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Human Physiology Test 4
Lymphatic, Immune, Respiratory, & Urinary Systems
109
Biology
Undergraduate 4
04/30/2013

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Term
The three types of lymphocytes
Definition
Natural Killer
T lymphocytes
B lymphocytes
Term
What are Natural Killer cells?
Definition
cells that make up 5% lymphocytes; they attack bacteria, transplanted tissue, infected host cells, and cancerous cells
Term
What are T lymphocytes?
Definition
cells that make up 80% of lymphocytes
Term
What are B lymphocytes?
Definition
cells that make up 15% of lymphocytes; they produce the Igs
Term
What are Macrophages?
Definition
CT phagocytes that develop form monocytes; they present antigenic fragments to T cells through APCs
Term
What is APC?
Definition
Antigen Presenting Cells
Term
What are dendritic cells?
Definition
mobile APC's of epidermal, mucous membranes, and lymphatic organs
Term
What are Reticular Cells?
Definition
stationary APC's in stroma of a lymphatic organ?
Term
What is an example of a Reticular cell?
Definition
thymus
Term
What are the two types of defenses against pathogens?
Definition
Non-specific (Innate) resistance
Specific (Adaptive) immunity
Term
What are Non-Specific (Innate) resistors?
Definition
external barriers; WBC's macrophages, antimicrobial proteins, inflammation, fever
Term
T/F; The effectiveness of non-specific resistance rely on prior Ag exposure.
Definition
False; the effectiveness does not rely on prior Ag exposure
Term
What are the three types of external barriers?
Definition
skin
mucous membranes
sub epithelial areolar tissue
Term
What is skin?
Definition
external barrier; characterized by keratin, dry, nutrient-poor with an acid mantle
Term
What is Mucous membranes?
Definition
external barrier; characterized by having a mucous coat that traps microbes, and has lysozyme
Term
What are some examples of Mucous membranes?
Definition
digestive, respiratory, urinary and reproductive tracts,
and
stomach and vaginal acids
Term
What is subepithelial areolar tissue?
Definition
external barrier; characterized by viscous gel made of hyaluronic acid
Term
What are interferons secreted by?
Definition
virally infected cells
Term
What do interferons do?
Definition
alert neighboring cells; alerted cell synthesizes of various proteins (ex: breaks down viral genes); activate NK and macrophages (nonspecific)
Term
T/F; Complement system contributes to both nonspecific and specific.
Definition
True
Term
What "kills everything and fixes it later"?
Definition
complement system
Term
Where is proteins synthesized in the complement system?
Definition
liver
Term
The complement system is activated by what?
Definition
presence of a pathogen
Term
What are the three pathways that activate the complement system?
Definition
classical, alternative, and lectin
Term
Which of the 3 pathways in the complement system takes antibodies?
Definition
classical
Term
What are the 4 mechanisms of pathogen destruction by complement?
Definition
inflammation
immune clearance
phagocytosis
cytolysis
Term
What happens during inflammation?
Definition
C3a stimulates mast cells and basophils to secrete inflammatory chemicals (histamine is one); activates and attracts neutrophils, macrophages
Term
What happens during immune clearance?
Definition
C3b binds with Ag-Ig complexes on RBC; macrophages and liver & spleen destroy the Ag-Ig complexes leaving the RBC's unharmed
Term
What happens during Phagocytosis?
Definition
C3b coats microbial cells with biding sites for phagocyte attachment
Term
What happens during cytolysis?
Definition
C3b splits other complement proteins and binds to the enemy cell forming MAC that causes the cell to rupture
Term
What forms a hole in the target cell?
Definition
membrane attack complex (MAC)
Term
What is pyrexia?
Definition
fever
Term
What does a 'mild' fever do?
Definition
promotes interferon activity and elevates metabolic rate to help accelerate repair and inhibits microbial reproduction
Term
What are the characteristics of specific (adaptive) immunity?
Definition
specificity and memory
Term
What are the 2 types of specific (adaptive) immunity?
Definition
Cellular (cell-mediated) immunity
and
humoral (Ig-mediated) immunity
Term
What type of cells are used in cellular (cell-mediated) immunity?
Definition
T cells
Term
What type of cells are used in humoral (Ig-mediated) immunity?
Definition
B cells
Term
What happens in cellular (cell-mediated) immunity?
Definition
lymphocytes directly attack and destroy foreign cells or infected host cells; direct attack
Term
What happens in humoral (Ig-mediated) immunity?
Definition
Igs 'flag' bacteria, loose viruses, or toxins, in order to target them for destruction; indirect attack
Term
What is natural active immunity?
Definition
when the individuals own Ig's or T cells fight the infection
Term
What is artificial active immunity?
Definition
when a vaccination activates B or T cells to fight the infection
Term
What is a vaccine?
Definition
dead or 'attenuated' pathogen that stimulates immune response without causing the disease
Term
What is natural passive immunity?
Definition
temporary immunity using Igs from another person such as from mother passed through the placenta and milk
Term
What is artificial passive immunity?
Definition
temporary immunity from the injection of Igs from other sources such as antiserum for snake bites and shots for botulism, rates, and tetanus
Term
What does Ag stand for?
Definition
antigens
Term
What are antigens?
Definition
any molecule that triggers immune responses and are proteins
Term
What are some examples of antigens?
Definition
foreign proteins polysaccharides, glycoproteins, glycolipids, epitomes, and haptens
Term
What are haptens?
Definition
antigens that are too small, and must combine with a host macromolecule to become antigenic (ex: cosmetics, chemicals, penicillin)
Term
T/F; T cells are from the PPSC and need 'immature' T cells to colonize them.
Definition
true
Term
Where do T cells mature?
Definition
thymus
Term
T/F; Certain stem cells in the hypothalamus develop into B cells.
Definition
False; Certain stem cells in the red bone marrow develop into B cells
Term
T/F; B cells produce immunocompetent clones.
Definition
True
Term
What is T cell's specific defense?
Definition
to attack and destroy diseased or foreign cells and 'remember' the Ag for protection of future infections
Term
What are the 4 classes of T cells?
Definition
cytotoxic T
helper T
regulatory T
memory T cells
Term
What are cytotoxic T cells?
Definition
'killer T cells' that carry out attack
Term
What are helper T cells?
Definition
T cells that promote the cytotoxic T cell and B cell action & nonspecific resistance
Term
What are regulatory T cells?
Definition
T cells that inhibit cloning & cytokine secretion by other T cells; it also limits the immune response (protective)
Term
What are memory T cells ?
Definition
T cells that are defended from the cytotoxic T cells and are responsible for memory in a cellular immunity
Term
What are the 3 stages of cellular immunity?
Definition
(RAM)
Recognition
Attack
Memory
Term
What are the 5 classes of Ig?
Definition
IgG
IgA
IgM
IgE
IgD
Term
Which Ig is most abundant in the body but not most abundant in the blood?
Definition
IgA
Term
Which Ig is on B cell membranes as an Ag receptor?
Definition
IgD
Term
Which Ig is on basophils and mast cells?
Definition
IgE
Term
Which Ig accounts for 80% of the circulation antibodies?
Definition
IgG
Term
Which Ig is in plasma and lymphs?
Definition
IgM
Term
Which Ig attracts eosinophils to parasitic infections?
Definition
IgE
Term
Which Ig is the primary immune response, agglutination, and trigger complement?
Definition
IgM
Term
Which Ig prevents pathogen adherence to epithelial and infection?
Definition
IgA
Term
Which Ig can cross the placentas, acts as a secondary immune response, and complement fixation?
Definition
IgG
Term
Which Ig gives passive immunity to newborns?
Definition
IgA
Term
Which Ig can be found in plasma, mucus, saliva, tears, milk, and intestinal secretions?
Definition
IgA
Term
What is respiration?
Definition
the overall exchange of gases between the atmosphere, blood, and body cells
Term
What is metabolism?
Definition
cellular respiration
Term
What are the functions of Respiration?
Definition
O2 and CO2 exchange; vocalizations; smell; buffers pH and body fluids; affects BP; Pressure gradient; and breath holding
Term
What does angiotensin II affect?
Definition
blood pressure
Term
Why is breath-holding an important function of respiration?
Definition
helps expel abdominal contents during urination, defection, and child birth (known as the Valsalva maneuver)
Term
What is pulmonary ventilation?
Definition
repetitive cycle of inspiration and expiration
Term
How do breathing muscles change lung volumes?
Definition
by creating pressure differences relative to atmosphere
Term
What are the 4 inputs to respiratory centers?
Definition
central chemoreceptors
peripheral chemoreceptors
stretch receptors
and
irritant receptors
Term
What are central chemoreceptors?
Definition
found in the brainstem; they respond to pH changes of the cerebral spinal fluid
Term
What are peripheral chemoreceptors?
Definition
carotid and aortic bodies
Term
What are stretch receptors?
Definition
found in the smooth muscles of the brochi bronchioles; they exhibit the Hering-Breuer reflex
Term
What is the Hering-Breuer reflex?
Definition
excessive inflation inhibits inspiratory neurons that is most important in newborns
Term
What are irritant receptors?
Definition
found in the airway epithelial cells, they trigger bronchoconstriction, breath-holding, and coughing when irritated by smoke, duct, fumes, cold, air, etc
Term
What are the 3 factors of resistance to airflow?
Definition
bronchus/bronchiole diameter
pulmonary compliance
&
surface tension of the alveoli and distal bronchioles
Term
What stimulates bronchodilation?
Definition
sympathetic nerves
Term
What stimulates bronchoconstriction?
Definition
histamine, parasympathetic nerves, cold air & chemical irritants
Term
What does surfactant do?
Definition
reduces surface tension of water
Term
What does Hb unload in order to match metabolic needs of the tissues?
Definition
O2
Term
What are the 4 factors of adjustment to metabolic needs?
Definition
ambient PO2
teperature
bohr effect
bisphosphoglycerate
Term
How does ambient PO2 adjust metabolic needs?
Definition
active tissue has low PO2; O2 is unloaded from Hb
Term
How does temperature adjust metabolic needs?
Definition
active tissue has high temperature; O2 unloading
Term
How does the Bohr effect adjust metabolic needs?
Definition
active tissue has high CO2, which lowers the pH of blood; O2 unloading
Term
How does the bisphosphoglycerate adjust metabolic needs?
Definition
RBC's produce BPG which binds to Hb; O2 is unloaded
Term
What are the functions of the kidney?
Definition
filters blood plasma, eliminates wastes; regulates blood volume and BP; regulate osmolarity of body fluids; secretes renin; secretes erythropoietin; helps lungs regulate acid-base balance; final step in synthesizing calcitriol; gluconeogenesis from amino acids in extreme starvation
Term
What does renin do?
Definition
used to help make a hormone later on
Term
What does erythropoietin do?
Definition
helps create RBC's
Term
What does calcitriol do?
Definition
hormone for calcium homeostasis
Term
T/F; the cortex & medulla have peritubular capillaries.
Definition
True
Term
T/F; The cortex has most of the nephron loops & vasa recta.
Definition
False: The medulla has most of the nephron loops & vasa recta.
Term
What are the 3 steps of urine formation?
Definition
Glomerular filtration
Tubular reabsorption
and
water reabsorption
Term
What does glomerular filtration do?
Definition
creates a plasma like filtrate of the blood
Term
What does tubular reabsorption do?
Definition
removes useful solutes from the filtrate, returns them to the blood
Term
T/F; Arrerent arterioles is larger than efferent arterioles.
Definition
True
Term
T/F; Corpuscles are only in the cortex.
Definition
True
Term
T/F: Glomerulus are vulnerable to hypotension.
Definition
False; Glomerulus are vulnerable to hypertension.
Term
What is the myogenic mechanism?
Definition
stretch; when your BP increases you constrict the afferent arteriole, dilate efferent arteriole, and this stabilizes GFR (and visa versa)
Term
What is the tubuloglomerular feedback?
Definition
if the GFR rises the tubular fluid increases, the macula dense stimulates JG cells,
Term
How effective is auto regulation?
Definition
does not completely prevent changes in GFR; and cannot compensate for the extremes in BP
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