Lymphatic Physiology Flashcards

1
Q

Fluid found immediately around cells

A

instertitial fluid

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2
Q

Interstitial fluid which flows in lymphatic vessels is called

A

lymph

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3
Q

Both interstitial fluid and lymph are similar in composition to plasma, but contain less ____

A

protein

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4
Q

Approximately ___liters per day of fluid seeps from the blood into the tissue.

A

20

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5
Q

This fluid and protein must be returned to the ____ ____to maintain normal blood volume and homeostasis.

A

cardiovascular system

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6
Q

When plasma is filtered by flood capillaries, it passes into the interstitial spaces and becomes

A

instertitial fluid

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7
Q

When this fluid passes into the lymphatic capillaries, it is called

A

lymph

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8
Q

Lymphatic vessels begin as

A

lymph capillaries

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9
Q

microscopic vessels between cells)

A

lymph capillaries

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10
Q

found throughout the body with the exception of the central nervous system, bone marrow, portions of the spleen, and tissues that lack blood vessels.

A

lymph capillaries

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11
Q

merge to form larger lymphatic vessels, which in turn, converge to form lymphatic ducts

A

lymph capillaries

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12
Q

drain the lymph into the left and right subclavian veins, respectively.

A

lymphatic ducts

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13
Q

have thinner walls and more valves than veins.

A

lymphatic vessels

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14
Q

drains into the left subclavian vein

A

thoracic duct

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15
Q

drains into the right subclavian vein.

A

right lymphatic duct

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16
Q

Lymph flows primarily as a result of

A

skeletal muscle contractions and respiratory movements

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17
Q

aided by valves located within the lymphatic vessels

A

lymph flow

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18
Q

lymphatic organs are

A

thymus
lymphatic nodes
spleen
lymph nodules
bone marrow

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19
Q

functions in immunity by the production and distribution of T-cells. It is located posterior to the sternum and medial to the lungs.

A

thymus

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20
Q

are oval structures located along the length of lymphatic vessels which are scattered throughout the body.

A

lymph nodes

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21
Q

Lymph enters the nodes through

A

afferent lymphatic vessels

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22
Q

lymph exits through

A

efferent lymphatic vessels

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23
Q

lymph passing through the ___ it is filtered to remove foreign substances

A

nodes

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24
Q

Lymph nodes also produce

A

lymphocytes

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25
Q

is the largest single mass of lymphatic tissue in the body and is found between the stomach and the diaphragm.

A

spleen

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26
Q

The spleen functions to produce

A

b-cells, antibodies, t-cells

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27
Q

is also a storage organ for blood.

A

spleen

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28
Q

are egg-shaped masses of lymphatic tissue which are present in the gastrointestinal tract, urinary and reproductive tracts, and comprise the tonsils.

A

lymphatic nodules

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29
Q

are multiple aggregations of large lymphatic nodules embedded in mucous membranes.

A

tonsils

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30
Q

three tonsils

A

pharyngeal
palatine
lingual

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31
Q

are strategically situated to protect against antigens that enter the oropharynx and nasopharynx and function to produce lymphocytes and antibodies.

A

tonsils

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32
Q

The ability to ward off disease is called The lack of resistance is called

A

susceptibility

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33
Q

is inherited and refers to a wide variety of body responses against a wide range of pathogens, toxins, or disease-producing organisms.

A

innate immunity

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34
Q

the ability to produce antibodies or cells against specific pathogens.

A

adaptive immunity

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35
Q

includes a number of physical and chemical factors, as well as phagocytosis, natrual killer cells, inflammation, and fever.

A

innate immunity

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36
Q

include skin, mucous membranes, and lacrimal apparatus, the presence of saliva, mucus, cilia, the flow of urine, defecation, and

what kind of factors

A

physical

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37
Q

include antimicrobial substances secreted by the skin and acid released by the stomach.

A

chemical factors

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38
Q

n the blood and tissues such as interferon, complement, transferrins, and ANTIMICROBIAL PEPTIDES work against colonization by viruses and bacteria.

A

antimicrobial substances

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39
Q

is a nonspecific mechanism by which microorganisms and foreign particles are ingested by natural killer and wandering macrophages.

A

phatocytosis

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40
Q

serves a protective and defensive role by eliminating microbes or foreign substances from the site of injury, preventing their spread to other organs, and preparing the site for tissue repair. It is an attempt to restore tissue homeostasis.

A

inflammatory response

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41
Q

occurs when cells are damaged by microbes, physical agents, or chemical agents. The symptoms of inflammation include redness, pain, heat, swelling, and loss of function.

A

inflammation

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42
Q

may include vasodilation, increased permeability of blood vessels, fibrin formation, phagocyte migration, and pus formation.

A

inflammatory response

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43
Q

elevated body temperature, intensifies the effects of interferons and inhibits the growth of some microbes, and speeds up body reactions that aid repair.

A

fever

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44
Q

to disease involves the production of a specific type of cell (lymphocyte) or a specific type of molecule (antibody) to destroy a particular antigen, and is called

A

adaptive immunity

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45
Q

are any substances that the immune system recognizes as foreign (nonself).

A

antigens

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46
Q

are proteins produced by plasma cells in response to antigens. Antibodies recognize and combine with an antigenic binding sites on the surface of the antigen.

A

antibodies

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47
Q

refers to the destruction of antigens by cytotoxic T-cells. Antibody-mediated immunity refers to the destruction of antigens by antibodies.

A

cell-mediated immune response

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48
Q

is particularly effective against fungi, parasite, intracellular viral infections, cancer cells, and foreign tissue transplants

A

cell-mediated immune response

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49
Q

is most effective against viral and bacterial infections.

A

antibody-mediated immnuity

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50
Q

are responsible for cellular immunity and are processed in the thymus gland.

A

t-cells

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51
Q

provide antibody-mediated immunity and are processed in the bone marrow, fetal liver tissue and spleen, and gut-associated lymphoid tissue.

A

b-cells

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52
Q

process and present antigens to T-cells and B-cells, which induces the proliferation of T-cells and B-cells.

A

macrophages

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53
Q

subpopulations of t-cells (3)

A

cytotoxic t-cells
helper t-cellls
memory t-cells

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54
Q

migrate to the site of invasion from the lymphoid tissue and secrete perforin, granulysin, and lymphotoxin that destroys the antigens directly by lysis, and fragmentation of the antigen’s DNA.

A

cytotoxic t-cells

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55
Q

also called CD4 T cells, cooperate with B-cells to help amplify antibody production and secrete Interleukin-2

A

helper t-cells

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56
Q

which stimulates the proliferation of cytotoxic T-cells

A

interleukin-2

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57
Q

recognize antigens to which they have been sensitized, again at a later date. They initiate a far swifter reaction than during the first invasion.

A

memory t-cells

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58
Q

develop into antibody-producing plasma cells under the influence of thymic hormones, IL-1 and IL-2.

A

b-cells

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59
Q

recognize the original invading antigen at a time of subsequent exposure.

A

memory b-cells

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60
Q

produced by plasma cells enter circulation and form antigen-antibody complexes with foreign antigens.

A

antibodies

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61
Q

These antibodies activate ___ proteins for attack and fix the complement to the surface of the antigen

A

complement

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62
Q

provides the basis for immunization against certain diseases and is usually swifter and of a greater magnitude than the original antibody response.

A

secondary response

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63
Q

lowers the body’s immunity by decreasing the number of helper T-cells

A

acquired immunodeficiency syndrome

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64
Q

frequently develop cancer, and become susceptible to opportunistic infections.

A

AIDS

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65
Q

result when the body does not recognize “self” antigens and produces antibodies against them

A

autoimmune disease

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66
Q

is overreacting to an antigen. Localized anaphylactic reactions include hay fever, asthma, eczema, and hives.

A

allergic reaction

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67
Q

cover portions of the circulatory system (i.e. white blood cell circulating)

A

lymphatic system

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68
Q

-passed on by your mother (inherent), not required to be acquired after birth
-possessed after birth
-does not remain in memory (can still get sick from same kind of pathogens) (e.g. influenza)

A

innate immunity

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69
Q

fast, non-specific and no memory

A

innate immunity

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70
Q

does not distinguish enemy from foe

A

innate immunity

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71
Q

examples include Barriers, pH extremes, phagocytes, NK cells, fever, inflammation, complement, interferon

A

innate immunity

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72
Q

example of nonspecific manifestation ( composed of dead bacteria, cells, and white blood cells)

A

pusa

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73
Q

acquired/adapt to protect you from future exposures

A

adaptive immunbity

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74
Q

slower, specific and has a memory

A

adaptive immunity

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75
Q

lymphocytes, T-cells and B-cells

A

adaptive immunity

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76
Q

fluid that lymphocytes carry into

A

lymph

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77
Q

T stands for

A

thymus

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78
Q

B stands for

A

Bursa of fabricius
bone marrow

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79
Q

Reticular connective tissue containing
lymphocytes

A

lymphatic tissue

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80
Q

3 major body fluids

A

blood
tissue fluid
lymph

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81
Q

example of lymphatic tissue (not considered an organ)

A

bone marrow

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82
Q

interstitial fluid in lymphatic vessels

A

lymph

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83
Q

transport dietary lipids

A

lymphatic system

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84
Q

Returns excess filtration from capillaries- to
circulation

A

lymphatic system

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85
Q

◼ Transport dietary lipids

A

lymphatic system

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86
Q

organs for maintenance and distribution

A

lymphoid organs

87
Q

Filter bacteria and help active defenses

A

lymphatic system

88
Q

drains lymph from different tissue/organs of the
body

A

lymphatic system

89
Q

destination of lymph is the

A

heart

90
Q

cannot easily penetrate the walls of blood vessels

A

pathogens

91
Q

Slightly larger than blood capillaries

A

lymphatic capillaries

92
Q

Overlapping cells like one-way valve

A

lymphatic capillaries

93
Q

will force fluid in lymphatic capillaries

A

pressure

94
Q

❑ Thin walled and more valves than veins

A

lymphatic capillaries

95
Q

Periodically have lymph nodes

A

lymphatic capillaries

96
Q

Lymphocytes in capsuled structure

A

lymph nodes

97
Q

pathway of lymphatic capillaries if draining at L subclavian vein

A

thoracic duct > L subclavian vein

98
Q

pathway of lymphatic capillaries if draining at R subclavian vein

A

R. lymphatic duct > R. subclavian vein

99
Q

❑ At junction with jugular

A

L. subclavian vein

100
Q

oozes out of the tissues, assumes name
because fluid enters the tissues

A

tissue fluid

101
Q

excess tissue drains back to the veins (however HP>OP) so
___ is still occurring

A

edema

102
Q

drained by vessels

A

lymphatic drainage

103
Q

pressure that exist when a fluid from a higher
diameter to a lower diamete

A

hydrostatic pressure

104
Q
  • pumping action of the heart is also involved
A

hydrostatic pressure

105
Q

abnormal swelling due to the enlargement of tissue
due to tissue fluid

A

edema

106
Q
  • to be avoided, fluid needs to be drained back to the veins (however there is no hydrostatic pressure but osmotic pressure)
A

edema

107
Q

refers to fluids

A

humoral

108
Q

principal organ that filters lymph fluid
- large population of lymphocytes
- dominant kind is b lymphocytes
- b lymphocytes produces antibodies

A

lymph nodes

109
Q

◼ From tissue to veins

A

lymphatic flow

110
Q

◼ Pumped by muscle & respiratory pumps like
venous return

A

lymphatic flow

111
Q

stem cells divide &
develop into mature B & T-cells

A

primary lymphatic organs

112
Q

red bone marrow and thymus

are what kind of lymphatic organs

A

primary

113
Q

immune responses occur

what organs

A

secondary organs

114
Q

primary lymphoid organ

A

bursa of fabricius

115
Q

During prenatal stages of development, ___ ___cannot produce blood cells

A

bone marrow

116
Q

hematopoietic organ in babies to produce blood since bone marrow cannot create it

A

thymus

117
Q

enlarge when there is immune response

A

tonsil

118
Q

when there is a pathogen, it also becomes enlarged

A

appendix

119
Q

❑ Lymph nodes, spleen & lymphatic nodules are what kind of lymphatic organs

A

secondary organs

120
Q

is the only cells that can clone themselves (can undergo mitosis) (the more is produce, the more antibodies can be produced, the more profound the immune response will be)

A

b cells

121
Q

what are needed for RBCs

A

stem cell
eryhropoietin

122
Q

undergo clonal expansion

A

B cell

123
Q

diseases caused by a chronic mosquito-borned aparasitic infection
- vector injects the parasite in a worm (worm enters lymphatic vessel)

A

filariasis

124
Q

pathogens that are difficult to eradicate

A

filaria worm

125
Q

disease that occurs when tiny parasite larvae are transferred to the body through mosquito bites

A

elephantiasis

126
Q

Two lobed organ

Posterior to sternum, medial to lungs &
superior to heart

A

thymus

127
Q

where T-cells divide & mature

A

thymus

128
Q

___ ___ cells are removed in thymus

A

self reactive

129
Q

Scattered throughout the body

A

lymph nodes

130
Q

Concentrated near mammary glands, axilla &
groin

A

lymph nodes

131
Q

Contain mature B-cells, T-cells dendritic cells
and macrophages

A

lymph nodes

132
Q

Filter lymph, trap foreign substances

A

lymph nodes

133
Q

destroy most foreign
substances

A

macrophages and lymphocytes

134
Q

entry point is through the convex side of the capsule

A

lymph node

135
Q

exit point is through the hilum side of the capsule

A

lymph node

136
Q

example of nonvital organ (organ that can be removed and the person living a normal life)

A

spleen

137
Q

◼ Between stomach & diaphragm

A

spleen

138
Q

Contains blood filled venous sinuses and
RBCs, macrophages, lymphocytes plasma
cells & granular leukocytes

A

spleen

139
Q

destroys worn or defective blood cells &
platelets

A

spleen

140
Q

◼ Stores platelets

A

spleen

141
Q

◼ attacks foreign substances in blood

A

spleen

142
Q

◼ Fetal hemopoiesis

A

spleen

143
Q

physical and chemical barrier consisting of epidermal structure and constant shedding

A

skin

144
Q

barrier composed of Sticky mucus layer straps microbes, etc. and cilia
move it out

A

mucous membranes

145
Q

attaches to pathogens to make the WBC recognize
the pathogen and undergo phagocytosis

A

antibodies

146
Q

tears, saliva, perspiration, nasal
secretions

what kind of barrier

A

fluids

147
Q

Dilute and antibacterial action what kind of barrier

A

fluids

148
Q

flow of urine, defecation &
vomiting

what kind of barrier

A

movementr

149
Q

❑ Interfere with viral reproduction in a cell

A

interferons

150
Q

❑ Enhance other immune actions
❑ Break cell membranes
❑ Attract phagocytes
❑ Tag microbial cells for destruction

A

complment system

151
Q

bind iron and starve bacteria

A

transferrins

152
Q

antimicrobial peptides include

A

lyse microbes

153
Q

specialized to ingest microbes
and cellular debris

A

phagocytes

154
Q

monocytes differentiate to become

A

macrophages

155
Q

percent of lymhphocytes becoming NK Cells

A

5-10 percent

156
Q

Destroy microbes & tumor cells

A

NK cells

157
Q

❑ Present in lymph nodes & red bone marrow

A

NK cells

158
Q

◼ Response to tissue damage indicated by redness, pain, heat and swelling

A

inflammation

159
Q

inflammation process step 1

  1. Damage → mast cells, basophils & platelets release ____
A

histamine

160
Q

release of this increased permeability & vasodilation in
blood vessels

A

histamine

161
Q

inflammation step 2

Leakage of clotting proteins into tissue causes the isolation of bacteria behind ___

A

clot

162
Q

inflammation step 3

_____ attracted to site

A

phagocytes

163
Q

eat & die

what WBCs

A

neutrophils
macrophages

164
Q

pocket of dead cells are called what

A

pus

165
Q

Moves to body surface or into cavity & is cleared

A

pus

166
Q

Abnormally high body temperature

A

fever

167
Q

❑ New set-point of thermoregulation system
❑ Normal temperature control action with new set
point

A

fever

168
Q

Stimulated by many toxins or internal signals

A

fever

169
Q

stimulates fever

A

interleukin-1

170
Q

Specifically directed against a particular type
of invader

A

adaptive immunity

171
Q

◼ Involves cell or antibody directed against a
particular antigen

A

adaptive immunity

172
Q

can be any substance: microbe, food,
pollen, tissue

A

antigen

173
Q

◼ Normally self–tolerant
❑ Does not attack normal body tissue

A

adaptive immunity

174
Q

From stem cells in red bone marrow _ cells mature in bone marrow

A

B cells

175
Q

From stem cells in red bone marrow _ migrate to thymus

A

T cells

176
Q

During maturation both make particular
proteins in plasma membranes called what

A

antigen receptors

177
Q

T-cells attack directly
❑ Killer T-cells

what kind of response

A

cell-mediated

178
Q

B cells become plasma cells
❑ Produce specific antibodies

A

antibody-mediated

179
Q

aid both cell- and antibody mediated responses

A

Helper T cells

180
Q

self
antigens on cells surface

what complex

A

major histocompatiblity complex

181
Q

❑ Unique to each individual

A

MHC

182
Q

◼ Allows T-cells to recognize foreign material

A

MHC

183
Q

triggers plasma cell to produce antibodies

A

antigen

184
Q

__ -shaped protein with variable antigen binding site on
arms

A

Y

185
Q

Other end triggers recognition by

A

phagocyte

186
Q

Requires recognizing the foreign antigen

A

adaptive response

187
Q

can find foreign antigen anywhere

A

b cells

188
Q

need presentation with MHC to recognize foreign antigen

A

T cells

189
Q

a group of immune cells that are capable of processing and presenting antigens for recognition by T cells to initiate the adaptive cellular immune responses

A

APCs

190
Q

macrophages, dendritic cells & B cells

A

APCs

191
Q

In respiratory, GI, urinary, reproductive tracts
& lymph nodes

A

APCs

192
Q

ingest & digest into fragments in
vesicle

A

APCs

193
Q

Synthesize MHC & pack in vesicles

A

APCs

194
Q

bind to MHC

A

antigen fragments

195
Q

complex inserted into plasma
membrane

A

antigen-MHC

196
Q

Presented to T-cells until a receptor matches
& binds

A

antigen MHC complex

197
Q

also need costimulator

A

T cells

198
Q

constimulator include

A

interleukin-2 (IL-2)

199
Q

begins rapidly dividing
❑ Forms a clone of many recognizing cells

A

cell mediated immunity

200
Q

Release IL2, attract phagocytes, stimulate
macrophages & B cells

A

Cell Mediated Immunity

201
Q

kill cells
❑ Work against tumor cells transplanted cells &
infected cells

A

cytotoxic t cells

202
Q

hang around for years, give
rapid response

A

memory t cells

203
Q

◼ Hang out in lymph nodes
◼ Respond to antigen (faster if presented)

A

b cells and antibody mediated response

204
Q

◼ With IL-2 enlarge, divide and become a clone
of plasma cells
◼ Plasma cells produce & release antibodies
that bind the antigen

A

antibody mediated response

205
Q

Some remain as Memory B Cells
❑ Ready to respond quickly if antigen met again

A

B-cells

206
Q

antibody class action that ❑ Binds and neutralizes toxins

A

neutralizing antigen

207
Q

antibody class action that ❑ Connect pathogens to one another → easier
phagocytosis

A

agglutinating

208
Q

❑ Binding attracts phagocytes

antibody class action

A

enhancing phagocytossi

209
Q

◼ Long lasting antibodies & lymphocytes

A

immunological memory

210
Q

Many sensitive memory cells →
◼ Much larger & quicker response next time =

A

secondary repsonse

211
Q

can be naturally acquired

A

primary response

212
Q

◼ Or artificially acquired by vaccination

A

immunological memoery

213
Q

◼ Thymus atrophies
◼ Fewer responsive T cells
◼ Thus poorer B cell response
◼ Poorer response to new infection

A

aging