Ch 3 Anatomy, Physiology and Pathology Flashcards

1
Q

what is the hematopoeitic growth factor necessary for development of B and T cells and what cells is it produced by?

A

IL-7; produced by stromal cells of bone marrow

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2
Q

what % of total body lymphocytes are contained in the spleen?

A

25%

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3
Q

True or False: The spleen has afferent and efferent lymphatics?

A

False, there is no afferent lymphatic system to the spleen; antigens and lymphocytes enter spleen through splenic artery; there is efferent lymphatic vessels that carry lymphocytes out of the spleen

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4
Q

what is Waldeyer’s ring?

A

peripharyngeal lymphoid ring (containing tonsils and adenoids)

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5
Q

what is a concha bullosa?

A

pneumatization of the concha; common derangement in sinonasal anatomy

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6
Q

what is the clinical phenotype of primary ciliary dyskinesia?

A

AR defect in function of cilia of respiratory tract lining, fallopian tubes and flagella of sperm; leads to recurrent infections due to poor mucus clearance, bronchiectasis, infertility and occasionally hearing loss

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7
Q

which sinuses are present at birth?

A

ethmoid and maxillary ; sphenoid sinuses develop around age 3 and frontal around age 6

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8
Q

which sinuses drain into the middle meatus

A

Frontal, maxillary, and anterior ethmoids

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9
Q

which sinuses drain above superior turbinate?

A

posterior ethmoids, sphenoid (into sphenoethmoidal recess)

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10
Q

what is an agger nasi cell?

A

anterior ethmoid air cells above middle turbinate; sinus anatomy variant

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11
Q

what is a haller cell?

A

extramural ethmoid air cell found on floor of orbit

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12
Q

what is an onodi cell?

A

sphenoethmoid air cell found in close proximity to the internal carotid artery and optic nerve

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13
Q

what are curschmanns spirals?

A

corkscrew shaped twists of condensed mucus, often appreciated in sputum of asthmatics

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14
Q

what are creola bodies?

A

clusters of surface epithelial cells that can be seen in sputum of asthmatics?

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15
Q

what do sputum macrophages and neutrophils indicate in the COPD patient

A

infections leading to exacerbations

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16
Q

which cellular infiltrate is predominant in asthmatics?

A

CD4, marked eosinophilia, CD3, CD25, mast cells

17
Q

which cellular infiltrate is predominant in COPD?

A

CD8, CD3, CD68, CD25, VLA-1 positive, HLA-DR positive, mild eos, but NOT predominant; (also no increase inIL5); mucus histochemistry demonstrates increased acidic glycoprotein