complement system Flashcards

1
Q

acts as powerful opsonin

a. C3b
b. C5a
c. C3a
d. C5a

A

acts as powerful opsonin
- C3 b -> enhance of facilitate phagocytosis

acts as chemotaxin
- C5a

acts as anaphlatoxin
- C3a, C4a, and C5a -> promote inflammation

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2
Q

acts as chemotaxin

a. C3b
b. C5a
c. C3a
d. C5a

A

acts as powerful opsonin
- C3 b -> enhance of facilitate phagocytosis

acts as chemotaxin
- C5a

acts as anaphlatoxin
- C3a, C4a, and C5a -> promote inflammation

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3
Q

what are the electrolytes need for activation of complement

a. calcium
b. magnesium
c. chloride
d. potassium

A

ions involved

- Calcium and Magnesium

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4
Q

is a small polypetide that causes INCREASED VASCULAR PERMEABILITY, CONTRACTION OF SMOOTH MUSCLE AND RELEASE OF HISTAMINE from basophils and mast cell

a. opsonization
b. phagocytosis
c. anaphylatoxin
d. nota

A

anaphylatoxin
- small polypeptide
> causes :
increased vascular permeability
contraction of smooth muscle
release of histamine

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5
Q

in classical pathway :
binds to Fc of IgG and IgM

a. C1q
b. C1r
c. C1s
d. C4

A

c1q - binds to Fc of IgM and IgG

c1r - activates the C1s

C1s - cleaves C4 and C2

C4 - is part of c3 convertase (C4B)

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6
Q

in classical pathway:
it is KEY INTERMEDIATE TO ALL PATHWAY AND MOST CONCETRATED COMPLEMENT COMPONENT

a. c2
b. C3
c. C5
d. C6

A

c2 - binds to C4b - from C3 convertase

C3 - KEY INTERMEDIATE TO ALL PATHWAY AND MOST CONCETRATED COMPLEMENT COMPONENT

C5 - initiates MEMBRANE ATTACK COMPLEX (MAC)

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7
Q

in classical pathway
start to pore formation on membrane

a. c6
b. c7
c. c8
d. c9

A

c6 - BINDS TO c5B In MAC

C7 - binds to C5bC6 in MAC

c8 - start pore formation

c9 - polymerizes CELL LYSIS

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8
Q

alternative pathway
stabilizes C3 convertase and C5 convertase in the presence of magnesium

a. factor B
b. factor D
c. properdin

A

alternative pathway

Factor B
- binds C3B to from c3 convertase

Fcator D
- cleaves factor b

properdin
- stabilizes C3 convertase and C5 convertase in the presence of magnesium

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9
Q

MBL pathway
binds to mannose

a. MBL
b. MASP1
c. MASP2

A

MBL pathway

MBL
- binds to mannose

MASP -1
- helps to cleave C4 nad C@

MASP 2
- cleaves C4 and C2

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10
Q

which of the following deficient component is associated with athersclerosis

a. c2
b. c3
c. c4
d. c5-c8

A

C2

  • lupus like syndrome
  • recurrent infection
  • ATHEROSCLEROSIS
  • MOST COMMON DEFICIENCY
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11
Q

which of the following deficient component is associated with GLOMERULONEPHRITIS

a. c2
b. c3
c. c4
d. c5-c8

A

C3

  • SEVERE RECURRENT INFECTION
  • GLOMERULONEPHRITIS
  • MOST SEVERE DEFICIENCY
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12
Q

which of the following deficient component is associated with NO KNOWN DISEASE

A. C5-C8

b. C1 INH
c. C9
d. MBL

A

C9

- no known disease association

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13
Q

which of the following deficient component is associated with paroxysmal nocturnal hemoglobinuria

A. C5-C8

b. C1 INH
c. C9
d. MIRL

A

MIRL and DAF

- PNH

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14
Q

first complement pathway being studies

a. classical
b. alternative
c. properdin

A

classical pathway

  • fist complement pathway being studied
  • initiated by antigen antibody binding
  • recognition units ; C1q, C1r and C1s
  • activation units : C4 , C2 and C3
  • membrane attack complement : C5- C9
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15
Q

whgc ofthe following pathway bypass C1qrs , C4 and C2

a. classical
b. alternative
c. properdin

A

properdin / alternative pathway

  • 1st complement being discovered
  • bypass C1qrs, C4 and C2
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16
Q

what factor acts as a stabilizer for C3 convertase and c5 convetase in the presence of magnesium

a. Factor H
b. Factor P
c. Factor I
d. FActor B

A

properdin / alternative pathway

  • 1st complement being discovered
  • bypass C1qrs, C4 and C2
  • originally thought to be initiated by properdin or factor P
  • FACTOR P : acts as a stabilizer for C3 convertase and c5 convetase in the presence of magnesium
17
Q

which of the following methods is most frequently used to measure INDIVIDUAL COMPONENTS

a. RIA
b. nephelometry
c. HEmolytic titraton assay

A

measure individual component

  • radial immunodifusiom (RIA)
  • nephelometry

measure individual COMPLEMENT COMPONENTS
- ELISA

18
Q

it measures the amount of patient serum required to lyse 50% of stamderdized concentration of antibody sensitized sheep erythrocytes

a. RIA
b. nephelometry
c. HEmolytic titraton assay

A

Hemolytic titration assay
it measures the amount of patient serum required to lyse 50% of stamderdized concentration of antibody sensitized sheep erythrocytes

19
Q

rabbit red blood cells that have been sensitized with antibody are implemented in agarose and patient serum is added to wells punched in the gel

a. hemolytic titration assay
b. radial hemolysis
c. elisa

A

radial hemolysis

  • rabbit red blood cells that have been sensitized with antibody are implemented in agarose and patient serum is added to wells punched in the gel
  • lysis appear as a clear zone around each wel
20
Q

the best screen for complement abnormalities

a. hemolytic titration assay
b. radial hemolysis
c. elisa

A

hemolytic titration assay
- for functiion

ELISA
- best screen for complement abnormalities