Immunology Flashcards

1
Q

Which type of immunity forms immunological memory?

A

Adaptive

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2
Q

When is the immediate innate immune response begun in response to a pathogen?

A

0-4 hours

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3
Q

When is the early innate immune response begun in response to a pathogen?

A

4-96 hours

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4
Q

When is the late adaptive immune response begun in response to a pathogen?

A

> 96 hours

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5
Q

What aspects of innate immunity does the skin not have? What aspects does it have?

A

No physical barrier or commensal bacteria. There are chemical agents and immunological cells present.

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6
Q

What enzyme is found in tears which is an important chemical barrier?

A

Lysozyme

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7
Q

What 3 cells are found in tears which are important in the immune response?

A

Neutrophils, macrophages and conjunctival mast cells

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8
Q

What is the function of conjunctival mast cells?

A

Vasoactive mediators

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9
Q

What 3 things does the adaptive immune system require?

A

Antigen presenting cells, lymphatic drainage, variety of effector cells

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10
Q

What are 3 examples of antigen presenting cells?

A

Dendritic cells, B cells, macrophages

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11
Q

What are the principle antigen presenting cells in the eyes?

A

Langerhans cells

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12
Q

Langerhans cells are rich in what type of MHC molecule?

A

Class II

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13
Q

Where are Langerhans cells most abundant? Where are they absent?

A

Most abundant at the cornel-scleral limbus, absent from the central 1/3rd of the cornea

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14
Q

What is the only part of the eye with lymphatic drainage?

A

Conjunctiva

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15
Q

What three cell types of always present in MALT? What 2 cell types are present only if they are recruited?

A

Always present are macrophages, mast cells and Langerhans cells. Neutrophils and eosinophils are present only if they are recruited.

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16
Q

What part of the eye has commensal bacteria?

A

Conjunctiva

17
Q

What parts of the eye make a tough collagen coat, are avascular and have a relative lack of APCs?

A

Cornea and sclera

18
Q

What does immune privilege mean?

A

Ability to tolerate the induction of antigens without eliciting a systemic inflammatory immune response

19
Q

Name 5 sites in the eye which are immune privileged?

A

Cornea, anterior chamber, lens, vitreous cavity, sub-retinal space

20
Q

In ACAID, primed CD4+ cells and B cells produce what?

A

Non-complement fixing antibodies

21
Q

Describe the relative amounts of MHC I and MHC II found in the cornea?

A

Decreased expression of MHC I and no MHC II

22
Q

What is sympathetic ophthalmia?

A

Rare, bilateral, granulomatous uveitis due to trauma or surgery

23
Q

What is the primary mediator of sympathetic ophthalmia?

A

T cells

24
Q

In sympathetic ophthalmia, which comes first- CD4+ cells or CD8+ cells?

A

Primary wave is composed of CD4+ cells

25
Q

In sympathetic ophthalmia, what are the affected and non-affected eyes known as?

A

Affected- exciting eye, non-affected- sympathising eye

26
Q

Acute allergic conjunctivitis is an example of what type of hypersensitivity?

A

Type I

27
Q

What can cells be killed by in type II hypersensitivity?

A

Macrophages/NKCs or complement (MAC)

28
Q

What is ocular cicatricial pemphigoid?

A

A blistering condition affecting the surface of the eye and eyelid resulting in scarring- treat with steroids

29
Q

What type of hypersensitivity reaction is ocular cicatricial pemphigoid?

A

Type II

30
Q

An autoimmune corneal melt is an example of what type of hypersensitivity reaction?

A

Type III

31
Q

A corneal graft rejection is an example of what type of hypersensitivity reaction? When does this occur?

A

Type IV- occurs once there is vascularisation