Module 3 Flashcards

(40 cards)

1
Q

What is immunity?

A

Resistance to a specific disease.

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2
Q

What is an antigen?

A

A substance that produces an immune response.

AKA immunogen

Most commonly proteins

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3
Q

What is an antibody?

A

Product of immune response.

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4
Q

What happens when the immune response is activated?

A

Either the cellular immune system (T cells) or humoral system (B cells) will be activated by the antigens.

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5
Q

What do T cells produce and what do they destroy?

A

Lymphokines and memory cells.

Destroy: cancer cells, foreign cells, protozoa, fungi, Tb (smooth lipid wall) and virus infected cells

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6
Q

What do B cells produce and what do they destroy?

A

Specific antibodies (IgM then IgG) and memory cells.

Destroy: bacteria and viruses

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7
Q

What are antibodies?

A

Gamma globulin proteins that provide immune response.

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8
Q

What are the two types of antibodies and their functions?

A

IgM- first produced, remain in blood stream, large structure, indicate current/recent infection or exposure

IgG- second produced, can go into tissues/cross placenta, indicates past exposure/infection

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9
Q

How are antibodies produced?

A

B cell receptors contact antigens

B cell proliferates into a group of cells (clone) which divides into:
Plasma cells- produce antibodies
Memory cells- can be activated in the future to produce antibodies

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10
Q

How long after first exposure are detectable levels of antibodies produced?

A

Up to a week or longer

Once memory cells are established contact will give a faster response

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11
Q

Why are immunizations normally given in a series of three?

A

After primary immunization there is only a small burst of IgM and IgG after a week.

Booster shots result in an almost immediate response and a large burst of IgG.

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12
Q

What is a titer?

A

The expression of the amount of antibody present in blood.

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13
Q

What factors effect response to immunization?

A

Individual differences

Site of injection

Immunization product

Product failure

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14
Q

What types of products are used for immunization? Describe them.

A

Vaccine- suspension of altered bacteria or virus, causes antibody production

Toxoid- bacterial exotoxin treated so no longer toxigenic, causes antibody production

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15
Q

What are the different types of immunity and their characteristics?

A

Inate- associated with our species

Acquired- developed after birth

Naturally acquired- an act of nature

Artificially acquired- product given to induce immunity

Passive- host is given preformed antibodies, short term

Active- host makes own antibodies after exposure, long term

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16
Q

What are some examples of passive immunization?

A

Gamma globulin (pooled)

Hep A immune globulin

Tetanus antitoxin

Rabies immune globulin

Anti snake venom

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17
Q

What are standard immunization practices?

A

Routine schedule- mom’s antibodies provide for the first 2-3 months, then given immunizations

Booster shots

Yearly flu vaccine (different strains)

18
Q

What diseases are immunized against routinely?

A
Diphtheria 
Pertussis
Tetanus
Measles
Mumps
Rubella
Polio
Hib 
Chicken pox
Meningococcal conjugate
Pneumococcal conjugate
Hep B
19
Q

When is the BCG vaccine for Tb given?

A

In provinces/territories where Tb is endemic.

20
Q

Why are booster shots given?

A

To maintain memory cell numbers at a protective level.

21
Q

What are the symptoms of rubella?

A

Mild rash for 2-3 days

Often subclinical

22
Q

Why is rubella immunization important?

A

If contracted during pregnancy, the virus can cross the placenta.

Fetus may be aborted/stillborn.

Children born with several defects.

23
Q

Why can’t pregnant women be immunized against rubella?

A

Made from the virus, can cross the placenta and affect the fetus.

24
Q

What is hepatitis?

A

Viral liver infection spread by bodily fluids, primarily blood.

25
Who should be immunized against Hep B?
All healthcare workers at risk to exposure to blood or bodily fluids or sharps injuries.
26
What is the immunization schedule for Hep B?
First two shots one month apart, third 6 months after the first. Protective level after third.
27
How is successful immunization for Hep B determined?
Blood test for anti hepatitis surface antibodies (anti HBs) Booster- under review
28
What is another product available for Hep B prevention and when is it given?
Hep B immune globulin (HBIG). Preformed antibodies (passive immunity). Used after blood/mucous membrane exposure to Hep B virus when there's no evidence of anti HBs immunity. Within 48hrs.
29
What is the chicken pox virus and what does it cause?
Varicella-zoster, herpes group virus Chicken pox- generalized infection Shingles- reactivation of latent virus in older and immunocompromised patients, painful eruptions of nerve endings
30
How is the risk of chicken pox to immunocompromised patients reduced?
Immune statues of workers are determined Non immune staff are immunized Non immune workers who are exposed aren't allowed around immunocompromised patients for 10-21 days after exposure (incubation period)
31
Why is Tb a serious problem?
The number of infected and diseases is increasing Emergence of drug resistant strains
32
How is Tb spread?
Direct contact with respiratory secretions or droplet nuclei (greatest danger)
33
What happens after a tubercle bacilli is inhaled?
Bacteria multiply slowly (3-6wks) Cellular immune system is activated Spread is halted by granulomata Person is infected but not diseases, isn't contagious
34
How is the risk of Tb infection minimized in hospital?
Recognize high risk patients Understand how it's spread Use Tb skin testing Use anti-Tb drugs when appropriate Wearing a special mask when a patient is known to have Tb
35
What happens after Tb infection?
About 5% develop Tb About 5-10% may develop it later in life Dormant bacteria can be reactivated if the immune system is compromised (AIDS patients)
36
What are the symptoms of Tb?
Initially vague- cough, fever Later- bloody sputum, organ dysfunction
37
What is the Tb skin test?
AKA Mantoux test Intradermal injection of tubercle protein Used to identify infected individuals
38
What does a positive Tb test indicate?
Your body has seen the tubercular protein at some point, memory cells were activated. Have Tb, had Tb, inhaled bacteria (infected but no disease), immunized Further testing is done
39
When is Tb testing done?
At the start of employment On a regular basis after initial testing Following a known exposure
40
What is immunization?
Process by which resistance to infection is induced or augmented. Development of immunity without having the disease.