Asthma Lecture: Inflammation and Antiinflammatories
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Questions and Answers

What is the main function of IgE antibody in eosinophils and mast cells?

  • To detect the allergen (correct)
  • To release histamine
  • To neutralize the allergen
  • To activate the immune cells
  • What is the primary effect of β2 agonists in asthma treatment?

  • Inhibiting eosinophil activation
  • Stimulating T cell activation
  • Preventing mast cell release
  • Relaxing bronchial smooth muscle (correct)
  • What is the role of MHC Class II in asthma?

  • To inhibit mast cell activation
  • To release cytokines
  • To activate eosinophils
  • To present allergens to T cells (correct)
  • What is the late phase of asthma characterized by?

    <p>Recruitment and activation of immune cells</p> Signup and view all the answers

    What is the main effect of muscarinic receptor antagonists in asthma treatment?

    <p>Symptomatic relief</p> Signup and view all the answers

    What is the primary mechanism of action of methylxanthines in asthma treatment?

    <p>Inhibition of phosphodiesterase</p> Signup and view all the answers

    Which of the following side effects is most likely to occur with oral steroid use?

    <p>Oral candidiasis</p> Signup and view all the answers

    What is the primary mechanism of action of sodium cromoglicate?

    <p>Mast cell stabilization</p> Signup and view all the answers

    Which of the following medications is NOT a first-choice drug for the treatment of bronchoconstriction?

    <p>Sodium cromoglicate</p> Signup and view all the answers

    The late phase of asthma is characterized by the prevention of further allergen entry.

    <p>False</p> Signup and view all the answers

    MHC Class II is involved in the detection of allergens by eosinophils and mast cells.

    <p>True</p> Signup and view all the answers

    β2 agonists are the first-choice drugs for the treatment of bronchoconstriction.

    <p>True</p> Signup and view all the answers

    The early phase of bronchospasm is caused by the recruitment and activation of immune cells.

    <p>False</p> Signup and view all the answers

    Muscarinic receptor antagonists are oral medications with a high incidence of side effects.

    <p>False</p> Signup and view all the answers

    Theophylline is a type of β2 agonist.

    <p>False</p> Signup and view all the answers

    Montelukast has strong anti-inflammatory activity.

    <p>False</p> Signup and view all the answers

    Bronchiolar smooth muscle has a lot of sympathetic innervation.

    <p>False</p> Signup and view all the answers

    M antagonists are used to treat bronchoconstriction.

    <p>True</p> Signup and view all the answers

    Sodium cromoglicate has a well-understood mechanism of action.

    <p>False</p> Signup and view all the answers

    Steroids can be used as a first-choice treatment for bronchoconstriction.

    <p>False</p> Signup and view all the answers

    Sodium cromoglicate can be given orally or by inhalation.

    <p>False</p> Signup and view all the answers

    Study Notes

    Asthma

    • FEV1 (Forced Expiratory Volume in one second) measures lung function in asthma patients.
    • Early phase bronchospasm prevents further allergen entry, while late phase inflammation involves recruitment and activation of immune cells.

    Role of T cells in Asthma

    • T cells recognize allergens through MHC (Major Histocompatibility Complex) Class II.
    • Eosinophils and mast cells use IgE antibody to detect allergens.

    Stages of Asthma and Mediators

    • Asthma stages involve early phase bronchospasm, late phase inflammation, and chronic inflammation.

    Bronchodilators

    • β2 agonists (e.g., salbutamol, salmeterol) are first-choice drugs for asthma, providing quick relief and preventing mast cell release.
    • Muscarinic receptor antagonists (e.g., ipratropium) provide symptomatic relief with few side effects.
    • Methylxanthines (e.g., theophylline) have a long duration of action, but common side effects include nausea, headache, and insomnia.

    Prophylactic Anti-Inflammatory Drugs

    • Steroids (e.g., beclomethasone) are first-choice drugs, providing slow-acting relief (3-7 days) with side effects like oral candidiasis and hoarseness.
    • Sodium cromoglicate is a mast cell stabilizer, decreasing sensory nerve stimulation, but is weak and not effective in all patients.

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    Description

    This quiz covers the basics of asthma, including FEV1, bronchospasm, and the role of T cells, eosinophils, and mast cells in inflammation. Learn about the immune response and its relation to asthma. Based on Dr. Penny Lympany's lecture notes.

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