WBC Flashcards

1
Q
  1. You get a cold and then you form antibodies

This is an example of what type of immunity

A

specific

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2
Q

macrophages

and acid base balance are an example of

A

non specific immunity

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3
Q

Granulocytes

A

cytoplasm have granules/vesicles in them) are neutrophils, basophils and eosinophils

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4
Q

megakaryocytes and platelets come form what lineage

A

muelocytic

get granulocytes from here as well

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5
Q

macrophages/monocytes come from

A

iii. Monocytic lineage

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6
Q

Lymphocytes and monocytes are considered agranular b/c

A

in the microscope their cytoplasm looks clear

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7
Q

three factors important in WBC

A

Leukocyte number (WBC#)

Differential counts (by percentage) will tel you what kind of infex usually by % but you can get absolute count

Morphology

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8
Q

Granulocytes and monocytes formed in

A

Granulocytes and monocytes formed in marrow only

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9
Q

Majority of lymphocytes formed and matured where?

stored where?

A

Majority of lymphocytes formed and matured in lymphoid tissues

Significant storage in marrow and lymphoid organs

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10
Q

how long do white cells stay in the blood stream

A

1:1000 compared to RBC

usually sped 4-8hrs in the blood before entering peripheral tissues to conduct immune surveillance

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11
Q

monocytes vs macrophages

A

monocytes in blood

macrophages in peripheral tissues

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12
Q

lymphocytes movement in blood

A

move back and forth between tissues and blood throughout lifespan

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13
Q

other names for neutrophils

A

polymorph PMN

because of the lobulated single nucleus that can take on many different shapes

granulocytes with vesicles that can be viewed with granularity

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14
Q

where do neutrophils get their name

A

granulocytes with vesicles that can be viewed with granularity

prefer neutral dyes

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15
Q

how do neutrophils enter tissues

A

diapedesis (first binding and attaching to endothelial layer and then by sequential process extruding themselves through the endothelial lining into a tissue)

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16
Q

Chemotaxis refers to movement towards

A

movement of a cell up a chemical gradient toward its source

Cell that is drawn towards some sort of chemical signal

chemokines”, “lymphokines”, “cytokines”

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17
Q

many driving forces of chemotaxis are of this family

A

iii. Many are of the interleukin family

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18
Q

aspects of targets that predispose phagocytsis (3)

A

Smooth surfaces can be compelling

Protein coats on a virus or bacterial cell surface can induce phagocytosis

Initiation of Complement cascade

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19
Q

what is usually the result of phagocytosis

A

b. Destruction of target inside by lysosomal enzymes/molecules SOMETIMES

but sometimes target is just sequestered

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20
Q

Cytoplasm is generally very clear; it is an agranular leukocyte; they are big cells and tend to be characterized by presence of kidney bean shaped nucleus

A

Monocytes

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21
Q

Reticuloendothelial lineage is what

A

another name for mylocytis lineage that gives us monocytic lineage

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22
Q

another name for monocytes

A

histocytes

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23
Q

lifespan of monocytes

A

400:1

number of monocytes in tissue via bllood

100 day life span iN THE TISSUES
not in blood (that’s hours)

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24
Q

inflammation is specific or non specific

A

Reticuloendothelial lineage

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25
Q

dilution factor of inflammation refers to

A

Fluid that is going to dilute offending organisms or pathogens and provides healthy amount of white cells

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26
Q

why do infections become acidic

A

monocytes do better at lower ph

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27
Q

four cardinal signs of pain

what is the fifth sign

A

i. Calor - heat
ii. Dolor - pain
iii. Rubor - redness
iv. Tumor - swelling

loss of function

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28
Q

process by which WBC leaves the bloodstream

A

i. Diapedesis

Initial part is where the white cell is activated, it puts receptors on its surface so it can bind to adhesion molecules on the BV wall which will cause the white cell to stick.

When it comes to content, it will bounce along or roll along the wall since moving at such a great speed. Once it does come to a stop, the white cell will squeeze through the BV well and move to source of cytokines.

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29
Q

when the white cell squeezes through

A

Extravasation

30
Q

Eosin

A

red dye

31
Q

eosinophils are mostly present in ___

attracted to_____

A

300-400x more common in blood

also in tissues

attracted to histamine
they neutralize histamine (anti-inflammatory effect)

32
Q

causes of eosinopenia

A

Systemic gluccocorticoids (stress) cause eosinopenia (could be due to exogenously administered steroids)

33
Q

i. Leukopenia

A

penia=low level

Reduced production

Death often by massive infection

Can be indicator of infection (early or late)

34
Q

Leukemia

A

Uncontrolled production of white cells

Lymphocytic or myelogenous

Anemia, bleeding, infection (still), high metabolism

Thought to be due to radiation exposure - think Japan

need to classify leukemia because not a dz

35
Q

white cell with continuously thick nucleus not lobulated

A

left shift
bands
or immature neutrophils released at a relatively low rate unless we are sick

36
Q

two forms of acquired immunity/specific immunity

A

Humoral (think “B cells”)

Cell-mediated (think “T cells”)

both respond to antigen of cell surface characteristics

37
Q

stem cell lineage that is the basis of acquired immunity

A

lymphocyte lineage

38
Q

where are lymphocytes found

A

contained within lymphoid structures, greatest volume in nodes and spleen

distributed to guard entry portals (around the mouth, the nose, the neck, the groin, etc)

39
Q

Two general forms of lymphocytes produced

A

Ts and Bs

40
Q

T cell mature in the

and B cells

A

“T” matured in Thymus - T Cell U

retrosternal and atrophies as we age

B cells form in the Bursa in the bone

41
Q

selection and differentiation of T cells

A

undergo negative selection and

Undergo second layer of “positive selection” for MHC recognition

good ones are differentiated into

Helper Ts (CD4 + surface protein)

Cytotoxic Ts (killer; CD8+)

42
Q

portions of antibody

A

stems are constant

variable is the Y that gives specific binding characteristics

43
Q

clonal expansion

A

Cells activated by binding antigen - induces “clonal expansion”

Cells are dividing clonally without genetic realignment

44
Q

what acts as antigen presenting cells

A

almost everything but neurtophils

macrophages and other cells present antigents to Ts or Bs

45
Q

B cells convert to___ when under the influence of antigens

A
  1. B cells convert to lymphoblasts then plasmablasts before plasma cells mature
46
Q

make up of antibodies

A

They are gamma globulins

Large molecules

They have light and heavy chains

47
Q

5 classes of antibodies and what they are associated with

A

IgG (long term), IgM (acute),
IgE (allergic response),
IgA (secretions lining the resp tract, etc)
IgD

48
Q

chain of antibody that forms the backbone of the molecule

A

Heavy chain

Tips of branches are the variable portion

49
Q

,most numerus T cell and what they do

A

i. Most numerous
ii. Regulate all immune function

Th1 effects (mediated by IL 2)

a. Th1 = T helper
2. Th2 effects (mediated by IL4 and 5)

Costimulation with B7:CD28 binding

50
Q

very grainy dark blue

A

basophils

named for their affinity of basic dyes

51
Q

basophils have these 4 functions

A

agglutination (clumping)

Precipitation - precipitate out of the blood stream and create solid crystalized mass

Neutralization - endotoxin (antibody could neutralize it’s activity)

Lysis (rare)

52
Q

describe the activation of complement in general

A

Complement and protein cascade

11 proteins in classic pathway

Antigen binding uncovers activation site

Numerous products (intermediates) can enhance immune process

53
Q

complement for - opsonization

A

C3b

54
Q

lysis is mediated by which cytokines

A

C5b, 6 & 7 in complex

55
Q

neutrophil chemotaxsis mediated by which cytokine

A

C5a

56
Q

basophil and Mast cell activation

A

iv. C3a, 4a, 5a

57
Q

CD4 is characteristic of

A

T cells

these regulate all immune function

58
Q

characterized by CD8 on surface

A

cytotoxic killers

59
Q

TH1 is mediated by

A

Th1 effects (mediated by IL 2)

60
Q

Th2 effects (mediated by I

A

IL 4 AND il5

61
Q

cytotoxic T acts by

A

no MHC

binding to target and producing perforins

62
Q
  • strep infxn will cause immune response and the immune response will target the heart valves
A

c. Rheumatic fever

63
Q

autoantibodies to Ach receptor

A

MG

64
Q
  • thyroid binding protein is released into the blood and body doesn’t recognize it as self
A

Hashimoto’s Thyroiditis

65
Q

Jenner

A

discovered exposure to coq pox provided protection from small pox

66
Q

how do allergies increase and get worse

A

cumulative process; have a certain threshold below which we will not have symptoms.

We might be allergic to dust mites and pets but exposure to smoke may pu t you above the threshold where you start to have symptoms

We can elevate the threshold by immunmodulators, steroids, antihistamines, etc - all impact the immune reponse

67
Q

these cells make antibodies

A

B cells

68
Q

they will recognize antigens and stimulate both Cytotoxic T cells and B cells

A

Helper cells

69
Q

what do B cells do

A

make antibodies and stimulate phagocytes, stimulate complement cascade, can also stimulate cytotoxic cells. The biggest thing they do is make antibodies to the invading pathogen - provide us with immune memory

70
Q

i. In order for Helper T cells to be activated, they have to

A

presented with an antigen.

T cells have MHC class II receptors on them and serve as a key and lock situation. for this presentation post phagocytosis by macrophage