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portage pathophysiology module 3
Typology: Exams
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define innate immunity - CORRECT ANSWER โโโ Innate immunity, also called natural immunity, is the first line of defense. This type of defense is in place before an infection takes place and can function immediately. It is comprised of physical, chemical, cellular, and molecular defenses. How does the skin act as a physical barrier? - CORRECT ANSWER โโโ The skin's design makes it a strong physical barrier. It has closely packed cells in multiple layers that are continuously being shed. Keratin covers the skin, which creates a salty, acidic environment inhospitable to microbes. It also contains antimicrobial proteins and lysozymes that inhibit microorganisms and help to destroy them. What cells are involved in innate immunity? - CORRECT ANSWER โโโ neutrophils, macrophages, dendritic cells (DC), natural killer (NK) cells, and intraepithelial lymphocytes. Describe each type of leukocyte and explain their function: - CORRECT ANSWER โโโ Neutrophils are the most abundant in the body and are an early responder in innate immunity and use phagocytosis to kill microbes. Eosinophils are active in parasitic infections and allergic responses. Basophils release histamine and proteolytic enzymes. Monocytes are the largest in size and are released from the bone marrow and mature into macrophages and dendritic cells where they engage in the inflammatory response and phagocytize foreign substances and cellular debris. Macrophages have a long life span, reside in the tissues, and are the first phagocyte that organisms encounter. Neutrophils and macrophages work together on behalf of the host's initial defense system. Describe adaptive immunity: - CORRECT ANSWER โโโ Adaptive immunity, also called acquired immunity, is the second line of defense and includes both humoral and cellular mechanisms that respond to cell-specific substances known as antigens. Adaptive immunity is acquired through previous exposure to infections and other foreign agents. It can not only distinguish self from nonself but can recognize and destroy specific foreign agents based on their different antigenic properties. This response takes more time but is extremely effective. What are antigens? - CORRECT ANSWER โโโ Antigens are present on the surface of pathogens or other foreign substances that elicit the adaptive immune response. What are the primary cells of adaptive immunity? - CORRECT ANSWER โโโ lymphocytes, APCs (antigen presenting cells), and effector cells. Describe B & T lymphocytes and discuss their role in immunity: - CORRECT ANSWER โโโ B lymphocytes produce the antibodies (humoral immunity) and T lymphocytes provide the cell-mediated immunity. B and T lymphocytes have the unique function as the only cells to recognize specific antigens present on the surface of pathogens and to remember them in the future.
What is the function of humoral immunity? - CORRECT ANSWER โโโ B lymphocytes function in humoral immunity to produce antibodies. What is the function of cellular immunity? - CORRECT ANSWER โโโ T lymphocytes make up the cellular immunity and function to activate other T and B cells, control intracellular viral infections, reject foreign tissue grafts, activate autoimmune processes, and activate delayed hypersensitivity reactions. What is the master regulator of the immune system? - CORRECT ANSWER โโโ CD4+ helper T cells Describe the differences between active and passive immunity? - CORRECT ANSWER โโโ active is acquired from an immune response via vaccination or environmental exposure. The host's own immune system initiates immune response and developed memory. Passive is through another source, such as a mother's breast milk What are type I hypersensitivity reactions? - CORRECT ANSWER โโโ IgE-mediated reactions that develop quickly upon exposure to an antigen What cells are involved in type I reactions? (Know their roles.) - CORRECT ANSWER โโโ Mast cells, basophils, and eosinophils play an important role in the development of type I reactions because they contain the chemical mediator histamine. What are type II hypersensitivity reactions? - CORRECT ANSWER โโโ Type II hypersensitivity reactions, or cytotoxic hypersensitivity reactions, are antibody- mediated reactions. They are mediated by IgG or IgM antibodies directed against target antigens on specific host cell surfaces or tissues. What are autoimmune disorders? - CORRECT ANSWER โโโ Autoimmune diseases occur when the body's immune system fails to differentiate self-antigens from nonself antigens and mounts an immunologic response against host tissues. What is self-tolerance? - CORRECT ANSWER โโโ The ability to distinguish self from non-self is termed self-tolerance What is autoreactivity? - CORRECT ANSWER โโโ describes an organism acting against its own tissue What is anergy? - CORRECT ANSWER โโโ When the loss of lymphocyte response to an antigen occurs and causes a lack of cellular and/or humoral immunologic response, this is called anergy. Anergy is the state of immunologic tolerance to specific antigens. What are autoantibodies? - CORRECT ANSWER โโโ In many autoimmune diseases, the immune system loses its ability to recognize self and produces what is called autoantibodies. What are positive and negative selection? - CORRECT ANSWER โโโ During maturation in the thymus, T cells encounter self-peptides bound to MHC molecules.
infection. The polymerase chain reaction (PCR) test is a nucleic acid test that can detect HIV DNA. It tests for the presence of the virus, rather than the antibody, which is helpful in diagnosing HIV infection in infants born to infected mothers. These infants would have their mother's antibodies whether or not they have been infected. What are the cardinal signs of inflammation? - CORRECT ANSWER โโโ Rubor - redness (caused by dilation of vessels) Tumor - swelling (due to extravascular accumulation of fluid) Calor - heat (caused by increased blood flow) Dolor - pain (d/t increased pressure from accumulation of fluid and mediators) Functio laesa - loss of function What are the 2 phases of acute inflammation? - CORRECT ANSWER โโโ vascular and cellular phase What are the steps in the cellular phase? - CORRECT ANSWER โโโ Adhesion and margination, transmigration, and chemotaxes Describe the process of chronic inflammation and discuss how it often develops. - CORRECT ANSWER โโโ Chronic inflammation may result from recurrent or progressive acute inflammatory process or from low-grade responses that fail to evoke an acute response. It involves the collection of macrophages and lymphocytes instead of neutrophils. It also involves the proliferation of fibroblasts instead of exudates. What are the 3 stages of wound repair? - CORRECT ANSWER โโโ There are three general stages of wound healing: (1) the inflammatory phase, (2) the proliferative phase, and (3) the wound contraction and remodeling phase. What factors can inhibit wound repair? - CORRECT ANSWER โโโ Factors that affect wound healing negatively include malnutrition, decreased blood flow and oxygen delivery, impaired inflammatory and immune responses, infection, wound separation, foreign bodies, and age.