Podcast
Questions and Answers
In multiple sclerosis, what specific part of the nervous system is targeted by the autoimmune response?
In multiple sclerosis, what specific part of the nervous system is targeted by the autoimmune response?
- The glial cells supporting the central nervous system
- The myelin sheath surrounding nerve axons (correct)
- The cell bodies of neurons in the brain
- The synaptic clefts between neurons
Which of the following is a key characteristic of Hashimoto's thyroiditis?
Which of the following is a key characteristic of Hashimoto's thyroiditis?
- Shrinking of the thyroid gland due to reduced cellular activity
- Overproduction of thyroid hormones, leading to hyperthyroidism
- Formation of tumors within the thyroid gland
- Enlargement and inflammation of the thyroid, often leading to hypothyroidism (correct)
How does the autoimmune attack in multiple sclerosis primarily affect the function of neurons?
How does the autoimmune attack in multiple sclerosis primarily affect the function of neurons?
- By disrupting the supply of neurotransmitters
- By causing neurons to become overstimulated and fire excessively
- By impairing the speed and efficiency of nerve signal transmission (correct)
- By directly damaging the DNA within neurons
What is a goiter, as it relates to Hashimoto's thyroiditis?
What is a goiter, as it relates to Hashimoto's thyroiditis?
Considering both multiple sclerosis and Hashimoto's thyroiditis, what commonality exists in their autoimmune mechanisms?
Considering both multiple sclerosis and Hashimoto's thyroiditis, what commonality exists in their autoimmune mechanisms?
In Type III hypersensitivity, what initiates the cascade of events leading to tissue damage?
In Type III hypersensitivity, what initiates the cascade of events leading to tissue damage?
Which of the following is the primary mechanism by which neutrophils contribute to tissue damage in Type III hypersensitivity reactions?
Which of the following is the primary mechanism by which neutrophils contribute to tissue damage in Type III hypersensitivity reactions?
In Type III hypersensitivity, where do immune complexes typically deposit, leading to localized inflammation?
In Type III hypersensitivity, where do immune complexes typically deposit, leading to localized inflammation?
What is the direct result of complement system activation in Type III hypersensitivity?
What is the direct result of complement system activation in Type III hypersensitivity?
If a patient is experiencing a Type III hypersensitivity reaction, which of the following would be the most likely sequence of events at the affected site?
If a patient is experiencing a Type III hypersensitivity reaction, which of the following would be the most likely sequence of events at the affected site?
In Type IV hypersensitivity reactions, which cell type is primarily responsible for initiating the immune response by presenting the antigen?
In Type IV hypersensitivity reactions, which cell type is primarily responsible for initiating the immune response by presenting the antigen?
Sensitized T lymphocytes in Type IV hypersensitivity primarily mediate tissue damage through the release of:
Sensitized T lymphocytes in Type IV hypersensitivity primarily mediate tissue damage through the release of:
The inflammation observed in Type IV hypersensitivity is a direct consequence of the action of lymphokines, which primarily function to:
The inflammation observed in Type IV hypersensitivity is a direct consequence of the action of lymphokines, which primarily function to:
Tissue destruction in Type IV hypersensitivity is a delayed response and is characterized by which sequence of events following antigen exposure?
Tissue destruction in Type IV hypersensitivity is a delayed response and is characterized by which sequence of events following antigen exposure?
The skin lesion observed in a tuberculin test, as an example of Type IV hypersensitivity, is primarily a result of:
The skin lesion observed in a tuberculin test, as an example of Type IV hypersensitivity, is primarily a result of:
In autoimmune diseases, what is the primary target of autoantibodies?
In autoimmune diseases, what is the primary target of autoantibodies?
Which of the following best describes the difference between a normal immune response and autoimmunity?
Which of the following best describes the difference between a normal immune response and autoimmunity?
If a self-antigen is only expressed in the thyroid gland, what type of autoimmune disease is most likely to develop?
If a self-antigen is only expressed in the thyroid gland, what type of autoimmune disease is most likely to develop?
Which of the following events initiates the process of tissue damage in autoimmune diseases?
Which of the following events initiates the process of tissue damage in autoimmune diseases?
In the context of autoimmune diseases, how do autoreactive T cells contribute to the disease process?
In the context of autoimmune diseases, how do autoreactive T cells contribute to the disease process?
In a Type II hypersensitivity reaction, what is the primary mechanism by which the complement system causes cell damage?
In a Type II hypersensitivity reaction, what is the primary mechanism by which the complement system causes cell damage?
How does antibody-antigen complex formation contribute to the cellular damage observed in Type II hypersensitivity?
How does antibody-antigen complex formation contribute to the cellular damage observed in Type II hypersensitivity?
Which event is most likely to initiate a Type II hypersensitivity reaction?
Which event is most likely to initiate a Type II hypersensitivity reaction?
Following cell lysis in Type II hypersensitivity, what is the role of phagocytic cells?
Following cell lysis in Type II hypersensitivity, what is the role of phagocytic cells?
What would be the most likely outcome if complement activation were inhibited during a Type II hypersensitivity reaction?
What would be the most likely outcome if complement activation were inhibited during a Type II hypersensitivity reaction?
A patient experiencing anaphylaxis exhibits wheezing and difficulty breathing. Which underlying mechanism is most directly responsible for these respiratory symptoms?
A patient experiencing anaphylaxis exhibits wheezing and difficulty breathing. Which underlying mechanism is most directly responsible for these respiratory symptoms?
During an anaphylactic reaction, a patient's blood pressure drops significantly. What is the primary physiological cause of this drop in blood pressure?
During an anaphylactic reaction, a patient's blood pressure drops significantly. What is the primary physiological cause of this drop in blood pressure?
A patient in anaphylaxis reports feeling anxious and fearful. Initially, which physiological response is most likely contributing to these psychological symptoms?
A patient in anaphylaxis reports feeling anxious and fearful. Initially, which physiological response is most likely contributing to these psychological symptoms?
A patient experiencing anaphylaxis has warm, tingling skin and hives. Which of the following mechanisms is the most direct cause of these symptoms?
A patient experiencing anaphylaxis has warm, tingling skin and hives. Which of the following mechanisms is the most direct cause of these symptoms?
During anaphylaxis, the body attempts to compensate for a drop in blood pressure. Which of the following compensatory mechanisms is most likely to occur?
During anaphylaxis, the body attempts to compensate for a drop in blood pressure. Which of the following compensatory mechanisms is most likely to occur?
During anaphylaxis, what is the primary role of histamine released from mast cells?
During anaphylaxis, what is the primary role of histamine released from mast cells?
Which of the following physiological responses during anaphylaxis directly contributes to a severe oxygen deficit in the brain?
Which of the following physiological responses during anaphylaxis directly contributes to a severe oxygen deficit in the brain?
After initial exposure to an antigen that triggers anaphylaxis, what immunological event must occur for an individual to experience anaphylactic shock upon subsequent exposure?
After initial exposure to an antigen that triggers anaphylaxis, what immunological event must occur for an individual to experience anaphylactic shock upon subsequent exposure?
A patient experiencing anaphylaxis is exhibiting severe dyspnea. Which of the following treatments would directly counteract the mechanism causing this symptom?
A patient experiencing anaphylaxis is exhibiting severe dyspnea. Which of the following treatments would directly counteract the mechanism causing this symptom?
If vasodilation and increased capillary permeability occur during anaphylaxis, what would be expected in the patient?
If vasodilation and increased capillary permeability occur during anaphylaxis, what would be expected in the patient?
Flashcards
Type IV Hypersensitivity
Type IV Hypersensitivity
A delayed immune response where T cells mediate inflammation and tissue damage.
Macrophage role
Macrophage role
Macrophages present antigens to T lymphocytes, initiating the immune response.
Sensitization of T lymphocytes
Sensitization of T lymphocytes
Process where T lymphocytes are activated by bound antigens.
Lymphokines
Lymphokines
Signaling proteins released by activated T lymphocytes that mediate immune responses.
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Tissue destruction in DTH
Tissue destruction in DTH
Result of sustained inflammation and lysis of antigen-bearing cells leading to damage.
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Antigen-antibody complex
Antigen-antibody complex
A structure formed when antibodies bind to antigens.
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Immune complex deposition
Immune complex deposition
The settling of antigen-antibody complexes in tissues or blood vessels.
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Complement activation
Complement activation
A process triggered by immune complexes that promotes inflammation.
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Inflammatory response
Inflammatory response
The body's reaction marked by swelling and attraction of neutrophils.
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Tissue damage
Tissue damage
Harm caused to tissues due to the release of enzymes from neutrophils.
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Autoimmunity
Autoimmunity
Activation of the immune system by self-antigens.
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Autoantibodies
Autoantibodies
Antibodies formed against self-antigens in autoimmune diseases.
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First Exposure in Immune Response
First Exposure in Immune Response
Initial encounter with invaders leading to antibody formation.
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Impact of Autoantibodies
Impact of Autoantibodies
Autoantibodies lead to inflammation and damage to tissues.
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Systemic vs. Localized Autoimmunity
Systemic vs. Localized Autoimmunity
Autoimmunity can affect the whole body or specific tissues.
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Multiple Sclerosis
Multiple Sclerosis
An autoimmune disease where the myelin sheath is attacked, affecting the central nervous system.
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Myelin Sheath
Myelin Sheath
A protective membrane around the axon of nerve cells that is crucial for proper nerve function.
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Hashimoto's Thyroiditis
Hashimoto's Thyroiditis
An autoimmune disorder characterized by an inflamed, under-functioning thyroid, often leading to a goiter.
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Goiter
Goiter
An enlarged thyroid gland often associated with thyroid dysfunction like in Hashimoto's.
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Central Nervous System
Central Nervous System
The part of the nervous system consisting of the brain and spinal cord, vital for processing information.
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Anti-A antibodies
Anti-A antibodies
Antibodies from type B blood that bind to type A RBC surface antigens.
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Complex formation
Complex formation
The binding of antibodies to antigens on target cells, initiating an immune response.
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Complement system activation
Complement system activation
A biological pathway triggered by antibody-antigen complexes that leads to cell damage.
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Cell lysis
Cell lysis
Destruction of the target cell's membrane resulting from complement activation.
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Phagocytosis
Phagocytosis
The process where phagocytic cells engulf and remove destroyed cells.
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Signs of Anaphylaxis
Signs of Anaphylaxis
Skin irritation, breathing difficulties, low blood pressure.
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Skin Symptoms
Skin Symptoms
Pruritus, tingling, warmth, and hives are common skin responses.
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Respiratory Symptoms
Respiratory Symptoms
Includes cough, wheezing, and tightness in the chest.
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Cardiovascular Response
Cardiovascular Response
Decreased blood pressure and potentially irregular pulse patterns.
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CNS Symptoms
CNS Symptoms
Anxiety, weakness, dizziness, and possible loss of consciousness.
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Anaphylaxis
Anaphylaxis
A severe systemic hypersensitivity reaction that may lead to shock.
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Mast cell activation
Mast cell activation
Mast cells bind with IgE antibodies and release histamine upon antigen exposure.
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Histamine release effects
Histamine release effects
Histamine causes vasodilation and increased capillary permeability, leading to edema.
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Vasodilation consequences
Vasodilation consequences
Widening of blood vessels due to histamine leads to decreased blood pressure and faintness.
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Bronchoconstriction
Bronchoconstriction
Narrowing of bronchioles during anaphylaxis causing difficulty breathing.
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Autoimmune Diseases
- Autoimmunity occurs when the immune system's attack is directed against the body's own tissues.
- The immune system creates autoantibodies or activates autoreactive T cells.
- Autoimmune diseases may be systemic or localized.
- Autoimmune diseases may have a single or multiple tissue/cell target.
- Some examples include multiple sclerosis, pernicious anemia, Hashimoto's Thyroiditis and Graves' disease.
Multiple Sclerosis
- In multiple sclerosis, the protective myelin sheath around the nerve fibers in the central nervous system (brain and spinal cord) is attacked.
- This leads to inflammation, demyelination, and scarring of the nerve fibers.
- The symptoms in multiple sclerosis are highly variable, and depend on which nerve pathways are affected.
- Damage to the nervous system can result in difficulties with balance, vision, and movement.
Hashimoto's Thyroiditis
- In Hashimoto's thyroiditis, the immune system attacks the thyroid gland, leading to inflammation and reduced production of thyroid hormones.
- This can result in a goiter (visible swelling in the neck), hypothyroidism (low thyroid function), and other related symptoms.
Graves' Disease
- In Graves' disease, the immune system produces antibodies to the thyroid-stimulating hormone receptor.
- These antibodies activate the thyroid gland excessively, leading to hyperthyroidism (elevated thyroid function), goiter (swelling in the neck) and other symptoms like nervousness and sleep problems.
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