Immune Diseases Flashcards

0
Q

Cell-mediated immunity protects against:

A

Intracellular microbes and tumor cells

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1
Q

Humoral immunity protects against:

A

Extracellular microbes and toxins

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2
Q

What can be used to determine if T cell proliferation is neoplastic?

A

TCR gene rearrangement analysis

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3
Q

This can be used to determine if there is neoplastic B cell proliferation.

A

Ig gene rearrangement analysis

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4
Q

90% of patients with ankylosing spondylitis test positive for this gene defect:

A

HLA-b27

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5
Q

What are two ways that HLA testing can be used?

A

Transplant-donor match up

Determine disease risk of certain inherited diseases

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6
Q

The susceptibility of certain hypersensitivity reactions can be done by screening what genes?

A

HLA

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7
Q

This type of hypersensitivity is due to excess degranulation of mast cells by IgE.

A

Type 1 hypersensitivity

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8
Q

How soon after exposure does Type 1 hypersensitivity take hold?

A

minutes after antigen combining with IgE antibody

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9
Q

Upon activation, mast cell release the following mediators of cellular response

A

ECF, NCF, PAF

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10
Q

What does the acute phase reaction of type 1 hypersensitivity look like?

A

Vasodilation, congestion, edema

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11
Q

What does the late phase reaction of type 1 hypersensitivity look like?

A

Eosinophil, T cell, neutrophil infiltrate

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12
Q

How does venom immunotherapy work?

A

Continuous injections of the allergen so that the body builds up a large IgG response. When the allergen enters at an unknown time, IgG attach and prevent binding by mast cells

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13
Q

When antibodies react to the surface of normal or slightly altered cell membrane proteins, it is considered this type of hypersensitivity.

A

Type II sensitivity

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14
Q

What is Goodpasture syndrome?

A

Antibodies attack antigens intrinsic to the glomerular basement membrane.

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15
Q

What type of hypersensitivity is myesthenia gravis?

A

Type II

16
Q

What type of hypersensitivity reaction is pemphigus vulgaris?

A

type II

17
Q

When an antigen, covered by antibodies, causes inflammation at the spot of deposition, it is what type of hypersensitivity?

A

Type III

18
Q

What pathological finding is normal to be seen in a type III hypersensitivity?

A

Granulomas

19
Q

What cells are indicated in type IV hypersensitivity?

A

T cells

20
Q

What are the two mechanisms of Type IV Hypersensitivity?

A

T cell mediated cytotoxicity

Delayed type hypersensitivity reaction

21
Q

What mechanism is characterized by a reaction when, upon repeat exposure to the antigen, CD4+ TH1 cells or CD8 cells respond to tissue antigens by secreting cytokines that stimulate inflammation and activate phagocytes, leading to tissue injury.

A

Delayed type hypersensitivity

22
Q

What type IV mechanism is characterized by CD8 T cells directly killing tissue cells?

A

T-cell mediated cytolysis

23
Q

What mechanism of Type IV HS reaction is indicated in the Mantoux test?

A

Delayedtype

24
Q

What mechanism of Type IV HS reaction results in Graft-Host rejection or Type I diabetes?

A

T cell mediated cytolysis