Chapter 12 Flashcards
What would be considered the first line of defense?
Any barrier that blocks invasion at the portal of entry. Ex: skin, lining of intestines etc.
What would be considered second line of defense?
Internal system of protective cells and fluids. This includes inflammation and phagocytosis
What would be considered third line of defense?
Acquired on an individual basis as each foreign substance is encountered by lymphocytes.
Provices long-term immunity (memory)
How do defenses work?
Most defenses overlap and are redundant in some of their effects.
White blood cells work in two ways:
Recognize body cells (SELF)
Differentiate them from any foreign material in the body (NONSELF)
How autoimmune disease arises?
Autoimmune diseases are a result of the immune system mistakenly attaching the body’s own tissues and organs
What are antigens or makers
Evaluate cells by examining molecules on cell surfaces
Pathogen-associated molecular patterns (PAMPs)
Markers that many different kinds MICROBES have in common
Pattern recognition receptors (PRRs)
Used by HOST CELLS with important roles in the innate immunity of the second line of defense
Mononuclear phagocyte system (MPS)
Allows cells and chemicals that originate in the MPS and extracelullar fluid (ECF) to diffuse into the blood and lymphatics.
(T/F) The inflammatory response is the body’s first line of defense
False. It’s the protective layers such as skin
All of the following are lymph system functions
- Return of extracellular fluid to the circulatory system
- Act as “drain off”
- Render surveillance, recognition, and protection against foreign materials through a system of lymphocytes, phagocytes, and antibodies
____ Is formed when certain blood components move out of blood vessels into extracellular space and diffuse or migrate into the lymphatic capillaries
Lymphatic fluid
___Flows from the extremities to the heart (just movement, no pump)
Lymphatic vessles
Select all of the primary lymphatic organs
a. red bone marrow
b. thymus
c. lymph nodes
d. spleen
Red bone marrow and thymus
An infection that occurs during a hospital or health care facility stay is known as
a. healthcare-associated infection
b. radicalization
c. heighetened infection
d. overnight infection
Healthcare-associated infection or nosocomial infections
The makeup of one/s intestinal biota can influence overall health. t/f
True
The vague feeling of discomfort 1-2 days prior to showing actual specific signs of infection is known as
a. incubation period
b. prodromal stage
c. acute phase
d. convalescent
Prodromal stage
Human milk has many species of bacteria and sugars that the baby cannot digest (T/F)
True
The term ‘good’ resident biota occupying the attachment sites in or on the body thereby limiting the number of ‘intruder’ biota is known as
a. busy signaling
b. pathogeninterruptis
c. microbial antagonism
d. virulence
Microbial antagonism
The number of persons afflicted with an infectious disease is the mortality rate. (t/f)
False. This is called the morbidity rate
Select all of the secondary lymphatic organs
a. red bone marrow
b. thymus
c. lymph nodes
d. spleen
e. various lymphoid tissues
Lymph nodes, spleen, various lymphoid tissues
____ sites of immune cell birth and maturation
Primary lymphatic organs
___ sites of immune cell activation, residence, and functioning
Secondary lymphatic organs
What happens after B lymphocytes begin to express markers that identify them as B cells?
They complete their maturation in the bone marrow and then migrate to secondary lymphatic organs
Where do B lymphocytes complete their maturation? and where does it migrate to?
Bone marrow and migrate to secondary lymphatic organs
Where do T-cell complete maturation? and where does it migrate to?
Thymus and then migrates to secondary organs
A respiratory infection may lead to mild enlargement of the lymph nodes of the neck. What kind of condition would suspect if lymph nodes throughout the body were enlarged?
This could indicate a systemic condition, infectious or non infectious. Such as sepsis, blood cancer, or autoimmune disease
Where is the spleen located?
Upper-left portion of the abdominal cavity
Children who have had their spleen removed can live their life relatively normal (t/f)
False, children who have had their spleen removed are severely immunocompromised
How is the SKIN ASSOCIATED LYMPHOID TISSUE called?
SALT
How is the MUCOSA-ASSOCIATED LYMPHOID TISSUE called?
MALT
___ active source of lymphocytes in the pharynx
Tonsils
Gut-associated lymphoid tissue is constituted of
Appendix, lacteals and Payer’s patches
What are the peyer’s patches and where are they located?
Compact aggregations of lymphocytes in the ILEUM OF SMALL INTESTINE
What does whole blood consist of?
Blood cells and plasma
What is hematopoiesis?
Production of blood cells
___ primary precursor of new blood cells maintained in the bone marrow
Stem cells
What happens to stem cells during development?
They differentiate into the specialized form and function of mature cells
____ these cells are vitally important to nonspecific and specific immunity
White blood cells
____ Hundreds of small active molecules secreted to regulate, stimulate, suppress, and otherwise control many aspects of cell development, inflammation, and immunity
Cytokines
Reticulum
Support network of connective tissue fibers that permeate the tissues of body
Phagocytic cells enmeshes in reticulum network are also collectively called
Mononuclear phagocyte system (MPS)
Lymphatic fluid contains all of the following expect:
a. white blood cells
b. extracellular fluid
c. red blood cells
d. cellular debris
e. infectious agents
Red blood cells
First line of defense is
Inborn, non specific1
The presence of intestinal microbiota is considered
a. a first line of defense
b. a second line of defense
c. a third line of defense
d. none of the above
First line of defense
___ Forms a type of structural barrier
Human microbe /Microbial antagonism
Nonspecific Chemical Defense
Lysozyme
For each of the barriers bellow state whether is chemical of physical barrier.
- Hydrochloric acid of the stomach
- Sloughing of the skin
- Lysosome in saliva and tears
- Ciliary escalator
- Chemical
- Physical
- Chemical
- Physical
Second line of defense is
Generalized and nonspecific
Which immune responses does the second line of defense support and interact with?
Phagocytosis
Inflammation
Fever
Antimicrobial proteins
Phagocytosis general activities:
SURVEY THE TISSUE COMPARTMENTS discover microbes, particulate matter, and injured or dead cells
Types of phagocytosis
Neutrophlis, monocytes, macrophages
___ Primary component of pus and react early in the inflammatory response to bacteria
Neutrophlis
How are monocytes transformed into macrophages?
After they migrate out of the bloodstream and into the tissues
(t/f) other macrophages reside permanently in a particular tissue
False, other macrophages drift nomadically throughout the MPS
___ “eating cell”
Phagocyte
Events of phagocytosis
Chemotaxis Ingestion Phagolysosome Destruction Excretion
Pathogen-associated molecular patterns (PAMPs) signal molecules
- Serve as “red flags” for phagocytes and other innate immunity
- Bacterial PAMPs: peptidoglycan and lipopolysaccharide
- Viral PAMPs: double strand RNA
___ are found in phagocytes, dendritic cells, endothelial cells and lymphocytes
Pattern recognition receptors (PRRs)
Which of the following is not a sign of inflammation
a. rubor
b. calor
c. tumor
d. dolor
e. fever
Fever, this is a sign of infection
Inflammatory response can be___
Local or systemic
Some researchers believe that ___ is a consequence of increasing inflammation in multiple body systems
Aging
Chief functions of inflammations
To mobilize and attract immune components to the site of injury
Diapedesis
Leave the blood system into tissues
Chemotaxis
Migration of cells in response to a specific chemical stimulus
Benefits of edema and Leaky vessels
Pus, pyogenic (pus-forming)
Fever is considered the
Universal symptom of infection
Low-grade fever
37.7 to 38.3 Celcius or 100 to 101 F
High grade fever
40.0 to 41.4 C or 104 to 106 F
Exogeneous fever
Outside fever
Endogenous fever
Inside fever
Antimicrobial products
Complement and interferons
___ characteristics are
- degrade viral RNA
- Prevent translation of viral proteins
Interferons
What is the important outcome of complement cascade?
MEMBRANE ATTACK COMPLEX (MAC)
Membrane attack complex leads to
Leads to inappropriate flow of water and ions in and out of the cell, and EVENTUAL OF THE LYSIS OF CELL
___ are able to insert themselves into bacterial membranes and create a pore in the membrane
Antimicrobial peptides