Human Immune System and Response
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Questions and Answers

Which of the following is a component of the first layer of host defense?

  • T cells
  • Skin (correct)
  • Complement
  • Antibodies

Which of the following is a component of the innate immune response?

  • Macrophages (correct)
  • T cells
  • Antibodies
  • B cells

A complete blood count with differential white cell count is drawn on a patient with an acute bacterial infection. Which of the following results is expected?

  • Increased lymphocyte count
  • Decreased monocyte count
  • Increased neutrophil count (correct)
  • Decreased neutrophil count

Antihistamines that are given to treat allergies counteract histamine release by which cells?

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

A patient presents with complaints of a cough and itchy eyes. Which of the following is most likely to be the cause?

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

Which of the following locations in the body plays the most important role in the activation of an adaptive immune response?

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

Which of the following is true regarding natural killer (NK) cells?

<p>They target cells lacking MHC class I (A)</p> Signup and view all the answers

Which of the following best characterizes innate immunity?

<p>Rapid and non-specific (A)</p> Signup and view all the answers

Which cell type is most important for cytokine secretion after an acute injury?

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

Which gene mutation is most closely associated with causing epithelial damage in atopic dermatitis?

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

What best describes inflammaging?

<p>Chronic, low-grade inflammation associated with aging (B)</p> Signup and view all the answers

Which factor most significantly contributes to an optimum red blood cell lifespan?

<p>Flexible cell membrane (B)</p> Signup and view all the answers

What is the fate of iron ions when red blood cells are broken down?

<p>Bound to transferrin and recycled (D)</p> Signup and view all the answers

Following a gastrectomy, which test is most likely to differentiate between vitamin B12 deficiency and iron deficiency in a pale, fatigued patient?

<p>Serum B12 Level (D)</p> Signup and view all the answers

What is a characteristic of hemolytic anemia?

<p>Premature destruction of red blood cells (B)</p> Signup and view all the answers

Why do patients with vitamin K deficiency experience increased prothrombin time and excess bleeding?

<p>Vitamin K is required for the synthesis of clotting factors (C)</p> Signup and view all the answers

Which of the following cells is LEAST likely to be found in joint fluid aspirated from a knee with rheumatoid arthritis?

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

After macrophages, T cells, and B cells respond to tissue antigens, what is the result?

<p>Adaptive immune response (D)</p> Signup and view all the answers

Following an acute injury, which cell type is MOST important for cytokine secretion that progresses the healing of the wound?

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

What happens to iron ions when red blood cells are broken down?

<p>Stored in the liver and spleen (B)</p> Signup and view all the answers

Which of the following is a characteristic of hemolytic anemia?

<p>Premature destruction of red blood cells (C)</p> Signup and view all the answers

What is the source of MOST of the iron required for new red blood cell (RBC) synthesis?

<p>Recycling from old red blood cells (B)</p> Signup and view all the answers

Which of the following is characteristic of normal, healthy endothelial cells?

<p>Inhibit blood clotting (D)</p> Signup and view all the answers

Which of the following best describes the primary function of red blood cells?

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

Which of the following is a physical barrier that serves as a first line of defense in the body's immune system?

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

Which of the following cell types is characteristic of the innate immune response?

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

What is the primary function of antibodies?

<p>Neutralizing pathogens and marking them for destruction (C)</p> Signup and view all the answers

Which of the following is a common symptom of allergic rhinitis?

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

Where does the adaptive immune response primarily get activated?

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

What is a key characteristic of innate immunity compared to adaptive immunity?

<p>It is a rapid, non-specific response present from birth. (C)</p> Signup and view all the answers

Which process describes the term 'inflammaging'?

<p>A chronic, low-grade inflammatory state associated with aging. (A)</p> Signup and view all the answers

Which of the following is an example of a physical barrier in the first line of defense?

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

Which immune response acts rapidly and is non-specific?

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

Which cell type is elevated in a complete blood count during a bacterial infection?

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

What cells release histamine, leading to allergy symptoms?

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

Seasonal allergic rhinitis is commonly called what?

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

Where do T and B cells mature?

<p>Secondary Lymphoid Organs (D)</p> Signup and view all the answers

What type of immune cell can directly kill infected cells?

<p>Natural killer cells (A)</p> Signup and view all the answers

Which of the following describes innate immunity?

<p>Rapid and nonspecific response (C)</p> Signup and view all the answers

Flashcards

First layer of host defense

Physical barriers such as skin and mucous membranes that prevent pathogen entry.

Components of innate immune response

Non-specific defense mechanisms like phagocytes and inflammation that act immediately.

Cough and itchy eyes

Common symptoms of allergic rhinitis caused by allergens.

Natural Killer (NK) cells

Lymphocytes that play a crucial role in the innate immune response by targeting infected cells.

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Cytokine secretion after acute injury

T cells play a primary role in releasing cytokines that promote healing.

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Vitamin K deficiency

Leads to increased prothrombin time and bleeding because vitamin K is essential for clotting factors.

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Deep vein thrombosis (DVT) risk

Patients with limited mobility or certain medical conditions have a higher risk of DVT.

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Iron role in red blood cells

Iron is vital for hemoglobin in red blood cells to carry oxygen.

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Acute bacterial infection blood count

A complete blood count showing elevated white blood cell counts, especially neutrophils, during infection.

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Components of adaptive immune response

Lymphocytes (T cells and B cells) are crucial for the adaptive immune response activation.

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Cells releasing histamine

Mast cells and basophils release histamine during allergic reactions.

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Rheumatoid arthritis joint fluid

Macrophages and plasma cells are typically present, but neutrophils are less common.

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Cytokine function in injury

Cytokines secreted by T cells promote inflammation and coordinate healing responses after injury.

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Atopic dermatitis gene mutation

A mutation in the filaggrin gene can lead to atopic dermatitis due to skin barrier dysfunction.

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Anemia in chronic kidney disease

Erythropoietin deficiency is a primary cause of anemia in CKD patients.

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Clinical test after gastrectomy

Measuring serum B12 levels distinguishes between B12 deficiency and iron deficiency anemia.

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Innate immune response

A component of immunity characterized by non-specific defenses, such as inflammation and phagocytosis.

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Allergic rhinitis

An allergic reaction causing nasal congestion and itchy eyes.

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Adaptive immune response activation

Occurs primarily in lymph nodes where T cells and B cells respond to antigens.

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Macrophages

Cells that phagocytize pathogens and present antigens to T cells in the immune response.

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Prothrombin time and Vitamin K deficiency

Vitamin K is essential for synthesizing clotting factors, deficiency leads to prolonged prothrombin time.

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Iron in red blood cell synthesis

Most iron required for new RBCs comes from recycling hemoglobin from old RBCs.

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Erythropoietin deficiency

A primary cause of anemia in chronic kidney disease due to reduced hormone production for RBC formation.

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Inflammaging

The phenomenon of chronic, low-grade inflammation often seen in aging.

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Joint fluid in rheumatoid arthritis

Joint fluid from RA typically lacks neutrophils; more likely to show lymphocytes.

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Adaptive immune response activation site

The lymph nodes are crucial for activating T and B cells in response to antigens.

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Antihistamines and histamine release

Antihistamines counteract histamine by blocking receptors on cells like mast cells.

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Iron fate in RBC breakdown

Iron is recycled and returned to the bone marrow for new red blood cell synthesis.

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Natural killer (NK) cells function

NK cells target and destroy infected or cancerous cells as part of the innate immune response.

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Complete blood count with infection

A blood count in acute bacterial infection often shows high neutrophil levels.

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Vitamin K deficiency consequences

Increased prothrombin time leading to bleeding due to failure in synthesizing clotting factors.

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Innate immunity characteristics

Innate immunity consists of non-specific defensive mechanisms like barriers, phagocytes, and inflammation.

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Role of lymph nodes

Lymph nodes are crucial for activating T cells and B cells during an adaptive immune response.

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Cytokines in healing

Cytokines secreted mainly by T cells are essential for tissue repair and inflammation regulation after injury.

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Erythropoietin's role in anemia

Erythropoietin deficiency is a primary cause of anemia in chronic kidney disease due to reduced red blood cell production.

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Cause of allergic rhinitis

Allergic rhinitis is often caused by pollen and other allergens leading to nasal symptoms like sneezing and itching.

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Deep vein thrombosis risk factors

Patients with limited mobility, such as after surgery, have a higher risk of developing deep vein thrombosis.

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Vitamin K and bleeding

Vitamin K is necessary for synthesizing clotting factors, and its deficiency leads to increased bleeding due to prolonged prothrombin time.

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Iron recycling

Iron released during red blood cell breakdown is recycled and returned to the bone marrow for new red blood cell synthesis.

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Study Notes

First Layer of Host Defense

  • The skin produces sebum and sweat, acting as chemical and physical barriers
  • These chemical defenses are part of the first line of defense against pathogens

Innate Immune Response

  • Neutrophils are highly phagocytic cells, part of the innate immune response
  • Components of the second layer of the immune response include the complement system
  • Components of the adaptive immune response include B cells and T lymphocytes
  • White blood cells orchestrate a broad immune response to invading pathogens

Adaptive Immune Response

  • B and T lymphocytes are components of the adaptive immune response, acting later in the immune response.

Complete Blood Count (CBC) with Differential

  • In acute bacterial infection, leukocytosis, an increase in neutrophils, is expected.
  • Lymphocytes may increase in number during acute infection, however, neutrophil count is the primary marker for this condition

Antihistamines

  • Monocytes and macrophages do not produce histamine
  • Eosinophils do not produce histamine.

Allergic Response / Allergic Rhinitis

  • Characteristic symptoms: stuffy nose, runny nose, sneezing, itchy eyes, postnasal drip, and cough.
  • Allergic rhinitis is a likely cause of patient symptoms complaining of a cough and itchy eyes.
  • Atopic dermatitis includes intense itching and inflammatory papules.
  • Asthma symptoms include chest tightness, dyspnea, cough, wheezing, and worsening of symptoms with exposure.

Adaptive Immunity Activation

  • Lymph nodes are the major site of communication between antigen-presenting cells, T cells, and B cells during a developing immune response.
  • The liver and Thymus are not the primary sites of adaptive immune response activation. The spleen is also involved, involved in the activation of T and B cells.

Natural Killer (NK) Cells

  • NK cells originate in the lymphoid tissue
  • They are not adaptive immune cells
  • NK cells are active in killing virus-infected and cancerous cells

Chronic Inflammation

  • When long-lived macrophages, T cells, and B cells respond to tissue antigens, the result is chronic inflammation, characterized by pain, swelling, and impaired function.

Innate Immunity Characteristic

  • Innate immunity begins with myeloid lineage blood cells such as neutrophils, and monocytes/macrophages that recognize general pathogen patterns, and forms physical barriers like epithelial cells.
  • Myeloid lineage blood cells, are not involved in adaptive immunity

Hemolytic Anemia Findings

  • Jaundice and hyperbilirubinemia are common in hemolytic anemias.

Iron Storage Location

  • The liver is the primary location for iron storage within the body.
  • The spleen also stores iron but to a lesser degree.

Thrombosis Risk Factors

  • Age, immobility during a long trip and conditions such as rheumatoid arthritis can contribute to an increased risk of a deep vein thrombosis(DVT) in some individuals.

Iron Deficiency Anemia

  • Microcytic and hypochromic red blood cells are characteristic of iron-deficiency anemia.
  • In iron deficiency anemia, red blood cells appear pale and less red (hypochromic) and small (microcytic).

Blood Flow in Vasculature

  • Smooth laminar flow of blood through vessels is a characteristic of the normal vascular system.
  • Shear stress is caused by layers of blood traveling smoothly through the vessel.

Atherosclerosis and Aneurysm Formation

  • The abdominal aorta is the most common location for atherosclerosis followed by aneurysm formation.

Atherosclerosis Development Stages

  • Thrombus formation is a later step in atherosclerosis development.
  • Platelet adhesion to plaque is a late stage in plaque development.
  • Migration of LDL into the intima occurs early in atherosclerosis.
  • Calcium deposition occurs in the middle and late stages of plaque development.

Vitamin K Deficiency

  • Vitamin K is oxidized during liver clotting factor carboxylation, required for factor function.
  • Vitamin K deficiency results in increased prothrombin time and excess bleeding.

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Week 3-4 Answers Quiz PDF

Description

Explore the human body's defenses. From the skin's chemical barriers to innate and adaptive immune responses involving neutrophils, lymphocytes, and the complement system. Learn about diagnostic markers of bacterial infections and components of the complete blood count.

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