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225 Cards in this Set
- Front
- Back
what is a pathogen?
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disease producing microbe
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define the term resistance?
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the ability to ward of disease or damage
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what does the term suseptibility mean?
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vulnerabiltiy of lack of resistance to disease or damage
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What are the two types of immunity every person has?
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adaptive immunity, innate immunity
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when are defences present , regarding innate immunity?
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defenses are present at birth in innate immunity
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waht does innate immunity not involve, regarding recognition of microbes?
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innate immunity does not involve specific recognition of microbes
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How does the innate immune system act against microbes?
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the innate immune system acts against microbes all the same way
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what are examples of the first line of defence in innate immunity?
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physical and chemical barriers of the skin and mucous membranes
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what are examples of the second line of defence in innate immunity?
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antimicrobial substance, natural killer cells, phagocytes,fever,inflammation
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What are the first and second lines of defence designed for?
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to prevent micorbes from gaining acess to the body and to help elimnate those that do gain acess
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Adaptive immunity refers to the defences that involve specific recognition of microbes once it has breeched what ?
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adaptive immunity refers to the defences that involve specific recognition of microbes once it has breeched the INNATE IMMUNE system
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which system adapts or adjusts to handle a specific microbe?
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adaptive immunity
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What 2 types of lymphocytes does the Adaptive immune system invovle?
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B lymphocytes, T lymphocytes
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what is the lymphatic system responsible for? (regarding immunity)
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lymphatic system in responsible for adaptive immunity and some aspects of innate immunity
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what is the lymphatic system closely allied with? Why?
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the lymphatic system is closely allied with the cardiovascular system , it drains interstital fluid back to the heart
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what does the lymphatic system drain back to the heart?
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the lymphatic system drains intersistial fluid back to the heart
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How does the lymphatic system function with the digestive system?
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lymphatic system functions with the digestive system by absorbing fatty foods.
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define the term lymph
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a clear-pale yellow fluid confined in lymphatic vessels and flowing through lymphatic system until returned to the blood
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where is lymph found?
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lymph is found in lymphatic vessels and flowing throught the system
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what are lymphatic vessels?
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large vessels that collect lymph from lymphatic capillaries and coverge to form the thoracic and right lymphatic duct
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where do lymphatic vessels collect lymph from?
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lymphatic cappillaries
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what type of tissue is lymphatic tissue ?
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specialized form of reticular tissue that contains large lymphocytes
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what is the name of highly vascularized connective tissue located in microscopic spaces between trabeculae and spongy bone?
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red bone marrow
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what is Red bone marrow the site for?
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lymphocyte production
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where is red bone marrow located?
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microscopic spaces between trabeculae of spongy bone tissue
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what type of tissue is red bone marrow?
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highly vascualrized connective tissue
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what are the three functions of the lymphatic system?
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drains excess interstital fluid,transports dietary lipids from the gastrointestinal tract into the blood, protects against invasion through immune response
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where do lymphatic vessels begin?
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blind-ended lymph capillaries in tissue spaces between cells
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what does interstital fluid form when it drains into lymphatic capillaries?
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lymph is formed when intersitial fluid drains into lymphatic capillaries
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what do lymphatic capillaries merge to form?
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lymphatic capillaries merge to form lymphatic vessels
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what structures do lymphatic vessels covey lymph in and out of?
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lymphatic vessels convey lymph in and out of LYMPH NODES
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Lymphatic vessels are found throughout the body , except for what areas?
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avascualr tissue, CNS, portion of the spleen, red bone marrow
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what are the difference between lymphatic capillaries and blood capillaries?
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lymphatic capillaries have a slighlty large diameter, and overlapping endotherlial cells
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what do overlapping endothelial cells found in lymphatic capillaries function for?
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function as one way valves for fluid to enter lymphatic capillaries
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what attached the overlappy endothelial cells found in lymphatic cappilaries to surrounding tissue ?
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anchoring fillaments
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What is the name of a lymphatic capillary in the villus of the small intestine called?
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lacteal
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what does the lacteal function for? (lymphatic capillary in the villus of the small intestine)
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transport digested fats from the small intestine into the blood
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what are the principle formed lymph trunks , formed from the exiting vessels of lymph nodes?
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lumbar, intestinal , bronchomediastinal,subclavian, and jugular trunks
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what is the dilation called that the throracic trunk beings as?
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cisterna chyli
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what is the main collecting duct of the lymphatic system?
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cisternal chyli
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where doest he thoracic duct recieve lymph from?
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left side of head, neck , chest, left upper extremity and entire body below the ribs
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where does the thoracic ducts drain lymph into venous blood?
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left subclavian vein
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where does the right lymphatic duct drain lymph from?
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upper right side of body
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where does the right lymphatic duct drain lymph into venous blood?
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right subclavian vein
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explain the passage of lymph?
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arteries -> blood capillaries -> interstitial fluid ->lymph capillaries -> lymph trunk-> right/left thoracic duct->subclavian vein
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what does lymph flow as a result of the milking action of?
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lymph flows as a result of the action of the milking action of the skeletal muscle contraction and respiratory movements
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what is lymphatic flow also aided by besides the contraction of skeletal muscles and respiratory movements?
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lymphatic flow is aided by lymphatic vessel valves that prevent back flow of lymph
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why is red bone marrow, and the thymus gland selected as the primary lymphatic organs?
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red bone marrow, and the thymus gland are selected as primary lymphatic organs because they are the place where B and T lymphocytes become immunocompetent
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what are the secondary lymphatic organs?
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lymph nodes and spleen
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what is an example of secondary lymphatic tissue?
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lymphatic nodules
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where do most immune responses occur?
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most immune responses occur in secondary lymphatic organs and tissue (lymph nodes,spleen & nodules)
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where is the thymus gland located ?
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between sternum and heart
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where does T cell maturation take place?
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the thymus gland
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how does the thymus function for immunity?
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it functions for immunity as the site for t-cell maturation
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what is the thymus gland replaced by after puberty?
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largely replaced by adipose and aerolar connective tissue
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what age is the thymus gland large?
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in infants up until puberty
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describe lymph nodes?
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encapsulated oval structures located along lymphatic vessels
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what cells do lymph nodes contain?
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t cells, macrophages, follicular dendritic cells and B cells.
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what does lymph enter nodes through?
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afferent lymphatic vessels
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what does lymph exit does through?
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efferent lymphatic vessels
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what are foreign substances filtered by lymph nodes trapped by?
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nodal reticular fibers
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after foreign substances are filtered by nodal reticular fibers , what cell destroys some of the forgein substances by phagocytosis?
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macrophages destroy foreign substances filtered by nodal reticular fibers using phagocytosis
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what are lymph nodes the site for regarding plama cells and t cells?
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lymph nodes are the site for proliferation of plasma and t cells
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what knowledge is important in the diagnosis and prognosis of the spead of cancer by metastasis?
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knowledge of the location of lymph nodes and the direction of lymph nodes is important in the diagnosis of the spread of cancer by metastasis .
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why is the location of lymph nodes and the direction of flow by the lymph nodes imporatnt in the diagnosis of the spread of cancer by metastasis?
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is important because many cancer cells are spread by the way of the lymphatic system, producing clusters of tumor cells where they lodge.
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what is the largest mass of lymphatic tissue in the body?
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spleen
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where is the spleen found?
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left hypochondriac
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what kind of pulp does the spleen consist of?
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red and whit pulp
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what is the white pulp found in the spleen made of?
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lymphatic tissue
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what is the red pulp found in the spleen made of?
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venous sinuses filled with blood and spleenic chords consisting of RBC's , macrophages,lymphocytes, plasma cells, granulocytes
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what is the function of macrophages found in the red pulp of the spleen?
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removes worn out or defective RBC's, WBC's and platelets by phagocytosis,
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where does the spleen store blood platelets ?
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in the red pulp
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which pulp found in the spleen is responsible for the production of red blood cells during the second trimester of pregnancy?
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red pulp
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what major lymphatic organ is often damaged during abdominal trauma?
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spleen
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what two types of lymphocytes is the white pulp found in the spleen made of?
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the white pulp found in the spleen is made of B & T cells
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What do the T lymphocytes found in the white pulp of the spleen directly destroy and attack?
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antigens in blood
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How do the T lymphocytes found in the white pulp of the spleen directly destroy and attack antigens in the blood?
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cytolysis
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What do the B cells found in the white pulp in the liver develop into?
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antibody producing plasma cells
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what do the antibody producing plasma cells (b cells) found in the white pulp of the liver inactivate in the blood?
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antigens
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describe lymphatic nodules?
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oval-shaped concentrations of lymphatic tissues
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where are lymphatic nodules found?
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lymphatic nodules are found in the lamina propria of mucous membranes lining the GI tract,respiratory airway, urinary tract, and reproductive tract.
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what does MALT stand for?
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mucous associated lymphatic tissue aka lymphatic nodules
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what are peyers patches? where are they located?
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peyers patches are lymphatic nodules in the ileum of the small intestine
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Tonsils are multiple aggregations of large lymphatic nodules imbedded in a mucous membrane at what junction?
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the junction of the oral cavity and pharynx
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what are the three types of tonsils?
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pharyngeal (adenoid), palatine, lingual tonsils
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why are tonsils situated strategically to do?
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tonsils are situated strategically to protect the invasion of foreign substances, and participate in immune responses by producing lymphocytes and antibodies
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define innate immunity
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refers to a wide variety of body responses against a wide range of toxins that are present at birth
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what are the two types of barriers the first line of defense contains?
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physical and chemical barriers
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what are examples of physical barriers provided by the first line of defense of the innate immune system?
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skins epidermis, mucous membranes epithelium, mucus and cellia, lacriminal apparatus,saliva,flow of urine, defecation and vomiting
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where are the chemical barriers provided by the first line defense localized to
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the skin
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what areas of the body are chemical barriers present?
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loose connective tissue, vagina, stomach
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what do sebaceous glands secrete that forms a protective film over the skin and acts as a chemical barrier by its acidity inhibiting certain bacteria and fungi?
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sebum
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why are sebaceous glands classified as a chemical barrier in the first line of defense?
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sebum is a chemical barrier in the first line of defense because its acidity inhibits the growth of certain fungi and bacteria.
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what do la-criminal, salivary, sudoriferus glands secrete that acts as a chemical barrier i the first line of defense?
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lysozyme
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what does the stomach produce that acts as a chemical barrier in the first line of defense?
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gastric juice; its strong acidity kills most bacteria and bacterial toxins
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What do vaginal glands secrete that inhibit bacterial growth?
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vaginal secretions
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What line of defense are antimicrobial proteins, phagocytic and natural killer cells, inflammation and fever involved in?
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second line of defense
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what do lymphocyte and macrophage cells , infected with a virus produce?
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interferons
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what does interferon induce in neighboring uninfected cells, once it is released from a virus infected cell?
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interferon induces uninfected cells to synthesize antiviral proteins that interfere with or inhibit viral replication
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what does a group of 20 proteins present in blood plasma and on cell membranes comprise ?
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a group of 20 proteins present in blood plasma comprises the complement system.
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what is the function of the complement system?
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when the complement system is activated it enhances certain immune , allergic and inflammatory responses
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How do iron binding proteins inhibit microbial growth?
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iron binding proteins remove ion from the body fluid thereby inhibiting microbial growth
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what are natural killer cells?
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lymphocytes
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what distinguished natural killer cells from T and B lymphocytes?
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natural killer cells lack the membrane molecules that identify T and B cells
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what does natural killer cells have the ability to "kill"?
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natural killer cells have the ability to kill a wide variety of infectious microbes
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natural killer cells can release "perforins", what can perforins do to a the plasma membrane of a microbe?
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perforin can can insert into the plasma membrane of a microbe and make the membrane leaky so that cytolysis occurs
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what lymphocytes are phagocytic?
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neutrophils and macrophages
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what are the three phases of phagocytosis?
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chemotaxis,adherence,ingestion
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what is formed after phagocytosis has been accomplished?
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after phagocytosis has been accomplished a phagolysosome is formed
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what does the lysozyme in the phagolysosome along with lethal oxidants produced by the phagocyte quickly kill?
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many types of organisms
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what are some of the reasons why a microbe may evade phagocytosis ?
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capsule formation, toxin production,interference with lysozyme secretion, and the microbes ability to counter oxidants produced by the phagocyte
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what process occurs when cells are damaged by microbes, physical agents, or chemical agents, The injury is often viewed as a form of stress?
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inflammation
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what is inflammation usually characterized by?
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redness , pain , heat , swelling. Loss of function may be a fifth symptom , depending on the site and extent of the injury
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what are the three basic stages of inflammation?
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1.vasodilation and increased permeability of blood vessels
2.phagocyte migration 3.tissue repair |
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what do histamines, kinins, prostaglandins, leukotrienes, and compliment all contribute to?
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inflammation
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what is the fluid called pus formed from after an inflammation response?
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the fluid called pus is formed from phagocytes that have engulfed damaged tissue and dies , forming a pocket of dead phagocytes and damaged tissue
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if puss does not drain out of the body , what does it form?
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abscess
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what is fever usually caused by?
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infection from a virus or bacteria
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what does the high body temperature during a fever inhibit?
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bacterial growth and speed up body reaction that aids repair
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define the term immunity?
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ability of the body to defend itself against specific foreign substances
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what are foreign substances that provoke immune responses called?
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antigens
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what are the two properties that distinguish adaptive immunity from innate immunity?
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specificity for particular antigen, memory of previously encountered antigens
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where do both T and B cells derive from?
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stem cells in red bone marrow
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where to T cells become immunocompetent?
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in the thymus under the influence of thymic hormones
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Before T cells leave the thymus or B cells leave bone marrow, what do they aqurie?
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several distinctive surface proteins
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what are antigen receptors?
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molecules capable of recognizing antigens
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what lymphocytes are involved in cell mediated immunitiy(part of adaptive immunity)?
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T lymphocytes
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what type of adaptive immunity is particularly effective against intracellular pathogens, such as fungi, parasites, and viruses, some cancer cells , and foreign tissue transplants
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cell mediated immunity (T cells)
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what does Cell mediated immunity ALWAYS involve?
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Cell mediated immunity always involves cells attacking cells.
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what is antibody-mediated immunity?
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antibody- mediated immunity refers to destruction of antigens by antibodies
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what type of adaptive immunity works against antigens dissolved in body fluids, extracellular pathogens, primarily bacteria that multiply in body fluids but rarely enter body cells?
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antibody-mediated immunity
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what type of lymphocytes are involved in antibody-mediated immunity?
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B lymphocytes
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what cells aids both types of adaptive immunity; cell-mediated & antibody-mediated?
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helper T cells
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what is clonal selection?
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process by which an immune cell proliferates and differentiates in response to a specific antigen
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what are the two major types of cells that result from clonal selection?
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effector cells, memory cells
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what are effector cells?
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effector cells are the cells that actually do the work to destroy the antigen
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what are examples of effector cells?
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helper T cells, cytotoxic T cells, plasma cells
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what is the function of memory cells?
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provide a faster second invasion response by proliferating and differentiating into effector cells
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what are examples of memory cells?
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memory helper T cells, memory cytotoxic T cells, and memory B cells
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what are the two important characteristics of antigens?
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immunogenicity, reactivity
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what does the term "immunogenicity" mean?
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an antigens ability to provoke an immune response by stimulating antibody production, T cell proliferation or both.
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what does the term "reactivity" mean regarding the two important characteristics of a an antigen?
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an antigens ability to react with antibodies or T cells
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What are the specific portions of an antigen that trigger immune responses?
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epitopes or antigenic determinants
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what are antigens made of most often?
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proteins
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what is the human immune systems ability to recognize and bind to at least a billion different epitopes is due to?
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the ability is due to the immune systems billion different antigen receptors
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what is antigen rector diversity due to?
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genetic recombination during lymphocyte development.
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why does each B cell or T cell have a unique antigen receptor?
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B cells or T cells have unique antigen receptors due genetic recombination.
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where are major histocompatibility complex antigens located?
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plasma membrane of body cells
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what is the name of the "self antigen" that helps T-cells recognize that a foreign antigen is not "self"
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MHAC antigens
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what are the two MHC antigen classes?
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MHC-1 antigens, MHC 2 antigens
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what class of MHC antigens are in the plasma membrane of all body cells except red blood cells?
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MHC-i
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where are MHC ii antigens located?
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MHC ii antigens are located in the plasma membrane of antigen-presenting cells
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what must happen for an immune response to occur?
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foreign antigens must bind antigen receptors on B and T cells in lymphoid tissue or circulating throughout the body
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which type of cell can bind directly to antigens?
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B cells
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T-cells can only recognize antigens that have been processed and presented by what type of cell?
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antigen presenting cells (APC's; dendritic cells, macrophages and B cells)
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describe antigen processing?
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APC breaks antigen down into fragments and binds it to MHC
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describe antigen presentation
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APC inserts antigen-MHC complexes into it plasma membrane
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What are the steps in processing and presenting exogenous antigens
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1.APC ingests exogenous antigen
2.APC digests antigen into fragments 3.APC synthesizes MHC-ii molecules 4.APC binds antigen fragments to MHC-ii molecules 5.APC inserts MHC-ii complexes into plasma membrane |
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where do APC cells migrate to after processing exogenous antigens?
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APC cells migrate to lymphatic tissue to present the antigen to T cells
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what does the presentation of exogenous antigen bound to MHC-ii inform T cells?
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that intruders are in the body
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what are endogenous antigens?
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antigens that were synthesized in the body
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what are the steps in processing and presenting endogenous antigens?
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1.infected body cell digests endogenous antigen into fragments.
2.infect body cell synthesized MHC-1 molecules 3.infected body cell binds antigen fragments to MHC-1 molecules 4.infected body cells insert MHC-i into its plasma membrane |
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what does presentation of endogenous antigen bound MHC-i signal?
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that a cell is infected and needs help
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what does cell-mediated immunity begin?
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a cell mediated immune response begins when an antigen activates a T cell by binding with its antigen receptor.
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after an antigen has activated a T cell by binding to a receptor, activated T cells proliferate and differentiate into a clone of cells that can recognize what?
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the same antigen as the activated T cell
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what type of cell carries out immune response after activated T cells have proliferated and differentiated into a clone of cells to recognize the same antigen as the activated T-cell?
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effector cells
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what are the two steps required for a T cell to become activated?
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antigen recognition, co-stimulation
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explain the step "antigen recognition" that is required for a T cell to become activated?
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T cell receptor recognizes and binds to antigen MHC complex. CD4 or CD8 coreceptors bind to MHC and help maintain coupling during antigen recognition.
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which of the two steps in activation of T cells is analogous to starting a car before putting it in gear?
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antigen recognition
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what step in activation of T cells is analogous to putting the car into gear?
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costimulation
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what other signal can a T cell receive during co-stimulation in order to activate a T cell?
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chemical signal (interleukin), or mechanical (T cell binding to other receptors on the APC)
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what does the two step activation required to activate T cells prevent?
|
cell-mediated immune response from occuring accidently
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what do T cells that display CD4 protein develop into , when activated by an APC?
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helper T cells
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what does a helper T cell form once it is activated?
|
clone of active helper T cells and memory helper T cells
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what do activated T helper cells secrete?
|
interleukin
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what is interleukin that is secreted by activated T helper cells need for?
|
co-stimulation of all immune responses
|
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what are the specific immune responses that interleukin co-stimulates?
|
T helper cells, cytotoxic T cells, B cells, enhances natural killer cells activity
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why do memory T helper cells remain in the body after the immune system destroys the antigen that stimulated their production?
|
so memory t cells can quickly proliferate and differentiate into more active T helper cells and memory T helper cells if the antigen returns
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what do T cells that display CD8 protein develop into?
|
cytotoxic T cells
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what type of cells do cytotoxic t cells recognize and bind to
|
MHC-i complex presented on a ; microbe-infected body cell, some tumor cells, cells of tissue transplants,
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what happens once a cytotoxic T cell is activated?
|
forms a clone of active cytotoxic T cells and memory cytotoxic t cells
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how do cytotoxic t cells fight foreign invaders?
|
by killing the target cells (cell that bears the same antigen that stimulated production of the cytotoxic t cell)
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what do cytotoxic t cells release that trigger apoptosis?
|
granzymes
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what do cytotoxic t cells release that trigger cytolysis of infected cells?
|
perforins
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what does anti-body mediated immune system target?
|
processed pathogens
|
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how does an anti-body mediated immune response begin?
|
antigen activates B cell by binding to its antigen receptor
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what do plasma cells secrete that help the immune system eliminate an antigen?
|
antibodie
|
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what is the next step in an anti-body mediated immune response after an antigen has activated a B cell receptor
|
activated b cells proliferate and differentiate into plasma cells and memory b cells
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what is the function of plasma cell?
|
secrete antibodies that help the immune system eliminate the antigen
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|
explain the process of co stimulation to activate a B cell
|
some antigen is taken into the B cells , combined with MHC-ii , and moved to the B cell surface, T helper cell recognized the antigen-MHC-ii combination and secretes IL-2 which co-stimulates the B cell
|
|
what must a helper T cell secrete to activate a B cell is the co-stimulation step?
|
IL-2
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what can an ONLY combined with?
|
epitope on the antibody that triggered its production
|
|
where is IgG found?
|
lymph,blood, GI tract
|
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what does IgG protect against?
|
bacteria and viruses
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what is the only antibody to cross the placenta?
|
igG
|
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why is the igG protein considered to provide considerable protection to a new born?
|
only antibody to cross the placenta
|
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what is the most abundant blood antibody?
|
igG
|
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what antibody protect mucous membranes against bacteria and viruses?
|
IgA
|
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where is IgA found?
|
blood and secretions like sweat, tears, mucous, breast milk, saliva, GI secretions
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where is IgM found ?
|
blood and lymph
|
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what is the first antibody to be secreted by plasma cells after antigen exposure?
|
IgM
|
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what antibody is located on b cells and acts as a b cell receptor?
|
IgD
|
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what two antibodies are an early indicator of an infection?
|
IgD, IgM
|
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which antibody includes anti-a and anti-b antibodies?
|
IgM
|
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what antibody is located on mast cells and basophils?
|
IgE
|
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what type of reactions are IgE involved with?
|
allergic and hypersensitivity reactions
|
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which type of antibody provides protection from parasitic worms?
|
IgE
|
|
what actions do antibodies use to disable antigens?
|
antigen neutralizers, bacterial immobilization, antigen agglutination and precipitation, complement activation, phagocytosis enhancement
|
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what is the compliment system?
|
group of about 20 proteins present in blood plasma and on cell membranes
|
|
what does compliment enhance when activated?
|
phagocytosis , cytolysis, inflammation
|
|
why is immunization against certain microbes possible?
|
memory b cells and memory t cells remain after primary response to an antigen
|
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how does the secondary response provide protection from an antigen?
|
provides protection should the same microbe enter the body again. It delivers a far greater antibody titer(amount of antibody in serum) than the primary response
|
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what is naturally acquired active immunity?
|
primary response to an attacking microbes antigens; forms anti-body secreteing plasma cells and cytotoxic t cells, forms memory b and t cells
|
|
what is naturally acquired passive immunity?
|
transfer of antibodies from mother to baby via IgA through placenta and breast milk
|
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what is artificially acquired immunity?
|
primary response to a vaccination, has same affect as naturally acquired active immunity
|
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what is artificially acquired passive immunity?
|
intravenous injection of antibodies, has same affect of naturally acquired passive immunity
|
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what do T cells undergo to insure that they can recognize self-MHC antigens?
|
positive selection
|
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What happens to T-cells that cannot recognize self-MHC antigens?
|
they are destroyed
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what do T cells that undergo postive selection also go through to ensure that they do not react to other self-proteins?
|
negative selection
|
|
what do T cells that react with self antigens undergo?
|
deletion , or anergy
|
|
what does the term anergy mean?
|
the t cell is inactivated
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what does the psychneuroimmunology field research show about thoughts, feelings, moods and beliefs?
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that they have an effect on course of disease
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what happens to the immune system with the advancement of age?
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functions less effectively
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what happens to cellular and humoral responses with the advancement of age?
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they diminish
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what happens to the response of vaccines with the advancement of age?
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response decreases and more auto antibodies are produced
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