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GNRS 515 Patho Practice Exam 2 With Correct Verified Solutions Rated A+ Edition.

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Human lines of defense - Answer INNATE IMMUNITY Natural Barriers (1st line of defense) -Physical (skin, mucous membranes) -Biochemical (epithelial cell derived chemicals ex. sweat, tears, saliva, mucous) -Normal flora (skin, gut) Inflammatory Response (2nd line of defense) -Protein component (complement) -Cellular components (mast cells, granulocytes, macrophages, natural killer cells, dendritic cells) ADAPTIVE IMMUNITY Immune Response (3rd line of defense) -Protein components (antibodies, humoral immunity) -Cellular components (t-cytotoxic, t-helper, b-plasma, b-memory) *Macrophages and dendritic cells inflammatory and immune responses by antigen-presenting role* Cellular Receptors - Answer •Pattern Recognition Receptors (PRRs): that recognize two types of molecular patterns - Pathogen-Associated Molecular Patterns (PAMPs): septic injury - Damage-Associated Molecular Patterns (DAMPs): sterile injury •Toll-like receptors (TLRs): a major class of PRRs that recognize a large variety of PAMPs located on the microorganism's cell wall or surface • Complement receptors: recognize several complement factors Cellular Products: Cytokines - Answer - Interleukins (ILs) produced by macrophages and lymphocytes in response to stimulation of PRRs or by other cytokines. - Proinflammatory: Interleukins (IL-1, IL-6). Tumor necrosis factor-alpha (TNF-α). - Anti-inflammatory: Interleukins (IL-10). Transforming growth factor-beta (TGF-β)

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GNRS 515 Patho Practice Exam 2 With
Correct Verified Solutions Rated A+
2025-2026 Edition.
Human lines of defense - Answer INNATE IMMUNITY

Natural Barriers (1st line of defense)

-Physical (skin, mucous membranes)

-Biochemical (epithelial cell derived chemicals ex. sweat, tears, saliva, mucous)

-Normal flora (skin, gut)



Inflammatory Response (2nd line of defense)

-Protein component (complement)

-Cellular components (mast cells, granulocytes, macrophages, natural killer cells, dendritic cells)



ADAPTIVE IMMUNITY

Immune Response (3rd line of defense)

-Protein components (antibodies, humoral immunity)

-Cellular components (t-cytotoxic, t-helper, b-plasma, b-memory)



*Macrophages and dendritic cells inflammatory and immune responses by antigen-presenting
role*



Cellular Receptors - Answer •Pattern Recognition Receptors (PRRs): that recognize two types
of molecular patterns - Pathogen-Associated Molecular Patterns (PAMPs): septic injury

- Damage-Associated Molecular Patterns (DAMPs): sterile injury



•Toll-like receptors (TLRs): a major class of PRRs that recognize a large variety of PAMPs located
on the microorganism's cell wall or surface



• Complement receptors: recognize several complement factors



Cellular Products: Cytokines - Answer - Interleukins (ILs) produced by macrophages and

,- Interferons (IFNs) protect against viral infections. IFN-α & IFN-β: secreted by macrophages and
infected cells. IFN-ϒ: produced by lymphocytes.

- Chemokines attract leukocytes to the site of inflammation (chemotaxis)



Mast Cells - Answer •The most important cellular FIRST activator of inflammatory response

• "Big Bags of Granules"

•Location: connective tissue beneath the epithelium (skin, GIT, respiratory tract)



Two Functions:

•Degranulation:

- Histamine

- Chemotactic factors (NCF & ECF-A)



•Synthesis:

- Leukotrienes: SRS-A

- Prostaglandins: E, D, A. F& G

- Platelet-activating factor



Leukocytes - Answer I.Phagocytes

Granulocytes:

1.Neutrophils

2.Eosinophils

3.Basophils

Agranulocytes:

1.Monocytes (Macrophages)



II.Immunocytes

Lymphocytes

1.T-cells

2.B-cells

3.NK cells

,-Leukocytosis: ↑ number of leukocytes

-Leukopenia: ↓ number of leukocytes

-Granulocytosis: ↑ number of granulocytes

-Granulocytopenia: ↓ number of granulocytes

-Agranulocytosis: Severe and dangerous leukopenia, most commonly involving neutrophils



Third Line of Defense:

Acquired, Adaptive, Specific Immunity, Immune Response - Answer -It all revolves around
antigens (antibody generator)

-Lymphocytes are the workers

-Antibodies are the tools

-Specificity

-Memory provides immunity (may need a booster)



-Naturally acquired

Active: antigens enter body naturally, body induces antibodies and specialized lymphocytes

Passive: antibodies pass from mother to fetus via placenta or to infant via milk



-Artificially acquired

Active: antigens are introduced in vaccines, body produces antibodies and specialized
lymphocytes

Passive: preformed antibodies in immune serum are introduced by injection



Cell-Mediated Immune Response:

T-lymphocytes - Answer Cytotoxic T-cells

(CD8 cells)

-Effector T-cytotoxic:

attack and kill foreign cells directly (perforins), or by inducing apoptosis of virally infected or
cancerous cells

-Memory T-cytotoxic



Helper T-cells

, help in developing humoral immunity

-Memory T-helper



*Regulatory T-cells (aka: T-suppressor cells):

Produce immunosuppressive cytokines to control the immune response*



Clinical Presentation: Unusual, or recurrent, severe infections - Answer •T cell immune
deficiency: recurrent infections by

- Certain viruses (herpes, cytomegalovirus)

- Fungi and yeasts (candida, histoplasma)

- Atypical microorganisms (Pneumocystis jirovecii formerly Pneumocystis carinii)



• B cell and phagocyte deficiencies:

- Encapsulated bacteria

- Certain viruses (e.g. rubella)



•Complement deficiency:

- Encapsulated bacteria:

- e.g. Neisseria meningitidis & N. gonorrhoeae



Hypersensitivity:

An altered immunological response (over-reaction) to an antigen

that results in disease or damage to the individual - Answer TYPE

-Allergy:

Hypersensitivity (overreaction) to environmental antigens → allergic Sx

-Autoimmunity:

Hypersensitivity (overreaction) to self antigens → autoimmune disease

-Alloimmunity:

Hypersensitivity (overreaction) to antigens of another individual → blood-transfusion reaction,
graft rejection, Rh incompatibility




MECHANISM

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