Lymphoid System Part I Flashcards

1
Q

Functions of Lymphoid System

A
  1. drain excess interstitial fluid and return it to the blood. (one way flow to subclavian veins)
  2. In the small intestine aid in lipid (fat) absorption
  3. Lymphocytes –> body’s defense against disease causing organisms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lymphatic Capillaries

A

found in interstitial spaces of vascular tissue (composed of endothelial cells)
Once fluid enters the lymphatic capillaries is called lymph (fluid connective tissue)
Excess drainage is necessary –> edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lacteals

A

lymphatic capillaries that transport absorbed lipids away from the digestive track

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lymphatic Vessels

A

merged lymphatic capillaries; similar to veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lymphatic Trunks

A

merged lymphatic vessels; drain larger body regions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lymphatic Vessels and Trunks are similar to ________.

A

veins; 3 layers and 1 valve; prevent back flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Mechanisms for Lymph Movement (similar to venous return)

A
  1. skeletal muscle contraction
  2. Respiratory Pressure Changes
  3. Intestinal Movements
  4. Peristaltic Contractions of some Lymphatic Veins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lymphatic Duct

A

receive lymph from lymphatic trunks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Right Lymphatic Duct

A

drains right part of the head and neck; right upper limb and right thoracic region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Right Lymphatic Duct drains to _______.

A

right subclavian vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Thoracic Duct

A

begins at the abdominal cavity as a sac like enlargement _________. Drain left thoracic region, left upper limb, left side of the face and neck and all areas below the diaphragm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cisterna Chyli

A

Sac like enlargement that fives rise to the thoracic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Thoracic Duct empties to __________.

A

left subclavian vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Primary Lymphoid Organs

A
  1. red bone marrow
  2. thymus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Site where lymphocytes origin

A

Primary organs; originate from stem cells in the bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Types of Lymphocytes

A
  1. T cells (migrate after maturation to Thymus)
  2. B cells (after maturation to bone marrow or lymph nodes)
  3. Natural Killer Cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Secondary Lymphoid Organs

A
  1. Lymph nodes
  2. Tonsils
  3. Spleen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Site where lymphocytes proliferate and immune responses

A

secondary lymphoid organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

tonsils

A

small masses of lymphoid tissue, located in the back of the throat, pharyngeal region.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Function of tonsils

A
  1. play a role in the immune system’s defense against pathogens, that enter the body through the mouth and nose.
  2. Initiate immune responses by producing antibodies and activating immune cells such as lymphocytes.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Where is red bone marrow found

A

spongey bone of axial skeleton and proximal epiphyses of femur and humerus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Red Bone Marrow

A

site of origin of all formed elements in blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Immunocompetent

A

capable of recognizing and attacking a foreign substance; must be able to elicit and immune response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

True or False: every lymphocyte produced by the red bone marrow is immunocompetent

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

B cells become immunocompetent in ______ and T cells mature and become immunocompetent _______ before traveling to secondary lymphoid organs.

A

red bone marrow and thymus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Thymus

A

bilobed located above the mediastinum and above the heart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Why is the thymus large in infants?

A

large in infants, decreases with age; plays an important role in the development of lymphoid system before birth and during early childhood. Matures after 2 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Functions of the thymus

A
  1. differentiation of T cells
  2. produces thymosins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Thymosins

A

produced by Thymus , promotes T cell differentiation and division, become immunocompetent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Lymph Nodes

A

occur along larger lymphatic vessels; 1.0 - 2.5 length; site of lymphocyte activation and proliferation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Location of Lymph Nodes:

A
  1. Axillary
  2. Cervical
  3. Inguinal
  4. Thoracic and abdomino- pelvic cavity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

True or False: There are lymph nodes in the central nervous system

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Lymph Nodules

A

collection of lymphocytes and macrophages within reticular tissue; part of the lymph node structure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Flow Trajectory through lymph node

A
  1. Afferent Lymphatic Vessel: enter
  2. Lymphatic Sinuses (surround lymph nodules)
  3. Efferent Lymphatic Vessel: exit
  4. Hilum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Function of lymph node

A

cleanse and filter lymph. Trapped particles are destroyed by macrophages and lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Lymphocytes remove _______ .

A

cancerous cells and pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Macrophages remove ______.

A

cellular debris, dead/ immobile bacteria and viruses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Spleen

A

largest lymphoid organ (5-7 cm wide and 13- 16 cm long) found in the left upper quadrant of the abdomino - pelvic cavity. Enveloped by a thin capsule of dense irregular connective tissue, divided into compartments by reticular tissue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Spleen is a site for ______ .

A

For proliferation and large venous sinuses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

White Pulp

A

tissue inside spleen compartment, that has a large number of lymphocytes, concerned with immune responses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Red Pulp

A

tissue inside spleen compartment, used to store formed elements. Surrounds white pulp and the venous sinuses ;
site where worn out pathogens and RBC are removed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Function of spleen in fetus

A

major blood forming organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Function of spleen in adults

A
  1. cleanse and filter blood, through lymphocytes and macrophages.
  2. store reserve supply of red blood cells and platelets which can be released in blood in times of need.
  3. Major site of RBC destruction and recycling
  4. major site of lymphocyte activation and proliferation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Splenectomy

A

spleen not essential for life; more susceptible to potential pathogens and the effects of hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Tonsils

A

lymphoid tissue beneath mucous membrane of pharynx and oral cavity.
contain lymphocytes and macrophages
Intercept pathogens that enter through the nose and mouth before entering the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Palatine Tonsils

A

junction of oral cavity and pharynx

46
Q

Pharyngeal (adenoid) Tonsils

A

behind nasal cavity; in the upper portion of the pharynx

47
Q

Lingual Tonsils

A

base of tongue in the back of oral cavity

48
Q

tonsilitis

A

condition characterized by inflammation of the tonsils, which are located in the back of the throat.

49
Q

What causes tonsillitis?

A
  1. Virus (common cold or Epstein Barr, causes infectious mononucleosis)
  2. Bacterial infection (streptococcus)
50
Q

Tonsillectomy

A

recurrent cases of tonsillitis or if complications such as abscess formation. Affect a person’s quality of life and health.

51
Q

Mucosa Associated Lymphoid Tissue (MALT)

A

individual lymph nodules (collection of macrophages and lymphocytes) trapped in reticular tissue located throughout the body that provide additional barriers to pathogen invasion

52
Q

Where is MALT located?

A
  1. Respiratory
  2. Reproductive
  3. Digestive
  4. Urinary
53
Q

Appendix

A

extension of the large intestine; located in the right lower quadrant of the abdomino- pelvic cavity
Helps control bacterial growth in the large intestine

54
Q

Lymph nodule, Lymphoid follicles or lymphoid aggregations

A

localized clusters of lymphoid tissue found in organs (spleen, tonsils, and lymph nodes)
Composed of densely packed lymphocytes (primarily B cells) and can contain germinal centers where B cell proliferate and differentiate into antibody producing plasma cells.

55
Q

Function of lymph nodules

A

sites for immune surveillance and response; help filter lymph and blood, trap antigens and initiate immune reactions against pathogens.

56
Q

Non - Specific Resistance

A

protect against all pathogens and foreign substances; not direct

57
Q

Mechanical Barrier (Non- specific resistance)

A

skin, mucous membrane, tears, saliva, and vaginal secretion

58
Q

Skin (mechanical barrier; non - specific resistance)

A

closely packed epidermal cells; makes penetration of pathogens difficult

59
Q

Mucous membrane (mechanical barrier; non - specific resistance)

A

produce mucus lining the respiratory and digestive tract; entrap pathogens and usually prevent their contact with underlying membranes.

60
Q

Fluid Mechanical Barriers (non- specific resistance)

A

help flush away pathogens before they can attack body tissue
1. tears
2. saliva
3. vaginal secretion
4. urine flow

61
Q

Chemical Reactions:

A

lysozyme, pH of the skin, gastric juice, interferon and complement

62
Q

Lysozyme (Enzymes; chemical reaction; non specific defense)

A

destroys certain type of bacteria, present in tears, saliva, nasal secretion and perspiration

63
Q

Acidic pH of the Skin (chemical reaction; non - specific defense)

A

inhibits bacterial growth

64
Q

Gastric Juice (chemical reaction; non- specific defense)

A

pathogens that tonsils miss are swallowed at frequent intervals. low pH and enzyme pepsin

65
Q

Interferon (chemical reaction; non- specific defense)

A

produced by viral infected cells; cause infected cells to make proteins that inhibit viral replication (rapid growth of virus inhibited)

65
Q

Complement/ Complement Fixation (chemical reaction; non- specific defense)

A

plasma proteins that bind to certain pathogens initiating a chain of events that leads to the destruction of the pathogen.

66
Q

Complement Fixation enhances ________ and ________.

A

phagocytosis and inflammation

67
Q

Phagocytosis (chemical reaction; non- specific defense)

A

engulfing and destruction of pathogens, damaged or cancerous cells and cellular debris. Carried by neutrophils and monocytes.

68
Q

Who carries out phagocytosis?

A

neutrophils and monocytes

69
Q

Macrophages

A

monocytes that enter infected tissue

70
Q

tissue macrophage system

A

some macrophages remain in a fixed position

71
Q

tissue macrophage system can be found in?

A

spleen
red bone marrow
liver
inner walls of blood and lymphatic vessels.

72
Q

Inflammation (chemical reaction; non- specific defense)

A

localized response to infection or injury
promotes pathogen destruction; healing process
characterized by redness, pain, heat and swelling

73
Q

Histamine and complement proteins

A

are produced with an injury or infection, which dilate arterioles and increase capillary permeability
Blood flow increases, causes redness and heat

74
Q

Irritation of nocireceptors

A

results in pain during the process of inflammation by pathogens, swelling or chemical from infected cells.

75
Q

Fibrinogen and Fibroblasts

A

attract WBC and work to seal oof the infected area and prevent pathogen spread

76
Q

pus

A

white fluid; accumulated mass of living and dead WBC, tissue cells and bacteria
forms at site of inflammation.

77
Q

Fever (chemical reaction; non- specific defense)

A

high blood temperature (useful purpose as long as body temp doesn’t get to high)

78
Q

function of fever

A
  1. inhibit growth of certain pathogens
  2. Increases rate of body processes (those that fight infection)
79
Q

Natural Killer Cells (chemical reaction; non- specific defense)

A

immune surveillance
kill viral infected cells, bacteria, transplanted cells and tumor cells

80
Q

Immunity (specific resistance)

A

directed at a specific antigen; it has memory (allows a quicker and stronger response to subsequent infections)

81
Q

antigen (protein and glycoproteins)

A

any substance that can cause an immune response (production of specific cells and substances that attack a specific antigen)

82
Q

Specialization of lymphocytes

A

must mature and become specialized within primary lymphoid organs before they can participate in immunity
T cells in the thymus
B cells in the red bone marrow

83
Q

Percent of T cells in the blood

A

75%

84
Q

Percent of B cells in the blood

A

25%

85
Q

Recognizing Pathogens

A

cells of each person has a unique set of surface recognition molecules called antigens. Lymphocytes learn how to distinguish self from non- self cells and launch an attack
each B and T cell have specific receptors that bind with a specific antigen

86
Q

graft rejection

A

lymphocytes recognize a transplanted organ as foreign

87
Q

autoimmune disease

A

lymphocytes fail to recognize certain body tissues as self and attack the body’s own tissue

88
Q

Cell Mediated Immunity

A
  1. T cells activated and phagocytosis stimulated
  2. Direct Attack against foreign antigens by chemical and physical means
  3. Destroys intracellular pathogens and foreign diseased cells and transplanted cells
89
Q

True or False: T cells develop a memory for their antigens

A

true

90
Q

Step #1: Cell Mediated Immunity

A

begins when antigen presenting cell (APC), macrophage that engulfs a foreign antigen.
Part of the antigen is expressed in plasma membrane

91
Q

Step #2: Cell Mediated Immunity

A

T cell that can bind to the antigen on the APC, is activated and begins repeated mitotic division.
Forms clone of T cells which are capable of binding with the same antigen that activated the parent T cell.

92
Q

Step #3: Cell Mediated Immunity
Active Th Cells

A

If activated T cell is a helper T cell (Th) it forms clones with mostly Th cells along with memory T cells. bind to antigens and secrete cytokines

93
Q

cytokines

A

produced by active Th cell in cell mediated immunity;
1. attract neutrophils and macrophages and stimulate phagocytic activity.
2. Stimulate mitotic division and immune responses of activated B and cytotoxic T cell.

94
Q

Step #3: Cell Mediated Immunity
Active T cell is cytotoxic T cell (Tc)

A

if rooms mostly active Tc cells along with some regulatory T cell. Binds to any cell displaying the antigen; releases lethal dose of chemicals to kill the cell.

95
Q

T memory cells

A

remain after pathogen is eliminated; allow for a quicker attack if encountered again

96
Q

Regulatory T cell

A

monitor and direct actions of cytotoxic T cells by releasing cytokines that prevents cytotoxic T cells from being over active.

97
Q

Step #4: Cell Mediated Immunity

A

As more active T cells are produced and the pathogen is eliminated, the immune response slows and stops.

98
Q

Antibody Mediated Immunity:

A
  1. B cells activated to become antibody producing plasma cells
  2. Indirect attack by producing antibodies that bind foreign antigens
  3. Bind extracellular pathogens for destruction by phagocytosis and other means.
    Involves both B and Th cells
    provide defense against extracellular pathogens
99
Q

antibodies

A

bind to foreign antigens tagging them for destruction.

100
Q

Step #1: Antibody Mediated Immunity:

A

antigen recognition: begins when foreign antigens bind to B cell receptors

101
Q

Step #2: Antibody Mediated Immunity:

A
  1. B cell activation; B cell engulfs antigen and displays it on its plasma membrane
  2. TH cell binds to the displayed foreign antigen. Secretes cytokines that activate B cells.
102
Q

Step #3: Antibody Mediated Immunity:

A

Clone Formation; clone of identical B cells, that produce the same antibodies against the specific antigen.

103
Q

Step #4: Antibody Mediated Immunity:

A

Differentiation; most B cells in the clone become plasma cells. Some become memory B cells, that allow for a stronger response in a later encounter.

104
Q

Step #5Antibody Mediated Immunity:

A

Action; plasma cells rapidly produce and release antibodies capable of biding with the targeted antigen

105
Q

Antibodies ( immunoglobulins)

A

known as globulins (proteins)
its structure determines its classification

106
Q

Function of Antibodies

A

they form an antigen body complex (complement fixation) they also neutralize bacterial toxins by binding the antigens (prevent toxins from attaching to body cells)
antigen antibody are engulfed and destroyed by macrophages, eosinophils and neutrophils.

107
Q

IgG 75%

A

located in the plasma
1. Long term immunity, following vaccination or recovery from infection.
2. Crosses the placenta to give passive immunity to newborn infants
3. Most important in fixing complement

108
Q

IgA 15%

A

Located in saliva, tears, mucus, breast milk and plasma
1. protects mucus membranes from pathogens
2. Provide passive immunity for breast- fed infants

109
Q

IgM 10%

A

Located in B cells and plasma
1. release from B cells and agglutinates antigens

110
Q

IgD 0.2%

A

B cells;
1. receptors on B cells

111
Q

IgE 0.02%

A

mast cells and basophils
1. triggers allergic reaction by causing release of histamine when bind to allergen