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Chamberlain NR507 Midterm Exam Question and Verified Correct Answers

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Chamberlain NR507 Midterm Exam Question and Verified Correct Answers Chamberlain NR507 Midterm Exam Question and Verified Correct Answers Chamberlain NR507 Midterm Exam Question and Verified Correct Answers

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Science Biology Immunology


Chamberlain NR507 Midterm Exam

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Chamberlain NR507 Midterm Exam NR 507 midterm NP235 Immune and

63 terms 180 terms 72 terms




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- "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
- Examples: 1) Grave's disease- example of altering thyroid
Type 2 Hypersensitivity Reaction
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 2 & 3
- Type 3: not organ specific; antibody binds to soluble antigen
hypersensitivity reactions
outside the cell surface that was released into the blood or body
fluids, and the complex is then deposited in the tissues.

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

, - 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,
Systemic Lupus Erythematosus lymphopenia, thrombocytopenia)
(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 same disease, but several members may have different
Autoimmunity
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 species.
Alloimmunity
- 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
- Delayed response
Reaction
- 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
Differentiating between the rash lesions only at the site of contact with the allergen.
of a 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 The recycling of iron from old red blood cells (RBCs)
come from.....

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