Basics Flashcards

1
Q

where are b cells found in lymph nodes

A

follicle

germinal centres

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2
Q

where are t cells found in lymph nodes

A

paracortex

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3
Q

where are MO found in lymph nodes

A

medullary sinuses - commincate with efferent lymphatics

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4
Q

where are plasma cells found in lymph nodes

A

medullary cords

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5
Q

what part of a lymph node is underdeveloped in digeorge syndrome (not velocardiofacial syndrome)É

A

paracortex

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6
Q

splenic dysfunction makes susceptibility to what moos increase?

A

encapsulated

  • strep pneumonia
  • h influenza
  • n meningities
  • e coli
  • salmonella
  • klebsiella
  • GBS
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7
Q

where are T cells found in the spllen?

A

periarteriolar lymphatic sheath in the white pulp of the spleen

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8
Q

where are B cells found in the spleen

A

follicles in the white matter

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9
Q

where are apcs found in the spleen?

A

marginal zone between the white and red matter

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10
Q

describe what you see post-splenectomy?

A

howell-joly bodies - nuclear remnants
target cells
thrombocytosis - no sequestration no destruction
lymphocytosis - no sequestration

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11
Q

where is the thymus derived from

A

third pharyngeal pouch

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12
Q

what is a Hassall corpuscle

A

containes epithelial reticular cells
found in medulla
Remember Dr G first term, first small group room

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13
Q

loci of MHC I

A

HLA-A
HLA-B
HLA-C

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14
Q

loci of MHC II

A

HLA-DR
HLA-DQ
HLA-DP

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15
Q

what type fo antigen does MHC I expresse

A

endogenous (viral and self)

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16
Q

what type of antigen does MHC II express?

A

exogenous (bacterial)

17
Q

hotdog MHC - Dr Young imm second term KBT

A

MHC II - alpha and beta, two transmembrane, invariant chain. ag in RER

18
Q

gyro MHC - Dr Young imm second term KBT

A

MHC II - alpha, b2 macroglobulin, one transmembrane, ag in acidified endosome (degrades invariant chain)

19
Q

crosses epithelium by transcytosis

20
Q

C reactive protein

A

positive/upregulated acute phase protein

opsonin; fixes complement and favilitates phagocytosis

21
Q

Ferritin

A

positive/upregulated acute phase protein

binds and sequesters iron to inhibit microbial iron scavenging

22
Q

Fibrinogen

A

positive/upregulated acute phase protein

coagulation factor; promotes endothelial repair; correlates with ESR

23
Q

Hepcidin

A

positive/upregulated acute phase protein

prevents release of iron bound by ferritin - anaemia of chronic disease

24
Q

what is elevated in anaemia of chronic disease

A

ferritin and hepcidin

25
serum amyloid A
positive/upregulated acute phase protein | prolonged elevation can lead to amyloidosis
26
albumin
negative/downregulated acute phase protein | reduction conserves amino acids for positive reactants
27
transferrin
negative/downregulated acute phase protein | internalized by macrophages to sequester iron
28
alternative pathway C3 convertase
C3bBb
29
alternative pathway c5 convertase
C3bBb3b
30
classic pathway c3 convertase
C4b2b
31
classic pathway c5 convertase
C4b2b3b
32
antigenic varation in bacteria
salmonella - 2 flaggelar variations borrelia recurrentis - relapsing fever n gonorhhoea - pilus protein
33
antigenic variation in viruses
influenza HIV HCV
34
antigenic variation in parasites
trypansomes
35
live attenuated vaccines
``` MMR varicella sabin polio yellow fever influenza - intranasal ```
36
inactivated/killed vaccines
``` rabies salk polio influenza - injected HAV RIP always ```