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exam 3 week 5 lymph system

front 1

Which of the following is a part of the second line of defense against microorganisms?

A. keratin B. cilia C. gastric juice D. phagocytes

back 1

D. Phagocytes

front 2

Low-grade fever is an effective defense for short periods of time because it
A. increases iron in the blood.
B. includes pyrogens that destroy the pathogens.
C. increases temperature, which slows the growth of bacteria.
D. slows the attack of phagocytes.
E. forces the person to stay in bed.

back 2

C. increases temperature, which slows the growth of bacteria.

front 3

________ are released by activated T cells and macrophages to mobilize immune cells and attract other leukocytes into the area.

A. Cytokines B. Perforins C. Interleukin 1 proteins D. Interleukin 2 proteins

back 3

A. Cytokines

front 4

The antibodies produced in allergic reactions
A. are called allergens.
B. are secreted by mast cells.
C. belong to the immunoglobulin E group.
D. attack pathogens or nonself cells.
E. are all of the above

back 4

C. belong to the immunoglobulin E group.

front 5

The formation of lymph increases as a result of
A. increasing osmotic pressure in blood capillaries.
B. increasing hydrostatic pressure in tissue fluid.
C. decreasing volume of tissue fluid.
D. decreasing protein concentration in tissue fluid.
E. increasing the numbers of white blood cells that leave the blood for the lymph

back 5

B. increasing hydrostatic pressure in tissue fluid.

front 6

An antigen is ______, whereas an antibody is ______.
A. a foreign substance such as a protein or a polysaccharide to which lymphocytes respond; a globular protein that reacts with an antigen to eliminate the antigen
B. an immunoglobulin that is produced by lymph nodes in response to bacteria; a foreign protein that enters the body and causes an immune reaction
C. a hapten molecule that is complex in shape; an enzyme produced by the thymus gland that neutralizes antigens
D. only on a pathogen; only in a human body.
E. none of the above

back 6

A. a foreign substance such as a protein or a polysaccharide to which lymphocytes respond; a globular protein that reacts with an antigen to eliminate the antigen

front 7

Select the correct statement about lymph transport.

A. Under normal conditions, lymph vessels are very high-pressure conduits. B. Lymph transport is faster than that occurring in veins. C. Lymph transport is only necessary when illness causes tissue swelling. D. Lymph transport depends on the movement of adjacent tissues, such as skeletal muscles.

back 7

D) Lymph transport depends on the movement of adjacent tissues, such as skeletal muscles.

front 8

The redness and heat of an inflamed area are due to a local hyperemia caused by ________.

A. vasodilation B. vasoconstriction C. phagocyte mobilization D. production of complement and interferon

back 8

A. vasodilation

front 9

When the lymphatic structures are blocked due to tumors, the result is ________.

A. shrinkage of tissues distal to the blockage due to inadequate delivery of lymph B. severe localized edema distal to the blockage C. increased pressure in the lymphatics proximal to the blockage D. abnormally high lymph drainage from the distal region

back 9

B. severe localized edema distal to the blockage

front 10

Following a primary immune response, the cells that give rise to memory cells are
A. B cells only.
B. T cells only.
C. both B cells and T cells.
D. neither B cells nor T cells.
E. macrophages and mast cells.

back 10

C. both B cells and T cells.

front 11

Innate defenses are
A. fast and non specific.
B. slow and non specific.
C. fast and specific.
D. slow and specific.
E. obtained by taking vaccines.

back 11

A. fast and non specific.

front 12

Henry has a cut on his thigh that becomes infected. The lymph nodes in his __________ enlarge.
A. cervical region
B. thoracic region
C. inguinal region
D. supratrochlear region
E. trophic region.

back 12

c) inguinal region

front 13

Antibodies that act against a particular foreign substance are released by ________.

A.T lymphocytes B.plasma cells C.lymph nodes D.medullary cords

back 13

B)plasma cells

front 14

The lymph nodes of the axillary region receive lymph mainly from the

A. scalp and face. B. upper limb and mammary gland. C. thoracic viscera. D. abdominal viscera. E. brain.

back 14

B)upper limb and mammary gland

front 15

T lymphocytes are responsible for

A. programming macrophages. B. producing antibodies. C. cell-mediated immunity. D. humoral immunity. E. producing collectins

back 15

C)cell mediated immunity

front 16

In the cellular immune response

A. B cells produce antibodies directly against antigens. B. T cells produce antibodies directly against antigens. C. T cells attach directly to antigens and destroy them. D. T cells attack healthy body cells. E. T cells activate macrophages.

back 16

C. T cells attach directly to antigens and destroy them.

front 17

Marsha gets a splinter in her finger. What is her body's response to any microbe that might try to enter her body as a result of the splinter breaking the skin?

A. innate defense. B. adaptive defense. C. specific defense. D. cytotoxic T cell response. E. antibody response.

back 17

A) innate defense

front 18

Which of the following is not a function of the lymphatic system?

A.draining excess interstitial fluid B.carrying out immune responses C.transporting dietary fats D.transporting respiratory gases

back 18

D)transporting respiratory gases

front 19

In clonal selection of B cells, which substance is responsible for determining which cells will eventually become cloned?

A.antigen B. interferon C.antibody D.complement

back 19

A)antigen

front 20

The two collecting ducts that drain the lymphatic trunks are the

A. thoracic duct and right lymphatic duct. B. lumbar duct and left lymphatic duct. C. intestinal duct and left intercostal duct. D. bronchomediastinal duct and subclavian duct. E. none of the above.

back 20

A)thorasic duct and right lymphatic duc

front 21

Stephanie has her cancerous right breast removed, and the surgeon also removes lymph nodes in the axillary region, to prevent spread of the cancer. As a result, Stephanie's right arm

A. loses its blood supply. B. receives too much blood and swells. C. becomes edematous. D. loses tissue fluid. E. becomes paralyzed

back 21

C)becomes edematous

front 22

Clonal selection of B cells ________.

A.occurs during fetal development B.results in the formation of plasma cells C.cannot occur in the presence of antigens D.only occurs in the secondary immune response

back 22

B) results in the formation of plasma cells

front 23

T lymphocytes mature in the thymus in response to

A. cytokines. B. antibodies. C. interferon. D. thymosins. E. thymonucleins.

back 23

d thymosins

front 24

The only T cells that can directly attack and kill other cells are the ________.

A.regulatory cells B.helper cells C.cytotoxic cells D.plasma cells

back 24

c- cytotoxic

front 25

Which of the following is characteristic of antibodies?

A.carbohydrate structure B.composed of heavy and light polypeptide chains C.three binding sites per antibody monomer D.incapable of being transferred from one person to another

back 25

b) composed of heavy and light peptide chains

front 26

List the functions of the lymphatic vessels.

back 26

Returns interstitial fluid and leaked plasma proteins back to the blood

Once interstitial fluid enters lymphatics, it is called lymph

Together with lymphoid organs and tissues, provide the structural basis of the immune system

front 27

Describe the structure and distribution of lymphatic vessels.

back 27

1.A network of lymphatic vessels (lymphatics)

One-way valves & Thinner walls than those of veins

2.Lymph 3.Lymph nodes

front 28

Three layers: Lymph

back 28

  1. An endothelial lining (inner)
  2. Smooth muscle (middle)
  3. Connective tissue (outer)

front 29

Lymph vessels (lymphatics) include

back 29

  1. Lymphatic capillaries
  2. Lymphatic collecting vessels
  3. Lymphatic trunks and ducts

front 30

Lymph is delivered into one of two large ducts

back 30

Right lymphatic duct drains the right upper arm and the right side of the head and thorax

Thoracic duct arises from the cisterna chyli and drains the rest of the body

Empties into venous circulation at the junction of the internal jugular and subclavian veins on its own side of the body

front 31

Capillary blood pressure filters water and small molecules from the plasma.The resulting fluid has:

back 31

  1. Much the same consistency as plasma
  2. Contains water and dissolved substances
  3. Contains smaller proteins which create plasma colloid osmotic pressure

front 32

Lymph Formation

back 32

Filtration from the plasma normally exceeds re-absorption, leading to the net formation of tissue fluid

This increases the tissue fluid hydrostatic pressure within interstitial spaces forcing fluid into lymphatic capillaries forming lymph

This process prevents accumulation of excess tissue fluid or edema

front 33

Lymphatic vessels play a role in____________?

back 33

  1. Absorption of dietary fats
  2. Delivering fats to the bloodstream
  3. Collecting of excess interstitial fluids
  4. Delivering excess fluids to the bloodstream
  5. Delivering foreign particles to the lymph nodes

front 34

Hydrostatic pressure of tissue fluid drives the lymph into the lymphatic capillaries. Muscle activity largely influences the movement of lymph through the lymphatic vessels via _____?

back 34

  1. Action of skeletal muscles
  2. Respiratory movements
  3. Smooth muscle in the larger lymphatic vessels
  4. Valves in the lymphatic vessels

front 35

Lymph Nodes

back 35

  1. Lymph nodes or lymph glands are located along the lymphatic pathways
  2. They contain lymphocytes and macrophages to fight invading pathogens

front 36

Lymph nodes are found in groups or chains along the paths of the larger lymphatic vessels throughout the body, including the:

back 36

  1. Cervical region Axillary region
  2. Supratrochlear region Inguinal region
  3. Thoracic cavity Abdominal cavity
  4. Pelvic cavity

front 37

Lymph nodes have two primary functions

back 37

Filter potentially harmful particles from the lymph

Act with immune surveillance provided by macrophages and lymphocytes

Along with the red bone marrow, the lymph nodes are centers for lymphocyte production

front 38

T cells and B cells protect against antigens?

back 38

Anything the body perceives as foreign: Bacteria and their toxins; viruses & Mismatched RBCs or cancer cells

T-Manage the immune response & Attack and destroy foreign cells(troops) thymus (thymazine)

B-Produce plasma cells, which secrete antibodies

front 39

Macrophages phagocytize foreign substances and help activate

back 39

T cells- T helper cells most critical for the immune system

T cells - cytotoxic attack

front 40

Largest lymphnode

back 40

Spleen- left upper quadrant

front 41

Smallest Lympyh

back 41

Tonsils

front 42

born with

skin

mucous membrane

back 42

Innate

front 43

natural killers - virus and cancer

back 43

NK cell

front 44

mass histamine's

back 44

MASS

front 45

cells capture antigens and deliver them to lymph nodes

back 45

Dendritic

front 46

cells produce stroma that supports other cells in lymphoid organs

back 46

Reticular

front 47

Which gland?

Replaced by fat and connective tissue in the elderly

Small in an adult (Larger in infancy and during puberty)

Site of T lymphocyte (or T cell) production

Secretes protein hormones called thymosins

back 47

Thymus

front 48

which is the Largest lymph organ?

The largest lymphatic organ @ upper left abdominal quadrant

Has sinuses filled with blood

Contains two tissue types:

White pulp (lymphocytes)

Red pulp (red blood cells, lymphocytes and macrophages)

back 48

Spleen

front 49

First responder

back 49

Neutrophil

front 50

***Simplest lymphoid organs****

Form a ring of lymphatic tissue around the pharynx

  1. Palatine tonsils—at posterior end of the oral cavity
  2. Lingual tonsils—grouped at the base of the tongue
  3. Pharyngeal tonsil—in posterior wall of the nasopharynx
  4. Tubal tonsils—surrounding the openings of the auditory tubes into the pharynx

back 50

Tonsils

front 51

The body can prevent entry of pathogens or destroy them with defense mechanisms such as

back 51

Innate defenses :

Phagocytes

NK cells Inflammation Antimicrobial proteins Fever

Surface barriers

Mucous membranes Skin

  • These are general defenses
  • They protect against many pathogens

Adaptive defenses:

Humoral immunity

  • B cells
  • Cellular immunity T cells
  • Known as immunity
  • More specific and precise targeting specific antigens
  • Are carried out by lymphocytes

front 52

Surface barriers

Skin, mucous membranes, and their secretions

back 52

  1. Keratin is resistant to weak acids and bases, bacterial enzymes, and toxins
  2. Physical barrier to most microorganisms

–Mucosae provide similar mechanical barriers

front 53

What is Necessary if microorganisms invade deeper tissues?

back 53

  1. Phagocytes FEVER
  2. Natural killer (NK) cells
  3. Inflammatory response (macrophages, mast cells, WBCs, and inflammatory chemicals)
  4. Antimicrobial proteins (interferons and complement proteins)

front 54

Natural Killer (NK) Cells

back 54

  • NK cells are a small population of lymphocytes defending against viruses and cancer by secreting cytolytic substances called perforins that destroy the infected cell
  • NK may also enhance inflammation

front 55

  • Triggered whenever body tissues are injured or infected
  • Prevents the spread of damaging agents
  • Disposes of cell debris and pathogens
  • Sets the stage for repair

back 55

Inflammation

front 56

1.Redness- Erythromin

2.Heat- Calor

3.Swelling- edema

4.Pain- dolor

5. Impairment of function

back 56

Cardinal signs of acute inflammation

front 57

removes foreign particles from the lymph

  • are also in the blood vessels and in the tissues of the spleen, liver or bone marrow
  • The most active phagocytic cells are neutrophils and monocytes: neutrophils are most phagocytic
  • Chemicals attract these phagocytic cells to the injury and this is called chemotaxis

back 57

Phagocytosis

front 58

  1. Phagocyte adheres to pathogens or debris.
  2. Phagocyte forms pseudopods that eventually engulf the particles forming a phagosom.
  3. Lysosome fuses with the phagocytic vesicle, forming a phagolysosome.
  4. Lysosomal enzymes digest the particles, leaving a residual body.
  5. Exocytosis of the vesicle removes indigestible and residual material

back 58

Events of phagocytosis

front 59

A ______ begins when a viral or bacterial infection stimulates lymphocytes to proliferate, producing cells that secrete a substance called interleukin-1 (IL-1)

back 59

fever

front 60

  • This is the third line of defense and known as immunity
  • It is resistance to particular pathogens or to their toxins or metabolic by-products
  • It is based on the ability to distinguish molecules that are part of the body (“self” from “non-self”)
  • Antigens are molecules that can elicit an immune response

back 60

Adaptive (Specific) Defenses or Immunity

front 61

  • Proteins
  • Polysaccharides
  • Glycoproteins
  • Glycolipids
  • The most effective antigens are large and complex
  • Haptens are small molecules that are not antigenic by themselves, but when they combine with a large molecule can stimulate an immune response

back 61

Antigens

front 62

  • Immunoglobulins—gamma globulin portion of blood
  • Proteins secreted by plasma cells
  • Capable of binding specifically with antigen detected by B cells

back 62

Antibodies

front 63

first antibody released FIRST TO FIGHT INFECTION

Potent agglutinating agent

Readily fixes and activates complement

back 63

IgM

front 64

in mucus and other secretions

Helps prevent entry of pathogens

MUCUS

back 64

IgA (Secretions)

front 65

Monomer attached to the surface of B cells

Functions as a B cell receptor

FOUND ON B

back 65

IgD

front 66

Monomer; 75–85% of antibodies in plasma

From secondary and late primary responses

Crosses the placental barrier

GIRL -PLACENTAL/IMMUNITY TO FETUS

back 66

IgG (GIRL)

front 67

Active in some allergies and parasitic infections

Causes mast cells and basophils to release histamine

ALLERGY

back 67

IgE

front 68

  • B cells can be activated when an antigen fits the shape of its receptor
  • Most of the time B cell activation requires T cells
  • T cells release cytokines that stimulate B cells
  • Some B cells may become memory B cells while others differentiate into plasma cells and produce and secrete large globular proteins called antibodies or immunoglobulins

back 68

B Cells and the Humoral Immune Response

front 69

  • Naturally acquired—response to a bacterial or viral infection
  • Artificially acquired—response to a vaccine of dead or attenuated pathogens

back 69

Occurs when B cells encounter antigens and produce specific antibodies against them : Two types ?

front 70

Spare us the symptoms of the primary response

Provide antigenic determinants that are immunogenic and reactive

Target only one type of helper T cell, so fail to fully establish cellular immunological memory

back 70

Active Humoral Immunity : Vaccines

front 71

B cells are not challenged by antigens

Immunological memory does not occur

back 71

Passive Humoral Immunity

front 72

1.Naturally acquired—antibodies delivered to a fetus via the placenta or to infant through milk

2.Artificially acquired—injection of serum, such as gamma globulin

Protection is immediate but ends when antibodies naturally degrade in the body

back 72

Passive Humoral Immunity (2 types)

front 73

  • A lymphocyte must be activated before it can respond to an antigen
  • T cell activation requires antigen-presenting cell (accessory cell) and may include macrophages, B cells and several other types of cells
  • Requires major histocompatibility complex (MHC) or human leukocyte antigens (HLA) to recognize “non-self”
  • T cells can synthesize and secrete polypeptides called cytokines

back 73

T Cells and the Cellular Immune Response

front 74

Major types of T cells

CD4 cells become helper T cells (TH) when activated

CD8 cells become cytotoxic T cells (TC) that destroy cells harboring foreign antigens

Other types of T cells

Regulatory T cells (TREG) Memory T cells

back 74

Cell-Mediated Immune Response

front 75

Occurs on the first exposure to a specific antigen

Lag period: three to six days

Peak levels of plasma antibody are reached in 10 days

Antibody levels then decline

back 75

Primary immune response

front 76

Occurs on re-exposure to the same antigen(SECONDARY)

Sensitized memory cells respond within hours

Antibody levels peak in two to three days at much higher levels

Antibodies bind with greater affinity

Antibody level can remain high for weeks to months

back 76

Secondary immune response

front 77

Immune responses to a perceived (otherwise harmless) threat

Causes tissue damage

Different types are distinguished by Their time course

Whether antibodies or T cells are involved

Antibodies cause immediate and subacute hypersensitivities

T cells cause delayed hypersensitivity

back 77

Hypersensitivities

front 78

  1. Immediate-reaction allergy
  2. Occurs minutes after contact with allergen

Symptoms include hives, hay fever, asthma, eczema, gastric disturbances, and anaphylactic shock

  1. Acute (type I) hypersensitivities (allergies) begin in seconds after contact with allergen
  2. Initial contact is asymptomatic but sensitizes the person
  3. Reaction may be local or systemic

back 78

Type I allergic reaction

front 79

  1. Antibody-dependent cytotoxic reaction
  2. Takes 1-3 hours to develop
  3. Transfusion reaction
  4. (BLOOD TRANSFUSION)

back 79

Type 2 allergic reactions

front 80

  1. Immune-complex reaction
  2. Takes 1-3 hours to develop
  3. Antibody complexes cannot be cleared from the body
  4. Damage of body tissues (LUPUS)

back 80

Type 3 allergic reactions

front 81

  • Delayed-reaction allergy
  • Results from repeated exposure to allergen
  • Eruptions and inflammation of the skin
  • Takes about 48 hours to occur ( POISON IVY)

back 81

Type 4 allergic reactions

front 82

  1. Systemic response to allergen that directly enters the blood
  2. Basophils and mast cells are enlisted throughout the body
  3. Systemic histamine releases may cause

Constriction of bronchioles

Sudden vasodilation and fluid loss from the bloodstream

Hypotensive shock and death

  • Treatment: epinephrine

back 82

Anaphylactic Shock (type 1)

front 83

  1. Caused by IgM and IgG transferred via blood plasma or serum
  2. Slow onset (1–3 hours) and long duration (10–15 hours)
  3. Cytotoxic (type II) reactions

Antibodies bind to antigens on specific body cells, stimulating phagocytosis and complement-mediated lysis of the cellular antigens

Example: mismatched blood transfusion reaction

back 83

Subacute Hypersensitivities (type 2 )

front 84

Antigens are widely distributed through the body or blood

Insoluble antigen-antibody complexes form

Complexes cannot be cleared from a particular area of the body

Intense inflammation, local cell lysis, and death may result

Example: systemic lupus erythematosus (SLE)

back 84

Immune complex (type III) hypersensitivity: Subacute Hypersensitivities

front 85

  • Slow onset (one to three days)
  • Mechanism depends on helper T cells
  • Cytokine-activated macrophages and cytotoxic T cells cause damage
  • Example: allergic contact dermatitis (e.g., poison ivy)

back 85

Delayed Hypersensitivities (Type IV)

front 86

1) Initial B cell contact with allergen

2)Plasma cell secretes antibodies

3)Antibodies attach to mast cell

4)Subsequent contact with allergen

5)Mast cell releases allergy mediators

6)Histamine and other chemicals

7) Allergic reaction

back 86

Steps to an allergic reaction

front 87

  1. A virus particle attaches to a host cell.
  2. The particle releases its genetic instructions into the host cell.
  3. The injected genetic material recruits the host cell's enzymes.
  4. The enzymes make parts for more new virus particles.
  5. The new particles assemble the parts into new viruses.
  6. The new particles break free from the host cell.HIV enters the body and binds to dendritic cells (orange cells with projections) which carry the virus to CD4+ T cells in lymphoid tissue establishing the infection.
  7. Virus replication accelerates producing massive viremia and wide dissemination of virus throughout the body's lymphoid tissues.
  8. An immune response against virus causes some protection but a chronic persistent infection is established.
  9. The production of cytokines and cell divisions that regulate the immune response for protection also cause HIV replication.
  10. There is a rapid turnover of CD4+ T cells that ultimately leads to their destruction and to a change in lymphoid tissues that prevent immune responses.

back 87

Explain the ways in which H.I.V attacks a cell and infects tissue

front 88

IMMUNOGLOBULIN

back 88

Y

front 89

DIFFERENCE BETWEEN: AFFERENT / EFFERENT

back 89

AFFERENT: LYMPH ENTERS LYMPH NODE

EFFERENT: LYMPH LEAVES LYMPH NODE

front 90

LARGEST CLUSTER OF LYMPH GLANDS

back 90

INGUINAL

front 91

LYMPH LEAVING RIGHT SIDE OF HEAD

back 91

RIGHT LYMPHATIC DUCT

front 92

IMMUNE GLAND OVER AORTIC ARCH

back 92

THYMUS - BIGGER ON A CHILD

front 93

CELLS THAT ARE SMALL IN NUMBER BUT ARE NEEDED TO KILL VIRUS OR CANCER

back 93

NATURAL KILLER CELLS

front 94

INVOLVED IN PASSIVE IMMUNITY

back 94

IGG

front 95

CHRONIC INFECTION; WHICH WHITE BLOOD CELL?

back 95

MACROPHAGES

front 96

WHAT STOPS VIRAL REPLICATION

back 96

INTERFERONS

front 97

MOST CRITICAL CELL IN THE IMMUNE SYSTEM

back 97

T CELL- T HELPER CELL

*** NO T - HELPER CELLS = AIDS W/ A COUNT LESS THAN 300

front 98

WHICH CELLS ATTACK VIA CYTOTOXIC ?

back 98

T CELLS

front 99

4 TYPES OF LEUKEMIA (ESSAY)

back 99

Acute myeloid leukemia (AML); is a FAST -growing form of cancer of the blood and bone marrow.

Chronic myeloid leukemia (CML) (SLOW GROWING )form of cancer that affects the bone marrow and blood

Acute lymphocytic leukemia (ALL) blood cancer that results when abnormal white blood cells (leukemia cells) accumulate in the bone marrow.

Chronic lymphocytic leukemia (CLL) too many abnormal lymphocytes grow, crowding out normal blood cells and making it difficult for the body to fight infection.

front 100

1) viral genome and reverse transcriptase enter the cell

2) DNA copy synthesized by reverse transcriptase , this is the site of action of AZT and other reverse transcriptase inhibitors

3) RNA degraded; second DNA strand synthesized

4) DNA circularize (unintegrated provirus) or intergrase functions to incorporate DNA into host cell genome(integrated provirus), this is the site of action of antiretrovial drugs under development

5) With host cell activation, viral DNA is transcribed, yielding messenger RNAs and viral genome RNA

6) Viral RNAs are translated, yielding viral enzymes(including protease) and structural proteins, this is the site of action of protease inhibitor

7)in HIV replication. Viral membrane proteins are transported to host cell membrane

8) in HIV replication. Final viral assembly and budding takes place

back 100

STEPS OF HIV : ESSAY

front 101

LEUKOPENIA VS. LEUKOCYTOSIS

back 101

Leukopenia ( WBC DOWN) is a decrease in the number of circulating white blood cells (leukocytes) in the blood. As the principal function of white cells is to combat infection, a decrease in the number of these cells can place patients at increased risk for infection EXAMPLE= FLU
Leukocytosis (WBC HIGH) is an elevation of the WBC count above the normal range. The normal adult human leukocyte count in peripheral blood is 4.4-10.8 x 103/L. A white blood count of 11.0 or more suggests leukocytosis. EXAMPLE : STREP HIGH
very common in acutely ill patients. It occurs in response to a wide variety of conditions, including viral, bacterial, fungal, or parasitic infection, cancer, and exposure to certain medications or chemicals : first indication of neoplastic growth of leukocytes.

front 102

CLONES REPLICATING ANTIBODIES BC OF ORIGINAL B CELL EXPOSURE TO A NEW ANTIGEN

back 102

PLASMA

front 103

ATTRACT ALL WBC BC OF CHEMICAL MEDIATORS

back 103

CHEMOTAXIS

front 104

TIGHT SPACE

back 104

MARGINIZATION

front 105

EDEMA AND SWELLING

back 105

SEROUS FLUID

front 106

Where does the lymphatic duct drain into?

back 106

RIGHT SUBCLAVIAN VEIN

front 107

Where lymphoid stem cells : production of pre-T cells and natural killer cells (NK lymphocytes), production and maturation of B lymphocytes (B cells)?

back 107

RED BONE MARROW

front 108

What are the primary lymphatic organs?

back 108

RED BONE MARROW AND THYMUS GLAND

front 109

reticular fibers that trap microbes and abnormal cells. Microbes and abnormal cells ( phagocytized by dendrite cells and macrophages.)

back 109

STROMA

front 110

What are the Chemical Barriers of the Innate Resistance?

back 110

Lysozymes, Sebum,& Gastric Juice

front 111

What is Specificity

back 111

response of immune system tailored to one particular antigen

front 112

What is Memory

back 112

vigorous, speedy response to subsequent exposure to the same antigen

front 113

What is MHC (Major Histocompatibility Complex)molecules?

back 113

Self-antigens on cell membranes, unique to each person

front 114

What cell remains for years after initial infection?

back 114

MEMORY T CELLS

front 115

This stimulates immunological memory to an artificially- introduced, non-pathogenic antigen or to a weakened or killed pathogen

back 115

VACCINATION

front 116

Having a normally functioning immune system

back 116

Immunocompetent

front 117

Immediate response to antigen (within minutes) due to IgE antibodies and basophils (release histamine)

back 117

Anaphylaxis

front 118

Is lymph more similar to blood plasma or to interstitial fluid? Why?

back 118

interstitial fluid because the protein contents of lymph is low

front 119

What type of cells are Antigen presenting cells, and where in the body are they found?

back 119

Epitopes are small immunogenic parts of a larger antigen; hapten are small molecules that become immunogenic only when they attach to a body protein.

front 120

What are some examples of endogenous antigens?

back 120

Endogenous antigens include viral proteins, toxins from intracellular bacteria, and abnormal proteins synthesized by a cancerous cell.

front 121

The Enlarged Terminus of the thoracic duct that receives lymph from the digestive viscera ?

( digestive / large)

back 121

Cisterns Chyli

front 122

Rapidly dividing B cells a.k.a. globular masses

back 122

Germinal center

front 123

Arterial : Heart via duct via trunk via node via collecting duct w valve to the lymph capillary( DTNC)

Venous : capillary via collection duct w valve via node via trunk via duct to heart( CNTD)

back 123

Lymph via blood flow arterial vs venous

front 124

Interlockin

growth factor

tumor nucrosis (TNF)

back 124

TNF

front 125

Internal jugular and subclavical

back 125

All veins lead to _______?

front 126

What is the back flow of lymph?

back 126

LYMPHNODEM

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First lymphnode to detect cancer at the lymph system

(surrounded by a fibrous capsule )

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SENTINAL NODE

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ARTERIAL / ICS -> GAP-> AFFERENT -> LYMPH

->NODE -> EFFERENT-> VESSEL -> TRUNK ->

COLLECTING DUCT

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FLOW OF LYMPH

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INTESTINAL

Back of throat

Upper back- throat

Below diaphragm

Between lungs

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Ileum peyerspatches

Lingual tonsil

Palatine tonsil

Spleen

Thymus

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What are some examples of endogenous antigens?

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Viral proteins

Toxins @ intracellular level

Abnormal proteins synthesized by a cancerous cell

Ie: virus/ICB/Cancer

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3 important characteristics of the immune response are its:________ __________&_________

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Memory

Specificity

Ability to differentiate self/non self

Autoimmune: is a defect in the bodies ability to do this

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B cell clone- memory b or antibody making plasma

Gamma goblin - plasma proteins /5 classes of immunoglobulin

B cell =blood/bone -->>>humoral immunity

T = cytotoxic (virus)

Helper-activate

Suppressor-inhibit immune response

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Antibodies

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All lymphoid tissue except ____________ &

_____________ contain both b/t cell dependent region

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Thymus and bone marrow

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What is the white area of the spleen ?

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Lymphocytes suspended @ reticular fibers (white pulp)

Clustered around central arteries

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Reticular tissue and macrophages

Red pulp @ spleen

Venous sinuses

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Splendid cords

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______are released by activated T cells & macrophages to mobilize immune cells and attract other leukocytes not the area .

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Cytokines

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B cell contact w/ allergen

Plasma secretes antibodies

Antibodies-->>> mast cells

Contact w/ allergen

Mast cells -->>> MEDIATORS

HISTAMINE & CHEMICALS

ALLERGIC REACTION

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Steps to an allergic reaction