1601-1800 Flashcards
What types) of immune response is the body capable of making when presented with a killed vaccine?
Humoral only
Who are the “typical” women who present with endometrial carcinoma?
Older, non-sexually active women (whereas young, sexually active women present with cervical carcinoma)
What type of vaccine is the MMR vaccine?
Live, attenuated vaccine
With what virus is postauricular lymphadenopathy associated?
Measles (rubella) virus
In what trimester is the fetus most vulnerable to congenital rubella syndrome?
The first trimester
What is the order of the antibodies, from first to last, in an infected patient with hepatitis?
Hepatitis Be, e, s
What is the first antigen seen in an individual with hepatitis?
Hepatitis Bs antigen (incubation period)
What antibody is an indication of low transmissibility for hepatitis?
Hepatitis Be antibody
What antibody is an indication of recurrent disease for hepatitis?
Hepatitis Be antibody
Antibodies to what hepatitis B antigen provide immunity?
Antibodies to hepatitis Bs antigen
What are the three C’s of measles?
- Cough 2. Coryza 3. Conjunctivitis
What vector is associated with malaria?
Anopheles mosquito
What is the vector for yellow fever?
Aedes mosquito
What are the only two picornaviruses that do NOT lead to aseptic meningitis?
- Rhinovirus 2. Hepatitis A virus
Are antibiotics helpful in treating a disease caused by a prion?
No. Prions are infectious proteins; thus, antibiotics are useless.
What is the only part of the virus that is “detectable” during the eclipse period of the viral growth cycle?
The viral nucleic acid .
What is the only virus to carry its own ribosomes?
Arenavirus
What is the term for the period from the onset of an infection to the appearance of the virus extracellularly?
Latent period
What is the leading cause of diarrhea in the USA?
Campylobacter jejuni
What organism would cause a patient to present with constant diarrhea after drinking mountain stream water on a camping trip?
Giardia lamblia
What parasite can cause vitamin B12 deficiencies?
Diphyllobothrium latum
What viral infection is associated with black vomit?
Yellow Fever (flavivirus)
What are the two nonspecific chemical defenses of the body?
Acidic pH and lysozymes
What are the two nonspecific physical defenses of the body?
Skin and mucus
What immunoglobulin is the first antibody in an immune response?
IgM
What is the major antibody of external secretions?
IgA
What is the major antibody of internal secretions (blood, CSF, lymph)?
IgG
What is the valence of an immunoglobulin molecule equal to?
The number of antigens that the antibody can bind
What immunoglobulin is a marker for mature B cells and is the antigen receptor for B cells?
IgD
What is the only IgG that cannot bind to Staphylococcus protein A?
IgG3
By which process do antibodies make microorganisms more easily ingested via phagocytosis?
Opsonization
Which immunoglobulin is found as a pentamer and activates complement?
IgM
What is synthesized by epithelial cells, protects IgA from degradation, and transports IgA across epithelial barriers?
Secretory component of IgA
Which IgG cannot activate complement?
IgG4
What cell surface marker is used to distinguish different stages in the maturation of T cells?
CD3
What form of graft involves tissue or organ transplantation between genetically identical twins?
Isograft (isogenic graft, syngraft)
True or false: antigen. antibody binding is irreversible?
False; it is reversible because the antigens and antibodies are not linked covalently.
What is the term for a single isolated antigenic determinant?
Hapten (not immunogenic)
Which chromosome is associated with major histocompatibility complex (MHC) genes?
Chromosome 6
Which region of the variable domain comprises the antigen-binding site of the antibody?
Hypervariable region (three per light chain; three per heavy chain)
What form of transplantation crosses the species barrier?
Xenograft
What subdivision of MHC is found on all nucleated cells?
MHC class I (three subtypes: -A,-B,-C)
What protein is used to differentiate MHC class I from MHC class II, and on what chromosome is it found?
Ã2-Microglobulin, on chromosome 15
What cell type recognizes MHC class I?
Cytotoxic T cell (CD8)
What is the predominant antibody of a secondary immune response in the mucosal route?
IgA
What substance is secreted by activated helper T cells to induce T and B cell division?
IL-2
What type of antigen do B cells recognize?
Free, unprocessed antigen
What type of antigen do T cells recognize?
Processed antigenic peptides bound in the groove of the MHC molecule
Which protein prevents internal binding of self proteins within an MHC class II cell?
Invariant chain
In a binding of helper T cells and an antigen-presenting cell (APC), which is the first cell to secrete activating signals?
Helper T cells (cytokines to activate the APCs)
Which type of cell is responsible for immunologic memory?
Memory B cell
What region of the immunoglobulin does not change with class switching?
Hypervariable region
What type of cell does an antigen-stimulated B cell turn into if there is a continuous supply of antigen?
Plasma cell
What three cells are essential for T cell differentiation in the thymus?
- Dendritic cells 2. Macrophages 3. Thymic epithelial cells
What type of T cell leaves the bone marrow?
Pre-T cell (unable to recognize antigen)
What cytokine stimulates stem cell differentiation?
IL-3
What form of T cell binds to mature B cells?
Activated helper T cell
What co-stimulatory molecules are necessary for effective T cell and B cell signaling?
B7 and CD28 (stimulatory signal for the T cell)
At which site of the lymph node are B cells found?
The germinal centers (follicles)
What are the two primary lymphoid organs?
- Bone marrow 2. Thymus
What cytokine, produced by stromal cells of the bone marrow, is important in myeloid development?
IL-3 A “ 3” on its side looks like an m for myeloid
What immunoglobulins are found in an infant at birth?
Maternal IgG and fetal IgM
What cell surface marker is found on blood B cells?
CD19
What cell surface marker do all T cells have?
CD3
What is the major antigen-trapping site in the immune system?
The lymph node
What cells are the first to come into contact with soluble antigen in the lymph node?
Macrophages or dendritic cells
In which region of the lymph node do plasma cells spend their lives secreting antibodies?
Medulla
What cell surface marker is found on activated helper T cells?
CD40
In which region of the lymph node are T cells found?
Paracortex
Myeloperoxidase uses H202 and what to generate additional oxidants?
Halide cofactor (Cl-, I-)
What is the main cell type of chronic inflammation?
Macrophages
What aspect of the complement system is deficient if there are repeated gonococcal infections and recurrent episodes of meningococcal meningitis?
C5, 6 ,7, or 8
A deficiency in C1 esterase (C1-INH) results in what disease?
Hereditary angioedema
What form of immunity kills the host cell in order to recover from intracellular infections?
Cell-mediated immunity
With what area of the spleen are the T cells associated?
Periarteriolar Lymphatic Sheath (PALS)
What are the three secondary lymphoid tissues?
- Lymph nodes 2. Spleen 3. Mucosal-Associated Lymphoid Tissue (MALT)
What type of cell can never leave the lymph node?
Plasma cell
What is the B cell-dependent area of the spleen?
The marginal zone
Which major cell type is found in the red pulp of the spleen?
RBCs-that is why it is called red pulp.
At what stage of the immune response do you see an increase in serum specific antibody levels?
Log phase