Term
1.What is the most common form of hyperthyroidism? |
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Definition
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Term
1.What happens with graves' Diease? |
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Definition
Increased Basal metabolic rate Thyroic Stimulating Immunoglobulins (TSIs) bind to receptors causing increased synthesis of TH and increased size of thyroid -Type II hypersensitivity. |
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Term
1.What are the 2 main signs of Graves' Disease? Are they reversible? |
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Definition
exopthalmos and pretibial edema -due to increased secretion of hyaluronic acid causing swelling -not curable |
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Term
1.What are other S/S of Graves' disease? |
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Definition
increased Ca++ resporption, amenorrhea, ED, decreased libido, weight loss, sweating flushing and poor heat tolerance, fine hair, change in circulation, decreased blinking, eyelid tremors, tachycardia, increased cardiac output, fatigue, lability, respiratory weakness |
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Term
2.what is the term for a collection of ilnesses characterized by thought disorders which affect a person's ability to determine reality bs. delusional thoughts? |
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Definition
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Term
2. Schizophrenia affects the gray and white matter of _____. |
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Definition
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Term
2.Do genetics and environment play a role in schizophrenia? How? |
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Definition
genetic loc: chromosome 22q11 deletion 30-50% concordance with twins some ppl have reduced gene penetrance |
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Term
2.What are the neuroanatomical alterations in schizophrenia? |
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Definition
enlarged lateral and 3rd ventricle of the cerebrum. decreased temporal lobe (emotional control decreased thalamus and reelin |
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Term
2.What are the major neurotransmitter alterations in schizophrenia? |
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Definition
decreased Serotonin (sleep, appetite, 'the motor of life') decreased norepinephrine (FOCUS) decreased glutamate (excitatory, learning and memory) increased dopamine? (JOY) |
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Term
3.what are the 5 main transmitters and what do they do? |
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Definition
Serotonin (modulates mood, sleep, and appetite Dopamine- JOY Norepinephrine- FOCUS GABA - inhibits glutamine Glutamine - stress modulator |
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Term
4.What are the two major classifications of mood disorder? |
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Definition
1.Unipolar or major depressive disorder 2.Bipolar disorder |
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Term
4. What are the two classifications of Bipolar disorder? |
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Definition
1. bipolar I -manic episodes and at least one major depressive episode 2. Bipolar II- recurrent major depressive episodes with one or more HYPOMANIC episodes |
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Term
4. what is the hereditary link with bipolar? |
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Definition
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Term
4. What are the two major neurotransmitters that play a role in bipolar? |
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Definition
NE (FOCUS) serotonin (mood, sleep, appetite) -both are decreased |
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Term
4. what effect does the neurodendocrine dysregulation involved in Bipolar have on the adrenal system and thyroid system? |
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Definition
CORTISOL (stress) levels increased HYPOTHYROIDISM =hypothalamus releases CRH, pituitary releases ACTH, adrenal cortex releases too much cortisol =Hypothalamus releases TRH, blunted TSH release from pituitary, decreased nocturnal TH from thyroid |
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Term
4. what are the anatomic changes in bipolar? |
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Definition
-enlarged lateral ventricles -atrophied frontal lobe -increased blood flor in right amygdala |
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Term
4.what are clinical manifestations of bipolar? |
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Definition
depression: -dysphoria (intensely painful mood) -insomnia -anorexia, low body weight -anhedonia mania: -grandiosity -delusions/hallucinations -increased energy, rapid talking -poor judgement |
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Term
4. Treatment for bipolar? |
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Definition
MAOIs (beware HTN crisis), TCAs, SSRIs (taken only without other drugs), SNRIs psychotherapy ECT |
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Term
5. what produces antibodies? What is another name for antibodies? Are they part of the innate or adaptive immune system? |
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Definition
Immunoglobulins produced by plasma cells part of adaptive immune system (humoral and cell-mediated) |
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Term
5/7. what are the 5 types of immunoglobulins? |
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Definition
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Term
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Definition
-most abundant -most of the protection against infection -crosses placenta -predominant in secondary response |
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Term
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Definition
most common in body secretions |
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Term
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Definition
Largest in size FIRST antibody produced during primary (initial) response |
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Term
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Definition
least abundant -specialized for allergic responses and parasites |
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Term
6. what is the role of immunity? |
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Definition
defense against a foreign antigen production of memory cells key: it has MEMORY |
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Term
6. what is primary immunity? |
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Definition
has a latent phase of 5-7 days where b-cell differentiation occurs, allowing for clonal selection, processing of antigens, and B&T cell maturation/proliferation first exposure: IgM detected first, then IgG second exposure: IgG first to respond in great numbers |
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Term
6. What is the role of boosters for vaccination? |
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Definition
increase the number of memory cells and sustain protective levels of both antibodies and t-cells |
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Term
6. what is the role of humoral immunity? |
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Definition
a form of immunity mediated by circulating antibodies (immunoglobulins IgA, IgB, and IgM), which coat the antigens and target them for destruction by polymorphonuclear neutrophils -also activates the complement system. |
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Term
6. What is the role of cell mediated immunity? |
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Definition
Immune responses mediated by activated, antigen-specific T lymphocytes. These T cells may function as effector cells or may orchestrate propagation of the inflammatory response and cellular recruitment through their secretion of cytokines and chemokines |
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Term
6.how do attenuated vaccines work? |
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Definition
weakened, live virus (MMR, varicella, polio) |
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Term
6.how do recombinant vaccines work? |
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Definition
DNA inserted encoding of an antigen that stimulates an immune response (Hep B, HPV) |
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Term
6.how do inactivated vaccines work? |
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Definition
dead virus (hep A, polio (injected), influenza) |
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Term
8. Which yeields more ATP molecules, aerobic or anaerobic respiration? |
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Definition
aerobic respiration uses oxygen and yields many more molecules -anaerobic cellular respiration does NOT use oxygen and yields only 2 ATP molecules |
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Term
8. What is the function of ATP? |
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Definition
it is an energy-transferring molecule, stored in carbs, lipids, and protein |
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Term
8. What is expended for a cell to engage in active transport? |
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Definition
expenditure of energy, appropriate fuel, and ATP |
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Term
8. What does cancer tend to use for catabolism? |
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Definition
cancer prefers anaerobic glycolysis, preferring an acidic and anoxic environment that supports rapid growth of cancer |
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Term
9/43. What are the four hypersensitivity Responses, which are mediated by antibodies, and which ones are immediate or latent? |
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Definition
Immediate: (mediated by antibodies) -Type I: IgE mediated -Type II: Tissue Specific -Type III: Immune complex mediated
Latent: (mediated by T-lymphocytes) -Type IV: Cell mediated |
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Term
9.What is the role of histamine in a Type I hypersensitivity? Examples. |
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Definition
Histamine contracts bronchi, increases vascular permeability, increases edema/vasodilation H2 receptors provide negative feedback for mast cell degranulation Ex.: Hay Fever |
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Term
9.What are the 5 mechanisms of TypeII hypersensitivity? |
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Definition
Determined by tissue expressing the antigen 1. Cell destroyed by antibody and complement 2. Phagocyosis by macrophages 3. Antibody and complement attract neutrophils that degranulize 4. Antibody dependent Cell-mediated toxicity (NK cells) 5. Binding of cell receptors causing malfunction |
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Term
9.What are examples of Type II hypersensitivity? Allergy, autoimmune, alloimmune: |
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Definition
Allergy: drug allergy, leads to hemolysis Autoimmune: thrombocytopenia, graves' disease Alloimmune: hemolytic disease of the newborn, ABO mismatched transfused blood |
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Term
9.What happens in a Type III hypersensitivity reaction? |
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Definition
Immune complex mediated, caused by soluble antigen deposits in tissue usually these are filtered by the kidneys and cleared by macrophages |
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Term
9.What are examples of Type III hypersensitivity? Allergy, autoimmune, alloimmune: |
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Definition
Allergy: Gluten allergy Autoimmune: SLE (Lupus) Alloimmune: Anaphylaxis to IgA in IV immunoglobulin, Vaccines? |
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Term
9.What happens in a Type IV hypersensitivity reaction? |
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Definition
Mediated by T-lymphocytes Tc cells attach/kill cells directly, releasing toxins and recruit macrophages Macrophages release: lysosomal enzymes, toxic ROS (reactive oxygen species) |
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Term
9.What are examples of Type IV hypersensitivity? Allergy, autoimmune, alloimmune: |
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Definition
Allergy: Poison IVY Autoimmune: Hashimoto Thyroidosis, Type I DM, Rheumatoid arthritis Alloimmune:Graft rejection, Mantoux (TB) test |
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Term
10. What are free radicals? |
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Definition
molecules with unpaired electron; unstable capable of injurious chemical bonds to proteins, lipids, carbs. -ROS is common -polycyclic aromatic hydrocarbons |
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Term
11 ....pH = 7.56, CO2 = 28, HCO3 = 25 |
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Definition
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Term
11 ....pH = 6.96, CO2 = 71, HCO3 = 16 |
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Definition
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Term
11 ....pH = 7.16, CO2 = 82, HCO3 = 29 |
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Definition
PARTLY COMPENSATED RESPIRATORY ACIDOSIS |
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Term
11 ...pH = 7.50, CO2 = 9, HCO3 = 7 |
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Definition
PARTLY COMPENSATED RESPIRATORY ALKALOSIS |
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Term
11 ....pH = 7.75, CO2 = 29, HCO3 = 40 |
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Definition
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Term
11 ....pH = 7.33, CO2 = 66, HCO3 = 35 |
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Definition
PARTLY COMPENSATED RESPIRATORY ACIDOSIS |
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Term
11 ....pH = 6.68, CO2 = 85, HCO3 = 10 |
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Definition
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Term
11 ...pH = 7.35, CO2 = 42, HCO3 = 23 |
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Definition
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Term
11 ...pH = 7.21, CO2 = 60, HCO3 = 24 |
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Definition
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Term
11 ....pH = 7.48, CO2 = 19, HCO3 = 14 |
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Definition
PARTLY COMPENSATED RESPIRATORY ALKALOSIS |
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Term
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Definition
dangerous, rare disorder caused by excessive stress |
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Term
12 what causes thyroid storm and what are the S/S? |
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Definition
elevated levels of T4/T3 caused by: infection trauma pulmonary/vascular/cardiac disorders burns seizures surgery emotional distress dialysis OB complications S/S: high temp, high HR, dysrhythmias, agitation and delirium, N/V, diarrhea, low circulating Volume |
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Term
12 What is the treatment for thyroid storm? |
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Definition
1. propyltiouracil/methamazole 2. beta-blockers 3. steroids |
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Term
1,12 Thyrotoxicosis results in... |
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Definition
increased metabolic rate heat intolerance increased sensitivity of tissue to sympathetic division of ANS Goiter Other S/S: bone resorption (hypercalcemia), increased catabolism, hypermetabolism, increased CO, restlessness, insomnia, decreased vital capacity (weakness of respiratory muscles) |
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Term
1,12 What is the cause of Graves' Disease? |
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Definition
Type II sensitivity stimulation of thyroid by autoantibodies (TSI-thyroid stimulating immunoglobulins) directed at TSH receptor |
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Term
1,12 How do the TSIs affect the thyroid and TH? |
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Definition
-hyperplasia of thyroid (goiter) -increased synthesis of TH (esp T3) (decreased TSH) |
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Term
1,12 what are the 2 key S/S for graves' disease. |
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Definition
-exopthalmos -pretibial myxedema =NOT REVERSIBLE with treatment |
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Term
1,12 Treatment for Graves' disease? |
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Definition
antithyroid drugs radioactive iodine surgery |
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Term
1,12 what is the major complication for treatment of thyrotoxicosis? |
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Definition
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Term
13. What are typical bacteria? |
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Definition
cell wall (has peptidoglycan) cell membrane no nuclear membrane reproduce by binary fission susceptible to antibiotics, but not antifungal agents |
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Term
14. What as the difference between gram positive and gram negative bacteria? |
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Definition
gram negative bacteria have cell walls that contain lipopolysaccharides that are released during lysis of the bacteria gram negative release endotoxins that stimulate inflammatory mediators, fever; antibiotics cannot prevent this ex:whooping cough, H. Infl., e-coli, h-pylori |
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Term
15. what is the #1 cancer killer in the US and the world? |
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Definition
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Term
15. what is the #1 environmental and occupational cause of lung cancer? |
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Definition
asbestos -causes mesothelioma, arises from epithelium covering the serous membrane |
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Term
15. where does lung cancer most often arise? |
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Definition
the epithelium of the respiratory tract |
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Term
15. where is non-small cell lung cncer found? what are the manifestations? |
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Definition
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Term
15. what is the most common non-small cell lung cancer? |
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Definition
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Term
15. What is the most aggressive form of lung cancer? |
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Definition
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Term
15. Where does small cell lung cancer arise from? what risk factor is it most correlated with? what are some chemicals it can release? |
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Definition
arises from central part of the lung a major risk factor is smoking can release ACTH, aldosterone, ADH |
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Term
16. Do mycoplasma bacteria have a rigid cell wall? Are mycoplasma bacteria pleomorphic? |
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Definition
lack rigid cell wall small and pleomorphic (able to assume different shapes) |
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Term
16. Does mycoplasma pneumoniae cause typical or atypical pneumonia? |
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Definition
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Term
17. What is an endogenous virus? give an example. |
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Definition
A virus that stays swithin a cell for a period of latency until it is activated i.e. herpes zoster |
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Term
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Definition
an increase in the number of circulating monocytes often seen in bacterial infections or the recovery phase of infection -normal condition with the newborn |
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Term
18. where are monocytes created and develop? |
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Definition
produced in the bone marrow they develop into macrophages at the site of inflammation -happens in TB, Endocarditis |
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Term
19. What is lymphocytosis? when is it seen? |
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Definition
an increase in the number of lymphocytes in the blood -happens with thyrotoxicosis, adrenal insufficiency, and mycoplasma pneumoniae |
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Term
19. what infections and conditions most commonly show lymphocytosis? |
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Definition
most common in acute viral infections i.e.: epstein-barr virus, mono, CMV, pertussis; hepatitis |
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Term
20. what is eosinopenia? what are common causes? |
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Definition
a decrease in circulating numbers of eosinophils i.e.: Cushing syndrome, steroids, stress; stress from shock, trauma, and burns |
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Term
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Definition
aka granulocytosis a high number of neutrophil granulocytes in blood. -happens in early stages of inflammation i.e.: myelocytic leukemia, THYROID STORM, MI, DKA |
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Term
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Definition
an increase in the number of white cells in the blood, especially during an infection -normally accompanied by a 'left shift' caused by: infection, fever, drugs, hormones, malignancies |
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Term
23. what is thrombocytopenia? |
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Definition
low number of platelets associated with: colorectal and genitourinary cancer |
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Term
24. What are interleukens? |
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Definition
aka cytokines produced by macrophages and lymphocytes by recognizing pathogens or in inflammation -enhancement of the acquired immune response |
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Term
24. Give and example of a pro-inflammatory cytokine. |
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Definition
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Term
24. Give an example of an anti-inflammatory cytokine. what does it do? |
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Definition
IL-10: suppresses growth of lymphocytes and production of proinflammatory cytokines |
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Term
25. What is interferon and what does it do? |
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Definition
low molecular weight proteins that primarily: -protect against VIRAL infections -modulate inflammatory response |
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Term
25. Where are TypeI and TypeII interferon produced, respectfully? |
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Definition
Macrophages-typeI T-lymphocytes-typeII |
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Term
25. Do interferon kill infections directly? |
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Definition
NO, they merely prevent further infection of cells. |
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Term
25. What does Interferon do for the Adaptive Immune Response? |
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Definition
Enhances its effectiveness
--Interferon is used to treat and control multiple sclerosis, an autoimmune disorder |
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Term
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Definition
Series of Reactive Proteins in plasma that works with antibodies to destroy antigens -able to destroy pathogens directly |
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Term
26. What is HSCRP and what are normal values? |
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Definition
High Sensitivity C-Reactive Protein Normal: 1.0-3.0mg/L |
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Term
26. Increased complement is a ______ sign for treatment working? |
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Definition
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Term
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Definition
the passage of blood cells through the intact walls of the capillaries |
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Term
26. Complement works with every other component of the inflammatory response (T or F) |
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Definition
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Term
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Definition
identifying the invading particle to the phagocyte |
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Term
26. What are the 3 ways the Complement cascade is activated? |
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Definition
Classic(75%): antibodies bound to antigens Lectin(24%): Mannose-containing bacterial carbohydrates Alternative(1%): Polysaccharides found on cell walls of fungus and gram Neg bacteria |
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Term
26. What are the Four functions of Complement? |
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Definition
-Anaphylactic activity -Leukocyte chemotaxis -Opsonization-by neutrophils and macrophages -Cell Lysis-proenzymes then destroy cells |
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Term
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Definition
Series of Reactive Proteins in plasma that works with antibodies to destroy antigens -able to destroy pathogens directly |
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Term
26. What is HSCRP and what are normal values? |
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Definition
High Sensitivity C-Reactive Protein Normal: 1.0-3.0mg/L |
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Term
26. Increased complement is a ______ sign for treatment working? |
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Definition
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Term
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Definition
the passage of blood cells through the intact walls of the capillaries |
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Term
26. Complement works with every other component of the inflammatory response (T or F) |
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Definition
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Term
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Definition
identifying the invading particle to the phagocyte |
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Term
26. What are the 3 ways the Complement cascade is activated? |
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Definition
Classic(75%): antibodies bound to antigens Lectin(24%): Mannose-containing bacterial carbohydrates Alternative(1%): Polysaccharides found on cell walls of fungus and gram Neg bacteria |
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Term
26. What are the Four functions of Complement? |
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Definition
-Anaphylactic activity -Leukocyte chemotaxis -Opsonization-by neutrophils and macrophages -Cell Lysis-proenzymes then destroy cells |
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Term
27. What allow malignant cells direct access into the venous blood and lympatics |
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Definition
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Term
27. What is tissue selectivity in relation to cancer and neovascularization? |
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Definition
different types of cancer tend to only grow and metastasize to certain tissues i.e.: lymphomas spread to spleen but not bone |
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Term
28. What is another name for immunotransmitters? |
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Definition
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Term
28/40. Are cytokines pro- or anti- inflammatory? |
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Definition
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Term
28/40. what is the role of the cytokine? |
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Definition
mediates interactions between cells to kill bacteria -involved in inflammatory and immune response |
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Term
28/40. what are the 3 types of cytokines? |
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Definition
-interleukins -TNF (alpha) -Interferon |
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Term
28/40. what cell secretes cytokines? |
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Definition
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Term
28/40. are cytokines involved in fever? |
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Definition
yes, TNF alpha is an endogenous pyrogen |
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Term
29. What is immune specificity? |
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Definition
each T or B cell recognizes only one antigen, but together they recognize a host of foreign antigens (adaptive immunity) |
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Term
29. What is the key feature about the immune response? |
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Definition
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Term
30. What are the two key features of a stem cell? |
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Definition
self-renew: some fraction fo the cell divisions create new stem cells multi-potent: ability to differentiate into multiple different cell types |
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Term
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Definition
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31. what is the role of the plasma cell? |
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Definition
factory-secretes a single class or subclass of antibody with one variable region-specific to one antigenic determinant |
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Term
31. What are the two mediators of humoral immunity? |
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Definition
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Term
32. What does humoral immunity protect against? |
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Definition
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Term
33. What is the term used to describe proteins found on the surface of lymphocytes or other cells? |
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Definition
Clusters of differentiation |
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Term
34. What is the leading cause of pediatric acquired heart disorders in the US? |
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Definition
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Term
34. What is Kawasaki disease? |
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Definition
Cardiovascular disease characterized by: -inflamed heart and vessels -coronary artery aneurysm -thickening and stenosis =self limiting =may result in cardiac sequelae |
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Term
34. What are signs/symptoms needed to diagnose Kawasaki disease? |
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Definition
*Fever for 5 days, unresponsive to Abx *4/5 of the following: -Bilateral conjunctivitis without exudation -erythema of oral mucosa (strawberry tongue) -changes in epithelium in extremities: edema, erythema, rash, peeling skin -polymorphous rash to perineum -lymphadenopathy |
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Term
34. What are the stages to Kawasaki disease? |
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Definition
I (0 - 12 days): inflammation of capillaries, venuoles, arterioles, and heart II (12-35days): inflammation of larger vessels, coronary aneurysms III (26-40days): medium-sized arteries begin granulation process, small vessel inflammation decreases IV( >40days): scarring of vessels, thickening of tunic intima, calcification, coronary artery stenosis |
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Term
35. What cardiac syndrome is associated with delections on chroosome 22 and DiGeorge syndrome? |
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Definition
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Term
35. what four defects are associated with Tetraolgy of Fallot? |
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Definition
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Term
35. What is the overriding problem associated with tetralogy of Fallot? |
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Definition
low oxygenation of blood via the ventricular septal defect (VSD), preferntial flow of the mixed blood from both ventricles through the aorta [flow obstructed via the pulmonary valve] |
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Term
35. how is tetralogy of Fallot corrected? |
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Definition
-patch closure of the VSD -resection of infundibular or valvular stenosis -augmentation of the right ventricle outflow tract |
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Term
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Definition
inability to suppress secretion of ADH (excessive secretion) excess blood volume leads to decreased sodium concentration in blood |
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Term
36. Where is ADH produced and released? |
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Definition
produced in hypothalamus released by pituitary gland |
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Term
36. Is there edema with SIADH? |
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Definition
no edema, but there is volume expansion and hypertension |
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Term
36. what are the causes of SIADH? |
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Definition
small cell lung cancer is common also related to: infection, trauma, guillan Barre', MS, surgery, Lung Ca, GI Ca, GU Ca, lymphoma, Ewing's Sarcoma, pulmonary infections and asthma, and multiple types of drugs |
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Term
36. What is the treatment for SIADH? |
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Definition
Diet: fluid restriction Increased Na+ intake |
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Term
36. what is a common cause of irreversible damage related to SIADH? |
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Definition
If serum Na+ drops too low, irreversible damage may occur |
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Term
36. What is required to diagnose SIADH? |
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Definition
1. decreased serum osmolality, decreased serum Na+ 2. increased urine osmolarity 3. urine Na+ = oral Na+ intake 4. normal renal, adrenal, and tyroid function 5. absence of conditions that cause increased or decreased volume status |
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Term
35. What is the overriding problem associated with tetralogy of Fallot? |
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Definition
low oxygenation of blood via the ventricular septal defect (VSD), preferntial flow of the mixed blood from both ventricles through the aorta [flow obstructed via the pulmonary valve] |
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Term
35. how is tetralogy of Fallot corrected? |
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Definition
-patch closure of the VSD -resection of infundibular or valvular stenosis -augmentation of the right ventricle outflow tract |
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Term
37. What is the 2nd leading cause of death (second to prematurity) in the first year of life. |
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Definition
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Definition
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Definition
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Definition
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Definition
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38. define psychoneuroimmunology |
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Definition
study of the interaction of consciousness, brain, and spinal cord, and the body's defenses against external infection and abnormal cell division |
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Term
38. what is the association between stress and adverse heart effects? |
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Definition
MI:increased BP during periods of mental or acute emotional stress with increased myocardial oxygen demand LVD:increase in sudden CP and SOB after acute emotional stress or trauma, r/t cortisol and HPA axis response Ventricular Dysrhythmias: acute strees precipitates 20% of serious ventricular dysrhythmias |
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Term
39. What type of immunity is mediated by T-cells (t-lymphocytes)? |
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Definition
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Term
39. What antibodies are involved in cell-mediated immunity? |
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Definition
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Term
39. Cell-mediated immunity is responsible for defending against what types of pathogens? |
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Definition
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Term
39. What are the functions of t-cells in cell-mediated immunity? |
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Definition
-direct killing of foreign cells, including those infected by virus or cancerous [mediated by cytotoxic t-cells] -assist or activate other cells to secrete cytokines (such as macrophages) |
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Term
39. what is the role of cytotoxic cells in cell-mediated immunity? |
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Definition
attack and kill targets directly (viruses or cancer), or inhibit virus-infected cells |
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Term
39. what is the role of t-reg cells in cell-mediated immunity? |
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Definition
prevent attack of self antigens and restrict immune response |
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Term
39. what is the role of memory t-cells in cell-mediated immunity? |
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Definition
- induce secondary cell-mediated immune response |
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Term
3. levels of what neurotransmitters are decreased in depression? |
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Definition
at least one of three of the following: serotonin norepinephrine dopamine |
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Term
3. What are 3 catecholamines? |
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Definition
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Term
3. What is chronically activated in debression? |
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Definition
HPA axis -hypothalamic-pituitary-adrenal |
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Term
3. What is the relationship between glutamate and GABA? |
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Definition
Both are neurotransmitters Glutamate is a stress modulatory GABA inhibits glutamate |
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Term
13. what is the distinction regarding atypical bacteria? |
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Definition
they cannot be stained by gram staining |
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Term
16. Are mycoplasma bacteria typical or atypical bacteria? can the be phagocytized? |
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Definition
atypical bacteria no, they cannot be phagocytized |
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Term
41. what are protease inhibitors? |
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Definition
antiviral drugs to treat HIV/AIDS and hepatitis caused by hepatitis C virus. -prevent viral replication by selectively binding to viral proteases (e.g. HIV-1 protease) and blocking proteolytic cleavage of protein precursors |
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Term
41. what type of reaction is a wheal and flare reaction? |
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Definition
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Term
42. what are symptoms of a wheal and flare reaction? what type of hypersensitivity? |
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Definition
localized release of histamine, urticaria, white fluid-filled blisters(wheals) and redness(flare) Type I hypersensitivity |
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