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NR507 MIDTERM STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NR507 MIDTERM STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Practice questions for this set Terms in this set (153) What is Type 1 reaction mediated by? IgE *inflammation r/t mast cell degranulation What are the local symptoms of Type 1 reaction? itching, rash What are systemic reactions of Type 1? wheezing What is the most dangerous form of type 1 reaction? anaphylactic reaction *systemic response-hypotension, severe bronchoconstriction *epinephrine to reverse effects What kind of reaction is type 2? cytotoxic reaction-tissue specific *machrophages are primary effector cells involved *can cause tissue damage or alter function What are examples of type 2 hypersensitivity? Graves' disease transfusion reaction What happens in a transfusion reaction? incompatible blood type causes cell/tissue damage *erythrocytes are destroyed by agglutination or complete-mediated lysis In Graves' disease TSI's mimic what? the action of TSH, binding to the receptors on thyroid cells *binding stimulates production and release of excessive thyroid hormones (T3-T4) even in absence of TSH What are key characteristics of Graves' disease? autoantibody mediated-caused by IgG targeting TSH receptors stimulatory not cytotoxic- involves cell overstimulation What are common symptoms of Graves disease? increased metabolism, sweating, tremors, bulging eyes (exophthalmos) What type of hypersensitivity as type 3? Immune complex mediated-complexes formed in blood and are deposited in various tissues How is type 3 triggered? when soluble antigens (foreign proteins, drugs, microbial components) combine with antibodies -primarily IgG/IgM- form immune complexes What does type 3 reaction lead to? inflammation and tissue damage Where do type 3 immune complexes typically deposit themselves? bl vessel walls, joints, glomeruli, tissues with small vessels * kidneys, lungs, skin, joints What is the difference between type 2 and type 3? Type 2- organ specific, binds to cell surface type3-not organ specific-bind to the soluble antigen outside cell surface that was released into blood or body fluids, then deposited into tissue What are type 3 axample? RA-deposited into joints SLE- deposit in organs that cause tissue damage What happens in SLE flare-up? new or current symptoms worsen often triggered by stress, infection, sunlight, hormonal changes, certain medications What symptoms are associated with SLE flare up? joint pain, fatigue, skin rash, kidney dysfunction, fever, chest pain How can SLE flare ups be managed? Use sunscreen, manage stress, avoid certain medications What are medications for SLE management? NSAIDS, steroids, immunosupressive agents, antimalarials, biologics What are lifestyle and support mechanisms for SLE? regular monitoring, sun protection, healthy lifestyle What is alloimmunity? general term used to describe individuals immune system reaction against antigens on the tissues of other membranes example-neonatal disease where maternal immune system becomes sensitized against expressed by the fetus -transplant rejection -transfusion reaction Describe type 4 hypersensitivity delayed response does not involve antigen/antibody complexes liek type 1,2,3 What is an example of type 4? poison ivy what is the difference between type 1 vs type 4 rash reaction? type 1-atopic dermatitis usually characterized by widely distributed lesions type 4- contact dermatitis (delayed hypersensitivity) consists of lesions only at the site contact with the allergen What is the key determinant in determining type 1 vs type 4 rash 1- immediate 4- delayed several days followings i.e. poison ivy How do you treat type 4 rash topical steroid *epi for type 1 anaphylaxis *antihistamines act on H1 receptors *type 4 reaction does not involve mast cells and H1 receptors *ABX not appropriate for allergic reaction What is primary immunodeficiency? are result of single gene defect *something lacking in immune system itself *b-lymphocyte deficiency is one of the most severe forms

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3/24/25, 6:00 NR507 Midterm Study guide Flashcards |
PM
NR507 MIDTERM STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Practice questions for this set


Learn 1/7 Study using Learn




<60ml/min for 3 months or longer



Select the correct term



what are kinds of restrictive pulmonary
1describe stage D heart failure
2disease



3what GFR quantifies CKF
4how is acute pyelonephritis diagnosed




Don't know?




Terms in this set (153)


IgE
What is Type 1 reaction mediated by?
*inflammation r/t mast cell degranulation

What are the local symptoms of Type itching, rash
1 reaction?

What are systemic reactions of Type 1? wheezing

anaphylactic reaction
What is the most dangerous form of type
*systemic response-hypotension, severe bronchoconstriction
1 reaction?
*epinephrine to reverse effects

cytotoxic reaction-tissue specific
What kind of reaction is type 2? *machrophages are primary effector cells involved
*can cause tissue damage or alter function

What are examples of type 2 Graves' disease
hypersensitivity? transfusion reaction

incompatible blood type causes cell/tissue damage
What happens in a transfusion reaction?
*erythrocytes are destroyed by agglutination or complete-mediated lysis

the action of TSH, binding to the receptors on thyroid cells
In Graves' disease TSI's mimic what? *binding stimulates production and release of excessive thyroid hormones (T3-
T4) even in absence of TSH

What are key characteristics of Graves' autoantibody mediated-caused by IgG targeting TSH receptors
disease? stimulatory not cytotoxic- involves cell overstimulation




1/
7

, 3/24/25, 6:00 NR507 Midterm Study guide Flashcards |
PM
What are common symptoms of Graves increased metabolism, sweating, tremors, bulging eyes (exophthalmos)
disease?

Immune complex mediated-complexes formed in blood and are deposited in
What type of hypersensitivity as type 3?
various tissues

when soluble antigens (foreign proteins, drugs, microbial components) combine with
How is type 3 triggered?
antibodies -primarily IgG/IgM- form immune complexes

What does type 3 reaction lead to? inflammation and tissue damage

Where do type 3 immune complexes bl vessel walls, joints, glomeruli, tissues with small vessels
typically deposit themselves? * kidneys, lungs, skin, joints

Type 2- organ specific, binds to cell surface
What is the difference between type 2 and
type3-not organ specific-bind to the soluble antigen outside cell surface that was
type 3?
released into blood or body fluids, then deposited into tissue

RA-deposited into joints
What are type 3 axample?
SLE- deposit in organs that cause tissue damage

new or current symptoms worsen often triggered by stress, infection, sunlight,
What happens in SLE flare-up?
hormonal changes, certain medications

What symptoms are associated with SLE joint pain, fatigue, skin rash, kidney dysfunction, fever, chest pain
flare up?

How can SLE flare ups be managed? Use sunscreen, manage stress, avoid certain medications

What are medications for SLE NSAIDS, steroids, immunosupressive agents, antimalarials, biologics
management?

What are lifestyle and support mechanisms regular monitoring, sun protection, healthy lifestyle
for SLE?

general term used to describe individuals immune system reaction against antigens
on the tissues of other membranes
example-neonatal disease where maternal immune system becomes sensitized
What is alloimmunity?
against expressed by the fetus
-transplant rejection
-transfusion reaction

delayed response
Describe type 4 hypersensitivity
does not involve antigen/antibody complexes liek type 1,2,3


What is an example of type 4? poison ivy

type 1-atopic dermatitis usually characterized by widely distributed lesions
what is the difference between type 1 vs
type 4- contact dermatitis (delayed hypersensitivity) consists of lesions only at
type 4 rash reaction?
the site contact with the allergen

What is the key determinant in determining 1- immediate
type 1 vs type 4 rash 4- delayed several days followings i.e. poison ivy

topical steroid
*epi for type 1 anaphylaxis
How do you treat type 4 rash *antihistamines act on H1 receptors
*type 4 reaction does not involve mast cells and H1 receptors
*ABX not appropriate for allergic reaction

are result of single gene defect
What is primary immunodeficiency? *something lacking in immune system itself
*b-lymphocyte deficiency is one of the most severe forms




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