Introduction to Clinical Sciences Flashcards

(35 cards)

1
Q

What is Inflammation?

A

A reaction to injury or infection involving neutrophils and macrophages

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2
Q

Describe acute infection

A

Sudden, short duration, usually resolves, neutrophil polymorphs

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3
Q

what is the lifespan of neutrophil polymorphs?

A

short lived - 3-5 days

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4
Q

Describe the actions of neutrophils

A

They move to areas of damage via chemotaxis and phagocytose pathogens by releasing enzymes

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5
Q

Describe chronic inflammation

A

Slow onset, long duration, may never resolve, macrophages

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6
Q

what is the life span of macrophages?

A

long lived

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7
Q

Where do all immune cells originate

A

Bone marrow

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8
Q

Where do T cells mature?

A

Thymus (T cells that recognise self are killed in the thymus)

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9
Q

Where are RBC removed?

A

The spleen

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10
Q

What is the innate immune response?

A

Non-specific defence system. Fast onset and short duration e.g mucus or inflammation. Doesn’t depend on lymphocytes. Physical and chemical barriers

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11
Q

what is the adaptive immune response?

A

Specific (acquired/learned) defence system to destroy/prevent the growth of pathogens. Requires lymphocytes. Slow onset and long duration. Has memory e.g antibodies

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12
Q

What is a neutrophil?

A

Most abundant WBC, phagocytic and mainly involved in inflammation

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13
Q

What leukocytes are polymorphonuclear?

A

neutrophils, eosinophils, basophils

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14
Q

what leukocytes are mononuclear leukocytes?

A

Monocytes, T-cells and B-cells

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15
Q

What are macrophages?

A

when monocytes migrate from blood to tissue, they become macrophages. They phagocytose, present antigens and secrete cytokines

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16
Q

What are basophils?

A

Multinucleate cells involved in allergic reactions, eczema, hay fever

17
Q

What are eosinophils?

A

multinucleate cells involved in parasitic infections

18
Q

What do mast cells do?

A

They are involved in anaphylaxis and asthma. IgE receptors binds to allergens , which then binds to mast cells, causing them to release histamines which causes the response

19
Q

What do Natural Killer cells do?

A

They release lytic granules that kill virus infected cells

20
Q

What is a Complement (C’)?

A

Group of serum proteins that are secreted by the liver and need to be activated to be functional

21
Q

What is the action of C’?

A

Direct lysis
Attract more leukocytes to the cite of infection (chemotaxis)
Coat invading organisms (opsonisation)

22
Q

What are the main antigen presenting cells?

A

Dendritic cells

23
Q

what are cytokines?

A

soluble mediators secreted by lymphocytes or by monocytes. They act as stimulatory or inhibitory signals between cells

24
Q

What are interferons?

A

Interferons are a type of cytokine that induce a state of anti-viral resistance in uninfected cells

25
What are interleukins?
cytokines that act between cells of the immune system. They can be pro-inflammatory (IL1) or anti-inflammatory (IL-10)
26
What is the role of T helper cells?
They express CD4 and help activate B cells and cytotoxic T cells
27
What is the role of cytotoxic T cells?
They express CD8 and release perforin thay causes cells to lyse
28
What is the role of B cells?
Contain CD20 cell marker (targeted by monoclonal antibodies). Activated B cells become plasma cells that produce antibodies
29
what is the role of antibodies?
- neutralise toxins - opsonisation of pathogens - destroy pathogens
30
Describe the function of IgA antibodies
the mucosal Ab has a dimer. Present in colostrum and coats neonates gut
31
Describe the function of IgM antibodies
pentameric and not entirely specific to antigen. Highest capacity to activate complement
32
Describe the function of IgG antibodies
Most abundant in the blood. Highly specific. Important during secondary responses. 4 subclasses, can cross the placenta
33
Describe the function of IgE antibodies
Bound to mast cells and basophils by FcεR. important in allergy and helminth infection. Least abundant in the blood
34
Describe type 1 hypersensitivity reactions
Antigen reacts with IgE bound to mast cells and basophils. This causes rapid cell degranulation which releases histamine, protease enzymes and preoteoglycans
35
What is ABCDE examination?
Airways, Breathing, Circulation, Disability, Exposure