Acute Inflammation I, II Flashcards

1
Q

Vasodilation occurs at the level of the:

A

arteriole

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2
Q

Vascular permeability occurs at the level of the:

A

post-capillary venule

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3
Q

Arachidonic acid is released from the phospholipid cell membrane by phospholipase A2 and then acted upon by cyclooxygenase or 5-lipooxygenase. Cyclooxygenase produces _________ which mediates vasodilation.

A

prostaglandins

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4
Q

Arachidonic acid is released from the phospholipid cell membrane by phospholipase A2 and then acted upon by cyclooxygenase or 5-lipooxygenase. 5-lipoxygenase produces _________ which mediates vasoconstriction.

A

leukotrienes

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5
Q

Release of preformed histamine granules from mast cells during the acute inflammatory response mediates what two processes in the blood vessel?

A

1) Vasodilation 2) Increased vascular permeability

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6
Q

The second phase (delayed) of the mast cell response involves production of what metabolites?

A

Arachidonic acid metabolites, particularly leukotrienes

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7
Q

True or false? The best mechanism for destroying phagocytosed material is O2-dependent killing.

A

True!

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8
Q

The presence of Pseudomonas cepacia is dangerous in people with an NADPH oxidase defect because they destroy an alternate mechanism (i.e. bacteria) in which Hydrogen Peroxide is made. What disease is being described?

A

Chronic granulomatous disease (CGD)

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9
Q

Chronic granulomatous disease and MPO deficiency both have an effect on the pathway that converts O2 to bleach. However, patients with which one of these disorders will still have a normal NBT test?

A

MPO deficiency; this disorder doesn’t affect conversion of O2 to the O2-, meaning the NBT would still turn blue.

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10
Q

Macrophages digest phagocytosis using opsonins and destroy it using enzymes; what enzyme in particular is being referred to?

A

Lysozyme

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11
Q

__________ is a cytokine PRODUCED by macrophages to call in the neutrophil.

A

IL-8

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12
Q

What would we expect to find in pus?

A

Dead neutrophils

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13
Q

If you find pus on a patient, what would you do with it?

A

Culture for aerobic (and anaerobic) bacteria

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14
Q

The majority of the cells involved in broncopneumonia within the alveoli are ______.

A

neutrophils

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15
Q

The image shown here is an example of a ___________,

A

banded neutrophil (immature neutrophil)

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16
Q

What is shown in the following image?

A

Eosinophil

17
Q

What is shown in the image here?

A

Mast cell

18
Q

What is the function of the cell the yellow arrows are pointing to?

A

PECAM-1 aids in the transmigration process, etc.

19
Q

What organ is this image from, and what is the top pink layer composed of?

A

Heart - top layer is fibrin, a component of “fibrinous inflammation”

20
Q

What is the purple cell in this image?

A

Macrophage - contains vacuoles and granules, kidney-shaped nucleus

21
Q

Which component’s synthesis can be inhibited by aspirin?

A. 5-HPETE

B. LTC4

C. LXA4

D. PGI2

E. TxA2

A

D - PGI2 is a prostaglandin that is synthesized and expressed primarily in endothelial cells; it is a product of the cyclooxygenase pathway of arachidonic acid metabolism. The other options are products of the lipoxygenase pathway of AA metabolism.