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(MED/SURG III) EXAM 2: RHEUMATOLOGY 2025/2026 QUESTIONS WITH ANSWERS GRADED A+

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Natural killer cells - Target: infected cells Role: to kill cells that appear to be abnormal Macrophages - Target: anything they find in their path (that appears to be abnormal) Role: ingest harmful microorganisms, activate TH1 and TH2 Tc Cells - Cytotoxic T cell Target: infected cell Role: kill infected cells TH1 Cell - Type of T helper cell Role: activate Tc cell TH2 Cell - Type of T helper cell Role: activate B cells B Cells - Target: microorganisms and infected cells Role: secrete antibodies Antibody Mediated Immunity - TH2 cell is activated. Releases cytokines to activate the B cell. B cell starts to release antibodies specific for an antigen that has invaded the body. Cell Mediated Immunity - Macrophage detects an invader in the body. Macrophage releases cytokines to activate the TH1 cell. TH1 cell then releases cytokines to activate Tc cell to destroy the invader. Autoimmune Disease - Failure of antibodies and T cells to recognize "self" Addison's Disease - -anterior pituitary hypo secretion of adrenocorticotropic hormone, adrenal cortex hypo-secretion -s/s: changes in BP or HR, chronic diarrhea, increased skin pigmentation, paleness, extreme weakness, fatigue, loss of appetite, nausea and vomiting, salt craving, slow sluggish movement, unintentional weight loss Cushing's Syndrome - anterior pituitary hypersecretion of adrenocorticotropic hormone, adrenal cortex hyper-secretion -emotional disturbance, enlarges sella turcica, moon face, osteoporosis, HTN, buffalo hump, purpura, skin ulcers, amenorrhea, obesity, thin/wrinkled skin, abdominal striae Diabetes Type 1 - Pancreas does not produce insulin because beta cells of islets in pancreas are destroyed. -Polyuria, polydipsia (abnormal thirst), polyphagia (excessive hunger), unusual weight loss, extreme fatigue and irritability Grave's Disease - Due to hyperthyroidism. -s/s: nervousness, fatigue, weakness, tachycardia, increased perspiration, heat intolerance, diarrhea, goiter, tremor, exopthalmos

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(MED/SURG III) EXAM 2: RHEUMATOLOGY
2025/2026 QUESTIONS WITH ANSWERS GRADED
A+
Natural killer cells - Target: infected cells
Role: to kill cells that appear to be abnormal

Macrophages - Target: anything they find in their path (that appears to be abnormal)
Role: ingest harmful microorganisms, activate TH1 and TH2

Tc Cells - Cytotoxic T cell
Target: infected cell
Role: kill infected cells

TH1 Cell - Type of T helper cell
Role: activate Tc cell

TH2 Cell - Type of T helper cell
Role: activate B cells

B Cells - Target: microorganisms and infected cells
Role: secrete antibodies

Antibody Mediated Immunity - TH2 cell is activated.
Releases cytokines to activate the B cell.
B cell starts to release antibodies specific for an antigen that has invaded the body.

Cell Mediated Immunity - Macrophage detects an invader in the body.
Macrophage releases cytokines to activate the TH1 cell.
TH1 cell then releases cytokines to activate Tc cell to destroy the invader.

Autoimmune Disease - Failure of antibodies and T cells to recognize "self"

Addison's Disease - -anterior pituitary hypo secretion of adrenocorticotropic hormone, adrenal
cortex hypo-secretion
-s/s: changes in BP or HR, chronic diarrhea, increased skin pigmentation, paleness, extreme
weakness, fatigue, loss of appetite, nausea and vomiting, salt craving, slow sluggish movement,
unintentional weight loss

Cushing's Syndrome - anterior pituitary hypersecretion of adrenocorticotropic hormone, adrenal
cortex hyper-secretion
-emotional disturbance, enlarges sella turcica, moon face, osteoporosis, HTN, buffalo hump,
purpura, skin ulcers, amenorrhea, obesity, thin/wrinkled skin, abdominal striae

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