Answer: b, c, d  Eosinophils constitute 1% to 3% of the leukocyte population of the bloodstream. They also reside in tissues and they exhibit phagocytic capabilities. They are less effective as bactericidal cells than neutrophils, but play a major role in defense against parasites. Eosinophils are primary effectors in allergic reactions by virtue of IgE receptors (which are not found on neutrophils). Basophils are fully differentiated cells released into the circulation from bone marrow. Basophils are the major, if not sole, source of histamine in the blood. Histamine is a vasoactive amine and the major mediator of the IgE-mediated immediate hypersensitivity response. Histamine release from basophils is induced by complement products as well as by IgE receptors. Mast cells are formed from bone marrow precursors that differentiate and proliferate in connective tissue. Mast cell granules contain histamine and proteoglycans. They represent the major source of histamine in most tissues except the stomach and central nervous system. The monocyte–macrophage system consists of phagocytic cells scattered throughout the body. During acute inflammation, monocytes respond to chemoattractants released and are recruited to the site of inflammation. Mononuclear phagocytes respond to inflammatory stimuli by releasing M-CSF, GM-CSF, IL-1, and TNF, in addition to a variety of growth factors. These factors increase the production of mononuclear phagocytes and several of these factors enhance the ability of effector cells to respond to chemotactic stimuli released at the site of injury. Thus, the mononuclear phagocytes are important in initiating and augmenting the cycle of events that result in recruitment and activation of inflammatory cells at sites of inflammation

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Cellular injury from oxidants may be manifest by which of the following? a. Cell membrane lipid peroxidation b. DNA strand breaks c. Cytoskeletal disassembly d. ATP depletion

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Last Answer : A. It is the sole mediator of immediate hypersensitivity reaction

Description : The following statement about histamine is not correct: A. It is the sole mediator of immediate hypersensitivity reaction B. It plays no role in delayed hypersensitivity reaction C. It serves as a neurotransmitter in the brain D. All types of histamine receptors are G protein coupled receptors

Last Answer : A. It is the sole mediator of immediate hypersensitivity reaction

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Last Answer : Answer: b, d A wide variety of cell types serve to provide host defense at several levels. Macrophages act as the initial antigen processing cell that serves to ... through diapedesis after chemotactic stimuli are excluded by macrophages, bacterial breakdown products, and complement activation

Description : The neurohormonal arm of the stress response is well defined. Less is known about the inflammatory arm mediated primarily by cytokines. Which of the following statement(s) is/are true ... Cytokine release may stimulate the release of other cytokines leading to an important cascade of events

Last Answer : Answer: a, d Cytokines, which are produced at the site of injury by endothelial cells and by diverse immune cells throughout the body, also occupy a pivotal position in the stress response ... act as hormones and spill over into the systemic circulation and become detectable in the bloodstream

Description : Match the following columns and select the correct option. Column-I Column - II (A) Eosinophils (i) Immune response (B) Basophils (ii) Phagocytosis (C) Neutrophils (iii) Release histaminase, destructive enzymes (D) Lymphocytes (iv) ... (iii) (c) (i) (ii) (iv) (iii) (d) (ii) (i) (iii) (iv)

Last Answer : (a) (iii) (iv) (ii) (i)

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Last Answer : d) Basophils

Description : Which of the following WBCs are phagocytic cells. (a) Monocytes (b) Neutrophils (c ) Basophils (d) Eosinophils

Last Answer : Which of the following WBCs are phagocytic cells. (a) Monocytes (b) Neutrophils (c ) Basophils (d) Eosinophils A. Only ... a) and (c ) D. (c ) and (d)

Description : Allergy is immediate hypersensitivity mediated by _____and mast cell degranulation a) IgG b) IgE c) IgM d) IgA e) IgD

Last Answer : Ans: B

Description : An essential element of all allergy reactions is the a. Release of interferons from tissue cells. b. Accumulation of ige on the surfaces of mast cells and basophils. c. Passage of igg from the immune system to local tissue cells. d. Elimination of all traces of plasma cells from the body.

Last Answer : b. Accumulation of ige on the surfaces of mast cells and basophils.

Description : Cromolyn has as its major action (a) Block of calcium channels in lymphocytes (b) Block of mediator release from mast cells (c) Block of phosphodiesterase in mast cells and basophils (d) Smooth muscle relaxation in the bronchi (e) Stimulation of cortisol release by the adrenals

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Last Answer : Answer: a, b, c The introduction of microorganisms into the normally sterile peritoneal environment invoke several potent specialized host antimicrobial defense mechanisms. Bacterial clearance, ... the contaminated enteric contents walled off, preventing continued soilage of the peritoneal cavity

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Last Answer : cell-mediated immunity can activate the complement system

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Last Answer : eosinophils

Description : Which of the following terms refers to a form of white blood cell involved in immune response? a) Lymphocyte Both B and T lymphocytes respond to exposure to antigens. b) Granulocyte Granulocytes ... blood cell without central pallor, seen with hemolysis. d) Thrombocyte A thombocyte is a platelet.

Last Answer : a) Lymphocyte Both B and T lymphocytes respond to exposure to antigens.

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Last Answer : (b) neutrophils and monocytes

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Last Answer : a. Toll-like receptors; PAM Ps

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Last Answer : b. Neutrophils and eosinophils

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Last Answer : Answer : C

Description : Answer: b Metabolic response to injury results in increased energy expenditure. If energy intake is less than expenditure, oxidation of body fat stores and erosion of lean body mass will occur ... requirements, caloric requirements should be distributed at a ratio of 70% as glucose and 30% as fat

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Last Answer : b. Serotonin and histamine are released by cells.

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Last Answer : c. Histamine

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Last Answer : b. Monocytes

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Last Answer : Answer: a, d The complement system is composed of two different but linked sequences, the classic and alternative pathways. The pathways involve serum proteins that act to amplify the inflammatory-immune ... the C5 level proximal to generating the membrane attack complex (C5b-9) (Figure 6-3)

Description : What type of immune cell may control IgE-mediated hypersensitivities? a. Suppressor T cells b. Plasma cells c. Cytotoxic T cells d. Neutrophils

Last Answer : a. Suppressor T cells

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Last Answer : Answer : D

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Last Answer : do not contain mitochondria

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Description : Which of the following statements regarding cytokines is incorrect? A. Cytokines act directly on target cells and may potentiate the actions of one another. B. Interleukin 1 (IL-1) ... organ dysfunction syndrome because of its multiple actions and the secondary cascades that it stimulates.

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Description : Assertion . Mast cells in human body release excessive amount of inflammatory chemicals which cause allergic reactions. Reason . Allergens in the envi

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Description : If a necrotizing soft tissue infection is considered, therapy mandates: a. Empiric administration of antibiotics active against gram-positive, gram-negative, and anaerobic bacteria b. Due to usually ... is mandatory d. The use of hyperbaric oxygen has been demonstrated to be clearly advantageous

Last Answer : Answer: a, c Identification of a necrotizing, soft tissue infection mandates immediate operative intervention with aggressive resection of all involved tissues and empiric ... remains without controlled trials demonstrating any additional benefits derived from hyperbaric oxygen therapy

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Last Answer : Ans: D

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Description : The action of histamine that is not mediated through H1 receptors is: A. Release of EDRF from vascular endothelium resulting in vasodilatation B. Direct action on vascular smooth muscle causing vasodilatation C. Bronchoconstriction D. Release of catecholamines from adrenal medulla

Last Answer : B. Direct action on vascular smooth muscle causing vasodilatation

Description : The action of histamine that is not mediated through H1 receptors is: A. Release of EDRF from vascular endothelium resulting in vasodilatation B. Direct action on vascular smooth muscle causing vasodilatation C. Bronchoconstriction D. Release of catecholamines from adrenal medulla

Last Answer : B. Direct action on vascular smooth muscle causing vasodilatation

Description : Under certain circumstances, the gut may become a source of sepsis and serve as the motor of systemic inflammatory response syndrome. Microbial translocation is the process by which microorganisms ... intestinal mucosal permeability c. Decreased host defense mechanisms d. Lack of enteral feeding

Last Answer : Answer: a, b, c, d 99 Translocation is promoted in three general ways: 1) altered permeability of the intestinal mucosa as caused by shock, sepsis, distant injury, or cell toxins; 2) ... trauma patient d. Fifty percent of non-nitrogen caloric requirements should be provided in the form of fat

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Last Answer : D. monocytes (Answer)

Description : Histamine is involved as a mediator in the following pathological condition: A. Delayed hypersensitivity reaction B. Inflammation C. Carcinoid syndrome D. Variant angina

Last Answer : B. Inflammation

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Last Answer : B. Inflammation

Description : Leukocyte activation and adhesion to vascular endothelial cells is a critical step in the inflammatory process. This process is regulated by which of the following molecules? a. The selectins b. The b5 integrins c. The immunoglobulin supergene family d. Nitric oxide e. IL-8

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Description : A 32-year-old man suffers a spinal cord injury with a resultant paraplegia in a motorcycle accident. He presents to the emergency room with hypotension. Which of the following statement(s) is/ ... injury will be uncommon d. There is no role for pharmacologic intervention to maintain blood pressure

Last Answer : Answer: c Neurogenic shock results from interruption of sympathetic vasomotor input and develops after spinal cord injury, spinal anesthesia, and severe head injury. Under normal conditions, baseline ... the cause is not neurogenic and search for occult blood loss or cardiogenic causes of shock

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Last Answer : c. B cells, antibodies, T cells