immunodeficiency II Flashcards

exam 4

1
Q

chromosome 22q11.2 deletion syndrome

A

di Geroge syndrome

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2
Q

parathyroid hypoplasia

A

hypocalcemia

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3
Q

cardiac anomalies, hypoplastic/absent thymus, hypocalcemia, facial abnormalities

A

Di George

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4
Q

CATCH 22

A
C-cardiac abnormality 
A- abnormal facies
T- Thymic aplasia
C- Cleft palate
H- Hypocalcemia
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5
Q

recurrent infections with intracellular bacteria, fungi, large viruses and also pyogenic organims due to lack of T cell help for the B cells

A

Di George

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6
Q

Patients with Di George syndrome will have:

A)	Decreased numbers of surface IgM and IgD positive B-cells
B)	Normal serum IgE levels
C)	Normal serum anti-influenza IgG levels after immunization with the influenza vaccine
D)	Normal ability to produce acute phase proteins such as CRP
E)	Normal IL-2 production
A

D) Normal ability to produce acute phase proteins such as CRP

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7
Q

both humoral and cell mediated immunity are defective and susceptible to all infections agents

A

SCID

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8
Q

The comonest form of SCID is a mutation of the common-chain of the

A

IL-2 receptor

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9
Q

Tx. for SCID

A

stem cell transplantation

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10
Q

What do we need to worry by a stem cell transplantation

A

GVH disease

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11
Q

ADA deficiency

A

SCID for adenosine deaminase deficiency

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12
Q

SCID: _____ lymphocyte syndrome

A

Bare

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13
Q

mutations of protein kinase (JAK3 or ZAP 70) or mutations in RAG1 and RAG2

A

abnormal signal syndrome–> SCID

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14
Q

mutation of the CD3 molecule

A

SCID

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15
Q

immunodeficiency, thrombocytopenia (low platelet count), Eczema

A

wiskott aldrige syndrome

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16
Q

Ataxia, telangiectasia, immunodeficiency

A

Ataxia telangiectasia

17
Q

purpura

A

Wiscott-Aldrige

18
Q

Tx. of Wiscott-aldrige

A

stem cell transplant

19
Q

lymphoma, myeloma, Burns

A

defective humoral immunity

20
Q

patients taking immunosuppressive drugs, malnutrition, viral infections especially HIV, ageing

A

defective cell mediated immunity

21
Q

HIV infect the

A

CD4 cells

22
Q

Viral _________ binds to the CD4 molecule

A

gp 120

23
Q

Gp41 binds to chemokine receptor

A

CCR5

24
Q

can you detect HIV antigen or anitbody in the blood?

A

Yes

25
Q

CD4:CD8 in HIV

A

it is reversed, usually it is 2:1 but in HIV it is 1:2

26
Q

what do you need for a bone marrow match

A

both MHC I and MHC II

27
Q

how can you measure the progress the disease of HIV

A

HIV RNA

28
Q

associated with significant and continuous immune deficiency

A

ageing

29
Q

as we age we increase the number and function of many cell types including neutrophils, APC, NK and T-cells

A

FALSE; it decreases

30
Q

in chronic mucocutaneous candidiasis there is a lack of _______ production or autoantibody to _______

A

IL-17

31
Q

severe warts

A

specific immunodeficiency