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CHAMBERLAIN NR507 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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CHAMBERLAIN NR507 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (63) Type 1 Hypersensitivity Reaction - "Allergic reaction" - Mediated by IgE. - Inflammation d/t mast cell degranulation. - Hay fever, hives (uticaria). - Local s/s: itching, rash. - Systemic: wheezing. - Severe, systemic reaction: anaphylaxis: hypotension, severe bronchoconstriction. - Main tx: epinephrine. Type 2 Hypersensitivity Reaction - Cytotoxic reaction; tissue specific - Macrophages are the primary effectors cells involved - Causes tissue damage or alters function - Examples: 1) Grave's disease- example of altering thyroid function, doesn't destroy thyroid tissue. 2) ABO incompatibility- example of cell/tissue damage; severe transfusion reaction occurs & the transfused erythrocytes are destroyed by agglutination or complement-mediated lysis. Difference between type 2 & 3 hypersensitivity reactions - Type 2: organ specific; antibody binds to the antigen on the cell surface. - Type 3: not organ specific; antibody binds to soluble antigen outside the cell surface that was released into the blood or body fluids, and the complex is then deposited in the tissues. Type 3 Hypersensitivity Reaction - Immune complex - Antigen-antibody complex deposited in the tissues - Neutrophils are the primary effector cell - Causes autoimmune diseases - Examples: rheumatoid arthritis ( joints), systemic lupus erythematosus (SLE, organs) Systemic Lupus Erythematosus (SLE) - Facial rash confined to the cheeks (malar rash) - Discoid rash (raised patches, scaling) - Photosensitivity (skin rash d/t sunlight exposure) - Oral or nasopharyngeal ulcers - Hematologic disorders (hemolytic anemia, leukopenia, lymphopenia, thrombocytopenia) - Immunologic disorders - Non-erosive arthritis of at least two peripheral joints - Serositis (pleurisy, pericarditis) - Renal disorder - Neurologic disorders (seizures, psychosis) - Presence of antinuclear antibody (ANA) Autoimmunity - Can be familial: Affected family members may not all develop the same disease, but several members may have different disorders characterized by a variety of hypersensitivity reactions (autoimmune and allergic reactions). Alloimmunity - General term used to describe when an individual's immune system reacts against antigens on the tissues of other members of the same species. - Examples: Neonatal disease where the maternal immune system becomes sensitized against antigens expressed by the fetus, Transplant rejection, Transfusion reaction. Type 4 Hypersensitivity Reaction - T-cell mediated - Lymphocytes - Does not involve antigen/antibody complexes - Delayed response - Ex: localized contact dermatitis. Treated with a topical corticosteroid (wouldn't use antihistamine since Type 4 doesn't involve mast cells and H1 receptors). Differentiating between the rash of a Type 1 vs Type 4 Reaction - Type 1: Immediate hypersensitivity reactions, termed atopic dermatitis, are usually characterized by widely distributed lesions. - Type 4: Contact dermatitis (delayed hypersensitivity) consists of lesions only at the site of contact with the allergen. The key determinant is the timing of the rash: -Type 1 = Immediate -Type 4 = Delayed: Several days following contact, ex- poison ivy Primary Immunodeficiency - Most are the result of single gene defects. - Occurs d/t immune system development defect. - Antibody deficiencies, B- and T-cell deficiencies, phagocytic cell defects, complement deficiency - Ex: chronic granulomatous disease, familial Mediterranean fever, common variable immunodeficiency Secondary Immunodeficiency - Complication of some other physiologic condition or disease. - Malnutrition is one of the most common causes worldwide. - Cancer, drugs, chemotherapeutic agents. Most of our body's iron stores come from..... The recycling of iron from old red blood cells (RBCs) Mean Corpuscular Hemoglobin Concentration (MCHC) - Measure of the average concentration of hemoglobin inside a single red blood cell. - Normal (normochromic anemia): aplastic anemia, post-hemorrhagic anemia, hemolytic anemia. - Low (hypochromic): iron deficiency anemia, sideroblastic anemia, thalassemia. - High (hyperchromic): hereditary spherocytosis, liver disease, hyperthyroidism, sickle cell disease.

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3/24/25, 6:01 Chamberlain NR507 Midterm Exam Study Material - Key Terms and Definitions
PM Flashcards |
CHAMBERLAIN NR507 MIDTERM EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (63)


- "Allergic reaction"
- Mediated by IgE.
- Inflammation d/t mast cell degranulation.
- Hay fever, hives (uticaria).
Type 1 Hypersensitivity Reaction
- Local s/s: itching, rash.
- Systemic: wheezing.
- Severe, systemic reaction: anaphylaxis: hypotension, severe bronchoconstriction.
- Main tx: epinephrine.

- Cytotoxic reaction; tissue specific
- Macrophages are the primary effectors cells involved
- Causes tissue damage or alters function
Type 2 Hypersensitivity Reaction - Examples: 1) Grave's disease- example of altering thyroid function,
doesn't destroy thyroid tissue. 2) ABO incompatibility- example of
cell/tissue damage; severe transfusion reaction occurs & the transfused
erythrocytes are destroyed by agglutination or complement-mediated
lysis.
- Type 2: organ specific; antibody binds to the antigen on the cell surface.
Difference between type - Type 3: not organ specific; antibody binds to soluble antigen
2 & 3 hypersensitivity outside the cell surface that was released into the blood or body
reactions fluids, and the complex is then deposited in the tissues.

- Immune complex
- Antigen-antibody complex deposited in the tissues
Type 3 Hypersensitivity Reaction - Neutrophils are the primary effector cell
- Causes autoimmune diseases
- Examples: rheumatoid arthritis ( joints), systemic lupus erythematosus (SLE, organs)




1/
10

, 3/24/25, 6:01 Chamberlain NR507 Midterm Exam Study Material - Key Terms and Definitions
PM Flashcards |
- Facial rash confined to the cheeks (malar rash)
- Discoid rash (raised patches, scaling)
- Photosensitivity (skin rash d/t sunlight exposure)
- Oral or nasopharyngeal ulcers
- Hematologic disorders (hemolytic anemia, leukopenia,
lymphopenia, thrombocytopenia)
Systemic Lupus Erythematosus (SLE)
- Immunologic disorders
- Non-erosive arthritis of at least two peripheral joints
- Serositis (pleurisy, pericarditis)
- Renal disorder
- Neurologic disorders (seizures, psychosis)
- Presence of antinuclear antibody (ANA)

- Can be familial: Affected family members may not all develop the
Autoimmunity same disease, but several members may have different disorders
characterized by a variety of hypersensitivity reactions (autoimmune
and allergic reactions).
- General term used to describe when an individual's immune system
reacts against antigens on the tissues of other members of the same
Alloimmunity species.
- Examples: Neonatal disease where the maternal immune system
becomes sensitized against antigens expressed by the fetus, Transplant
rejection, Transfusion reaction.
- T-cell mediated
- Lymphocytes
- Does not involve antigen/antibody complexes
Type 4 Hypersensitivity Reaction
- Delayed response
- Ex: localized contact dermatitis. Treated with a topical corticosteroid
(wouldn't use antihistamine since Type 4 doesn't involve mast cells and
H1 receptors).
- Type 1: Immediate hypersensitivity reactions, termed atopic dermatitis,
are usually characterized by widely distributed lesions.
- Type 4: Contact dermatitis (delayed hypersensitivity) consists of lesions
Differentiating between the rash of a only at the site of contact with the allergen.
Type 1 vs Type 4 Reaction
The key determinant is the timing of the rash:
-Type 1 = Immediate
-Type 4 = Delayed: Several days following contact, ex- poison ivy

- Most are the result of single gene defects.
- Occurs d/t immune system development defect.
- Antibody deficiencies, B- and T-cell deficiencies, phagocytic
Primary Immunodeficiency
cell defects, complement deficiency
- Ex: chronic granulomatous disease, familial Mediterranean fever,
common variable immunodeficiency

- Complication of some other physiologic condition or disease.
Secondary Immunodeficiency - Malnutrition is one of the most common causes worldwide.
- Cancer, drugs, chemotherapeutic agents.

Most of our body's iron stores come The recycling of iron from old red blood cells (RBCs)
from.....




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