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168 Cards in this Set
- Front
- Back
What is the tunica interna (intima)?
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simple squamous endolethium in all vessels
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What is the tunica media?
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elastic fibers mixed with smooth circular muscle.
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What is the tunica externa (adventitia)?
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elastic and collagen fibers parallel to vessel
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. What is the vasa vasorum?
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small vessels that nourish larger blood vessels
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What are arteries?
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carry blood flow away from heart, provide flexible support.
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What are muscular (distributing) arteries?
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mainly smooth muscle in tunica media, has an elastic lamina.
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What are arterioles (resistance) arteries?
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thick tunica media, mostly muscle, can contract without stimulation, small lumen, regulates blood to capillaries.
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What are aneurysms?
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localized dilation of weakened arterial wall.
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What is arteriosclerosis?
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hardening of the arteries, reduced elasticity.
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What is atherosclerosis?
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deposits of lipids and connective tissue (plaque)
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What are capillaries?
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exchange of nutrients and gases between the blood and tissue cells, 0.5 - 1mm long * only endothelium of the tunica intima.
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What are continuous capillaries?
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bypass tissue cells, connect arteriole to venuole, are abundant in skin and muscle tissues.
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What is the blood-brain-barrier?
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has no gaps, protects the brain
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What are fenestrated capillaries?
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have tiny pores that close by a diaphragm for greater fluid exchange.
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What are the kidneys like?
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no diaphragm, fluid flows faster.
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What are sinusoids?
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thin-walled chamber that functions like capillaries.
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What is in the liver?
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Kupffer cells are macrophages that destroy bacteria.
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What is in the spleen?
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phagocytes outside sinusoids stick cytoplasmic extensions through clefts.
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What is a vascular shunt?
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metarteriole-thoroughfare channel connects arteriole with venule.
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What are veins?
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larger lumen, thin walls, blood reservoirs (largest volume of blood), few muscles.
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What is phlebitis?
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inflammation of a vein, can lead to thrombus.
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What are varicose veins?
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dilated, lengthened, weak walls, valves don't work.
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What are anastomoses?
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vessels supplying the same territory merge.
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What determines velocity?
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the smaller the cross section, the slower the velocity (capillaries)
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What is pulse pressure?
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the difference between systolic and diastolic pressure.
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What is resistance?
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opposition to flow, friction, dissipated as heat.
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What is viscosity?
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thickness or stickiness, increases with more protein and cells.
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What is peripheral resistance?
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pressure of vessel wall squeezing in.
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How does vessel length affect resistance?
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resistance increases as length increases
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How does vessel diameter affect resistance?
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resistance increases as diameter decreases.
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What is venous pressure and venous return?
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20 mm Hg, needs assistance to return to the heart.
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What is the respiratory pump?
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pressure changes in the thorax move blood toward the heart.
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What does muscular compression do?
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on veins helps milk blood to heart.
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What are baroreceptor reflexes?
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in carotid sinus and aortic arch, can feel stretch of artery, can reset to different pressure level.
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What does atrial natriuretic peptide (ANP) do?
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increase in water loss at kidneys, reduction in thirst, inhibits release of ADH, aldosterone, and vasodilation, reduce BP.
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What does antidiuretic hormone (ADH) do?
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Vasoconstriction and water conservation at kidneys.
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What does the nitric oxide (NO) do?
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from high blood flow rate, localized vasodilation.
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What is hypertension?
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> 140/90 in mm Hg
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What is tissue perfusion?
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blood flow through the tissues by capillaries.
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What does it absorb?
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nutrients from digestive tract.
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What does exercise do?
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vasodilation, increase venous return, increase cardiac output.
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What causes shock?
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inadequate blood flow.
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What is the compensated state (stage I)?
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reduce peripheral blood flow, weak pulse, vasoconstriction.
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What is the progressive stage (stage II)?
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low blood pressure, cerebral blood pressure is preserved.
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What is the irreversible stage (stage III)?
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circulatory collapse, damage to vital organs.
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What does the lymphatic system produce?
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production, maintenance and distribution of lymphocytes.
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How does the lymphatic sytem affect body fluids?
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return of fluids from peripheral tissues to the blood.
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What is lymph?
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a protein rich fluid similar to plasma from interstitial fluid.
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What are lymphatic capillaries more permeable to?
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capillaries more permeable to proteins and particles in interstitial fluid than blood capillaries.
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What does the right lymphatic duct drain?
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right lymphatic duct drains from the right arm and right upper body.
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Where does lymph from the lower body and intestines go?
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lower body and intestines -> cisterna chyli -> thoracic duct -> left subclavian vein
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Where do lymphatic vessels empty into?
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they empty into the subclavian veins and the cardiovascular system
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What are milking contractions?
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milking contractions of skeletal muscle
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What is thoracic pressure?
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thoracic pressure during breathing.
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What is lymphedema?
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swelling of tissues due to backup of lymphatics from blockage.
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What are plasma cells?
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produce antibodies to fight specific antigens.
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What is lymphoid tissue?
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reticular connective tissue
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What are lymphoid organs?
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contain large numbers of lymphocytes.
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Where are lymph nodes found?
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clustered along lymphatic vessels.
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What is the inner medulla?
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contains macrophages, lymphocytes, and plasma cells.
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Why are there many afferent vessels?
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many afferent vessels enter lymph nodes.
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Why are there fewer efferent vessels?
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exit lymph nodes at hilus, so lymph pools in nodes.
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What is the spleen?
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largest lymphoid organ, size of a fist.
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What is in the white pulp?
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lymphocytes on reticular fibers.
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What do macrophages do?
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destroy old RBCs and pathogens.
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What does the red pulp do in the fetus?
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stores and releases breakdown products of hemoglobin.
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What does the spleen store?
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it stores blood platelets.
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What does the spleen act as?
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acts as a blood reservoir for RBCs.
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Where is the thymus found?
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found above the heart, under the sternum.
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When does the thymus increase in size?
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. increases in size in childhood, shrinks after puberty, may be replaced by fibers and fat later.
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What are Hassall's corpuscles?
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areas of degenerating cells.
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What do tonsils do?
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defend against bacteria and other foreign particles.
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What are palantine tonsils?
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on either side of back of throat, enlarge with sore throat.
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What are pharyngeal tonsils?
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(adenoids) peak development in children.
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Where are lingual tonsils?
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at base of tongue
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What are crypts?
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pockets that trap bacteria
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What are nodule aggregates?
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they prevent pathogens from crossing mucous membrane lining.
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What are Peyer’s patches?
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lining of last portion of small intestine, contain macrophages, destroy microbes before being absorbed.
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What are lacteals?
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in villi of intestinal mucosa, absorb fats, called chyle.
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What is MALT?
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(Mucosa-Associated Lymphatic Tissue) nodules in the bronchial walls of respiratory tract, tonsils, Peyer’s patches, lacteals and appendix .
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What is Hodgkin’s disease?
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malignant lymph nodes,swollen, non-painful, fatigue, fever, night sweats.
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What is Lymphoma?
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tumor of lymphoid tissue.
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What is Mononucleosis?
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caused by Epstein-Barr virus, spread by saliva, fatigue, fever, sore throat, large numbers of T cells.
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What is a Bubo?
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an infected lymph node as was seen in the bubonic plague
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What is innate immunity?
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nonspecific body defenses.
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What is the first line of defense?
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first line of defense: physical barriers, deny access to pathogens.
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How does the skin give immunity?
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keratin is resistant to most weak acids and bases and toxins.
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How does the hair give immunity?
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epithelial cells secrete chemicals toxic to bacteria, sebum.
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What do phagocytes do?
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remove debris and pathogens.
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How do the epidermal secretions give immunity?
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tears, saliva, and sweat glands produce lysozymes.
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What are macrophages?
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Monocytes that leave the bloodstream to enter tissues and clean up after microphages.
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How do macrophages engulf and destroy?
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Macrophages engulf and destroy by lysozymes.
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What are fixed phagocytes?
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Fixed phagocytes are immobile.
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Where are microglia found?
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In the CNS.
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Where are Kupffer cells found?
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found in liver sinusoids.
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Where are Langerhans cells found?
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Found in skin.
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What are free phagocytes?
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they wander through tissues, osteoclasts and dust cells of the alveolar margins.
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What are microphages?
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(Kamikaze pilots) target foreign compounds and pathogens coated with antibodies.
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What are neutrophils?
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abundant, mobile, quick, but also self destructs.
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What are eosinophils?
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defend against parasitic worms.
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What are mast cells?
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mast cells are involved in allergic response in tissues, can also be a phagocyte.
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How are chemicals a part of the immune system?
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Chemicals are immunological surveillance.
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What are NK (natural killer) cells?
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granular lymphocyte, activated to attack any abnormal antigens on pathogens or cancer cells
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What are perforins?
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perforins from golgi bodies perforate cell membranes.
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What are interferons?
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they stop replication of virus in cells and activate macrophages.
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What is a complement?
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(plasma proteins) stimulates inflammatory response, causes cell lysis and bacterial destruction, positive feedback.
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What is opsonization?
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antibodies coat foreign particles, attracts phagocytes.
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What is the inflammatory response?
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response to injury.
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What is the function of inflammatory response ?
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prevents spread of damage to nearby tissues.
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What are signs of inflammation?
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redness, heat, swelling, pain, impairment of function.
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What is histamine?
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histamine: local vasodilation, increases permeability of capillaries
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What are kinins?
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same as histamine, chemotaxis, stimulate neutrophils to release lysozymes, induce pain.
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What are prostaglandins?
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prostaglandins produce free radicals, induce pain.
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What is phagocyte mobilization?
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phagocytes mobilization stimulate tissue repair
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What is leukocytosis?
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leukocytosis inducing factors released by injured cells promote release of neutrophils from bone marrow.
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What is margination or pavementing?
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neutrophils cling to inner walls of capillaries.
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What is diapedesis?
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squeeze between cells.
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What is chemotaxis?
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endothelial chemical markers like flares alert macrophages.
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What is a fever?
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increase in body temperature (controlled in hypothalamus).
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What are pyrogens?
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secreted by leukocytes and macrophages fighting foreign substances.
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What is the specific or adaptive defense system?
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lymphocytes, specific, systemic immunity.
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What is an antigen?
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antigen: “nonself”, usually larger, foreign protein .
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What is immunogenic?
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can stimulate formation of antibodies.
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What is reactive?
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react with antibodies.
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What is an antibody or immunoglobulin?
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you inherit the ability to produce antibody or immunoglobulin before you’re exposed to antigens.
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What is an antibody?
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antibody specific to only 1 antigen.
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What is humoral immunity?
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antibody-mediated, in body fluids, produced by lymphocytes.
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What does the bone marrow do?
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Bone marrow -> B cells: fight antigens with specific antibodies.
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What are B lymphocytes?
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B lymphocyte is activated by antigen and produces clones that become plasma cells that secrete antibodies or become memory cells.
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How are B lymphocytes activated?
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activated by helper T cells
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What is the secondary response?
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acts much faster to previously primed antigens.
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How do you get innate immunity?
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innate (natural) during infections, ex) getting chickenpox.
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What is passive immunity?
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no antibody production results, short-lived.
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What is IgG?
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(Immunoglobulin) resistance against viruses, bacteria and toxins, crosses placenta.
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What is IgA?
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in glandular secretions, mucus, tears & saliva .
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What is IgM?
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Agglutination in blood typing.
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What is IgE?
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attaches to basophils & mast cells, releases histamine for allergic response.
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What is IgD?
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assists antigen binding on B cells.
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What are variable segments of antibodies?
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antibody-antigen complex.
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What does the thymus do?
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Thymus -> T cells: become immunocompetant in the thymus, must make physical contact with pathogen.
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What are CD8 cells?
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CD8 cells, cytotoxic T cells: (killer Ts) attack foreign cells or body cells infected by viruses or cancerous.
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What are CD4 cells?
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CD4 cells or helper T cells (destroyed by HIV)
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How do CD4 or helper T cells affect B and T cells?
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stimulate the activation and function of B and T cells.
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How do CD4 or helper T cells affect NK cells and macrophages?
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attract and stimulate NK cells and macrophages.
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How do CD4 or helper T cells affect memory T cells?
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stimulate production of memory T cells.
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What does the bone marrow do?
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Bone marrow -> NK cells: large granular lymphocytes: police peripheral tissue.
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What are Autografts?
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tissue grafts transplanted from one body site to another in the same person.
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What are Isografts?
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a tissue from an identical twin, with the same DNA.
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What are Allografts?
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tissue from another person, that is not identical.
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What is Hodgkin's disease?
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cancer of lymph nodes.
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What are Xenografts?
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tissue taken from another animal species.
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What are Immune disorders?
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Immune disorders: cause the immune system to become depressed.
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What are immunodeficiencies?
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any condition that causes the immune cells to behave abnormally.
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What are Congenital immunodeficiencies?
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Congenital: severe combined immunodeficiency syndrome (SCID): lack B and T cells, treated by bone marrow transplant or umbilical cord stem cells.
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What is Acquired Immune Deficiency Syndrome?
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(AIDS) in helper T cells from human immunodeficiency virus (HIV).
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What is pneumocystis carini?
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pneumocystis carini is a type of pneumonia
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What is Kaposi's sarcoma?
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cancer of blood vessels, leaving purple lesions.
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What are autoimmune diseases?
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sensitized cytotoxic T cells destroy self-tissues.
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What is Myasthenia gravis?
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impairs connection between nerves and muscles.
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What is Grave's disease?
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thyroid produces excess thyroxine.
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What is rheumatoid arthritis?
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(RA) destroys joints
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What are Hypersensitivities?
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allergies
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What are immediate, acute or type I Hypersensitivities?
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begin within seconds of contact
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What is anaphylaxis?
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releases histamine, inflammatory response, local or systemic.
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What is cytotoxic, type II?
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cytotoxic, type II: mismatched transfusion reactions.
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What is immune complex, type III?
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persistent infection, ex) farmer's lung.
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What are delayed hypersensitivity, type IV?
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delayed hypersensitivity, type IV: slower to appear.
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What is allergic contact dermatitis?
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allergic contact dermatitis from poison ivy.
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