quiz 2 Flashcards

1
Q

What form of antibodies and antigens are involved in precipitation reactions

A

soluble antigen reacting with soluble antibody

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2
Q

What is formed in precipitation reactions

A

insoluble ag/ab complex with visible lattice formation

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3
Q

When ag/ab complexes form at high rates, what can be measured using automation

A

turbidity

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4
Q

What is double immunodiffusion

A

both ag and ab diffuse toward each other; have similar epitope

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5
Q

How does radial immunodiffusion (RID) work

A

agar containing ab is incorporated with anti IgG, M or A. Diluted pt sample is put into wells, pt IgG diffuses across agar to zone of equivalence forming precipitin ring ; bigger diameter= more antigen concentration

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6
Q

Difference between RID and IEP

A

RID doesn’t use electricity

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7
Q

Difference between IEP and IFE

A

Ag put into wells in IEP, but not for IFE in which ag is directly applied to media

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8
Q

How does immunofixtation electrophoresis (IFE) work

A

Ab applied directly onto surface after electrophoresis. Results in separation of proteins into discrete bands.

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9
Q

How does immunoelectrophoresis (IEP) work

A

Ab placed in trough running parallel to electrophoresis. Proteins separate through diffusion and precipitin arc is formed

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10
Q

What does gamma peak look like for Hypogammaglobulinemia

A

small peak

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11
Q

What does gamma peak look like for agammaglobulinemia

A

no peak– no immunoglobulins

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12
Q

What does gamma peak look like for hypergammopathy

A

high peak– excessive immunoglobulins

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13
Q

How does hemagglutination work

A

Ag absorbed onto rbc. When ag/ab/rbc complex forms, visible agglutination is seen

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14
Q

How do complement fixation tests work

A

complement is used as reagent, pt serum, antigen of interest, and sheep rbc added. If complement reacts with ag-ab complex, no lysis of rbc– ab is present (+) for complement fixation. If rbc lyse, no ab present (-) for complement fixation

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15
Q

Heterophile antibodies are found for which disease

A

mono ; called forssman antibodies

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16
Q

What are heterophile antibodies

A

ab that can react with antigens from a different unrelated species. ex- forssman antibodies can react with sheep rbc but are directed towards guinea pig kidneys normally

17
Q

What is ANA test

A

screens for autoantibodies

18
Q

How does ANA test work

A

pt serum is put on slide containing HEP2 (human epithelial cell line); auto ab will react with DNA in HEP2 cells. After washing, treat with conj ab cont. fluorescent tag. ID staining pattern

19
Q

In SLE, what ANA is present

A

dsDNA ; autoantibodies against dsDNA

20
Q

What is CREST

A
clinical presentation of scleroderma. 
C- calcinosis
R- reynauds syndrome
E- esophageal involvement
S- Sclerodactyly
T- telangiectasia (spider veins)
21
Q

What ANA is present in scleroderma

A

anticentromere antibody

22
Q

Which autoantibodies generated in hepatitis

A

anti smooth muscle

23
Q

Which autoantibodies generated in biliary cirrohosis

A

anti mitochondrial

24
Q

Which autoantibodies generated in goodpastures disease

A

anti glomerular basement membrane

25
Q

Which autoantibodies generated in pernicious anemia

A

anti parietal cell

26
Q

What is incr/decreased in Hashimoto’s

A

incr TSH, normal t3/t4 which eventually decreases

27
Q

What is incr/decr in graves disease

A

incr t4, decr TSH

28
Q

What distinguishes autoimmune hepatitis from SLE

A

NO dsDNA in autoimmune hep