Immune part II Flashcards

(32 cards)

1
Q

TACO(Transfusion-Associated circulatory overload

A

rapid plasma volume expansion
mostly seen in elderly with heart problem

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2
Q

Febrile non-hemolytic transfusion reaction treatment?

Hemolytic Transfusion reaction due to? Treatment?

A

treat with Acetaminophen (Coombs Neg)

ABO incompatibility (Coombs pos)
Stop transfusion and IV fluid

Both pre-form antibodies

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3
Q

HS? Antibody binds to FAB region of IgE on Mass cell causing degranulation

A

hypersensitivity 1
anaphylaxis

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4
Q

HS? Pernicious anemia, HIT, Rheumatic fever, M. Gravis
Bullus pemp. Hashimoto and Grave are examples of?

A

Type 2 HS

Antibody production against cells, tissues, receptor

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5
Q

Antibody-antigen complex and deposit EG:

A

PSGN
SLE
Arthus reaction
serum sickness
Polyarteritis nodosa

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6
Q

PPD, contact dermatitis, Graft vs. host dz

A

CD 4/8 T cell involved HS 4

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7
Q

Kill Vaccine ( A TRIPP could Kill you), causes humoral response MHC II

A

Hep A, Typhoid (IM), Rabies, Influenza (IM), Polio(Salk IM), Pertussis KILL

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8
Q

HPV: human papilloma V, HBV: Hepatitis B v. vaccines are

A

Recombinant

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9
Q

Diphtheria, tetanus vaccines are

A

Toxoid

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10
Q

MMR and varicella vaccines are given to HIV pt CD4 count

A

CD4 count above 200

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11
Q

Live-attenuated vaccines
My TRIP on Yellow Van

A

Yellow fever
varicella
rotavirus(oral
Influenza(intranasal)
Polio(sabin,oral)
MMR,
Typhoid (oral)

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12
Q

DX of Acute promyelocytic Leukemia: functional pancytopenia and

DX confirms with…

A

Auer rods: Azurophilic peroxidase-positive granular inclusions in granulocytes and myeloblast

fluorescent insiti hybridization(FISH)

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13
Q

What Duchene MD,
ornithine transcarbamylase def and
Fabry have in common

A

X-Linked

worse symptoms with Turner syndrome

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14
Q

Wiskott-Aldrich syndrome,
Ocular Albinism,
G6PD inheritance

A

x-linked

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15
Q

Becker MD,
Hemophilia A/B,
Lesch-Nyah,
Hunter syndrome,
Bruton X-LA

A

X-linked

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16
Q

which inheritance pattern will leave pt with Turner syndrome more susceptible than 46 XX,

A

Turner: monosomy X(45,X)
Comorbidity with any X-linked is problematic

17
Q

colon cancer with numerous adenomatous polyps has a tumor suppressor gene?

genetic change affecting APC?

A

Mutation in KRAS and APC: increase cell entering S Phase

Proto-oncogenes: deletion or loss of function mutation leads to cancer

18
Q

neonate with cataracts, PDA, thrombocytopenia purpura, sensory neural defects, large liver&spleen. preventions

A

Congenital rubella syndrome
live attenuated vaccine

19
Q

57M + large nest mass, mix inflammatory cellularity with some large cells showing bilobed nucleus? CD marker?

A

Reed-Sternberg cell
CD 15/30
Hodgkin disease

20
Q

Positive skew
neg skew

median represent the central tendency

A

mean>median
mean<median

21
Q

elevated carnitine ester strongly suggests a defect in
Occurs in Mito matrix

A

fatty acid oxidation early step

Enzyme: VLCAD(very long-chain acyl-CoA dehydrogenase def

22
Q

low carnitine ester in muscle and serum

A

primary carnitine defi
carnitine transporter

23
Q

4M +fever, rash, urticaria, with hand, wrist, and knee pain. 10dy HT or URT infection. Treatment

A

Serum sickness reaction HS type 3
Treat with Anhihistamines & steroid

24
Q

blue-green pigmented growth with a fruity smell

Exotoxin A

similar to?

A

P. Aeruginosa: G(-) oxidase-pos, aerobic rod, cat pos

stops EF-2 :protein synthesis

diphtheria

25
inguinal hernia strangulation caused by? PE may show a reducible mass in the scrotum.
compromised vascular supply of bowel
26
HIT type 2 caused by antibody against heparin bound to platelet factor 4(PF4) treatment
Bivalirudin: direct thrombin inhibitor
27
direct hernia emerges through
the posterior wall of the inguinal canal medial to inferior epigastric vessels superior to the inguinal ligament lateral to rectus abdominis
28
pleomorphic clear cells with cytoplasmic vacuoles, scallop nucleus with pos oil Red O stain
Liposarcoma
29
flagellated, encapsulated, gram neg rod producing HS osteomyelitis in sickle cell pt
salmonella
30
rotavirus in HIV infected pt presents with
mono-like :fever sore throat, large lymph, spleen and liver
31
Lambert-Eaton affects
voltage-gated ion channels Ca2+ presynaptic
32
Erythema infectiosum (slapped cheek) + sickle cell =
aplastic crisis B-19