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A&P - Wk 7

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 innate (nonspecific) defense system adaptive (specific) defense system  
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show innate (nonspecific) defense system  
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Which defense system attacks particular foreign substances and takes its time and provides the body's third line of defense?   show
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What is the hallmark of the second line of defense of the innate defense system?   show
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Which line of defense in the innate defense system uses antimicrobial proteins, phagocytes, and other cells to inhibit the invaders' spread?   show
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show external body membranes - intact skin and mucosae  
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What are the 'structures' of the immune system?   show
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The innate defenses reduce the workload of the adaptive system how?   show
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What skin secretion contains chemicals that are toxic to bacteria and inhibit its growth?   show
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What secretes a concentrated hydrochloric acid solution and protein-digesting enzyme that kill microorganisms?   show
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What secretion contains lysozyme?   show
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show the internal innate defenses come into play  
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Where do the chief phagocytes (macrophages) derive from?   show
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show free macrophages  
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show fixed macrophages  
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How do eosinophils defend against parasitic worms?   show
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What is a phagosome fused with a lysosome?   show
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show adherence-the phagocyte must first adhere or cling to the pathogen  
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show opsonization  
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show respiratory burst, an event that liberates a deluge of free radicals with potent cell-killing ability  
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What is more widespread cell killing accomplished by?   show
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What is another mechanism of killing triggered by the respiratory burst involving K+?   show
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What do phagocytes do to kill their targets when the target is too big to ingest?   show
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Macrophages are not destroyed in the process of killed ingested or extracellular targets, but which WBC is destroyed in the process?   show
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What is a unique group of defensive cells that can lyse and kill cancer cells and virus-infected body cells before the adaptive immune system is activated?   show
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NK cells are part of a small group of large granular lymphocytes and are sometimes called the _______ of the defense system.   show
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show by detecting the lack of "self" cell surface receptors and by recognizing certain surface sugars on the target cell  
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Are NK cells phagocytic?   show
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When is the inflammatory response triggered?   show
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What 3 beneficial effects does the inflammatory response provide?   show
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What are the 4 cardinal signs of short-term, or acute, inflammation?   show
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show joint movement to allow the joint to rest, which aids healing  
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show impairment of function  
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show Toll-like receptors (TLRs)  
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show Toll-like receptors (TLRs)  
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How many types of TLRs have been identified, each recognizing a specific class of attacking microbe?   show
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Once activated, a TLR triggers the release of chemicals called cytokines that promote inflammation and attract what to the scene?   show
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show Mast cells, a key component of the inflammatory response, release the potent inflammatory chemical histamine  
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What do the following have in common? injured and stressed tissue cells, phagocytes, lymphocytes, basophils, and blood proteins   show
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show histamine, cytokines, kinins, prostaglandins, leukotrienes, and complement  
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show dilate, accounting for the redness and heat of an inflamed region  
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What is the condition called where blood flows into an injured area causing head and redness?   show
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What is fluid containing clotting factors and antibodies that seeps from the blood into the tissue spaces?   show
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show exudate  
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show pain  
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show by inhibiting prostaglandin synthesis  
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show streptococcus  
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show B-defensins  
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What broad-spectrum antimicrobial chemicals are continuously present in epithelial mucosal cells in small amounts to help maintain sterile environment of the body's internal passageways?   show
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show when the mucosal surface is abraded or penetrated and tissues become inflamed  
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show complement  
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What chemicals released by injured cells promote rapid release of neutrophils from red bone marrow?   show
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show an increase of WBCs; characteristic of inflammation  
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In inflamed areas, endothelial cells sprout cell adhesion molecules (CAMs) called what?   show
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show footholds (place to hold onto)  
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What is the phenomenon of complementary CAMs uniting, the neutrophils clinging to the inner walls of the capillaries and postcapillary venules?   show
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show diapedesis or emigration  
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show chemotactic agents, that attract the neutrophils and other WBCs to the site of the injury  
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show macrophages  
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What predominates at sites of prolonged, or chronic inflammation?   show
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What is the ultimate goal of an inflammatory response?   show
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What is a mixture of dead or dying neutrophils, broken down tissue cells, and living and dead pathogens called?   show
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What forms if the inflammatory mechanism fails to clear the area of debris, and the sac of pus becomes walled off by collagen fibers?   show
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show surgical draining  
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show infectious granulomas  
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show antimicrobial proteins  
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show interferons and complement proteins  
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show invading tissue cells and taking over the cellular metabolic machinery needed to reproduce themselves  
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What do virus-infected cells do to try to protect nearby uninfected cells?   show
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Is IFN protection virus specific?   show
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What are IFNs?   show
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What type of interferon do lymphocyes secrete?   show
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show alpha interferon  
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What secretes beta interferon?   show
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Interferon beta and alpha reduce what?   show
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Interferons have an antiviral effect and also activate ________ and mobilize ____ cells.   show
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show true  
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What is used to treat genital warts (caused by human papillomavirus) and hepatitis C (the most common and serious form of hepatitis)?   show
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show beta  
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show complement system or complement  
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show True  
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show complement  
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The activation of what unleashes chemical mediators that amplify virtually all aspects of the inflammatory process?   show
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What is an effect of complement on bacteria?   show
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show nonspecific, but it enhances the effectiveness of both innate and adaptive defenses  
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show classical pathway alternative pathway  
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Which complement activation method involves antibodies that the adaptive immune system produces to fight off foreign invaders?   show
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What is the step called complement fixation in the classical pathway complement activation method?   show
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When is the alternative pathway triggered?   show
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show MAC (membrane attack complex)  
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show C-reactive protein (CRP)  
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Fever is a stystemic response to the invasion of microorganisms   show
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show chemical called pyrogens, secreted by leukocytes and macrophages exposed to foreign substance in the body  
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How does fever help to keep bacteria from multiplying?   show
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show the body's built-in specific defensive system that stalks and eliminates with nearly equal precision almost any pathogen  
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What are 3 important aspects of the adaptive immune response?   show
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What is provided by B cells present in the body's 'humors', or fluids (blood, lymph)?   show
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show cellular immunity or cell-mediated immunity, because the protective factor is living cells  
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show cellular targets-virus infected or parasite-infected tissue cells, cancer cells, and cells of foreign grafts  
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show true  
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Substances that can mobilize the immune system and provoke an immune response are called what?   show
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show intruders, or nonself  
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What 2 important functions do 'complete antigens' serve?   show
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Of foreign proteins, many large polysaccharides, and some lipids and nucleic acids, which of these complete antigens are the strongest?   show
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Substances whose surfaces bear many different foreign macromolecules, ie pollen grains and microorganisms, such as bacteria, fungi, and virus particles,are all considered what?   show
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show Not unless they link up with the body's own proteins and are recognized as foreign and an attack is mounted by the adaptive immune system  
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What is a troublesome small molecule that links up with the body's own proteins?   show
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Haptens have reactivity but not immunogenicity unless attached to what?   show
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show poison ivy, animal dander, detergents, cosmetics, certain drugs esp penicillin, and some household and industrial products  
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The ability of a molecule to act as an antigen depends on what 2 things?   show
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Only certain parts of an entire antigen are immunogenic. What are these parts called?   show
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show Because they have many identical, regularly repeating units making them not chemically complex  
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Our own body's antigens are not foreign or antigenic, so why are they strongly antigenic to other individuals?   show
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What are the 2 major groups of major histocompataility complexes (MHC) proteins?   show
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What are the 3 crucial cell types of the adaptive immune system that have 2 distinct populations of lymphocytes, and antigen-presenting cells (APCs)?   show
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What is the ability of a lymphocyte to recognize its one specific antigen by binding to it called?   show
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show self-tolerance  
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show in the thymus  
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show in the bone marrow  
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show recognize and bind to a specific antigen  
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The receptors on B cells are membrane-bound what?   show
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show the same gene superfamily  
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show to bind MHC molecules and the T cell must not react strongly to self-antigens normally in the body  
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show positive selection, which occurs in the thymic cortex  
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show they are eliminated by apoptosis (programmed cell death) and is called negative selection  
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show in the inner edge of the thymic cortex  
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What does negative selection ensure?   show
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show 2%  
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Two methods used in self-reactive B cells are?   show
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show anergy  
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show naive  
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Where are naive T and B cells exported to?   show
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What must occur before naive lymphocytes can complete their differentiation into fully functional T and B cells?   show
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show genes  
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What is the process of shuffling and combining gene segments in different ways by each lymphocyte as it become immunocompetent?   show
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What is the major role of antigen-presenting cells (APCs) in immunity?   show
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What are the major types of cells acting as APCs?   show
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Lymphocytes, esp T cells, account for what % of bloodborne lymphocytes?   show
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show clonal selection.  
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show the oral and nasal cavities  
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show bloodborne antigens  
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Why are dendritic cells the most effective antigen presenters?   show
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Dendritic cells are a key link between which immunities?   show
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The adaptive immune system uses lymphocytes, APCs, and specific molecules to id and destroy all substances-living and non-living- that are not recognized as self   show
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show the antigen challenge  
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show the humoral immune response, where antibodies are produced against the challenger  
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When is an immunocompetent but naive B lymphocyte activated (stimulated to complete its differentiation)?   show
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show clonal selection  
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What do most cells of the clone become?   show
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Plasma cells develop the elaborate internal machinery needed to secrete antibodies at the rate of about ___ molecules per second   show
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show true  
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show memory cells  
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show the primary immune response, occurs on 1st exposure to particular antigen  
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What is the lag period of the primary response after the antigen challenge?   show
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show secondary immune response  
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show because immune system has already been primed to the antigen and memory cells are already in place and provide immunological memory  
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What is a titer?   show
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When B cells encounter antigens and produce antibodies against them, what is being exhibited?   show
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show when you get a bacterial or viral infection, during which time you may develop symptoms of the disease  
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show natural and passive  
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show antibodies are harvested from serum of an immune donor  
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show naturally, ie a baby receives all the antigens to which the mother has been exposed; and artificially, ie a serum such as gamma globulin, administered after exposure to hepatitis  
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show because these diseases would kill a person before active immunity could be established  
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Antibodies are also called what and constitute the gamma globulin part of blood proteins?   show
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How many amino acids are contained in the 2 heavy chains of the antibody structure?   show
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show antibody monomer  
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show an antigen binding site shaped to 'fit' a specific antigenic determinant  
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show the C regions that form its stem; they are called the effector regions of the antibody  
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show 1) the cells and chemicals the antibody can bind to 2) how the antibody class functions in antigen elimination  
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show on the basis of the C regions in their heavy chains  
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show IgD, IgG, and IgE  
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What is a dimer?   show
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Which is the largest antibody?   show
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show it is the first antibody class released to the blood by plasma cells  
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show it is the most abundant antibody in plasma and the only Ig class that crosses the placental barrier  
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show it is found primarily in mucus and other secretions that bathe body surfaces and plays a major role in preventing pathogens from gaining entry into the body  
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What is the biological role and location of IgD?   show
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show it is found in minute quantities in some allergies  
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show They inactivate them and tag them for destruction  
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What are the defense mechanisms used by antibodies and which 2 are most important?   show
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What is the simplest effector mechanism and occurs when antibodies block specific sites on viruses or bacterial exotoxins?   show
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show agglutination (clumping)of the foreign cells  
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show precipitation  
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What is the chief antibody ammunition used against cellular antigens, such as bacteria or mismatched red blood cells?   show
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Easy way to remember how antibodies work:   show
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show monoclonal antibodies  
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show by fusing tumor cells and B lymphocytes resulting in a cell hybrid, called hybridomas  
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show pregnancy, certain stds, some cancer, hepatitis and rabies  
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show leukemia and lymphomas, cancers present in circulation  
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show monoclonal antibodies  
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show No, only pathogens  
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show CD4 or CD8  
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show CD4 cells; primarily helper T cells (TH) CD8 cells; cytotoxic T cells (Tc), which destroy any cells that harbor anything foreign  
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When is the only time antibodies invade solid tissues?   show
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Class I MHC proteins are displayed by virtually all body cells except?   show
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What are the 2 types of MHC proteins important to T cell activation?   show
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show at the endoplasmic reticulum  
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What are the transport proteins called that transfer class I MHC proteins into the ER from the cytosol?   show
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What are endogenous antigens?   show
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What are 2 examples of endogenous antigens?   show
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show They provide the means for signaling to cytotoxic T cells that infectious microorganisms are hiding in body cells  
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Where are class II MHC proteins typically found?   show
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show a protein bound by class II MHC molecule while still in the ER  
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How many polypeptide chains does a T cell antigen receptor (TCR) have?   show
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What is the constraint of the helper and cytotoxic T cells called, that helps the class of MHC protein deliver the activation signal?   show
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What type of antigens do Helpter T cells (CD4) bind to?   show
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show by antigen fragments complexed with class I MHC proteins on surfaces of APCs  
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What must a T cell do before it can proliferate and form a clone?   show
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How is active natural immunity acquired?   show
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show antibodies pass from mother to fetus via placenta; or to infant in her milk  
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How is active artificial immunity acquired?   show
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show injection of immune serum (gamma globulin)  
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What is the basic antibody structure? (Based on IgG)   show
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show Macrophages and phagocytes  
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What engulf antigens and place their fragments on the surface of their cells to "flag" the T-cells that their defensive actions are needed by the body   show
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What is the group of mediators that influence cell development, differentiation, and responses in the immune system and are chemical messengers involved in cellular immunity?   show
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What are 2 types of cytokines?   show
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show macrophages  
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show T cells to liberate interleukin 2 (IL-2) and to synthesize more IL-2 receptors  
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What is IL-2?   show
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How is IL-2 used therapeutically?   show
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show Helper T cells  
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show by binding to an antigen-containing MHC protein displayed on the surface of an antigen presenting cell (APC)  
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show a co-stimulatory signal  
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show directly attack and kill infected cells and cancer cells  
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Regulatory T cells help to maintain tolerance where?   show
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What is released by Th cells and mobilized lymphocytes and macrophages and attracts other types of white blood cells to the area and amplified innate defenses?   show
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What do cytotoxic T cells attack?   show
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show cytolytic T cells  
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show perforin and granzymes  
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What part of the target cell do the perforins insert themselves into?   show
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show stimulates the target cell to undergo apoptosis  
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show macrophages and indirectly enhance the killing process  
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show immune surveillance  
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Why are regulatory T cells (Treg) important in preventing autoimmune reactions?   show
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show in the intestinal epithelium  
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show they have a different type of T cell receptor and recognize markers expressed by stressed or damaged cells and their large granular appearance  
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IMPORTANT!!!! What would happen if there were no helper T cells?   show
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show AIDS  
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show tissue grafts from one body site to another in the same person  
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show grafts from one patient to another that is genetically identical (identical twins)  
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show grafts transplanted from individuals that are not genetically identical but are from the same species  
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show grafts taken from one species to another  
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Which are the most successful organ transplants?   show
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What is the most common and the most problematic graft type?   show
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show corticosteroid drugs to suppress inflammation; antiproliferative drugs immunosuppressant drugs  
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What is the most common cause of death in transplant patients and why?   show
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What is any congenital or aacquired condition that causes immune cells, phagocytes, or complement to behave abnormally?   show
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What are the most devastating congenital conditions called?   show
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show a marked deficit of B and T cells  
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show Hodgkins disease, an acquired immunodeficiency  
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