Upper Limb Anatomy
Autoimmunity
Clinicopathological Correlation
Lymphoid Tissue
100

List all 5 muscles located within the arm (anterior & posterior compartments)

Biceps brachii, coracobrachii, brachialis, triceps brachii & anconeus

100

Which hypersensitivity type causes organ injury through circulating immune complex deposition and Fc-receptor-mediated inflammation?

Type III

100

What environmental factors can trigger and accentuate SLE in genetically susceptible individuals?

UV radiation exposure (increases apoptosis and nuclear antigen exposure, enhancing autoantibody formation)

100

Which immune cell phagocytoses antigen in tissues and migrates to lymph nodes to activate T cells?

Dendritic cells

200

Which muscle attaches to ribs 3-5 and the scapula coracoid process 

Pectoralis minor

200

Which antibody is indicative of Rheumatoid arthritis?

ACPA (Anti-citrullinated protein antibodies)

200

What are the 2 major effects of systemic sclerosis on the skin and other organs?

Fibrosis and atrophy

200

Name the 5 lymphatic trunks

Lumbar, Intestinal, Bronchomediastinal, Subclavian, Jugular

300

What are the rotator cuff muscles and which nerve supplies them?

Supraspinatus, infraspinatus, teres minor & subscapularis. Suprascapular nerve (C5) and axillary nerve (C5), upper & lower subscapular nerves (C6,7)

300

Which HLA haplotype is classically associated with ankylosing spondylitis, and which MHC class is it?

HLA-B27, MHC1

300

Which glands are destroyed in Sjögren syndrome? 

Lacrimal glands (causing dry eyes) and salivary glands (causing dry mouth)

300

Briefly describe the sequence of lymph flow through a lymph node

Afferent vessel -> subscapular sinus -> intermediate sinus -> medullary sinus -> efferent vessel 

400

Which 5 muscles are involved during extension of the arm?

Latissimus dorsi, Teres major, Pectoralis major, Posterior deltoid & long head of triceps

400

Which condition has autoantibodies against intrinsic factor and the parietal cell H⁺/K⁺-leading to vitamin B₁₂ malabsorption?

Bierner's anaemia

400

What specific component of renal glomeruli and pulmonary alveoli is injured by circulating antibodies in Goodpasture syndrome?

Type IV collagen from basement membrane

400

Where does lymph re-enter the venous circulation?

At the venous angle between the internal jugular and subclavian veins (which enters the heart via the superior vena cava)

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