Immunology Flashcards
How to monitor SLE
C3 and C4
HIV Test
Western Blot
Anti-SCL70
Systemic Sclerosis (TGF B linked to prognosis somehow)
Anti-Sm
SLE
HIV Monitoring
CD4 levels and viral load
Anti-cardiolipin
Antiphospholipied Syndrome
Nose bleeds and haematuria
Wegener’s Granulomatosis c-ANCA
Pruritus in a woman (PBC) What antibody
Anti-mitochondrial antibody
Wegeners patient already getting prednisolone and needs another drug
Cyclophosphamide
Rheumatoid arthritis DMARD
Tocilizumab
Psoriasis or Psoriatc Arthritis DMARD
Ustekinumab
Temporal Arteritis (Raised ESR) drug
Prednisolone
Osteoporosis DMARD
Denosumab
CGD Management
Infliximab
Worsening Crohn’s patient already taking azathioprine
Methotrexate
Ankylosing Spondylitis
NSAID. If uncontrolled, Infliximab
Common variable immunodeficiency management
Pooled Ig
C1 esterase inhibitor deficiency patient can talk
IV C1 inhibitior
Rash after eating in a patient
oral antihistamines (h1)
Anaphylaxis
IM Adrenaline
Urticaria
H1 anatgonist
Exercise induced urticaria
H1 antagonist
Acute angiodema
IM Adrenaline
Hayfever management
Allergy desensitisation
Cytokine responsible for promoting antibody synthesis
IL4
Main cellular source of histamine
Mast Cell
How to measure mast cell degranulation
Serum tryptase levels
Chemokine responsible for eosinophil growth
IL5
First cell for initial encounter with allergen
Macrophage
IL4 stimulates
B cells
First cytokine released in contact dermatitis
IL-12
Carcinoid syndrome?
Enterochromaffin cell tumour producing serotonin. Causing bronchoconstriction, flushing, diarrhoea. Give Octreotide
MEFV gene is mutated in…
Familial Mediterranean Fever
gp120 binds to
CCR5 or CXCR4
gp41
Allows penetration
Non neutralising antibodies are formed against
p24
Protease inhibitor
Ritonavir
Neutralising antibodies
anti-gp120 anti-gp41
CCR7
chemokine receptor on t helper cells
Target for HIV medication
Protease inhibitor
A 6-month old boy with severe failure to thrive and recurrent infections etc… his T cells were undetectable and B cells were normal.
SCID
Someone with three previous episodes of meningococcal meningitis
C7 deficiency
Someone with normal CD8 levels but absent CD4
Bare lymphocyte Syndrome
Low IgA, IgG but raised IgM
CD40L deficiency/Hyper IgM syndrome
Kid with immune def that has improved with age but now mum is concerned about delayed speaking and language
Di George Syndrome
Patient gets recurrent infections with negative NBT and dihdrorrhadamine tests
Chronic Granulomatous Disease
Atypical granulomatous infection in previously healthy patient. Recurrent salmonella and mycobacteria infections
IFN-gamma receptor deficiency or IL-12 deficiency
Patient treated for RA getting mycobacterial infections
Iatrogenic due to infliximab
Vaccine to avoid in immunodeficiency
Yellow Fever
Asplenic patients vaccine every 5 years
Pneumovax
Avoid routine vaccine in immunodeficient patient
MMR
Which one against viral haemagglutinin
Influenza
Vaccine that you shouldn’t give to someone on infliximab if theyre travelling to Africa
Typhoid
Vaccine sometimes used post exposure as prophylaxis
Rabies
Vaccine which changes every year due to change in structure of pathogen
Influenza
Name of vaccine that eradicated smallpox
Vaccinia
What vaccine don’t you give to someone with Ank Spond on Infliximab
Yellow fever
What vaccine do you give to 12-13yr old girls
HPV
Graves Disease Immune Type
II
Serum Sickness Immune Type
III
Atopic Eczema
I
CD40L is associated with
Hyper IgM syndrome
Anti-Ro Anti-La
Sjogrens
Anti-ttg
Coeliac
CREST
anti-centromere
SLE
anti-dsDNA
Pernicious anaemia
Anti-parietal cell
What is most important in HLA typing?
DR>B>A
Antibodies against endothelial cells in transplant rejection
Acute vascular
T-cells mediating rejection
Acute cellular
Super fast rejection straight after insertion
HLA Typing or ABO mismatch
Rejection years after
Immune and non immune
Donor cells attack host resulting in hyperacute rejection
GVHD
Immune Modulator Anti-CD25
Basiliximab
Immune Modulator IL6 R
Tocilizumab
Immune Modulator IL12/23
Ustekinumab
Immune Modulator CTLA4
Abatacept
Immune Modulator CD2
Alemtuzumab
Immune Modulator TNF alpha
Infliximab
Immune Modulator Anti C5
Ecalizumab
Immune Modulator VCAM 1
Natalizumab
APECED mutation
AIRE
IPEX mutation
FOXP3
APLS mutation
Fas