Immune Response Mechanism and Lymphocyte Types
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Questions and Answers

What process is primarily responsible for capturing antigens in the immune response?

  • Pinocytosis
  • Exocytosis
  • Endocytosis
  • Phagocytosis (correct)
  • Which cells are primarily responsible for immunity against intracellular viruses and tumor cells?

  • B lymphocytes
  • Natural killer cells
  • T lymphocytes (correct)
  • Plasma cells
  • Which type of T lymphocytes is involved in the regulation of the immune response?

  • Suppressor T cells
  • T helper cells (correct)
  • Cytotoxic T cells
  • Memory T cells
  • What do plasma cells primarily produce when activated?

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

    In which organ do T lymphocytes mature after leaving the bone marrow?

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

    What is the main role of natural killer cells in the immune system?

    <p>Destroying virus-infected cells</p> Signup and view all the answers

    Which cells act as messengers in the immune system by secreting soluble factors?

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

    What is a significant characteristic of dendritic cells in the immune system?

    <p>They play a crucial role in antigen presentation.</p> Signup and view all the answers

    What is more common than cold-reactive antibodies in autoimmune hemolytic anemia (AIHA)?

    <p>Warm antibody AIHA</p> Signup and view all the answers

    What condition occurs when the transfused blood type differs from the recipient's blood type?

    <p>Alloimmune hemolytic anemia</p> Signup and view all the answers

    What triggers cold-reactive antibodies to become active?

    <p>Exposure to temperatures below 32 to 50 degrees Fahrenheit</p> Signup and view all the answers

    Which drug is NOT typically associated with causing hemolytic anemia?

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

    What physiological change can cause red blood cells to break down faster than normal?

    <p>Artificial heart valves</p> Signup and view all the answers

    What is a key characteristic of Paroxysmal Nocturnal Hemoglobinuria (PNH)?

    <p>Faulty red blood cells due to protein deficiency</p> Signup and view all the answers

    Which condition is characterized by high blood pressure that occurs during pregnancy?

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

    What is a potential risk factor associated with Systemic Lupus Erythematosus?

    <p>Progressive failure of major organs</p> Signup and view all the answers

    What is a common cause of anaphylaxis related to food?

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

    Which symptom is NOT typically associated with severe systemic reactions of anaphylaxis?

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

    What type of medication is known to potentially trigger an anaphylactic reaction?

    <p>Non-steroidal anti-inflammatory drugs</p> Signup and view all the answers

    Which reaction is characterized by rapid onset symptoms like dyspnea and hypotension?

    <p>Severe systemic reaction</p> Signup and view all the answers

    What type of insect is a common cause of anaphylaxis?

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

    In which time frame do mild systemic reactions to allergens typically present symptoms?

    <p>Within 2 hours after exposure</p> Signup and view all the answers

    Which manifestation is characteristic of a moderate systemic reaction?

    <p>Itching and flushing</p> Signup and view all the answers

    What physiological change is NOT a symptom of anaphylaxis?

    <p>Severe headaches</p> Signup and view all the answers

    Which mosquito is primarily responsible for dengue fever transmission in Hong Kong?

    <p>Aedes albopictus</p> Signup and view all the answers

    What is the typical incubation period for dengue fever?

    <p>4 – 7 days</p> Signup and view all the answers

    What is the recommended DEET concentration for pregnant women?

    <p>Up to 30%</p> Signup and view all the answers

    What should be done to prevent mosquito breeding?

    <p>Change water in vases weekly</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with leptospirosis?

    <p>Increased heart rate</p> Signup and view all the answers

    How long after exposure can symptoms of leptospirosis appear?

    <p>2 days to 4 weeks</p> Signup and view all the answers

    What is the primary cause of leptospirosis?

    <p>Bacteria of the genus Leptospira</p> Signup and view all the answers

    Which action should NOT be taken when using insect repellents and sunscreen?

    <p>Apply insect repellent first</p> Signup and view all the answers

    What is the primary cause of muscle weakness in myasthenia gravis?

    <p>Decrease in acetylcholine sensitivity at the receptor site</p> Signup and view all the answers

    Which of the following are early manifestations of myasthenia gravis?

    <p>Ptosis and diplopia</p> Signup and view all the answers

    What nursing intervention can be implemented to help prevent aspiration in patients with myasthenia gravis?

    <p>Assess gag reflex before feeding</p> Signup and view all the answers

    What is the purpose of the Tensilon Test in diagnosing myasthenia gravis?

    <p>To observe increase in muscle strength after administration of a cholinergic</p> Signup and view all the answers

    What are the 3 D's associated with myasthenia gravis manifestations?

    <p>Dysphagia, dysphonia, dysarthria</p> Signup and view all the answers

    Which medication is contraindicated in the treatment of myasthenia gravis due to its potential to increase muscle weakness?

    <p>Morphine sulfate</p> Signup and view all the answers

    What is a potential cause of a myasthenic crisis?

    <p>Undermedication of the condition</p> Signup and view all the answers

    Which factor contributes to the variability in severity of rheumatoid arthritis?

    <p>Spontaneous remissions and unpredictable exacerbations</p> Signup and view all the answers

    Study Notes

    Immune Response Mechanism

    • Phagocytosis is the process for capturing antigens by macrophages.
    • Antigens are presented to T and B lymphocytes, initiating an immune response.

    Lymphocyte Types

    • Produced in bone marrow, with two main types: B and T lymphocytes.

    B Lymphocytes

    • Known as Bursa-equivalent lymphocytes; named for the bursa of Fabricius in birds.
    • In humans, equivalent tissue is found in bone marrow.
    • Activate and differentiate into plasma cells, producing antibodies.

    T Lymphocytes

    • Migrate from bone marrow to thymus for differentiation.
    • Thymus secretes thymosin, promoting T cell maturation.
    • Comprise 70-80% of circulating lymphocytes and are vital for immunity against intracellular viruses, tumor cells, and fungi.

    Categories of T Lymphocytes

    • T Cytotoxic Cells: Attack and destroy foreign pathogens by releasing cytolytic substances.
    • T Helper Cells: Regulate both cell-mediated immunity and humoral antibody responses, with subsets TH1 and TH2.
    • Natural Killer Cells: Large lymphocytes involved in immune surveillance, recognizing and killing virus-infected cells and tumors.
    • Dendritic Cells: Crucial for cell-mediated immunity, located in skin and mucosal areas.

    Cytokines

    • Soluble factors secreted by WBCs that act as messengers, guiding cell proliferation, differentiation, and activity.

    Type I Hypersensitivity Reactions

    • Anaphylaxis: Immediate and severe allergic reaction to antigens that can be life-threatening, characterized by rapid onset and symptoms like bronchial constriction and vascular collapse.
    • Initial symptoms include edema and itching; can progress to shock, dyspnea, and cyanosis.

    Common Causes of Anaphylaxis

    • Foods: Peanuts, tree nuts, shellfish, fish, milk, eggs, soy, wheat.
    • Medications: Antibiotics, anesthetics, vaccines, and NSAIDs.
    • Insects: Stings from bees, wasps, ants, etc.
    • Latex: Found in various medical and non-medical products.

    Clinical Manifestations of Anaphylaxis

    • Severe Reactions: Rapid progression to bronchospasm, laryngeal edema, and possible cardiac arrest.
    • Moderate Reactions: Symptoms like flushing and anxiety, along with respiratory distress.
    • Mild Reactions: Tingling, warmth, nasal congestion, and periorbital swelling.
    • Cold-reactive antibodies: Active when exposed to cold temperatures.
    • Alloimmune hemolytic anemia: Occurs when antibodies target transfused red blood cells of a different type.
    • Drugs causing hemolytic anemia: Such as penicillin, chemotherapy drugs, and NSAIDs.
    • Physical causes: Conditions like hemodialysis, preeclampsia, and major vessel injuries can damage red blood cells.

    Neurologic Disorder: Myasthenia Gravis

    • Characterized by muscle weakness and fatigue due to impaired communication between nerves and muscles.
    • Etiology is often autoimmune.
    • Diagnostic Tests:
      • Tensilon Test: Administering edrophonium shows increased muscle strength.
      • EMG: To assess muscle response.
    • Early symptoms include ptosis and diplopia.

    Nursing Interventions for Myasthenia Gravis

    • Administer medications before meals to prevent aspiration.
    • Assess gag reflex, provide fall protection, and manage respiratory risks.
    • Encourage adequate rest and activity.

    Medical Management for Myasthenia Gravis

    • Plasmapheresis: Removal of antibodies to mitigate immune response.
    • Medications like neostigmine and pyridostigmine support communication at neuromuscular junctions.

    Rheumatoid Arthritis

    • Chronic systemic inflammatory disease affecting joints, muscles, and surrounding tissues, often requiring lifelong management.
    • Believed to have an autoimmune basis with patterns of spontaneous remissions and exacerbations.

    Dengue Fever

    • Transmitted by Aedes mosquitoes, development typically occurs 4-7 days post-exposure.
    • No specific treatment; management focuses on symptom relief.

    Leptospirosis

    • Bacterial disease caused by Leptospira, found worldwide with flu-like symptoms.
    • Can lead to severe illness with symptoms including jaundice, fever, and abdominal pain.
    • Incubation period ranges from 2 days to 4 weeks after exposure.

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    Immune System Notes PDF

    Description

    Explore the intricate mechanisms of the immune response, focusing on the roles of different lymphocyte types. Learn about B and T lymphocytes, their development, and how they contribute to the body's defense against pathogens. This quiz delves into critical processes such as phagocytosis and the differentiation of lymphocytes in the immune system.

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