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Questions and Answers
Which of the following is a characteristic of rhinitis?
Which of the following is a characteristic of rhinitis?
What type of cell is heavily granulated and involved in inflammatory responses initiated by immunoglobulins IgE and IgG?
What type of cell is heavily granulated and involved in inflammatory responses initiated by immunoglobulins IgE and IgG?
Which of the following is NOT a common anaphylactic reaction?
Which of the following is NOT a common anaphylactic reaction?
What is the percentage range of monocytes in the total white blood cell count?
What is the percentage range of monocytes in the total white blood cell count?
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Which of the following cells are responsible for humoral immunity?
Which of the following cells are responsible for humoral immunity?
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What is the primary function of tissue macrophages?
What is the primary function of tissue macrophages?
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Which of the following is NOT a type of tissue macrophage?
Which of the following is NOT a type of tissue macrophage?
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Where are most lymphocytes located in the body?
Where are most lymphocytes located in the body?
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Which of these is NOT a systemic response to inflammation or injury?
Which of these is NOT a systemic response to inflammation or injury?
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What is the primary function of fibroblasts during wound healing?
What is the primary function of fibroblasts during wound healing?
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What is the role of thrombin in wound healing?
What is the role of thrombin in wound healing?
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How do antibodies contribute to autoimmune diseases?
How do antibodies contribute to autoimmune diseases?
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In type 1 diabetes mellitus, which cells are targeted by antibodies?
In type 1 diabetes mellitus, which cells are targeted by antibodies?
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Which of these autoimmune diseases involves antibodies targeting acetylcholine receptors?
Which of these autoimmune diseases involves antibodies targeting acetylcholine receptors?
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What is the general strategy behind therapeutic interventions for autoimmune disorders?
What is the general strategy behind therapeutic interventions for autoimmune disorders?
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How does vaccination contribute to active immunity?
How does vaccination contribute to active immunity?
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What is the primary function of B cells in the immune response?
What is the primary function of B cells in the immune response?
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Which of the following can lead to leukocytosis?
Which of the following can lead to leukocytosis?
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What is considered a normal white blood cell count range?
What is considered a normal white blood cell count range?
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What is leukemia characterized by?
What is leukemia characterized by?
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Which type of leukocytosis is considered the most common?
Which type of leukocytosis is considered the most common?
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What is leukopenia associated with?
What is leukopenia associated with?
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How do acute leukemias differ from chronic leukemias?
How do acute leukemias differ from chronic leukemias?
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What can excessive exercise lead to in terms of leukocyte levels?
What can excessive exercise lead to in terms of leukocyte levels?
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What is the primary function of neutrophils in the inflammatory response?
What is the primary function of neutrophils in the inflammatory response?
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What process involves attracting neutrophils to an infection site?
What process involves attracting neutrophils to an infection site?
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Which immunoglobulin is primarily involved in the opsonization of bacteria?
Which immunoglobulin is primarily involved in the opsonization of bacteria?
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What percentage of white blood cells do eosinophils typically account for?
What percentage of white blood cells do eosinophils typically account for?
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In which part of the body are eosinophils especially abundant?
In which part of the body are eosinophils especially abundant?
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What role do basophils play in allergic reactions?
What role do basophils play in allergic reactions?
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What is a common symptom associated with hives caused by allergic reactions?
What is a common symptom associated with hives caused by allergic reactions?
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Which condition is most closely associated with high levels of eosinophils?
Which condition is most closely associated with high levels of eosinophils?
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What is one of the main functions of the lymphatic system?
What is one of the main functions of the lymphatic system?
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Which of the following is NOT a component of lymph?
Which of the following is NOT a component of lymph?
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Which of the following is NOT an activity of immunity?
Which of the following is NOT an activity of immunity?
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Which type of immune cells are derived from circulating monocytes?
Which type of immune cells are derived from circulating monocytes?
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What percentage of all leukocytes are neutrophils?
What percentage of all leukocytes are neutrophils?
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What are the primary lymphoid organs responsible for?
What are the primary lymphoid organs responsible for?
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Which component is part of the immune system's physical barriers?
Which component is part of the immune system's physical barriers?
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Which structure is involved in the production and maturation of lymphocytes?
Which structure is involved in the production and maturation of lymphocytes?
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Which granulocyte is most abundant in the bloodstream?
Which granulocyte is most abundant in the bloodstream?
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What is the purpose of the lymphatic system?
What is the purpose of the lymphatic system?
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How much blood plasma is reabsorbed into the blood vessels daily?
How much blood plasma is reabsorbed into the blood vessels daily?
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Which of the following is a physical barrier in the immune system?
Which of the following is a physical barrier in the immune system?
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What is the average half-life of a neutrophil in circulation?
What is the average half-life of a neutrophil in circulation?
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Which organ is involved in making complement proteins?
Which organ is involved in making complement proteins?
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Which of the following is an inappropriate immune response?
Which of the following is an inappropriate immune response?
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What fluid do lymphatic vessels carry?
What fluid do lymphatic vessels carry?
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Study Notes
Blood Physiology: Immunity, Infection, and Inflammation
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Immunity is the body's ability to resist or eliminate potentially harmful foreign materials or abnormal cells. These materials include viruses, toxins, carcinogens, fungi, pollution, bacteria, germs, and parasites.
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Immunity involves various activities, including defense against invading pathogens (like viruses and bacteria), removal of worn-out cells and tissue debris, identifying and destroying abnormal or mutated cells, and rejection of foreign cells (like in organ transplants). Inappropriate responses like allergies and autoimmune diseases are also part of the immune system.
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The immune system is a complex, functional system, not an organ system. Its components include the skin (a physical barrier), lining of mucus membranes, secretions (like tears and mucus – antimicrobial), blood cells and vasculature (WBCs), bone marrow, the liver (complement proteins), resident immune cells in most tissues, the lymphatic system, and lymphoid organs.
The Lymphatic System
- The lymphatic system is part of the circulatory system and crucial for immunity. It's a network of lymphatic vessels, lymphoid organs, lymphoid tissues, and circulating lymph.
- Lymphatic vessels carry clear fluid (lymph) directionally towards the heart.
- Unlike the cardiovascular system, the lymphatic system isn't a closed system.
Lymphoid Organs
- Primary lymphoid organs generate immature lymphocytes from progenitor cells and include the thymus and bone marrow.
- Secondary lymphoid organs (like lymph nodes and the spleen) maintain mature lymphocytes and initiate adaptive immune responses. These organs are crucial for the production and maturation of some types of lymphocytes. Several lymph nodes, such as cervical, axillary, thoracic, etc. are part of the lymphatic system for bodily functions.
Relationship Between Cardiovascular and Lymphatic Systems
- The heart pumps blood, roughly 5 liters per minute, with 7200 liters passing per day.
- About 20 liters of plasma from blood pass into the interstitial space daily through capillary filtration.
- Roughly 17 liters of filtered plasma are reabsorbed into the blood vessels; the remaining 3 liters stay in interstitial fluid.
- The lymphatic system is a major drain of excess interstitial fluid that does not directly re-enter the blood vessels. This excess fluid is then filtered and drained via the lymphatic system.
Cellular Elements of Blood
- Blood consists of plasma (55%), red blood cells (4%), white blood cells and platelets (<1%).
- Key cell types include red blood cells, white blood cells, and platelets.
Phagocytosis
- Phagocytosis is a cellular process.
Immune Effector Cells: Granulocytes and Agranulocytes
- Granulocytes (polymorphonuclear leukocytes) include neutrophils, eosinophils, and basophils. These cells have cytoplasmic granules containing substances involved in inflammatory and allergic reactions.
- Neutrophils are the most abundant white blood cells, with a lifespan of 6 hours and are crucial for inflammatory responses, particularly infections. They are phagocytes.
- Eosinophils are involved with parasitic worms and allergic reactions; they are a less abundant type of white blood cell.
- Basophils release histamine and heparin and are crucial in allergic reactions.
- Agranulocytes include lymphocytes and monocytes.
- Monocytes (macrophages) are involved with tissue-based immunity and releasing toxins including reactive oxygen species. They are part of the initial innate immune response.
- Lymphocytes are key for adaptive immune responses, including B cells producing antibodies, and T cells directly destroying virus-invaded cells and cancer cells.
Examples of Cytokines
- Interferons (IFNs) are secreted proteins that interfere with viral replication.
- Interleukins (ILs) are signalling molecules affecting various aspects of the immune system and promote T and B lymphocyte development and differentiation.
- Tumor necrosis factor (TNF) is a cytokine produced in response to tissue injury.
Complement Proteins
- Complement proteins are plasma proteins that react with each other, essential for innate immunity, and enhancing adaptive immune responses.
Innate vs. Acquired Immunity
- Innate immunity is the body's first line of defense, fast and non-specific, with no memory.
- Acquired immunity is the body's second line of defense, slower, and specific, with memory.
Anatomical Barriers to Infection
- Mechanical factors like skin, mucous membranes, and secretions (saliva, tears) help protect the body from foreign organisms.
- Chemical factors like the acidic environment of the stomach, or antimicrobial peptides in sweat also help prevent infection.
- Biological factors, like normal flora, compete with pathogens for nutrients and space.
Inflammation
- Inflammation is a complex localized response to foreign agents (bacteria) or internally produced substances, initiating reactions including cytokines, neutrophils, adhesion molecules, complement proteins, and immunoglobulin G (IgG). It is often a key component of the body's innate immune response. Monocytes and lymphocytes are also involved later.
- Increased capillary permeability, vasodilation, and swelling are associated with inflammation.
- Inflammation has a key role in pathogen removal, limiting infection spread, stimulating an adaptive immune response, and initiating tissue repair.
- Inflammation can be acute (short-term) or chronic (long-term). Chronic inflammation is often associated with tissue damage.
Wound Healing
- When tissue is damaged, platelets bind to collagen and laminin.
- Blood coagulation produces thrombin; it encourages platelet aggregation and the release of granules, initiating an inflammatory response.
- Cytokines are released from white blood cells. Fibroblasts produce collagen fibers for scar-wound tissue formation.
Autoimmunity
- In some situations, immune responses target self-antigens, leading to autoimmune disorders.
- Examples include type 1 diabetes (pancreatic islet B cells), myasthenia gravis, and multiple sclerosis. Treatments focus on replacing damaged functions and reducing inflammation.
Vaccination (Active Immunity)
- Active immunity develops when encountering a foreign organism; antibodies and T cells are activated, and the body develops immunological memory. Vaccines stimulate this process using dead or weakened microorganisms or toxins
- Memory cells are crucial in forming this acquired immunity via vaccination
Passive Immunity
- Temporary immunity occurs when antibodies or T-cells from another source (person, animal) are introduced to an individual.
- This is often seen as antibody therapy
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Description
This quiz covers key concepts of blood physiology specifically focusing on immunity, infection, and inflammation. Explore how the immune system works to defend the body against pathogens and the mechanisms involved in response to foreign materials. Test your understanding of this vital aspect of human health.