Innate Immunity Overview
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Questions and Answers

If both parents are carriers for an autosomal recessive trait, what is the probability that their offspring will be affected?

  • 25% (correct)
  • 75%
  • 50%
  • 100%
  • Which of these is an example of a disease caused by autosomal recessive inheritance?

  • Breast cancer
  • Sickle cell anemia (correct)
  • Coronary artery disease
  • Alzheimer's disease
  • In the context of epigenetics, what is the primary effect of DNA methylation on gene expression?

  • Silencing of genes (correct)
  • Changes in signaling pathways
  • Activation of genes
  • Increased gene transcription
  • What is the consequence of histone acetylation?

    <p>Increased gene expression (D)</p> Signup and view all the answers

    Which of these statements best describes the function of microRNAs (miRNAs)?

    <p>Regulating gene expression post-transcriptionally (D)</p> Signup and view all the answers

    Which cellular entity plays a crucial role in determining the fate of cells, ensuring specific genes are expressed in the correct cell types?

    <p>Embryonic Stem Cells (D)</p> Signup and view all the answers

    What is the primary characteristic of a gene that has undergone genomic imprinting?

    <p>The gene is transcriptionally silenced (C)</p> Signup and view all the answers

    A patient presents with muscle weakness, loss of muscle tone, and paralysis. Which of the following electrolyte imbalances is MOST likely the cause?

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

    A patient is admitted with a diagnosis of compulsive water intoxication. Which of the following is a likely treatment for this patient's condition?

    <p>Restriction of free water intake (C)</p> Signup and view all the answers

    A patient with chronic obstructive pulmonary disease (COPD) is experiencing increased CO₂ retention. This is MOST likely to result in which acid-base imbalance?

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

    A patient with a known history of diabetic ketoacidosis (DKA) has been admitted to the hospital. Which acid base imbalance is MOST likely to be present?

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

    A patient is experiencing vomiting and has been taking diuretics. Which acid-base imbalance are they MOST at risk for developing?

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

    Which of the following is a primary characteristic that distinguishes prokaryotic cells from eukaryotic cells?

    <p>Presence of a distinct nucleus (D)</p> Signup and view all the answers

    A patient is experiencing a severe allergic reaction with symptoms including laryngeal edema and vascular collapse. What is the most likely underlying mechanism?

    <p>IgE cross-linking resulting in mast cell degranulation (D)</p> Signup and view all the answers

    Which cellular component is primarily responsible for the synthesis of lipids and the detoxification of substances?

    <p>Smooth endoplasmic reticulum (D)</p> Signup and view all the answers

    A patient has a chronic, multisystem autoimmune disease characterized by autoantibodies. Which of the following conditions is most consistent with these symptoms?

    <p>Systemic Lupus Erythematosus (SLE) (A)</p> Signup and view all the answers

    What is the primary function of the peroxisomes within a cell?

    <p>Utilization of oxygen and myelination of nerve cells (C)</p> Signup and view all the answers

    A patient experiences a transplant rejection. Which type of immune reaction is responsible?

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

    What is a key function of the microbiome in maintaining host health?

    <p>Preventing colonization by pathogens (C)</p> Signup and view all the answers

    Which cellular structure is responsible for processing and packaging proteins for transport?

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

    A patient has recurrent, severe infections since birth. Which is the most likely underlying cause?

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

    Which of the following transport mechanisms moves substances against their concentration gradient?

    <p>Na+/K+ Pump (D)</p> Signup and view all the answers

    What is the primary role of cAMP as a second messenger within a cell?

    <p>Activating specific enzymes (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of stem cells?

    <p>Limited replication capacity (A)</p> Signup and view all the answers

    What effect does hypoxia typically have on cells?

    <p>Cell injury or atrophy (A)</p> Signup and view all the answers

    Which transport mechanism involves the movement of water across a membrane?

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

    What would be classified as an example of a first messenger?

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

    The process where a cell expels substances out of the cell is called:

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

    Which cellular process is directly associated with hydrostatic pressure?

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

    What is a defining characteristic of free radicals that gives them the ability to damage cells?

    <p>They have an unpaired electron (C)</p> Signup and view all the answers

    How do chemical agents affect cells?

    <p>They cause changes in cytoplasm, transport and signaling (A)</p> Signup and view all the answers

    What is the primary function of the Renin-Angiotensin-Aldosterone System (RAAS)?

    <p>To increase blood pressure and promote sodium and water retention (D)</p> Signup and view all the answers

    Which of the following best describes the effect of Angiotensin II on blood pressure?

    <p>It causes vasoconstriction and stimulates aldosterone release to raise blood pressure. (B)</p> Signup and view all the answers

    Which of the conditions below would most likely lead to hypermagnesemia?

    <p>Severe kidney disease or renal failure (C)</p> Signup and view all the answers

    Which of these clinical signs is most indicative of hypocalcemia?

    <p>Neuromuscular irritability, tetany, and positive Chvostek's sign (C)</p> Signup and view all the answers

    Which of the following is NOT associated with hypercalcemia?

    <p>Hyperexcitability of nerve and muscle tissue (A)</p> Signup and view all the answers

    What is the primary source of angiotensinogen required for the RAAS?

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

    Which of the following is a common etiology of hypomagnesemia?

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

    A patient is experiencing muscle weakness, hypotension and bradycardia. Which electrolyte imbalance is most likely responsible?

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

    What is the primary mechanism by which the RAAS increases blood pressure?

    <p>Increasing fluid volume and causing vasoconstriction (D)</p> Signup and view all the answers

    A patient presents with tetany and positive Chvostek's sign. Which electrolyte imbalance is most likely?

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

    Study Notes

    Innate Immunity

    • Immunity types include innate resistance (natural barriers and inflammatory response) and adaptive (acquired) immunity.
    • Lines of defense include the first line (natural barriers), second line (inflammation), and third line (adaptive immunity).
    • First line of defense consists of physical and mechanical barriers like skin, low temperature/pH of skin, linings of GI, GU, and respiratory tracts, and biochemical barriers (e.g., antibacterial peptides in mucus, perspiration, saliva, tears).

    First Line of Defense

    • Physical barriers include skin and low temperature/pH of the skin.
    • Mechanical barriers include linings of GI, GU, and respiratory tracts, sloughing off of cells, coughing, sneezing, vomiting, urinating, and mucus and cilia.
    • Biochemical barriers include substances that trap or destroy microorganisms, as well as antibacterial peptides in mucus, perspiration, saliva, tears, and earwax.

    Second Line of Defense: Inflammation

    • Causes include infection, mechanical damage, ischemia, nutrient deprivation, temperature extremes, and radiation.
    • Functions include preventing and limiting infection, controlling inflammation, and preparing the area for healing.
    • Characteristics of inflammation include rapid initiation and no memory cells, as well a cardinal signs like redness, heat, swelling, pain, and loss of function.
    • Vascular response involves blood vessel dilation and increased vascular permeability, with WBC adherence to vessel walls and migration through vessels.
    • Plasma protein systems play a role in inflammation, including complement (destroying pathogens directly), clotting (forming a mesh to stop bleeding and prevent infection), and kinin systems.

    Cellular Responders in Inflammation

    • Cellular mediators include Mast cells, granulocytes (neutrophils, eosinophils, basophils), monocytes, macrophages, natural killer cells, lymphocytes, and cellular fragments (platelets).
    • Biochemical mediators originate from destroyed cells and modulate activity of other inflammatory cells.
    • Pattern Recognition Receptors (PRRs) recognize pathogen-associated molecular patterns (e.g., Toll-like receptors (TLRs)).

    Phagocytosis

    • Key cells involved include neutrophils, macrophages, and eosinophils.
    • Functions include ingestion and disposal of foreign material and bacteria, dead cells, and macrophages.

    Manifestations of Inflammation

    • Local signs include heat, redness, swelling, pain, and loss of function. Systemic signs include fever, leukocytosis, and increased plasma protein synthesis.
    • Types of exudates include serous (watery), fibrinous (thick clotted), purulent (pus), and hemorrhagic (containing blood).
    • Chronic inflammation lasts two weeks or longer and is caused by unsuccessful acute response, microorganisms, toxins, and irritants. Characteristics include dense infiltration of macrophages and lymphocytes, as well as granuloma formation.

    Wound Healing

    • Wound healing stages include inflammation, reconstruction (begins 3–4 days post-injury), and remodeling (scar formation).
    • Types of wound healing are primary intention (minimal tissue loss) and secondary intention (significant tissue replacement).
    • Dysfunctions can include ischemia, hemorrhage, hypovolemia, infection, malnutrition, and medications, resulting in conditions such as Keloids, contractures and dehiscence.

    Adaptive Immunity

    • Adaptive immunity is characterized by recognizing foreign substances, providing long-term protection, and having memory.
    • Key components include T cells (cellular immunity) and B cells (humoral immunity), along with antibodies (immunoglobulins—IgG, IgA, IgM, IgE).

    Hypersensitivity Reactions

    • Types of hypersensitivity reactions include Type I (IgE-mediated), Type II (tissue-specific), Type III (immune complex-mediated), and Type IV (T-cell-mediated).

    Autoimmunity and Alloimmunity

    • Autoimmunity involves the immune system attacking self-antigens (e.g., lupus).
    • Alloimmunity involves a reaction against beneficial foreign tissues (e.g., transplants, transfusions).

    Immune Deficiencies

    • Types of deficiencies include primary (congenital) and secondary (acquired).

    Chronic Inflammation

    • Characteristics include dense infiltration of lymphocytes and macrophages, and granuloma formation

    Active vs. Passive Immunity

    • Active immunity is acquired through natural exposure (e.g., infection) or immunization (e.g., vaccination), resulting in long-term immunity.
    • Passive immunity involves transferring preformed antibodies or T lymphocytes from a donor to a recipient (e.g., maternal antibodies to a fetus), leading to temporary immunity.

    Types of Antibodies

    • IgE is involved in allergies and parasitic infections.
    • IgM is the first responder in infections.
    • IgG provides long-term immunity and can cross the placenta.
    • IgA is found in secretions (e.g., saliva, tears, breast milk).

    Antigen Presenting Cells (APCs)

    • APCs include dendritic cells, macrophages, and B lymphocytes.
    • Their function is to process and present antigens to T-helper cells.

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    Description

    Explore the two main types of immunity: innate and adaptive. This quiz focuses on the lines of defense, emphasizing the first line which includes various physical, mechanical, and biochemical barriers to prevent infection. Test your knowledge on the mechanisms underlying innate immunity and their importance in human health.

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