Drugs and the Immune System
Degradation of Heme to Bilirubin
Mechanisms of Hypersensitivity
Basics of Transfusion Medicine
Parasites Causing Anemia
100

The field that studies the interplay between drugs and the immune system

What is immunopharmacology?

100
This protein binds free heme in the blood and carries it to the liver 

What is hemopexin?

100

The mnemonic for the four types of hypersensitivity

What is ACID?


1. Acute/Anaphylactic

2. Cytotoxic

3. Immune-Complex

4. Delayed hypersensitivity 

100

If this antibody is bound to RBCs, it can cause intravascular hemolysis 

What is IgM?

100

This protozoa is the most common in causing malaria 

Plasmodium falciparum

200

This class of drugs is employed in most combination immunosuppressant regimens 

What are corticosteroids?
200

These cells breaks down hemoglobin in the spleen

What are macrophages?

200

The hypothesis that explains the increasing frequency of allergies in developed countries 

What is the hygiene hypothesis?
200

Once a blood product has been spiked, the whole blood bag must be transfused within this amount of time 

What is 4 hours?

200

DAILY DOUBLE! #2

Place your bet. 

1. G6PD deficiency trait 

2. Sickle hell hemoglobin (heterozygote) 

3. Absence of Duffy blood group determinants 

300

DAILY DOUBLE! #1

Place your bet

Basiliximab and Daclizumab 

300

Gilbert syndrome is due to a hereditary, moderate deficiency of this enzyme. 

What is bilirubin UDP-glucuronosyl transferase

300

The only antibody type that binds to mast cells

What is IgE?

300

This test looks for antibodies or complement bound to the patient's red blood cells in vivo 

What is a direct Coomb's test?

300

Malaria relapse occurs due to the presence of these dormant forms in the malarial life cycle that "hide" in the liver

What are hypnozoites?

400

This enzyme is part of the metabolic mechanism for clearing azathioprine

What is xanthine oxidase?

400

This disease, commonly found among the Amish, is due to a very rare, inherited, near-complete deficiency of UDP-glucuronosyl. 

What is Crigler-Najjar Syndrome?
400

The cytokine responsible for B-cell class switching to IgE 

What is IL-4?

400

Cryoprecipitate provides a high dose of this glycoprotein in a small volume 

What is fibrinogen?

400

This cytokine has been correlated with cerebral malaria 

What is TNF-alpha?

500

This drug is used to treat an Rh-negative mother right after the birth of an Rh-positive baby to suppress antibody formation by the mother 

What is RhoD immune globulin?

500

These 3 treatments are for patients who have a very high concentration of unconjugated bilirubin 

What is exchange transfusion, albumin infusion, photo therapy ("bili lights")? 

500

In adults, a systolic BP less than this value in mm Hg can mean that anaphylaxis is highly likely.

What is 90 mm Hg?

500

1 unit of RBCs raises Hct by this percentage 

What is 3%

500

The approximate time range in which parasites can be seen in the blood after injection of malarial sporozoites

What is 12-30 days?