Inflammation and Innate Immune Response - Anatomy and Physiology

  1. Which tissue cell is the main source of histamine released at a site of injury?
    Mast cells. Their granules release histamine, which dilates arterioles and makes capillaries leakier.
  2. What is margination during inflammation?
    The sticking of leukocytes to the inner lining of capillaries near the injury, mediated by adhesion molecules such as selectins.
  3. In innate defense, what does the term first line of defense refer to?
    Surface barriers, the skin and mucous membranes and their secretions, which block pathogen entry before inflammation is needed.
  4. Which vascular change produces the swelling of acute inflammation?
    Increased capillary permeability, which lets protein-rich fluid (exudate) leak into the tissue and cause edema.
  5. What are the four classic cardinal signs of acute inflammation?
    Redness, heat, swelling and pain (rubor, calor, tumor, dolor). Loss of function is often added as a fifth sign.
  6. What is pus?
    A mixture of dead and dying neutrophils, dead pathogens, tissue debris and fluid that collects at an infection site.
  7. What is chemotaxis?
    Movement of cells toward a chemical signal, such as neutrophils moving up a gradient of chemokines released at an injury site.
  8. Which innate lymphocyte kills virus-infected and cancer cells without prior sensitization?
    Natural killer (NK) cells. They release perforin and granzymes that trigger apoptosis of the target cell.
  9. Which vascular change produces the redness and heat of acute inflammation?
    Vasodilation of local arterioles, which increases blood flow to the injured area (hyperemia).
  10. Which white blood cell is usually the first to arrive in large numbers at a site of bacterial infection?
    Neutrophils. Monocytes arrive later and mature into macrophages.
  11. Which white blood cell type is most associated with defense against parasitic worms?
    Eosinophils. They release toxic granule proteins onto parasites too large to be phagocytized.
  12. What is diapedesis?
    The squeezing of leukocytes between endothelial cells of a capillary wall to leave the blood and enter the tissue.

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