What factors influence the prognosis of non-Hodgkin’s lymphoma?
Prognosis varies and depends on the stage of the cancer, the subtype, patient age, and overall health of the patient.
What tests are used to confirm HIV infection?
A positive ELISA test is repeated and confirmed using the Western blot test.
1/140
p.14
Specific Immunity

What factors influence the prognosis of non-Hodgkin’s lymphoma?

Prognosis varies and depends on the stage of the cancer, the subtype, patient age, and overall health of the patient.

p.11
Specific Immunity

What tests are used to confirm HIV infection?

A positive ELISA test is repeated and confirmed using the Western blot test.

p.1
Nonspecific Immunity

What is the process called when leukocytes engulf and destroy pathogens?

Phagocytosis.

p.1
Nonspecific Immunity

What are the two types of immunity that provide resistance to infection?

Nonspecific immunity and specific immunity.

p.5
Lupus

What is cutaneous lupus and what percentage of lupus cases does it account for?

Cutaneous lupus affects only the skin and accounts for approximately 10% of all lupus cases.

p.7
Autoimmune Diseases

What are some management strategies for patients with scleroderma?

Patients should avoid tobacco, cold exposure, and stress, exercise regularly, eat small frequent meals, protect their skin, and moisturize frequently.

p.16
Autoimmune Diseases

What are some diagnostic methods for autoimmune diseases?

Medical history, physical exam, complete blood count, urinalysis, autoantibody testing, measurement of general levels of inflammation, biopsy.

p.11
Specific Immunity

What happens during the symptomatic HIV stage?

An HIV-infected patient experiences symptoms such as diarrhea, fever, fatigue, oral infections, and enlarged lymph nodes.

p.13
Specific Immunity

What is the etiology of Hodgkin’s lymphoma?

Idiopathic.

p.2
Inflammatory Response

What chemical signals are released by damaged cells after an injury?

Histamines and kinins are released, causing blood vessels to dilate and become more permeable.

p.4
Specific Immunity

What is the enzyme-linked immunosorbent assay (ELISA) used for?

ELISA is used for the detection of infectious diseases by labeling either the antibody or antigen with an enzyme.

p.11
Specific Immunity

What is the first stage of HIV infection?

The first stage is the acute HIV infection stage, where antibodies against HIV are produced within 3 months of being infected.

p.11
Specific Immunity

What are AIDS indicator diseases?

AIDS indicator diseases are infections that do not normally occur in a person with a healthy immune system, such as pneumonia caused by Pneumocystis jirovecii.

p.8
Hypersensitivity Reactions

What substances can act as allergens?

Allergens that can trigger allergic responses include ragweed or grass pollen, mold, bee venom, poison ivy, latex, and other environmental substances.

p.15
Sjögren’s Syndrome

What are the primary symptoms of Sjögren's syndrome?

Dry eyes and mouth.

p.2
Specific Immunity

What is the ability to remember past encounters with pathogens called?

Immunologic memory.

p.5
Lupus

What are some medications known to cause drug-induced lupus?

Medications include hydralazine, procainamide, and quinidine.

p.3
Cell-Mediated Immunity

How do cytotoxic T cells respond to antigens?

Cytotoxic T cells are activated by antigens displayed on infected cells, abnormal cells, and transplanted organs and tissues, leading to their division and production of clones and memory T cells.

p.5
Lupus

What are the four types of lupus?

The four types of lupus are systemic, cutaneous, drug-induced, and neonatal.

p.13
Specific Immunity

What are some risk factors for non-Hodgkin’s lymphoma?

Weakened immune system and certain infections such as human T-cell lymphotropic virus, Epstein-Barr virus, Helicobacter pylori, hepatitis C, and HIV.

p.8
Autoimmune Diseases

Why is Sjögren’s syndrome often underdiagnosed?

Sjögren’s syndrome is often underdiagnosed or misdiagnosed because its signs and symptoms can mimic those of menopause, drug side effects, or other diseases like lupus and rheumatoid arthritis.

p.13
Specific Immunity

What is the estimated 5-year survival rate for Hodgkin’s lymphoma?

65–90% for all stages of the disease combined.

p.7
Autoimmune Diseases

What factors may trigger scleroderma in genetically predisposed individuals?

Exposure to viral infections and certain chemicals may trigger scleroderma in those who are genetically predisposed.

p.6
Autoimmune Diseases

What is the estimated number of people in the United States affected by scleroderma?

Approximately 300,000 people.

p.3
Humoral Immunity

What triggers humoral immunity?

The first exposure to an antigen triggers humoral immunity.

p.9
Hypersensitivity Reactions

What are the signs and symptoms of anaphylaxis?

Signs and symptoms of anaphylaxis include a sudden drop in blood pressure, narrowing of the airways, rapid and weak pulse, hives, and nausea and vomiting.

p.16
Specific Immunity

What is a common treatment for lymphoma?

Chemotherapy, radiation, bone marrow or stem cell transplant.

p.1
Nonspecific Immunity

What are some physical barriers that protect the body from pathogens?

Intact skin and mucous membranes.

p.1
Nonspecific Immunity

What distinguishes 'self' from 'nonself' in the immune system?

The immune system coexists with the body's own cells that display distinctive 'self' molecules.

p.1
Nonspecific Immunity

How does specific immunity differ from nonspecific immunity?

Specific immunity must be primed by an initial exposure to an antigen before it can protect the body.

p.2
Specific Immunity

What is specific immunity also known as?

Adaptive immunity.

p.2
Specific Immunity

What are the two arms of adaptive immunity?

Humoral immunity and cell-mediated immunity.

p.10
Specific Immunity

What virus is responsible for AIDS?

The human immunodeficiency virus (HIV) is responsible for AIDS.

p.6
Autoimmune Diseases

What percentage of lupus patients have a family history of the disease?

20% of lupus patients have a parent or sibling with lupus.

p.6
Autoimmune Diseases

What challenges are associated with diagnosing lupus?

Lupus signs and symptoms can mimic those of other illnesses, are sometimes vague, and may come and go.

p.16
Autoimmune Diseases

What treatments are commonly used for autoimmune diseases?

NSAIDs, corticosteroids, antimalarial drugs, immunosuppressive drugs, monoclonal antibody therapy.

p.8
Autoimmune Diseases

What are the hallmark symptoms of Sjögren’s syndrome?

The hallmark symptoms of Sjögren’s syndrome are dry eyes and mouth, and it may also cause complications in various organs such as the kidneys and lungs.

p.8
Hypersensitivity Reactions

What is the treatment of choice for anaphylaxis?

The treatment of choice for anaphylaxis is epinephrine by injection, which quickly reverses symptoms by constricting blood vessels, relaxing lung muscles, and reducing swelling.

p.15
Scleroderma

What are the symptoms of Scleroderma?

Secondary Raynaud's phenomenon, thickening and tightening of the skin, pain in two or more joints, heartburn, difficulty swallowing, shortness of breath.

p.5
Lupus

What is the most common type of rash associated with cutaneous lupus?

The most common rash is raised, scaly, and red, known as a discoid rash because the areas are circular.

p.10
Specific Immunity

What is Acquired Immunodeficiency Syndrome (AIDS)?

AIDS is a disease of the immune system characterized by a reduction in the number of helper T cells (CD4 cells) and increased susceptibility to opportunistic infections and certain cancers.

p.14
Specific Immunity

What are some treatment options for non-Hodgkin’s lymphoma?

Treatment options may include radiation therapy, chemotherapy, anti-inflammatory medication, stem cell transplant, and monoclonal antibody therapy.

p.11
Specific Immunity

What is the helper T cell count that indicates progression from HIV to AIDS?

A helper T cell count of less than 200 indicates progression from HIV to AIDS.

p.11
Specific Immunity

What behaviors increase the chances of getting HIV?

Behaviors include sharing needles, having unprotected sex with multiple or anonymous partners, and exchanging sex for drugs or money.

p.13
Specific Immunity

Can Hodgkin’s lymphoma be prevented?

No, Hodgkin’s lymphoma cannot be prevented.

p.7
Autoimmune Diseases

How is scleroderma diagnosed?

Diagnosis begins with a thorough medical history and physical exam, and may include antibody testing and biopsy, as no single test can confirm the diagnosis.

p.3
Cell-Mediated Immunity

What are memory T cells and their function?

Memory T cells can rapidly mobilize should the same antigen be encountered again.

p.2
Cell-Mediated Immunity

What does cell-mediated immunity defend against?

Viruses, abnormal cells, and other intracellular pathogens.

p.7
Autoimmune Diseases

What are the survival rates for limited cutaneous SSc (lcSSc) and diffuse cutaneous SSc (dcSSc)?

The 10-year survival rate for lcSSc is 71%, while for dcSSc it is 21%.

p.2
Nonspecific Immunity

What type of cells do natural killer cells recognize and eliminate?

Virus-infected cells and cancer cells.

p.6
Autoimmune Diseases

What is the etiology of lupus?

The etiology is idiopathic, but environmental and genetic factors may play a role.

p.10
Hypersensitivity Reactions

What occurs in Type III hypersensitivity?

Immune complexes are deposited in tissue and vessels.

p.14
Specific Immunity

Why is screening and early diagnosis important for non-Hodgkin’s lymphoma?

Screening and early diagnosis are important because non-Hodgkin’s lymphoma cannot be prevented.

p.1
Nonspecific Immunity

What is nonspecific immunity also known as?

Innate immunity.

p.13
Specific Immunity

What are common signs and symptoms of non-Hodgkin’s lymphoma?

Painless swelling of lymph nodes, fatigue, pain, unexplained fever, soaking night sweats, itchy skin, coughing, trouble breathing, chest pain, abdominal fullness, and unexplained weight loss.

p.13
Specific Immunity

What cells are confirmed through biopsy in Hodgkin’s lymphoma?

Reed-Sternberg cells.

p.7
Autoimmune Diseases

What is scleroderma and how does it affect the body?

Scleroderma is an autoimmune disease that causes the immune system to stimulate fibroblasts to produce excessive collagen, leading to thickening and tightening of the skin and potentially affecting internal organs.

p.15
Autoimmune Diseases

What defines AIDS in terms of T cell count?

AIDS is characterized by a helper T cell count of less than 200.

p.7
Autoimmune Diseases

What types of medications can be used to treat scleroderma?

Medications include anti-inflammatory drugs, immunosuppressive drugs, and vasodilators to treat Raynaud’s phenomenon.

p.9
Hypersensitivity Reactions

What is anaphylaxis and what are its common triggers?

Anaphylaxis is a systemic, acute allergic response that may be life-threatening, triggered by allergens such as peanuts, latex, certain medications like penicillin, and venom from stinging insects like wasps and bees.

p.9
Hypersensitivity Reactions

What is Type II hypersensitivity and give an example?

Type II hypersensitivity is called cytotoxic because IgM or IgG causes the destruction of cells. An example is the response to an incompatible blood transfusion.

p.10
Specific Immunity

What characterizes the primary HIV infection stage?

The primary HIV infection stage follows exposure to HIV, lasts a few weeks, and is accompanied by a short flulike illness.

p.9
Hypersensitivity Reactions

What can occur as a result of immune complexes in Type III hypersensitivity?

Immune complexes can deposit in tissues such as the kidneys, leading to inflammatory diseases like glomerulonephritis.

p.10
Hypersensitivity Reactions

What is the response time for Type IV hypersensitivity?

The response time for Type IV hypersensitivity is 48–72 hours.

p.12
Specific Immunity

What was the significance of the drug approved by the U.S. FDA in July 2012?

The drug, a combination of two medicines, prevents HIV from altering the genetic material of healthy CD4 cells, reducing the risk of HIV infection.

p.16
Specific Immunity

What are some prevention strategies for HIV?

Abstinence, monogamy, condom use, male circumcision, sterile needles and syringes for each injection for IV drug use, testing and counseling for HIV.

p.13
Specific Immunity

What is the most frequently diagnosed age group for non-Hodgkin’s lymphoma?

Adults age 60 and older.

p.8
Autoimmune Diseases

What role do genetic factors play in Sjögren’s syndrome?

Genetic factors, hormones, and environmental triggers such as viral infections contribute to the etiology of Sjögren’s syndrome, with a first-degree relative with autoimmunity increasing the risk significantly.

p.11
Specific Immunity

What is the key to living a healthy life with HIV?

The key is being diagnosed early.

p.2
Inflammatory Response

What are the cardinal signs and symptoms of inflammation?

Redness, heat, swelling, and pain.

p.5
Lupus

What is drug-induced lupus erythematosus (DILE) and what percentage of lupus cases does it represent?

DILE can be brought on by more than 70 different prescription drugs and accounts for about 10% of all lupus cases.

p.15
Autoimmune Diseases

What are the symptoms of Non-Hodgkin's lymphoma?

Painless swelling of lymph nodes, fatigue, unexplained fever, soaking night sweats, itchy skin, coughing, trouble breathing, chest pain, unexplained weight loss, pain, swelling or a feeling of fullness in the abdomen, unexplained weight loss.

p.7
Autoimmune Diseases

What are the two forms of scleroderma?

The two forms are localized scleroderma (LSc), which affects only the skin, and systemic sclerosis scleroderma (SSc), which involves internal organs and skin.

p.6
Autoimmune Diseases

What is the 5-year survival rate for lupus?

Over 95%.

p.6
Autoimmune Diseases

What is the average age of diagnosis for scleroderma?

In the 40s.

p.3
Humoral Immunity

What is the first antibody produced in response to an antigen?

IgM is the first antibody produced in the primary response to the antigen.

p.9
Hypersensitivity Reactions

What types of skin tests are commonly used for allergy testing?

Common types of skin tests include the skin prick test, intradermal test, and skin patch test.

p.1
Nonspecific Immunity

What type of protection does nonspecific immunity provide?

Immediate, short-term protection against any antigen.

p.13
Specific Immunity

How is non-Hodgkin’s lymphoma diagnosed?

Based on a physical exam, complete blood count, lactate dehydrogenase test, and biopsy.

p.15
Lupus

What are the signs and symptoms of Systemic Lupus Erythematosus (SLE)?

Fatigue, arthritis, fever, butterfly rash across cheeks and nose, photosensitivity, secondary Raynaud's phenomenon, mouth or nose ulcers.

p.4
Specific Immunity

What type of reaction do agglutination tests detect?

Agglutination reactions detect bacterial and viral diseases, such as strep throat and influenza.

p.4
Specific Immunity

What does the Western blot test detect?

The Western blot test detects the presence of antibodies in patient serum.

p.2
Humoral Immunity

What type of cells produce antibodies?

B lymphocytes (or B cells).

p.5
Autoimmune Diseases

What is autoimmunity?

Autoimmunity occurs when individuals develop autoantibodies to their own tissues or self antigens.

p.10
Specific Immunity

How many stages are there in HIV infection?

There are four distinct stages in HIV infection.

p.5
Lupus

What are common signs and symptoms of systemic lupus erythematosus (SLE)?

Common signs include fatigue, arthritis, fever, butterfly rash, photosensitivity, and mouth or nose ulcers.

p.6
Autoimmune Diseases

What should lupus patients limit to manage their condition?

Exposure to sunlight.

p.12
Autoimmune Diseases

What age groups are most frequently diagnosed with Hodgkin’s lymphoma?

Hodgkin’s lymphoma is most frequently diagnosed in teens and adults between the ages of 15 and 40 and after age 55.

p.16
Specific Immunity

What is a key indicator for diagnosing AIDS?

HIV+, AIDS indicator disease, helper T cell count less than 200.

p.1
Nonspecific Immunity

What role do secretions like tears and saliva play in nonspecific immunity?

They contain chemicals that destroy foreign invaders.

p.1
Nonspecific Immunity

What is an antigen?

Any foreign substance recognized as 'nonself' that activates the immune system.

p.4
Specific Immunity

What is the purpose of diagnostic laboratory tests in relation to infectious diseases?

They detect the presence of antibodies to a specific pathogen or the presence of antigen from a specific pathogen.

p.6
Autoimmune Diseases

What medications are commonly used to treat and control lupus?

Nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, antimalarial medications, immunosuppressive drugs, and monoclonal antibodies.

p.6
Autoimmune Diseases

What are the two major forms of scleroderma?

Localized scleroderma and systemic scleroderma.

p.4
Cell-Mediated Immunity

Why are older adults less able to respond to new antigens?

The thymus atrophies, causing a decrease in the number and type of T cells produced, resulting in fewer T cells capable of responding to new antigens.

p.2
Nonspecific Immunity

What is the role of complement in the immune system?

It assists in the destruction of foreign cells and enhances the inflammatory response.

p.4
Humoral Immunity

What type of immunity do B cells provide?

B cells provide humoral immunity and secrete antibodies.

p.10
Hypersensitivity Reactions

What is the mechanism of Type I hypersensitivity?

Excess IgE bound to mast cells causes the release of histamine.

p.9
Hypersensitivity Reactions

How are allergies diagnosed?

Allergies can be diagnosed through various tests, including skin tests where a small amount of the suspected allergen is placed on or below the skin.

p.12
Specific Immunity

How much does the daily HIV preventative drug cost annually?

The daily drug will cost $13,900 a year for each patient.

p.8
Hypersensitivity Reactions

What is Type I hypersensitivity and how is it triggered?

Type I hypersensitivity, also known as immediate hypersensitivity, is the most common type of allergy triggered by IgE immunoglobulin in response to allergens. It leads to the release of histamine from mast cells, causing symptoms like swelling and congestion.

p.11
Specific Immunity

How is HIV transmitted?

HIV is transmitted via contaminated body fluids, including blood, semen, vaginal secretions, and breast milk.

p.15
Lupus

What characterizes the cutaneous form of lupus?

Raised, scaly and red rash that is not itchy, including a butterfly rash across cheeks and nose.

p.15
Autoimmune Diseases

What are the stages of HIV infection?

Primary HIV stage (flulike illness), clinically asymptomatic stage (none), symptomatic stage (diarrhea, fever or night sweats, fatigue or joint pain, oral infection, enlarged lymph nodes, skin problems).

p.15
Autoimmune Diseases

What are the symptoms of Hodgkin's lymphoma?

Painless swelling of lymph nodes, fatigue, unexplained fever, soaking night sweats, itchy skin, coughing, trouble breathing, chest pain, unexplained weight loss.

p.7
Autoimmune Diseases

What is Sjögren’s syndrome?

Sjögren’s syndrome is a chronic autoimmune disease that affects the moisture-producing glands of the body, with 90% of patients being women.

p.2
Specific Immunity

Where do T cells develop their ability to react with unique antigens?

In the thymus.

p.7
Autoimmune Diseases

What are common initial signs and symptoms of scleroderma?

Common initial signs include secondary Raynaud’s phenomenon, thickening and tightening of the skin of the fingers, and joint pain.

p.2
Nonspecific Immunity

What are interferons?

Antiviral proteins produced by some animal cells after viral infection.

p.2
Inflammatory Response

What triggers inflammation?

Infection, trauma, intense heat, and chemicals.

p.12
Specific Immunity

What is the recommended treatment for HIV infection?

Antiretroviral therapy (ART) is the recommended treatment for HIV infection, which controls the replication of the virus and slows the progression of HIV-related disease.

p.4
Cell-Mediated Immunity

How does flow cytometry contribute to the study of HIV/AIDS?

Flow cytometry identifies and counts cells with a particular antigen, and FACS is used to count helper T cells.

p.6
Autoimmune Diseases

What environmental factors may trigger lupus?

Infections, sulfa antibiotics, penicillin, ultraviolet light, stress, certain drugs, and hormones.

p.4
Humoral Immunity

What is the effect of aging on antibody production?

The amount of antibody produced in response to an antigen is reduced, making vaccines less effective in older adults.

p.9
Hypersensitivity Reactions

What happens during a Type II hypersensitivity reaction?

In Type II hypersensitivity, antibodies interact with antigens on transfused red blood cells, causing agglutination and lysis of the cells.

p.5
Lupus

What phenomenon can occur in the fingers of SLE patients when cold?

The fingers can turn white and/or blue when cold, known as secondary Raynaud's phenomenon.

p.9
Hypersensitivity Reactions

What are some examples of Type IV hypersensitivity reactions?

Examples include skin reactions to poison ivy, contact dermatitis from latex gloves, and the tuberculosis skin test.

p.12
Specific Immunity

What are some suggested methods for HIV prevention by the WHO?

Suggested methods include abstinence, monogamy, condom use, testing and counseling for HIV, male circumcision, sterile needles for IV drug use, and ART therapy.

p.4
Nonspecific Immunity

What happens to the immune system as humans age?

Immune system function declines, leading to a greater risk for infection and decreased ability to fight infectious diseases.

p.10
Specific Immunity

What are some risk factors for HIV/AIDS?

Risk factors include having unprotected sex, multiple sex partners, another sexually transmitted infection, IV drug use, being uncircumcised, and being born to an infected mother.

p.3
Humoral Immunity

What is the difference between primary and secondary antibody responses?

The secondary response to an antigen produces antibodies faster and in larger quantities, and lasts longer than the initial response.

p.9
Hypersensitivity Reactions

What is Type III hypersensitivity?

Type III hypersensitivity, known as immune-complex hypersensitivity, involves antigens combining with antibodies to form immune complexes that deposit in tissues and trigger inflammation.

p.3
Hypersensitivity Reactions

What role does IgE play in the immune system?

IgE stimulates the release of histamine and other chemicals that mediate inflammation and allergic responses.

p.12
Autoimmune Diseases

What are common signs and symptoms of Hodgkin’s lymphoma?

Common signs and symptoms include painless swelling of lymph nodes, fatigue, unexplained fever, soaking night sweats, itchy skin, coughing, and trouble breathing.

p.5
Lupus

What is neonatal lupus and how is it acquired?

Neonatal lupus is a rare condition acquired from maternal autoantibodies that affect the skin, heart, and blood of the fetus and newborn.

p.3
Humoral Immunity

What is the role of plasma cells in the immune response?

Plasma cells secrete antibodies that bind to antigens, making them easier targets for phagocytes and complement.

p.5
Lupus

What percentage of lupus patients are women?

Ninety percent of lupus patients are women.

p.4
Cell-Mediated Immunity

What type of immunity do T cells provide?

T cells provide cell-mediated immunity and target intracellular pathogens and cancer cells.

p.3
Humoral Immunity

What is the function of IgA?

IgA protects mucosal surfaces by interfering with the ability of pathogens to adhere to cells.

p.12
Specific Immunity

Does ART cure HIV infection?

No, ART does not cure HIV infection; individuals can still transmit HIV to others while on these medications.

p.4
Nonspecific Immunity

What vaccinations are recommended for older adults?

Vaccinations for influenza, pneumonia, hepatitis B, tuberculosis, diphtheria, and tetanus are recommended to reduce mortality.

p.10
Specific Immunity

What happens during the clinically asymptomatic stage of HIV?

During the clinically asymptomatic stage, which lasts an average of 10 years, patients do not have symptoms but can transmit the infection.

p.10
Hypersensitivity Reactions

What is an example of Type II hypersensitivity?

An example of Type II hypersensitivity is the transfusion of an incompatible blood type.

p.12
Autoimmune Diseases

What are some risk factors for Hodgkin’s lymphoma?

Risk factors include certain viral infections (like Epstein-Barr and HIV), a weakened immune system, and a family history of Hodgkin’s lymphoma.

p.3
Cell-Mediated Immunity

What activates helper T cells?

Helper T cells become activated by an antigen that was engulfed and digested by a phagocyte and presented to them.

p.2
Inflammatory Response

What are the benefits of fever?

Slowing pathogen growth, increasing interferon effect, enhancing phagocytosis, stimulating antibody production, and accelerating tissue repair.

p.12
Autoimmune Diseases

What is Hodgkin’s lymphoma?

Hodgkin’s lymphoma, also known as Hodgkin’s disease, is a cancer of the immune system characterized by the presence of Reed-Sternberg cells.

p.3
Humoral Immunity

What is the function of IgG?

IgG is the principal component of the primary and secondary response to an antigen, crosses the placenta, and protects the fetus.

p.9
Hypersensitivity Reactions

What characterizes Type IV hypersensitivity?

Type IV hypersensitivity is characterized by delayed reactions due to the action of T cells, which take time to recognize the allergen and produce symptoms.

p.12
Specific Immunity

What types of drugs are included in ART?

ART includes reverse transcriptase inhibitors, protease inhibitors, fusion inhibitors, entry inhibitors, and integrase inhibitors.

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