Chapter 3: Immunity and Abnormal Responses Flashcards

1
Q

What is an antibiotic

A

A substance derived from microorganisms that is used to treat infections

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2
Q

What is an antimicrobial

A

An agent that kills or inhibts growth and reproduction of microorganisms

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3
Q

What is an antiviral

A

An agent that kills a virus or that suppresses its ability to replicate and, hence, inhibits its capability to multiply and reproduce.

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4
Q

What are antibodies

A

AKA IMMUNOGLOBULIN
protein that fights infections
produced by B cells in the body in response to the presence of an antigen

ex) bacterium or virus

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5
Q

What is bronchoconstriction

A

Contraction of smooth muscle in bronchioles, narrowing the airways

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6
Q

What is colostrum

A

Provides protection for newborn child

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7
Q

What is a complement

A

A series of inactive proteins circulating in the blood; when activated, they can destroy bacteria or antigens, or participatie in the inflammatory response

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8
Q

What is cytotoxic

A

A substance that destroys or kills cells

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9
Q

What is encephalopathy

A

Impaired function of the brain

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10
Q

What is erythema

A

Redness and inflammation of the skin or mucosa due to vasodilation

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11
Q

What is a fetus

A

The human child in utero between 8 weeks and birth

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12
Q

What is a glycoprotein

A

A combination of preotein and carbohydrate

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13
Q

What is hypogammaglobulinemia

A

low antibody levels because of B-cell defect

*Immunodeficiency

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14
Q

What is hypoproteinemia

A

Abnormally low level of plasma protein in the blood

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15
Q

What are mast cells

A

Located in tissues, they release chemicals such as histamine, heparin, and bradykinin in response to injury or foreign material

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16
Q

What are monocytes

A

type of white blood cell: a large circulating white blood cell, formed in the bone marrow and in the spleen, that has a single well-defined nucleus and consumes large foreign particles and cell debris

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17
Q

What is the monoculear phagocytic system

A

aka reitculoendothelial system
Macrophages kill bacteria and process and display antigens from the foreign material on their cell membranes, lympocytes respond which initiate the immune response

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18
Q

What is a mutate

A

Strains of cells that change over time

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19
Q

What is an opportunistic

A

A microorganism, normally nonpathogenic, that causes infectous disease when the person’s resistance is reduced, microbial balance is upset, or the microbe is transferred to another part of the body

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20
Q

What is a placenta

A

A vascular organ that develops inside the uterus of most pregnant mammals to supply food and oxygen to the fetus through the umbilical cord.

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21
Q

What is a polymerase chain reaction

A

PCR

technology that is used to rapidly replicate the genetic material of DNA in a lab

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22
Q

What is prophylactic

A

A measure or drug to prevent disease

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23
Q

What is pruritic

A

itchy

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24
Q

What is replication

A

reduced during the latent phase

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25
Q

What is a retrovirus

A

A virus containing RNA and the enzyme reverse transcriptase, required to convert RNA to DNA that is then integrated with the host cell DNA

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26
Q

What is a splenectomy

A

Removal of the spleen

27
Q

What are stem cells

A

A basic cell that may divide to give rise to a variety of specialized cells

Ex- the blood cells

28
Q

What is a thymus

A

Gland located in the mediastinum
Large in children
Decreasing in size in adults
Site of maturation and proliferation of T-lymphocytes

29
Q

What is a titer

A

Measure of specific antibodies

30
Q

What are vesicles

A

A small thing-walled sac containing fluid

Ex- a blister

31
Q

What is the purpose of the immune system

A

Specific defense responding to particular substances, cells, toxins or proteins that are “foreign” to the body

Recognize and remove undesirable material from the tissue

32
Q

What does the immune response do?

A

1) Distinguishes self vs. non-self
2) Destroys unknown material
3) Memory cells remember specific non-self antigens and has a specific response= immunity
* assisted by general defense mechanisms such as phagocytosis and the inflammatory response

33
Q

List the structures of the immune system

A
Pharyngeal tonsil (adenoid)
Palatine tonsil
Lymph nodes (cervical)
Lymphatic vessels
Axillary lymph nodes
Thymus
Intestinal lymph nodes
Inguinal lymph nodes 
Bone marrow
34
Q

What is significant during fetal development so that the immune system ignores self antigens?

A

Thymus

35
Q

Where do immune cells originate?

A

Bone marrow

36
Q

What does an antigen do?

A

Activates the immune system to produce matching antibodies

37
Q

What are antigens composed of?

A

Complex proteins
polysaccharides
glycoproteins

38
Q

What is located on chromosome 6?

A

MHC- major histocompatibility complex

  • activates and regulates the immune response as well as intracellular communication
  • detects change in cell membranes
39
Q

What is HLA and what does it do?

A
  • human leukocyte antigen

* provide close match for a tissue transplant

40
Q

What are mature lymphocytes also known as and what do they do?

A

Immunocompetent cells

*recognize and react with antigens in body

41
Q

T lymphocytes (T cells)

A

Cell- mediated immunity that recognize antigens and destroys antigen!

Ex) virus-infected cells
Fungal
Protozoal infections
Cancer cells
Foreign cells
42
Q

B lymphocytes (B cells)

A

Humoral immunity

*mature in bone marrow and then proceed to spleen and lympoid tissue. Act against bacteria and viruses.

43
Q

What determines the progroess of HIV?

A

The ratio of CD4-CD8 cells

normal is 2:1

44
Q

What is natural immunity

A

Species specific

45
Q

What is innate immunity

A

Gene specific r/t ethnicity

46
Q

What is primary response

A

Happens when first exposed to antigen
Antigen is recognized and processed and antibodies and T cells are initiated.
Takes about 1-2 weeks.

47
Q

What is the secondary response?

A

Rapid result of antibodys because memory cells remember because of the repeated exposure to the antigen

48
Q

What are the four ways to acquire immunity?

A

Active Natural Immunity (ANL)
Active Artifical Immunity (AAI)
Passive natural Immunity (PNL)
Passive artifical Immunity (PAI)

49
Q

Natural Active

A

Chicken pox
Memory: Yes
Pathogen enters bod- ILLNESS- antibodies form in host

50
Q

Active Artifical

A

Vaccine (live or attenuated) injected
NO ILLNESS but antibodies form
Memory: YES

Ex) Measles vaccine=immunity

51
Q

Natural passive

A

Antibodies passed directly from mother to child to provide temporary protection
Memory: NO

Ex) Placental passage during pregnacy or ingestion of breast milk

52
Q

Artifical passive

A

Antibodies injected into person to provide temporary protection or minimize severity of injection
Memory: NO

Ex) Gammaglobulin if recent expose to microbe
Rabies antiserum
Snake antivenom

53
Q

Types of Tissue or Organ Transplants

A

Allograft (homograft)- one human to another

Isograft- between twins

Autograft- Tissue transferred from one part of the body to another part (skin or bone)

Xenograft (heterograft) Tissue transferred from one species to a different (pig to human)

54
Q

Rejection of transplant

A

Destroys organ
Survival time is increased when HLA is excellent, donor is living and when immunosuppreseive drugs are taken regularly.
Infants immune system doesn’t reject because immature

55
Q

Rejection

A

Hyperacute- immediately after transplant

Acute rejection- several weeks when unmatched antigens cause a reaction

Chronic- late rejection that occurs after months or years with gradual degeneration of the blood vessels

56
Q

Immunosuppression

A

Technique used to reduce the immune response to prevent injection

cylcosporines
azathioprine
prednisone
glucocoricoid
*RISK FOR INFECTION*
57
Q

Types of Hypersensitivities

A

I- hay fever/anaphylaxis
II- ABO blood incompatibility
III- Autoimmune disorders; SLE, glomerulonephritis
IV- Contact dermatitis, transplant rejection

58
Q

Anaphylaxis

A

life-threatening, systemic hypersensitivity reaction that leads to decreased blood pressure, airway obstruction and severe hypoxia.
*Shellfish
*Latex
*Bee stings
*Nuts
EPI PEN IS NEEDED!
S/S itchy throat, edema, dyspnea, wheezing, anxiety

59
Q

Autoimmune Disorders

A

Autoimmmune disorders occur when individuals develop antibodies to their own cells or cellular material and these antibodies then attack the individual’s tissues. The term autoantibodies formed against self-antigens.

Immune system is unable to differentiat self from non-self– then inflammation occurs and necrosis of tissue.

60
Q

SLE

A

Butterfly rash
More women 20-40 yr old.
Hormonal and genetic, cause is not known.

Patho: large #s of autoantibodies in DNA, platelets, erythrocytes, nucleic acids and ANAS.
Connective tissue and inflammation anywhere in body

S/S skin rash joint inflammation anemia chest pain raynnaud’s phenomenon

DX: ANA anti-DNA in blood, mature neutrophils containing nuclear material, low complement levels, elevated ESR,

TX: Prednisone, nsaids, avoid sun and being fatigue

61
Q

Secondary or acquired immunodeficiency

A

loss of immune response due to viral infection, splenectomy, malnutrition, liver disease, radiation, chemo, organ transplants, etc.

62
Q

Primary deficiencies

A

involve basic development failure somewhere in the body

ex) bone marrow’s production of stem cells, the thymus or the synthesis of antibodies.

63
Q

Immunnodeficiency

A

risk for infection!

BE CAREFUL, TELL DENTIST, TAKE ANTIBOTIC BEFORE SURGERY

64
Q

HIV/Aids

A

is transferred through direct contact of body fluids (blood, semen, vaginal secretions)

live longer now, take a cocktail of medications

DX:ELISA test and western blott

s/s
few weeks: flu like symptoms
prolonged 2nd stage: no s/s, enlarged lymph nodes
final acute: major complications, encephalopathy, cancers, major infections

TX: antiviral drugs: AZT