Immune System III Flashcards

1
Q

B lymphocytes, making antibodies

A

humoral

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2
Q

T lymphocytes, two subdivisons

A

cellular

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3
Q

type of T lymphocyte
in all cells
any cell can do this

A

cytotoxic T cells (killer)

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4
Q

initiated by phagocytes

type 1 diabetes is a problem with these

A

Helper T cells

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5
Q

how do cytotoxic cells work

A

they bind to MHC presentations of self and anti self and proligerate

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6
Q

how do cytotoxic cells attack viral infected and cancerous cells

A

with perforins
“punch” holes in the cells with infection
killer T cell mechanism

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7
Q

why are Helper T cells so important

A

they are central to stimulating both humoral and cell mediated immunitiy

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8
Q

how do Helper T cells work

A

don’t kill infection themselves

help fully “turn on” other immune defenses by chemical signals (activates B and cytotoxic T cells)

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9
Q

what is a virus that attacks Helper T cells

A

AIDS

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10
Q

this is 10% of diabetes in the US

aka juvenile onset

A

Type 1 diabetes

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11
Q

what is an autoimmune disease

A

immune system makes a mistake and attacks own cells(self)

usually a specific type of cell

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12
Q

what occurs in Type 1 diabetes

A

beta cells of pancreas that make insulin are marked as foreign and attacked
causes lack of sufficient insulin

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13
Q

is Type 1 diabetes reversible?

A

no, insulin dependent for the rest of their lives

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14
Q

what causes Type 1 diabetes?

A

insulin attacking Helper T cells

stimulates B-cells to make antibodies that attack cells that produce insulin

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15
Q

this is 90% of diabetes in the US

A

Type 2 diabetes

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16
Q

what occurs in Type 2 diabetes

A

body makes sufficient insulin
body’s cells have become resistant to insulin
(doesn’t have appropriate response)

17
Q

what is Type 2 diabetes also known as

A

adult on-set due to being overweight and inactive

18
Q

is Type 2 diabetes reversible?

A

if patient exercises and gets healthy(eating)

19
Q

what does elevated blood sugar levels sometimes insinuate

A

hyperglycemia

20
Q

how does hyperglycemia work

A

extremely high levels of blood sugar but does not go into cells
as a result, cells are starving as food cannot get to them

21
Q

describe hyperphagia

A

high levels of eating(driven to eat food)
cells aren’t getting enough food
body tells them to eat more

22
Q

describe polydipsia

A

extremely thirsty

driven to drink a lot

23
Q

describe ployuria

A

pee a lot
urinate in huge volume due to osmosis
pulls water with glucose as it goes through renal tubule

24
Q

what is glucouria

A

glucose in urine

exceed transport in kidneys

25
what are the symptoms of untreated diabetes
hyperglycemia, hyperphagia, polydipsia, polyuria, glucouria
26
what is the transport maximum
greatest amount of glucose that can be reabsorbed
27
what occurs in the PCT of a patient with type 2 diabetes
run out of co transports for glucose | still glucose in the filtrate, so it goes into the urine if there are no more co transports(saturated)
28
what is the short term diagnosis for determining whether someone has diabetes
glucose tolerance test
29
what is the fasting blood glucose of a healthy individual versus a diabetic individual
healthy: < 100 mg/dl diabetic: > 100 mg/dl
30
is the long term or short term test more accurate
long term, its better
31
what is the long term test
advanced glycation end products(AGEs)
32
describe the AGEs test
accumulate with age proteins with glucose attached higher in diabetics glycated hemoglobin
33
what is the lifespan of hemoglobin
3 months
34
what is glycated hemoglobin
HbA1C they indicate they've been damaged by sugar
35
what does a healthy person have a blood sugar level of over 3 months
97 mg/dl and HbA1C at 5%
36
what does a pre-diabetic person have a blood sugar level of over 3 months
"still healthy" | 126 mg/dl and HbA1C at 6%
37
what does a diabetic person have a blood sugar level of over 3 months
154 mg/dl and HbA1C at 7%
38
what does someone with bad diabetes have a blood sugar level of over 3 months
183 mg/dl and HbA1C at 8%