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©2013 Kaplan, Inc.

Allrights reserved. No part of this book may be reproduced in any form, by photostat, microfilm, xerography or any other means, or incorporated into any information retrieval system, electronic or mechanical, without the written permission of Kaplan, Inc.

Not for resale.

Author

Kim Moscatello, Ph.D.

Professor of Microbiology and Immunology

Lake Erie College of Osteopathic Medicine

Erie, PA

Contributors

Thomas F. Lint, Ph.D.

Professor of Immunology and Microbiology

Rush Medical College

Chicago, IL

Christopher C. Keller, Ph.D.

AssociateProfessor of Microbiology and Immunology

Lake Erie College of Osteopathic Medicine

Erie, PA

Previous contributions by Mary Ruebush, Ph.D.

Contents

Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

Section I: Immunology

Chapter 1: Overview of the Immune System . . . . . . . . . . . . . . . . . . . . . . . . . 3

Chapter 2: Cells of the Immune System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Chapter 3: The Selection of Lymphocytes. . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Chapter 4: Lymphocyte Recirculation and Homing . . . . . . . . . . . . . .. . . . . 33

Chapter 5: The First Response to Antigen . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Chapter 6: The Processing and Presentation of Antigen . . . . . . . . . . . . . . . 51

Chapter 7: The Generation of Humoral Effector Mechanisms. . . . . . . . . . . 67

Chapter 8: The Generation of Cell-Mediated Effector Mechanisms . . . . . . 89

Chapter 9: The Generation of Immunologic Memory . . . . . . . . . . . . . . . . 101

Chapter 10: Vaccination and lmmunotherapy.. . . . . . . . . . . . . . . . . . . . . .

107

Chapter 11: Immunodeficiency Diseases. . .........................

117

Chapter 12: Acquired Immunodeficiency Syndrome . ................

131

Chapter 13: Diseases Caused by Immune Responses:

 

Hypersensitivity and Autoimmunity ....................

141

Chapter 14: Transplantation Immunology. . . . . . . . . . . . . . . . . . . . . . . . . .

159

Chapter 15: Laboratory Techniques in Immunology . . . . . . . . . . . . . . . . ..

171

Appendix I: CD Markers........................................

185

Appendix II: Cytokines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

187

MEDICAL V

Appendix Ht Mhes\on Mo\ecu\es. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Appendix IV: Mechanisms of Resistance to Microbial Infections . . . . . . . 193

Section II: Microbiology

Chapter 1: General Microbiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199

Chapter 2: Medically Important Bacteria. . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Chapter 3: Microbial Genetics/Drug Resistance . . . . . . . . . . . . . . . . . . . . . 311

Chapter 4: Medically Important Viruses . . . . . . . . . . . . . . . . . . . . . . . . . . . 347

Chapter s: Medically Important Fungi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419

Chapter 6: Medical Parasitology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435

Chapter 7: Clinical Infectious Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457

Chapter 8: Comparative Microbiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 483

Chapter 9: Flow Charts/Clue Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 499

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 515

Vi MEDICAL

Preface

These 7 volumes of Lecture Notes represent the most-likely-to-be-tested material on the current USMLE Step 1 exam. Please note that these are Lecture Notes, not review books. The Notes were designed to be accompanied by faculty lectures-live,on video, or on the web. Reading them without accessing the accompanying lectures is not an effective way to review for the USMLE.

To maximize the effectiveness of these Notes, annotate them as you listen to lectures. To facilitate this process, we've created wide, blank margins. While these margins are occasionally punctuated by faculty high-yield "margin notes;' they are, for the most part, left blank for your notations.

Many students find that previewing the Notes prior to the lecture is a very effective way to prepare for class. This allows you to anticipate the areas where you'll need to pay particular attention. It also affords you the opportunity to map out how the infor­ mation is going to be presented and what sort of study aids (charts, diagrams, etc.) you might want to add. This strategy works regardless of whether you're attending a live lecture or watching one on video or the web.

Finally, we want to hear what you think. What do you like about the Notes? What could be improved? Please share your feedback by e-mailing us at medfeedback@kaplan.com.

Thank you for joining Kaplan Medical, and best ofluck on your Step 1 exam!

Kaplan Medical

MEDICAL

vii

SECTION

Immunology

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