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Anatomy & Physiology: Lymphatic, Immune, and Respiratory Systems

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  • Primary functions of the lymphatic system

    Fluid balance, immune defense, and fat absorption. Returns leaked fluids to blood and provides immune system structure.

  • How does the lymphatic system recover fluid?

    Hydrostatic and colloid osmotic pressures force fluid out of blood capillaries; up to 3 L daily becomes interstitial fluid, which lymphatic vessels collect and return to blood.

  • What are lacteals and their function?

    Lymphatic capillaries in the small intestine that absorb and transport digested fats as chyle.

  • Characteristics of lymphatic capillaries

    Blind-ended, more permeable than blood capillaries, absent in bones and teeth, and astrocytes form drainage channels in the brain.

  • Major lymphatic trunks and ducts

    Nine major trunks; right lymphatic duct drains right upper limb and right head/thorax, thoracic duct drains the rest of the body.

  • What mechanisms promote lymph flow?

    Skeletal muscle milking, thoracic pressure changes, arterial pulse waves, and smooth muscle contractions in vessel walls.

  • Main lymphoid cells and their roles

    T cells: manage immune response; B cells: produce antibodies; macrophages: phagocytize and activate T cells; dendritic cells: antigen presentation; reticular cells: structural support.

  • Primary lymphoid organs and their functions

    Red bone marrow: B cell maturation; Thymus: T cell maturation, most active in childhood.

  • Secondary lymphoid organs

    Lymph nodes: filter lymph and activate lymphocytes; Spleen: immune surveillance, stores platelets, removes old RBCs; MALT: mucosa-associated lymphoid tissue guarding entryways.

  • Structure and function of lymph nodes

    Cortex: dendritic cells; Medulla: B, T, plasma cells; lymph enters afferent vessels and exits efferent vessels; filters lymph.

  • Functions of the spleen's white and red pulp

    White pulp: immune function; Red pulp: destroys old RBCs and pathogens.

  • Three lines of immune defense

    1st: surface barriers (skin, mucosa); 2nd: innate internal defenses (phagocytes, inflammation, NK cells); 3rd: adaptive immunity (lymphocytes, antibodies).

  • Phagocytosis steps

    1. Phagocyte binds particle; 2. Particle enclosed in phagosome; 3. Phagosome fuses with lysosome forming phagolysosome; 4. Digestion of particle.

  • Role of natural killer (NK) cells

    Kill cancer and virus-infected cells by inducing apoptosis without prior sensitization.

  • Key features of adaptive immunity

    Specific, systemic, has memory; includes humoral immunity (B cells/antibodies) and cellular immunity (T cells).

  • Definition of antigens

    Substances that provoke an immune response; complete antigens have immunogenicity and reactivity; haptens are incomplete antigens that become immunogenic when bound to proteins.

  • T cell education processes

    Positive selection: T cells must recognize self MHC; negative selection: T cells reacting to self antigens are destroyed (clonal deletion).

  • Difference between primary and secondary humoral immune responses

    Primary: lag 3-6 days, peak at 10 days; Secondary: faster and stronger due to memory cells.

  • Antibody mechanisms summarized by PLAN

    Precipitation, Lysis via complement, Agglutination, Neutralization.

  • Types of T cells and their functions

    CD4+ helper and regulatory T cells activate immune responses; CD8+ cytotoxic T cells kill infected or abnormal cells.

  • Pulmonary ventilation phases and muscle involvement

    Inspiration: diaphragm and intercostal muscles contract, increasing thoracic volume; Expiration: muscles relax, volume decreases.

  • Boyle's Law in pulmonary ventilation

    Pressure of a gas is inversely proportional to its volume; as lung volume increases, pressure decreases, causing air to flow in.

  • Pulmonary volumes: Tidal Volume (TV)

    Amount of air moved into or out of lungs during normal breath.

  • Residual Volume (RV) definition

    Air remaining in lungs after maximal expiration, preventing lung collapse.

  • Function of surfactant in alveoli

    Reduces surface tension to prevent alveolar collapse; deficiency causes infant respiratory distress syndrome.

  • Gas laws relevant to respiration

    Dalton's Law: total pressure is sum of partial pressures; Henry's Law: gas dissolves in liquid proportional to partial pressure and solubility.

  • Bohr effect on oxygen transport

    Lower pH and higher PCO2 reduce hemoglobin's affinity for oxygen, facilitating oxygen release to tissues.

  • Types of hypoxia

    Anemic, ischemic, histotoxic, and hypoxemic hypoxia, each caused by different mechanisms reducing oxygen delivery or use.

  • Neural control centers of breathing

    Medullary centers: VRG (rhythm), DRG (integration); pontine centers: modify breathing patterns.