immunodeficiency Flashcards

1
Q

primary

A

congenital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

secondary

A

acquired:
-malnutrition
-Toxic exposure
-infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

defects in innate immunity

A

Defective:
phagocytosis
bacterial killing

complement deficiency
leukocyte “traffic”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

defective phagocytosis

A

Cant engulf

Chediak-Higashi:
-albinism, cells cant move to phagocytose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

defective bacterial killing

A

Chronic granulomatous disease:
-skin disease is how it shows

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

primary immunodeficiency: adaptive

A

B cell defects:
-X-linked agammaglobulinemia
-selective IgA deficiency

Tcell defects:
-Digeorge syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

b cell defects:
x-linked agammaglobulinemia

A

failure of B cell maturation:
no antibody production
in men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

B cell defects:
Selective IgA deficiency

A

effects mucus membranes
respiratory and GI effected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T cell defects:
Digeorge syndrome

A

effects thymus
failure to produce T cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Defects which affect both T and B cells

A

severe combined immunodeficiency (SCID)
tx bone marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

simian virus

A

monkey virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

is AIDS a opportunistic infection?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

human retrovirus

A

Starts with RNA goes to DNA (reverse transcriptase)

Creates DNA copy of itself and integrates into host genome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How HIV works

A

HIV attaches to CD4 molecules

Hides in T cell and is activated when it is

Replication kills the CD4 cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

immune response to HIV

A

cytotoxic T cells kill HIV-infected cells

B cells produce antibodies

anitbodies bind to circulating virions and activate complement system

anitbodies are not protective
virus remains latent inside lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

HIV effects on immune response

A

HIV replication lyses(kill) activated CD4 T cells

decreased:
-cell-mediated immunity
-humoral responses

17
Q

CD4 t cells vs HIV cells during infection

A

HIV cells increase and replicate they kill and decrease CD4 cells

18
Q

CD4 T cell count

A

Normal:
500-1500
40%
2:1

AIDS:
<200
14%
1:1

19
Q

HIV diagnose infection

A

Antigen and antibody testin
3-6 weeks

20
Q

HIV monitor disease progression

A

antigen quantitation
CD4 cell count

21
Q

HIV Monitor treatment effectiveness

A

antigen quantitation
drug resistance testing

22
Q

CDC recommendation

A

routine testing
opt-out testing instead of opt-in

23
Q

HIV treatment since they have resistance

A

HIV develops resistance to anit-retroviral drugs rapidly

We use 3 anti-retroviral drugs at the same time

Must watch for drug resistance in patient

24
Q

Pre-Exposure Prophylaxis

A

people at high risl for HIV can take meds to prevent infection
ex: Truvada

help to prevent babies getting it during birth