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The study of the immune system and immune responses |
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The immune system is considered to be a ________ host defense mechanism and the _________ line of defense. |
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The 2 primary functions of the immune system are to: |
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1. Differentiate b/t "self" and "non-self" [hint: somthing foreign] 2. Destroy that which is non-self |
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A substance, usually foregin, that stimulates the production of antibodies; an antibody generating substance. [antigens are molecules that stimulate the immune system to produce antibodies.] |
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A glycoprotein produced by lymphocytes in response to an antigen; if it protects the host in some manner, it is referred to as a protective antibody. |
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There are two major "arms" of the immune system are: |
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Hummoral Immunity [also known as "antibody-mediated immunity"(AMI)] and and CMI ["cell-mediated immunity"] |
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Explain:Hummoral Immunity |
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Humoral immunity always involves the production of antibodies in response to antigens. After their production, the humoral [circulating] antbodies remain the in blood plasma, lymph, and other body secretions where they protect against the specific pathogens that stimulated their production. [hint: in humoral immunity, a person is immune to a particular pathogen b/c of the presence of specific protective antibodies that are effective against that pathogen.] |
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Explain: CMI "cell-mediated immunity" |
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Involves various cell types, with antibodies only playing a MINOR ROLL, IF ANY. |
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Define: Acquired Immunity |
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Immunities that humans acquire as life progresses, from conception onward [immunity that results from the active production or receipt of protective antibodies during one's lifetime] |
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Compare: Active Acquired Immunity vs. Passive Acquired Immunity |
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-Active Acquired Immunity: If the antibodies are actually produced within the person's body; such protection is usally long lasting -Passive Acquired Immunity: the person receives antibodies that were produced by another person or by more than one person, or in some cases by an animal; such protection is usually only temporary. |
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Name the two types of Active Acquired Immunity |
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Explaim - Natural and Artificial Active Acquired Immunity |
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-Natural: [or naturally occuring] active acquired immunity, which, as the name implies, occurs naturally. -Artifical: [or artificially occuring] active acquired immunity, which does not occur naturally; rather, it is artificially induced. |
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Define: Protective antibodies |
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Antibodies that protect us from infection or reinfection |
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Active Aquired Immunity verse Passive Aquired Immunity |
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-Active acquired immunity: Natural (infection) Artificial (vaccine) -Passive acquired immunity: Natural (ex: fetus receiving maternal antibodies in utero; ex: an infant receiving maternal antibodies in colostrum] Artificial (shot of :sera, gamma globulin) |
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-Contains enough antigens -Covers all strains -Few or no side effects -Does not cause disease |
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Humoral immunity: Antibodies -What is it made of and where does it come from? |
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Glycoproteins produced by plasma cells |
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All anitbodies are in a category of proteins called IMMUNOGLOBULINS- define. |
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globular glycoproteins in the blood that participate in immune reactions. |
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In addition to being found in blood, immunoglobulins are also found in: |
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lymph, tears, saliva, and colostrum. |
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Antibodies found in the blood are called ______ where antibodies that provide protection against infectios diease are called ________ |
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humoral [circulating antibodies]; protective. |
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5 classes [or isotypes] of Immunoglobulins (Ig) |
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-Antigenic: substance capable of stimulating the production of antibodies -Immunogenic: the ability to induce a humoral and/or cell-mediated immune response [hint: an immunogen is able to induce an immune response, whereas an antigen is able to combine with the products of an immune response once they are made.] |
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Define: Antigenic determinants [or epitopes] |
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Individual molecules that stimulate the production of antibodies |
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A small, nonantigentic molecule that becomes antigenic when combined with a larger molecule -e.x. a carrier protein. An ex is penicillin. |
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Humoral Immunity: Location of immune responses |
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Humoral Immunity: Antigen-Antibody Complexes [Ag – Ab complexes]: explain |
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The combination of an antibody and an antigen is called an antigen-antibody complex, Ag-Ab complex, or immune complex. -Capable of activating the compplement cascasde |
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Humoral Immunity: Antigen-Antibody Complexes [Ag – Ab complexes]: What does activating the complement cascade result in? |
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The activation of leukocytes, lysis of bacterial cells, and increased phagocytosis as a result of opsonization. |
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Define: Momclonal Antibodies |
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Antibodies produced by a clone of genetically identical hybrid cells [commonly used in IDP-immunologic procedures used in laboratories to diagnose diease.] |
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What does Cell-Mediated Immunity do? what do they involve? |
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-Control infections of intracellular parasites -Interactions between many types of cells and cytokines |
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soluble chemical messages released by cells of the body |
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Define: plasma cells. where do they come from? |
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The cells the secrete antibodies are called plasma cells; they are derived from B cells. |
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Name the cells that are involved with CMI |
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Macrophage T helper cells Effector cells (TCytotoxic, NK, K cells) |
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Cell-Mediated ImmunityHypersensitivity - define |
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Overly sensitive immune system |
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Hypersensitivity reactions: 2 types - explain |
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-Immediate hypersensitivity reaction Within minutes to 24 hours -Delayed hypersensitivity reaction > 24 hours Cell-mediated |
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How many types of Hypersensitivity are there? |
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Produce IgE antibodies when they are exposed to allergens [antigens that cause allergic reactions] Localized anaphylaxis Systemic anaphylaxis Anaphylactic shock |
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Type II Hypersensitivity Process: |
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Cytotoxic reactions (cell damage), body cells are damaged -Ag binds to cell surface -Ab binds to the bound Ag -Ab binding initiates complement activation -Complement cascade lyses cell |
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Type II hypersensitivity: what does this lead too? |
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Incompatible blood transfusions Rh factor incompatibility |
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Type III Hypersensitivity Causes Disease? |
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Immune complex reactions [the result of binding of an antibody with the antigen that stimulated its production] - Causes: Tissue damage Serum sickness -Disease: Autoimmune diseases Systemic lupus erythematosis Rheumatoid arthritis |
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Define: Infectious Disease |
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Infectious diseases are diseases that are caused by pathogens, following colonization of some body side by the pathogen. [caused by microbes] |
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-Chickenpox & Shingles Types of disease: How it is transmitted: Body System: What pathogen causes it: |
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-Viral Diease -Infected humans Person-to-person Direct contact, airborne droplets of secretions -Fever and skin rash - Varicella-zoster virus (VZV) Human herpesvirus 3 |
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What are complications and syndromes relating to smallpox? |
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Comp: pneumonia, secondary bacterial infections Synd:Reye’s syndrome persistent vomiting lethargy or sleepiness in infants, diarrhea and rapid breathing |
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Rubella [German Measles] Types of disease: How it is transmitted: Body System: What pathogen causes it: |
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-Viral -Infected humans Droplet spread Direct contact with nasopharyngeal secretions -fine, pink, flat rash -Rubella virus |
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Rubeola [HARD Measles] Types of disease: How it is transmitted: Body System: What pathogen causes it: |
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-Viral -Infected humans Droplet spread Direct contact with nasopharyngeal secretions Fomites contaminated with nasopharyngeal secretions -Blotchy red rash -Rubeola (measles) virus |
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Complications with Rubeola |
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Smallpox Types of disease: How it is transmitted: Body System: What pathogen causes it: |
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-Viral -Reservoirs & mode of transmission Infected humans Droplet spread Direct contact with nasopharyngeal secretions Fomites contaminated with lesion secretions -Variola virus |
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Warts Types of disease: How it is transmitted: Body System: What pathogen causes it: |
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-Viral -Infected humans Direct contact Usually not very contagious (except genital warts) -Human papillomaviruses |
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If a person's immune system is not functioning properly -note: Immunodeficiencies may either be inherited or acquired. |
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Occurs mainly in children, puss filled blisters may appear anywhere on the body - may occur as epidemics in hospital nurseries. |
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Boils [furuncles] involve Staph aureus - may lead to |
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pneumonia, lung abscess, meningitis |
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Occurs mainly in children, puss filled blisters may appear anywhere on the body - may occur as epidemics in hospital nurseries. |
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Boils [furuncles] involve Staph aureus - may lead to |
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pneumonia, lung abscess, meningitis |
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Impetigo may be cause by what two bacteria? |
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Staph aureus and staph pyogenes |
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Acne Type of Infection: Signs: Caused by? |
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-bacterial Skin pores become clogged Etiology : Proprionibacterium acnes |
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Streptococcus pyogenes List the types of skin infections |
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Impetigo Scarlet fever Erysipelas [cellulitis] Faciitis Necrotizing faciitis |
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Dermatophyte Diagnosis: lab diagnosis |
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-fungal infection of the skin
Potassium hydroxide (KOH) prep Calcofluor White |
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Infections of the Lower Respiratory Tract: Pneumonia |
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Diagnosis: chest sounds, radiographs, culture
Most common fatal nosocomial infection |
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What is the Most common fatal nosocomial infection |
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Viral Infections of the Lower Respiratory Tract: Acute, Febrile Viral Respiratory Disease -Cause: -Transmission: |
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Etiology: Many. Respiratory syncytial virus (RSV) major etiology in early infancy.
Transmission Human-to-human Fomites |
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Viral Infections of the Lower Respiratory Tract: Influenza Cause: What can it cause? |
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Influenza A, B -bronchitis, pneumonia and death |
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