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PBD Quiz 4
ufcop
130
Medical
Graduate
09/21/2008

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Term
What is the pH of the skin that makes it inhospitable to most bacteria?
Definition
Acidic
Term
What are the mechanical barriers against infection?
Definition
tears, ciliary action, coughing, urination
Term
What is your last line of defense?
Definition
Immune Response
Term
What occurs once your first line of defense has been compromised?
Definition
Inflammation
Term
Definition/Charcteristics of Inflammation
Definition
Occurs in the vascular tissue. Response is immediate, dynamic and non-specific.
Term
3 purposes of inflammation
Definition
Eliminate the pathological insult, remove the damaged tissue, regenerate/repair teh damaged tissue
Term
Cardinal signs and symptoms of inflammation
Definition
Rubor, tumor, calor, dolor, function laesa (ie reddness, swelling, heat, pain and function loss)
Term
Types of chemical mediators
Definition
cell-derived, plasma-derived
Term
Acute Inflammatory Response
Definition
Immediate nonspecific response to injury
Term
Stimuli of Mast cell production
Definition
uv light, chemical/physical injury, complement, immune system
Term
2 ways mast cells activate an inflammatory response
Definition
degranulation of stored material and synthesis of mediators in response to stimuli
Term
Preformed mast cell materials
Definition
Histimine, Neutrophil chemotactic factor, and Eosinophil chemotactic factor
Term
What are the 3 Histimine receptors?
Definition
H1- contracts smooth muscle
H2- gastric acid secretion
H3- associated with neural tissue
Term
What does histimine increase in the mast cell?
Definition
Calcium
Term
What is histimine inhibited by?
Definition
an increase in cAMP (epinephrine)
Term
Neutrophil Chemotactic Factor
Definition
attracts neutrophils for eventual phagocytocis-destroys pathogen
Term
Eosinophil Chemotactic Factor
Definition
Attracts eosinophils to the site. Controls other mediators to limit inflammation through the release of enzymes, aryl sulfatase B and histaminase.
Term
Aryl Sulaftase B
Definition
Enzyme contained in eosinophils, degrades leukotrienes
Term
Histiminase
Definition
Enzyme in eosinophils, breaks down histimine
Term
What does synthesized material originate from in a mast cell?
Definition
Arachidonic Acid, synthesis occurs via a Cox-1 or Cox-2 enzyme
Term
Cox-1
Definition
Consituitive enzyme of a mast cell, plays a key role in gastric mucosal protection and renal hemodynamics. Contained mainly in platelets.
Term
Cox-2
Definition
enzyme of a mast cell induced in fibroblasts, endothelial cells and macrophages by cytokines
Term
Cyclooxygenase
Definition
Stimulates Cox-1 and Cox-2
Term
Glucocorticoid
Definition
anti-inflammatory, inhibits the transcription of Cox-2 gene
Term
NSAIDs
Definition
Inhibit COX1/COX2
Term
Prostacyclins-PGI2
Definition
Synthesized in uninjured endothelial walls of blood vessels. Acts as a thromboxane antagonist. Vasodilate and inhibit platelets. Bronchiodilate.
Term
Prostaglandins-PGD2
Definition
mainly from mast cells on DP receptors. Inhibits platelet aggregation. Causes Brachioconstriction via TP receptors.
Term
PGE2-Stimulatory response
Definition
mainly from macrophages. Causes fever, bronchil constriction, vasodilation of arterioles, potentiates action of kinins on pain, and histimine and kinins on permeability
Term
PGE2-Inhibitory response
Definition
decreases lysosomal enzyme release, decreases histimine release (H2 receptors), decreases the macrophage activation and generation and secretion of some cytokines.
Term
Thromboxanes
Definition
mainly from platelets, promote degranulation and aggregation of platelets, causes vasoconstriction
Term
Leukotrienes
Definition
Similar to histimine but lasts longer, enhances airway responss to brachioconstrictors, stimulates cytokine release
Term
Platelet Activating Factor
Definition
Phospholipid release form other inflammatory cells and vascular endothelial cells, PMN, eosinophils, platelets and mast cells. Recruits eosinophils into bronchiol mucosa. Activates platelets. Inhibited by glucocorticoids.
Term
What do platelets mainly produce?
Definition
Thromboxane A
Term
What do Vascular endothelium usually produce?
Definition
prostacylins
Term
What do macrophages usually produce?
Definition
PGE2
Term
What do mast cells normally produce?
Definition
PGD2
Term
Cytokines
Definition
Peptide cell regulators. Synthesized (de novo). Act locally. Act on specific high affinity receptors.
Term
Interleukins
Definition
Biochemical messengers sent from one leukocyte to another. Induce response of immune cells to antigen.
Term
What acts on vascular endothelial cells to stimulate Nitrous Oxide?
Definition
Some Interleukins
Term
Interferon
Definition
Inducible cytokines synthesized in response to viral stimuli. Do NOT effect infected cell.
Term
What are host specific but not virus specific?
Definition
Interferon
Term
Transforming Growth Factor
Definition
Widest acting cytokine. Increases interleukin production. Works in later stages to reconstruct damages tissue.
Term
Tumor Necrosis Factor
Definition
Incrases cytokine production and phagocyte activity. Induces prostacylin synthesis in endothelial cells. Enhances angiogenesis.
Term
What drug inhibits TNF?
Definition
Thalidomide
Term
What drug inhibits TNF?
Definition
Thalidomide
Term
2 Colony stimulating factors
Definition
GCSF and GMCSF
Term
Plasma Proteins
Definition
Enzyme Cascades
Term
2 pathways of complement
Definition
Classical, Alternate and Lecithin
Term
Alternate Complement pathway
Definition
does not need prior contact with pathogen
Term
Which component of complement is central in all three pathways?
Definition
C3
Term
Is complement a specific or non specific mechanism of self-defense?
Definition
non specific
Term
Where do the proteins of complement come from?
Definition
30 proteins from the liver
Term
Lecithin Binding
Definition
Interaction of mannose sugars on microbe (MBP), surface of bacteria and yeast
Term
Alternate Pathway
Definition
Microbial polysaccarides on bacterial surface, kinins, clotting system (bradykinin, plasmin, thrombin)
Term
Classical pathway
Definition
activated by antigen antibody complex
Term
Function of Complement system
Definition
chemotactic, lyse bacteria, opsonins, vasodilate, increase permeability, anaphylatoxins
Term
Opsonins
Definition
Adhere to bacteria so lymphocytes can phagocytize it
Term
Anaphylatoxins
Definition
Degranulate mast cells (bind to mast cells to release its components)
Term
Clotting
Definition
A plasma protein system that forms a fibrinous exudate or meshwork at inflammation site to trap exudates, microorganisms and foreign bodies
Term
Fibrin
Definition
the end product from the cascade of events in clotting
Term
Thrombin
Definition
A major enzyme of clotting
Term
Is the intrinsic or extrinsic clotting system pathway faster?
Definition
Intrinsic pathway
Term
What activates the Hageman factor in the Intrinsic clotting system pathway?
Definition
Endothelial injury (blood in contact with collagen)
Term
What does platelet and tissue damage in the extrinsic pathway activate?
Definition
Thromboplastin
Term
The intrinsic and extrinsic pathways of clot formation both convert_________ to ___________ to convert fibrinogen to fibrin?
Definition
Prothrombin to thrombin
Term
Clotting system functions
Definition
Limits the spread of infection, Concentrates microorganisms and foreign bodies to areas of greatest phagocytic activity, Forms a clot to stop bleeding and to provide a framework for healing, enhances kinins
Term
What is XIIa?
Definition
Hageman Factor
Term
Fibrinolytic
Definition
The Break down of a clot through the generation of plasmin. Activates complement.
Term
Kinin system
Definition
collagen exposure activates the hageman factor to make kallikrein which activates bradykinin (primary kinin)
Term
Function of Kinin system
Definition
stimulates nerve endings, vasodilation, vascular permeability and stimulates PAF, chemotaxis, activates complement
Term
Kinin system receptors
Definition
B1- induced during inflammation
B2- main physiological effects
Term
Immune system
Definition
activates inflammatory process, stimulates mast cell degranulation
Term
4 Effects of Hageman Factor once activated
Definition
Activates clotting system, fibrinolytic system, Kinin system, Complement system
Term
Carboxypeptidase
Definition
Inactivates complement
Term
Plasma enzymes that destroy many components of inflammation
Definition
Carboxypeptidase, Histaminases, and aryl sulfatase B
Term
Vascular effects are all_______ effects.
Definition
Local
Term
During exudation blood vessels leak ___-___g% of fluid and protein, compared to ___-___g% during trasudate.
Definition
4-5% Vs. .2-.5%
Term
Cells associated with Acute Inflammation
Definition
Neutrophils, eosinophils, lymphocytes, monocytes, erythrocytes, basophil, platelets
Term
What type of marrow are neutrophils produced by?
Definition
Hematopoietic
Term
PMN
Definition
polymorphous neutrophil- nuclei are irregularly lobed
Term
What is the lifespan of a Neutrophil?
Definition
~6 hours
Term
Neutrophils are classified as a _______, which contain lysosomal enzymes.
Definition
Granulocyte
Term
Opsonization
Definition
enhances the binding of an antigen due to the actions of complement or AB
Term
Eosinophils
Definition
seen mainly in longstanding (chronic) inflammatory lesions or in allergy or in some parasitic inflammations. release peroxidase and neurotoxins to damage multicellular parasites.
Term
Eosinophils appear __to__ days after PMN.
Definition
2-3
Term
What do eosinophils release?
Definition
some substances that neutralize some actions of basophils/mast cells
Term
Lymphocytes
Definition
first cell type in viral infections, seen in chronic inflammation, agent of immunity, produce other mediators-cytokines
Term
Are monocytes granulocytes?
Definition
no
Term
When do monocytes undergo maturation?
Definition
at the inflammatory site
Term
Functions of monocytes
Definition
important in demolition and healing process, antigen processing through the release of cytokines
Term
Do platelets have DNA?
Definition
no
Term
Platelets
Definition
cytoplasmic fragments from mega karyocytes in bone marrow, live about 10 days
Term
Platelets degranulate to release...
Definition
serotonin, histamine, and platelet derived growth factor
Term
Platelets contribute to the first phase of asthma by....
Definition
generating thromboxane and PAF
Term
what are the 3 steps of leukocyte infiltration?
Definition
margination- neutralize electronegative charge on cell surface
Pavementing- need Ca2+, TNF, LTB, IL (adhesion molecules on leukocyte, integrin, and endothelium)
Diapedesis- emigration (stepping across)
Term
Before contraction the myosin head is ________ to the actin filament.
Definition
perpendicular
Term
Before contraction sites on actin filament are covered by __________.
Definition
Tropomyosin
Term
What happens in order for energy to be stored in the myosin head?
Definition
ATP binds to myosin and ATPase cleaves ATP leaving ADP+Pi bound to the head.
Term
What happens during an action potential of a muscle cell?
Definition
Calcium is released into the sarcoplasm
Term
What does calcium bind to in order to uncover the active actin sites?
Definition
Troponin
Term
What causes the myosin head to bend toward the arm?
Definition
myosin head binding to the active site
Term
Once the myosin head has tilted, ATP+pi is released from the head, what causes it to detach from the active site?
Definition
Binding of new ATP
Term
Rigor Mortis
Definition
ATP required to cause the separation of the myosin head from the actin filament. When there is no ATP--> state of permanent contraction
Term
T-tubules are located directly over the ___________.
Definition
Z line
Term
T-tubule
Definition
invagination of the sarcolemma. AP travels down t-tubule to interior of the muscle fiber. Allows for communication with extracellular space.
Term
How many motor end plates are there per muscle fiber?
Definition
one
Term
2 parts of the sarcoplasmic reticulum
Definition
longitudinal tubules and terminal cisternae
Term
Where is calsequestrin found and what is its purpose?
Definition
located in the lumen of the sarcoplasmic reticulum. It binds to Ca2+ ions keeping them in the ionic form reducing the driving force for them to want to exit the SR
Term
Depolarization of the sarcolemma triggers __________ gated ion channels on the SR.
Definition
Voltage
Term
Slow twich muscle fibers
Definition
smaller, innervated by smaller nerves, more extensive blood vessel supply, more mitochondria, large amounts of myoglobin, redder in color
Term
Fast twitch muscle fiber
Definition
larger, extensive sr, large amounts of glycotic enzymes, less extensive blood supply, fewer mitochondria, less myoglobin, lighter in color
Term
Every muscle is a _________ of fast and slow twich fiber. (just have one that predominates)
Definition
mixture
Term
______ motor units are activated first to give more ______ control.
Definition
small, fine
Term
Spatial summation of motor units
Definition
increase the number of motor units contracting simultaneously
Term
Temporal summation of motor units
Definition
Increasing the rapidity of stimulation of individual motor units
Term
Tetanization
Definition
max amount of contraction
Term
5 essential components of a reflex arc
Definition
receptor, sensory neuron, integration center, motor neuron, effector
Term
Myotatic reflex monitors changes in ______________.
Definition
muscle length
Term
A muscle spindle is both a _________ and a ___________.
Definition
mechanoreceptor and a proprioreceptor
Term
Intrafusal fibers
Definition
3-10 small specialized muscle fibers enclosed in a spindle shaped connective tissue capsule.
Term
Intrafusal fibers have a ________ portion in the center of the fibers and regular ________ portions on each end.
Definition
noncontractile, contractile
Term
The central noncontractile portion of a muscle spindle is innervated by waht?
Definition
a 1a sensory nerve fibers (afferent)
Term
The two contractile ends of the nerve fibers are innervated by what?
Definition
the gamma-motor fibers (efferent)
Term
Renshaw cells
Definition
Receive input from collateral axons from alpha motor neurons and 1a sensory neurons and send inhibitory input to the alpha motor neurons of antagonistic muscles, thus reducing opposing tone.
Term
Botulism Poisoning
Definition
produces a neurotoxin that inhibits the release of Ach subsequently shutting down the ANS and muscles
Term
Tetanus
Definition
enters the body via a wound and produces a neurotoxin that blocks the release of inhibitory neurotransmitters causing muscles to contract uncontrollably.
Term
Smooth muscle types
Definition
multi-unit, single-unit
Term
single-unit smooth muscle
Definition
arranged in sheets or bundles, cell membranes form gap junctions
Term
Multi-unit smooth muscle
Definition
controlled by nerve signals and rarely exhibit spontaneous contractions
Term
Smooth muscle structure
Definition
actin, myosin, tropomyosin, and calmodulin (binds calcium ions)
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