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WCU Patho 370 Baroon Week 2 comprehensive assessment

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WCU Patho 370 Baroon Week 2 comprehensive assessment

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WCU PATHO 370 BAROON WEEK 2 QUIZZES WITH
COMPLETE REVIEWED ANSWERS.PASSED WITH
FIRST TIME TRIAL


Defends body against invasion or infection by antigens

Patrols for and destroys abnormal or damaged cells - answer ✔✔-Immune System



Excessive immune response

and Deficient immune response - answer ✔✔-Types of Alterations in Immune System



Over- or hyper-functioning of immune system - answer ✔✔-Excessive immune response



Ineffective immune response - answer ✔✔-Deficient immune response



Autoimmunity and Hypersensitivity

-both leads to inflammation - answer ✔✔-Excessive Immune Responses Types



Immune system attacks own tissues

-Cause: abnormal excessive immune responses toward own tissues

-MHC genes (HLA) **appear to increase risk of autoimmune disorders

-females at higher risk ** - answer ✔✔-Autoimmunity



Appear to increase risk of autoimmune disorders. Females at higher risk - answer ✔✔-MHC genes (HLA)



Individualized immunosuppressive therapy

-Corticosteroids and cytotoxins

-Tumor necrosis factor inhibitors and immunomodulators

-Therapeutic plasmapheresis - answer ✔✔-Autoimmunity Treatment

,Describes the mechanism of injury, exaggerated response by the immune system to a particular
substance

May or may not involve autoimmunity - answer ✔✔-Hypersensitivity



Mediated by antibodies produced by B lymphocytes - answer ✔✔-Hypersensitivity types I, II, and III



Mediated by T cells - answer ✔✔-Hypersensitivity type IV



-Strong genetic or hereditary linkage regarding IgE response to antigens (allergens)

-Involves ability to respond to antigen and to produce an IgE antibody response

-Usually have high IgE levels - answer ✔✔-Type I Hypersensitivity Etiology



aka immediate hypersensitivity

-Reaction occurs 15-30 minutes after exposure to antigen/allergen

-IgE is principle mediating antibody

-Mast cells and basophils principle effector cells

-IgE binds to Fc receptors on mast cells

-Mast cell exposed to antigen with crosslinked IgE-Fc receptors

-Increased intracellular calcium results in immediate, massive, local mast cell degranulation of
proinflammatory mediators

-Released mediators cause inflammatory response

(Histamine, Heparin, Proteolytic enzymes, Chemotactic factors) - answer ✔✔-Type I Hypersensitivity
Pathogenesis



most important mediator in Type I Hypersensitivity

-Has different receptors (H1-H4); each receptor causes different responses - answer ✔✔-Histamine



* Increased vascular permeability

• Vasodilation

,• Urticaria

• Smooth muscle constriction

• Increased mucus secretion

• Pruritus (H1 receptor stimulated) - answer ✔✔-Histamine causes



• Hives

• Seasonal allergic rhinitis

• Eczema - answer ✔✔-Type I Hypersensitivity Clinical Manifestations: Mild



* Throat constriction

• Localized edema

• Wheezing

• Tachycardia - answer ✔✔-Type I Hypersensitivity Clinical Manifestations: More problematic symptoms



Most life-threatening reaction; occurs in very small number of highly allergic individuals - answer ✔✔-
Anaphylaxis



Antihistamines, Beta-adrenergics, Corticosteroids, Anticholinergics

-IgE therapy

-Epinephrine - answer ✔✔-Type I Hypersensitivity Treatment



Block the effects of histamine - answer ✔✔-Antihistamines



Decrease bronchoconstriction - answer ✔✔-Beta-adrenergics



Decrease inflammatory response - answer ✔✔-Corticosteroids



Block parasympathetic system - answer ✔✔-Anticholinergics

, Inhibits binding of IgE to mast cells - answer ✔✔-IgE therapy



- Adrenergic agent given subQ or IV during acute allergic reactions

- Highly allergic people can carry an EpiPen - answer ✔✔-Epinephrine



-Infancy and pregnancy

-Pharmacologic desensitization - answer ✔✔-Type I Hypersensitivity Prevention



aka tissue-specific, cytotoxic, or cytolytic hypersensitivity

• Often immediate reaction, but some occur over time

• Antibodies attack antigens on surface of specific cells or tissues causing lysis

• Cell lysis may be mediated by Activated complement fragments (membrane attack complex) - answer
✔✔-Type II Hypersensitivity



-Type II Hypersensitivity

- Individual receives blood from someone with a different blood group type

-Recipient antibodies attach to the donor's red blood cell (RBC) antigens - answer ✔✔-Transfusion
reaction



-Type II Hypersensitivity

-Affects neuromuscular junction: primarily the acetylcholine receptor (AChR) - answer ✔✔-Myasthenia
gravis



-Type II Hypersensitivity

-Neutrophils bind to target cells; block receptors from normal functioning, causing injury to or
malfunction of involved tissue - answer ✔✔-Graves disease and lymphocytic thryroiditis



-Type II Hypersensitivity

-Transplanted donor tissue has an antigen to which recipient has preformed antibodies

-Can occur quickly with revascularization

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