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Micro Exam 2
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271
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Not Applicable
06/19/2008

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Term
1st line of defense
Definition
- physical barriers
- chemical defenses
Term
physical barriers
Definition
- skin
- mucous membranes
- fluid flow
Term
skin
Definition
- few microorganisms can invade when intact
- contains keratin for protection
- bacteria can only invade through breaks/wounds
Term
mucous membranes
Definition
- line respiratory, GI and genitourinary tracts
- no keratin
- mucociliary elevator
- mucus
Term
fluid flow
Definition
- saliva, tears, urine
Term
normal flora
Definition
- bacteriocins
- toxic metabolic end products
- low oxidation-reduction potential
- depletion of essential nutrients
- suppression of adherence
Term
mucociliary elevator
Definition
- brings bacteria away from lungs in respiratory tract
Term
bacteriocins
Definition
- inhibit/kill other bacteria
- usually proteins
Term
acidophilic
Definition
- love acid
Term
aciduric
Definition
- tolerate acid
Term
acidogenic
Definition
- produce acid
Term
chemical defenses
Definition
- pH
- Bacteriocins
- Lysozymes
- Lactoferrin/transferrin
- Interferons
- Cytokines/chemokines/lymphokine
- complement
Term
protein molecules produced by lymphocytes, macrophages and other cells
Definition
cytokines are:
- protein molecules produced by lymphocytes, macrophages, and other cells
- normally not involved in the IR
- not involved in the inflammatory process
- only produced during humoral immune responses
Term
transduction
Definition
phages are responsible for:
- transduction
- conjugation
- transposition
- transformation
Term
phagocytosis
Definition
O2 dependent killing and O2 independent killing are associated with:
- complement activation
- inflammation
- interferon production
- phagocytosis
Term
both a/b
Definition
immunogens:
- elicit an immune response
- respond specifically to the products of the immune system
- both a/b
- neither a/b
Term
innate
Definition
which term listed below refers to the type of immunity manifested by intact keratinized epithelium on a person's arm?
- natural active
- artificial active
- natural passive
- artificial passive
- innate
Term
bacterial capsules
Definition
examples of protein substances which function as antigens include:
- bacterial endotoxins
- enzymes
- bacterial capsules
- DNA
Term
acid pH
Definition
A person's stomach possess which, if any, of the following innate defenses:
- acid pH
- plasma cells
- both a/b
- neither a/b
Term
lysozyme
Definition
an example of an antimicrobial substance produced by members of the normal flora, to protect against colonization from other pathogens, is:
- lymphokine
- gamma globulin
- bacteriocin
- lactic acid
- lysozyme
Term
beta 1,4
Definition
the amino sugars of the backbone chain of peptidoglycan are linked:
- alpha 1,4
- alpha 1,6
- beta 1,4
- beta 1,6
- gamma 1,2
Term
cellular immunity
Definition
immunological resistance to most intracellular pathogens is manifested as:
- lymphoid degeneration
- humoral immunity
- non-specific serum protection
- cellular immunity
- increased host perspiration
Term
PMN
Definition
first inflammatory cell to appear in large numbers at the site of injured tissue is the:
- macrophage
- plasma cell
- PMN
- monocyte
Term
rubor
Definition
- redness of inflammation
- due to increased blood flow
Term
phagolysozome
Definition
- site of killing of phagocytized cells
Term
opsinization
Definition
- complement coating of bacterial or fungal cells
Term
lactoferrin
Definition
- iron-binding protein in secretions
Term
calor
Definition
- warmth of inflammation
- due to increased blood flow
Term
pus
Definition
- inflammatory exudate
- dead microorganisms, dead phagocytic cells, cellular debris, bidy fluids
Term
alternative
Definition
- complement pathway activated by endotoxin
Term
PMN
Definition
- most abundant phagocytic cell in blood
- first responder
Term
macrophages
Definition
- long-lived phagocytic cells
- derived from monocytes
Term
tumor
Definition
- edema or swelling due to increased capillary permeability
Term
dolor
Definition
- pain of inflammation resulting from release of bradykinin and prostaglandins
Term
pyrogens
Definition
- chemical that cause fever
Term
mucociliary elevator
Definition
- term which describes action of ciliated epithelium of respiratory tract
Term
mast cells
Definition
- inflammatory cells derived from basophils
- release histamine
Term
skin
Definition
- primary physical barrier against invasion by microbes
Term
lysozyme
Definition
- enzyme in saliva and tears that hydrolyzes peptidoglycan
Term
interferon
Definition
- small glycoprotein produced by host cells in response to viral infections
Term
complement
Definition
- family of glycoproteins in blood that when activated stimulate host defenses
Term
- cytokines
Definition
- product of cells which regulate, stimulate, suppress or otherwise control activities of cells
Term
classical
Definition
- complement pathway activated by antigen-antibody complexes
Term
bacterial endotoxins
Definition
what activates the alternative complement pathway?
- antigen-antibody complexes
- bacterial endotoxin
- macrophages
- none of the above
Term
antigen-antibody complexes
Definition
what activates the classical complement pathway?
- antigen-antibody complexes
- bacterial endotoxin
- macrophages
- none of the above
Term
itching
Definition
which of the following is not a part of the inflammatory response?
- itching
- pain
- swelling
- redness
- warmth
Term
chemotaxis
Definition
the movement of phagocytic cells in response to chemicals is:
- chemotaxis
- degranulation
- inflammation
- opsonization
Term
both b and d
Definition
a substance which is capable of eliciting an IR and of reacting specifically with the products of the response is:
- an adjuvant
- a complete antigen
- a hapten
- an immunogen
- both b and d
Term
proteins
Definition
which of the following are most antigenic?
- carbohydrates
- lipids
- nucleic acids
- proteins
Term
plasma cells
Definition
the cells that actually produce antibodies are:
- b cells
- t-helper cells
- plasma cells
- natural killer cells
Term
IgG
Definition
the primary (most abundant) Ig in circulation is:
- IgA
- IgD
- IgE
- IgG
- IgM
Term
4 polypeptide chains (2 heavy, 2 light)
Definition
a basic structure of an Ig consists of:
- 2 polypeptide chains
- 4 polypeptide chains (2 light, 2 heavy)
- 6 polypeptide chains (4 light, 2 heavy)
- 20 polypeptide chains (10 light, 10 heavy)
- none of the above
Term
disruption of cell membrane
Definition
the end result of complement activation is:
- disruption of cell membrane
- phagocytosis of cell
- secretion of enzymes by cell
- none of the above
Term
pyrogens
Definition
chemicals that cause fever are referred to as:
- heatniks
- pyogens
- pyrogens
- thermogens
Term
humoral immunity
Definition
another name for antibody-mediated immunity:
- cell-mediated immunity
- humoral immunity
- nonspecific immunity
- none of the above
Term
alternative
Definition
lipopolysaccharide activated the ___ complement pathway.
- classical
- alternative
- both a/b
- neither a/b
Term
IgM
Definition
first Ig detected in primary humoral IR is:
- A
- E
- D
- G
- M
Term
both a/b
Definition
complement facilitates phagocytosis by:
- opsinization of bacterial cells
- chemoattraction of phagocytic cells
- both a/b
- neither a/b
Term
plasma cells
Definition
which of the following is NOT a component of cell-mediated immunity?
- lymphokines
- plasma cell
- t-helper cell
- cytotoxic t-cells
- all of the above are components of CMI
Term
antibodies
Definition
nonspecific host defenses against invading microorganisms include all of the following except:
- antibodies
- complement
- interferons
- phagocytosis
- lysozyme
Term
all of the above
Definition
when activated, complement proteins:
- lyse bacterial cells
- enhance phagocytosis of bacterial/fungal cells
- attract phagocytic cells
- trigger inflammation
- all of the above
Term
induce formation of IR
Definition
small molecules such as penicillin are classified as incomplete antigens because they lack the ability to ___ w/o help of an antigenic carrier molecule.
- induce formation of IR
- react specifically w/products of IR
- both a/b
- neither a/b
Term
all of the above
Definition
which of the following features applies to IgM?
- 1st aby produced during humoral response
- largest immunoglobulin
- can bind 10 antigenic determinant sites
- all of the above
- only a/c
Term
mast cells
Definition
histamine is released during degranulization of :
- mast cells
- t-lymph
- b-lymph
- monocytes
- plasma cells
Term
both
Definition
antibody-mediated immunity and cell-mediated immunity are both characterized by:
- specificity
- memory
- both
- neither
Term
both
Definition
cytokines have the ability to ___ the cells which secrete them or other cells of the immune system:
- inhibit
- stimulate
- both
- neither
Term
acidogenic
Definition
bacteria which produce acid during growth are classified as:
- acidogenic
- acidophilic
- acid producers
- aciduric
- alkalinic
Term
both
Definition
byproducts of metabolism which are toxic to anaerobic bacteria are:
- superoxide ion
- h2o2
- both
- neither
Term
RT
Definition
the mucociliary elevator refers to the ciliated cells of the ___ which function as a physical barrier to invading microbes.
- urinary tract
- genital tract
- GI tract
- respiratory tract
- skin
Term
natural passive
Definition
having a disease leads to ___ immunity.
- artificial active
- artificial passive
- natural active
- natural passive
Term
enzymes
Definition
O2 dependent killing within a phagolysosome is due to the presence of:
- enzymes
- molecular O2
- products of oxygen metabolism
- organic acids
Term
A/B/C
Definition
mucous membranes are part of the body's defenses because they:
- contain anti-microbial enzymes in their fluid
- produce secretory IgA
- serve as physical barrier
- A/B/C
- none of the above
Term
both T
Definition
a single cytokine may have multiple biological actions. multiple cytokines share the same biological actions.
- 1st T, 2nd F
- 1st F, 2nd T
- both T
- both F
Term
bone marrow, thymus
Definition
in humans, b-cells mature in ___ and t-cells mature in the ____.
- GI tract, liver
- bursa, thymus
- bone marrow, thymus
- lymph nodes, spleen
Term
lipids
Definition
which of the following is the poorest antigen?
- carbs
- glycoproteins
- lipids
- proteins
- nucleic acids
Term
antibodies
Definition
the major product of the humoral response is:
- activated b-cells
- activated t-cells
- antibodies
- lymphokines
- memory cells
Term
degradation
Definition
the normal outcome following phagocytosis of bacterial cell is bacterial:
- replication
- survival
- degradation
- spore formation
- none of the above
Term
blood
Definition
complement is a normal component of :
- secretions
- blood
- bone marrow
- a/b
- all of the above
Term
complement
Definition
- the membrane attack complex (MAC) is associated with:
- cytotoxic-T-lymph
- the genome
- complement
- natural killer cells
- none of the above
Term
- erythema, edema, pain and elevated temperature
Definition
cardinal signs of inflammation are:
- erythema, edema, pain and elevated temperature
- erythema, edema, elevated temp and itching
- pain, redness, swelling, itching
- pain, redness, swelling, pue
Term
PMNs
Definition
lysosomal enzymes and defensins are responsible for the antimicrobial activity of:
- macrophages
- PMNs
- monocytes
- mast cells
- cytotoxic t-cells
Term
neutrophils
Definition
which of the following blood cells function primarily as phagocytes:
- baso
- eosino
- lympho
- neutro
Term
ciliary lining
Definition
which nonspecific host defense is associated with the trachea
- lacrimation
- ciliary lining
- desquamation
- lactic acid
Term
calor
Definition
which of the following inflammatory signs specifies elevated temp:
- calor
- dolor
- rubor
- tumor
Term
tumor
Definition
which of the following inflammatory signs specifies swelling:
- calor
- dolor
- rubor
- tumor
Term
dolor
Definition
which of the following inflammatory signs specifies pain:
- calor
- dolor
- rubor
- tumor
Term
rubor
Definition
which of the following inflammatory signs specifies redness:
- calor
- dolor
- rubor
- tumor
Term
epitope
Definition
a molecule, immunogenic by itself and that can react with antibodies, is called:
- complete antigen
- epitope
- hapten
- incomplete antigen
- paratope
Term
placental transfer of mother's antibodies
Definition
which of the following is an example of natural passive immunity:
- immunity resulting from having an infection
- infection of gamma globulin
- placental transfer of mother's antibodies
- vaccination with purified microbial antigens
Term
art. active
Definition
vaccination is synonymous with ___ immunity:
- art. active
- art. passive
- natural active
- natural passive
Term
increased blood flow
Definition
the redness associated with inflammation is due to:
- breakdown of RBCs
- histamine release
- increased blood flow
- increased metabolism
- release of bradykinin and prostaglandins
Term
RBCs
Definition
which of the following is not a usual component of pus?
- body fluids
- cellular debris
- dead bacteria
- dead phagocytic cells
- RBCs
Term
all of the above
Definition
characteristics of molecules which are immunogenic are:
- degradable
- foreign
- large
- structurally complex
- all of the above
Term
Fab
Definition
the portion of an immunoglobulin which binds to a specific antigen is the:
- Fab portion
- Fc portion
- both
- neither
Term
b/c are the same
Definition
memory cells play their most significant role in the:
- primary ir
- secondary ir
- anamnestic response
- b/c
- none of the above
Term
both
Definition
which of the following are endogenous pyrogens secreted by macrophages?
- interleukin 1
- tumor necrosis factor
- both
- neither
Term
histamine
Definition
basophils and mast cells release
- defensins
- histamine
- lactic acid
- lysozyme
- serotonin
Term
two of the above
Definition
which of the following produce perforin:
- b cells
- cytotoxic t cells
- nk cells
- suppressor cells
- two of the above
Term
blocking cross-bridge formation
Definition
the antibiotic penicillin inhibits peptidoglycan (cell wall) synthesis by:
- blocking synthesis of carb backbone
- interfering with peptide synthesis
- blocking cross-bridge formation
- none of the above
Term
complement proteins
Definition
- enhance phagocytosis
- attract phagocytic cells
- inflammation
Term
antigen-antibody complexes
Definition
classical pathway activated by:
Term
classical
Definition
___ pathway coupled with specific immune response system.
Term
bacterial endotoxin (LPS)
Definition
alternate pathway activated by:
Term
C4b
Definition
___ binds to antibody in classical pathway
Term
C3 (complement factor 3)
Definition
alternative pathway activates ____ directly
Term
Membrane attack complex (MAC)
Definition
- C5-C9
- forms pore in cell
- causes cell to lyse
Term
inflammation
Definition
- triggers mas cell degranulation
- increases vascular permeability
Term
defensins
Definition
- peptides with antimicrobial activity
- located in granules of PMNs
Term
lymphocytes
Definition
____ are involved in the specific immune response
Term
monocytes
Definition
____ are precursors of macrophages
Term
macrophages
Definition
- secrete cytokines
- engulf microorganisms
- produce defensins
Term
PAMPs (pathogen associated molecular patterns)
Definition
- interact with receptors on host cell
Term
fever's increase in body temp
Definition
- stimulates phagocytosis
- increases rate of enzymatic reaction
- intensifies action of interferons
- causes reduction in blood iron concentration
Term
exogenous pyrogens
Definition
- lipopolysaccharide
- peptidoglycan
- exotoxins
Term
endogenous pyrogens
Definition
- interleukin I
- tumor necrosis factor
Term
tumor necrosis factor
Definition
- cytokines released by phagocytic cells
Term
oxygen-dependent killing
Definition
- respiratory burst
- uses oxidase
Term
HOCl
Definition
- powerful oxidant that rapidly attacks wide range of target molecules such as amines, amino acids and nucleotides
Term
rubor
Definition
- redness
Term
dolor
Definition
- pain
Term
calor
Definition
- elevated temp
Term
edema
Definition
- swelling
Term
increased capillary permeability
Definition
swelling in inflammation is due to:
Term
- increased bradykinin and prostaglandins
Definition
pain/dolor is due to:
Term
acute inflammation
Definition
- early
- major cells are PMNs
Term
chronic inflammation
Definition
- prolonged
- major cells are lymphocytes and macrophages
Term
all of the above
Definition
immune response is:
- characterized by specificity
- characterized by memory
- acquired
- all of the above
Term
false, not all
Definition
T/F: all organic molecules are antigenic.
Term
antibody-mediated immunity
Definition
- aka humoral immunity
- involves B cells
Term
cell-mediated immunity
Definition
- involves t cells
Term
T cells
Definition
___ cells have surface antigens called CD receptors
Term
major histocompatibility antigens
Definition
- foreign antigens are associated with cell surface antigens on antigen processing cells
Term
APCs
Definition
- macrophages
- process and degrade large molecules
- present antigens on their surface
Term
T cells, B cells
Definition
___ respond only to antigens presented by APCs, whereas ___ can respond to antigens in other ways, but respond more specifically to antigens presented by APCs
Term
MHC antigens
Definition
____ present on virtually all body cells
Term
MHC class I
Definition
- bind antigens produced within cells (proteins made during viral replication)
Term
MHC class II
Definition
- bind antigens made outside human cells (proteins produced by bacteria)
- may be processed by APCs
Term
I
Definition
the display of foreign antigens coupled with MHC class __ targets cell for destruction by cytotoxic T cells.
Term
II
Definition
the display of foreign antigen coupled with MHC class __ molecule activates T cells to produce cytokines which recruit other cells to eliminate foreign antigen.
Term
t helper cells
Definition
____ are required to initiate B cell response
Term
t-dependent antigens
Definition
- b cell response is dependent on t helper cells to initiate response
Term
t-independent antigens
Definition
- large repetitive structures do not require t-helper cells for b cell responses.
Term
macrophages
Definition
- major antigen-presenting cells
Term
epitope
Definition
- each clone of b cells respond to specific antigen determinant (aka ___)
Term
plasma cells, memory cells
Definition
b cells cam become ___ or ___.
Term
memory cells
Definition
- responsible for secondary immune response when same antigen is present again
Term
antibodies/immunoglobulins
Definition
- glycoproteins produced in response to specific antigen
Term
Fab fragment
Definition
- binds antigen
- 2 per molecule
Term
Fc fragment
Definition
- binds complement
- also attaches to phagocytic cells if other fragment has bound antigen
Term
IgG
Definition
- primary Ig of circulation
- readily passes through vessel walls into tissues
- only Ig that can cross placenta
- confers natural passive immunity to fetus
Term
IgG
Definition
- reacts with antigens on bacterial surfaces and activates complement system
- prevents systemic spread of infection
- facilitates recovery from infections
- occurs as monomeric molecule
Term
IgA
Definition
- found in external secretion (saliva, breast milk)
- protects GI, Resp, and genitourinary tracts
Term
IgA
Definition
- binds with surface antigens of microorganisms and prevents adherence
- activates only alternative pathway
- monomeric in plasma
- dimeric in secretions which contains secretory piece and Joining chain
Term
secretory piece in dimeric IgA in secretions
Definition
- protects against proteases
- promotes secretion
Term
IgA
Definition
- major Ig protecting body surfaces
Term
IgM
Definition
- first Ig formed in antigen response
- found in circulation (blood/lymph)
- occurs as pentameric molecule
- binds multiple antigens
- activates complement
- 10 aby bonding sites
Term
IgD
Definition
- appears to play role in lymphocyte activation and suppression
- monomeric molecule
- receptor on B cells
Term
IgE
Definition
- present in blood in low numbers
- elevated in individuals with allergic reactions
- initiate inflammatory response by binding to mast cells and basophils
- when bound to antigen, cause mast cells and basophils to release cytokines
- responsible for anaphylactic reactions
Term
- histamine
- serotonin
- heparin
Definition
- cytokines released by basophils when antigen binds to IgE
Term
specificity
Definition
- components react to a specific antigen
Term
memory
Definition
- following immunogenic activation of immune cells, cells quickly respond with subsequent exposures to antigen
Term
complete antigen/immunogen
Definition
- elicits immune response
- responds specifically with products of immune response
Term
hapten
Definition
- cannot initiate response unless bound to carrier protein
- recognized by products of immune response
Term
natural immunity
Definition
- acquired
- not induced through medical means
Term
artificial immunity (immunization)
Definition
- produced though medical means
Term
active immunity
Definition
- developing own immune response to imcrobe
Term
passive immunity
Definition
- one person receiving preformed immunity made by another person
Term
lymphocytes
Definition
___ which would respond to self are destroyed
Term
epitope
Definition
- antigenic determinant
- portion of antigen that interacts with antibodies and t-cell receptors
Term
class II MHCs
Definition
- located on macrophages and b cells
Term
MHC class II
Definition
- present antigens to t cells and b cells
Term
t helper cells
Definition
- CD4 receptors
Term
cytotoxic t cells
Definition
- CD8 receptors
Term
CD4/t helper cells
Definition
- activate immune system
- critical for overall regulation of the immune response
- interact with b lymphocytes as well as other t cells
Term
Th1 cell
Definition
- activate cell mediated immune response
- produced when antigen presenting cells secrete interluekin I and interferon gamma
Term
Th2 cell
Definition
- drive b cell proliferation
- prolonged when antigen presenting cell secretes interleukin 4
Term
regulatory t cells
Definition
- CD4 receptors
- prevent response to self antigens
Term
CD8/cytotoxic t cells
Definition
- recognize, lyse and destroy abnormal body cells (those invaded by intracellular parasites/viruses/microorganisms or tumor cells)
- kill using toxin or perforin
Term
perforin
Definition
- leads to osmotic lysis of infected cells
Term
cytotoxic t cell toxin
Definition
- protein that causes fragmentation of DNA and stimulates production of interferon gamma
Term
interferon gamma
Definition
- antiviral activity
Term
natural killer cells
Definition
- no surface markers
- recognize cell surface changes
- produce perforin and causes cell lysis
- highly sensitive to cytokines
- part of cell mediated immune response
Term
NTK have no surface markers
Definition
- sometimes called null cells
Term
granzymes
Definition
- formed by cytotoxic t cells
- attack protein of target cells (apoptosis)
Term
cell mediated immunity
Definition
- activated/sentitized t cells, cytotoxic t cells
- activated macrophages and neutrophils
- affects intracellular pathogens
- important in recovery (esp. viral)
Term
macrophages and neutrophils
Definition
- secrete cytokines
Term
CMI
Definition
- important in recovery from infections (esp. viral)
Term
HI (AMI)
Definition
- important in preventing infections
Term
AMI/HI
Definition
- cd4 cells stimulate b cells --> plasma cells = antibodies
- antibody mediates activation of complement, neutralization, agglutination and ospinization
- affect extracellular pathogens (bacteria/toxins)
Term
active immunity
Definition
- individuals immune system actually responds to an ag
- prolonged (sometimes for lifetime)
Term
natural active
Definition
- develops following having an infection or disease with particular microorganisms
Term
artificial active
Definition
- develops following immunization
Term
passive immunity
Definition
- occurs when individual receives abys produced by another human or animal
- short-lived
Term
natural passive
Definition
- occurs with transfer of antibodies from mother to fetus
- mother to infant in breast milk
Term
artificial active
Definition
- occurs with administration of immune serum globulin to an individual
- abys produced in another individual following disease or immunization
Term
anamnestic response
Definition
- secondary response
- memory b cells begin aby synthesis
- basis for vaccine boosters
Term
activation
Definition
- process of being stimulated immunologically
Term
sensitization
Definition
- occurs following the initial exposure to an allergen
Term
sensitizing dose
Definition
- the initial effective exposure to an antigen or an allergen that stimulates and immune response
- often refers to allergies (hypersensitivity reactions)
Term
IgA and IgG
Definition
- react with antigens to prevent establishment of infection
Term
cytokines
Definition
- secreted proteins
- mediators of immune and inflammatory reactions
- produced by macrophages, NK cells, T lymphocytes
Term
cytokines
Definition
- in innate responses, produced by macrophages and NK cells
Term
cytokines
Definition
- in specific immune responses, produced mainly by t lymphocytes
Term
pleiotropism
Definition
- each cytokine has multiple biological actions
- different effects on different cells
Term
redundancy
Definition
- multiple cytokines share the same or similar biological activities
Term
neutralization
Definition
- abys bind to receptors to block virus from binding to host cell
Term
opsinization
Definition
- improve phagocytosis
Term
agglutination
Definition
- clump bacteria for diagnosis
- cross-link bacterial cell antigens
Term
IgG
Definition
- react with toxins to neutralize them
Term
IgG
Definition
- bind with antigen on cell surface leading to complement fixation
Term
defense against bacterial infections
Definition
- complement-mediated lysis and phagocytic killing of bacterial cells
Term
opsinization
Definition
- coating of bacterial cells with antibody leads to increased phagocytosis
- allows phagocytosis of bacteria with capsules/lacking antibody
Term
complement fixation
Definition
- antigen-antibody complexes activate the classical complement pathway
- leads to MAC and cell lysis
Term
neutralization
Definition
- antibodies react with toxins (endo/exotoxins) or viruses and inhibit their attachment
Term
serological reactions
Definition
- in vitro reactions used in diagnosis/to determine of population for epidemiological purposes
Term
IL-1, TNF, IL-2, IL-4
Definition
- cited in periodontal diagnosis/treatment
Term
tumor necrosis factor
Definition
- secreted by macrophages and CD4 cells
- endogenous pyrogen
- activate osteoclasts (bone loss)
- induce IL-2
- leads to PDD
Term
IL-1
Definition
- secreted by macrophages, PMNs and B cells
- endogenous pyrogen
- increases bone loss
- activates CD4 cells
- proliferation of B/T cells
- increases with PDD
Term
IL-2
Definition
- secreted by CD4 and NK cells
- stimulates macrophages, growth of activated T/B cells
- activates NK cells
- increase in PDD
Term
IL-4
Definition
- secreted by CD4 cells
- proliferation of activated B, T and mast cells
- increases in PDD
Term
interleukins
Definition
- both proflammatory and anti-inflammatory (stimulate/inhibit)
- regulate and modulate effects
Term
TH1 response
Definition
- usually occurs first
- local response
- activate macrophages
Term
TH2 response
Definition
- results later
- acts systemically
- stimulate B cells to produce IgA, IgG, IgE and memory cells
Term
cowpox by jenner
Definition
- 1st effective vaccine
Term
killed/inactivated vaccine
Definition
- microbe is killed, but still antigenic
Term
live/attenuated vaccines
Definition
- reduced virulence
Term
acellular/subcellular/subunit vaccines
Definition
- part of cells
- component vaccine
- recombinant vaccine
- toxoids (inactivated toxins)
Term
artificial passive immunity
Definition
- no new abys can be generated
- short lived immunity
Term
inactivated/whole vaccines
Definition
- polio
- rabies
- influenza
- hep A
Term
live/attenuated vaccines
Definition
- TB
- adenovirus
- MMR
- varicella/zoster
- yellow fever
Term
- nonspecific (innate immunity)
Definition
lysozyme, lactoferrin and transferrin are considered part of the ___ host defenses.
Term
antigen-antibody complexes
Definition
the classical complement pathway is activated by:
- antigen-antibody complexes
- histamine
- lipopolysaccharide
- lysozyme
- peptidoglycan
Term
all of the above
Definition
which of the following features applies to IgM?
- 1st antibody produced during humoral response
- largest iG
- can bind 10 antigenic determinant sites
- all
- a/c only
Term
both chemoattraction and opsinization
Definition
complement facilitates phagocytosis by:
- opsinization
- chemoattraction
- both
- neither
Term
two of the above (recognize/destroy and have cd8 receptors)
Definition
cytotoxic t cells
- have cd8 surface markers
- release killer antibody molecules
- are not antigen-specific
- recognize and destroy virus-infected and tumor cells
- two of the above
Term
b/c anamnestic and secondary
Definition
memory cells play their most significant role in the :
- primary immune response
- secondary immune response
- anamnestic response
- both b/c
- none of the above
Term
- alternative
Definition
lipopolysaccharide activates the ___ complement pathway.
Term
both IL-1 and TNF
Definition
which of the following are endogenous pyrogens secreted by macrophages?
- interluekin 1
- tumor necrosis factor
- both
- neither
Term
IgE
Definition
you would expect which of the following Igs to be elevated in the blood of an individual with allergies? Ig_
- A
- E
- G
- D
- M
Term
skin
Definition
which of the following is the first line of defense against infection
- complement
- inflammation
- interferon
- phagocytosis
- skin
Term
bacteriocins
Definition
__________ are substances of bacterial origin which inhibit the growth of other bacteria
Term
respiratory
Definition
Mucociliary elevator” is a host defense mechanism of _________ tract
Term
non-specific immunity
Definition
Interferon is a component of the ____-_______ ______ defense
Term
bacterial
Definition
*Interferons are produced in response to _______ infections
Term
- cellular, CD8+
Definition
cytotoxic t cells function in ___ immunity and are classified as ___ cells.
Term
- cellular
Definition
nk cells protect the host by functioning within the ___ immune system.
Term
1st Ig to be formed
Definition
all of the following are true about IgG except:
- most abundant Ig in blood
- only Ig that can cross placenta
- occurs as monomeric molecule
- Ig which plays role in protecting from reinfection
- 1st Ig to be formed in response to antigen
Term
adjuvants
Definition
chemicals included in vaccines to enhance the antigenicity and increase the effectiveness of the vaccine are:
- adjuvants
- cytokines
- globulins
- vectors
Term
blood
Definition
complement is a normal component of
- secretions
- blood
- bone marrow
- a/b
- a/b/c
Term
complement
Definition
the MAC is associated with
- CT T cells
- genome
- complement
- NK cells
- none of the above
Term
PMNs
Definition
lysosomal enzymes and defensins are responsible for the antimicrobial activity of
- macrophages
- PMNs
- monocytes
- mast cells
- CT T cells
Term
complement
Definition
perforins of CT T cells and NK cells have an effect on cells most similar to that of:
- antibodies
- complement
- histamine
- lymphokines
- prostaglandins
Term
innate, nonspecific immunity
Definition
inflammation is part of
- AMI
- CMI
- innate, nonspecific immunity
Term
b cells
Definition
cell-mediated immunity involve all the following except:
- b cells
- t cells
- lmyphokines
- thymus
- cd receptors
Term
antibodies
Definition
major product of HIR is:
- activated b cells
- activated t cells
- antibodies
- lymphokines
- memory cells
Term
t=help
Definition
t-cell that plays role in AMI is:
- CT
- T=help
- t=suppressor
- none
Term
A
Definition
primary Ig in saliva
- A
- E
- D
- G
- M
Term
G
Definition
most important Ig in gingival sulcus
- A
- E
- D
- G
- M
Term
NK cells
Definition
cells without surface markers which repond to host cells have cell surface changes by producing perforin which lyses the cell are:
- b cells
- plasma cells
- regulatory t cells
- cytotoxic t cells
- NK cells
Term
macrophages
Definition
the major (most important) APC
- macorphage
- b cells
- t cells
- plasma cells
- NK cells
Term
virally infected cells
Definition
CT t cells are important in lysing:
- virally infected cells
- bacteria
- both
- neither
Term
all of the above
Definition
when activated, complement proteins:
- lyse bacterial cells
- enhance phagocytosis of bacteria/fungal cells
- attract phagocytic cells
- trigger inflammation
- all
Term
macrophage
Definition
an important phagocytic cell in antimicrobial defense is the:
Term
a/b memory/secondary
Definition
an anamnestic response is aka ___ response
- secondary
- memory
- a/b
- neither
Term
M
Definition
first ab to be produced following b cell activation
- A
- G
- E
- D
- M
Term
plasma cells
Definition
which of the following is not a component of CMI?
- lymphokines
- plasma cells
- t helper cells
- cytotoxic t cells
- all of the above are part of CMI
Term
macrophages and B cells
Definition
class II APCs are found on ___ and __ cells.
Term
B/T cells
Definition
class II APCs present antigens to ___ and ____.
Term
IgG
Definition
which Ig activates complement?
Term
IgG
Definition
which Ig PREVENTS the spread of infection?
Term
A, G
Definition
Ig__ activate the alternative pathway, while Ig__ activates complement pathway.
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