Immunology Flashcards

1
Q

Type 1 hypersensitivity

A

IgE
Basophils and mast cells response

ex: allergies

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2
Q

Type 2 hypersensitivity

A

IgG and IgM
Complement

PMN response

ex: Autoimmune hemolytic anemia

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3
Q

Type 3 hypersensitivity

A

Deposition of antibody- antigen complex

PMN response

ex: serum sickness

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4
Q

Type 4 hypersensitivity reaction

A

No humoral Component

T cell and Mac response

ex: contact dermatitis, TB skin test

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5
Q

Describe Acute hemolytic transfusion reaction

A

Given Blood
preformed ANTI- ABO ABs attack
Complement activates and lysis the blood and leads to shock

s/s: fever, hypotension, chest pain, back pain, hemoglobinuria

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6
Q

What do eosinophils do

A

IL5 (from Th2/masts) activates them during parasite infection

Parasite is coated in IgG/E that bind Eos Fc–> eos degranulation of major basic protein

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7
Q

How do eos act in a type 1 hypersensitivity

A

eos synthesize PGs, leukotrienes, cytokines that contribute to late phase type 1 hypersens

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8
Q

Eosin means

A

pink dye

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9
Q

Causes of eosinophilia

A
Neoplasia 
Asthma 
Allergic 
Chronic adrenal insuf 
Parasites
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10
Q

What is major basic protein

A

a helminthotoxin

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11
Q

What are the steps of Leukocyte Inflammatory accumulation

A
Margination 
Rolling
Activation 
Tight adhesion and crawling 
Transmitigation
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12
Q

What mediates PMN rolling

A

L-Selectin on PMN

E-Selectin/P-selectin on Endothilial cells

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13
Q

How do PMNs do tight adhesion and crawling

A

CD18 beta 2 integrin binds ICAM-1 on endothilum

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14
Q

What mediates PMN Transmitigation

A

This is how PMN exits the blood via intigrin attachment to platlet endothelial cell adhesion molecule 1 (PECAM-1)

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15
Q

What recognizes a stop codon

A

releasing factor

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16
Q

How do antigens become able to be presented on an MHC1

A

They are Ubiquitinated
Proteasome chews it up
Small enough to present the bits

17
Q

What characterizes anaphylactic shock

A

↑ Vascular permeability
Bronchoconstirction
Vasodilation

18
Q

How do you treat anaphylactic shock

A

Step 1- epinephrine (epi pen!)

step2- diphenhydramine

19
Q

What is hereditary angioedema

A

low C1 inhibitor (cannot turn down complement cascade)–> Angioedema

ACE inhibitors have a rare side effect of angioedema, so you cannot give that o these pts