2026
C
Terms in this set (106)
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HIV EIA (3rd generation immunoassay)
can use urine, saliva, or serum (most accurate), need to wait
until 12 weeks post exposure to see antibodies, >99% accurate
4th generation immunoassay- "gold standard"
measures P24 antigen
can test 10 days post exposure
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Mast cell
Cellular bags of granules located in loose connective tisssue
close to blood vessels. Activation initiates inflammatory
process.
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Histamine
Causes vasodilation, increases vascular permeability, increases
blood flow to the site of injury- causes erythema and swelling.
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Cytokines
Soluble factors that contribute to the regulation of innate or
adaptive resistance by affecting other neighboring cells. Can
be pro-inflammatory or anti-inflammatory. Can react quickly
or be more delayed.
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Leukotrines
Released when mast cells degranulate, prolong the
inflammatory process. Cause vasodilation, attract neutrophils,
monocytes, and eosinophils.target of inhibition for singular.
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Prostaglandins
Released when mast cells degranulate, are produced by
the arachidonic pathway. Cause vasodilation, platelet
aggregation at site of injury, pain, and fever.
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Chemotactic factors
Biochemical substance that attracts leukocyte to the site of
inflammation
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Neutrophils
Predominant leukocyte at work during the early stages of
acute inflammation
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Monocytes
Become macrophages when entering the tissue, responsible
for presenting antigens to the CD4 cell which triggers T-cell
immunity and B-cell immunity.
Releases additional cytokines IL1, IL6, TNF.
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Cytokine IL1 function
Causes fever, activates phagocytes & lymphocytes and also
increases the release of IL6a
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Cytokine IL6 function
Stimulates production of acute phase reactants and promotes
growth and stimulation of RBCs
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Cytokine TNF function
Causes fever, increases synthesis of proinflammatory proteins
by liver, causes muscle wasting, induces thrombosis
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Cytokine growth factor function
Promotes production and maturation of neutrophils
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Complement
Functions include bacterial lysis, vasodilation and increased
vascular permeability, triggers mast cell degranulation,
chemotaxis, and opsonization.
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Kinin
Converted to bradykinin which is responsible for pain and
chemotaxis, and it increases vascular permeability and
vasodilation.
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Coagulation cascade
Factor XII activates kinin. Function is to form fibrin mesh to
stop bleeding and trap micro organisms.
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COX1
Prostaglandin of arachidonic pathway. Provides
gastroprotection, platelet aggregation, fluid/electrolyte
balance
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COX2
Prostaglandin of arachidonic pathway. Responsible for pain,
fever, renal protection, tissue repair, reproduction
development.
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COX2 inhibitors- clinical implications
Protect gastric mucosa- prevent ulcers and bleeding.
Removed from market r/t cardiac events except for Celebrex.
Can impair renal function , monitor labs.
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Arachidonic pathway purpose
Synthesis of prostaglandins
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Non-selective NSAIDS
Inhibit COX1 and COX2, risk for gastric ulceration, GI bleeds,
edema, renal impairment
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ASA