Anatomy, Physiology and Pathology Flashcards

1
Q

What 3 site produce B cells in the fetus?

A

bone marrow, spleen, liver

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2
Q

Which interleukin is a growth factor produced by stromal cells in the bone marrow and thymus and is required for B and T cell development?

A

IL-7 (IL-7Rα is a form of SCID)

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3
Q

Where do B cells undergo negative selection?

A

bone marrow

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4
Q

These small bodies of granular cells surrounded by concentric layers of modified epithelial cells are found in the medulla of the thymus.

A

Hassall’s corpuscles

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5
Q

The thymus is formed from what kind of embryonic tissue and from which pharyngeal pouches?

A

endoderm and mesoderm, third and fourth pharyngeal pouches

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6
Q

In which portion of the thymus do T cells undergo the final states of maturation?

A

Medulla

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7
Q

What is positive selection and where does it take place?

A

ensures T cells are able to respond to self MHC; occurs in the cortex

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8
Q

Where does T cell negative selection occur?

A

starts in the cortex (eliminates autoreactive) and finishes in the medulla (contributes to self tolerance)

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9
Q

What disease is associated with congenital thymic aplasia?

A

DiGeorge Syndrome (SCID)

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10
Q

Which immunodeficiency (hypogam) is associated with a thymoma in adults?

A

Good’s syndrome

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11
Q

Where are the majority of B cells located in the lymph node?

A

follicular area of the cortex

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12
Q

Where are the majority of T cells located in the lymph node?

A

parafollicular areas of the cortex

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13
Q

What is the difference between a primary and a secondary follicle in a lymph node?

A

A secondary follicle has a germinal center while a primary does not

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14
Q

Which chemokines bind to CCR7 on T cells and attract them from the blood, through HEV and into the T cell zone of the lymph node?

A

CCL19 and CCL21

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15
Q

The absence of a spleen leads to increased susceptibility to what kinds of organisms?

A

encapsulated - Neisseria meningiditis, H. flu, strep pneumo

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16
Q

What pathogen is associated with gastric MALT lymphoma?

A

H. pylori

17
Q

How is nasal airflow regulated at the nasal valve?

A

through swelling of the inferior turbinate

18
Q

What is the DDx for nasal polyps?

A

chronic rhinosinusitis, cystic fibrosis, NSAID sensitivity, tumors

19
Q

What syndrome is characterized by ciliary dyskinesia, sinus inversus, bronchiectasis, and chronic sinusitis?

A

Kartagener’s syndrome

20
Q

How is mucociliary clearance assessed?

A

saccharin test - placed on anterior of inferior turbinate and time the onset of sweet taste in mouth

21
Q

What disease is characterized by reduced mucous clearing, chronic recurrent respiratory infections, bronchiectasis, infertility and occasionally hearing loss?

A

Primary ciliary dyskinesia

22
Q

Parasympathetic innervation controls glandular secretion and is mediated by what neurotransmitter?

A

acetylcholine - why anticholinergics work for rhinorrhea

23
Q

What are the corkscrew shaped twists of condensed mucus seen in asthmatic sputum?

A

Curschmann’s spirals

24
Q

What are the clusters of surface epithelial cells seen in asthmatic sputum?

A

Creola bodies

25
Q

Which cell types predominate in the sputum of COPD?

A

neutrophils, macrophages - NOT EOSINOPHILS

26
Q

What disease is due to clonal proliferation of skin derived dendritic cells?

A

Langerhans’ cell histiocytosis

27
Q

What is the ligand for c-kit on mast cells?

A

stem cell factor

28
Q

Which cellular marker do macrophages express in the dermis?

A

CD68

29
Q

What cell marker is expressed by dermal T cells, used in homing to the skin?

A

CLA-1 (cutaneous lymphocyte antigen

30
Q

What chemokine is released by connective tissue mast cells that is not found in mucosal mast cells?

A

chymase

31
Q

What condition is characterized by tense bullae, pruritis, and autoantibodies to BP180 and BP230?

A

Bullous pemphigoid

32
Q

What condition is characterized by small bullae on elbows and knees, pruritis and gluten sensitivity?

A

Dermatitis herpetiformis

33
Q

What condition is characterized by flaccid bullae, positive Nikolsky’s sign and autoantibodies to desmoglein 1 and 3?

A

Pemphigus vulgaris

34
Q

In pemphigus vulgaris and bullous pemphigoid, what molecules react with antigens in the basement membrane zone?

A

IgG and C3

35
Q

What autoimmune skin disease is characterized by anti-centromere Ab?

A

Scleroderma (CREST)

36
Q

What autoimmune skin disease is associated with U1-snRNP and PM-scl antibodies?

A

Mixed connective tissue disease

37
Q

What antimicrobial peptide is synthesized in neutrophils in response to inflammatory cytokines such as IL-1 and TNF?

A

defensins

38
Q

What mediators have been implicated in the pathogenesis of EoE?

A

IL-5 and Eotaxin-3