phys review #3 Flashcards

1
Q

virulence

A

ability to cause disease

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2
Q

5 total types of leukocytes

A

3 granulocytes and 2 non-granulocytes

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3
Q

granulocytes

A

1=neutrophils
2=eosinophils
3=basophils

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4
Q

non granulocytes

A

1=monocytes
2=lymphocytes

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5
Q

two types of lymphocytes

A

B cells
-transform into plasma cells that secrete antibodies

T cells
-responsible for cell mediated immunity

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6
Q

lymphoid tissues

A

-Bone marrow
* Lymph nodes
* Spleen
* Thymus
* Tonsils
* Adenoids
* Appendix
* Brochus-associated lymphoid Tissue
(BALT)
* Peyer’s patches (GALT)
- Gut Associated Lymphoid Tissue

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7
Q

innate immune system

A

Responses work
immediately upon
exposure
* Exogenous: pathogen-
associated molecular
patterns
* Endogenous: damage-
associated molecular
patterns

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8
Q

adaptive immune system

A

Customizes defenses for
specific pathogens
- T and B lymphocytes as
well as antibodies

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9
Q

molecules important in innate defense

A

neutrophils, macrophages, and several plasma proteins

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10
Q

defenses of innate immune system

A
  • Inflammation
  • Interferon
  • Complement system
  • Natural killer cells, Neutrophils,
    Macrophages, Dendritic cells,
    Eosinophils, and Mast cells
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11
Q

in INNATE IMMUNITY Phagocytes have pattern recognition
receptors (PRR’s) for detecting
threatening agents

A

Toll like receptors

retinoic acid inducible gene

Nucleotide-binding oligomerization
domain NOD) like receptors

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12
Q

ultimate goal of inflammation

A

Ultimate goal is to bring phagocytes and
plasma proteins to invaded or injured area

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13
Q

phagocytes with key role in inflammation

A

neutrophils and monocytes

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14
Q

sequence of innate immunity inflammation response

A

1= defense by resident tissue (macrophages)
2=Localized vasodilation and increased capillary permeability (histamine release by mast cells)
3=localized edema
4=walling off inflamed area (clotting cascade)
5= emigration of leukocytes
6= leukocyte proliferation
7=Marking of bacteria for destruction by Opsonins
- Opsonins: make bacteria more susceptible to
phagocytosis
8=leukocyte destruction of bacteria

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15
Q

emigration of leukocytes in innate immunity

A

-Neutrophils and Monocytes (that mature into macrophages)
- Margination – blood borne neutrophils and monocytes stick to
inner endothelial lining of capillaries in affected tissue.
- Diapedesis: Leukocytes start leaving vessels
- Leukocytes find injured area by chemotaxis by sensing things like
cytokines

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16
Q

cytokines

A

Protein signal molecules – help regulate immune
responses

*affect distant locations- do not interact directly with antigens

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17
Q

what are lost cells replaced by in nonregenrative tissuee?

A

scar tissue

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18
Q

chronic inflammation can lead to illness

A

Alzheimer’s Disease, atherosclerosis and coronary
artery disease, asthma, rheumatoid arthritis,
obesity, diabetes, and possibly cancer

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19
Q

interferon

A

Chemical (cytokine or cytokines) released
nonspecifically from any cell infected by a virus

*whistle blower

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20
Q

anti cancer effects of interferons

A

Enhances effects of NK cells and Tc-cells.
* Slows cell division and suppresses tumor growth

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21
Q

Natural killer (NK) cells

A

-Naturally occurring lymphocyte-like cells
- Nonspecifically destroy virus-infected cells and
cancer cells
- Antibodies enhance their activity, but they are
non-specific.
- Directly lyse cell membranes upon first
exposure to these cells.

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22
Q

complement system (innate immunity)

A

-Nonspecific response
- Forms membrane attack complexes that punch holes
in victim cells
- Composed of plasma proteins that are produced by
the liver and circulate in inactive form.
- Originally named “complement” because it
complements the actions of antibodies

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23
Q

complement system of innate immunity activated in 2 ways

A

1.Primary mechanism activated by antibodies to kill
foreign cells. Adaptive response – classic complement pathway

  1. Also activated by exposure to carbohydrate chains
    present on surfaces of microorganisms but not on
    human cells. – Alternate complement pathway.
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24
Q

membrane attack complex sequence of events

A

C1 is activated → activates C4 → activates C2
→ activates C3 → activates C5 through C9

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25
Q

two classes of antibody immunity

A

1- antibody mediated, or humoral immunity
2-cell mediated immunity

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26
Q

define anitbody

A

mmunoglobulin produced by B
lymphocyte against a specific antigen

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27
Q

antibody mediated or humoral immunity (part of adaptive immunity)

A

Involves production of antibodies by B lymphocyte derivatives known as plasma
cells

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28
Q

cell mediated immunity

A

-Involves production of activated T
lymphocytes
- Directly attack unwanted cells

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29
Q

origins of T cells vs B cells

A

-Whether they are a T cell or B cell depends on site of
final differentiation and maturation of the original cell in the lineage
- B cells differentiate and mature in the bone marrow.
- T cells are processed in the Thymus (hence their name)

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30
Q

thymosin

A

-hormone important in maintaining the T-cell lineage
* Enhances the proliferation of new T cells in
peripheral lymphoid tissue

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31
Q

antigen

A

-Large, foreign, unique molecule
- Induces an immune response against itself
- In general, the more complex a molecule is, the greater its antigenicity

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32
Q

T-dependent vs T-independent antigens

A

-T-independent: stimulate production of
antibodies from B cells without help of a T-cells
- T-dependent: typically protein antigens, require the help of a helper T-cell to
stimulate production of antibodies.

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33
Q

BCRs cause B cells to bind with antigens, once they do this what happens

A

-most b cells differentiate into active plasma cells
-other b cells become dormant
-1-2% become regulatory B cells

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34
Q

function of plasma cells

A

Produce antibodies that combine with a specific kind of antigen

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35
Q

gamma globulins or immunoglobulins

A

antibodies in the blood

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36
Q

immunoglobulin subclasses

A

IgM
-initial antibody produced by the adaptive immune
system in response to a foreign pathogen
* Secreted in early stages of plasma cell response

IgG
-Most abundant immunoglobulin in blood
* Produced in large amounts when body is exposed to
same antigen

IgE
-Helps protect against parasitic worms
* Antibody mediator for common allergic responses

IgA
-Found in secretions of digestive, respiratory, and
genitourinary systems;
also in milk and tears

IgD
Present on surface of many B cells, function is
uncertain

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37
Q

describe composition of antibody

A

Composed of four interlinked
polypeptide chains
- Two long, heavy chains and two
short, light chains
* Properties of tail portion
determine functional
properties of the antibody
* Identical antigen-binding
fragments (Fab) at tip of each
arm (unique for each different
antibody)
* Tail is the constant (Fc) region.
Within each subclass the tails
are identical.

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38
Q

how can antibodies physically hinder antigens?

A

By neutralization, they combine with toxins and prevent harmful chemicals from interacting with susceptible cells
- Can bind to foreign cells by agglutination

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39
Q

how do antibodies enhance activities of other defense systems?

A
  • activating complement system
    -enhancing phagocytosis
    -stimulating killer NK cells
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40
Q

clonal selection theory

A

-diverse b cells are produced during fetal development
-When antigen arrives, the naïve
lymphocytes (clones) that have
the correct BCR (B-cell
receptors) are activated
(selected).
* First antibody produced is IgM,
which are inserted into the B
cells membrane.
- These bind to the antigen, &
specific Ab produced

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41
Q

active immunity

A

-“self-generated”
- Results from exposure to an antigen

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42
Q

passive immunity

A

-“borrowed immunity”
- Results from transfer of preformed antibodies
- Can provide immediate protection or bolster
resistance
- Example of passive immunity is transfer of IgG
antibodies from mother to fetus

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43
Q

natural vs artificial active immunity

A

Naturally acquired active immunity
* Natural exposure to antigen
- Artificially acquired active immunity
* Response to vaccination

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44
Q

natural vs artificial passive immunity

A

Naturally acquired passive immunity
* transfer of IgG antibodies from mother to
fetus
- Artificially acquired passive immunity
* Administration of Ab’s via vaccination

45
Q

cell mediated immunity occurs when

A

T lymphocytes bind directly to targets

*this takes a few days

46
Q

when are t cells activated?

A

T cells are activated for foreign attack only
when it is on the surface of a cell that
carries foreign and self antigens

47
Q

T cells Learn to recognize foreign antigens only in
combination with a person’s own self-antigens

A

major histocompatibility complex

48
Q

what do Tc cells release during cell mediated attacks?

A

they release toxins that destroy targeted cells

49
Q

what are the 3 main types of T cells?

A

1= CD8+ Tc cells
2= CD4+ Th cells
3=CD4+CD25+ Treg cells (Regulatory T cells or Tregs)

50
Q

CD8+, Tc cells

A

-killer cytotoxic cells
-co receptors= CD8
-kill victim by releasing perforin
-can also kill by releasing granzymes

51
Q

CD4+; Th cells

A

-mostly helper T cells
-Th 1and Th2
-modulates activities of other immune cells
-secretes chemicals that amplify activity of other T cells
*B cell growth factor
*T cell growth factor
*macrophage migration inhibition factor

52
Q

Th 1 vs Th 2 cells

A

Th 1= cell mediated response
Th 2=antibody mediated repsonse

53
Q

CD4+CD25+ Treg cells

A

-have CD4 and CD25 receptors
-supress immune responses
-have large amounts of Foxp3

54
Q

dendritic cells

A

antigen presenting cells; Occur in nearly every tissue, but are
dense in skin, lung, and digestive tissue

55
Q

antigen presentation

A

-Phagocytosis of the microbe occurs.
- The raw antigen is broken down by lysosomes.
- Antigen binds to an MHC molecule synthesized by cell.
- Antigen and MHC molecule are presented on the outer
surface of the macrophage’s plasma membrane.
* The cell is now an Antigen Presenting Cell
- Passing T lymphocytes bind to Antigen-MHC complex
- Antigen-presenting macrophages secrete cytokines
- Acts in a paracrine manner on adjacent B cells, Cytotoxic T cells,
and NK cells

56
Q

biochemical blueprint (or SSN)

A

our exact pattern of MHC molecules

57
Q

two classes of MHC molecules

A

-Class I MHC: Cytotoxic T cells (CD8+) can only
respond to foreign antigens when in
association with MHC I
* All nucleated cells possesses MHC-I

-Class II MHC: Recognized by Helper T cells
(CD4+) and are found only on APC’s
* B-cells
* Macrophages
* Dendritic cells

58
Q

self tolerance

A

refers to preventing the immune system from attacking the person’s own tissues

59
Q

mechanisms involved in self tolerance

A

-clonal deletion
-clonal anergy= “turns off t cell”
-active suppression by regulatory T cells
-receptor editing
-immunulogical ignorance

60
Q

autoimmune diseases

A

examples of causes:
-normal self antigens may be modified
-exposure of normally inaccessible self antigens
-Exposure of the immune system to a foreign antigen structurally identical to a self-antigen
-may be related to pregnancy

61
Q

tumor

A

Clone of cells identical to original mutated cell
* Benign tumor
- Does not infiltrate surrounding tissues
* Malignant tumor
- Invasive and cancerous
- Cells tend to metastasize
- May spread throughout body and cannot be removed
surgically

62
Q

two general ways of immune diseases

A
  1. Immunodeficiency diseases
    * Too little immune response
    * Examples
    - severe combined immunodeficiency (SIDS)
    - AIDS
  2. Inappropriate immune attacks
    * Too much or mistargeted immune response
    * Categories of inappropriate attacks
    - Autoimmune responses
    - Immune complex diseases
    - Allergies
63
Q

categories of allergic responses

A
  • Immediate hypersensitivity
  • Delayed hypersensitivity
  • Memory TH1 cells cause tissue damage by
    macrophages
  • Can take time to show symptoms
  • Can last for hours or days
64
Q

chemical mediators of immediate hypersensitivity

A

-histamine
-slow reactive substance of anaphylaxis (SRS-A)
-eosinophil chemotactic factor

65
Q

4 cell types of epidermis

A

1=melanocytes
2=keratinocytes- ILK 1
3=Langerhans cells- specific immunity by presenting antigen to help T cells
4=Granstein cells- suppress skin activated immune response

66
Q

digestive system immunity

A

Antimicrobial salivary enzyme
* Destructive acidic gastric secretions
* Gut-associated lymphoid tissue
* Harmless resident colonic secretions

67
Q

urogenital system immunity

A

Destructive acidic and particle-entrapping mucus
secretions

68
Q

respiratory system immunity

A

Alveolar macrophage activity
* Secretion of sticky mucus that traps debris which is swept
out by ciliary action
* Nasal hairs filter out large inspired particles
* Reflex cough and sneeze mechanisms expel irritant
materials from trachea and nose
* Tonsils and adenoids defend immunologically

69
Q

external respiration

A

Refers to sequence of events involved in the
exchange of O2 and CO2 between the external
environment and the cells of the body

70
Q

4 steps of external respiration

A
  • Ventilation – movement of air into and out of the lungs
  • O2 and CO2 are exchanged between air in alveoli and
    blood within the pulmonary capillaries by means of
    diffusion
  • Blood transports O2 and CO2 between lungs and tissues
  • O2 and CO2 are exchanged between tissues and blood
    by process of diffusion across systemic (tissue)
    capillaries
71
Q

internal respiration

A

Refers to metabolic processes carried
out within & around the mitochondria,
which use O2 and produce CO2, while
deriving energy from nutrient
molecules

72
Q

respiratory quotient (RQ)

A
  • Ratio of CO2 produced to O2 consumed
  • Varies depending on foodstuff consumed
73
Q

non respiratory functions of respiratory system

A
  • Route for water loss and heat elimination
  • Enhances venous return
  • Helps maintain normal acid-base balance
  • Enables speech and other vocalizations
  • Defends against inhaled foreign matter
  • Removes, modifies, activates, or inactivates
    various materials passing through the
    pulmonary circulation
  • Nose serves as the organ of olfaction
74
Q

pores of kohn

A

permit airflow between adjacent
alveoli (collateral ventilation)

75
Q

flattened type 1 of alveolar cells

A
  • Pulmonary capillaries encircle each alveolus
  • Capillary walls only one cell thick
  • Alveolar capillary membrane – 0.5 mm thick.
76
Q

type 2 alveolar cells

A

secrete pulmonary surfactant
- Phospholipoprotein that facilitates lung expansion

77
Q

Three different pressure considerations
important in ventilation

A

-Atmospheric (barometric) pressure
* At sealevel, 760 mm Hg
- Intra-alveolar pressure (intrapulmonary
pressure)
* varies with respiration.
- Intrapleural pressure (intrathoracic
pressure)
* Usually less than atmospheric, around 756 mm Hg

78
Q

intrapleural pressure when thoracic cavity expands

A

When the thoracic cavity expands, the intrapleural pressure drops to 754 mm Hg due to the highly stretched lungs pulling a little bit away from the thoracic wall.

THIS IS HOW AIR ENTERS LUNGS

79
Q

How does forced expiration occur?

A

Forced expiration can occur by contraction of
expiratory muscles
- Abdominal wall muscles
- Internal intercostal muscles

80
Q

bronchiole innervation functions

A

-Parasympathetic: smooth muscle contraction, bronchoconstriction
- Sympathetic: smooth muscle relaxation, bronchodilation

81
Q

emphysema

A

A disease in which the alveoli are damaged or have been overstretched, making it difficult to
exhale completely.
- Damage to the walls of the alveoli traps air in the
lungs and diminishes overall surface area

82
Q

elastic recoil

A

-Refers to how readily the lungs rebound
after having been inflated
* Responsible for lungs returning to their pre-
inspiratory volume when inspiratory
muscles relax at end of inspiration

83
Q

two factors that effect elastic recoil

A
  • Highly elastic connective tissue in the lungs (elastin).
  • Alveolar surface tension
84
Q

pulmonary fibrosis

A

normal lung tissue is
replaced with scar forming fibrous
connective tissue.
- Caused by chronically breathing in asbestos
or other similar irritants

85
Q

pressure volume curve

A

-tests for lung compliance

For each change in pressure,
lungs should respond in
volume depending upon
compliance

Can be done by
simultaneously measuring
changes in lung volume
using a spirometer and
changes in pleural pressure
using a pressure gauge

86
Q

normal breathing requires how much of total NRG expenditure?

A

3%

87
Q

situations where work of breathing is increased

A

1=when pulmonary compliance is decreased
2=when airway resistance is increased
3=when elastic recoil is decreased
4=when there is a need for increased ventilation

88
Q

pulmonary surfactant

A

-phospholipids and proteins secreted by type 2 alveolar cells
-lowers surface tension by interspersing between water molecules
-increases pulmonary compliance
-reduces lung tendency to recoil

89
Q

important measurements in spirometry test

A

Particularly important measurements include
Vital Capacity (VC) and Forced Vital Capacity
(FVC)

90
Q

2 general lung dysfunction categories

A
  • Obstructive lung disease
  • Difficulty emptying the lungs
  • Restrictive lung disease
  • Difficulty in filling lungs
91
Q

minute ventilation

A

Volume of air breathed in and out in
one minute.

92
Q

pulmonary ventilation

A

tidal volume x respiratory rate

93
Q

average pulmonary ventilation

A
  • Average tidal volume 500 mL/breath
  • Average respiration rate: 12 breaths/min
94
Q

alveolar ventilation

A

More important than pulmonary ventilation
- Volume of air exchanged between the atmosphere
and the alveoli per minute

95
Q

calculating alveolar ventilation

A

Alveolar ventilation = (tidal volume – dead space) x respiratory
rate

96
Q

alveolar dead space

A

not all alveoli are equally
ventilated. Those not involved in exchange =
dead space

97
Q

partial pressure gradient in pulmonary system

A
  • Deoxygenated blood returning from the body has
    HIGH PCO2 (46) compared to air entering alveoli
    (40), causing CO2 to flow into lungs.
  • Returning blood from the body also has a LOW PO2
    (40) compared with air in the lungs (100), causing
    O2 to flow into the pulmonary capillaries
98
Q

partial pressure gradient in systemic system

A

-By equilibration in the alveoli, the systemic
capillary PO2 is high (100) compared to the PO2 in
tissue cells (40), causing O2 to flow into the
tissues.
- The PCO2 in the systemic capillaries is low (40)
compared to the PCO2 of the tissue cells (46),
causing CO2 to flow from tissues into the blood

99
Q

law of mass action

A
  • When blood PO2 is high (pulmonary capillaries),
    equation is driven to right side.
  • When blood PO2 is low (systemic capillaries), equation
    is driven to left side.
100
Q

main factor
determining the %Hb saturation

hb-hemoglobin

A

partial pressure of oxygen

  • The percent saturation is high where the
    partial pressure of oxygen is high (lungs).
  • The percent saturation is low where the
    partial pressure of oxygen is low
101
Q
A
102
Q
A
103
Q
A
104
Q
A
105
Q
A
106
Q
A
107
Q
A
108
Q
A
109
Q
A