Chemical Mediators & Blood Smear Analysis
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Questions and Answers

A patient is experiencing severe pruritus during an allergic reaction. Which chemical mediator is MOST likely responsible for this symptom?

  • Histamine (correct)
  • Complement
  • Bradykinin
  • Prostaglandins

Which of the following chemical mediators is PRIMARILY responsible for attracting phagocytes to an area of inflammation?

  • Cytokines
  • Tumor necrosis factor (TNF)
  • Leukotrienes
  • Chemotactic factors (correct)

A researcher is investigating potential treatments for asthma. Targeting which of the following chemical mediators would MOST likely help alleviate bronchiolar smooth muscle contraction?

  • Chemotactic factors
  • Leukotrienes (correct)
  • Prostaglandins
  • Kinins

Which of the these chemical mediators would MOST directly result in the activation and proliferation of B and T cells?

<p>Cytokines (A)</p> Signup and view all the answers

A patient presents with septic shock. Which chemical mediator is MOST likely contributing to the decreased blood pressure observed in this condition?

<p>Tumor necrosis factor (TNF) (D)</p> Signup and view all the answers

In a typical blood smear, what is the primary distinguishing characteristic used to differentiate leukocytes from erythrocytes?

<p>Leukocytes exhibit varied nuclear shapes and stain darker than erythrocytes. (D)</p> Signup and view all the answers

If a blood smear shows an unusually high number of leukocytes with abnormal morphologies, which of the following conditions is most likely indicated?

<p>An underlying hematological disorder or infection. (D)</p> Signup and view all the answers

What might a pathologist evaluate when examining a blood smear under a microscope?

<p>The morphology, quantity, and ratio of different blood cells. (D)</p> Signup and view all the answers

Which preparation technique is critical to ensure optimal visualization and differentiation of cellular components in a blood smear?

<p>Employing rapid drying techniques to preserve cellular integrity and prevent distortion. (B)</p> Signup and view all the answers

In a blood smear, if erythrocytes appear smaller than normal and exhibit an increased central pallor, which condition might be suspected?

<p>Iron deficiency anemia, affecting hemoglobin synthesis. (D)</p> Signup and view all the answers

What is the primary role of plasma cells, which are differentiated from B cells?

<p>Secreting antibodies (immunoglobulins) to neutralize antigens. (C)</p> Signup and view all the answers

Which type of T cell is responsible for directly destroying host cells that are infected with a virus or have become cancerous?

<p>Cytotoxic T cells (D)</p> Signup and view all the answers

Following activation by an antigen, both B cells and T cells can differentiate into which type of cell that provides long-lasting immunity?

<p>Memory cells (D)</p> Signup and view all the answers

What is the main function of helper T cells in the immune response?

<p>To secrete cytokines that enhance other immune responses. (D)</p> Signup and view all the answers

How do antibodies secreted by plasma cells contribute to the immune response?

<p>By activating the complement system to enhance phagocytosis and inflammation. (D)</p> Signup and view all the answers

Which of the following best describes the role of helper T cells in the immune response?

<p>Activating and regulating the activities of B cells and cytotoxic T cells. (B)</p> Signup and view all the answers

If a patient's blood test reveals elevated levels of eosinophils, which condition is the MOST likely cause?

<p>An allergic reaction or parasitic infection. (D)</p> Signup and view all the answers

Which of the following processes BEST describes how macrophages contribute to the immune response?

<p>Phagocytizing pathogens and presenting their antigens to lymphocytes. (B)</p> Signup and view all the answers

Which of the following is the primary function of the thymus in the immune system?

<p>Maturation and differentiation of T lymphocytes. (D)</p> Signup and view all the answers

What is the MOST significant role of memory T cells in adaptive immunity?

<p>Providing a rapid and enhanced response upon re-exposure to a previously encountered antigen. (C)</p> Signup and view all the answers

How do natural killer (NK) cells differ from cytotoxic T cells in their mechanism of target cell recognition?

<p>NK cells recognize cells lacking MHC class I molecules, while cytotoxic T cells require antigen presentation by MHC class I molecules. (C)</p> Signup and view all the answers

Which of the following best explains the function of plasma cells?

<p>Producing and secreting large quantities of specific antibodies. (A)</p> Signup and view all the answers

Which component of the immune system is responsible for filtering body fluids, removing foreign matter, and initiating an immune response??

<p>Lymphatic tissue and organs (B)</p> Signup and view all the answers

A blood test reveals that a patient has a leukocyte count where neutrophils constitute 65% of the total leukocytes. Based on the typical distribution of leukocytes in blood, which of the following is the most accurate interpretation of this finding?

<p>This percentage falls within the expected range for a healthy individual. (B)</p> Signup and view all the answers

During an acute bacterial infection, which type of leukocyte is expected to be one of the first responders at the site of infection and primarily responsible for engulfing the bacteria?

<p>Neutrophil (A)</p> Signup and view all the answers

If a leukocyte observed under a microscope exhibits granules that stain red with eosin, it is most likely to be classified as a:

<p>Eosinophil (C)</p> Signup and view all the answers

While both neutrophils and eosinophils contain red-stained granules, a key functional difference lies in their primary targets. Eosinophils are particularly adapted for:

<p>Targeting antibody-coated parasites (B)</p> Signup and view all the answers

A patient presents with symptoms suggestive of a parasitic infection. A complete blood count is performed, and the differential leukocyte count reveals a significant increase in one type of granulocyte. Based on the typical immune response to parasites, which leukocyte type is most likely elevated in this patient?

<p>Eosinophils (A)</p> Signup and view all the answers

The primary function of the immune system, as described, is centered around which of the following biological processes?

<p>Defense against pathogens and foreign substances. (B)</p> Signup and view all the answers

Lymph nodes are strategically positioned in areas such as cervical, axillary, intestinal, and inguinal regions. What is the functional significance of this distribution within the immune system?

<p>To ensure efficient filtration of lymph fluid from various regions of the body. (D)</p> Signup and view all the answers

Considering its role in the immune system, if the bone marrow were compromised, which of the following consequences would directly impact immune function?

<p>Impaired development of blood cells, including leukocytes. (D)</p> Signup and view all the answers

Antigens are defined by their ability to provoke an immune response. If a substance is identified as an antigen, what is the most likely subsequent event within the immune system?

<p>Initiation of an immune response involving leukocytes and lymphoid structures. (D)</p> Signup and view all the answers

The thymus is listed as a component of the immune system. What is the thymus's primary contribution to immune function, considering its role in lymphocyte development?

<p>Maturation and differentiation of T lymphocytes. (D)</p> Signup and view all the answers

A newborn infant receives passive immunity against various pathogens primarily through which antibody class present in breast milk?

<p>IgA (D)</p> Signup and view all the answers

Which antibody class is instrumental in initiating an immune response by activating mast cells and basophils through its role as a B cell receptor?

<p>IgD (C)</p> Signup and view all the answers

In a patient experiencing an allergic reaction characterized by immediate hypersensitivity, which antibody class would be MOST likely detected in elevated levels?

<p>IgE (B)</p> Signup and view all the answers

During pregnancy, maternal antibodies are transferred to the fetus, providing protection in utero and for the first few months of life. Which antibody class is uniquely capable of crossing the placenta?

<p>IgG (D)</p> Signup and view all the answers

Following a primary exposure to a novel pathogen, which antibody isotype is typically the FIRST to be produced and detectable in serum, indicating an early stage immune response?

<p>IgM (A)</p> Signup and view all the answers

A researcher observes that a patient's immune response is deficient in clearing bacterial infections, despite having normal levels of phagocytes. Which complement system deficiency would MOST likely account for this observation?

<p>Deficiency in C3b production, impairing opsonization. (B)</p> Signup and view all the answers

A scientist is studying the effects of a novel drug on the complement system. The drug binds to C3, preventing its cleavage into C3a and C3b. What is the MOST likely consequence of this drug's action?

<p>Reduced opsonization and impaired chemotaxis. (D)</p> Signup and view all the answers

Which of the following complement system outcomes is MOST directly related to the recruitment of immune cells to the site of an infection?

<p>Chemotaxis induced by C3a and C5a. (A)</p> Signup and view all the answers

A patient with a genetic defect is unable to produce functional C5 protein. Which of the following immune responses would be MOST directly impaired in this patient?

<p>Formation of the membrane attack complex (MAC) and chemotaxis. (B)</p> Signup and view all the answers

In the complement activation pathway, what is the direct result of C3b?

<p>Increased phagocytosis through opsonization (B)</p> Signup and view all the answers

A new therapeutic drug aims to prevent excessive inflammation caused by complement activation. Which of the following would be the MOST appropriate target for this drug?

<p>C3a and C5a, to block chemotaxis and inflammatory responses. (C)</p> Signup and view all the answers

Following a bacterial infection, a patient's serum is analyzed. Results show elevated levels of C3a and C5a. What process is MOST likely occurring in the patient's body?

<p>Recruitment of immune cells to the infection site. (C)</p> Signup and view all the answers

A researcher discovers a bacterial strain that can neutralize C3b. What effect would this bacterium MOST likely have on the host's immune response?

<p>Reduced opsonization and phagocytosis. (C)</p> Signup and view all the answers

A researcher is studying the immune response to a newly discovered virus. They observe that the initial response is relatively slow and weak, but subsequent exposure to the same virus elicits a much faster and stronger response. Which cell type is MOST likely responsible for the enhanced response upon re-exposure?

<p>Memory B and T cells (B)</p> Signup and view all the answers

A patient with a genetic defect lacks a functional thymus gland. Which aspect of the adaptive immune response would be MOST significantly impaired in this patient?

<p>Maturation of T cells (D)</p> Signup and view all the answers

During an infection, macrophages present antigens to lymphocytes. What is the MOST important outcome of this antigen presentation?

<p>Activation and proliferation of antigen-specific lymphocytes (C)</p> Signup and view all the answers

A scientist isolates lymphocytes from a patient infected with a virus. They find that a subset of T cells is capable of directly killing virus-infected cells. These T cells are most likely which of the following?

<p>Cytotoxic T cells (B)</p> Signup and view all the answers

A researcher is comparing the characteristics of activated B cells and memory B cells. Which of the following statements accurately describes a key difference between these two cell types?

<p>Memory B cells respond more quickly and strongly to antigen re-exposure compared to activated B cells. (B)</p> Signup and view all the answers

Following initial exposure to an antigen, a patient's subsequent exposure triggers a significantly faster and heightened antibody response. What immunological mechanism is the MOST likely explanation for this?

<p>The presence of long-lived memory cells generated during the primary response. (A)</p> Signup and view all the answers

A researcher is comparing antibody production following a primary and secondary exposure to the same antigen. What difference would be expected in the antibody isotype profile?

<p>The secondary response would show a class switch towards antibody isotypes with higher affinity for the antigen. (B)</p> Signup and view all the answers

In the context of vaccine development, what is the primary goal of a booster shot?

<p>To enhance the magnitude and duration of the memory response established by the initial vaccine dose. (B)</p> Signup and view all the answers

A patient with a history of allergies experiences a less severe reaction upon subsequent exposure to the same allergen. Which mechanism MOST likely contributes to this reduced severity?

<p>Development of IgG blocking antibodies that compete with IgE for allergen binding. (E)</p> Signup and view all the answers

After a second exposure to an antigen, an individual exhibits a rapid increase in antibody concentration, followed by a subsequent decline. What immunological process BEST explains the eventual decrease in antibody levels after the peak of the secondary response?

<p>The natural apoptosis of plasma cells and the clearance of immune complexes. (C)</p> Signup and view all the answers

Flashcards

RBC

Red blood cells responsible for oxygen transport.

WBC

White blood cells that fight infections in the body.

Blood Smear Microscopy

A technique to view blood cells under a microscope.

Appearance of RBCs

RBCs appear as pinkish-red, circular cells.

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Appearance of WBCs

WBCs exhibit varying shapes, stained dark purple.

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Neutrophil

A type of white blood cell that aids in phagocytosis, accounting for 50-70% of leukocytes in blood.

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Eosinophil

A white blood cell involved in phagocytosing antibody-coated parasites, making up 2-4% of leukocytes.

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Basophil

A leukocyte that plays a role in allergic reactions, containing granules that can release histamines.

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Mast cell

A type of immune cell that releases histamines and can cause inflammation during allergic reactions.

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Phagocytosis

The process by which certain white blood cells engulf and digest pathogens or debris.

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Histamine

A chemical released from mast cells and basophils that causes vasodilation, increased vascular permeability, and bronchiolar smooth muscle contraction, particularly in allergic reactions.

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Kinins

A group of proteins that cause vasodilation, increased permeability, and pain during inflammation, with bradykinin being a notable example.

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Prostaglandins

A group of lipids involved in inflammation, causing vasodilation, increased permeability, and pain.

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Cytokines

Small proteins produced by immune cells that act as messengers to stimulate activation and proliferation of immune responses.

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Tumor necrosis factor (TNF)

A cytokine that plays a role in inflammation and immune responses; involved in fever, chemotaxis, and tissue necrosis.

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Pharyngeal tonsil (adenoid)

A mass of lymphoid tissue located at the back of the throat.

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Lymph nodes

Small, bean-shaped structures that filter lymph and house immune cells.

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Thymus

An organ where T-cells mature for the immune response.

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Spleen

An organ that filters blood and helps fight infections.

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Antigens

Substances that trigger immune responses in the body.

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Antibody

Specific protein produced to bind with antigens in the immune response.

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Bone Marrow

Source of stem cells; site for maturation of B lymphocytes.

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Plasma Cells

B cells that produce and secrete specific antibodies.

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Cytotoxic T cells

T cells that destroy cancer cells and virus-infected cells.

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Memory T cells

T cells that remember past antigens for quicker immune response.

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Lymphocytes

White blood cells that are key to the specific immune system.

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B cells

Lymphocytes that secrete antibodies when activated.

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T cells

Lymphocytes that identify and kill infected or abnormal cells.

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IgA

An antibody found in mucous, saliva, tears, and breast milk that protects against pathogens.

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IgD

An antibody that acts as part of the B cell receptor, activating basophils and mast cells.

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IgE

An antibody that protects against parasitic worms and is responsible for allergic reactions.

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IgG

The most abundant antibody in blood, secreted by plasma cells and able to cross the placenta.

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IgM

The first antibody produced when a B cell is activated; plays a crucial role in early immune response.

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Lymphoblast

Stem cells in bone marrow that develop into lymphocytes.

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Activated vs Memory Cells

Activated cells have a shorter lifespan and slower response compared to memory cells.

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Primary antibody response

The initial immune response to an antigen, slower with lower antibody levels.

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Secondary antibody response

The immune response to a subsequent exposure of the same antigen, faster and stronger.

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Antibody concentration peak

The highest level of antibodies produced after exposure to an antigen.

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Memory response

The phenomenon allowing faster and enhanced antibody production upon re-exposure to an antigen.

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Antibody level decline

The gradual decrease of antibody levels post-infection or vaccination.

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Complement System

A group of proteins in blood that enhance immune response.

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Chemotaxis

The movement of immune cells toward infection sites due to signaling molecules.

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Inflammation

The response that leads to swelling, redness, and pain at infection sites.

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Cell Lysis

The destruction of pathogen or infected cells by complement proteins.

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Opsonization

The process where complement proteins tag pathogens for phagocytosis.

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Complement Activation Triggers

Factors like bacterial polysaccharides and IgM/IgG antibodies that start the complement cascade.

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Membrane Attack Complex (MAC)

A structure formed by complement proteins that create holes in target cell membranes.

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Study Notes

Blood Smears

  • Images show microscopic views of blood samples
  • Different cell types are visible
  • Red blood cells (RBC) are numerous, small, and round
  • White blood cells (WBC) vary in size and shape, often appear as a darker, irregular shape.

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Description

Test your knowledge of chemical mediators involved in allergic reactions, inflammation, and immune responses. Questions cover roles of mediators in pruritus, phagocyte attraction, asthma, B and T cell activation, and septic shock. Additionally, questions assess understanding of leukocyte and erythrocyte differentiation via blood smear analysis.

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