Exam 2 (Ch. 21) Flashcards

1
Q

first line of defense

A

external body membranes (skin & mucosa)

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2
Q

second line of defense

A

antimicrobial proteins, phagocytes and other cells
-phagocytes, NK cells, inflammatory response, antimicrobial proteins & fever

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3
Q

third line of defense

A

B and T cells; attacks specific foreign substances

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4
Q

what are the 3 stages of an inflammatory response

A

stage 1: inflammatory and chemical release
stage 2: vasodilation and increase vascular permeability
stage 3: phagocyte mobilization

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5
Q

what occurs during stage 1 of the immune response

A

chemicals are released into ECF by injured tissues or immune cells

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6
Q

what occurs during stage 2 of the immune response

A

-vasodilation causes hyperemia (congestion with blood) that leads to redness and heat
-increased capillary permeability causes exudate (fluid containing clotting factors and antibodies) to leak into tissues and cause swelling

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7
Q

what occurs during stage 3 of the immune response

A

neutrophils flood the area first, followed by macrophages

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8
Q

four cardinal signs of inflammation

A

(1) redness
(2) heat
(3) swelling
(4) pain

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9
Q

what are the benefits of inflammation

A

-prevents the spread of damaging agents to nearby tissues
-disposes of cell debris & pathogens
-alerts the adaptive immune system
-sets the stage for repair

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10
Q

Molecules that make up the complement system and where would you find these molecules

A

consists of 20 blood proteins that circulate in blood in their inactive form
-includes proteins C1-C9, regulatory proteins and factors B, D & P

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11
Q

Different pathways that activate the complement system

A

(1) classical pathway
(2) lectin pathway
(3) alternative pathway

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12
Q

three different outcomes once the complement system is activated

A

(1) enhances inflammation
(2) promotes phagocytosis
(3) causes cell lysis

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13
Q

Characteristics of adaptive immunity

A

specificity- recognizes and targets specific antigens
systemic- not restricted to the initial state
memory- mounts an even stronger attack to known antigens upon repeated exposure

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14
Q

which lymphocyte activates humoral immunity

A

B cells

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15
Q

which lymphocyte activates cellular immunity

A

T cells

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16
Q

what occurs during humoral immunity

A

antibodies produced by B lymphocytes circulate freely in body fluids and temporarily bind & inactivate an extracellular target, marks them for destruction

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17
Q

what occurs during cellular immunity

A

T cells directly (kill infected cells) or indirectly (release chemicals to enhance inflammation or activate lymphocytes/macrophages) kill cancer cells or cells infected by a microbe

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18
Q

2 major population of T cells

A

(1) CD4 cells (helper/regulatory)
(2) CD8 cells (cytotoxic)

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19
Q

Cell surface markers that define each T cell population

A

CD4 glycoproteins- helper and regulatory T cells
CD8 glycoproteins- cytotoxic T cells

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20
Q

which T cells activate B cells or other T cells and macrophages; direct the adaptive immune response

A

Helper T cells

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21
Q

which T cells destroy cells with foreign antigens

A

Cytotoxic T cells

22
Q

which T cells respond to class I MHC proteins

23
Q

which T cells respond to class II MHC proteins

24
Q

which T cells slows or stops activity of the immune system by secreting inhibitory cytokines and transforming factor growth beta

A

regulatory T cells

25
Q

which T cells control autoimmune diseases; suppress self-reactive lymphocytes

A

regulatory T cells

26
Q

helper t cell that mediates most aspects of cell immunity

27
Q

helper t cell that defends against parasitic worms, mobilizes eosinophils, activates responses dependent on humoral immunity and promotes allergies

28
Q

helper t cell that links adaptive and innate immunity by releasing IL-17

29
Q

substances that can mobilize adaptive defenses and provoke an immune response

30
Q

what are antigens

A

mostly large, complex molecules not normally found in the body (foreign intruders/ non-self)

31
Q

two important functions of complete antigens

A

(1) immunogenicity - the ability to stimulate specific lymphocytes to proliferate
(2) reactivity - the ability to react with the activated lymphocytes and the antibodies released by immunogenic reactions

32
Q

antigenic determinants

A

parts of the antigen that antibodies or lymphocyte receptors bind to

33
Q

what are the two processes associated with lymphocyte education

A

(1)positive selection - selects T cells capable of recognizing self MHC proteins
(2) negative selection- t cells that bind to self-antigens displayed by self MHC undergo apoptosis

34
Q

what is the purpose of positive and negative selection

A

immunocompetence
and self-tolerance

35
Q

proteins released from virus infected cells & certain lymphocytes that acts as chemical messengers to protect uninfected cells from viral infection and mobilize the immune system

A

interferons

36
Q

IFN- alpha and IFN-beta

A

enter neighboring cells to stimulate production of proteins that block viral production and degrade viral RNA; activate NK cells

37
Q

IFN-gamma

A

secreted by lymphocytes and activates macrophages

38
Q

cell proliferation after the first exposure to an antigen

A

primary immune response

39
Q

re-exposure to the same antigen that gives faster, more prolonged and more effective response

A

secondary immune response

40
Q

which immune response;
-has a lag period of 3-6 days for antibody production to begin
-peak levels of plasma antibody are reached in 10 days
-antibody levels then decline

41
Q

which immune response;
-has sensitized memory cells
-antibody production is immediate with peak levels in 2-3 days at much higher levels and with greater affinity
-high antibody levels for weeks to months

42
Q

humoral immunity that occurs when B cells naturally encounter antigens and produce specific antibodies against them

A

Active humoral immunity

43
Q

humoral immunity that occurs when ready made antibodies are introduced into the body, B cells are not activated by the antigen and immunological memory does not occur

A

passive humoral response

44
Q

how do humans acquire naturally acquired active immunity

A

formed in response to bacterial or viral infection

45
Q

how do humans acquire artificially acquired active immunity

46
Q

how do humans acquire naturally acquired passive immunity

A

antibodies delivered to fetus via placenta, or to infant via milk

47
Q

how do humans acquire artificially acquired passive immunity

A

injection of serum such as gamma globulin

48
Q

what are the two benefits of vaccines

A

(1) weakend antigens provide functional antigenic determinants that are both immunogenic and reactive
(2) spare us from symptoms

49
Q

what is in a vaccine

A

pathogens that are dead or attenuated or their components; mRNA that codes for a viral protein

50
Q

how are antibodies produced

A

secreted in response to an antigen by plasma cells

51
Q

4 mechanisms of antibody action

A

(1) Neutralization
(2) agglutination
(3) precipitation
(4) component fixation