Unit I - Immune System (Part 2) Flashcards

1
Q

changes with innate immunity that are associated with aging

A

thinning skin, decreased GI tract acidity, shallow breathing, less acidic urine, less elastic bladder

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2
Q

changes in acquired immunity

A
  • thymus involutes
  • decline in T lymphocytes
  • dampened immune response
  • increased cell mutations and decreased apoptosis
  • tendency to form autoantibodies, causing autoimmune diseases
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3
Q

pressure sores - stages

A

Stage 1: Discoloration (redness) of intact skin
Stage 2: Partial-thickness skin loss-lesion is through the epidermis
Stage 3: Full thickness skin loss involving damage into the subcutaneous tissue (Hypodermis)
Stage 4: Full thickness skin loss with extensive destruction and necrosis extending through the epidermis and subcutaneous tissue

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4
Q

CNS aging

A

WBCs migrate to CNS, glial cells secrete pro inflammatory cytokines, CNS inflammation

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5
Q

hypothetical outcomes of CNS inflammation

A

contributes to alzheimer’s, ALS, MS, parkinson’s, PSP

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6
Q

exercise and immunology

A

moderate, regular exercise
- increase T cells, B cells, NK cells

strenuous exercise - decrease WBCs, chronic inflammation

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7
Q

primary (congenital) immunodeficiency and 3 examples

A

someone is born with a poorly functioning immune system

  1. X-linked/Bruton’s
  2. DiGeorge’s
  3. SCIDS
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8
Q

X-linked/Bruton’s agammaglobulinemia

A
  • boys
  • can’t make B cells
  • severely immunocompromised
    mutation of X chromosome
    frequent bacterial infections
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9
Q

DiGeorge’s Syndrome

A

(congenital T cell deficiency)
deletion of piece of chromosome 22
absence/underdeveloped thymus and parathyroid glands, palate abnormalities, feeding difficulties, many defects

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10
Q

severe combined immune deficiency syndrome (SCIDS)

A

“bubble boy disease”

both B and T cells are deficient

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11
Q

secondary immunodeficiency

A

someone acquires immune dysfunction either by disease, medication, or other cause

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12
Q

Acquired immunodeficiency syndrome (AIDS)

A

HIV attacks CD4 lymphocytes and B and T are inactivated

infectious diseases are easily contracted

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13
Q

acquired diseases outcomes

A

cancer

  • epstein-barr virus (non-hodgkin’s lymphoma): B cell lymphomas and nodules in lymphnodes
  • HPV: uterine cervical cancer
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14
Q

If you have >5000 HIV RNA copies/ml in blood, you have ____

If you have 300-500 HIV RNA copies/ml in blood, you’re ____

A

active AIDS

HIV+ but not sick

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15
Q

if you have <200 CD4 cells/ml, you have ____

if you have >200 CD4 cells/ml, you’re

A

active AIDS

HIV+ but not sick

(normal is 700-1000)

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16
Q

common opportunistic infections

A
AIDS pneumonia 
AIDS gastroenteritis 
AIDS related meningitis/encephalitis, myocarditis
Hepatitis 
Conjunctivitis 
Pharyngitis (thrush)
17
Q

opportunistic infections causing cancer

A

Non-Hodgkin’s lymphoma - epstein barr virus
Kaposi’s sarcoma
HPV

18
Q

HIV/AIDS transmission

A
STD
Infected needles
Breast milk
Mother to child during birth
Infected blood transfusion
19
Q

Symptoms of HIV/AIDS

A
  • Diarrhea/Vomiting/Dehydration
  • Severe Weight Loss
  • Neurologic Deficits
  • Dementia/Cognitive Loss
  • Cranial Nerve Neuritis
  • Pneumonitis
20
Q

pathologic course and outcomes - AIDS related cancer

A

Non-Hodgkin’s Lymphoma (EBV)
Primary Effusion Lymphoma (B cell) (HHV8)
Kaposi’s Sarcoma (HHV8)
Kaposi’s Sarcoma (KSHAV)
Cervical/Genital/Oropharyngeal cancer (HPV)

21
Q

pharmacologically induced immunodeficiency

A

occurs secondary to medicines used to reduce the graft - host reaction following organ transplants

22
Q

immunosuppressant drugs following transplant surgery

A

corticosteroids to treat inflammation

prednisone

23
Q

chronic fatigue syndrome (CFS) and immune dysfunction syndrome

A
At Least 4 of the following:
Unexplained, persistent fatigue severely for 6 months or longer
- Fatigue not improved by rest
- loss of memory
- Concentration Deficit
- Orthostatic Intolerance
- Sore Throat/ flu like symptoms
- Enlarged Lymph Nodes
- muscle pain
24
Q

possible causes of CFS

A

Epstein-Barr Virus (EBV)
Human Herpes Virus 6
Thyroid Gland Dysfunction (Hypothyroidism) Overproduction of Pro-inflammatory Cytokines resulting in Chronic Inflammation

25
Q

autoimmune diseases

A

develop when the body forms antibodies to its own protein

around 56 exist

26
Q

ex of autoimmune - Lupus Erythematous (LE)

A
types: Discoid (skin) or Systemic (SLE)
Blood markers: 30% have Rheumatoid factor, Antinuclear Antibody (ANA)
common: SLE-Butterfly Rash   
Kidneys - nephrovasculitis
Renal Hypertension
27
Q

ex of autoimmune - Fibromyalgia

A

chronic muscle pain syndrome (pain in both sides of the body in different mx groups)
difficult sleep, chronic headaches, TMJ pain, stiffness, fatigue, brain fog, numbness, IBS

may be caused by pro inflammatory cytokines

28
Q

2 criteria of fibromyalgia

A

Painful Soft Tissue Nodules (11 of 18 tender points)

Widespread Pain Index (WPI) Score
Locates the painful areas
Symptom Severity Score-SSS (2 parts)
A. Rates symptom severity
B. Other symptoms
29
Q

hypersensitivity reactions - type I

A

immediate: anaphylaxis

30
Q

hypersensitivity reactions - type II

A

cytotoxic: hemolytic/blood transfusion mismatch

31
Q

hypersensitivity reactions - type III

A

immune complex: circulating immune complexes which are deposited into various tissue sites

ex: Lupus erythematous
Rhematoid arthritis
Post-streptococcal glomerulonephritis
Polyarteritis nodosa 
Farmer’s Lung
32
Q

hypersensitivity reactions - type IV

A

cell mediated (delayed): graft vs. host reaction
MHC to MHC Tissue Mismatch
Takes 24-72 Hours to Develop

other examples: organ transplant rejection, allergic contact dermatitis and TB

33
Q

blood types

A
Type A (A antigens-agglutinogens)
Type B (B antigens-agglutinogens)
Type AB (A&B antigens-agglutinogens)
Type O (no antigens-agglutinogens)***
Rh+ (85%) or Rh- (15%)
***Type O is the most common blood type in the USA (about 43%)