What is the focus of the course NURS1603?
Physiology with a focus on Hematology and the Immune System.
Who is the instructor for the course NURS1603?
Raymond Lo.
1/335
p.1
Immune Cell Development and Activation

What is the focus of the course NURS1603?

Physiology with a focus on Hematology and the Immune System.

p.1
Immune Cell Development and Activation

Who is the instructor for the course NURS1603?

Raymond Lo.

p.1
Immune Cell Development and Activation

What is the email address of the instructor for NURS1603?

kachinglo@cuhk.edu.hk.

p.2
Innate vs Adaptive Immunity

What are the two main types of immunity?

Innate immunity and adaptive immunity.

p.13
Inflammation and Its Role in Immunity

What occurs during the second stage of inflammation?

Vasodilation and increased vascular permeability.

p.3
Innate vs Adaptive Immunity

What type of immunity involves specific responses?

Adaptive or acquired immunity.

p.64
Hypersensitivity Reactions

What is anaphylactic shock?

A severe allergic reaction that causes blood pressure to drop and airways to narrow.

p.61
Hypersensitivity Reactions

What occurs upon subsequent contact with an allergen in type I hypersensitivity?

It stimulates the antibody-allergen complex to bind to mast cells and basophils.

p.61
Hypersensitivity Reactions

What do mast cells and basophils release upon stimulation in type I hypersensitivity?

Histamine, which promotes inflammation.

p.18
Phagocytosis and Immune Response

What is diapedesis in the context of phagocyte recruitment?

The process where phagocytes squeeze out of capillaries by flattening.

p.6
Innate Defense Mechanisms

What is the first line of innate defense?

Physical barriers, such as skin.

p.5
Innate vs Adaptive Immunity

What are the two main types of immune defenses?

Innate and adaptive defenses.

p.52
Antibodies and Their Functions

What role does the constant region of an antibody play?

The constant region determines the antibody's class and mediates immune responses.

p.21
Adaptive Defense Mechanisms

How is adaptive defense different from innate defense in terms of response location?

Adaptive defense is systemic and not restricted to the initial infected site.

p.61
Hypersensitivity Reactions

What is another name for immediate (type I) hypersensitivity?

Allergy or acute hypersensitivity.

p.64
Hypersensitivity Reactions

What are common symptoms of anaphylactic shock?

Trouble breathing, rash, hives, swelling, tightness of throat, hoarse voice, nausea, vomiting, abdominal pain, diarrhea, dizziness, fainting, low blood pressure, rapid heartbeat, feeling of doom, and cardiac arrest.

p.28
Immune Cell Development and Activation

What is immunocompetence in lymphocytes?

The ability to recognize one specific antigen, as each cell has one unique type of receptor.

p.38
Immune Cell Development and Activation

What are the two major classes of Major Histocompatibility Complex (MHC)?

Class I MHC and Class II MHC.

p.67
Hypersensitivity Reactions

Is delayed hypersensitivity antibody-mediated or cell-mediated?

Cell-mediated.

p.41
Adaptive Defense Mechanisms

What is clonal expansion?

The process by which activated immune cells proliferate to produce many identical cells.

p.41
Adaptive Defense Mechanisms

What is the significance of activation in the immune response?

It triggers the immune system to respond to pathogens effectively.

p.35
Immune Cell Development and Activation

Where are macrophages widely distributed?

In connective tissues and lymphoid organs.

p.47
Immunological Memory and Vaccination

What type of cell is responsible for the faster antibody production in the secondary immune response?

Memory B cells.

p.37
Adaptive Defense Mechanisms

What are Major Histocompatibility Complex (MHC) proteins?

Glycoproteins on the plasma membrane.

p.47
Immunological Memory and Vaccination

When is an immune response considered primary?

When there is an initial infection.

p.37
Adaptive Defense Mechanisms

What is the primary function of MHC proteins?

To present antigenic determinants (epitopes) to T cells for further activation.

p.39
Adaptive Defense Mechanisms

What is the role of MHC molecules in the immune response?

To present antigens to activate T cells.

p.7
Innate vs Adaptive Immunity

What are the two main types of immune defenses?

Innate and adaptive defenses.

p.67
Hypersensitivity Reactions

What condition is associated with damage to pancreatic B cells?

Type I diabetes.

p.57
Types of Immune Disorders

What is immunodeficiency?

A condition where immunity is impaired.

p.63
Hypersensitivity Reactions

What are the symptoms of anaphylactic shock?

Bronchiole constriction making breathing difficult and vasodilation leading to low blood pressure and circulatory collapse.

p.31
Immune Cell Development and Activation

What are the primary lymphoid organs?

Thymus for T cells and bone marrow for B cells.

p.34
Immune Cell Development and Activation

What happens during the differentiation of CD8 T cells?

CD8 T cells differentiate into cytotoxic T lymphocytes that can kill infected or cancerous cells.

p.32
Immune Cell Development and Activation

What do APCs do with antigens?

They engulf antigens and present their fragments to T cells.

p.25
Adaptive Defense Mechanisms

What role do antibodies and leukocytes play in relation to antigens?

They recognize the antigenic determinants or epitopes.

p.30
Immune Cell Development and Activation

What type of stem cell gives rise to lymphoid cells?

Lymphoid stem cell.

p.39
Adaptive Defense Mechanisms

What type of T cells does MHC II activate?

CD4 T cells.

p.52
Antibodies and Their Functions

What are the basic components of an antibody?

Antibodies consist of two heavy chains and two light chains.

p.30
Antibodies and Their Functions

What is the role of antibodies?

To identify and neutralize pathogens.

p.8
Innate Defense Mechanisms

What is phagocytosis?

An engulfing or devouring process by phagocytes.

p.18
Phagocytosis and Immune Response

What role does chemotaxis play in phagocyte recruitment?

Phagocytes follow pro-inflammatory chemicals to the wound.

p.46
Adaptive Defense Mechanisms

What is clonal expansion?

The process by which specific immune cells proliferate in response to an antigen.

p.9
Innate Defense Mechanisms

What is the second line of innate defense?

Phagocytosis.

p.46
Adaptive Defense Mechanisms

What occurs during differentiation in immune activation?

Immune cells develop into specialized cells that perform distinct functions.

p.29
Immune Cell Development and Activation

What is the process of clonal expansion in lymphocytes?

Proliferation of activated lymphocytes.

p.7
Innate Defense Mechanisms

What are the components of the second line of innate defenses?

Phagocytosis, inflammation, and fever.

p.59
Types of Immune Disorders

What type of disease is systemic lupus erythematosus?

An autoimmune disease.

p.63
Hypersensitivity Reactions

What can trigger a systemic response in immediate hypersensitivity?

A bee sting that injects allergens into the blood.

p.59
Types of Immune Disorders

What are common symptoms of systemic lupus erythematosus?

Fatigue, joint pain, skin rashes, and fever.

p.57
Types of Immune Disorders

What is an example of acquired immunodeficiency?

Acquired immunodeficiency syndrome (AIDS).

p.41
Adaptive Defense Mechanisms

What occurs during differentiation in immune activation?

Immune cells develop into specialized cells with distinct functions.

p.21
Adaptive Defense Mechanisms

What are the two main branches of adaptive immunity?

Humoral (antibody-mediated) immunity and cellular (cell-mediated) immunity.

p.47
Immunological Memory and Vaccination

How does the primary immune response differ from the secondary immune response?

The primary response produces antibodies slowly and decays quickly, while the secondary response is faster and more prolonged.

p.4
Innate vs Adaptive Immunity

How quickly does innate immunity respond after infection?

Rapid response.

p.67
Hypersensitivity Reactions

What is the onset time for delayed (type IV) hypersensitivity?

1 to 3 days.

p.28
Immune Cell Development and Activation

What is the receptor count per lymphocyte cell?

Approximately 10^5 receptors per cell.

p.52
Antibodies and Their Functions

What is the function of the variable region of an antibody?

The variable region binds to specific antigens.

p.67
Hypersensitivity Reactions

Which cells are primarily involved in delayed hypersensitivity?

Helper T cells, cytokine-activated macrophages, and sometimes cytotoxic T cells.

p.8
Innate Defense Mechanisms

What is the first step in phagocytosis?

Phagocyte adheres to pathogens or debris.

p.43
Adaptive Defense Mechanisms

What is the role of perforin in the immune response?

It introduces pores in the infected cell's membrane.

p.67
Hypersensitivity Reactions

What condition involves damage to the myelin sheath?

Multiple sclerosis.

p.59
Types of Immune Disorders

What is systemic lupus erythematosus (SLE)?

A chronic autoimmune disease that can affect multiple organs and systems in the body.

p.46
Adaptive Defense Mechanisms

Why is clonal expansion important in the immune response?

It increases the number of specific immune cells to effectively combat an antigen.

p.60
Types of Immune Disorders

What is hypersensitivity in the context of immune disorders?

It results in tissue injury when the immune system is clearing foreign invaders or threats.

p.8
Innate Defense Mechanisms

What happens in the phagolysosome?

Destruction of foreign particles by lytic enzymes.

p.50
Adaptive Defense Mechanisms

What is passive humoral immunity?

Immunity that results from the transfer of antibodies from another source.

p.16
Inflammation and Its Role in Immunity

What are the effects of vasodilation?

Causes hyperemia, blood congestion, redness, and heat.

p.31
Immune Cell Development and Activation

Where do B cells develop?

In the bone marrow.

p.25
Adaptive Defense Mechanisms

What are antigens?

Non-self substances not normally found in one’s body.

p.3
Innate vs Adaptive Immunity

What is the primary characteristic of innate immunity?

It provides immediate, non-specific defense against pathogens.

p.61
Hypersensitivity Reactions

What happens during the initial contact with an allergen in type I hypersensitivity?

It is asymptomatic but sensitizes the person by triggering IgE antibody production.

p.64
Hypersensitivity Reactions

What happens to blood pressure during anaphylactic shock?

It suddenly drops.

p.17
Inflammation and Its Role in Immunity

How does edema help in the processing of foreign material?

Excess fluids in tissue sweep foreign material into lymph for further processing in lymph nodes.

p.61
Hypersensitivity Reactions

How quickly do allergic reactions begin after subsequent contact with an allergen in type I hypersensitivity?

In seconds.

p.4
Innate vs Adaptive Immunity

Are innate and adaptive immune systems isolated from each other?

Yes, they are considered two isolated systems.

p.44
Immune Cell Development and Activation

What is the primary function of regulatory T cells?

To weaken the immune response and avoid autoimmune diseases.

p.30
Immunological Memory and Vaccination

What are memory B cells?

B cells that provide long-term immunity.

p.6
Innate Defense Mechanisms

Where can mucus be secreted to trap microbes?

In the vagina, digestive tract, and respiratory tract.

p.38
Immune Cell Development and Activation

Where is Class II MHC found?

Only on professional antigen-presenting cells (APCs) such as dendritic cells, macrophages, and B cells.

p.9
Innate Defense Mechanisms

Which cells are the most abundant and roam to target bacteria?

Neutrophils.

p.38
Immune Cell Development and Activation

Which T cells does Class II MHC present antigens to?

CD 4 T cells / helper T cells.

p.9
Innate Defense Mechanisms

What are the two types of macrophages?

Roaming macrophages and resident macrophages.

p.46
Adaptive Defense Mechanisms

What types of cells undergo clonal expansion and differentiation?

B cells and T cells.

p.60
Types of Immune Disorders

What are the three types of hypersensitivity?

Immediate (type I), subacute (type II & III), and delayed (type IV).

p.8
Innate Defense Mechanisms

What occurs after the destruction of foreign particles?

Release of debris.

p.14
Inflammation and Its Role in Immunity

Which cells produce cytokines like interferons and interleukins?

Macrophages and epithelial cells.

p.60
Types of Immune Disorders

Which types of hypersensitivity can result in autoimmune disease?

Types II, III, and IV.

p.14
Inflammation and Its Role in Immunity

What do Toll-like receptors (TLRs) recognize?

Specific microbes.

p.9
Innate Defense Mechanisms

What type of macrophages are found in the skin epidermis?

Langerhans cells.

p.40
Adaptive Defense Mechanisms

What do T cells use to recognize specific antigens?

T cell receptors (TCRs).

p.24
Adaptive Defense Mechanisms

What is the role of T cells in cellular immunity?

To kill infected or cancerous cells and activate other immune cells.

p.62
Hypersensitivity Reactions

What is a common treatment for immediate hypersensitivity reactions?

Antihistamines.

p.36
Adaptive Defense Mechanisms

What new role have activated B cells been found to have?

Presenting antigens to activate CD4 T cells.

p.21
Immunological Memory and Vaccination

What enables a stronger response to subsequent infections in adaptive defense?

Memory.

p.27
Antibodies and Their Functions

What are antigen binding sites?

The specific regions on antibodies that recognize and bind to antigenic determinants.

p.27
Antibodies and Their Functions

What are epitopes?

Another term for antigenic determinants.

p.30
Adaptive Defense Mechanisms

What do mature B cells differentiate into upon activation?

Plasma cells.

p.43
Adaptive Defense Mechanisms

What do Class I MHC molecules present to cytotoxic T cells?

Antigens.

p.44
Immune Cell Development and Activation

Which type of T cells can become regulatory T cells?

Some CD4 T cells, other than helper T cells.

p.30
Adaptive Defense Mechanisms

What type of T cell is responsible for killing infected cells?

Cytotoxic T cell.

p.43
Adaptive Defense Mechanisms

How do cytotoxic T cells recognize infected cells?

Via Class I MHC.

p.44
Immune Cell Development and Activation

How do regulatory T cells contribute to immune regulation?

They prevent prolonged activation of immunity.

p.22
Adaptive Defense Mechanisms

Which type of immunity mainly involves T cells?

Cellular immunity.

p.18
Phagocytosis and Immune Response

What are the components of the capillary wall involved in phagocyte recruitment?

Basement membrane and endothelium.

p.52
Antibodies and Their Functions

How do antibodies recognize antigens?

Antibodies recognize antigens through their unique variable regions.

p.14
Inflammation and Its Role in Immunity

What types of cells produce pro-inflammatory chemicals?

Injured tissues, blood proteins, or immune cells.

p.6
Innate Defense Mechanisms

What antimicrobial substance is found in gastric juice?

Lysozyme.

p.31
Immune Cell Development and Activation

What is the function of the thymus?

It is responsible for the development of T cells.

p.65
Hypersensitivity Reactions

What is the duration of subacute (type II) hypersensitivity?

10 to 15 hours.

p.51
Antibodies and Their Functions

What are the five classes of antibodies?

IgM, IgA, IgD, IgG, IgE (MADGE).

p.9
Innate Defense Mechanisms

What are the macrophages called that reside in the brain?

Microglia.

p.10
Innate Defense Mechanisms

What is one function of NK cells?

They can kill cancer cells and virus-infected cells before the adaptive immune system is activated.

p.2
Adaptive Defense Mechanisms

What are the two components of adaptive defense?

Humoral immunity and cellular immunity.

p.55
Antibodies and Their Functions

What is the mechanism of neutralization in antibodies?

It suppresses the antigenic effect of pathogens and toxins.

p.32
Immune Cell Development and Activation

What types of cells are considered non-professional APCs?

All nucleated cells.

p.21
Adaptive Defense Mechanisms

What is a key characteristic of adaptive defense?

It is specific only to specific antigens.

p.27
Antibodies and Their Functions

What is an antigenic determinant?

A part of an antigen recognizable by antibodies or leukocytes.

p.4
Innate vs Adaptive Immunity

What are the two main types of immune responses?

Innate immunity and adaptive immunity.

p.17
Inflammation and Its Role in Immunity

What is one benefit of edema related to clotting factors?

Clotting factors can be delivered into the inflamed area due to increased vascular permeability.

p.44
Immune Cell Development and Activation

What are regulatory T cells formerly known as?

Suppressor T cells.

p.29
Immune Cell Development and Activation

What do mature lymphocytes undergo in secondary lymphoid organs?

Activation, clonal expansion (proliferation), and differentiation.

p.47
Immunological Memory and Vaccination

When is an immune response considered secondary?

When there is a second or subsequent infection by the same pathogen.

p.28
Immune Cell Development and Activation

What does self-tolerance mean for lymphocytes?

The ability to recognize self proteins weakly without being activated.

p.29
Immune Cell Development and Activation

What type of cell do mature B cells differentiate into?

Plasma cells and memory B cells.

p.5
Innate Defense Mechanisms

What constitutes the first line of innate defenses?

Barriers, including physical and chemical barriers.

p.8
Innate Defense Mechanisms

What do phagocytes form to engulf foreign particles?

Pseudopods, creating a phagosome.

p.30
Immune Cell Development and Activation

What is the significance of secondary lymphoid organs?

They are sites where immune responses are initiated.

p.33
Immune Cell Development and Activation

How do dendritic cells interact with pathogens?

They engulf pathogens that enter tissues.

p.7
Adaptive Defense Mechanisms

What type of immunity is associated with B cells?

Humoral immunity.

p.23
Adaptive Defense Mechanisms

What is the primary function of B cells in humoral immunity?

To produce antibodies.

p.7
Adaptive Defense Mechanisms

What type of immunity is associated with T cells?

Cellular immunity.

p.19
Innate Defense Mechanisms

What do leukocytes, such as macrophages, secrete when exposed to foreign substances?

Pyrogens.

p.24
Adaptive Defense Mechanisms

What types of cells do T cells primarily target?

Virus-infected cells and cancer cells.

p.33
Innate vs Adaptive Immunity

What is the key role of dendritic cells in immunity?

They are the key link between innate and adaptive immunity.

p.40
Adaptive Defense Mechanisms

What is the role of T cells in cellular immunity?

T cells are specific to one type of antigen and do not have antibodies as surface receptors.

p.58
Types of Immune Disorders

What autoimmune disease destroys pancreatic cells?

Type 1 diabetes mellitus.

p.31
Immune Cell Development and Activation

What is the role of secondary lymphoid organs?

They are sites for immune cell activation and proliferation.

p.55
Antibodies and Their Functions

How does agglutination function in the immune response?

It minimizes the dissemination of pathogens.

p.15
Inflammation and Its Role in Immunity

Which pro-inflammatory chemicals make capillaries more permeable?

Histamine, prostaglandin, and kinin.

p.14
Inflammation and Its Role in Immunity

How are mast cells and basophils similar?

Both are structurally similar and induce allergies.

p.25
Adaptive Defense Mechanisms

What is an antigenic determinant?

A portion of an antigen recognized by antibodies or leukocytes.

p.3
Innate vs Adaptive Immunity

What is a key feature of adaptive immunity?

It develops a targeted response to specific pathogens.

p.30
Immune Cell Development and Activation

Where do T cells mature?

Thymus.

p.22
Immune Cell Development and Activation

Where do stem cells develop?

In bone marrow or in fetal liver.

p.39
Immune Cell Development and Activation

What are some examples of Antigen-Presenting Cells (APCs)?

Macrophages and B cells.

p.49
Immunological Memory and Vaccination

How does the timing of antibody production in the secondary response compare to the primary response?

The secondary response is faster.

p.22
Immune Cell Development and Activation

Where do stem cells differentiate into T cells?

In the thymus.

p.6
Innate Defense Mechanisms

What role do chemical barriers play in innate defense?

They trap microbes through secretions like mucus from mucous membranes.

p.18
Phagocytosis and Immune Response

What is leukocytosis?

An increase in neutrophils and monocytes that secrete leukocytosis inducing factors.

p.52
Antibodies and Their Functions

What is the significance of the hinge region in antibodies?

The hinge region allows flexibility, enabling the antibody to bind effectively to antigens.

p.14
Inflammation and Its Role in Immunity

What is the purpose of releasing pro-inflammatory chemicals?

To alert the immune system.

p.67
Hypersensitivity Reactions

What is a key host defense mechanism against tuberculosis?

Activation of macrophages, dendritic cells, neutrophils, and natural killer cells.

p.30
Immune Cell Development and Activation

What are the two types of mature T cells?

Mature CD4 T cells and Mature CD8 T cells.

p.57
Types of Immune Disorders

What causes SCID?

A genetic defect leading to a marked deficit in lymphocytes.

p.14
Inflammation and Its Role in Immunity

What is an example of a pro-inflammatory chemical released by mast cells?

Histamine.

p.24
Adaptive Defense Mechanisms

What type of immunity do T cells primarily represent?

Cellular immunity.

p.10
Innate Defense Mechanisms

What are natural killer (NK) cells?

Large granular lymphocytes that police blood and lymph.

p.23
Adaptive Defense Mechanisms

What type of cells produce antibodies?

Plasma cells.

p.45
Adaptive Defense Mechanisms

What is required for the activation of B cells?

Helper T cells are required for B cell activation.

p.11
Inflammation and Its Role in Immunity

What is one benefit of inflammation?

It prevents the spread of damaging agents.

p.45
Adaptive Defense Mechanisms

What are the two main processes that activated B cells undergo?

Clonal expansion and differentiation.

p.14
Inflammation and Its Role in Immunity

What is the role of the complement system?

To help eliminate infectious microorganisms.

p.45
Antibodies and Their Functions

What is the function of plasma cells?

Plasma cells produce abundant antibodies.

p.19
Innate Defense Mechanisms

How does fever affect metabolic rate?

It increases metabolic rate, accelerating body repair and stimulating innate and adaptive immunity.

p.11
Inflammation and Its Role in Immunity

What role does inflammation play in tissue repair?

It sets the stage for repair.

p.62
Hypersensitivity Reactions

Where are local allergic reactions commonly found?

On the skin, respiratory, or gastrointestinal mucosa.

p.56
Antibodies and Their Functions

How do antibodies enhance phagocytosis?

By coating microbes, making them recognizable to phagocytes.

p.36
Adaptive Defense Mechanisms

How are mature B cells activated?

By helper T cells through antigen presentation.

p.3
Innate vs Adaptive Immunity

What type of immunity involves non-specific responses?

Innate or natural immunity.

p.47
Immunological Memory and Vaccination

What is immunological memory?

It is developed during the primary immune response, allowing for a faster and prolonged secondary response.

p.28
Immune Cell Development and Activation

In which organs do lymphocytes mature?

Primary lymphoid organs.

p.18
Phagocytosis and Immune Response

What is the process called when phagocytes stick to capillaries?

Margination.

p.4
Innate vs Adaptive Immunity

How quickly does adaptive immunity respond after infection?

Slow response.

p.26
Adaptive Defense Mechanisms

What are antigens?

Substances that can trigger an immune response, such as those found on bacterial cells.

p.43
Adaptive Defense Mechanisms

What do cytotoxic T cells secrete to kill infected cells?

Perforin and granzyme.

p.37
Adaptive Defense Mechanisms

How do MHC proteins help T cells?

They enable T cells to recognize foreign antigens rather than self molecules.

p.38
Immune Cell Development and Activation

Which T cells does Class I MHC present antigens to?

CD 8 T cells / cytotoxic T cells.

p.29
Immune Cell Development and Activation

Where do mature lymphocytes circulate after differentiation?

In blood, lymph, and secondary lymphoid organs.

p.49
Immunological Memory and Vaccination

What is the main difference in antibody response between primary and secondary responses?

Primary response has a delay, while secondary response is faster and more prolonged.

p.6
Innate Defense Mechanisms

What are some examples of secretions that act as chemical barriers?

Saliva, tears, sweat, sebum, and gastric juice.

p.42
Adaptive Defense Mechanisms

What is the primary function of Helper T cells?

To mediate/help both humoral and cellular immunity.

p.67
Hypersensitivity Reactions

What are common triggers for allergic contact dermatitis?

Poison ivy, nickel in jewelry, and cosmetic or deodorant chemicals.

p.33
Immune Cell Development and Activation

What do dendritic cells do after engulfing pathogens?

They enter lymphatics to present antigens to T cells in lymph nodes.

p.67
Hypersensitivity Reactions

What symptoms are associated with allergic contact dermatitis?

Rash, itch, redness, and inflammation.

p.53
Antibodies and Their Functions

What is the role of IgM?

It is the first induced antibody during early primary response.

p.59
Types of Immune Disorders

Which organs can be affected by systemic lupus erythematosus?

Kidneys, heart, lungs, and skin.

p.57
Types of Immune Disorders

What virus is responsible for AIDS?

Human immunodeficiency virus (HIV).

p.19
Innate Defense Mechanisms

How do pyrogens affect the body?

They raise the temperature set point in the thermostat of the hypothalamus.

p.57
Types of Immune Disorders

What are autoimmune diseases?

Conditions that result in tissue injury when the immune system fails to distinguish self from non-self.

p.11
Inflammation and Its Role in Immunity

How does inflammation help the immune system?

It alerts the immune system.

p.20
Innate Defense Mechanisms

What is the role of phagocytosis in innate defense?

To engulf and destroy pathogens.

p.11
Inflammation and Its Role in Immunity

What are the four cardinal signs of acute inflammation?

Heat, redness, swelling, and pain.

p.66
Hypersensitivity Reactions

What triggers poststreptococcal rheumatic fever?

Antibodies against S. pyogenes that cross-react with host tissues like the heart and joints.

p.56
Antibodies and Their Functions

How do antibodies activate the complement system?

Antibodies bind to pathogens, triggering the complement cascade that leads to lysis of bacteria.

p.62
Hypersensitivity Reactions

Why are local reactions common in certain areas of the body?

Because of abundant mast cells.

p.64
Hypersensitivity Reactions

What is immediate (type I) hypersensitivity?

A reaction where the immune system releases chemicals that can lead to anaphylactic shock.

p.39
Adaptive Defense Mechanisms

What type of T cells does MHC I activate?

CD8 T cells.

p.47
Immunological Memory and Vaccination

What happens to antibody production in memory B cells compared to the primary immune response?

Memory B cells produce much more antibodies much quicker and their production lasts longer.

p.49
Immunological Memory and Vaccination

What type of antibodies are produced during the primary response against antigen A?

IgG and IgM.

p.22
Immune Cell Development and Activation

Where do stem cells differentiate into B cells?

In adult red bone marrow.

p.17
Inflammation and Its Role in Immunity

What causes the delivery of clotting factors to an inflamed area?

Increased vascular permeability.

p.26
Adaptive Defense Mechanisms

What are antigen determinants?

Specific parts of an antigen that are recognized by the immune system.

p.22
Adaptive Defense Mechanisms

Which type of immunity mainly involves B cells?

Humoral immunity.

p.34
Adaptive Defense Mechanisms

What is the function of MHC in the immune response?

MHC molecules present antigens to T cells, crucial for T cell activation.

p.33
Immune Cell Development and Activation

What is the role of dendritic cells in the immune system?

They act as mobile patrols of boundary tissues.

p.5
Innate Defense Mechanisms

What are the components of the second line of innate defenses?

Phagocytosis, inflammation, and fever.

p.51
Antibodies and Their Functions

What is the primary function of antibodies?

To bind to specific antigens.

p.5
Adaptive Defense Mechanisms

What type of immunity is associated with B cells?

Humoral immunity.

p.53
Antibodies and Their Functions

What are the five classes of antibodies?

IgM, IgA, IgD, IgG, IgE (MADGE).

p.2
Innate Defense Mechanisms

What is the first line of innate defense?

Physical and chemical barriers such as skin and mucous membranes.

p.63
Hypersensitivity Reactions

What is the treatment for immediate hypersensitivity reactions?

Adrenaline (epinephrine), which alleviates bronchiole constriction.

p.50
Adaptive Defense Mechanisms

How is naturally acquired active immunity obtained?

Through infection.

p.20
Adaptive Defense Mechanisms

What type of immunity is associated with B cells?

Humoral immunity.

p.32
Immune Cell Development and Activation

What are the three professional types of APCs?

Dendritic cells, macrophages, and B cells.

p.60
Types of Immune Disorders

What causes type II hypersensitivity?

Antibodies.

p.50
Adaptive Defense Mechanisms

How is naturally acquired passive immunity obtained?

Through antibodies received via breast milk or placenta.

p.19
Innate Defense Mechanisms

What is one benefit of fever related to iron and zinc?

It makes the liver and spleen sequester iron and zinc, which are needed for microbial growth.

p.40
Adaptive Defense Mechanisms

What happens upon antigen recognition by T cells?

Activation of the T cells occurs.

p.58
Types of Immune Disorders

What is a common treatment approach for autoimmune diseases?

Suppressing the entire immune system.

p.20
Innate Defense Mechanisms

What is the significance of fever in the immune response?

To create an unfavorable environment for pathogens and enhance immune function.

p.56
Antibodies and Their Functions

What is the role of complement in bacterial lysis?

Complement proteins form pores in bacterial cell membranes, leading to cell lysis.

p.13
Inflammation and Its Role in Immunity

What is the first stage of inflammation?

Release of pro-inflammatory chemicals.

p.13
Inflammation and Its Role in Immunity

What is the third stage of inflammation?

Recruitment of phagocytes.

p.28
Immune Cell Development and Activation

Where do lymphocytes originate from?

Bone marrow.

p.35
Immune Cell Development and Activation

What role do macrophages play in activating CD4 T cells?

They present antigens to activate CD4 T cells.

p.35
Phagocytosis and Immune Response

What happens when macrophages are activated?

They become chief phagocytic cells.

p.64
Hypersensitivity Reactions

What can narrow the airways during anaphylactic shock?

The release of chemicals by the immune system.

p.35
Inflammation and Its Role in Immunity

What do activated macrophages trigger?

Powerful inflammatory responses and recruit additional defenses.

p.29
Immune Cell Development and Activation

What types of cells do mature T cells differentiate into?

Effector cells (cytotoxic T cells, helper T cells) and memory T cells.

p.49
Immunological Memory and Vaccination

Which antibody is primarily produced during the secondary response against antigen A?

IgG.

p.51
Antibodies and Their Functions

What are antibodies also called?

Immunoglobulins (Ig).

p.63
Hypersensitivity Reactions

What is anaphylactic shock?

A serious allergic reaction that is rapid in onset and may cause death.

p.57
Types of Immune Disorders

What is an example of congenital immunodeficiency?

Severe combined immunodeficiency syndrome (SCID).

p.32
Immune Cell Development and Activation

What is the role of antigen presenting cells (APCs) in lymphocyte activation?

APCs help make specific antigens recognizable by T cells.

p.65
Hypersensitivity Reactions

What is the onset time for subacute (type II) hypersensitivity?

1 to 3 hours.

p.51
Antibodies and Their Functions

How many classes of antibodies are there?

Five classes.

p.11
Inflammation and Its Role in Immunity

What is inflammation?

A tissue response and immune response to injury.

p.58
Types of Immune Disorders

What is an example of an autoimmune disease that destroys joints?

Rheumatoid arthritis.

p.66
Hypersensitivity Reactions

What causes subacute (type III) hypersensitivity?

Accumulation of immune complexes (host antigens + antibodies) in susceptible tissues.

p.16
Inflammation and Its Role in Immunity

What does increased vascular permeability lead to?

Exudate fluid containing clotting factors and antibodies leaking into tissue.

p.50
Adaptive Defense Mechanisms

How is artificially acquired active immunity obtained?

Through vaccination.

p.20
Adaptive Defense Mechanisms

What type of immunity is associated with T cells?

Cellular immunity.

p.2
Immune Cell Development and Activation

What processes are involved in immune cell development?

Development, maturation, activation, proliferation, and differentiation.

p.16
Inflammation and Its Role in Immunity

How does local edema contribute to pain?

It pushes on nerve endings, resulting in pain.

p.2
Antibodies and Their Functions

What are antibodies?

Proteins produced by B cells that bind to specific antigens.

p.56
Antibodies and Their Functions

What is opsonization?

The process of coating microbes with antibodies to enhance phagocytosis.

p.58
Types of Immune Disorders

Name a type of anti-inflammatory drug used in autoimmune disease treatment.

Corticosteroids.

p.40
Immunological Memory and Vaccination

What can both CD4 and CD8 T cells become after activation?

Memory T cells.

p.56
Antibodies and Their Functions

What is antibody-dependent cell-mediated cytotoxicity?

A mechanism where antibodies direct immune cells to kill infected or cancerous cells.

p.38
Immune Cell Development and Activation

Where is Class I MHC found?

On the surface of all nucleated cells.

p.63
Hypersensitivity Reactions

What is immediate (type I) hypersensitivity?

A systemic response that can result in anaphylactic shock.

p.33
Immune Cell Development and Activation

Where are dendritic cells found?

In connective tissues and the epidermis.

p.30
Immunological Memory and Vaccination

What is the function of memory helper T cells?

To help activate B cells and cytotoxic T cells upon re-exposure to an antigen.

p.51
Antibodies and Their Functions

What type of cells produce antibodies?

Plasma B cells.

p.34
Immune Cell Development and Activation

What is clonal expansion in the context of T cells?

Clonal expansion is the process by which activated T cells proliferate to increase their numbers.

p.43
Adaptive Defense Mechanisms

What type of cells do cytotoxic T cells primarily target?

Virus-infected cells.

p.20
Innate Defense Mechanisms

What are the first line of innate defenses?

Barriers, which include physical and chemical defenses.

p.42
Immune Cell Development and Activation

Through which molecules do Helper T cells mediate their functions?

Via class II MHC.

p.9
Innate Defense Mechanisms

What type of macrophages are found in the liver?

Stellate macrophages.

p.33
Immune Cell Development and Activation

Why are dendritic cells important for T cell activation?

They are the most effective antigen presenters.

p.62
Hypersensitivity Reactions

What causes the symptoms of immediate (type I) hypersensitivity?

Histamine causes vasodilation and capillary leakiness.

p.53
Antibodies and Their Functions

What is the function of IgA?

It stops pathogens from attaching to epithelial cells.

p.59
Types of Immune Disorders

Is systemic lupus erythematosus more common in men or women?

It is more common in women.

p.65
Hypersensitivity Reactions

What type of reaction is caused by subacute (type II) hypersensitivity?

Cytotoxic (type II) reaction.

p.23
Adaptive Defense Mechanisms

What do antibodies bind to?

Target cells temporarily.

p.56
Antibodies and Their Functions

What is the mechanism of antibody neutralization?

Antibodies bind to pathogens, preventing them from infecting host cells.

p.20
Inflammation and Its Role in Immunity

What is the purpose of inflammation in the immune response?

To increase blood flow and recruit immune cells to the site of infection.

p.2
Types of Immune Disorders

What are immune disorders?

Conditions that affect the immune system's ability to function properly.

p.11
Inflammation and Its Role in Immunity

What does inflammation dispose of?

Cell debris and pathogens.

p.55
Antibodies and Their Functions

In addition to opsonization, what other role do complement proteins play?

They facilitate inflammation by releasing histamine.

p.49
Immunological Memory and Vaccination

How long do antibodies from the secondary response stay in the body compared to the primary response?

They stay longer.

p.7
Innate Defense Mechanisms

What constitutes the first line of innate defenses?

Barriers, which include physical and chemical barriers.

p.43
Adaptive Defense Mechanisms

What does granzyme do in the immune response?

Induces cell death by activating enzymes for apoptosis.

p.8
Innate Defense Mechanisms

What fuses with the phagosome to form a phagolysosome?

A lysosome containing lytic enzymes.

p.50
Adaptive Defense Mechanisms

What is active humoral immunity?

Immunity that results from the body producing its own antibodies.

p.16
Inflammation and Its Role in Immunity

What is vasodilation?

The widening of blood vessels, leading to increased blood flow.

p.19
Innate Defense Mechanisms

What is fever?

A body response to foreign invaders.

p.20
Innate Defense Mechanisms

What constitutes the second line of innate defenses?

Phagocytosis, inflammation, and fever.

p.32
Immune Cell Development and Activation

Can T cells recognize their antigens without APCs?

No, T cells cannot recognize their antigens without APCs.

p.5
Innate vs Adaptive Immunity

What is considered the third line of defense in the immune system?

Adaptive defenses involving B and T lymphocytes.

p.31
Immune Cell Development and Activation

What are some examples of secondary lymphoid organs?

Lymph nodes, spleen, tonsils, Peyer's patches, genital tract, urinary tract.

p.24
Adaptive Defense Mechanisms

What happens to lymphocytes and macrophages when activated by T cells?

They are activated by the release of pro-inflammatory chemicals.

p.66
Hypersensitivity Reactions

What is rheumatoid arthritis associated with in terms of antibodies?

Antibodies (rheumatic factor) react with Ig Fc receptor on joint fibroblasts.

p.42
Immune Cell Development and Activation

How do Helper T cells activate CD8 T cells?

By helping them become cytotoxic T cells with the assistance of dendritic cells.

p.66
Hypersensitivity Reactions

What condition is characterized by kidney inflammation due to antibodies against the glomerular basement membrane?

Glomerulonephritis in systemic lupus erythematosus (SLE).

p.53
Antibodies and Their Functions

What does IgE stimulate?

It stimulates mast cells and basophils to release histamine for inflammation and allergy.

p.23
Adaptive Defense Mechanisms

What is one role of antibodies in the immune response?

To mark targets for phagocytes or complements for destruction.

p.15
Inflammation and Its Role in Immunity

How do pro-inflammatory chemicals enhance phagocytosis?

By utilizing complement proteins.

p.58
Types of Immune Disorders

What is a blocker of co-stimulation molecules used for?

To help in the treatment of autoimmune diseases.

p.5
Adaptive Defense Mechanisms

What type of immunity is associated with T cells?

Cellular immunity.

p.45
Adaptive Defense Mechanisms

What is the role of IgD on B cells?

IgD acts as a surface receptor for binding to epitopes.

p.11
Inflammation and Its Role in Immunity

What can trigger inflammation?

Trauma, heat, irritating chemicals, or infections.

p.7
Adaptive Defense Mechanisms

What is considered the third line of immune defense?

Adaptive defenses involving B and T lymphocytes.

p.62
Hypersensitivity Reactions

What are common symptoms of immediate hypersensitivity?

Runny nose, itchy hives, or watery eyes.

p.53
Antibodies and Their Functions

What role does IgD play?

It functions as a B cell receptor.

p.10
Innate Defense Mechanisms

How do NK cells identify their targets?

They attack cells that lack 'self' cell-surface receptors (MHC).

p.53
Antibodies and Their Functions

What is the function of IgG?

It enhances phagocytosis and is a late induced antibody during late primary and secondary responses.

p.10
Innate Defense Mechanisms

How do NK cells kill their targets?

They induce apoptosis, rather than being phagocytic.

p.55
Antibodies and Their Functions

What role does opsonization play in immunity?

It makes microbes recognizable for phagocytosis.

p.66
Hypersensitivity Reactions

In myasthenia gravis, what do antibodies react with?

Acetylcholine receptors on the motor end plate.

p.10
Innate Defense Mechanisms

What do mast cells secrete?

Histamine, similar to basophils.

p.42
Immune Cell Development and Activation

Where is class II MHC present?

Only on professional antigen-presenting cells (APCs).

p.65
Hypersensitivity Reactions

Which antibodies are involved in subacute (type II) hypersensitivity?

IgM and IgG.

p.42
Adaptive Defense Mechanisms

What do Helper T cells activate?

B cells and macrophages.

p.23
Adaptive Defense Mechanisms

How do antibodies circulate in the body?

Freely in body fluids.

p.62
Hypersensitivity Reactions

What can happen if an allergen is inhaled during immediate hypersensitivity?

Bronchoconstriction leading to asthma.

p.15
Inflammation and Its Role in Immunity

What is one action of pro-inflammatory chemicals?

Cause vasodilation of arterioles.

p.50
Adaptive Defense Mechanisms

How is artificially acquired passive immunity obtained?

Through injection of antibodies.

p.65
Hypersensitivity Reactions

Give an example of subacute (type II) hypersensitivity.

Mismatched blood transfusion.

p.10
Innate Defense Mechanisms

What type of chemicals do NK cells secrete?

Pro-inflammatory chemicals, such as interleukins.

p.58
Types of Immune Disorders

What is the role of co-stimulation in T cell activation?

It is important for the activation of T cells.

p.56
Antibodies and Their Functions

What is agglutination in the context of antibodies?

The clumping of pathogens by antibodies, which enhances their clearance by the immune system.

p.2
Innate Defense Mechanisms

What is the second line of innate defense?

Inflammatory response and immune cells like phagocytes.

p.58
Types of Immune Disorders

Which autoimmune disease affects white matter myelin?

Multiple sclerosis.

p.66
Hypersensitivity Reactions

What is the primary consequence of immune complex accumulation in tissues?

Inflammation that attracts neutrophils, resulting in tissue injury.

p.16
Inflammation and Its Role in Immunity

What is the result of exudate fluid in tissues?

Local edema (swelling).

p.60
Types of Immune Disorders

What causes type IV hypersensitivity?

Helper T cells.

p.65
Hypersensitivity Reactions

What happens when antibodies bind to antigens on body cells in subacute hypersensitivity?

It stimulates phagocytosis and complement-mediated lysis of antigens.

p.14
Inflammation and Its Role in Immunity

What are prostaglandins and kinins?

Types of pro-inflammatory chemicals.

p.40
Immune Cell Development and Activation

What do CD4 T cells differentiate into?

Helper T cells and regulatory T cells.

p.55
Antibodies and Their Functions

What is the function of complement activation by antibodies?

It facilitates cell lysis of pathogens via cell pores.

p.15
Inflammation and Its Role in Immunity

What effect do some pro-inflammatory chemicals have on pain receptors?

They may trigger pain receptors or promote the release of more pro-inflammatory chemicals.

p.56
Antibodies and Their Functions

What is the function of epitopes in relation to antibodies?

Epitopes are specific parts of antigens that antibodies recognize and bind to.

p.58
Types of Immune Disorders

Which autoimmune disease affects multiple organs?

Systemic lupus erythematosus (SLE).

p.23
Adaptive Defense Mechanisms

What types of targets do antibodies have?

Cellular targets and extracellular targets.

p.62
Hypersensitivity Reactions

Can allergic reactions be local or systemic?

Yes, they can be local or systemic.

p.40
Immune Cell Development and Activation

What do CD8 T cells differentiate into?

Cytotoxic T cells.

p.58
Types of Immune Disorders

What type of drug can block cytokines in autoimmune treatment?

Cytokine blockers.

p.56
Antibodies and Their Functions

How do antibodies disable adhesion of microbes?

By binding to toxins and pathogens, preventing them from attaching to host cells.

p.45
Immunological Memory and Vaccination

What type of B cell is responsible for long-term immunity?

Memory B cells.

p.15
Inflammation and Its Role in Immunity

What is the role of pro-inflammatory chemicals in leukocyte recruitment?

They recruit leukocytes to the inflamed area.

p.55
Antibodies and Their Functions

What is antibody-mediated cytotoxicity?

It enhances cell lysis by perforin and lytic enzymes.

p.10
Innate Defense Mechanisms

What are mast cells?

Granulocytes with histamine-rich granules.

p.40
Immune Cell Development and Activation

What is clonal expansion in T cells?

The process where activated T cells proliferate to increase their numbers.

p.56
Antibodies and Their Functions

What are perforin and lytic enzymes?

Proteins secreted by macrophages, eosinophils, and NK cells that enhance cell lysis.

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