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Anatomy & Physiology: Respiratory and Immune System Key Concepts

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  • Primary barrier defense of the body

    Skin with keratinized cells, low pH secretions, and continuous sloughing prevents pathogen entry.

  • Role of macrophages in innate immunity

    Macrophages are versatile phagocytes that engulf pathogens and cooperate with adaptive immunity.

  • Function of natural killer (NK) cells

    NK cells induce apoptosis in infected cells using fas ligand or perforin/granzyme pathways.

  • Complement system function

    Proteins in blood plasma that opsonize pathogens, attract phagocytes, and form membrane attack complexes to lyse pathogens.

  • Four characteristics of inflammation

    Heat, redness, pain, swelling; caused by vasodilation, increased permeability, and phagocyte recruitment.

  • Difference between innate and adaptive immune responses

    Innate is rapid, nonspecific; adaptive is slower, highly specific, and has immunological memory.

  • T cell receptor structure

    Two-chain protein with variable and constant regions; antigen-binding site formed by variable domains.

  • Major histocompatibility complex (MHC) classes

    MHC I presents intracellular antigens to CD8+ cytotoxic T cells; MHC II presents extracellular antigens to CD4+ helper T cells.

  • Function of helper T cell subsets Th1 and Th2

    Th1 activates macrophages and cell-mediated immunity; Th2 helps B cells produce antibodies.

  • Role of regulatory T cells (Treg)

    Treg cells suppress immune responses to maintain tolerance and prevent autoimmunity.

  • Five classes of antibodies and their functions

    IgM (early response), IgG (secondary response, crosses placenta), IgA (mucosal immunity), IgE (allergy), IgD (B cell receptor).

  • Difference between T cell-dependent and T cell-independent antigens

    T cell-dependent antigens require T cell help for B cell activation; T cell-independent antigens activate B cells directly via crosslinking.

  • Primary and secondary antibody responses

    Primary response is slower with lower antibody levels; secondary response is faster and stronger due to memory cells.

  • Conducting vs respiratory zones of respiratory system

    Conducting zone moves, filters, warms air; respiratory zone is site of gas exchange (alveoli).

  • Structure and function of alveoli

    Small sacs with thin type I alveolar cells for gas exchange; type II cells secrete surfactant to reduce surface tension.

  • Mechanism of pulmonary ventilation

    Air moves due to pressure differences created by diaphragm and intercostal muscle contractions changing thoracic volume.

  • Role of surfactant in lungs

    Reduces alveolar surface tension to prevent collapse during expiration.

  • Oxygen transport in blood

    Oxygen binds to hemoglobin in erythrocytes; binding affinity affected by pH, temperature, and 2,3-BPG.

  • Carbon dioxide transport in blood

    Transported dissolved in plasma, as bicarbonate ion, or bound to hemoglobin as carbaminohemoglobin.

  • Countercurrent multiplier system in kidney

    Loop of Henle creates osmotic gradient in medulla to concentrate urine by selective reabsorption of water and solutes.

  • Role of ADH in kidney function

    ADH increases water reabsorption in collecting ducts by inserting aquaporin channels, concentrating urine.

  • Renin-angiotensin-aldosterone system

    Regulates blood pressure and volume by vasoconstriction and promoting Na+ and water retention.

  • Functions of the liver in digestion

    Produces bile for lipid emulsification; processes nutrients and detoxifies blood.

  • Functions of the pancreas in digestion

    Secretes digestive enzymes and bicarbonate to neutralize stomach acid in duodenum.

  • Functions of the gallbladder

    Stores and concentrates bile, releasing it into the duodenum when needed.

  • Small intestine adaptations for absorption

    Circular folds, villi, and microvilli increase surface area for nutrient absorption.

  • Digestive enzyme sources

    Salivary amylase (mouth), pepsin (stomach), pancreatic enzymes and brush border enzymes (small intestine).

  • Large intestine functions

    Absorbs water and electrolytes, forms and stores feces, houses beneficial bacteria.

  • Urine formation processes

    Filtration at glomerulus, reabsorption and secretion along nephron tubules, regulated by hormones and nerves.

  • Micturition reflex

    Stretch receptors in bladder trigger parasympathetic contraction of detrusor and relaxation of internal sphincter; voluntary control via external sphincter.