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212 Test 4
Ch 16 17 18
| Question | Answer |
|---|---|
| What are the six major non-specific host defenses? | Physical barriers Chemical barriers Cellular defenses Inflammation Fever Molecular Defenses |
| What are the two physical barriers? | Skin and Mucous membranes |
| What are two ways skin acts as a physical barrier? | Protective layer and resident flora |
| How do resident flora act as protective layer? | Bind receptor sites and release toxins |
| What are three ways mucous membranes act as physical barrier? | Trap microbes Flushing action Contain protective chemicals |
| What are three chemical barriers? | Saliva and Tears Gastric Juices Iron limiting proteins |
| How are saliva and tears chemical barriers | Contain lysozyme which breaks down bacterial cell walls |
| How is gastric juice a chemical barrier | pH 2, inhibits many microbes |
| How are iron limiting proteins chemical barriers? | Transferrin in blood and Lactoferrin in body fluids bind extra iron so bacteria can't use it for growth |
| How do the five leukocytes act as cellular defense? | N- phago M- phago E- release toxin (major basic protein) B- release histamine, SRS L- specific immune defense (humor/cell mediated immunity) |
| in tissues, neutrophils become ___ | Polymorphonuclear leukocytes (PMNs) |
| PMNs are ___ to the site of injury and ___ have the killing power of macrophages | fast, not |
| in tissues, monocytes become ___ | Macrophages |
| Macrophages are ___ to the site of injury and have ___ killing power than PMNLs | slow, more |
| this phagocyte stays within a specific tissue (ex alveolar in lungs or microglial in brain) | Fixed Macrophages |
| What are three kinds of phagocytes | Neutrophils, Monocytes, Fixed Macrophages |
| What are three types of intracellular killing due to phagocytosis | Chemotaxis, Adherence, Ingestion/Digestion |
| How do chemotaxis contribute to phagocytosis | histamins and cytokines stimulate movement of phagocytes to site |
| How does adherence contribute to phagocytosis | accelerated by complement and antibody attachment |
| Ingestion and Digestion aka... | intracellular killing |
| during phagocytosis, PMNs use ___ | lysozomal enzymes |
| during phagocytosis, Macrophages use... (5) | H2O, NO, O2, OCl, lysozomal enzymes |
| What are 2 cells that do extracellular killings? | Eosinophils, and NK |
| How do eosinophils perform extracellular killings | major basic protein perforate worms. Macrophage can then engulf parasitic fragments |
| How do NK cells perform extracellular killings | lymphocytes that are activated by cytokines, they recognize virally infected cells and release cytotoxic proteins that trigger death of infected host cell |
| 3 ways that pathogens resist digestion by phagocytes? | Capsules Acid fast cell walls Toxins |
| (Capsule) ___ resists adherence | Strep. pneumoniae |
| (Capsule) ___ capsule protects from lysozomal eynzymes | Yersina pestis |
| Acid fast cell walls protect ___ from lysozomal enzymes | Mycobacterium |
| anti-phagocyte toxin produced by staph | leukocidin, kills phagocyte |
| anti-phagocyte toxin produced by strep | streptolysin, kills phagocyte |
| anti-phagocyte toxin that inhibits the killing in phagocytes | leukostatin |
| 3 functions of lymphatic system | collects excess fluid from tissues transports digested fats to CV system provides many of the nonspecific and specific defense mechanisms against infection and disease |
| 4 cardinal signs of inflammation | Calor, Dolar, Rubor, Tumor |
| Cardinal sign of Inflammation that refers to heat | Calor |
| Cardinal sign of inflammation that refers to redness | Rubor |
| Cardinal sign of inflammation that refers to edema or swelling | Tumor |
| Cardinal sign of inflammation that refers to pain | Dolar |
| 3 functions of inflammation | kill invading microbe clear away tissue debris repair injured tissues |
| 3 signs/reasons for Chronic Inflammation Process | Host is not able to eliminate the invading microbe Can persist for years Host attempts to wall off or isolate cause of inflammation in a granuloma |
| Type of granuloma for syphilis | gummas |
| Type of granuloma for tuberculosis | tubercles |
| Type of granuloma in Hansen's disease | leproma |
| These 2 toxins cause release of interleukin-1 (IL-1) from macrophages | Bacterial endotoxins (LPS) Exotoxins (neuro and enterotoxins) |
| This is an endogenous pyrogen that circulates in blood to hypothalamus causing release of ___ that reset body at high temp | interleukin-1, prostaglandins |
| This molecular defense induces antiviral proteins (AVP) in neighboring cells | Interferon |
| the specific immune response is aka... | adaptive/acquird immune response |
| specific immune response is provided by ___ | lymphocytes |
| ___ provides humoral(antibody) response | B lymphocytes |
| ___ provides cellular immune response | T lymphocytes |
| 2 different ways of developing specific immunity | acquired and active/passive |
| natural immunity is achieved via | infection |
| artificial immunity is achieved via | injection |
| active immunity is | body exposed to agent and makes antibodies |
| passive immunity is | antibodies are acquired from an outside source |
| main goal of immunization is to develop ___ immunity | specific immunity, esp. memory cells |
| onset of specific immune response | 5-9 days |
| onset of non-specific immune response | immediate |
| type of antigen of specific immune response | specific, only a small number will react |
| type of antigen of non-specific immune response | all members will react |
| efficiency of specific immune response | improves with increasing exposure |
| efficiency of non-specific immune response | does not improve with increasing exposure |
| memory of specific immune response | developed after first exposure to antigen |
| memory of non-specific immune response | non memory is developed |
| antigens aka | immunogens |
| antigens are found on ___ of cells | surface |
| specific chemical moiety to which the antibody binds | epitopes |
| ___ can only be antigenic if they attach to a larger molecule. ex) penicillin | haptens |
| ___ are proteins produced by plasma cells tht react with specific antigens | antiobodies/immunoglobins |
| level or quantitiy of antibody in the blood | antibody titer |
| an antibody titer to rubella of 1:16 is considered protective, but a rubella titer of less than 1:8 assumes she ___ has immunity to infection | does not |
| ___ and ___ lymphocytes are specific for a particular antigen | B and T |
| ___ occurs if two epitoes are very similar in shape | cross-reactivity |
| immunity to one strain of a microbe may not impart immunity to another strain or it may impart partial immunity because | might have slightly different epitopes |
| each kind of antibody reacts with a different | epitope |
| to acquire immunity from a particular antigen, the body must respond with an ___ response | anamnestic (memory) |
| Dual Nature of Immune System refers to... | Humoral and Cell Mediated Response |
| humoral response is provided by ___ | antibodies |
| antibodies are produced by ___ that are ___ that have undergone differentiation | plasma, B lymphocytes |
| stem cells differentiate in the GALT and bone marrow to become ___ | b cells |
| GALT stands for | Gut Assoicated Lymphoid tissues |
| antibodies are secreted and also expressed on ___ of ___ where they act as specific antigen recepters | surface, B cells |
| B-lymphocytes become ___ that produce large amounts of ___ | Plasma cells, antibodies, after response some B cells remain to become memory B cells |
| 3 functions of antibodies | activation of complement- classical pathway opsonization- enhance phagocytosis by PMNLs or Macs neutralization- coat viruses to limit viral attachment to host cells |
| cell mediated response is done through | T lymphocyte |
| 3 components of antibody | four polypeptide chains Fab region Fc regions |
| 5 classes of immunoglobins | IgG, IgM, IgA, IgE, IgD |
| IgG makes up ___% of Ig in serum | 75% |
| 4 functions of IgG | imparts longlasting immunity binds phagocytes fixes (activates) complement crosses placenta |
| IgM makes up ___% of Ig | 10% |
| Allergy aka | Hypersensitivity |