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120 Cards in this Set

  • Front
  • Back
What are the 3 functions of the lymphatic system?
1.Fluid balance
2. protection from infection
3. absorption of fat
Lymphatic vessels pick up fluid in the tissue and return it to the blood in vessels near the heart. TRUE or FALSE?
True
What type of blood vessel receives lymph collected from the body?
Vein (subclavian)
Name 3 broad characteristics of the lymphatic system.
1. System of tissue and vessels
2. Scattered throughout the body
3. Services almost all regions
Name 3 characteristics of the circulation of the lymphatic system.
1.1-way system
2. Begins in tissue
3. Ends in blood stream
What do 'lacteals' do?
Absorb digested fat
What capillaries are more permeable? Blood or lymph?
Lymphatic capillaries
What are the lymphatic capillary walls made of?
They are flattened epithelial cells
What does 'arise blindly' mean?
Closed at one end.
What forms the 1-way valve?
Overlapping cells.
Name 2 differences between blood and lymph capillaries.
1. Lymph capillaries arise blindly/start anywhere
2.Lymphatic capillaries are more porous
Name the 2 lymphatic vessels.
1. Right lymphatic duct
2. Thoracic duct
What parts of the body does the thoracic duct serve? Where is it located?
1. Lower extremities
2. Left side of body
Which is the bigger of the thoracic and right lymphatic ducts?
The thoracic duct
What veins do both lymphatic ducts drain?
The subclavian veins.
Where is the cisterna chyli and what is it?
1. At base of thoracic duct
2. Holding tank for lymph
What is the name of the vessels that absorb digested fat?
Lacteals
What type of lymphatic vessel carries lymph INTO a node?
Afferent
What type of lymphatic vessel carries lymph out of a node?
Efferent
Name 4 lymph node groups.
1.Cervical
2.Axillary
3.Mesenteric
4.Inguinal
What are and what is the function of a lymph node?
Small masses of lymphatic tissue which filter lymph.
The popliteal lymph nodes in the right leg drain into the left lymphatic duct. TRUE or FALSE?
True.
What parts of the body does the right lymphatic duct serve?
Upper superior right quadrant.
Name a infection that can seriously damage the spleen.
Mononucleosis
Where do red blood cells get produced before birth?
The Spleen
Name 4 functions of the spleen.
1. Cleanses blood
2. Destroys old blood cells
3. Is reservoir for blood
4.Produces red blood cells before birth
The spleen is involved in any system infection. TRUE or FALSE?
True
What kind of immune system cells develop in the thymus?
T cells.
Name 4 functions of the thymus.
1.Involved in early immune system development
2. Develops T cells
3.Promotes lymphocyte growth
4.Promotes lymphoid tissue activity
What hormone does the thymus produce? What does this hormone do? Name 3 things.
Thymosin
1.Develops T cells
2. Promotes lymphocyte growth
3. Promotes lymphoid tissue activity
Name 3 types of tonsils.
1.Palatine
2.Pharyngeal - adnoids
3.Lingual
What 2 main purposes do tonsils serve?
Remove contaminants and trap pathogens
What is the general location of the tonsils?
Throughout the head
What is MALT?
Mucosal-Associated Lymphoid Tissue
Name a type of MALT.
Peyer patches
Another name for gut-associated lymphoid tissue?
GALT
What is the name of the collections of cells responsible for destroying worn-out cells, cellular debris, cancer cells, bacteria and other harmful substances?
The reticuloendothelial system
Where are the dust cells located?
In the lungs
What type of cells are Kuppfer and dust cells? And what system do they belong to?
They are macro phages.

They belong to the reticuloendothelial system.
Name 3 ways to move lymphatic fluid.
1.Skeletal muscle compression of vessels
2. Breathing
3. Segments of vessels located between valves contract rhythmically
Name 2 general body defenses against disease. What do they do?
1. Non-specific - effective against any harmful agent
2. Specific - effective against a certain agent only
What PH balance does skin have and why?
It is acidic to keep out bacteria.
Name 4 reflexes to protect the body.
1. Sneezing
2. Coughing
3. Vomiting
4. Diarrhea
Name 4 body secretions.
1. Tears
2. Perspiration
3. Saliva
4. Digestive juices
What is the PH level of perspiration?
PH 3-5
What is the PH level of digestive juices?
PH 2
What tissues constitute the first line of defense against pathogens?
Skin and mucous membranes
What is 'phagocytosis'?
White blood cells take in and destroy waste and foreign material.
What is another word for 'white blood cells'?
Leukocytes
What are and what do neutrophils do?
Pus cells, a type of white blood cell.

They engulf invading micro-organisms, particularly bacteria. They sacrifice themselves.
What are and what do macrophages do?
A larger type of white blood cell.

They migrate to different areas and do not sacrifice themselves.
What are natural killer cells?
A type of lymphocyte
- Can recognize body cells with abnormal membranes
- Secrete protein that breaks down cell membranes
Where are natural killer cells? 4 areas.
In the spleen, lymph nodes, bone marrow and blood.
Which of the below are NOT one of the two main leukocytes involved in phagocytosis?
a. Neutrophils
b.Basophils
c. Macrophages
b. Basophils
What is an 'infection'?
An inflammation caused by pathogens
What do cells release when attacked by a virus?
Interferon
Describe the 6 steps in inflammation reaction.
1. Heat, redness, swelling, pain
2. Cells release histamine
3. Leukocytes enter area
4. Leukocytes and plasma produce inflammatory exudate.
5. Pus is created
6. Lymph nodes enlarge
What are the main functions of inflammation?
1. Prevent the spread of pathogens
2. Dispose of debris and pathogens
3. Set the stage for repair
What does 'fever' accomplish at the high level?
Speeds up immune response chemical reaction on a systemic level
What 4 things happen when you get a fever?
Phagocytes release substances that increase body temperature
- stimulates phagocytes
- increases metabolism
- Decreases some organisms' ability to multiply
Name 3 non-specific factors that help control infection?
1. Inflammation
2. Fever
3. Interferon
After approximately how many days of having a cold can a massage be helpful?
5 - 6 days
Where does interstitial fluid originate?
At capillary exchange sites
What is the Starling equilibrium?
The amount of fluid squeezed out of circulatory capillaries should be almost equal to the amount being drawn into lymphatic capillaries, with about 10% left over to become interstitial fluid
There is one activity that is unique to moving lymph. What is it?
Alternating hot and cold.
Give examples of 'portal of entry'.
Mouth, GI, respiratory, urogenital.
What is a 'pathogen'?
Any disease-causing organism
Give 4 examples of pathogens.
Virus, bacteria, fungus, parasite.
Pathogens are a subset of 'antigens'. TRUE or FALSE?
True
What is an 'antigen'?
Any substance that causes production of antibodies.
What is the 'complement system'?
A collection of molecules in the blood to complement the immune system.
Does the avian flue transfer to humans? YES or NO?
Yes
What is 'innate' immunity?
Inherited individually or species-wide.
Adaptive immunity is what? 3 specific defining criteria.
1. After birth
2. Acquired naturally or artificially
3. Active or passive
Name examples of pathogens humans have innate immunity to.
Distemper, hog cholera, cowpox, bird TB.
T Cells is for cellular or humoral immunity?
Cellular
B cells is for cellular or humoral immunity?
Humoral
What types of cells can the T cell clone into?
Helper, killer, suppressor and memory
What is another word for 'suppressor' cells? And what do they do?
Regulatory. They shut of the immune system activities when an infection is gone.
What do memory B and T cells do?
They remember past infections
What types of cells can the B cell clone into?
Memory and plasma cells
What is the role of the plasma cell?
To make antibodies which disable the antigen
T cells and B cells are what type of cells?
Lymphocytes
Name 4 types of antigens of a 'foreign protein' variety.
1. Allergens,
2. Transplanted organs
3. Wrong blood
4. Pathogenic toxins
Not all antigens are pathogens. TRUE or FALSE?
True
What type of medication are transplant patients given?
Immune suppressing drugs.
What are MHC proteins?
Major Histocompatibility Complex proteins
What is the purpose of MHC proteins?
They are the markers on every cell to distinguish the self versus non-self.
Where do T cells originate? And where do they go next?
In the stems cells in the bone marrow. They change to T cells in the thymus.
What do Helper T cells do? 2 things
1. Activate B cells
2. Secrete interleukins
Another word for 'antibody'?
Immunoglobulin
1. Where do antibodies mature?

2. Who manufactures them?
1. In the fetal liver of lymphoid tissue
2. By B cells
Describe the 2 step Humoral Immunity process. What is Step 1?
Step 1: The B cells become activated by antigen binding to its surface. The cell gets triggered to clone itself rapidly into an army of cells.
Describe the 2 step Humoral Immunity process. What is Step 2?
Step 2: The B cells can become plasma cells. 2000/second for 4-5 days.
The rest become memory cells.
What is 'naturally adaptive active immunity'?
Immunity acquired through contact with a specific disease.
What is 'naturally adaptive passive immunity'?
Antibodies through mother's milk or placenta
What is 'artificially adaptive immunity'?
Vaccinations
Give an example of a genetically engineered vaccine?
Hepatitis B
Give 6 types of artificially adaptive immunity vaccines.
1. Live
2. Attenuated
3. Toxoid
4. Kiled by heat or chemicals
5. Antigen
6. Genetically engineered
What is 'artificial passive adaptive immunity'.
Immune- or anti-serum.
Give 4 examples of Lymph System conditions,
1. Edema
2. Lymphangitis
3. Lymphoma
4. Mononucleosis
Give 3 examples of Immune System conditions.
1. Allergic reactions
2. Chronic fatigue syndrome
3. Fever
What types of hypersensitivity reactions are there? Describe I and II
Type I: Immediate reaction (hay fever, food allergies)
Type II: Cell killing reaction (penicillin reaction, mismatched blood reaction)
What types of hypersensitivity reactions are there? Describe III and IV
Type III: Antibodies bind with antigens but are too small to be phagocytized, which get caught in filters. (lupus, other autoimmune )

Type IV: Delayed reaction cell mediated (T cells)
( contact dermititis, poison ivy)
What is the definition of edema?
Accumulation of fluids between cells.
Mechanical or chemical reasons for edema?
Both - weak heart or obstructions in lymphatic return

OR accumulated salt and protein in interstitial fluid
Massage indicated or contraindicated for edema?
Contraindicated
Name five causes of edema that are contraindicated for massage.
1. Heart
2. Liver
3. Kidney
4. Local infection
5. Blockage
Two cases of indicated edema for massage?
Post acute musculo-skeletal injury and some cases of immobility.

Watch out around the knees.
What is the definition of lymphangitis?
Infections and inflammation of lymphatic capillaries.
What is another word for 'blood poisoning'?
Septicemia
Massage is indicated or contraindicated for lymphangitis?
Contraindicated
What is the definition of lymphoma?
Cancer of lymph nodes and spleen.
Circulatory massage is contraindicated for lymphoma. TRUE or FALSE?
True
What is the definition for allergic reactions?
Immune system reaction against stimuli that are not inherently hazardous.
What is the definition of angioedema as an allergic reaction?
Rapid onset of local swelling
What is the definition of anaphylaxis?
Acute, systemic and severe - breathing, skin rash, edema or vomiting.
Massage is contraindicated or indicated for allergic reactions?
Contraindicated while acute
What is the definition of fever? What specific body temperature?
Abnormally high body temperature.
101 F. 104 can be dangerous
Is massage indicated or contraindicated for fever?
Contraindicated.