CPA #17 Questions Flashcards

1
Q

Define: phagocytosis

A

“eating of a cell”; a way some microbes obtain nutrients; phagocytes use this to rid the body of pathogens to protect the body

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2
Q

what are the 6 steps of phagocytosis?

A
  1. chemotaxis
  2. adhesion
  3. ingestion
  4. maturation
  5. killing
  6. elimination
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3
Q

define: chemotaxis

A

movement of a cell either toward or away from a chemical stimulus (toward = positive; away = negative)

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4
Q

define: adhesion (phagocytosis)

A

at site of infection; phagocytes attach to microorganisms through binding of complementary chemicals; pathogens are more readily phagocytized if they are covered with antimicrobial proteins (opsonins)

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5
Q

define: opsonins

A

antimicrobial proteins that cover the pathogen allowing for phagocytosis

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6
Q

define: opsonization

A

the process of covering pathogens with antimicrobial proteins

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7
Q

define: ingestion (phagocytosis)

A

after adhering to pathogens, phagocytes extend pseudopods to surround microbe; pseudopods fuse together to form food vesicle (phagosome)

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8
Q

define: maturation (phagocytosis)

A

lysosome adds digestive chemicals to the maturing phagosome (phagolysosome)

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9
Q

define: phagolysosome

A

contain antimicrobial substances & 30+ different enzymes to destroy the engulfed microbes

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10
Q

define: killing (phagocytosis)

A

phagolysosome kills the engulfed microbe

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11
Q

define: elimination (phagocytosis)

A

phagocytes eliminate the remaining portions of microbe via exocytosis

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12
Q

define: eosinophilia

A

abnormally high number of eosinophils in the blood (typically from helminth infestation or allergies)

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13
Q

unusual action that eosinophils can perform

A

lipopolysaccharide from Gram- bacteria trigger eosinophils to rapidly eject mitochondrial DNA to combine with eosinophil proteins to create a barrier; this barrier binds to and kills the bacteria

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14
Q

define: NK cells

A

natural killer lymphocytes; defensive leukocyte; innate immunity

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15
Q

explain NK cell function

A

secretes toxins onto surfaces of virally infected cells and neoplasms (tumors); identify and spare normal body cells due to similarities with the proteins of NK cells; naturally programmed to kill other cells

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16
Q

define: neutrophil NETs

A

neutrophil extracellular traps; extracellular fibers; cellular suicide involving disintegration of own nuclei

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17
Q

how can neutrophils kill by forming NETs

A

as the neutrophil cell dies, the NETs are released, trapping Gram- & Gram+ bacteria along with antimicrobial peptides, killing the bacteria

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18
Q

define: inflammation

A

general, non-specific response to tissue damage resulting from a variety of causes, including heat, chemicals, UV, pathogens, etc.

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19
Q

define: acute inflammation

A

develops quickly, short lived, typically beneficial, and results in the elimination of whatever condition caused it (helpful)

20
Q

define: chronic inflammation

A

causes damage, sometimes death, to tissues, resulting in disease (harmful)

21
Q

what are the 4 signs and symptoms of inflammation?

A
  1. redness (rubor)
  2. localized heat (calor)
  3. edema (swelling)
  4. pain (dolor)
22
Q

define: vasodilation

A

increase in diameter of blood vessels in affected region

23
Q

which s+s of inflammation is vasodilation involved in?

A

all 4; increased dilation causes the redness + local heat; the increased permeability of venules can lead to increased fluid in surrounding tissues, causing edema + pain

24
Q

what chemical causes vasodilation of arterioles?

A

histamine

25
Q

what cells secrete histamine?

A

basophils, platelets, and mast cells

26
Q

define: fever

A

body temp above normal (above 37C)

27
Q

what controls fever?

A

hypothalamus

28
Q

what chemicals are secreted that affect fever?

A

pyrogens

29
Q

define: pyrogens

A

chemicals that trigger the hypothalamus to reset at a higher temp; include bacterial toxins, antibody-antigen complexes

30
Q

why do chills occur with fever?

A

as the fever progresses, blood vessels on the skin constrict (vasoconstriction); less blood to the skin causes them to feel cold to the touch and less red

31
Q

define: antigen

A

portions of of cells, viruses, and parts of single molecules that the body recognizes as foreign and worthy of attack; biochemical shapes

32
Q

define: epitopes

A

the 3D shape of a region of an antigen; determine the immune response caused; aka antigenic determinants

33
Q

what are the 3 types of antigens?

A
  1. exogenous antigens
  2. endogenous antigens
  3. autoantigens
34
Q

define: exogenous antigens

A

come from outside the body’s cells and include toxins and other secretions/components of microbial cell walls, membranes, etc.

35
Q

define: endogenous antigens

A

produced by protozoa, fungi, bacteria, and viruses that reproduce inside a body’s cells; the immune system cannot assess the internal health of the body’s cells; only responds when the antigens are incorporated into cytoplasmic membrane

36
Q

define: autoantigens

A

derived from normal cellular processes; aka self-antigens

37
Q

define: self-tolerance

A

process of eliminating immune cells that attack autoantigens; which prevents the body from starting an immune response against itself

38
Q

define: antibodies

A

free immunoglobulins (not attached to a membrane); ‘Y’ shaped; bind with antigens

39
Q

define: agglutination

A

multiple antibodies can aggregate antigens together

40
Q

define: ABO system

A

two antigens (‘A’ and ‘B’); RBCs have either A/B, A+B, or neither (‘O’)

41
Q

define: transfusion reactions

A

the blood recipients own immune system attacks the donor blood; the donor blood triggers the reaction

42
Q

define: hemolysis

A

rupturing of blood cells; can occur during a transfusion reaction

43
Q

define: Rh antigen

A

on outside of blood cell, either +/- ; 85% of population is Rh+ and 15% is Rh-

44
Q

define: RhoGAM

A

anti-Rh immunoglobulin (IgG) which destroys the fetal cells before they can trigger an immune response

45
Q

define: hemolytic disease of newborn

A

Rh- mother is pregnant with Rh+ baby; fetal blood cells escape into mothers bloodstream and trigger immune response