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Entire Midterm Focus Grossman 10.14.15
Midterm Focus Only Pathphysiology 10.14.15 Grossman
169
Physiology
Graduate
10/09/2015

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Term
1.What is the most common form of hyperthyroidism?
Definition
Graves' Disease
Term
1.What happens with graves' Diease?
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.
Term
1.What are the 2 main signs of Graves' Disease?
Are they reversible?
Definition
exopthalmos and pretibial edema
-due to increased secretion of hyaluronic acid causing swelling
-not curable
Term
1.What are other S/S of Graves' disease?
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
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?
Definition
Schizophrenia
Term
2. Schizophrenia affects the gray and white matter of _____.
Definition
The cerebellum
Term
2.Do genetics and environment play a role in schizophrenia? How?
Definition
genetic loc: chromosome 22q11 deletion
30-50% concordance with twins
some ppl have reduced gene penetrance
Term
2.What are the neuroanatomical alterations in schizophrenia?
Definition
enlarged lateral and 3rd ventricle of the cerebrum.
decreased temporal lobe (emotional control
decreased thalamus and reelin
Term
2.What are the major neurotransmitter alterations in schizophrenia?
Definition
decreased Serotonin (sleep, appetite, 'the motor of life')
decreased norepinephrine (FOCUS)
decreased glutamate (excitatory, learning and memory)
increased dopamine? (JOY)
Term
3.what are the 5 main transmitters and what do they do?
Definition
Serotonin (modulates mood, sleep, and appetite
Dopamine- JOY
Norepinephrine- FOCUS
GABA - inhibits glutamine
Glutamine - stress modulator
Term
4.What are the two major classifications of mood disorder?
Definition
1.Unipolar or major depressive disorder
2.Bipolar disorder
Term
4. What are the two classifications of Bipolar disorder?
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
Term
4. what is the hereditary link with bipolar?
Definition
chromosomes 18 and 22
Term
4. What are the two major neurotransmitters that play a role in bipolar?
Definition
NE (FOCUS)
serotonin (mood, sleep, appetite)
-both are decreased
Term
4. what effect does the neurodendocrine dysregulation involved in Bipolar have on the adrenal system and thyroid system?
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
Term
4. what are the anatomic changes in bipolar?
Definition
-enlarged lateral ventricles
-atrophied frontal lobe
-increased blood flor in right amygdala
Term
4.what are clinical manifestations of bipolar?
Definition
depression:
-dysphoria (intensely painful mood)
-insomnia
-anorexia, low body weight
-anhedonia
mania:
-grandiosity
-delusions/hallucinations
-increased energy, rapid talking
-poor judgement
Term
4. Treatment for bipolar?
Definition
MAOIs (beware HTN crisis), TCAs, SSRIs (taken only without other drugs), SNRIs
psychotherapy
ECT
Term
5. what produces antibodies? What is another name for antibodies?
Are they part of the innate or adaptive immune system?
Definition
Immunoglobulins
produced by plasma cells
part of adaptive immune system (humoral and cell-mediated)
Term
5/7. what are the 5 types of immunoglobulins?
Definition
IgG
IgA
IgM
IgD
IgE
Term
5. Key features of IgG?
Definition
-most abundant
-most of the protection against infection
-crosses placenta
-predominant in secondary response
Term
5. Key features of IgA?
Definition
most common in body secretions
Term
5. Key features of IgM?
Definition
Largest in size
FIRST antibody produced during primary (initial) response
Term
5. Key features of IgE?
Definition
least abundant
-specialized for allergic responses and parasites
Term
6. what is the role of immunity?
Definition
defense against a foreign antigen
production of memory cells
key: it has MEMORY
Term
6. what is primary immunity?
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
Term
6. What is the role of boosters for vaccination?
Definition
increase the number of memory cells and sustain protective levels of both antibodies and t-cells
Term
6. what is the role of humoral immunity?
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.
Term
6. What is the role of cell mediated immunity?
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
Term
6.how do attenuated vaccines work?
Definition
weakened, live virus (MMR, varicella, polio)
Term
6.how do recombinant vaccines work?
Definition
DNA inserted encoding of an antigen that stimulates an immune response (Hep B, HPV)
Term
6.how do inactivated vaccines work?
Definition
dead virus (hep A, polio (injected), influenza)
Term
8. Which yeields more ATP molecules, aerobic or anaerobic respiration?
Definition
aerobic respiration uses oxygen and yields many more molecules
-anaerobic cellular respiration does NOT use oxygen and yields only 2 ATP molecules
Term
8. What is the function of ATP?
Definition
it is an energy-transferring molecule, stored in carbs, lipids, and protein
Term
8. What is expended for a cell to engage in active transport?
Definition
expenditure of energy, appropriate fuel, and ATP
Term
8. What does cancer tend to use for catabolism?
Definition
cancer prefers anaerobic glycolysis, preferring an acidic and anoxic environment that supports rapid growth of cancer
Term
9/43.
What are the four hypersensitivity Responses, which are mediated by antibodies, and which ones are immediate or latent?
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

Term
9.What is the role of histamine in a Type I hypersensitivity? Examples.
Definition
Histamine contracts bronchi, increases vascular permeability, increases edema/vasodilation
H2 receptors provide negative feedback for mast cell degranulation
Ex.: Hay Fever
Term
9.What are the 5 mechanisms of TypeII hypersensitivity?
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
Term
9.What are examples of Type II hypersensitivity? Allergy, autoimmune, alloimmune:
Definition
Allergy: drug allergy, leads to hemolysis
Autoimmune: thrombocytopenia, graves' disease
Alloimmune: hemolytic disease of the newborn, ABO mismatched transfused blood
Term
9.What happens in a Type III hypersensitivity reaction?
Definition
Immune complex mediated, caused by soluble antigen deposits in tissue
usually these are filtered by the kidneys and cleared by macrophages
Term
9.What are examples of Type III hypersensitivity? Allergy, autoimmune, alloimmune:
Definition
Allergy: Gluten allergy
Autoimmune: SLE (Lupus)
Alloimmune: Anaphylaxis to IgA in IV immunoglobulin, Vaccines?
Term
9.What happens in a Type IV hypersensitivity reaction?
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)
Term
9.What are examples of Type IV hypersensitivity? Allergy, autoimmune, alloimmune:
Definition
Allergy: Poison IVY
Autoimmune: Hashimoto Thyroidosis, Type I DM, Rheumatoid arthritis
Alloimmune:Graft rejection, Mantoux (TB) test
Term
10. What are free radicals?
Definition
molecules with unpaired electron; unstable
capable of injurious chemical bonds to proteins, lipids, carbs.
-ROS is common
-polycyclic aromatic hydrocarbons
Term
11
....pH = 7.56, CO2 = 28, HCO3 = 25
Definition
RESPIRATORY ALKALOSIS
Term
11
....pH = 6.96, CO2 = 71, HCO3 = 16
Definition
COMBINED ACIDOSIS
Term
11
....pH = 7.16, CO2 = 82, HCO3 = 29
Definition
PARTLY COMPENSATED RESPIRATORY ACIDOSIS
Term
11
...pH = 7.50, CO2 = 9, HCO3 = 7
Definition
PARTLY COMPENSATED RESPIRATORY ALKALOSIS
Term
11
....pH = 7.75, CO2 = 29, HCO3 = 40
Definition
COMBINED ALKALOSIS
Term
11
....pH = 7.33, CO2 = 66, HCO3 = 35
Definition
PARTLY COMPENSATED RESPIRATORY ACIDOSIS
Term
11
....pH = 6.68, CO2 = 85, HCO3 = 10
Definition
COMBINED ACIDOSIS
Term
11
...pH = 7.35, CO2 = 42, HCO3 = 23
Definition
NORMAL
Term
11
...pH = 7.21, CO2 = 60, HCO3 = 24
Definition
RESPIRATORY ACIDOSIS
Term
11
....pH = 7.48, CO2 = 19, HCO3 = 14
Definition
PARTLY COMPENSATED RESPIRATORY ALKALOSIS
Term
12
What is thyroid storm?
Definition
dangerous, rare disorder caused by excessive stress
Term
12
what causes thyroid storm and what are the S/S?
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
Term
12
What is the treatment for thyroid storm?
Definition
1. propyltiouracil/methamazole
2. beta-blockers
3. steroids
Term
1,12
Thyrotoxicosis results in...
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)
Term
1,12
What is the cause of Graves' Disease?
Definition
Type II sensitivity
stimulation of thyroid by autoantibodies (TSI-thyroid stimulating immunoglobulins) directed at TSH receptor
Term
1,12
How do the TSIs affect the thyroid and TH?
Definition
-hyperplasia of thyroid (goiter)
-increased synthesis of TH (esp T3)
(decreased TSH)
Term
1,12
what are the 2 key S/S for graves' disease.
Definition
-exopthalmos
-pretibial myxedema
=NOT REVERSIBLE with treatment
Term
1,12
Treatment for Graves' disease?
Definition
antithyroid drugs
radioactive iodine
surgery
Term
1,12
what is the major complication for treatment of thyrotoxicosis?
Definition
HYPOTHYROIDISM
Term
13.
What are typical bacteria?
Definition
cell wall (has peptidoglycan)
cell membrane
no nuclear membrane
reproduce by binary fission
susceptible to antibiotics, but not antifungal agents
Term
14.
What as the difference between gram positive and gram negative bacteria?
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
Term
15.
what is the #1 cancer killer in the US and the world?
Definition
Lung Cancer
Term
15.
what is the #1 environmental and occupational cause of lung cancer?
Definition
asbestos
-causes mesothelioma, arises from epithelium covering the serous membrane
Term
15.
where does lung cancer most often arise?
Definition
the epithelium of the respiratory tract
Term
15.
where is non-small cell lung cncer found?
what are the manifestations?
Definition
Term
15.
what is the most common non-small cell lung cancer?
Definition
adenocacinoma
<4cm long
Term
15.
What is the most aggressive form of lung cancer?
Definition
small cell lung cancer
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?
Definition
arises from central part of the lung
a major risk factor is smoking
can release ACTH, aldosterone, ADH
Term
16.
Do mycoplasma bacteria have a rigid cell wall?
Are mycoplasma bacteria pleomorphic?
Definition
lack rigid cell wall
small and pleomorphic (able to assume different shapes)
Term
16.
Does mycoplasma pneumoniae cause typical or atypical pneumonia?
Definition
atypical pneumonia
Term
17.
What is an endogenous virus?
give an example.
Definition
A virus that stays swithin a cell for a period of latency until it is activated
i.e. herpes zoster
Term
18.
What is monocytosis?
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
Term
18.
where are monocytes created and develop?
Definition
produced in the bone marrow
they develop into macrophages at the site of inflammation
-happens in TB, Endocarditis
Term
19.
What is lymphocytosis?
when is it seen?
Definition
an increase in the number of lymphocytes in the blood
-happens with thyrotoxicosis, adrenal insufficiency, and mycoplasma pneumoniae
Term
19.
what infections and conditions most commonly show lymphocytosis?
Definition
most common in acute viral infections
i.e.: epstein-barr virus, mono, CMV, pertussis; hepatitis
Term
20.
what is eosinopenia?
what are common causes?
Definition
a decrease in circulating numbers of eosinophils
i.e.: Cushing syndrome, steroids, stress; stress from shock, trauma, and burns
Term
21.
what is neutrophilia?
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
Term
22.
what is leukocytosis?
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
Term
23.
what is thrombocytopenia?
Definition
low number of platelets
associated with: colorectal and genitourinary cancer
Term
24.
What are interleukens?
Definition
aka cytokines
produced by macrophages and lymphocytes by recognizing pathogens or in inflammation
-enhancement of the acquired immune response
Term
24.
Give and example of a pro-inflammatory cytokine.
Definition
IL1
Term
24.
Give an example of an anti-inflammatory cytokine. what does it do?
Definition
IL-10: suppresses growth of lymphocytes and production of proinflammatory cytokines
Term
25.
What is interferon and what does it do?
Definition
low molecular weight proteins that primarily:
-protect against VIRAL infections
-modulate inflammatory response
Term
25.
Where are TypeI and TypeII interferon produced, respectfully?
Definition
Macrophages-typeI
T-lymphocytes-typeII
Term
25.
Do interferon kill infections directly?
Definition
NO, they merely prevent further infection of cells.
Term
25.
What does Interferon do for the Adaptive Immune Response?
Definition

Enhances its effectiveness

--Interferon is used to treat and control multiple sclerosis, an autoimmune disorder

Term
26.
What is complement?
Definition
Series of Reactive Proteins in plasma that works with antibodies to destroy antigens
-able to destroy pathogens directly
Term
26.
What is HSCRP and what are normal values?
Definition
High Sensitivity C-Reactive Protein
Normal: 1.0-3.0mg/L
Term
26.
Increased complement is a ______ sign for treatment working?
Definition
Positive
Term
26.
What is diapedesis?
Definition
the passage of blood cells through the intact walls of the capillaries
Term
26.
Complement works with every other component of the inflammatory response (T or F)
Definition
True
Term
26.
define Opsonization
Definition
identifying the invading particle to the phagocyte
Term
26.
What are the 3 ways the Complement cascade is activated?
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
Term
26.
What are the Four functions of Complement?
Definition
-Anaphylactic activity
-Leukocyte chemotaxis
-Opsonization-by neutrophils and macrophages
-Cell Lysis-proenzymes then destroy cells
Term
26.
What is complement?
Definition
Series of Reactive Proteins in plasma that works with antibodies to destroy antigens
-able to destroy pathogens directly
Term
26.
What is HSCRP and what are normal values?
Definition
High Sensitivity C-Reactive Protein
Normal: 1.0-3.0mg/L
Term
26.
Increased complement is a ______ sign for treatment working?
Definition
Positive
Term
26.
What is diapedesis?
Definition
the passage of blood cells through the intact walls of the capillaries
Term
26.
Complement works with every other component of the inflammatory response (T or F)
Definition
True
Term
26.
define Opsonization
Definition
identifying the invading particle to the phagocyte
Term
26.
What are the 3 ways the Complement cascade is activated?
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
Term
26.
What are the Four functions of Complement?
Definition
-Anaphylactic activity
-Leukocyte chemotaxis
-Opsonization-by neutrophils and macrophages
-Cell Lysis-proenzymes then destroy cells
Term
27.
What allow malignant cells direct access into the venous blood and lympatics
Definition
Neovascularization
Term
27.
What is tissue selectivity in relation to cancer and neovascularization?
Definition
different types of cancer tend to only grow and metastasize to certain tissues
i.e.: lymphomas spread to spleen but not bone
Term
28.
What is another name for immunotransmitters?
Definition
aka cytokines
Term
28/40.
Are cytokines pro- or anti- inflammatory?
Definition
both
Term
28/40.
what is the role of the cytokine?
Definition
mediates interactions between cells to kill bacteria
-involved in inflammatory and immune response
Term
28/40.
what are the 3 types of cytokines?
Definition
-interleukins
-TNF (alpha)
-Interferon
Term
28/40.
what cell secretes cytokines?
Definition
macrophages
Term
28/40.
are cytokines involved in fever?
Definition
yes, TNF alpha is an endogenous pyrogen
Term
29.
What is immune specificity?
Definition
each T or B cell recognizes only one antigen, but together they recognize a host of foreign antigens (adaptive immunity)
Term
29.
What is the key feature about the immune response?
Definition
SPECIFICITY and MEMORY
Term
30.
What are the two key features of a stem cell?
Definition
self-renew: some fraction fo the cell divisions create new stem cells
multi-potent: ability to differentiate into multiple different cell types
Term
30.
Definition
Term
31.
what is the role of the plasma cell?
Definition
factory-secretes a single class or subclass of antibody with one variable region-specific to one antigenic determinant
Term
31.
What are the two mediators of humoral immunity?
Definition
-antibody
-T cells
Term
32.
What does humoral immunity protect against?
Definition
bacteria and viruses
Term
33.
What is the term used to describe proteins found on the surface of lymphocytes or other cells?
Definition
Clusters of differentiation
Term
34.
What is the leading cause of pediatric acquired heart disorders in the US?
Definition
Kawasaki Disease
Term
34.
What is Kawasaki disease?
Definition
Cardiovascular disease characterized by:
-inflamed heart and vessels
-coronary artery aneurysm
-thickening and stenosis
=self limiting
=may result in cardiac sequelae
Term
34.
What are signs/symptoms needed to diagnose Kawasaki disease?
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
Term
34.
What are the stages to Kawasaki disease?
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
Term
35.
What cardiac syndrome is associated with delections on chroosome 22 and DiGeorge syndrome?
Definition
Tetralogy of Fallot
Term
35.
what four defects are associated with Tetraolgy of Fallot?
Definition
Term
35.
What is the overriding problem associated with tetralogy of Fallot?
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]
Term
35.
how is tetralogy of Fallot corrected?
Definition
-patch closure of the VSD
-resection of infundibular or valvular stenosis
-augmentation of the right ventricle outflow tract
Term
36.
What is SIADH
Definition
inability to suppress secretion of ADH (excessive secretion)
excess blood volume leads to decreased sodium concentration in blood
Term
36.
Where is ADH produced and released?
Definition
produced in hypothalamus
released by pituitary gland
Term
36.
Is there edema with SIADH?
Definition
no edema, but there is volume expansion and hypertension
Term
36.
what are the causes of SIADH?
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
Term
36.
What is the treatment for SIADH?
Definition
Diet:
fluid restriction
Increased Na+ intake
Term
36.
what is a common cause of irreversible damage related to SIADH?
Definition
If serum Na+ drops too low, irreversible damage may occur
Term
36.
What is required to diagnose SIADH?
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
Term
35.
What is the overriding problem associated with tetralogy of Fallot?
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]
Term
35.
how is tetralogy of Fallot corrected?
Definition
-patch closure of the VSD
-resection of infundibular or valvular stenosis
-augmentation of the right ventricle outflow tract
Term
37.
What is the 2nd leading cause of death (second to prematurity) in the first year of life.
Definition
Congenital heart defects
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
37.
Definition
Term
38.
define psychoneuroimmunology
Definition
study of the interaction of consciousness, brain, and spinal cord, and the body's defenses against external infection and abnormal cell division
Term
38.
what is the association between stress and adverse heart effects?
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
Term
39.
What type of immunity is mediated by T-cells (t-lymphocytes)?
Definition
Cell mediated immunity
Term
39.
What antibodies are involved in cell-mediated immunity?
Definition
none
Term
39.
Cell-mediated immunity is responsible for defending against what types of pathogens?
Definition
fungal and viral
Term
39.
What are the functions of t-cells in cell-mediated immunity?
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)
Term
39.
what is the role of cytotoxic cells in cell-mediated immunity?
Definition
attack and kill targets directly (viruses or cancer), or inhibit virus-infected cells
Term
39.
what is the role of t-reg cells in cell-mediated immunity?
Definition
prevent attack of self antigens and restrict immune response
Term
39.
what is the role of memory t-cells in cell-mediated immunity?
Definition
- induce secondary cell-mediated immune response
Term
3.
levels of what neurotransmitters are decreased in depression?
Definition
at least one of three of the following:
serotonin
norepinephrine
dopamine
Term
3.
What are 3 catecholamines?
Definition
cortisol
glucose
NE
Term
3.
What is chronically activated in debression?
Definition
HPA axis
-hypothalamic-pituitary-adrenal
Term
3.
What is the relationship between glutamate and GABA?
Definition
Both are neurotransmitters
Glutamate is a stress modulatory
GABA inhibits glutamate
Term
13.
what is the distinction regarding atypical bacteria?
Definition
they cannot be stained by gram staining
Term
16.
Are mycoplasma bacteria typical or atypical bacteria?
can the be phagocytized?
Definition
atypical bacteria
no, they cannot be phagocytized
Term
41.
what are protease inhibitors?
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
Term
41.
what type of reaction is a wheal and flare reaction?
Definition
Type 1 allergic response
Term
42.
what are symptoms of a wheal and flare reaction?
what type of hypersensitivity?
Definition
localized release of histamine, urticaria, white fluid-filled blisters(wheals) and redness(flare)
Type I hypersensitivity
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