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step one

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
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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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
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