Ch 15 Flashcards

1
Q

What are opportunistic pathogens?

A

microflora that are capable of causing disease if your health & immunity are weakened, and therefore become a pathogen

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2
Q

What are Prions?

A

small, modified, infectious host proteins (abnormally shaped versions of your own proteins)
**cause degenerative disease in the CNS

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3
Q

What is a zoonosis?

A

a disease passed from animals to humans

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4
Q

What does nosocomial mean?

A

acquired in the hospital

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5
Q

What is a fomite?

A

a nonliving object contaminated with infected body secretions

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6
Q

What are the 5 stages of infection?

A

Incubation Stage: active replication without symptoms
Prodromal Period: early s/s
Acute Stage: maximum manifestations, tissue damage & inflammation
Convalescent Stage: contain infection, eliminate pathogen, repair damage
Resolution Stage: total elimination, no residual manifestions

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7
Q

-itis

A

inflammation

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8
Q

-emia

A

in the blood

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9
Q

sepsis/septicemia

A

bacterial toxins in the blood

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10
Q

virulance factors

A

make an infection more likely to cause disease; these include exotoxins, endotoxins, adhesion factors, and evasive factors

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11
Q

How do antibiotics kill bacteria?

A

they target cell wall synthesis, protein synthesis, nucleic acid synthesis, and bacterial metabolism

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12
Q

How do antiviral agents kill viruses?

A

block RNA or DNA synthesis, block viral binding to cells, and block production of the capsids (protein coats) of new viruses

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13
Q

What does infection/colonization mean?

A

microorganisms are multiplying in or on the host

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14
Q

What is innate immunity?

A

the immune systems first line of defense; it is always present; attacks self from non-self; does NOT distinguish between different microbes

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15
Q

What cells are included in innate immunity?

A
  • epithelial barriers
  • phagocytic cells (neutrophils, macrophages, and dendritic cells)
  • plasma proteins & NK cells
  • cell messenger molecules
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16
Q

What is adaptive immunity?

A

immunity that is specific and involves memory of previously seen pathogens; adaptive immunity includes the antigen presenting cells (macrophages & dendrites) and the lymphocytes (t & b cells)

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17
Q

Review what a monocyte is…

A

monocytes circulate in the blood, & then migrate to the inflammatory site where they mature to become macrophages,
**as a phagocyte they are part of innate immunity, but then they can be antigen presenting cells which begin adaptive immunity

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18
Q

What is the role of neutrophils in immunity?

A

they play the most important role in innate immunity; they are usually NOT antigen presenting; they are the first responders in the inflammatory response; they have a short life & then die and become a part of purulent exudate

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19
Q

What is the role of dendritic cells in immunity?

A

they are found in their immature form under epithelial tissue and in organs; they capture and transport foreign agents to the closest lymph nodes; they mature in the lymph node & become antigen presenting cells; they also release mediators to help direct the adaptive immune system

20
Q

What is the roll of B lymphocytes in immunity?

A

THEY PRODUCE ANTIBODIES

-mature into plasma cells in the bone marrow

21
Q

What is the role of T lymphocytes in immunity?

A
  • can be either t helper cells or t cytotoxic cells
  • T Helper cells are needed for B cell to make antibodies
  • T cytotoxic cells directly kill intracellular pathogens
  • mature in the thymus
22
Q

What is the role of NK cells in immunity?

A
  • 1st line of defense against viruses
  • kill tumor/mutated cells
  • kill cells with intracellular bacteria
23
Q

What is MALT?

A

mucosal associated lymphoid tissue (includes tonsils); this is where a large number of plasma cells live; often at or near a portal of entry

24
Q

What are the components of the central lymphoid tissue?

A

bone marrow and thymus

25
Cytokines
- proteins - short half life - pleotropic & redundant - include CSF & chemokines & chemical mediators & inflammatory mediators, etc.
26
What are examples of chemokines?
interleukins and interferons
27
What are examples of colony stimulating factors?
thrombopoietin and erythropoietin
28
What do colony stimulating factors do?
stimulate stem cells to differentiate
29
How do the cells of innate immunity determine self from non self?
pattern recognition, toll-like recognition, opsonins, cytokines, and the complement system
30
What are opsonins?
tags for phagocytosis
31
What are the 4 steps of phagocytosis?
Recognition and adherance, phagosome formation, phagolysosome, and intracellular killing
32
When a cell is lysed, what is released?
inflammatory mediators
33
What is an epitope?
unique identifier; tiny piece of the antigen that is placed on the antigen-presenting cell surface and attached to MHC II
34
Can antibodies work on intracellular pathogens?
NO
35
Which MHC do CD4 cells attach to?
MHCII
36
Which MHC do CD8 cells attach to?
MHCI
37
Why is a low CD4 count a serious problem?
you can't start an immune response
38
What are the 2 kinds of T helper cells?
TH1 - stimulate t cytotoxic cells & other phagocytic cells TH2-stimulate B cells
39
What is the human MHC called?
HLA (human leukocyte antigens) - this is what we check for in organ transplantation
40
What is humoral immunity?
a type of adaptive immunity | -deals with b cells and ANTIBODIES and extracellular microbes
41
What is cell-mediated immunity?
- eliminates intracellular microbes - CD8 cytotoxic cells - CD4 helper cells
42
IgG
cirulates in body fluids attacking antigens - can cross the placenta and protect the newborn - most abundant Ig
43
IgM
circulates in body fluids; early immune response - activates complement system - ABO blood antibodies - has 5 units
44
IgA
found in secretions on mucus membranes; prevents antigens from entering the body -also found in breast milk
45
IgD
found on the surface of B cells; acts as an antigen receptor | -needed for maturation of B cells into plasma cells
46
IgE
found on mast cells in tissues; starts inflammation | -parasitic and hypersensitivity reactions