Multiple Sclerosis and Hypersensitivity
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Questions and Answers

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?

  • 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?

  • 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?

<p>An enlarged thyroid gland due to inflammation (C)</p> Signup and view all the answers

Considering both multiple sclerosis and Hashimoto's thyroiditis, what commonality exists in their autoimmune mechanisms?

<p>Both diseases involve immune system attack on specific tissues or organs (A)</p> Signup and view all the answers

In Type III hypersensitivity, what initiates the cascade of events leading to tissue damage?

<p>Deposition of immune complexes and subsequent complement activation. (D)</p> Signup and view all the answers

Which of the following is the primary mechanism by which neutrophils contribute to tissue damage in Type III hypersensitivity reactions?

<p>Release of lysosomal enzymes and chemical mediators. (C)</p> Signup and view all the answers

In Type III hypersensitivity, where do immune complexes typically deposit, leading to localized inflammation?

<p>Walls of blood vessels and tissues. (C)</p> Signup and view all the answers

What is the direct result of complement system activation in Type III hypersensitivity?

<p>Recruitment of inflammatory cells to the site of deposition. (B)</p> Signup and view all the answers

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?

<p>Immune complex formation → Complement activation → Neutrophil infiltration → Tissue damage (A)</p> Signup and view all the answers

In Type IV hypersensitivity reactions, which cell type is primarily responsible for initiating the immune response by presenting the antigen?

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

Sensitized T lymphocytes in Type IV hypersensitivity primarily mediate tissue damage through the release of:

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

The inflammation observed in Type IV hypersensitivity is a direct consequence of the action of lymphokines, which primarily function to:

<p>Attract and activate other immune cells (C)</p> Signup and view all the answers

Tissue destruction in Type IV hypersensitivity is a delayed response and is characterized by which sequence of events following antigen exposure?

<p>Antigen presentation by macrophages, T lymphocyte sensitization, lymphokine release, and inflammation. (A)</p> Signup and view all the answers

The skin lesion observed in a tuberculin test, as an example of Type IV hypersensitivity, is primarily a result of:

<p>Lymphokine-mediated inflammation and cellular lysis. (D)</p> Signup and view all the answers

In autoimmune diseases, what is the primary target of autoantibodies?

<p>Self-antigens present in the individual's own tissues (A)</p> Signup and view all the answers

Which of the following best describes the difference between a normal immune response and autoimmunity?

<p>A normal immune response targets foreign antigens, while autoimmunity targets self-antigens. (A)</p> Signup and view all the answers

If a self-antigen is only expressed in the thyroid gland, what type of autoimmune disease is most likely to develop?

<p>A localized autoimmune disease primarily affecting the thyroid gland (C)</p> Signup and view all the answers

Which of the following events initiates the process of tissue damage in autoimmune diseases?

<p>The attack of autoantibodies on self-antigens and deposition of immune complexes (C)</p> Signup and view all the answers

In the context of autoimmune diseases, how do autoreactive T cells contribute to the disease process?

<p>By directly attacking and destroying tissues expressing the self-antigen. (A)</p> Signup and view all the answers

In a Type II hypersensitivity reaction, what is the primary mechanism by which the complement system causes cell damage?

<p>By initiating a cascade of reactions that damage the cell membrane, leading to cell lysis. (D)</p> Signup and view all the answers

How does antibody-antigen complex formation contribute to the cellular damage observed in Type II hypersensitivity?

<p>It targets cells for destruction by complement activation and phagocytosis. (A)</p> Signup and view all the answers

Which event is most likely to initiate a Type II hypersensitivity reaction?

<p>Antibodies binding to antigens on the surface of cells. (B)</p> Signup and view all the answers

Following cell lysis in Type II hypersensitivity, what is the role of phagocytic cells?

<p>To engulf and remove the cellular debris, preventing further inflammation. (D)</p> Signup and view all the answers

What would be the most likely outcome if complement activation were inhibited during a Type II hypersensitivity reaction?

<p>Reduced cell lysis and decreased phagocytosis of affected cells. (D)</p> Signup and view all the answers

A patient experiencing anaphylaxis exhibits wheezing and difficulty breathing. Which underlying mechanism is most directly responsible for these respiratory symptoms?

<p>Contraction of smooth muscle in bronchioles, edema, and increased secretions. (B)</p> Signup and view all the answers

During an anaphylactic reaction, a patient's blood pressure drops significantly. What is the primary physiological cause of this drop in blood pressure?

<p>General vasodilation caused by chemical mediators. (C)</p> Signup and view all the answers

A patient in anaphylaxis reports feeling anxious and fearful. Initially, which physiological response is most likely contributing to these psychological symptoms?

<p>Sympathetic nervous system activation. (C)</p> Signup and view all the answers

A patient experiencing anaphylaxis has warm, tingling skin and hives. Which of the following mechanisms is the most direct cause of these symptoms?

<p>Irritation of sensory nerves by histamine and chemical mediators. (B)</p> Signup and view all the answers

During anaphylaxis, the body attempts to compensate for a drop in blood pressure. Which of the following compensatory mechanisms is most likely to occur?

<p>Increased heart rate due to sympathetic nervous system activation. (B)</p> Signup and view all the answers

During anaphylaxis, what is the primary role of histamine released from mast cells?

<p>To cause vasodilation and increase capillary permeability. (C)</p> Signup and view all the answers

Which of the following physiological responses during anaphylaxis directly contributes to a severe oxygen deficit in the brain?

<p>Bronchoconstriction and decreased blood pressure. (D)</p> Signup and view all the answers

After initial exposure to an antigen that triggers anaphylaxis, what immunological event must occur for an individual to experience anaphylactic shock upon subsequent exposure?

<p>Production and sensitization of mast cells with IgE antibodies. (B)</p> Signup and view all the answers

A patient experiencing anaphylaxis is exhibiting severe dyspnea. Which of the following treatments would directly counteract the mechanism causing this symptom?

<p>Injecting epinephrine to promote bronchodilation and increase blood pressure. (C)</p> Signup and view all the answers

If vasodilation and increased capillary permeability occur during anaphylaxis, what would be expected in the patient?

<p>Decreased blood pressure and edema. (C)</p> Signup and view all the answers

Flashcards

Type IV Hypersensitivity

A delayed immune response where T cells mediate inflammation and tissue damage.

Macrophage role

Macrophages present antigens to T lymphocytes, initiating the immune response.

Sensitization of T lymphocytes

Process where T lymphocytes are activated by bound antigens.

Lymphokines

Signaling proteins released by activated T lymphocytes that mediate immune responses.

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Tissue destruction in DTH

Result of sustained inflammation and lysis of antigen-bearing cells leading to damage.

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Antigen-antibody complex

A structure formed when antibodies bind to antigens.

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Immune complex deposition

The settling of antigen-antibody complexes in tissues or blood vessels.

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Complement activation

A process triggered by immune complexes that promotes inflammation.

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Inflammatory response

The body's reaction marked by swelling and attraction of neutrophils.

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Tissue damage

Harm caused to tissues due to the release of enzymes from neutrophils.

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Autoimmunity

Activation of the immune system by self-antigens.

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Autoantibodies

Antibodies formed against self-antigens in autoimmune diseases.

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First Exposure in Immune Response

Initial encounter with invaders leading to antibody formation.

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Impact of Autoantibodies

Autoantibodies lead to inflammation and damage to tissues.

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Systemic vs. Localized Autoimmunity

Autoimmunity can affect the whole body or specific tissues.

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Multiple Sclerosis

An autoimmune disease where the myelin sheath is attacked, affecting the central nervous system.

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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

An autoimmune disorder characterized by an inflamed, under-functioning thyroid, often leading to a goiter.

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Goiter

An enlarged thyroid gland often associated with thyroid dysfunction like in Hashimoto's.

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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

Antibodies from type B blood that bind to type A RBC surface antigens.

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Complex formation

The binding of antibodies to antigens on target cells, initiating an immune response.

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Complement system activation

A biological pathway triggered by antibody-antigen complexes that leads to cell damage.

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Cell lysis

Destruction of the target cell's membrane resulting from complement activation.

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Phagocytosis

The process where phagocytic cells engulf and remove destroyed cells.

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Signs of Anaphylaxis

Skin irritation, breathing difficulties, low blood pressure.

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Skin Symptoms

Pruritus, tingling, warmth, and hives are common skin responses.

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Respiratory Symptoms

Includes cough, wheezing, and tightness in the chest.

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Cardiovascular Response

Decreased blood pressure and potentially irregular pulse patterns.

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CNS Symptoms

Anxiety, weakness, dizziness, and possible loss of consciousness.

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Anaphylaxis

A severe systemic hypersensitivity reaction that may lead to shock.

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Mast cell activation

Mast cells bind with IgE antibodies and release histamine upon antigen exposure.

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Histamine release effects

Histamine causes vasodilation and increased capillary permeability, leading to edema.

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Vasodilation consequences

Widening of blood vessels due to histamine leads to decreased blood pressure and faintness.

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Bronchoconstriction

Narrowing of bronchioles during anaphylaxis causing difficulty breathing.

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Study Notes

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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Description

This quiz covers the autoimmune mechanisms in multiple sclerosis and Hashimoto's thyroiditis. It includes aspects of Type III hypersensitivity, covering immune complex formation, tissue damage, and the roles of neutrophils and the complement system.

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