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Ch 28 Vaccines
Immunological Agents
| Question | Answer |
|---|---|
| The largest organ in the immune system is... | The Spleen |
| The Immune System protects the body initially by creating ________ __________ and ____________. | local barriers, inflammation |
| Local barriers provide chemical and mechanical defenses through the __________, the ____________ and the ____________. | Skin, mucous membranes, conjuctiva |
| Define "Immunity" | the condition of being immune or resistant to a particular infectious disease. |
| What does Immunity usually the result of? | The presence of protective antibodies that are directed against the etiological agent of that disease. |
| How does a vaccine work? | The vaccine contains sufficient antigens of a pathogen to enable the individual to form antibodies against that pathogen. |
| What are vaccines made from? | Living or dead (inactivated) pathogens, or from certain toxins they excrete |
| Define "Antigen"; AKA? | Any foreign organic substance that stimulates the production of certain antibodies. AKA: immunogen |
| Define "Antibodies" | Proteins that develop in response to the presence of antigens in the body and react with the antigen on the next exposure. |
| Passive acquired immunity is a form of acquired immunity resulting from what two ways? | 1. Mother to child through placenta or colostrum; 2. Injection of antiserum containing antibodies |
| What are the best antigens? | Foreign proteins |
| Is passive immunity permanent? | No, and it does not last as long as active immunity |
| What two ways are vaccines classified? | Live attenuated and inactivated |
| Live attenuated vaccines are produced in the lab from __________ or ____________. How many doses for it to be effective? | Viruses, bacteria; one dose |
| When should infants receive the first dose of the Hepatitis B vaccine? Or? How many total doses? | Soon after birth/before leaving the hospital; Or by age 2 months if the mother is HBsAg-negative; 3 doses total |
| When is the second dose recommended for MMR (Measles, Mumps, Rubella)? Or? | Routinely at age 4-6 years. Or after 4 weeks have elapsed from first dose, as long as that dose was after age 12 months. |
| The PCV (Pneumococcal conjugate vaccine) is recommended for all children age _________ and for certain children aged __________. How many doses? | 2-23 months; 25-59 months; 1 dose |
| Tetanus is characterized by.... | generalized rigidity and convulsive spasms of the skeletal muscles |
| Pertussis, AKA ____________ is gram-________ which attaches to the _________________, producing toxins that ______________________ and cause ________________ of the resp. tract | whooping cough; gram-negative; respiratory cilia; paralyze the cilia; inflamation |
| Incubation period of pertussis and the 3 stages: | 7-10 days; catarrhal stage (1-2 weeks), paroxysmal cough stage (1-6 weeks); convalescence (weeks to months) |
| The term "rubella" means ____________; is stable/unstable; and is inactivated by what 3 things? | "Little red"; unstable; lipid solvents, formalin, UV light |
| Hepatitis B is a _________ is transmitted what 3 ways? | virus; transfusion of contaminated blood, sexual contact, use of contaminated needles/instruments |
| Hep B severe infection can cause what 3 things? | Prolonged illness, cancer, death |
| 3 major risk groups for HBV | sex fiends, injection drug users, gay guys |
| Classic influenza disease is characterized by the abrupt onset of these 4 things... | fever, myalgia, sore throat, nonproductive cough |
| Organized campaigns for flu shots for at risk persons take place during what months? | Oct and Nov |
| What are the adverse reactions to flu shots? | Most are at the injection site and include soreness, erythema, and induration; rarely, immediate hypersensitivity (allergic) reactions such as hives, angioedema, allergic asthma, or systemic anaphylaxis |