Immunochemistry Flashcards
1
Q
Multiple myeloma
A
1 type of Ig produced in large quantities
- Paraproteinemia
- Lytic bone lesions
- Spontaneous fractures
- Inc. beta2 microglobulin
- Hypercalcemia, Hypercalcuria
- Anaemia
2
Q
Bence Jones proteinuria
A
- Monoclonal light chains excreted in urine due to asynchronous production of H, L chains
- B-J proteins ppt b/w 45-60 C
- May block kidney tubules causing renal failure
- +ve Bradshaw test
3
Q
Heavy chain disease
A
- incomplete synthesis of H chains
- gamma chain: hepatosplenomegaly, lymphadenopathy
- alpha chain: abdominal lymphoma, malabsorption
4
Q
Waldenstrom’s macroglobulinemia
A
- malignant proliferation of IgM
- mostly in males
- IgM form aggregates…inc. serum viscosity…recurrent bleeding
- +ve Sia’s test
5
Q
Amyloidosis
A
- amyloid deposits in liver, kidney
- Congo red stains deposits
6
Q
Type 1 hypersensitivity
A
- IgE
- pollen, dust
- Allergen cross links IgE on membranes of mast cells and causes degranulation
- Rhinitis, asthma
7
Q
Type 2 hypersensitivity
A
- IgM or IgG
- Complement system or ADCC
ex: transfusions, Rh incompatibility
8
Q
Type 3 hypersensitivity
A
- Ag-Ab complexes deposited in organs
ex: glomerulonephritis
9
Q
Type 4 hypersensitivity
A
- CD4 T cell mediated
- produce cytokines
- delayed type hypersensitivity
10
Q
Normal Th count vs HIV Th count
A
Normal - 400cumm
HIV - <300cumm
11
Q
Real time PCR HIV particles count
A
<5000/mL - good prognosis
>100000/mL - very bad prognosis
12
Q
RT inhibitors
A
Zidovudine Zidanosine Zalcitabine Stavudine Lamivudine Abacavir
13
Q
Protease inhibitors
A
Saquinavir
Ritonavir
Indinavir
Nelfinavir
14
Q
IgG
A
- gamma type L chains
- Secondary immune response
- crosses placenta
- Rh immunization
15
Q
IgM
A
- Macroglobulins
- J chaped chain
- Agglutinates bacteria
- cannot cross vascular barriers
- Primary response
- Natural Ab