Deck III Flashcards

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1
Q

Maternal blood types A and B antibodies are of what immunoglobulin class?

A

IgM.

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2
Q

Maternal blood type O antibodies are of what immunoglobulin class?

A

IgG.

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3
Q

Where do B cells aggregate in lymph nodes?

A

In germinal centres.

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4
Q

Where do T cells and dendritic cells primarily aggregate in lymph nodes?

A

In the paracortex.

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5
Q

What types of bacteria contain polysaccharide capsules which can be covalently bound to protein carriers and used as vaccine antigens?

A

Encapsulated bacteria.

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6
Q

Name four approved protein carriers that are used as vaccine antigens.

A

Mutant nontoxic diptheria toxin, Neisseria meningitidis outer membrane protein complex, and tetanus toxoid.

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7
Q

What is the pathophysiology associated with polymyositis?

A

Damage to myocytes with overexpression of MHC Class I proteins on the sarcolemma leads to infiltration with CD8+ T lymphocytes and myocyte damage.

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8
Q

Which cytokines preferentially promote B cell IgE production?

A

IL-4 and IL-13.

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9
Q

Which cytokine promotes eosinophil production?

A

IL-5.

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10
Q

Where do T-lymphocytes undergo positive selection?

A

Thymic cortex.

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11
Q

Where do T-lymphocytes undergo negative selection?

A

Thymic medulla

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12
Q

Describe the process of transmigration in inflammatory leukocyte accumulation.

A

Neutrophils migrate out of the vasculature by squeezing in between the cells via integrin attachments and adherence to platelet endothelial cell adhesion molecule I (PECAM-1) which is a protein found primarily at the peripheral intercellular junctions of endothelial cells.

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13
Q

What cell types are primarily responsible for clonal proliferation/ response to the EBV virus?

A

CD8+ lymphocytes.

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14
Q

Describe a CD8+ lymphocyte as seen on peripheral blood smear.

A

Cells much larger than quiescent lymphocytes with abundant cytoplasm, an eccentrically placed nucleus and a cell membrane that appears to conform to the borders of neighbouring cells.

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15
Q

Name the four seronegative spondyloarthropathies.

A

Ankylosing spondylosis, psoriatic arthritis, arthritis associated with IBD, and reactive arthritis.

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16
Q

What is the most important virulence factor expressed by uropathogenic E. Coli?

A

P fimbriae.

17
Q

What contributes to host defense against Candida infection?

A

T-lymphocytes and neutrophils; T-lymphocytes prevent spread of superficial infection; neutrophils prevent hematogenous spread.

18
Q

What histopathology is most consistent with acute heart rejection?

A

Acute cardiac rejection is a cell-mediated process. It consistes of a dense infiltrate of mononuclear cells, usually composed primarily of T-lymphocytes.

19
Q

How do interferons mediate damage to virally infected cells?

A

By decreasing protein synthesis by infected cells. mRNA of both viral and host cells is degraded.

20
Q

How does high dose IL-2 significantly reduce tumor burden in renal cell carcinoma and metastatic melanoma?

A

By enhanced activity of NK cells.

21
Q

What is the function of IL-2?

A

To promote growth of B cells, to activate NK cells, to activate myocytes, to stimulate the growth, differentiation, and survival of antigen specific CD4+ T cells and CD8+ T cells.

22
Q

What causes jejunal, ileal, and duodeonal atresia?

A

Vascular accidents in utero- diminished perfusion leads to ischemia and narrowing; NOT caused by congenital malformations

23
Q

What area of the bowel is most often affected by vascular ischemia in utero?

A

The ileum.

24
Q

What occurs as a result of superior mesenteric ischemia in utero?

A

Apple peel atresia ending in a blind ending proximal jejunum with absence of the long length of the small bowel and dorsal mesentary. The terminal ileum distal to the atresia assumes a spiral configuration around an ileocolic vessel.

25
Q

What artery may be perforated by an ulcer of the posterior duodenal wall?

A

Gastroduodenal artery

26
Q

Hydrocele (e.g. scrotal enlargement) is formed by a similar mechanism?

A

Indirect inguinal hernia (formed by an anatomical communication)

27
Q

The IVC is formed by the union of what veins?

A

Formed by the union of the common illiac veins.

28
Q

At what vertebral level do the renal arteries lie?

A

L1.

29
Q

What are the two most common causes of eugonadotropic amenorrhea?

A

Incomplete canallization of the vaginal plate or mullerian duct anomalies

30
Q

When is eugonadotropic amenorrhea a likely diagnosis?

A

In conditions where the patient has fully developed secondary sexual characteristics (i.e. normal levels of estrogens and gonadotropins)