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Immunology
USMLE Step 1
80
Medical
Graduate
02/01/2011

Additional Medical Flashcards

 


 

Cards

Term
Location of high endothelial venules
Definition
paracortex of lymphnodes
Term
Chronic Granulomatous Disease
Definition
Pathophys: NADPH oxidase deficient, less reactive oxygen species, neutrophils cannot do respiratory burst, abnormal macrophage function
Labs: negative nitroblue tetrazolium dye reduction test
Presentation: sensitive to Catalase + orgs. (S. Aureus, Nocardia, Serratia, Aspergillus, EColi, Pseudomonas Cepacia)
Term
Howell-Jolly bodies
Definition
splenectomy/asplenic pt
Term
HLA A3
Definition
hemochromatosis
Term
HLA B27
Definition
Psoriasis, Ankylosing Spondylitis, IBD, Reiters
Term
HLA B8
Definition
Graves'
Term
HLA DR2
Definition
MS, Hay fever, SLE, Goodpastures
Term
HLA D3
Definition
DM type 1
Term
HLA DR4
Definition
RA, DM type 1
Term
HLA DR 5
Definition
Hashimoto's Pernicious Anemia-B12 Def
Term
HLA DR7
Definition
steroid responsive nephrotic syndrome
Term
Perforin
Definition
Natural Killer Cell
Term
Antibody that crosses the placenta
Definition
IgG
Term
Antibody in breast milk
Definition
IgA
Term
Pentamer Antibody
Definition
IgM
Term
Mastcell, basophil activating antibody
Definition
IgE
Term
Antibody against worms
Definition
IgE
Term
Recognizes antigens w/o peptide
Definition
IgM
Term
cytokine causing fever
Definition
IL-1
Term
Primary opsonins in bacterial defense
Definition
C3b, IgG
Term
Anti-SS-A (Ro)
Definition
Sjogren's
Term
Anti-dsDNA
Definition
SLE
Term
Anti-SS-B (La)
Definition
Sjogren's
Term
Antihistone
Definition
drug-induced lupus
Term
Anti-IgG
Definition
Rheumatoid arthritis
Term
Anticentromere
Definition
CREST
Term
Anti-Scl-70 (anti-DNA toporisomerase I)
Definition
Scleraderma (diffuse)
Term
Antimitochondrial
Definition
primary biliary cirrhosis
Term
Antigliadin
Definition
Celiac
Term
Anti-Smith
Definition
SLE
Term
Antiendomysial
Definition
Celiac
Term
Anti-basement membrane
Definition
Goodpastures
Term
Anti-desmoglein
Definition
Pemphigus vulgaris
Term
Antimicrosomal
Definition
Hashimotos
Term
Antithyroglobulin
Definition
hashimotos
Term
Anti-Jo-1
Definition
Polymyositis, dermatomyositis
Term
Anti-U1 RNP
Definition
Mixed connective tissue disease
Term
Anti-smooth muscle
Definition
autoimmune hepatitis
Term
Anti-glutamate decarboxylase
Definition
Type-1 DM
Term
Bruton's agammaglobulinemia
Definition
Pathophys: Defect in BTK, tyrosine kinase, no B-cell differentiation.
Labs: Normal pro-B, less maturation, less number of B cells, less Igs (all)
Presentation: recurrent bacterial infections after 6 months
Term
Hyper IgM
Definition
Pathophys: Defective CD40L on Th cells - no B cell class switching
Labs: High IgM, very low IgG, IgA, IgE
Presentation:severe pyogenic infections early in life
Term
Selective Ig Deficiency
Definition
Pathophys: Defective isotope switching (specific Ig missing, most often IgA)
Labs: Less of Ig (IgA most likely)
Presentation: sinus and lung infections, milk allergies and diarrhea, anaphylaxis on exposure to blood with IgA
Term
Common variable immunodeficiency
Definition
Pathophys: Defect in B-cell maturation (many causes)
Labs: normal # of B cells, less plasma cells and Ig
Presentation: sinopulmonary infections (hflu, s. pneumo), increased risk of autoimmune disease, lymphoma, can be acquired in 20s-30s
Term
Thymic aplasia
Definition
DiGeorge
Pathophys: 22q11 deletion, failure to develop 3rd and 4th pharyngeal pouches. Thymus and parathymus fail to develop.
Labs: less T cells, less PTH, less calcium
Presentation:tetany (hypoCa) recurrent viral/fungal infections. congenital heart/great vessel defects
Term
IL-12 receptor deficiency
Definition
Pathophys: decreased Th1 response Labs: less IFN gamma Presentation: disseminated mycobacterial infections
Term
Job's syndrome
Definition
Pathophys:cells fail to produce IFN gamma - neutrophils can't react to chemotaxtic stimuli, hyper IgE
Labs: increased IgE
Presentation:coarse facies, noninflammed staphylococcal abcess, retained primary teeth, eczema
Term
Chronic mucocutaneous candidiasis
Definition
Pathophys: T cell dysfxn
Presentation: candida albicans infections of skin and mucus membranes
Term
Severe combined Immunodeficiency
Definition
Pathophys: 1. defective IL2 receptor
2. adenosine deaminase deficiency.
3. MHCII deficiency
Labs: 1. decreased T cell activation
2. increased adenine (toxic to B and T cells)
Presentation: B and T cell deficiency causes recurrent viral, bacterial, fungal and protozoal infections.
Treatment: Bone marrow transplant
Term
Ataxia Telangiectasia
Definition
Pathophys: Defect in DNA repair
Labs: IgA deficiency
Presentation: cerebellar defects (ataxia), spider angiomas, IgA deficiency leading to sinopulmonary infections
Term
Wiskott-Aldrich
Definition
Pathophys: X linked. Progressive loss of T and B cells
Labs: more IgE and IgA, decreased IgM
Presentation: Thrombocytopenic purpura, infections, eczema
Term
Leukocyte adhesion deficiency
Definition
Pathophys: defect in LFA-1 integrin (CD18) on phagocytes
Labs: neutrophilia
Presentation: recurrent bacterial infections, absent pus formation, delayed umbilical separation
Term
Chediak-Higashi syndrome
Definition
Pathophys: Autosomal recessive, microtubular dysfunction --> decreased phagocytosis
Presentation: recurrent pyogenic infections by staph and strep, partial albinism, peripheral neuropathy
Term
Cells involved in type IV hypersensitivity
Definition
macrophages, T cells
Term
immunity to influenza
Definition
anti-hemagglutinin IgA, IgG
Term
Mechanism: Cyclosporin A
Definition
bind to cyclophilin, which then binds to calcineurin, inhibiting transmission of IL-2
Only prevents activation of inactive cells, no function on already activated cells
Term
Mechanism: Tacrolimus
Definition
Inhibits Th activation by binding to a cyclophilin (different from cyclosporin), which binds to calcineurin inhibiting IL-2 formation
Term
Mechanism: Mycophenolate mofetil
Definition
inhibits inosine monophosphate dehydrogenase, which changes inosine monophosphate to guanosine monophosphate, thereby inhibiting B and T cells
Term
Azathioprine: Mechanism
Definition
used early following transplantation Inhibits synth of inosinic acid, blocking DNA synth
Term
Mechanism: Muromonab-CD3 (OKT3)
Definition
binds to CD3 on T cells, blocks interaction with CD3, and blocks T cell signal transduction
Term
Mechanism of immunosuppression: Corticosteroids
Definition
corticosteroid-receptor complex binds to NF-kappaB to prevent IL-2 transcription
Also inhibit macrophage release of IL-1 (which activates IL-2 synth)
Term
Sirolimus (rapamycin)
Definition
binds to mTOR, inhibits T Cell proliferation in response to IL-2
Term
Daclizumab
Definition
monocolonal antibody with high affinity for IL-2 receptor on activated T cells
Term
Negative nitroblue tetrazolium dye reduction test
Definition
Chronic granulomatous disease
Term
See decreased IFN-gamma in?
Definition
IL-12 deficiency and Job's syndrome
Term
Erythroblastosis fetalis antibody
Sx?
Definition
IgG
Anemia, nucleated erythrocytes, hepatomegaly, edema, extramedullary hematopoeisis
Term
antibody involved in henoch-schonlein purpura
Definition
IgA
Term
Type I hypersensitivity
Definition
IgE-dependent basophil degranulation
Term
Where complement (c1) binds
Definition
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Term
Site of phagocytic cell binding
Definition

(CH3) Fc Receptor on phagocytic cell (macrophage, neutrophil) binds

Also site of J chain binding

 

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Term
Site of T cell positive selection
Definition
Thymus cortex
Term
Site of T cell negative selection
Definition
Thymus medulla
Term
Path of chronic rejection
Definition

few inflammatory cells

Fibrosis via antibody-mediated vascular damage

Term
Path of hyperacute kidney rejection
Definition
vascular fibrinoid necrosis, neutrophil infiltrates within arterioles, glomeruli, peritubular capillaries
Term
Antibody forming dimers with J chain
Definition
IgA - dimer is secretory
dimer also contains secretory component
Term
location of secretory component production
Definition
epithelial cell
Term
C1 complement component deficiency
Definition
associated with SLE, not immunodeficiency
Term
invariant chain
Definition
Peptide bound to the MHCII at antibody binding site during intracellular processing.
Peptide aids transport of MHCII to phagolysosome or acidified endosome (after endosome-lysosome fusions) where antigen is.
Term
cystokines involved in inflammation (increased ESR)
Definition
IL-1, IL-6, TNF alpha
Term
PAF action
Definition
basoconstriction, vasoconstriction, platelet stimulation
Term
neutrophil migration
Definition
Leukotriene B4
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