Immunology and Inflammation Quiz

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Questions and Answers

Which of the following is NOT a function of complement?

  • Activation of macrophages
  • Production of antibodies (correct)
  • Opsonizing bacteria
  • Lysing cell membranes

Which type of cytokine is responsible for attracting other cells to the site of inflammation?

  • Interferons
  • Tumour necrosis factor
  • Chemokines (correct)
  • Growth factors

Which cell type is primarily responsible for producing antibodies?

  • Plasma cells (correct)
  • T-helper lymphocytes
  • Cytotoxic T-cells
  • Macrophages

What is the primary function of suppressor T-cells?

<p>Inhibit B-cell activity (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of macrophages?

<p>Indistinguishable from T-cells microscopically (C)</p> Signup and view all the answers

How do complement proteins become activated?

<p>By contact with microorganisms or antigen-antibody complexes (B)</p> Signup and view all the answers

What is the role of tumor necrosis factor (TNF) in cellular immunity?

<p>Stimulating vessel growth and inhibiting tumor growth (C)</p> Signup and view all the answers

Which cells are crucial for the development of memory cells in the immune system?

<p>B-lymphocytes (D)</p> Signup and view all the answers

What is the main characteristic of pseudomembranous inflammation?

<p>Formation of a false membrane on mucous surfaces due to exudate and necrotic cells (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of serous inflammation?

<p>Formation of an abscess with pus formation (B)</p> Signup and view all the answers

Which of the following is an example of catarrhal inflammation?

<p>The common cold (A)</p> Signup and view all the answers

What is the primary cause of ulceration?

<p>Loss of surface epithelium due to necrosis (B)</p> Signup and view all the answers

Which of the following is NOT a therapeutic approach to reducing inflammation?

<p>Induction of abscess formation to drain pus (C)</p> Signup and view all the answers

Which of the following describes the effect of cold therapy on inflammation?

<p>Decreases blood flow and reduces inflammation (C)</p> Signup and view all the answers

What is the primary effect of heat therapy on inflammation?

<p>Increases blood flow and promotes healing (C)</p> Signup and view all the answers

How does hyaluronidase contribute to the spread of haemolytic streptococci in connective tissue?

<p>It breaks down the basement membrane, allowing bacteria to penetrate deeper (D)</p> Signup and view all the answers

What condition involves interruption of blood supply to the articular end of a bone, leading to bone death and potentially osteoarthritis?

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

Which of the following is NOT a common site for avascular necrosis?

<p>Elbow (E)</p> Signup and view all the answers

Dystrophic calcification is characterized by the deposition of calcium in:

<p>Dead or degenerate tissue (D)</p> Signup and view all the answers

What is the primary cause of the development of granulomas in the lungs during a primary tuberculosis infection?

<p>The presence of lipoproteins from the bacteria, leading to IL1 and TNF release from epithelioid macrophages (B)</p> Signup and view all the answers

Which of the following accurately describes a characteristic feature of the Ghon focus?

<p>A dry, firm lesion with a central cottage cheese appearance (C)</p> Signup and view all the answers

Which of the following conditions can lead to metastatic calcification?

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

How does the Ghon complex typically spread within the body?

<p>All of the above (D)</p> Signup and view all the answers

What is the main aim of burn treatment?

<p>Achieve epithelial regeneration with minimal scarring (C)</p> Signup and view all the answers

In the context of secondary tuberculosis, why does the organism typically re-activate in the upper lobes of the lung?

<p>These regions have a higher concentration of oxygen, which aids in bacterial growth. (A)</p> Signup and view all the answers

Which degree of burn involves the epidermis, but only affects the germinal layer focally?

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

What is the significance of the presence of memory immunity to tuberculosis in patients?

<p>It aids in the rapid development of an immune response upon re-exposure, potentially preventing severe disease. (C)</p> Signup and view all the answers

In second-degree deep burns, which of the following structures are destroyed?

<p>Both sweat glands and hair follicles (B)</p> Signup and view all the answers

What is the primary reason why a graft might be applied 10 days after a burn?

<p>The amount of available oxygen and nutrients is maximal at this time (C)</p> Signup and view all the answers

During primary tuberculosis, how long does it typically take for cell-mediated immunity to develop?

<p>10-14 days (D)</p> Signup and view all the answers

What is the primary role of macrophages in the development of granulomas during a primary tuberculosis infection?

<p>Macrophages release cytokines that attract other immune cells, contributing to granuloma formation. (B)</p> Signup and view all the answers

What is the primary difference between a primary and a secondary tuberculosis infection?

<p>A primary infection involves the initial exposure to the bacteria, while a secondary infection occurs due to re-activation or re-exposure. (C)</p> Signup and view all the answers

In congenital syphilis, what is the characteristic finding in the metaphysis of long bones?

<p>Rat-bitten appearance (A)</p> Signup and view all the answers

What is the primary component of amyloid deposits?

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

Which type of amyloidosis is most commonly associated with chronic inflammatory conditions like tuberculosis?

<p>Secondary amyloidosis (AA) (D)</p> Signup and view all the answers

Which of the following is a characteristic microscopic finding in amyloidosis?

<p>Amorphous eosinophilic deposits (B)</p> Signup and view all the answers

Which of the following complications is NOT associated with amyloidosis?

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

What is the primary characteristic of sarcoidosis?

<p>Non-caseating granulomas (D)</p> Signup and view all the answers

Which of the following is a hallmark finding in sarcoidosis?

<p>Giant cells with asteroid bodies (D)</p> Signup and view all the answers

Which of the following is NOT a manifestation of sarcoidosis?

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

Which of the following is a permanent cell type?

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

What is the process of replacing damaged cells with cells of the same type called?

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

Which of the following conditions is necessary for regeneration to occur?

<p>Intact connective tissue framework (C)</p> Signup and view all the answers

What is the term for the proliferation of glial cells in response to neuronal injury?

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

What is the primary process involved in repair/organisation?

<p>Formation of granulation tissue (C)</p> Signup and view all the answers

Which of the following is NOT a type of injury that can trigger wound healing?

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

What is the role of contact adhesion molecules like integrins in wound healing?

<p>To facilitate cell migration and attachment (C)</p> Signup and view all the answers

Which type of wound healing is characterized by the edges of the wound being kept together with sutures?

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

What is the primary cause of secondary/ischaemic gangrene?

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

Which of these is NOT a cause of ischaemic gangrene?

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

Which of these is a characteristic of primary/infective gangrene caused by Clostridia?

<p>Presence of bubbles in tissues (D)</p> Signup and view all the answers

What is the common mechanism by which frostbite leads to gangrene?

<p>Vascular spasm and thrombosis (B)</p> Signup and view all the answers

Which of the following conditions is an example of visceral gangrene caused by a mechanical obstruction?

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

What is the main difference between primary/infective gangrene and secondary/ischaemic gangrene?

<p>The underlying cause of the tissue death (A)</p> Signup and view all the answers

What is the role of saprophytic bacteria in the development of gangrene?

<p>They break down dead tissue, contributing to the characteristic odor (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of apoptosis?

<p>Typically involves large areas of tissue death (A)</p> Signup and view all the answers

Flashcards

Ischaemia

A condition where blood flow is restricted, leading to tissue damage.

Gas gangrene

A severe infection caused by Clostridia bacteria in anaerobic conditions, producing gas in tissues.

Secondary gangrene

Gangrene resulting from ischaemia, often modified by bacterial action and leukocyte activity.

Causes of gangrene

Includes vascular diseases like atherosclerosis, embolism, trauma, frostbite, and chemicals.

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Pressure sore

Ischaemic gangrene caused by prolonged pressure on skin, leading to necrosis.

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Apoptosis

Programmed cell death involving the elimination of defective cells through energy-dependent mechanisms.

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Visceral gangrene

Gangrene affecting internal organs due to mechanical or vascular issues.

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Embollism

Obstruction of an artery caused by a blood clot or foreign material traveling through the bloodstream.

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Cytokines

Signaling molecules that mediate communication between cells.

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Lymphokines

Cytokines secreted by sensitized T-helper lymphocytes.

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Interleukins

Cytokines that mediate local reactions between leukocytes.

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Complement system

Group of proteins aiding in immune response via a cascade effect.

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Macrophages

Cells from monocytes that perform phagocytosis and produce cytokines.

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T-lymphocytes

White blood cells that mature in the thymus and have specific roles.

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B lymphocytes

Cells that mature in the bone marrow and produce antibodies.

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Tumor necrosis factor

Cytokine that stimulates vessel growth while inhibiting tumors.

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Lung lesions in tuberculosis

Small lesions form in specific lung areas due to TB infection.

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Cell-mediated immunity

Immune response that develops 10-14 days after TB exposure, mobilizing macrophages.

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Ghon Complex

A lesion complex from primary TB, consisting of the Ghon focus and lymph node involvement.

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Ghon focus

Subpleural lesion at the base of the upper lobe or top of the lower lobe, often caseous.

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Caseous necrosis

Necrotizing tissue death that produces a cheese-like appearance in granulomas in TB.

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Granulomas

Clusters of macrophages that form in response to TB infection, indicating inflammation.

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Primary vs Secondary TB

Primary occurs during first infection; secondary is reactivation or reinfection later.

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Reactivation of TB

Occurs when dormant TB bacteria, hidden in macrophages, become active due to immune weakness.

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Haemolytic Streptococci

Bacteria that produce hyaluronidase to break down connective tissue and invade tissues.

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Pseudomembranous Inflammation

Inflammation caused by organisms that grow on mucous membranes, producing toxins and forming a false membrane.

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Serous Inflammation

Inflammation with excess fluid exudate, affecting serous membranes and causing fibrin deposition.

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Catarrhal Inflammation

Acute inflammation of mucous membranes leading to excess secretion from mucous glands.

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Ulceration

Loss of surface epithelium with necrosis, provoking inflammatory response in underlying tissue.

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Abscess Formation

Collection of pus due to bacterial infection; involves tissue damage, necrosis, and inflammation.

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Cold-Therapy

Using ice packs to decrease inflammation and pain by reducing blood flow and metabolic demand.

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Heat-Therapy

Applying heat to inflamed tissue, increasing temperature to promote blood flow and healing.

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Avascular necrosis

Bone death due to interrupted blood supply, leading to osteoarthritis.

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Dystrophic calcification

Calcium deposition in dead or degenerate tissue with normal serum levels.

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Metastatic calcification

Calcium deposition in normal tissue with high serum calcium levels.

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First degree burn

Burn affecting only the epidermis, with complete healing expected.

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Second degree burn - Superficial

Burn into the upper dermis, preserving some skin structures for rapid healing.

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Second degree burn - Deep

Burn into the lower dermis causing damage to some skin structures.

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Third degree burn

Burn that extends into the hypodermis, causing pain loss and no regeneration.

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Treatment of burns

Focus on epithelial regeneration with minimal scarring and timely interventions.

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Congenital syphilis

A condition in newborns caused by maternal syphilis infection, leading to severe complications.

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Hydrops fetalis

Abnormal accumulation of fluid in fetal compartments, often leading to cardiac failure.

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Amyloidosis

Excessive accumulation of amyloid proteins in tissues, affecting organ function.

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Primary amyloidosis (AL)

Type of systemic amyloidosis associated with plasma cell disorders like myeloma.

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Secondary amyloidosis (AA)

Amyloidosis linked to chronic inflammatory conditions like tuberculosis or autoimmune diseases.

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Schaumann bodies

Laminated calcifications seen in granulomas, significant for sarcoidosis diagnosis.

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Asteroid bodies

Stellate inclusions found in giant cells, characteristic of sarcoidosis.

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Wound healing

The process of restoring tissue integrity after injury, involving regeneration and repair.

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Regeneration

Replacement of damaged cells by identical cells, requiring intact connective tissue framework.

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Repair/Organisation

Formation of fibrous tissue in response to permanent cell damage or lack of framework.

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Inflammatory phase of healing

Initial phase of wound healing characterized by clot formation and inflammation.

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Granulation tissue

New connective tissue and tiny blood vessels that form at the site of wound healing.

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Contact adhesion molecules

Proteins like laminin and fibronectin that help cells adhere to extracellular matrix.

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Skin healing - Primary Union

Healing method where wound edges are kept closely together, facilitating quicker recovery.

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Maximum strength of skin after healing

Time taken for skin to regain its utmost strength post-injury, typically weeks to months.

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Study Notes

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