step one
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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show | secondary lymph organ
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function of lymph node | show 🗑
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show | primary: dense and dormant
secondary: pale central germinal
centers-active
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show | follicle of cortex
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show | paracortex
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describe paracortex region in cell mediated immunity | show 🗑
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described paracotex in DiGeoges's syndrome? | show 🗑
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lymph vessel that drain rt. arm and rt. side of head? | show 🗑
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show | thoracic duct
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where are T-cells in the spleen? | show 🗑
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show | within the white pulp
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what is the Thymus known as? | show 🗑
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what is tve selection of T-cells? | show 🗑
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What is -ve selection of T-cells? | show 🗑
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show | corticmedullary
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what is clonal anergy? | show 🗑
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which antigen presenting cell (APC) first react to a foreign antigen? | show 🗑
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show | macrophages stimulate THo via IL-12 and yet-unidentified stimulate THo via IL-4
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show | To make a selection; CMI or humoral immunity.
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To chose CMI, what is the cytokine produced? | show 🗑
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To chose humoral, what is the cytokine produced? | show 🗑
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show | Secrete Y-INF and IL-2 to activate macrophage for independent killing.
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show | Secrete IL-4 and IL-5, IL-2, to stimulate B-cells to plasma cells and lymphocytes
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show | produce large amounts of antibodies.(ab)
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how does ab mediated immunity work? | show 🗑
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what does opsonins do? | show 🗑
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What is the function does neutralization serve? | show 🗑
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what is the function of the complement system? | show 🗑
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show | Via the TH1 arm of the immune pathway, resulting in cellular infiltrates like macrophages and abscess formation.
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how does ab's mediate an immune attack? | show 🗑
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show | graft and organ transplantation rejection
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show | allergies
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What is major histocompatibility complex (MHC)? | show 🗑
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show | 2 classes. Class one and class 2
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What do you know about MHC class I? | show 🗑
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show | a peptide binding groove between the 2 a heavy chain, serve to present antigen to the TCR of CD8 cells
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show | RBC
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what do you know about MHC classII? | show 🗑
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show | Same as Class one except it presents to the TCR of the CD4 cells.
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name the types of cells that have both class I andII surface proteins on their cell membrane? | show 🗑
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Where in MHC classI does antigen loading occur? | show 🗑
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show | acidified endosome
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show | associated with TCR of T-lymphocyte and is involved in signal transduction.
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show | The loaded TCR flags the antigen on the cell membrane awaiting a TCR
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once CD4's TCR commits and binds with MHC class II of APC, what happens? | show 🗑
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show | cell mediated killing
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how does the co-stimulatory molecules of CMI work? | show 🗑
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show | innate
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show | CD16 $ CD 56
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show | CD21 of B-cells
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show | T-lymphocytes and NK cells
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How many parts to Ig structure? | show 🗑
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which portion is embedded in the cell? | show 🗑
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show | the amino terminal
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show | region where the Fab and FC region are held together by disulfide bonds
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show | recognizes antigen
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show | In the Fab fragment held by dissulfe bonds
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What is the FC fragment made of? | show 🗑
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show | Fixes complement
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what is the function of the hypervariable region of heavy & light chanis? | show 🗑
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show | IgM because it is a pentamer
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What is the complement system? | show 🗑
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show | they serve as zymogens, participating in a cascade of reactions that culminate mediation of inflammation and lysis by MAC complex
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describe initiation of complement system | show 🗑
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Describe initiation of the complement pathway | show 🗑
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show | IgG binds to the Fc region by the hinge region
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show | for diversity
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function of random combination of heavy and light chains? | show 🗑
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show | aka affinity mutation. mutation that occurs after antigenic contact.
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function of somatic diversity? | show 🗑
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show | inserts bases withour template at the junction of VDJ segments randomly. All to create more diversity
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show | Tdt
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show | IgM and IgD
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show | switching from IgG to IgA to IgE
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show | cytokines and CD40L
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show | plasma cells but does not switch only makes the isotype for which it is cloned.
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show | IgM
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Describe IgM | show 🗑
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show | IgG
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Describe IgG | show 🗑
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how does IgA work to fight infection? | show 🗑
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function of IgD? | show 🗑
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functions of IgE | show 🗑
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show | induces the release of mediators from mast cells, basopils and eosinophils when Ig is stimulated by the exposure to allergens
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show | immunologic epitope that is different among members of the same species. may be heavy or light chain. Allotype determines compatibility for transplant.
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define isotype | show 🗑
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show | Ig epitope, determined by antigen binding site.
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show | small, single antigenic determinants, unable to mount an immune response independently but can if coupled with another protein.
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show | meds like asa, streptomycin, sulfa, some opiates, like morphine.
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show | HOT T-bone sTEAK IL-1 -pyrogen, IL-2 - increased T-cells, IL-3 -increased bone marrow , IL-4 - IgE, IL-5 -IgA.
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function of IL-1 | show 🗑
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show | secreted Th cells and stimulates growth of Th and Tc cells.
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function of IL-3 | show 🗑
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show | secreted by B-cells, enhances class switching from IgG to IgA, and production and activation of eosinophils.
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show | major chemotactic stimuli for PMN's
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function of IL-6 | show 🗑
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function of IL-10 | show 🗑
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function of IL-12 | show 🗑
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function of Y-interferon | show 🗑
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function of TNF alpha | show 🗑
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show | CD4, TCR, CD3, CD28, CD40
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list surface markers of T-cytotoxic cell | show 🗑
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show | IgD, IgM, B7, CD19, CD20, CD21,CD40L, MHCII
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show | MHCII, MHCI, CD14, FC, C3b
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cell surface protein of NK cells | show 🗑
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cell surface markers for all cells x RBC | show 🗑
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show | antigenic recognition
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show | class switching
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show | signal transduction by TCR
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function of CD28 | show 🗑
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show | co-receptor with B21 for signal activation transduction
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function of CD20 | show 🗑
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function of CD21 | show 🗑
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function of C3b | show 🗑
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Another opsonin | show 🗑
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show | APC receptor for co-stimulatory molecule B7
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function of CD14 | show 🗑
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show | opsonization, ADCC
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function of CD56 | show 🗑
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show | creates harsh environment for growth, causes rt. shift of oxy/Hg curve making Hg for O2 making it available for the oxygen burs kill.
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What is the complement system | show 🗑
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show | 2 pathways: classic and alternate
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show | IgG and IgM
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how is the alternate pathway initiated? | show 🗑
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function of the complement system | show 🗑
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mneumonic for classic pathway | show 🗑
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show | C1
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Where does C1 bind to the Ig to initiate the System? | show 🗑
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show | opsonization
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function of c1, c2, c3, c4 | show 🗑
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function of c3a, c5a | show 🗑
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function of c5a | show 🗑
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function of c5b - 9 | show 🗑
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show | IgM is a pentamer and can bind x5 more than IgM which is a monomer.
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result of C1 esterase deficiency | show 🗑
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clinical presentation of c1 esterase defeciency | show 🗑
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clinical presentation of c3 deficiency | show 🗑
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show | Neisseria bacteremia
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show | regulatory protein of complement.
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show | Places all cells in an antiviral state.
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what antiviral process does INF induce? | show 🗑
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show | Increases MHCI and MHCII expression on all cells.
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how does INF affect NK cells? | show 🗑
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show | mediates ADCC: ab dependent cell mediated cytotoxicity.
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show | artificial, passive
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what kind of immunity is achieved by DTaP? | show 🗑
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is passive immunity slow onset with memory? | show 🗑
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Hiv+ mom gives birth to baby who is sero- at 6 months. What kind of immunity is this an example of? | show 🗑
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show | process of varying antigenic proteins to hide from the onslaught of the immune system.
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describe 2 mechanism for antigenic variation | show 🗑
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show | H. influenza
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show | 2 flagella variants
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describe the result of Borellia's mechanism of antigenic varaition. | show 🗑
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show | pilus protein
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mneumonic for shift and drift | show 🗑
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define anergy | show 🗑
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does B-cells undergo anergy? | show 🗑
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show | No, it is immature and naieve with CD4 and CD8 cell srface makrers.
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when is the T-cell matured? | show 🗑
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How does a T-cell show committment | show 🗑
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What if it has high affinity for its own class? | show 🗑
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show | Activates Th1 to mediate a CMI response to the mycobacteria tuberculosis antigen.
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Does encapsulated organisms demonstrate antigenic variation? | show 🗑
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show | CD14
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What is type II hypersensitivity? | show 🗑
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name examples of type II hypersensitivity | show 🗑
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show | antigen/ab/complement complex which induces PMN's to the area, that releases its lysosomal enzymes causing tissue distruction.
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show | PAN, immune complex glomerulonephritis, RA, SLE.
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show | ag/ab complexes, five days post exposure release complement that mediate tissue destruction.
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show | fever, uticaria, arthralgias, proteinemia, lymphadenopathy, 5-10 days post exposure.
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show | via local injection of antigen, where an ag/ab/complement complex forms.
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example of dz causig arthrus formation | show 🗑
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show | T-cell mediated. Once sensitized T-cells release lymphokines once antigen is encountered
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Is the reaction immediate? | show 🗑
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In latex allergy, which hypersensitivity is in effect? | show 🗑
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show | T-lymphocytes, Transplant rejection, TB skin test, Touching-contact dermatitis like poison ivy.
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show | Anaphalactic and atrophic -I, cytotoxic, ab mediated - II, immune complex complement -III, Delayed -IV. ACID
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what is Burton's agammglobinemia? | show 🗑
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describe B&T cells combined immune deficiency.SCID | show 🗑
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Cause of SCID? | show 🗑
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show | IL-2 receptor impairement and failure to synthesize MHC II antigens
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show | T-cell IL-2 deficiency.
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show | hyper IgM syndrome with decreased class switching and loss of humoral limb.
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clinical presentation of hyperIgM. | show 🗑
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what is Wiskott-Aldrich syndrome? | show 🗑
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show | IgE - normal and low IgM
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show | WIPE: with pyogenic infections, purpura(thrombocytopenic), and Eczema
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What is Job's syndrome? | show 🗑
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show | retained primary teeth, recurrent colds, and staph abscess, eczema and coarse features.
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show | Increased levels of IgE
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Diagnosis of B and T-cell defficiences is by what? | show 🗑
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How would LAD present? | show 🗑
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show | negative CD18 expression
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What is cheiak Higashi? | show 🗑
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presentation of Chediak Higashi? | show 🗑
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show | defect in phagocytosis of PMN's secondaryto lack of NADPH oxidase activity.
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presentation of CGD | show 🗑
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Name infection commonly seen in GCD | show 🗑
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show | negative nitroblue tetrozolium dye reduction test is indicative of a t dx.
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show | skin and mucosal membrane candida infections
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All dysfunction of B-cells would presents as | show 🗑
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show | defective isotype switching
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show | IgA
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show | sinus and lung infections. associated with milk allergies and diarrhea.
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show | Defecet is in DNA repair enzymes with associated IgA deficiency
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how else will telangectasia present? | show 🗑
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many autoimmune dz pesent with elevated levels of | show 🗑
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what kind of lupus presents with high levels of antihistone? | show 🗑
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Rhumatoid arthritis | show 🗑
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vasculitis | show 🗑
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show | anticentromere
🗑
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show | anti-scl-70
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show | antimitochrondrial (AST/ALT)
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show | antigliadin
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Good Pasture syndrome | show 🗑
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show | antimicrosomal
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show | mmmmmmn
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show | negative nitroblue tetrozolium dye reduction test is indicative of a t dx.
🗑
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All dysfunction of T-cells presents as | show 🗑
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show | deficiency in a specific clas of imunoglobulin.
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common causes of B-cell deficiency | show 🗑
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show | IgA
🗑
|
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how does IgA deficiency present? | show 🗑
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What is B-cell ataxia telangectasia? | show 🗑
|
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how else will telangectasia present? | show 🗑
|
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many autoimmune dz pesent with elevated levels of | show 🗑
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SLE | show 🗑
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show | anti-ds DNA, antismith
🗑
|
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what kind of lupus presents with high levels of antihistone? | show 🗑
|
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Rhumatoid arthritis | show 🗑
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show | antineutrophils, C-ANCA, P-ANCA
🗑
|
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scleroderma (CREST) | show 🗑
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scleroderma (diffuse) | show 🗑
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Good Pasture syndrome | show 🗑
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pemphigus vulgaris | show 🗑
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polymyositis dermatomyositis | show 🗑
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What cell surface protein show a prediliction for certain diseases. | show 🗑
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psoriasis, ankylosing spondylitis, IBS, Reiters syndrome | show 🗑
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Graves dz. celiac sprue | show 🗑
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show | DR2
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|
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DM1 | show 🗑
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DM2, Rhumatoid arthritis | show 🗑
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pernicious anemia, B12 deficiency, Hashimotor thyroiditis. | show 🗑
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show | DR7
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Occurs in minutes ue to preformed ab in transplant recipient against donor antigen | show 🗑
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show | acute rejection
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show | Hyperacute NO! acute Yes!
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show | chronic rejection
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is chronic rejection reversible? | show 🗑
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show | Grafted Immunocompetent T-cells proliferate in the irradiated immunocompromised host and mount an immune response
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presentation of Graft vs host dz | show 🗑
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show | severe organ dysfunction
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what is an autograph? | show 🗑
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show | donor is an identical twin
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allogenic? | show 🗑
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show | donor is from another species
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show | class switching - humoral division
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genetic difference of aa in heavy/light chains and have no biologic significance. | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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