Etc. Flashcards

1
Q

What T cell response plays a role in the pathogenesis of shock after the binding of a superantigen?

A

Secretion of cytokines

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2
Q

What is the most important protective function of IgM in an extracellular bacterial infection?

A

Complement activation

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3
Q

Upon rechallenge with a microbe, a person is protected from infection. What accounts for this?

A

Long-lived plasma cells are actively producing antibodies in the absence of antigen.

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4
Q

What is the mechanism by which immune complexes are cleared from circulation?

A

C3b solubilizes ICs and attaches to red blood cells via complement receptors

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5
Q

What is the most efficient class of antibody at activating complement?

A

IgM

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6
Q

Which cells are granulocytes?

A

Neutrophils
Eosinophils
Basophils

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7
Q

Dendritic cells play a vital role in activation of which cells?

A

T helper cells

Memory cells

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8
Q

B cells represent what percentage of total lymphocyte population?

A

25%

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9
Q

TH1 cells promote ______ and ________, or TH2 cells, which promote _____ and ______.

A

cytotoxic T cells / cell-mediated immunity

B cells / humoral immunity

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10
Q

Which antibody has a dimeric structure?

A

IgA

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11
Q

What are the functions of antibodies in extracellular infections?

A
  1. Neutralization of toxins
  2. Opsonization of pathogens
  3. Activation of complement
  4. Activation of effector cells
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12
Q

What is the humoral response dependent upon?

A

T helper cells activating B cells

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13
Q

Which cytokines secreted by CD4 cells promote B cell development?

A

IL-2
IL-4
IL-5

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14
Q

Which immune response is designed to fight intracellular infections and protozoans such as Plasmodium and Toxoplasma?

A

Cell-mediated immunity

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15
Q

What happens after a Th1 cell recognizes an antigen on MHC II of a B cell?

A

It activates the B cell by expressing CD40L (second signal) and secreting IFN-gamma. Once activated, the B cell/APC will ramp up production of NO and superoxides.

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16
Q

What are some intracellular fungi?

A

Histoplasma, Cryptococcus and Pneumocystis

17
Q

What are some intracellular protozoa?

A

Toxoplasma
Leishmania
Plasmodium

18
Q

Which cytokine activates Th1 cells and NK cells?

A

IL-12

19
Q

Second degree sunburn

A

Necrotic epidermis

Dermal hyperemia

20
Q

Third degree sunburn

A

Necrosis of dermis AND epidermis

Fluid loss

21
Q

Is Imatinib specific for the Bcr-Abl oncogene product?

A

Imatinib is a low-molecular-weight competitive inhibitor of the ATP binding site of Bcr-Abl, c-Abl, platelet-derived growth factor receptor (PDGFRa and b), and c-Kit; hence it is NOT absolutely specific for the Bcr-Abl oncogene product.

22
Q

In 532 chronic phase CML patients in whom interferon treatment had failed, what percentage obtained a hematologic complete response?

A

95% obtained a hematologic complete response, with only 9% relapse after a median follow-up of 18 months

23
Q

Cytarabine mechanism

A

2’-deoxycytidine analog;
phosphorylated to aracytidine triphosphate;
2’-hydroxyl trans to 3’-hydroxyl hinders rotation of base and inhibits DNA chain elongation

Inhibits DNA polymerase
24
Q

Cytarabine toxicity

A

Bone marrow depression

25
Q

Hydroxyurea

A

Mechanism: inhibits ribonucleotide reductase (RNR) enzyme (crucial enzyme in the conversion of ribonucleotides into deoxyribonucleotides necessary for making DNA)

Side effects: Myelosuppression, nausea, vomiting, loss of appetite, mouth sores, diarrhea, constipation

26
Q

Methotrexate mechanism

A

Folic acid antagonist

Inhibits dihydrofolate reductase (interferes with synthesis of thymidylate, purine nucleotides, and amino acids serine and methionine -DNA, RNA and protein)

27
Q

What is the first line of treatment for CML relapse?

A

Ponatinib

28
Q

Ponatinib mechanism

A

Inhibits T3151

29
Q

Wiskott-Aldrich clinical manifestation

A

Recurrent pyogenic infections in infants
Severe thrombocytopenia
Eczema