as self or non self
-can illicit an immune response
Definition
antigen
Term
Innate immunity is also known as
Definition
natural immunity
Term
Physical and biochemical barriers are known as the _______ in inflammation
Definition
first line of defense
Term
Inflammation and phagocytosis occurs
Definition
2nd line of defense
Term
Specific immunity
---cell-mediated
---antibody mediated (humoral)
Definition
third line of defense
Term
What is non-specific, immediate, and non-adaptive?
Definition
Inflammation
Term
What is antigen specific, demonstrates memory, but can take days to develop
Definition
Immunity
Term
With ______ a secondary exposure to a stimulus will demonstrate the same response as the intial incident.
Definition
Inflammation
Term
defends against infections and promotes tissue repair and healing
Definition
inflammation
Term
What are the purposes of Inflammation
Definition
1. Destroy injurious agents (phagocytosis)
2. Confine agents to limit their effects on the host (coagulation)
3. Stimulate the immune response (T cell & B cell)
4. Promote healing (Fibroblasts)
Term
What are the local s/s of local inflammatory effects
Definition
heat
redness
swelling
pain
loss of function can occur
Term
Vascular change r/t inflammatory effects
Definition
Exudation
serous, fibrinous, purulent, and hemorrhagic exudate
Term
What would be a s/s of systemic inflammatory effects?
Definition
lymphadenopathy
fever
Term
What are the events of Acute inflammation
Definition
Vascular changes
Migration of cells
Term
Large cells in loose connective tissue they are present near blood vessels and contain numerous granules full of chemicals
Definition
Mast Cells
Term
These cells are early, initial activators of the inflammatory response.
Definition
Mast Cells
Term
What are the two functions in mast cells
Definition
1. Degranulation of preformed mediators
2. synthesis of inflammatory mediators as a response to inflammation
Term
It causes vasodilation of capillaries
increases permeability and stimulates nerve endings to cause pain and itching
Definition
effects of histamine
Term
Encourage neutrophil migration
Definition
neutrophil chemotactic factor
Term
These are controlled mediators released from mast cells; degrades histamine and seotonin (from platelets); minimizes effects of inflammation
Definition
eosinophil chemotactic factors of anaphylaxis
Term
Slow reacting lipid molecules that induce effects similar to histamine. Important in later stages of inflammation
Definition
leukotrienes
Term
Similar effects to leukotrienes, but prostaglandins also induce pain
Definition
protagladins
Term
Stimulates endothelial cells to increase permeability and allow leukocyte adhesion and platet activation.
Definition
platelet activating factor (PAF)
Term
What are the events of acute inflammation? Name the 3 plasma protein system
Definition
Complement system: direct or indirect destruction of cells
Coagulation system-traps pathogens adn prevents hemorrhage
Kinin System- controls vascular permeability
Term
It's a plasma protein system. It participates at all levels of inflammation
Definition
complement system
Term
What are the three pathways of the complement system?
Definition
Classical-activated by Ag-Ab complexes
Alternative-activated by biologic substances
Lectin-activated by certain bacterial carbs
Term
1. opsonizing bacteria
2. encouraging chemotaxis
3. inducing mast cell degranulation
all activate ____ which enhances the ____
Definition
C1-C5
Inflammatory mediators
Term
Activating C6-C9 causes the formation f complexes to encouragee cellular
Definition
lysis
Term
Another plasma protein system that stops bleeding, localizes microorganisms, provides a meshwork for healing.
Definition
Coagulation system
Term
The primary _____ is bradykinin
Definition
kinin system
Term
The kinin system is activated by factors of the
Definition
intrinsic pathway
Term
What is the sequence of Phagocyte migration?
Definition
1. Margination
2. Diapedesis
3. Exudation
4. Phagocytosis
Term
Increased stickiness by producing adhesion proteins on the cell
Definition
Margination
Term
Emigration through the retraced endothelial junctions and basement membrane
Definition
Diapedesis
Term
What is the difference b/t acute and chronic inflammation?
Definition
The duration
Term
Produced by macrophages or lymphocytes in response to antigen stimulation
Definition
Interleukins
Term
Defense against viral infections
Does not kill viruses; they protect other cells from becoming infected; encourage immune system
Definition
interferons
Term
If macrophages can't protect the tissue from damage, the body will protect itself by walling off teh infected site, forming a ____
Definition
granuloma
Term
The goal of healing in inflammation is ______ of the tissue
Definition
Regeneration
Term
If the wound is large and severe and fibrin persists in the lesion, or if granulomas from, the wound will be ______
Definition
Repaired
Term
______is the replacement of destroyed tissue w/ scar tissue. Scar tissue is made up collage. Scar tissue restores strength, but not function.
Definition
Repair
Term
The first step is to clean up the wound by phagocytizing particulate matter. The clean up process is called ____?
Definition
Debridement
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