Immunology Flashcards

1
Q

What does the term SPUR infection stand for?

A

Serious infections
Persistent infections
Unusual infections
Recurrent infections

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2
Q

Name the two classifications of immunodeficiencies

A

Primary and secondary

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3
Q

Are secondary immunodeficiencies rare or common?

A

common

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4
Q

Are primary immunodeficiencies rare or common?

A

rare

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5
Q

What conditions are associated with secondary immune deficiencies?

A

infection, treatment interventions, malignancy, biochem. + nutritional disorders

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6
Q

What cells are phagocytes?

A

neutrophils, monocytes, macrophages

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7
Q

What are the functions of phagocytes?

A

Initiate and amplify immune response, ingest and kill microorganism, produce inflammatory molecules which regulate other components of immune system

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8
Q

Recticular dysgenesis causes what in the immune system?

A

failure of stem cells to differentiate along myeloid line -no neutrophils, lymphocytes, monocytes/macrophages or platelets

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9
Q

Kostmann syndrome causes what in the immune system?

A

failure of neutrophil maturation

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10
Q

Kostmann syndrome is what kind of condition?

A

An autosomal recessive condition

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11
Q

Describe leukocyte adhesion deficiency

A

Caused by a genetic defect in leucocyte integrins (CD18). Results in failure of neutrophil adhesion and migration.

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12
Q

What occurs when there is failure of oxidative killing mechanisms?

A

Excessive inflammation. Failure to degrade chemo attractants and antigens. Persistent accumulation of neutrophils, activated macrophages and lymphocytes. All leads to granuloma formation

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13
Q

NBT (nitroblue tetrazolium) test is used to what?

A

investigate chronic granuloma disease. Dye is sensitive to hydrogen peroxide which causes a colour change

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14
Q

What can anti - TNF drugs do?

A

Reactivate latent TB

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15
Q

where are T lymphocytes matured and how many survive?

A

The thymus. 10%

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16
Q

Where do T cell reside?

A

The lymph nodes and secondary lymphoid follicles

17
Q

What is a CD4+ T lytmphocytes’ function?

A

Immunoregulatory and recognises peptides presented on HLA Class II molecules

18
Q

What is a CD8+ T lytmphocytes’ function?

A

Cytotoxic cells. Kills cells directly by producing perforin, triggering apoptosis and secreting cytokines. Particularly important in the defence against viral infections and tumours

19
Q

What are the functions of B lymphocytes?

A

Antibody production and antigen presentation

20
Q

What does SCID stand for?

A

Severe combined immunodeficiency

21
Q

What is DiGeorge syndrome?

A

THe deletion of chromosome 22q11. Causes developmental defect of 3rd/4th pharyngeal pouch. A funny looking kid, low set ears abnormally folded ears, high forehead, cleft palate, small mouth and jaw, oesophageal atresia, T cell lymphopenia, complex congenital heart disease