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Microbiology Ch 12
| Question | Answer |
|---|---|
| The ________ _________ are a multilevel network of innate, nonspecific protections and specific immunities referred to as the first, second, and third lines of defense | host defenses |
| ________ defenses are the physical and chemical barriers that impede the entry of not only microbes but any foreign agent, whether living or not | nonspecific |
| ________ ________ of defense includes a surface protection composed of anatomical and physiological barriers that keep microbes from penetrating sterile body compartments | First line |
| ________ _______ of defense includes any barrier that blocks invasion at the portal of entry. | First line |
| Innate, nonspecific host defenses includes the ______ and ______ line of defenses. | first and second |
| ______ _______ of defense includes and internalized system of protective cells and fluids. | Second line |
| _______ ______ of defense limits access to the internal tissues of the body. | First line |
| ______ _______ of defense is acquired on an individual basis as each foreign substance is encountered by lymphocytes. | Third line |
| ______ _______ of defense includes specific host defenses that must be developed uniquely for each microbe through the action of specialized white blood cells. | Third line |
| ________ _________ line of defense includes a cellular and chemical system that comes immediately into play if infectious agents make it past he surface defenses. | Second line |
| Gamma-delta T cells, and natural killer T cells are associated with the _______ and _________ lines of defense. | second and third |
| Acquired, specific host defenses include the ________ ________ of defense. | third line |
| Physical barriers and chemical barriers are included in the ______ _______ of defense | first line |
| Phagocytosis, inflammation, fever, antimicrobial proteins are included in the _____ ________ of defense | second line |
| B cells, and T cells are included in the ______ _______ of defense. | third line |
| ________ _______ of defense is not considered a true immune response because it does not involve recognition of foreign substances | first line |
| ___________ _________ of defense includes inflammation and phagocytosis | second line |
| __________ ________ of defense acts rapidly at both the local and systemic levels once the first line of defense has been circumvented. | second line |
| ______ _______ of defense are very general in action. | first line |
| _______ _______ of defense is the reaction with each different microbe which produces unique protective substances. | third line |
| ______ ______ of defense provides long-term immunity | third line |
| In the third line defense, most defenses overlap and are _________ in some of their effects, making the survival of invading microbes unlikely. | redundant |
| The _______ ________ is the tough outer layer of the skin that is impervious and waterproof. | stratum corneum |
| The _______ _________ of the skin is composed of epithelial cells that have become compacted, cemented together, and impregnated with an insoluble protein, keratin. | stratum corneum |
| Outer layers of skin are constantly sloughing off, taking associated ________ with them. | Microbes |
| The hair shaft is periodically shed, and the follicle cells are ___________ | desquamated |
| The _________ effect of sweat glands also helps remove microbes. | flushing |
| The ________ __________ of the digestive, urinary, and respiratory tracts and of the eye are moist and permeable. | mucous membranes |
| ____________ ____________ provide barrier protection but without a keratinized layer. | mucous membranes |
| _______ and _______ production flush the eye's surface. | Blinking and tear |
| The constant flow of __________ helps carry microbes into the harsh conditions of the stomach. | Saliva |
| _________ and defecation also evacuate noxious substances or microorganisms from the body. | Vomiting |
| _________ hair traps larger particles. | Nasal |
| The copious flow of _______ and _______ that occurs in allergy and colds exerts a flushing action. | Mucus and fluids |
| Ciliated epithelium (called the ciliary escalator) conveys foreign particles entrapped in ________ toward the pharynx to be removed | mucus |
| Irritation of the nasal passage reflexively initiates a __________, which expels a large volume of air at high velocity. | sneeze |
| The acute sensitivity of the bronchi, trachea, and larynx to foreign matter triggers coughing, which ejects _________. | irritants |
| The ______________ ________ provides protection through the continuous trickle of urine through ureters | Genitourinary tract |
| Periodic _______ emptying flushes the urethra | bladder |
| Vaginal ___________ provide cleansing of the lower reproductive tract in females. | secretions |
| ____________ __________ presence can block the access of pathogens to epithelial surfaces and can create an unfavorable environment for pathogens by competing for limited nutrients or by altering the local pH. | resident biota |
| _________ _________ are important in the development of nonspecific defenses as well as specific immunity. | Resident biota |
| Robust commensal biota “trains" _______ ________ in such a way that commensals are kept in check and pathogens are eliminated. | host defenses |
| ___________ ____________ diseases, including Crohn’s disease and ulcerative colitis, may well be a result of our overzealous attempts to free our environment of microbes and to overtreat ourselves with antibiotics. | Inflammatory bowel |
| Sebaceous secretions exert an __________ effect. | antimicrobial |
| Specialized glands of the eyelids lubricate the _____________ with an antimicrobial secretion. | conjunctiva |
| An __________ is an enzyme found in tears and saliva that hydrolyzes the peptidoglycan in the cell wall of bacteria | Lysozyme |
| The high lactic acid and electrolyte concentrations of sweat and the skin’s acidic pH and fatty acid content are _________ to many microbes. | Inhibitory |
| ______________ acid in the stomach gives protection against microbes that are swallowed. | Hydrochloric |
| _______ ________ and _______ in the intestine are destructive to microbes. | Digestive juices and bile |
| Does semen contain an antimicrobial chemical? | Yes |
| Vagina has a protective ________ ____ maintained by normal flora. | acidic pH |
| ________ encompasses the study of all features of the body’s second and third lines of defense. | Immunology |
| A healthy functioning immune system is responsible for what 3 things within the body? | 1. surveillance of the body 2. recognitions of foreign material 3. destruction of entities deemed to be foreign. |
| Differences in susceptibility can arise in __________ in the genes that code for components of the immune system. | mutations |
| Patients with severe burns are very ____________ to all kinds of infections. | susceptible |
| Blockages in salivary glands, tear ducts, intestine, and urinary tract are at ________ risk of infection. | greater |
| The first line of defense alone (is/is not) sufficient protection | is not |
| inflammation, phagocytosis, and specific immune responses are necessary for ________. | immunity |
| For each of the barriers below, state whether it is a physical, chemical, or genetic barrier. A. Hydrochloric acid of stomach B. Sloughing of skin C. Lysozyme in saliva and tears D. Mutation in the gene for complement proteins E. Ciliary escalator | A. Chemical B. Physical C. Chemical D. Genetic barrier E. Physical |
| ________ is the study of the body’s response to infectious agents | Immunology |
| ________ is the study of allergies and cancer | Immunology |
| ______ ______ ______ constantly move throughout the body, searching for potential pathogens | White blood cells |
| ______ ______ _____ recognize body cells (self) and differentiate them from any foreign material in the body (nonself) | White blood cells |
| The ability to evaluate macromolecules as self or nonself is central to the functioning of the _______ system. | immune |
| Many __________ disorders are a result of the immune system mistakenly attacking the body’s own tissues and organs. | autoimmune |
| The surface chemicals that the immune system evaluates are called ________. | markers |
| Markers generally consist of _______ and/or _______. | Proteins and/or sugars |
| _______ are thought of as the cellular equivalent of facial characteristics in humans and allow the cells of the immune system to identify whether or not a newly discovered cell poses a threat. | Markers |
| Cells and other objects designated as ________ are marked for destruction by a number of methods | foreign |
| The most common way to mark a foreign cell for destruction is ________ | Phagocytosis |
| Markers that many different kinds of microbes have in common are called ___________-__________ ________ _________ | pathogen-associated molecular patterns (PAMPs) |
| Host cells with important roles in the innate immunity of the second line of defense use _________ ________ ________ to recognize PAMPs. | pattern recognition receptors (PRRs) |
| The _______ is a support network of connective tissue fibers that permeate the tissues of the body | Reticulum |
| The __________ Interconnects nearby cells and meshes with the massive connective tissue that surrounds every organ | Reticulum |
| The reticulum is ___________ to immune function because it provides a passageway within and between tissues and organs | Intrinsic |
| The _______ is the site of white blood cell maturation | Thymus |
| __________ cells are found in the thymus, lymph nodes, tonsils, spleen, and lymphoid tissue of the mucosa of the gut and respiratory tract. | Phagocytic |
| The ________ _________ ________ is loaded with white blood cells called macrophages waiting to attack passing foreign intruders as they arrive in these locations. | Mononuclear Phagocyte System |
| The ____________ ________ is a compartmentalized network of vessels, cells, and specialized accessory organs | Lymphatic system |
| The lymphatic system transports _________ through an increasingly larger tributary system of vessels and lymph nodes, leading to major vessels that drain back to the circulatory system | lymph |
| The __________ system provide a route for the return of extracellular fluid to the circulatory system | lymphatic |
| The lymphatic system act as a “drain-off” system for the _________________ response | inflammatory |
| The ________ system render surveillance, recognition, and protection against foreign materials through a system of lymphocytes, phagocytes, and antibodies | lymphatic |
| The lymphatic _______ is plasma-like liquid carried by the lymphatic circulation | fluid |
| The lymphatic fluid is formed when certain blood components move out of blood vessels into extracellular space and diffuse or migrate into the __________ capillaries | lymphatic |
| __________ _______ Transports numerous white blood cells | lymphatic fluid |
| ________ ________ transports fats, cellular debris, and infectious agents that have gained access to the tissue spaces | lymphatic fluid |
| The ________ ________ accompany blood capillaries | lymphatic vessels |
| ______ ________ extend into all parts of the body except the central nervous system and certain organs such as bone, placenta, and thymus | lymphatic vessels |
| Lymphatic vessel ________ are easily permeated by extracellular fluid that has escaped from the circulatory system | walls |
| Lymphatic vessels are found in high numbers in the _______, _________, and around the areola of the ________ | hands, feet, breast |
| ________ flows from the extremities to the heart. | Lymph |
| _______ moves only through the contraction of the skeletal muscles. | lymph |
| Through the __________ system, body compartments are screened by circulating WBC in the cardiovascular system. | Circulatory |
| The __________ system consists of a branching network of vessels that extend into most body areas and has the highest density of vessels in the hands, feet, and breast. Other organs: lymph nodes, spleen, gut-associated lymphoid tissue, thymus, tonsils. | Lymphatic |
| The _______ and _______ systems work parallel to one another . | Lymphatic and Circulatory |
| The ________ vessels transport in only one direction, unlike the cyclic pattern of blood. | lymphatic |
| Direct connections of the lymphatic and circulatory system occurs at points near the ______ where large lymph ducts empty their fluid into veins. | heart |
| _________ cells develop specificity and are released into circulation as mature T cells | Thymus |
| ______ cells subsequently migrate to and settle in the lymph nodes and spleen. | T |
| _________ ______ are small, encapsulated, bean-shaped organs | lymph nodes |
| Lymph nodes are stationed in clusters along __________ channels and large blood vessels of the ________ and _________ cavities | lymphatic, thoracic, abdominal |
| Aggregations of lymph nodes are found in _________ __________ _______. | Armpit (axillary nodes), Groin (inguinal nodes), Neck (cervical nodes) |
| ________________ of lymph nodes can provide physicians with important clues to a patient’s condition. | Enlargement |
| The ______ is found in the upper left portion of the abdominal cavity | Spleen |
| The spleen serves as a filter for ______ instead of lymph | blood |
| The spleen primarily removes worn-out _____ blood cells | red |
| The _________ filters pathogens from the blood for phagocytosis by macrophages | spleen |
| Asplenic adults can live a relatively normal life, but children who have had their spleen removed are severely __________________. | immunocompromised |
| The ______ is the storehouse of blood that can be released in the event of a hemorrhage. | spleen |
| At many sites on or just beneath the mucosa of the gastrointestinal and respiratory tracts lie discrete bundles of ____________. | lymphocytes |
| Gut-associated lymphoid tissue (GALT) provides an effective first-strike potential against the constant influx of __________ in food | microbes |
| _____________ are lymphatic capillary that absorbs dietary fats in the villi of the small intestine (part of GALT) | Lacteals |
| _________ ________ are aggregations of lymphocytes in the ileum of the small intestine (part of GALT) | Peyer's patches |
| In the pharynx, a ring of tissues called the ___________ provides an active source of lymphocytes. | tonsil's |
| The breasts of pregnant and lactating women also become ___________ sites of antibody-producing lymphoid tissues. | temorary |
| Whole blood consists of ____________, ______________, ____________ | Blood cells (formed elements), plasma, serum |
| ___________ is essentially the same as plasma, except that it is the clear fluid from clotted blood; used in immune testing and therapy | Serum |
| The production of blood cells is called ____________ | Hematopoiesis |
| ___________ _________ are the primary precursor of new blood cells maintained in the bone marrow | Stem cells |
| During development, stem cells proliferate and _____________ into the specialized form and function of mature cells. | differentiate |
| Stem cells produce what 3 things? | RBC, WBC, and Platelets |
| White blood cells are also called _____________ | leukocytes |
| __________ __________ _________ are primarily responsible for immune function. | White blood cells |
| ________ ___________ _________ carry 02 and C02 | Red blood cells |
| ___________ are involved in blood clotting, inflammation response, and recognition and destruction of blood-borne bacteria. | Platelets |
| ______________, _____________, and __________ are all Granulocytes (a category of white blood cells) | Neutrophils, basophils, eosinophils |
| ___________ and ____________ are Agranulocytes (a category of white blood cells) | Monocytes, lymphocytes (B cell and T cell) |
| ____________ are phagocytes in blood; active engulfers and killers of bacteria. | Neutrophils |
| _________ function in inflammatory events. | Basophils |
| ___________ are active and in worm and fungal infections, allergy, and inflammatory reactions. | Eosinophils |
| ____________ are blood phagocytes that rapidly leave the circulation; mature into macrophages and dendritic cells. | Monocytes |
| ___________ are the largest phagocytes that ingest and kill foreign cells; strategic participants in certain specific immune reactions. | Macrophages |
| _____________ cells are relatives of macrophages that reside throughout the tissues and mononuclear phagocyte system; responsible for processing foreign matter and presenting it to lymphocytes. | Dendritic |
| _____________ are primary cells involved in specific immune reactions to foreign matter | Lymphocytes |
| ____ cells differentiate into plasma cells and form antibodies (humoral immunity) | B |
| _____ cells perform and number of specific cellular immune responses such as assisting B cells and killing foreign cells (cell-mediated immunity) | T |
| _______ _______ or T (NKT) cells display T-cell antigen receptors and have NK activity | Natural killer |
| _______-________ T cells respond to PAMPs and specific antigens, high proportions in gut mucosa. | Gamma-delta |
| Erythoblasts form ___________ _______ _______ | Red blood cells |
| Megakaryoblasts form _________ | platelets |
| Myeloblasts form ____________, _________, ___________, __________, or ________ ________ | Neutrophils, basophils, eosinophils, megakaryoblasts, or mast cells |
| Monoblasts form ______________ | monocytes |
| Lymphoblasts form ____ cells, ______ cells and ________ ___________ cells | B cells, T cells, and natural killer (NK) |
| ______ ________ cells are related to T cells but display no antigen specificity, these cells are active against cancerous and virally infected cells. | Natural Killer |
| Lymphatic fluid contains all of the following except: A. White blood cells B. Extracellular fluid C. Red blood cells D. Cellular debris E. Infectious agent | C. Red blood cells |
| The _________ __________ of defense includes generalized and nonspecific defenses that support and interact with specific immune responses | second line of defense |
| The second line of defense includes Phagocytosis, inflammations, fever, and _________ _________ | Antimicrobial proteins. |
| ____________ is the cornerstone of Inflammation and Specific Immunity | Phagocytosis |
| General activities of _______________ are to survey the tissue compartments and discover microbes, particulate matter, and injured or dead cells, ingest and eliminate these materials, and extract immunogenic information | phagocytosis |
| The three types of phagocytes are __________, ____________, and __________ | Neutrophils, Monocytes, and macrophages |
| _________ are the general purpose phagocytes | Neutrophils |
| ___________ react early in the inflammatory response to bacteria and other foreign materials and to damaged tissue | Neutrophils |
| High _____________ count in the blood is a common sign of bacterial infection | neutrophil |
| ____________ are the primary component of pus. | Neutrophils |
| ___________ are transformed into macrophages after they migrate out of the bloodstream and into the tissues. | Monocytes |
| _____________ live in a certain tissue and remain there during their lifespan: | Histiocytes |
| A ___________ is a "eating cell" | Phagocyte |
| _______________ is the physical process of engulfment and the attack and dismantling of foreign cells. | Phagocytosis |
| _______________ can be an isolated event or as part of the orchestrated events of inflammation | Phagocytosis |
| The events of phagocytosis include what 5 steps? | Chemotaxis, ingestion, phagolysosome formation, destruction, excretion. |
| ____________ ____________ ____________ ___________ Signal molecules found on microbial surfaces recognized by phagocytes and other defensive cells | Pathogen-associated molecular patterns (PAMPs) |
| ______________ Serve as “red flags” for phagocytes and other cells of innate immunity | Pathogen-associated molecular patterns (PAMPs) |
| Bacterial PAMPs include ___________ and _____________ | peptidoglycan and lipopolysaccharide |
| Viral PAMPs include ___________-__________ _______ | double-stranded RNA |
| __________ ___________ __________ are found on phagocytes, dendritic cells, endothelial cells, and lymphocytes | Pattern Recognition Receptors (PRRs) |
| _________ ____________ _________ Recognize and bind PAMPs | Pattern Recognition Receptors (PRRs) |
| Cells possess _________s whether they have encountered PAMPs before or not | PRRs |
| ___________ are PRRs found within the cytoplasm of phagocytic cells of the innate immune system | Inflammasomes |
| _______________ Recognize PAMPs once they have been phagocytosed | Inflammasomes |
| __________ are Phagocytes migrate into a region of inflammation with a deliberate sense of direction, attracted by a gradient of stimulant products from the parasite and host tissue at the site of injury. | chemotaxis |
| In _________ phagocytes use pattern recognition to identify and stick to foreign cells. | adhesion |
| _______ and _____ _____ occur once the phagocyte has made contact with its prey, it extends pseudopods that enclose the cells or particles in a pocket and internalize them in a vacuole called a phagosome. | Engulfment and Phagosome Formation |
| In step ____ of phagocytosis lysosomes migrate to scene of phagosome and fuse with it to form a phagolysosome. Granules containing antimicrobial chemicals released into phagolysosome, form a potent brew to poison and then dismantle the ingested material. | 5 |
| _________ is redness caused by increased circulation and vasodilation in the injured tissue | Rubor |
| __________ is warmth caused by the heat given off by the increased flow of blood | Calor |
| _________ is swelling caused by fluid escaping into the tissues | Tumor |
| _______ is pain caused by the stimulation of nerve endings | Dolor |
| The _________ _________ is easily identifiable by a classic series of signs and symptoms. | Inflammatory Response |
| The _______ _________ is a Complex Concert of Reactions to Injury | Inflammatory Response |
| Some chronic diseases, such as cardiovascular disease, are caused by chronic _____________. | inflammation |
| The Inflammatory Response can be ______ or _______. | local or systematic |
| Some researchers believe that aging is a consequence of increasing __________ in multiple body systems. | inflammation |
| Trauma from infection, tissue injury or necrosis due to physical or chemical agents, and specific immune reactions are all factors that elicit ___________ | inflammation |
| Mobilize and attract immune components, set in motion mechanisms to repair tissue damage and localize and clear away harmful substances, and destroy microbes and block their further invasion are all chief functions of the ________ __________. | inflammatory response |
| Many microbes have developed mechanisms that _________ inflammation that causes tissue damage. | elicit |
| The inflammatory response has the potential to _________ tissue injury, destruction, and disease | cause |
| ___________ are hundreds of small active molecules secreted to regulate, stimulate, suppress, and otherwise control many aspects of cell development, inflammation, and immunity | Cytokines |
| ________ are produced by monocytes, macrophages, lymphocytes, fibroblasts, mast cells, platelets, and endothelial cells | Cytokines |
| Effects of _________ may be local or systemic, short term or long lasting, specific or nonspecific, protective or pathologic | Cytokines |
| There are _____ major functional types of cytokines. | four |
| Some cytokines mediate _________ immune reactions such as inflammation and phagocytosis. | nonspecific |
| Some cytokines activate ______ reactions during inflammation such as vasoactive medator. | immune |
| Some cytokines regulate the ______ and _______ of lymphocytes | growth and activation |
| ____________ factors for white blood cell miscellaneous inflammatory mediators. | hematopoiesis |
| Nonspecific mediators of inflammation and immunity include ________ ________ __________, ____________, and ________. | Tumor necrosis factor (TNF), interferons (IFNs), and interleukin-1 (IL-1) |
| Cytokines that activates specific immune reactions include _________ __________. | Interferon gamma |
| Vasoactive mediators include _________, __________, and ____________ | Histamine Serotonin, and bradykinin |
| Cytokines that regulate lymphocyte growth and activation include ___________________-2 and ____________ ________-_________ __________ | Inerleukin-2, macrophage colony-stimulating factor |
| Miscellaneous inflammatory mediators include ____________,__________, and __________-_________ factor. | Prostaglandins, leukotriens, platelet-activating factor |
| ______ _________ _______ is a substance from macrophages, lymphocytes, and other cells that increases chemotaxis and phagocytosis and stimulates other cells to secrete inflammatory cytokines. | Tumor necrosis factor (TNF) |
| __________ are produced by leukocytes, fibroblasts, and other cells, inhibit virus replication and cell division and increase the action of certain lymphocytes that kill other cells. | Interferons (IFNs_ |
| __________-6 is secreted by macrophages and T cells. Its primary effects are to stimulate the growth of B cells and to increase the synthesis of liver proteins. | Interleukin-6 |
| ________ ________ is a T-cell-derived mediator whose primary function is to activate macrophages. It also promotes the differentiation of T and B cells, activates neutrophils, and stimulates diapedesis. | Interferon gamma |
| _________ is a vasoactive mediator produced by mast cells and basophils, causes vasodilation, increased vascular permeability, and mucus production. It functions primarily in inflammation and allergy. | Histamine |
| __________ is a mediator produced by platelets and intestinal cells, causes smooth muscle contraction, inhibits gastric secretion, and acts as a neurotransmitter. | Seratonin |
| ___________ is a vasoactive amine from the blood or tissues, stimulates smooth muscle contraction and increases vascular permeability, mucus production, and pain. It is particularly active in allergic reactions. | Bradykinin |
| ____________-2 the primary growth factor from T cells. Interestingly, it acts on the same cells that secrete it. It stimulates mitosis and secretion of other cytokines. In B cells, it is a growth factor and stimulus for antibody synthesis. | Interleukin-2 |
| ____________ ____________-___________ ___________ produced by a variety of cells. Promotes the growth and development of macrophages from undifferentiated precursor cells. | macrophage colony-stimulating factor |
| ____________ are produced by most body cells; complex chemical mediators that can have opposing effects (e.g., dilation or constriction of blood vessels) and are powerful stimulants of inflammation and pain. | Prostaglandins |
| ________________ stimulate the contraction of smooth muscle and enhance vascular permeability. They are implicated in the more severe manifestations of immediate allergies (constriction of airways). | Leukotriens |
| _________-________ factor is a substance released from basophils, causes the aggregation of platelets and the release of other chemical mediators during immediate allergic reactions. | Platelet-activating |
| The process leading to inflammation is a dynamic, predictable series of events lasting from a few ________ to a few ________or ________ | minutes to a few hours or days |
| Once the initial injury has occurred, a ______ ________ takes place at the site of damaged tissue, summoning beneficial cells and fluids to the injured area. | chain reaction |
| ________ is the migration of WBCs out of blood vessels into tissues | Diapedesis |
| WBCs are actively ____________ and readily change shape | motile |
| ____________ cells lining venules contain complex adhesive receptors that capture WBCs and transport them into intracellular spaces. | Endothelial |
| Both ____________ and _________ are essential for the intercommunication and deployment of cells required for immune reactions. | diapedesis and chemotaxis |
| One benefit of edema and leaky vessels is that an influx of ______ dilutes toxic substances. | fluid |
| One benefit of edema and leaky vessels is that a ______ clot can trap microbes to prevent further spread. | fibrin |
| One benefit of edema and leaky vessels is that neutrophils aggregated at the inflamed site are involved in _________ and destroying bacteria | phagocytosing |
| ______ is the accumulation of a whitish mass of cells, liquefied cellular debris, and bacteria | Pus |
| __________ bacteria is bacteria such as streptococci, staphylococci, gonococci, and meningococci that stimulate the formation of pus | Pyogenic |
| A ______ is abnormally elevated body temperature | fever |
| A _______ is a nearly universal symptom of infection | fever |
| A _______ can be associated with certain allergies, cancers, and other organic illnesses. | fever |
| fevers of __________ _________ are intermittent fevers greater than 38 degrees C (101 degrees F) lasting longer than 3 weeks for which no known cause can be determined after 1 week of inpatient investigation. | unknown origin |
| Body temperature is maintained at 37°C (98.6°F) by the ___________ | hypothalamus |
| A _____ grade fever is 37.7 – 38.3°C or 100 – 101°F | low |
| A ____ grade fever is 40.0 – 41.4°C or 104 – 106°F | high |
| _______ are substances that reset the hypothalamic thermostat to a higher setting | Pyrogens |
| ________ pyrogens are products of infectious agents such as viruses, bacteria, protozoans, fungi, endotoxin, blood, blood products, vaccines, or injectable solutions | Exogenous |
| ________ pyrogens are liberated by monocytes, neutrophils, and macrophages during phagocytosis such as interleukin-1 and tumor necrosis factor | Endogenous |
| A _______ inhibits multiplication of temperature-sensitive microorganisms such as the poliovirus, cold viruses, herpes zoster virus, and systemic and subcutaneous fungal pathogens | fever |
| A fever impedes nutrition of bacteria by reducing the availability of ______ | iron |
| A _______ Increases metabolism and stimulates immune reactions and naturally protective physiological processes | fever |
| A fever _______ up hematopoiesis, phagocytosis, and specific immune reactions | speeds |
| _________ of fever make it a difficult decision whether to treat or not to treat | Benefits |
| ________ to moderate fever in an otherwise healthy person should be allowed to run its course | Slight |
| Side effects of a fever might include what 3 things? | Tachycardia: rapid heart rate, Tachypnea: elevated respiratory rate, and lowering of seizure threshold |
| Medical experts agree that high and prolonged fevers in individuals with cardiovascular disease, seizures, or respiratory ailments should be treated ________. | Immediately |
| An __________ is a small protein produced naturally by certain white blood and tissue cells | Interferon |
| The ________ was originally thought to be directed against viruses, but is involved in defenses against microbes and immune regulation and intercommunication | interferon |
| Interferon ______ and _______ are produced by lymphocytes, fibroblasts, and macrophages | alpha and beta |
| Interferon _______ are produced by T cells | gamma |
| _________ Bind to cell surfaces and induce changes in genetic expression; exact results vary | Interferons |
| All three IFNs can _________ the expression of cancer genes and have tumor suppressor effects | inhibit |
| Which interferons stimulate phagocytes? | Alpha and Beta |
| Which interferons are the immune regulator of macrophages and T and B cells | Gamma |
| Binding of viruses and other microbes to receptors on a host cell, signals the cell to produce _______ | interferon |
| Interferon molecules are rapidly secreted into the _____________ space, binding to other host cells. | extracellular |
| Binding of interferon induces the production of __________ in the cell that inhibit viral multiplication | proteins |
| Interferons are not __________-________ | microbe specific |
| Interferons are valuable treatment for a number of ______ infections | virus |
| The _______ antimicrobial protein is named for its property of “complementing” immune reactions | complment |
| The ________ antimicrobial protein consists of 26 blood proteins that work in concert to destroy bacteria and certain viruses | complement |
| The complement protein reacts in a _________ reaction. | cascade |
| There are three different pathways for __________ proteins that are distinguished by how they are activated; all have the same end result. | complement |
| During the _______ stage of the complement cascade, C1 components bind to an initiator bound to a foreign cell. | initiated |
| During the _________ and ________ stage of the complement cascade, C1 leads to C5 being cleaved and bound to the membrane | amplification and cascade |
| During the ____________ stage of the complement cascade, C5 product becomes the site for the assembly of the membrane attack complex | Polymerization |
| During the _________ _________ stage of the complement cascade, C5 – C9 form the membrane attack complex that punctures pores in the cell membrane, leading to lysis | membrane attack |
| The _______ pathway is initiated either by the foreign cell membrane of a parasite or a surface antibody | classical |
| The _____ pathway is Activated when components of the complement pathway recognize and bind to pathogen membranes | alternative |
| The _______ pathway is quicker in response than the ______ pathways. | Alternative, classical |
| In the ________ pathway, mannose binding proteins (lectins) must bind to mannose residues on the surface of pathogens in order for the pathway to proceed | lectin |
| __________ ______ are short proteins of 15 – 20 amino acids | Antimicrobial peptides |
| Antimicrobial peptides are able to insert themselves into _____________ membranes to kill microbes | prokaryotic |
| Defensin, magainins, protegrins are all examples of _________ _______ | antimicrobial peptides |
| Put the steps of phagocytosis in the correct order: 1: engulfment 2: killing and destruction of bacterial cells 3: phagosome formation 4: adhesion of bacteria 5: release of residual debris 6: chemotaxis by phagocyte 7: phagolysosome formation | 6, 4, 1, 3, 7, 2, 5 |