all exams Flashcards

(81 cards)

1
Q

APCs perform which of the following functions in adaptive immune responses

A

display MHC-associated peptides on their cell surfaces for surveillance by t lymphocytes

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2
Q

which one of the following statements about dendritic cells is true

A

immature dendritic cells are ubiquitously present in skin and mucosal tissues

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3
Q

which of the following statements about t cell tolerance to self proteins is accurate

A

self peptide/self MHC complexes are formed and displayed by antigen-presenting cells in both class I and class II MHC pathways, but T cells that recognize these complexes usually are not present or are functionally inactive

(t cells inactive when self proteins present)

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4
Q

D 2023
which of the following is the main criterion that determines whether a protein is processed and presented via the class II MHC pathway in an APC?

A

only present with vesicular compartment of the APC during processing

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5
Q

D 2023
young adult is exposed to a virus that infects and replicates in mucosal epithelial cells of the upper respiratory tract. Cytotoxic T lymphocytes CTL are mobilized to combat this infection because

A

mucosal epithal cells express clsas I MHC molecules and are able to process cytoplasmic viral proteins and display complexes of class I MHC and bound viral peptides on their cell surfaces

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6
Q

T cell receptor TCR complex differs from an immunoglobulin molecule in which of the following ways

A

on average, TCR binds antigen with much lower affinity that does Ig molecule (or B cell)

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7
Q

both CD28 and CTLA-4 receptors on t cells that are critical for regulating t cell activation. which one of the following ways does CD28 differ from CTLA-4

A

CD28 expressed on niave t cells and CTLA-4 expressed on activated t cells

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8
Q

name a type of antigen recognized by antibodies that is also recognized by t cell receptors

A

peptide fragments

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9
Q

which of the following best describes a condition that leads to negative selection during t cell development in the thymus

and positive selection

A

negative selection: cell strongly recognizes peptide bound to MHC molecule

positive: cell WEAKLY recognizes peptide bound to MHC molecule

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10
Q

the cytokine IL-2 is the principle growth factor for what type of cells

A

T cells

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11
Q

D 2023
what signal would stimulate dendritic cell to produce B7 molecules

A

peptidoglycan binding to TLR

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12
Q

what additional mechanism is required for CD4 effector t cell bound to an MHC class II molecule plus antigen on macrophage to activate macrophage killing function

A

CD40 ligand on T cell binding to CD40 on macrophage

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13
Q

what is NOT a property of memory T lymphocytes elicited in response to particular microbe

A

restricted to residing in lymphoid organs

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14
Q

D 2023
activated macrophages perform all of the following functions except

A

reduce expression of MHC molecules

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15
Q

D 2023
which pair of molecules is a component of cytolytic T lymphocyte CTL granules and is important in the mechanism on CTL killing of target cells?

A

perforin and granzyme B

DEAL WITH CD8!!!

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16
Q

D 2023
which subset of CD4 helper T lymph. activate macrophages to kill phagocytosed microbes

A

Th1

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17
Q

what types of pathogens are the main target of the Th-17 subset of CD4 effector T cells

A

extracellular bacteria and fungi

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18
Q

what pathogens evade cell-mediated immunity by inhibiting phagosomal-lysosomal fusion

A

mycobacteria

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19
Q

which of the following events doesnt occur within germinal center

A

iG gene V(D)J recombination

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20
Q

which of the following statements about Ig isotype switching is true
(2 right answers)

A

isotype switching only occurs in activated B cells

AND isotype switching involves recombination of V(D)J complex with downstream C region DNA and the deletion of intervening C region D

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21
Q

which of the following statements about humoral immune responses is true

(two right)

A

naive B cells are required for initiation of primary responses and memory B cells are required for initiation of secondary responses

antibody responses to bacterial polysaccharide antigens doesn’t require CD4 helper T cells

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22
Q

compared and contrast primary and secondary antibody responses

A

primary:
low affinity
high concen
IgM
all types of antigen
naive B cells

secondary:
high affinity
low concen
IGG, IGA, IGE
mostly protein antigens
actiavated B cells
reach peak levels quicker

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23
Q

which of the following binds to and is readily phagocytosed by mononuclear phagocytes and neutrophils

A

complement protein C3b bound to bacterium

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24
Q

classical pathway of complement system starts with recognition of antigen engaged antibodies by

A

complement C1 protein

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25
D 2023 ____is the enhancement of phagocytosis by binding IgG-coated microbes to Fc receptors on phagocytes
opsonization
26
D 2023 which of the following anatomic regions is normally protected from pathogens only by humoral immune repsonses and not by cell-mediated immune responses
intestinal lumen
27
central T lymphocyte tolerance
is induced when immature developing t cells in bone marrow or thymus encounter self antigens
28
peripheral t cell tolerance
results when mature naive t cells recognize antigen without B7-1 or B7-2 mediated costimulation AND to some antigens is induced when mature to cells recognize antigen and bind B7-1 or B7-2 via the inhibotry CTLA-4 receptor AND may be induced by persistent and repeated stimulation of lymphocytes by that antigen in tissues
29
D 2023 mechanism of central B lymphocyte tolerance is
receptor editing by expression of a new Ig V light chain
30
immunologic tolerance is defined as
unresponsiveness of the immune system to self antigens
31
which of the following is NOT a mechanism that pathogenic bacteria use to evade host immune system defenses?? which are
not: stable attachment to surface of host cells are: promoters, gain/loss at 5' ends, addition of sialic acid, capsule
32
which of the following is a function of LPS on bacteria cells
blocks access of membrane attack complex MAC to the bacterial plasma membrane
33
D 2023 give specific example of molecule on human cell that is recognized and bound by SRRPS
sialic acid
34
D 2023 fibronectin is a host protein that helps mediate indirect attachment of which bacterium to host cells
staphylococcus aureus
35
which of the following is NOT an example of a means by which pathogenic bacteria can cause death of human host cells either directly or indirectly (2 right)
LPS activation of the complement system AND binding Fc portion of IgG by bacterial surface proteins
36
D 2023 what is true about the ADP ribosylation function of some A-B toxins
ADP ribosylation inactivates a target protein of host cells
37
what is the direct action of lipases, which sometimes are found as toxins encoded by pathogenic bacteria
break down cell (typing)
38
D 2023 which hypersens is caused by immune complexes, composed of circulating antigens and IgM or IgG antibodies that are deposited in vascular basement membranes
type III
39
D 2023 over 90% of staphylococcus aureus strains are resistant to what bacteria
penicillin
40
what role does catalase have for those pathogenic bacteria that express it
removes hydrogen peroxide produced by phagocytes
41
degrades collagen, allowing bacteria to penetrate tissue
collagenase
42
creates fibrin coat around bacteria, preventing phagocytosis
coagulase
43
converts plasminogen to plasmin, dissolving fibrin clot AND cleaves C3b and IgG
staphlokinase
44
what genus of gram-positive coccus contains one of the main causes of hospital acquired infections of the elderly and displays resistance to multiple antibiotics
Enterococcus faecalis (typing) type of streptococuccus
45
which of the following lists one or more virulence factors for streptocuccus pneumoniae
pneumolysin O polysacchiarde capsule IgA protease a-hemolysis
46
what is true about streptococcus pneumoniae
is an alpha-hemolytic, encapsulated bacterium
47
what streptococcus pyogenes virulence factor binds to keratinocytes, fibrinogen, and complment control proteins?
protein M
48
which of the following is true about infections by Neisseria meningitidis?
preventable by vaccine again capsular polysacchiardes for some meningiococcal strains AND transmitted by aerosol, gram negative
49
the bacterial capsule is an important factor for what specific aspect Neisseria meningitidis infections?
intravascular survival
50
which of the following is a feature of infections caused by a breach in the gut wall
host production of thick fibrin capsule at infection site decreases blood flow into area AND abscess formation initiates with a mixed population of bacteria spilled into abdomen
51
bacteroides fragillis is the most frequently isolated bacterium from abscesses caused by intestinal bacteria. This is partly because
its ability to resist phagocytosis ALSO has catalase and superoxide dismutase
52
D 2022 what cells do not display MHC-associated peptides on their cell surfaces for surveillance by and activation of class T of T cells
bacterial cells
53
D 2022 which of the following statements about the antigen-presenting function of macrophages is correct
macrophages become activated by the helper T cells to which they present microbial peptides, and as a result of this activation they become efficient at killing the microbes
54
which of the following is the main criterion that determines whether a protein is processes and presented via the class I MHC in an APC?
present in the cytosol
55
D 2022 what mechanism within the germinal center contributes the most to creation of antibody molecules with higher and higher affinity for an antigen
addition and deltion of nucleotides during joinging of V,D, and J gene segments
56
which subset of CD4 helper T lymphocytes activate eosinophils to kill helminths
Th2
57
what mechanism do mycobacteria employ to survive within phagocytic cells? typing
inhibit fusion of phagosomal-lysosomal complex
58
in 1890, emil von bhering --------- two right
passive immunity Diphtheria-specific antibodies in the transferred serum neutralized bacillus toxins and promote bacterial elimination by innate effector cells
59
The current SAR-CoV-2 vaccine-------- and this question have the same answer most effective vaccines that are currently in widespread use are specific for pathogenic viruses, and the immunity induced---
the antibodies bind extracellular viral particles and prevent them from infecting cells
60
failure of self-tolerance is the cause of what type of disease
autoimmune disease
61
what is the most important costimulator for naive T cells
B7 ligand
62
D 2022 what mechanism draws naive T cells out of lympnodes if they do not recognize an antigen in the lymph node
increased expression of S1P receptor by naive t cells in lymphnode
63
D 2022 which of the following is not a mechanism used by bacteria to survive inside phagocytes
increasing CAMP levels in extracellular environment
64
gram-negative bacteria often bids to host cells by
bacteria fimbriae proteins interacting with host cell glycolipids
65
which of the following is a mechanism that pathogenic bacteria use to envade host immune system defenses? few right answers
addition of sialic acid to LPS capsule gain/loss of repeat seq at 5' ends gene promoters
66
xthe translocated INTIMIN receptor TIR mediates attachment to host cells for which bacterium
E. coli enteropathogenic E. Coli
67
LPS
causes fever in the host organism AND blocks access to MAC to bacterial plasma membrane AND activates the complement cascade in the host organism
68
shiga toxin
removes a specific adenine base from 28S rRNA stopping translation
69
what is the effect of collagenases when they are toxins encoded by pathogenic bacteria typing another question like this was: give an example of a bacterial exotoxin that acts outside a host cell to help microbes spread through tissue
they degrade collagen and allow bacteria to enter host cell or penetrate host tissues COLLAGENASE
70
what organism causes scaled skin syndrome
staphylococcus aureus
71
D 2022 what is true about rheumatic fever
causes myocarditis in susceptible individuals
72
which of the following is NOT true regarding streptocuccus pyogenes M protein
anti-M protein antibodies are not produced during an infection by streptococcus pyogenes
73
bacteroides fragilis is a strict anaerobe but is oxygen resistant because among its other properties it possesses
catalase and superoxide dismutase
74
D 2021 most t lymphocytes have a duel specificity for which one of the following pairs of molecules (i.e. the t lymphocytes recognize both molecules of the pair?)
a particular allelic form of a MHC molecule and a peptide bound to the MHC molecule
75
D 2021 all of the following protein-protein interactions are involved in activation of naive helper t cells by APC ExCEPT:
cd40L and Cd40 (these activate macrophages) 1. B7 and Cd28 2. peptide-MHC on APC to TCR on t cell 3. Cd4 on t cell to nonpolymorphic of class II on apc
76
helper T cell response to protein antigen requires participation of antigen presenting cells that express which of the following types of molecules
class II MHC and costimulators
77
what role does protein A play for staphlococcus auereus
competes with neutrophils for binding of Fc part of IgGs
78
scarlet fever is caused by what organism
streptococcus pyogenes
79
which of the following is associated with neisseria gonorrhoeae
asymptomatic gram negative no capsule no vaccine
80
D 2021 what is true about antigenic variation involving the pilin protein of neisseria gonorrhoeae
involves recombination between silent and expressed copies of pilin gene
81