Test 5 Study Guide Part 1 Flashcards
Two forms of allergies (hypersensitivity reaction):
- Immediate Hypersensitivity: B lymphocyte mediated
- Delayed Hypersensitivity:
T lymphocyte mediated
Chronic runny or stuffy nose:
Allergic rhinitis
Hives is also called:
Atopic dermatitus
red eyes:
Conjunctivitis
- Immediate Hypersensitivity symptoms:
- rapid reaction: food allergies allergic asthma allergic rhinitis atopic dermatitis Conjunctivitis
a Non-allergic individual’s “allergic reaction”:
allergen stimulates Helper T lymphocyte (TH1) cells to secrete inflammatory interferon-γ and interleukin-2.
Allergic individual’s allergic first exposure to allergen:
Dendrite activates -> TH2 cells activated -> B-cell produces -> IgE binds Fc side -> Mast cells and basophils -> mast cells primed, with Fab side of IgE facing outward.
Immediate Hypersensitivity (second exposure to allergen):
Mast cells primed with IgE bind allergen, release Histamine, (leukotrienes, prostaglandins).
IgE binds to them where:
Basophils:
Mast cells:
Blood
Tissues
Histamine effect:
- constriction of bronchioles
- vasodilator
- anaphylactic shock is very systemic vasodilation from histamine
- bronchoconstriction in asthma is primarily caused by:
Leukotrienes secreted by Eosinophils and mast cells (both IgE primed)
Eosinophils predominant cause
- Asthma is treated with:
beta-2 adrenergic agonists
A test involves multiple sticks in the arm with a needle coated by different allergens.
What is it looking for?
Flare-and-wheal reaction
Flare: redness
Wheal: swelling
Common allergens:
bee stings, dust mites, varous foods, pollen grains
Delayed hypersensitivity:
- Cause:
- Treatment:
- Cause:
T-cell - Treatment:
Corticosteroids (glucocorticoids) such as hydrocortisone
Examples of delayed hypersensitivity:
Contact dermatitis (caused by poison oak, nickel, chromium) tuberculin tine test mantoux test (purified protein derivative)
Respiration three definitions:
1: ventilation
2: gas exchange
3: oxygen utilization (cellular respiration)
Gas exchange between air and pulmonary arteries/veins (Co2 and O2)
Gas exchange between interstitial fluid and capillaries
External respiration:
Internal respiration:
Exhale what percentage of oxygen:
CO2:
16% O2
3-5% CO2
How many cells separate air and blood in the alveoli (site of external respiration):
2 cells
an alveolar cell
a capillary epithelium cell