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32 Cards in this Set
- Front
- Back
Which complement by profucts will activate neutros to cause inflamation and tisue injury?
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C5a and C3a
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In type II Ab mediated HS, which comlepmet componenets will opsonize cells for phagocytosis?
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C3b on an RBC or something else that is easy to engulf
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In Fc mediated inflamattion, how are cells killed by neutros, macros, and NK cells?
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these cells have receptors for IgG
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What are two processes of type II HS that do not require cell/tissue injury?
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Ab stimulates recptor without hormone
Ab inhibits binding of NT to its receptor |
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What reaction exhibits a process in which IgM Abs agglutinate to RBCs, and subsequently IgM activates the complement and the MAC destroys the cells?
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Transfusion reaction
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Is there class switching in the transfusion reaction?
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NO
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WHat happens during the second pregnancy of an Rh - woman givig birth to a second Rh + baby?
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IgG Abs to Rh in the meternal circulation can cross the placenta and destry the Rh + fetal RBCs?
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What is the mechanism of RBC destruction in HDN?
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opsonization and phagocytosis
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What is Rho-Gam?
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anti-D or anti Rh injections given to protect the mother from making memory response to 2nd degree pregnanacy
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What is the Ig class of Abs made against Rh + Ags in the mother in HDN?
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IgG
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What Human Andibody Mediated Disease (HAMD) opsonizes and phagocytoses RBCs due to Rh Ags or I Ags, and causes hemolytic anemia
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AI hemolytic anemia
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What are the target antigens in ITP, that cause opsonizationa nd phagocytosis to cause bleeding?
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platelet membrane proteins gp IIb:IIIa intergin
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Can drug induced HA activate the complent syatem to cause lysis of RBCs?
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yes
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What is the name of the diease in which proteins of intercellular junctions of epidermal cells (epidermal cadherin) can be targeted by Ab mediated activation of proteases to cause disruption of intercellular adhesions and result in skin bullae?
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pemhigus vulgaris
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What are the main Ig Abs in pemphigus vulgaris?
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IgG
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What is an AI disease that fuctions primarily via IgG Abs to ultimately cause nephritis and lung hemorrhages?
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Goodpastures syndrome
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What is th emechanism of disease in goodpature's?
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comlement mediated and Fc mediated inflammation target NONcollagenous protein in basement membrane or glomeruli and alveoli
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In goodpastures, what cross reacts with alveolar BM to lead to pulmonary hemmorhhage?
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Anti-GBM Abs
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How fast does goodpastures progress?
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rapidly
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What AI disease involves strep cell wall AG cross reaction with myocardial Ag to cause macro activation an inflammation?
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Rheumatic Fever
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What is a cardianl Sx of Rheum Arthitis besides myocarditis?
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arthritis
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What is unique about the arthritis of rheumatic fever?
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moves from joint to joint
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What is the mechanism of disease in myashethia gravis?
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Ab inhibition of Ach binding and subsequent downregulaion of receptors
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What is the mechanism of graves disease?
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Ab mediated stimulation of TSH receptors
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What is the mechanism of pernicious anemia?
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neutralization of IF, which decrease absorption of B12
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What are the two types of Abs to IF?
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one blocks attachement of IF to B12
one blocks attachment of the IF-B12 complex to the Ileal recptors |
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Which immune cells play a role in the second componenet of pernicious anemia?
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pathogenic CD4+ T cells
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What kind of immunofluorescent pattern is exhibited in Tyepe II HS?
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LINEAR
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What are the uses for the direct coombs test?
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determining autoimune hemolytic anemia
and the presence of maternal anti-Rh Ab on newborns's RBCs |
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What are the uses for the INdirect coombs test?
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testing of blood transfusion recipients for preformed Ab
and A rise in titer in mother with potential to make anti-Rh Ab |
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What non-immunosupressive treatment is used to treat diseases such as MG and GP syndrome?
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plasmapheresis, which is when blood is pumped against a permeabe membrane which allows Ig to pass through
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What type of HS involves IgG or IgM Abs that react with soluble antigens ro form immune complexes that are deposited in tissues?
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Type III sensitivity
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