Immunopathology (part 1) Flashcards

1
Q

how many lines of defense do we have? name them

A

3 lines

-mechanical/chemical barrier
-innate immunity
-adaptive immunity

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2
Q

true or false

innate immunity is specific

A

false – nonspecific

adaptive immunity is specific

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3
Q

what is the myeloid stem cell

A

pluripotent stem cell that can produce lot of WBC

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4
Q

what is the primary antigen presenting cell

A

MACROPHAGES

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5
Q

macrophages express MHC class 1 or 2 molecules

A

CLASS 2

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6
Q

what does the lymphoid stem cell produce

A

T lymphocyte
NK lymphocyte
B lymphocyte (becomes plasma cell)

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7
Q

_______ are the key components of the acquired immune system

A

lymphocytes (T and B lymphocytes)

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8
Q

CD4 t cells express MHC class _____ and CD8 T cells express MHC class ____
(way of recognizing antigens)

A

CD4 = MHC type 2
CD8 = MHC type 1

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9
Q

MHC class ___ is recognized by natural killer cells

A

class 1

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10
Q

MHC class 2 is expressed on what cells

A

antigen presenting cells

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11
Q

name 3 antigen presenting cells

A

macrophages
dendritic cells
b cells

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12
Q

MHC Class 2 is recognized by what cells

A

helper t cells

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13
Q

what cells recognize and kill tumor and virus infected cells

A

natural killer cells

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14
Q

name 4 immune system disorders

A

hypersensitivity reactions (1-4)
autoimmune diseases
immune deficiency syndromes
transplantation immunity

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15
Q

define a hypersensitivity reaction

A

an exaggerated immune response that results in tissue injury

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16
Q

type _______ hypersensitivity reactions are dependent on the interaction of specific antibodies with the given antigen

type _____ hypersensitivity reactions recognize through antigen receptors on T cells

A

type 1-3 are dependent on antibody interaction with antigen

type 4 through antigen receptors on T cells

17
Q

name 3 type 2 hypersensitivity reactions

A

myasthenia gravis - causes muscle weakness

graves disease - stimulates cells to produce more thyroid hormones

goodpasture syndrome - glomerulonephritis, or bleeding in lungs

18
Q

Transfusion reaction and Rh reaction are what kind fo hypersensitivity

19
Q

skin and food allergies are what hypersensitivity

20
Q

which hypersensitivity is the cytotoxic type name 3 types

A

type 2

myasthenia graves (muscle weakness)
graves disease (too much thyoroid hormone)
goodpasture

21
Q

which hypersensitivity is the immune complex typw
name 2 types

A

type 3
arthritis
glomerulonephritis

22
Q

what hypersensitivity is the anaphylactic typw

give 4 examples

A

type 1
hay fever
asthma
hives
anaphylaxis

23
Q

what hypersensitivity is the cell-mediated type
give 2 examples

A

type 4

tuberculosis (granulomatous disease) and poison ivy (delayed skin reaction)

24
Q

what antibody is involved with type 1

A

ige antibody

25
what is involved with type 4
mononuclear cells (T lymphocytes and macrophages)
26
what is involved with type 2
cytotoxic antibodies (IgG and IgM) formed against cell surface antigens
27
what is involved with type 3
antibodies (IgG, IgM, IgA) fomred against exogenous or endogenous antigens
28
_____ is essential in type 1 hypersensitivity for IgM to be changed to IgE
IL4
29
Explain the pathogenesis of type 1 hypersensitivity
1st exposure - no significant morphological changes. IgE produced and attaches to mast cells and basophils 2nd exposure to antigen = mast cells and basophils are activated and immediately release their granule contents. very fast response (5-10 mins) causes smooth muscle contraction, edema (increased vascular permeability), chemoattraction of eosinophils, platelet activation, protease effects (cleavage of kinins - inflammation)
30
divided type 1 hypersensitivity into phases
initial phase (3-30 mins) vasodilation, vascular leakage, smooth muscle spasm late phase - allergic rhinitis, bronchial asthma, EOSINOPHILS
31
_____ cells are bone marrow driven cells widely distributed in tissues around blood vessels and sub epithelial sites where type 1 reaction occurs
MAST CELLS
32
Eosinophils are particularly important in the _______ phase of type 1 hypersensitivity
late phase
33
explain the transfusion reaction what type of hypersensitivity?
C5-9 membrane attack complex makes holes in acceptor's RBC. sodium rushes into the cell TYPE 2 (complement dependent)
34
antibody dependent compliment mediated hypersensitivity reaction
type 2 Rh negative mother produces ab against an Rh+ baby no isses in 1st pregnancy
35
antibody dependent cell mediated cytotoxicity
target cell is coated with IgG and destorying cell has receptor for Fc region
36