Lymphatic and Immune System

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What are the structures within lymphatic circulation

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1

What are the structures within lymphatic circulation

capillaries, vessels, trunks, ducts

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2

What are the lymph organs and tissues

red bone marrow, thymus gland, lymph nodes, spleen, tonsils

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3

What is the function of lymph fluid

-drain excess interstitial fluid

-return fluid back to venous circulation

-maintain body fluid and blood volume

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4

lymph organs and tissues function to contain masses of

lymphocytes and WBCs

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5

Lymph organs can detect __ or __

foreign invaders ; abnormal cells

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6

lymph organs can initiate _______

immune response

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7

Where is IF absorbed in lymphatic cirulation

lymphatic capillaries

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8

Lymph capillaries have a ___ _____permeability and ___ diameter

higher; wider

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9

An increase in pressure within the capillaries closes what?

endothelial junctions

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10

What does lymph travel through to enter nodes

affarent lymphatic vessels

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11

How does lymph exit lymph nodes

efferent lymphatic vessels

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12

What receives lymph from vessels within major areas of the body?

lymphatic trunks

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13

What are the largest vessels recieving lymph?

lymphatic ducts

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14

Lymphatic ducts return fluid to

venous circulation

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15

What are the 2 lymphatic ducts

Right and Thoracic (left)

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16

Where does the R. lymph duct drain lymph from?

right head, neck, thorax, and arm

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17

Where does the thoracic duct drain lymph from?

-left head, neck, thorax, and arm,

-all of the abodmen and pelvis

-both lower limbs

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18

Where do the lymph ducts drain lymph to

the brachiocephalic vein

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19

What are the primary lymph organs and tissues

red bone marrow and thymus

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20

What are the secondary lymph organs and tissues?

lymph nodes, tonsils, and spleen

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21

red bone marrow produces _______ cells

hemopoetic stem

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22

the RBM differentiates cells into _______ stem cells

lymphoid

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23

What are the 3 types of lymphocytes the RBM differentiates

B cells, natural killer cells, pre-t cells

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24

What cells mature in the RBM

b cell and natural killer cells

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25

Where do pre-T cells mature?

thymus

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26

secondary lymph organs are sites where ______lymphocytes can be ___ to mount immune response

mature; activated

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27

Pre- t cells can become ___ and _____ in the thymus

cytotoxic; helper

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28

Which structure filters lymph?

lymph nodes

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29

Which lymph structure filters blood

spleen

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30

Tonsils monitor ___ and _____ tracts for inhaled and ingested materials

digestive; respiratory

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31

What do all lymph organs consist of (4 things)

capsule, trabeculae, cortex, medulla

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32

What tissue is the capsule made of?

dense irregular CT

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33

_____ are extensions of capsule

trabeculae

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34

Where is the spleen located

upper left side of abdomen

-deep to diaphragm + ribs 8-10

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35

What is the concave on the medial surface of an organ called?

hilem

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36

where does the splenic artery branch from?

abdominal aorta

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37

where does the splenic vein drain to?

the hepatic portal vein

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38

What cells help filter blood in the spleen?

b-cells, t-cells, macrophages

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39

The spleen removes old or defective ___ and _____

blood cells; platelets

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40

tonsils are masses of ____ and ______

tissue; WBCs

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41

Where is the pharyngeal tonsil

superior end of the throat

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42

What tonsil is on the soft palate

palatine tonsil

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43

Where is the lingual tonsil

base of tounge

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44

Tonsils detect foreign substances ____ or _______

inhaled ; ingested

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45

What type of immune is nonspecific

innate

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46

Which immune can recognize foreign invaders?

adaptive

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47

Innate immunity has the _____ response for every pathogen/cell

same

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48

Adaptive immunity develops overtime with ____ to specific pathogens

exposure

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49

In adaptive immunity lymphocytes must _____ a pathogen to elicit a response

recognize

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50

In innate immunity what eats or engulfs pathogens

phagocytes (neutrophils, eosinophils, basophils, macrophages)

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51

In innate immunity what cells destroy infected or damaged cells

natural killer cells

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52

What cells does the adaptice immune system use

b and t cells

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53

What are the 3 types of lines of defense

physical, chemical, and reflexes and processes

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54

What tissue is the skin

keritanized stratified squamous

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55

How does the skin protect?

regeneration and shedding, hair

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56

What lines body cavities and lumens open the the external environment

epithelium

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57

mucus traps ____

microbes

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58

What can propel microbes out

cillia

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59

What are the fluids that protect physical barriers (5)

lacrimal (tears), saliva, gastric juices, sweat/oil, vaginal secretions

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60

What processes can forcefully expel foreign invaders (5)

coughing, sneezing, urinating, defecating, vomitting

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61

Innate immunity initiates cellular responses to

- destory forgein invaders

-remove infected cells

-set up for tissue repair

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62

What is the process of ingesting a microbe or cellular debris by phagocytes

phagocytosis

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63

What is released first in phagocytosis

neutrophils

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64

Monocytes transform into ______ for phagocytosis

macrophages

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65

What guards and protects in preparation for a microbe

resident macrophages

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66

What 3 cells are involved in phagocytosis

neutrophils, macrophages (monocytes) and resident macrophages

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67

What are the 5 steps to phagocytosis

chemotaxis →adhereance-→ ingestions--→ digestion-→ killing

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68

What is the release of chemicals from a microbe called?

chemotaxis

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69

What are the 2 innate mechanisms of defense

phagocytosis and cytolysis

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70

Cytolysis is performed by _____

natural killer cells

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71

What is the process of destroying infected or damaged cells called?

cytolysis

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72

What is the first step of cytolysis

infected cells bind the NK cell

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73

In cytolysis what does the NK cell release to puncture holes in the infected cell membrane

perforins

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74

In cytolysis what flows into the host cell to burst it?

extracellular fluid

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75

What are the cardinal signs of inflammation

pain, redness, swelling, immobility, heat

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76

What is pain in inflammation caused by

chemicals from microbes of WBC or damage to neurons

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77

Swelling (edema) is the accumulation of

ISF

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78

heat increase ___ reactions which _____ growth of microbes

metabolic ; inhibits

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79

What are the 3 stages of inflammation?

  1. vasodilation and increased permeability

  2. emigration

  3. tissue repair

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80

What is vasodilation and increased permeability in response to inflammation due to?

release of chemicals from WBC or damaged blood cells

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81

What is the movement of phagocytes to the affected area called?

emigration

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82

During inflammation ____ emigrates first, then _____

neutrophils; monocytes

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83

emigration is also the movement of cells from __ to ______

blood ; ISF

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84

What is emigration dependent on ?

chemotaxis

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85

What are types of tissue repair

blood clotting, scar formation, regeneration

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86

What does tissue repair depend on?

age, blood supply, and nutrition

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87

What does adaptive immunity target

antigens

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88

What are recognizable foreign substances called?

antigens

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89

What are the two types of adaptive immunity?

cell mediated and antibody mediated

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90

What are the Ags of cell-mediated immunity

any host cell displaying abnormality

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91

What are the Ags of antibody mediated immunity

the virus, bacteria, or fungus itself

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92

Where does the Ag of antibody mediated reside in

body fluids or humors

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93

What cells are involved in cell-mediated immunity

anitgen presenting cells (macrogphages), helper t-cells, cytotoxic t cells

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94

What destroys the antigen in cell-mediated immunity

cytotoxic t-cells

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95

What destroys the antigen in antibody-mediated immunity

antibodies

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96

What cells are involved in antibody mediated immunity

antigen presenting cells, b-cells(--→ plasmocytes), macrophages

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97

What secretes antibodies

b-cells

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98

What is the marker to help determine if a cell is normal or not

major histocompatability complexes (MHCs)

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99

MHCs are

self antigens

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100

MHCs are embedded in _____ of all cells expect RBCs

membranes

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