Chapter 22 Flashcards

(244 cards)

1
Q

______ is the numerous cellular and molecular structures located through the body that function together in the bodies defense

A

immune system

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2
Q

The immune system has two categories

A

innate

adaptive

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3
Q

The innate immune system is _____.

A

non specific

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4
Q

The adaptive immune system is ____.

A

acquired

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5
Q

______ are Organisms that cause damage, or possibly death, to the host organism that they invade (pathogenic)

A

infectious agents

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6
Q

Five types of infectious agents

A
bacteria
viruses
fungi
protozoans
multicellular parasites
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7
Q

______ microscopic, single-celled organisms (prokaryotic cell)

A

bacteria

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8
Q

______ are not cells, composed of DNA or RNA within a protein capsid.

A

viruses

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9
Q

_____ are eukaryotic cells with cell wall around plasma membrane

A

fungi

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10
Q

______ are eukaryotic cells with no cell wall

A

Protozoans

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11
Q

_________ are larger organisms such as tapeworms

A

Multicellular parasites

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12
Q

Innate and adaptive immunity are similar in that they both work to ____ us from potentially harmful agents.

A

protect

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13
Q

Innate and adaptive immunity differ in the ways that cells respond, the mechanisms involved in ______ of harmful substances and the ____ of time required for a response.

A

elimination

amount

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14
Q

Innate immunity responds ____ to a wide array of substances.

A

immediately

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15
Q

Adaptive immunity response is a ___ to specific antigens.

A

delayed response

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16
Q

What defenses are we born with?

A

innate immunity

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17
Q

Innate immunity includes barriers of skin and _______ that prevent entry.

A

mucosal membranes

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18
Q

Innate immunity includes non-specific_____ and _____ internal defenses.

A

cellular and molecular

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19
Q

Innate immunity does not require ____ exposure to the foreign substance.

A

previous

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20
Q

Adaptive immunity involves specific ____ and _____ which respond to different foreign substances called antigens to which we are exposed.

A

t-lymphocytes

b-lymphocytes

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21
Q

Adaptive immunity typically takes several ____ to be effective.

A

days

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22
Q

What are the five types of infectious agents?

A
bacteria
fungi
protozoa
viruses
multicellular parasites
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23
Q

What are the two main types of immunity?

A

adaptive and innate

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24
Q

Which type of immunity takes longer to respond to a pathogen?

A

adaptive

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25
Which type of immunity are we born with?
innate
26
Which type of immunity includes the skin and mucous membranes?
innate
27
Which type of immunity is activated by a specific antigen?
adaptive
28
Innate first line of defense (4)
physical barrier secretions normal flora bacteria
29
Epithelial tissues of epidermis and connective tissues of dermis provide _______ to microbes
physical barrier
30
_______ from skin have antimicrobial substances | Sebum, lysozyme, defensins, and dermicidin
Secretions
31
______ reside on skin and prevent the growth of pathogenic microorganisms
Normal flora
32
________- produce mucus | contains lysozymes, defensins, and immunoglobulin A (IgA)
Mucosal membranes
33
_____ also line inside of body tracts and suppress the growth of other potentially more virulent types
bacteria
34
If microbes get past _____ they trigger the innate immunities second line of defense and maybe even adaptive immunity (third line of defense)
first line of defense
35
Innate immunities second line of defense includes ____, ____, and ____.
neutrophils macrophages dendritic cells
36
______ and _____ destroy infectious agents with the aid of lysosomes and their oxidative bursts (nitric oxide, hydrogen peroxide, and superoxide) Residue released by exocytosis
Neutrophils | macrophages
37
______ destroy infectious agents and then present fragments of the microbe on its cell surface (antigen presenting cell) necessary for initiating adaptive immunity
Dendritic cells
38
_____ and mast cells are pro-inflammatory chemical-secreting cells
basophils
39
During cellular defense chemicals are released that include ____, _____, and _____.
histamine heparin eicosanoids
40
_____ increases both vasodilation and capillary permeability.
histamine
41
____ is an anticoagulant.
heparin
42
_____ increase inflammation.
Eicosanoids
43
Substances released by basophils and mast cells increase _____ from blood to injured tissue as well as attracting immune cells to the area.
fluid movement
44
_____ cells destroy a wide variety of cells.
Natural Killer
45
Natural killer cells destroy virus-infected, bacteria-infected, tumor and from _____.
transplanted tissue
46
NK cells are formed in _____ and circulate in blood and accumulate in lymph nodes, tonsils, and ____.
bone marrow | spleen
47
Natural killer cells provide _____ by releasing cytotoxic chemicals when coming in contact with unhealthy cells.
immune surveillance
48
____ forms pore in plasma membrane.
perforin | nk cells
49
____ enter cells and initiate apoptosis.
granzymes | nk cells
50
Eosinophils targets ___.
parasites
51
Eosinophils release enzymes and other substances that are ____ to the parasite.
lethal
52
Eosinophils release _____ to form pore in plasma membranes of parasitic cells.
proteins
53
_____ participate in allergy and asthma.
eosinophils
54
_____ participate in phagocytosis of antigen-antibody complexes.
eosinophils
55
______ are small soluble proteins produced by cells of both innate and adaptive immune system to regulate and facilitate immune system activity
cytokines
56
The function of _____ is a mean of communication between cells.
cytokines
57
____ control the development and behavior of effector cells of immunity.
Cytokines
58
____ regulate the inflammatory response.
Cytokines
59
____ function as weapons to destroy infected cells.
cytokines
60
Examples of cytokines.
interleukins IL tumor necrosis factors TNF colony-stimulating factors CSF interferons IFN
61
An example of one of our first lines of defense.
mucosal membrane
62
What is the function of neturophils, macrophages and dendritic cells?
phagocytize unwanted substances
63
What is the function of both basophils and mast cells?
release chemicals to initate and create inflammation
64
What are the two chemicals secreated by natural killer cells?
perforins and granzymes
65
_______ Provide nonspecific defense against viral infections
interferons
66
Interferons include ____ and ___ produces by leukocytes and virus-infected cells.
INF alpha | INF beta
67
IFN alpha and IFN beta bind receptors of neighboring cells, preventing them from getting ____, which triggers synthesis of enzymes that both destroy RNA or DNA and inhibit synthesis of viral proteins.
infected
68
IFN alpha and IFN beta stimulate ___ cells to destroy virsu infected cells.
NK
69
IFN - y is produced by ____ and _____.
T lymphocytes and NK cells
70
IFN-y stimulates macrophages to destroy _____ cells.
virus infected
71
_____ is Composed of 30 plasma proteins that make up 10% of blood serum proteins
complement system
72
_____ complement proteins synthesized in liver and ____ in blood
inactive | activated
73
______ is when complement proteins activated by binding antibody
Classical pathway ~
74
_______ is when polysaccharides of certain bacterial and fungal cell walls bind directly with a complement protein
Alternative pathway ~
75
Complement system outcomes (4)
opsonization inflammation cytolysis elimination of immune complexes
76
_____ ~ binding of a protein called opsonin enhances phagocytosis (complement protein binds instead of opsonin)
oposinzation
77
_____ is the activation of mast cells and basophils as well as attracting neutrophils and macrophages
inflammation
78
_____ forms a plasma membrane pore, allowing fluids to enter the cell and cause lysis. This is called a MAC (membrane attack complex)
cytolysis
79
MAC stands for
membrane attack complex
80
___________ links immune complexes to erythrocytes to be transported to the liver and spleen for destruction
Elimination of immune complexes
81
_____ is Immediate, local, nonspecific event that occurs in vascularized tissue against a great variety of injury causing stimuli
inflammation
82
Steps of inflammation
step 1: release of various chemicals step 2: vascular changes step 3: recruitmen of elukocytes step 4: delivery of plasma proteins
83
What are CAMs?
cell-adhesion molecules
84
During the first step of inflammation Histamine, leukotrienes, prostaglandins, interleukins, TNF’s and chemotactic factors are released by damaged cells, basophils, dendritic cells, macrophages, mast cells and ____.
infectious organisms
85
Vasodilation occurs in which stage of inflammation?
second
86
LIST steps of inflammation
?
87
Interferons aid us in defense against what type of pathogens?
viruses
88
What does MAC stand for and what does it do?
membrane attack complex, pokes a hole in the plasma membrane causing cell lysis
89
What are three types of vascular changes that occur?
vasodilation, increased permeability, increased CAMS
90
What does CAM stand for and what is it's function?
cell adhesion molecule, to bind leukocytes in the blood for movement into the damaged tissue
91
What is diapedesis
squeezing of leukocyte out of blood and into tissue
92
What is chemotaxis?
migration of leukocytes to a damaged tissue due to a chemical gradient
93
The signs of inflammation include redness, heat, swellling, ____, and _____.
pain and loss of function
94
Redness is a sign of inflammation due to _____.
increased blood flow
95
Heat is a sign of inflammation due to the increased blood flow and increased _____ within the area.
metabolic activity
96
Swelling is a sign of inflammation due to an increase in _____ from capillaries.
fluid loss
97
Pain is a sign of inflammation due to ____, prostaglandins and substances released by microbes as well as compression of pain receptors due to swelling.
kinins
98
Loss of function is a sign of inflammation due to pain and swelling in more _____.
severe cases
99
Inflammation causes a net movement of fluid from ____, through infected/injured area, and then into the lymphatic system
blood
100
During inflammation vasodilation causes ___ into infected area.
more blood
101
During inflammation increased capillary permeability causes endothelial cells to contract causing larger ____ allowing more fluid movement.
openings
102
During inflammation a loss of plasma proteins decreases capillary osmotic pressure resulting in less ____ being retained and reabsorbed by the blood.
fluid
103
Inflammation causes Increased _________ in interstitial fluid increases fluid uptake into the lymphatic capillaries carrying unwanted substances with it which can then stimulate a systemic immune response
hydrostatic pressure
104
____ is An abnormal elevation of body temperature of at least 1.8°F
fever
105
A ____ Results from release of fever-inducing molecules called pyrogens (IL-1, IL-6, and TNF-)
fever
106
_____ target hypothalamus and cause release of prostaglandins E2 which increases the set point
pyrogens
107
The fever ____ includes the hypothalamus stimulates cutaneous blood vessels to vasoconstrict and induces shivering  body temp rises
onset
108
The fever ____ includes Metabolic rate increases to promote physiologic processes involved in eliminating the harmful substance Liver and spleen bind zinc and iron to slow microbial reproduction
stadium
109
The fever _____ includes Hypothalamus no longer stimulated by pyrogens, prostaglandin release decreases, set point reverts to normal Body releases heat through vasodilation of cutaneous blood vessels and sweating
defervescense
110
Benefits of a fever include: %)
1. Inhibits replication of bacteria and viruses 2. Promotes interferon activity 3. Increase activity of adaptive immunity 4. Accelerates tissue repair 5. Increases CAMs on endothelial cells of lymphatic capillaries
111
Risks of a fever
1. Changes in metabolic pathways and denaturation of body proteins anything above 102°F 2. Seizures may occur at sustained body temperature above 102°F 3. Irreversible brain damage may occur at body temp’s sustained at greater than 106°F 4. Death likely when body temp reaches 109°F
112
What are the four cardinal signs of inflammation?
redness, swelling, pain, heat
113
If inflammation advantageous or not? Explain.
It is advantageous because it acts like a flushing of the infected or damaged tissue, allowing pathogens to enter the lymphatic system and initiating an immune response.
114
What is a pyrogen?
A molecule that induces fever
115
What are the three stages of a fever?
Onset, stadium, defervscence
116
What is one benefit of a fever?
Inhibits growth of bacteria/viruses, promotes interferon activity as well as adaptive immunity activity, accelerates tissue repair, and increases production of CAMs
117
____ immunity (cell-mediated) T-cells differentiate into helper T-cells and cytotoxic T-cells
cellular
118
_____ immunity (antibody-mediated) B-cells develop into plasma cells to synthesize and release antibodies
humoral
119
______ immunity Initiated upon entry of foreign substance (or antigen) into the body
adaptive
120
______ structure A substance that causes the formation of and binds to antibodies
antigen
121
_____ (antigenic determinants) is the specific site on the antigen that is recognized by immune cells
epitope
122
_____ are small molecules that must attach to a carrier molecule to trigger a response within a host
haptens
123
When antigens bind T cells (induce an immune response) they are called ______.
immunogens
124
____ antigens are found on protein capsids of viruses, cell walls of bacteria and fungi, within bacterial toxins, and plasma membranes of tumor and cancerous cellls.
Foreign
125
____ antigens are found on every healthy cell of the body and do not bind the bodies immune components
self
126
_______ caused by immune cells recognizing self-antigens as foreign and initiating an immune response
Autoimmune disorder
127
______ are Any immune cell that functions specifically to communicate the presence of antigen to both helper and cytotoxic T cells
antigen presenting cells (APC)
128
Dendritic cells, macrophages and B cells function as _____.
APCs | Antigen Presenting Cells
129
All nucleated can also act as ____.
APCs
130
MHC also known as ____.
major histocompatibility complex.
131
Antigen presentation requires attachment of antigen to specialized ______.
specialized transmembrane MHC protein
132
______ molecules used by nucleated cells and APCs bind cytotoxic T cells
MHC class I
133
______ molecules used only by APCs bind helper T cells
MHC class II
134
What are two types of adaptive immunity??
cellular and humoral
135
What is an epitope?
site on teh antigen that is recognized by the immune cell
136
What is an autoimmune disorder?
when immune cells recognize self antigens as foregin
137
What types of cells can be APC's?
all nucleated macrophages dendritic cells B cells
138
What does MHC stand for and what is it?
Major Histocompatibility complex, a specialized transmembrane protein needed for antigen presentation
139
_______ are created when Glycoproteins continuously synthesized by Rough ER and then embedded within plasma membrane.
~ endogenous pathway
140
_____ molecules attach peptide fragments randomly while in the RER When cell is uninfected and healthy, peptide fragments are considered ‘self’ and are ignored by the immune system
MHC class I
141
With MHC class I molecules, when a cell is ____, peptide fragments are from a protein unknown to the immune system thus considered ‘foreign’, which then can initiate an immune response and target the cell for destruction
infected
142
``` MHC class II molecules: Glycoprotein continuously synthesized by the Rough ER and then embedded in the plasma membrane (similar to MHC class I) Considered ________ due to APC having to engulf an exogenous antigen ```
exogenous pathway
143
____ pathway is the formation and docking of MHC class II molecules in an APC.
exogenous
144
Exogenous ____ brought into cell through endocytosis forming a phogsome. This binds a ____ forming a phagolysosome where protein is digested.
antigen | lysosome
145
T and B cells differ from other immune cells due to their unique ____ complex.
receptor
146
the ___ structure consists of 100,000 receptor complexes per cell and receptor complexes only binding one specific antigen
lymphocyte
147
B cell receptors (BCR) make direct contact with an ___.
antigen
148
T cell receptors (TCR) must first have the ___ processed and presented in the plasma membrane of another type of cell (antigen presenting cell)
antigen
149
Helper T cells contains ____.
CD4 proteins.
150
Cytotoxic T cells contain ______
CD8 proteins
151
____ also contain co-receptors which are necessary for physical interaction with APC’s
T cells
152
Types of T cells
helper t cells cytoxic t cells memory t cells regulatory t cells (Tregs)
153
____ coordinate the immune response helping both cellular and humoral immunity as well as enhancing certain aspects of innate immunity
Helper t cells
154
_____ release chemicals that are toxic to cells resulting in their destruction
cytotoxic t cells
155
______ cause a more rapid response to an antigen when future encounters of the same antigen occur
memory t cells
156
______ function in suppressing the immune response
regulatory t cells (Tregs)
157
Life Events of lymphocytes
formation activation effector response
158
Life Events of lymphocytes
Formation of lymphocytes Both B and T cells formed in red bone marrow B cells mature in red bone marrow while T cells mature in Thymus Here they become specific for a foreign antigen Activation of lymphocytes Lymphocytes migrate to secondary lymphatic structures where they are housed Here they are exposed to their specific antigen and become activated Activation induced replication to form many identical lymphocytes Effector response Specific action of the T and B cells help to eliminate the antigen T cells typically migrate out of secondary structures and to sites of infection B cells primarily remain within secondary structures and synthesize and release large quantities of antibodies against the antigen. The antibodies enter the blood and lymph and are transported to the site of infection
159
Lymphocytes both b and t cells are formed in the ____.
red bone marrow
160
B cells mature in _____.
red bone marrow
161
T cells mature in ____.
thymus
162
While b and t cells mature they become more specific for a ____.
foreign antigen
163
Lymphocytes migrate to ___ lymphatic structures where they are housed. here they are exposed to their ___ and become activated. Activation induces replication to form many _____ lymphocytes.
migrate specific antigen identidcal
164
Specific action of the T and B cells help to ___ the antigen.
eliminate
165
T cells typically migrate out of secondary structures and to sites of ____.
infection
166
B cells primarily remain within secondary structures and synthesize and rlease large quantities of _____ against the antigen. They then enter the blood and lymph and are transported to the site of ___.
antibodies | infection
167
``` MHC class I proteins bind either self or foreign antigens within the rough ER. T or F ```
True
168
``` MHC class II proteins bind only ‘foreign’ antigens within the Rough ER. T or F ```
False
169
B-cell receptors bind antigens directly. | T or F
True
170
T-cells must be presented an antigen after processing through an APC. T or F
True
171
Helper T-cells have CD8 co-receptors, while cytotoxic T-cells have CD4 co-receptors. T or F
False
172
B-cells mature in the red bone marrow but T-cells mature in the thymus. T or F
True
173
B-cells typically migrate to infected area’s while T-cells stay within lymphatic tissue but release antibodies into the blood. T or F
False
174
Pre-T-lymphocytes considered a _____ because initially have both CD4 and CD8 proteins
double positive
175
T lymphocyte formation and selection Originate in bone marrow then migrate to the ____.
thymus
176
Each T-lymphocyte must be ‘tested’ to determine whether it’s (1) able to bind to the MHC molecule with a presented antigen, as well as whether it (2) binds to only _____ antigens and not ‘self’ antigens
foreign
177
Immature T cells bind with thymic epithelial cells that have MHC molecules and T cells that bind the MHC survive while those that do not undergo apoptosis
T Lymphocyte Selection | Positive Selection
178
``` Thymic dendritic cells present self-antigens with MHC class I and II molecules to immature T cells. T cells that bind the self-antigen undergoes apoptosis Self-tolerance ~ T cells ability to ‘ignore’ molecules of the body or self-antigens ```
T Lymphocyte Selection | Negative Selection
179
_____ is when T-cells become either Helper T-cells (by losing the CD8 protein) or Cytotoxic T-cells (by losing the CD4 protein).
differentiation
180
After differentiation t cells migrate out of the thymus but are still considered naïve T cells because they have not yet been exposed to their ____. Activation occurs once a T-cell binds it’s specific antigen
antigen
181
B-cells go through similar formation and selection processes but ____ are not involved and it occurs in the red bone marrow instead of the thymus
MHC
182
Activation of Helper T cells
List
183
Activation of Cytotoxic T cells
List
184
Activation of B cells
List
185
T-cells must under go a double selection in which they are positively selected for MHC binding but negatively selected for ‘self’ antigen binding. T or F
True
186
If a T-cell loses its CD4 protein, it becomes a helper T-cell. T or F
False
187
Activation of a helper T-cell depends upon binding of a MHC class I molecule and it’s CD8 co-receptor. T or F
False
188
IL-2 is released by helper T-cells and acts as an autocrine and paracrine hormone. T or F
True
189
Both helper and cytotoxic T-cells proliferate into both an active and a memory clone of themselves. T or F
True
190
B-cells must ingest an antigen and present it with a MHC class I molecule to cytotoxic T-cells to become activated. T or F
False
191
Activated B-cells proliferate into plasma cells and memory B-cells. T or F
False
192
Effector response of _____ leave secondary structures after several days of exposure and migrate to site of infection, continuing to release cytokines to regulate other immune cells
t cells
193
____ t cells functions include activating cytotoxic t cells and they enhance formation and activity of innate immune cells.
helper t cells
194
____ t cells functions include destroying infecting cells that display the antigen by releasing granules containing perforin and granzymes (same and NK cells)
cytotoxic
195
_____ have a five day life-span and remain in lymph nodes the entire time, continuously synthesize and release antibodies to circulate throughout the body
plasma cells
196
Antibodies also known as ____ proteins.
immunoglobulin (Ig)
197
_________ are Y-shaped proteins composed of four polypeptide chains (two heavy chains, two light chains)
Immunoglobulins
198
Immmunoglobulins or antibodies contains a ___ region, which is located at teh ends of the arms contain the antigen binding sites.
variable
199
Immunoglobulins or antibodies contain a ___ region which contains the Fc regions which is the portion of the antibody that determines the biological function of the antibody
constant
200
Five types of Immunoglobulins or antibodies
``` IgG IgM IgA IgD IgE ```
201
3 types of antibody action through antigen binding sites
neutralization agglutination precipitation
202
_____ is when the antibody covers biologically active portion of microbe or toxin, leaving it ineffective
neutralization
203
____ is when the antibody cross-links cells to form a ‘clump”
agglutination
204
____ is when the antibody cross-links circulating particles forming an insoluble antigen–antibody complex
precipitation
205
____ is when the ~ Fc region of IgG and IgM bind complement proteins causing activation of the complement pathway
complement fixation
206
_____ is when the ~ Fc region of IgG can cause opsonization *Certain phagocytic cells have receptors for Fc regions of certain antibodies, engulf both antibody and antigen
Opsonization
207
The _____ occurs when Fc region of IgG binds specific NK cells
activation of NK cells
208
NK cell destroys abnormal cell by release of ______ chemicals causing apoptosis
cytotoxic
209
____ major class, makes up 75-85% of antibodies
IgG
210
____ Predominantly in lymph, CSF, serous fluid, peritoneal fluid
IgG
211
____ Can perform any and all functions of antibodies
IgG
212
___ found mostly in blood
IgM
213
____ Most effective at causing agglutination of cells and binding complement
IgM
214
___ is Found in areas exposed to the environment (mucous membranes, tonsils, mucus, saliva, tears and breast milk)
IgA
215
____ is Significant role in protecting the respiratory and gastrointestinal tracts
IgA
216
____ Functions as the antigen-specific B cell receptor
IgD
217
____ Also functions to identify when immature B cells may be ready for activation
IgD
218
____ is Formed in response to allergic reactions and to parasitic infections
IgE
219
___ Causes release of histamine and other mediators of inflammation from basophils and mast cells and it attracts eosinophils
IgE
220
Long-lived lymphocytes represent an ‘army’ of thousands against specific antigens and are responsible for _____
immunologic memory
221
_____ is due to subsequent exposure to an antigen occurs more rapidly and produce a more powerful response Pathogen typically eliminated before disease symptoms develop. This makes adaptive immunity a highly potent protector
secondary response
222
____ are attenuated or dead microorganisms which are effective in developing memory cells
vaccines
223
Measuring immunologic memory is done via ____ in blood serum.
antibody titers
224
_____is a Measurable response of antibody production to the first exposure
primary response
225
____ is the ~ the 3-6 day period which is required for antigen detection, activation, proliferation and differentiation of lymphocytes
lag or latent phase
226
Production of antibodies,___ and ___ occurs within 1-2 weeks
IgG and IgM
227
______ is a Measureable response to subsequent exposure
secondary response
228
Secondary response has a much ___ lag phase due to memory cells.
shorter
229
___ produce much quicker and with a greater proportion of the IgG antibodies in a secondary response.
Antibodies
230
Results from a direct encounter with a pathogen or foreign substance that results in production of _____
memory cells
231
_____ means an ~ individual is directly exposed to the antigen of an infectious agent (active)
naturally acquired
232
____ means the exposure occurs through a vaccine (active)
artifically acquired
233
Two types of active immunity.
naturally acquired | artificially acquired
234
Two types of passive immunity
naturally acquired | artificially acquired
235
_____ is obtained from another individual or animal and does not results in the production of memory cells
passive immunity
236
____ occurs when there is a ~ transfer of antibodies form the mother to the fetus across the placenta (IgG) or to the baby in the mother’s breast milk (IgG, IgM and IgA) (passive)
naturally acquired
237
______ passive immunity occurs when a serum containing antibodies against a specific antigen is transferred from one individual to another
artificially acquired
238
Cytotoxic T-cells are similar to NK cells because they release perforin and granzymes. T or F
True
239
The Fc region of an antibody categorizes an antibody into five classes: IgG, IgM, IgA, IgD, and IgE. T or F
True
240
Antibodies can function by binding of antigens to specific binding sites, or through the use of the Fc region. T or F
True
241
IgM is the most abundant immunoglobulin. T or F
False, IgG
242
The primary immunological response has a 3-6 day delay and primarily produces both IgG and IgM within 1-2 weeks. T or F
True
243
The secondary immunological response is due to memory cells, contains a much shorter lag time and primarily produces IgM. T or F
False
244
Active immunity doesn’t produce memory cells while passive immunity does. T or F
False