SCC Block 2 Immune System Questions With Complete
Solutions
3 primary defenses and examples of each Correct Answer
skin is protection
mucous membranes: line respiratory, gastrointestinal,
genitourinary tracts, sweat, saliva and
mechanical clearance barriers like sloughed skin, coughing,
vomiting, urination. These are external and nonspecific
4 secondary defenses and examples of each Correct Answer
Inflammatory response: for example a chemical release like the
complement cascade which includes inflammation, fever,
phagocytosis, warmth, edema swelling, redness. Fever is natural
defense mechanism
6 reasons why a patient may be immunodeficient Correct
Answer Congenital, most commonly it is acquired or caused by
another illness, cancer, viral infection, by physiological changes,
aging
An infection Correct Answer A microorganism that infects
the body, invades the host cells, produces disease and replicates
causing harm. When the immune and inflammatory response
cannot control the invading pathogens. Signs and symptoms are
manifestations of that specific pathogen: inflammation and other
immune system responses
Anti-fungal protozoal medications: fluconazole also known as
Diflucan Correct Answer Systemic antifungal, by mouth/IV,
treats and prevents fungal infection
,Anti-fungal protozoal medications: Miconazole also known as
Monistat Correct Answer Topical/local treatment, used for
vaginal yeast infections
Anti-inflammatory drugs for rheumatic arthritis include ASA
and NSAID like Correct Answer Enteric coated aspirin in
high doses, NSAIDs when patients cannot tolerate high doses of
aspirin or ASA. Complications of incidents include G.I.
bleeding
Anticoagulants and anticonvulsants are given for SLE patient.
Name medications and what they treat Correct Answer
Anticoagulants, treatment of blood clots and include warfarin
and heparin. Anticonvulsants, treatment of seizures and include
Phenytoin
Antiviral drugs Target Correct Answer Specific cells like
enzymes that are responsible for replication
APTT normal reference range Correct Answer 20 to 30
seconds
Assessment for anaphylaxis/allergicreaction Correct Answer
History and physical will include family history of allergies,
history of allergen exposure and the reactions. Example: itching,
tearing, burning of the eyes/skin, rash, nasal stuffiness,
wheezing, hives
,B cells or B lymphocytes Correct Answer Takes 4 to 8 days to
produce antibodiesIgG through IgE. On a second exposure,
these are produced on the first day
B lymphocytes become activated and turn into ________ and
________ cells Correct Answer Memory cells and plasma
cells
B-lymphocytes come from the _____________ and are
responsible for ________ _____________ immunity Correct
Answer Bone marrow and are responsible for humoral
immunity
Best time to collect specimens for a culture and sensitivity is
Correct Answer Prior to the initiation of antibiotic therapy.
Patient must be assessed for allergies and monitoring intake &
output and for kidney/liver disease
Biologic response modifiers or BRM's for rheumatoid arthritis
include TNF inhibitors and other BRM's ending in "MAB".
Example: Infliximab, adalimumab, tocilizumab, rituximab
Correct Answer These blocks tumor necrosis factor. This is
necessary to start the inflammatory cascade. Unfortunately this
causes a patient at higher risk for tuberculosis. Modifying the
immune response drug. They alter the immune response.
Educate the patient to notify the provider for signs and
symptoms of infection because they're more susceptible being
on these meds
Biologic response modifiers or BRM's used for rheumatoid
arthritis Correct Answer Used when patients have failed with
, other DMARDs or used in combination with DMARDs. These
block steps in the inflammatory Cascade
BUN normal reference range Correct Answer 10-20 mg/dL
C-Reactive Protein or CRP Correct Answer Checks to see if
treatment of rheumatoid arthritis is working. If there is an
increase in levels, there is active inflammation
Calcium normal reference range Correct Answer 8.5 to 10.5
mg/dL
Cancer rates increase with age because Correct Answer
Decreased immune response where higher incidences of
malignancies are greater and increase age is more susceptible to
infection. Immunoglobulins or antigens decrease with age. T
cells decrease and leads to malignancies because there is less of
a "surveillance team" to attack foreigninvaders/mutated
cells/cancer
Causes for anaphylactic reaction Correct Answer Insect stings
from bees, wasps, ants, hornets, medical reactions, food allergies
to peanuts, eggs, shellfish
CBC with differential, basophils Correct Answer Increase
during the healing process
CBC with differential, Eosinophils Correct Answer Increase
during allergic and parasitic condition
Solutions
3 primary defenses and examples of each Correct Answer
skin is protection
mucous membranes: line respiratory, gastrointestinal,
genitourinary tracts, sweat, saliva and
mechanical clearance barriers like sloughed skin, coughing,
vomiting, urination. These are external and nonspecific
4 secondary defenses and examples of each Correct Answer
Inflammatory response: for example a chemical release like the
complement cascade which includes inflammation, fever,
phagocytosis, warmth, edema swelling, redness. Fever is natural
defense mechanism
6 reasons why a patient may be immunodeficient Correct
Answer Congenital, most commonly it is acquired or caused by
another illness, cancer, viral infection, by physiological changes,
aging
An infection Correct Answer A microorganism that infects
the body, invades the host cells, produces disease and replicates
causing harm. When the immune and inflammatory response
cannot control the invading pathogens. Signs and symptoms are
manifestations of that specific pathogen: inflammation and other
immune system responses
Anti-fungal protozoal medications: fluconazole also known as
Diflucan Correct Answer Systemic antifungal, by mouth/IV,
treats and prevents fungal infection
,Anti-fungal protozoal medications: Miconazole also known as
Monistat Correct Answer Topical/local treatment, used for
vaginal yeast infections
Anti-inflammatory drugs for rheumatic arthritis include ASA
and NSAID like Correct Answer Enteric coated aspirin in
high doses, NSAIDs when patients cannot tolerate high doses of
aspirin or ASA. Complications of incidents include G.I.
bleeding
Anticoagulants and anticonvulsants are given for SLE patient.
Name medications and what they treat Correct Answer
Anticoagulants, treatment of blood clots and include warfarin
and heparin. Anticonvulsants, treatment of seizures and include
Phenytoin
Antiviral drugs Target Correct Answer Specific cells like
enzymes that are responsible for replication
APTT normal reference range Correct Answer 20 to 30
seconds
Assessment for anaphylaxis/allergicreaction Correct Answer
History and physical will include family history of allergies,
history of allergen exposure and the reactions. Example: itching,
tearing, burning of the eyes/skin, rash, nasal stuffiness,
wheezing, hives
,B cells or B lymphocytes Correct Answer Takes 4 to 8 days to
produce antibodiesIgG through IgE. On a second exposure,
these are produced on the first day
B lymphocytes become activated and turn into ________ and
________ cells Correct Answer Memory cells and plasma
cells
B-lymphocytes come from the _____________ and are
responsible for ________ _____________ immunity Correct
Answer Bone marrow and are responsible for humoral
immunity
Best time to collect specimens for a culture and sensitivity is
Correct Answer Prior to the initiation of antibiotic therapy.
Patient must be assessed for allergies and monitoring intake &
output and for kidney/liver disease
Biologic response modifiers or BRM's for rheumatoid arthritis
include TNF inhibitors and other BRM's ending in "MAB".
Example: Infliximab, adalimumab, tocilizumab, rituximab
Correct Answer These blocks tumor necrosis factor. This is
necessary to start the inflammatory cascade. Unfortunately this
causes a patient at higher risk for tuberculosis. Modifying the
immune response drug. They alter the immune response.
Educate the patient to notify the provider for signs and
symptoms of infection because they're more susceptible being
on these meds
Biologic response modifiers or BRM's used for rheumatoid
arthritis Correct Answer Used when patients have failed with
, other DMARDs or used in combination with DMARDs. These
block steps in the inflammatory Cascade
BUN normal reference range Correct Answer 10-20 mg/dL
C-Reactive Protein or CRP Correct Answer Checks to see if
treatment of rheumatoid arthritis is working. If there is an
increase in levels, there is active inflammation
Calcium normal reference range Correct Answer 8.5 to 10.5
mg/dL
Cancer rates increase with age because Correct Answer
Decreased immune response where higher incidences of
malignancies are greater and increase age is more susceptible to
infection. Immunoglobulins or antigens decrease with age. T
cells decrease and leads to malignancies because there is less of
a "surveillance team" to attack foreigninvaders/mutated
cells/cancer
Causes for anaphylactic reaction Correct Answer Insect stings
from bees, wasps, ants, hornets, medical reactions, food allergies
to peanuts, eggs, shellfish
CBC with differential, basophils Correct Answer Increase
during the healing process
CBC with differential, Eosinophils Correct Answer Increase
during allergic and parasitic condition
