Immunology Flashcards

(33 cards)

1
Q
Class II Antigens of the Major Histocampatibiliy System are expressed in which of the following cells?
A. Microglias
B. Red Blood Cells
C. T Cells 
D. Natural Killer Cells
A

A. Microglias

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2
Q
All are cells that belong to the specific immune response (acquired) except
A. Lymphocytes T
B. Lymphocytes B 
C. Monocytes 
D. Plasma Cells
A

D. Plasma Cells

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3
Q
Maturation of T-Lymphocytes is most likely to occur in one of the following organs 
A. Thymus
B. Bone Marrow
C. Liver
D. Kidney
E. Secondary Lymph Nodes
A

A. Thymus

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4
Q
Interlukin-2 (T cell growth factor) is produced by which of the following cells listed below 
A. B Cells 
B. Both T and B Cells 
C. Monocytes
D. Phagocytes 
E. T cells
A

Both T and B cells

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5
Q

What does gene therapy TNF in tumor infiltrating lymphocytes (TIL) do?

A

Allow the TIL to return to the tumor and produce locally high levels of TNF

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6
Q
Which marker or markers is present on cells which belong to lymphoid series that are important in innate immunity and could be used to specifically identify such cells in a flow cytometric analyzer?
A.	CD 3 and CD4
B.	CD 3 and CD8
C.	CD 14 and CD 38
D.	CD 16 and CD 56
E.	CD 19 and CD 20
A

D. CD 16 and CD 56

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7
Q

A superantigen is a bacterial product that
A. binds to B7 and CD28 costimulatory molecules
B. binds to the beta chain of TCR and MHC class II molecules of APC stimulating T cell activation
C. binds to the CD4 + molecule causing T cell activation
D. is presented by macrophages to a larger-than-normal number of T helper CD4 + lymphocytes
E. stimulates massive amounts of IgG synthesis because of its large size

A

B. binds to the beta chain of TCR and MHC class II molecules of APC stimulating T cell activation

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8
Q

Cytotoxic T cells induced by infection with virus A will kill target cells
A. from the same host infected with any virus
B. infected by virus A and identical at class I MHC loci to the cytotoxic T cells
C. infected by virus A and identical at class II MHC loci to the cytotoxic T cells
D. infected with any virus and identical at class I MHC loci to the cytotoxic cells
E. infected with any virus and identical at class II MHC loci to the cytotoxic cells

A

B. infected by virus A and identical at class I MHC loci to the cytotoxic T cells

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9
Q

Antigen recognition by the helper T-cell antigen receptor occurs after
A. Interaction with the CD8 molecule on the T cell
B. Peptide binding to the HLA-DQ molecule
C. Carbohydrate binding to the HLA-B27molecule
D. Carbohydrate binding to the HLA-DP molecule
E. Peptide binding to the HLA-B27molecule

A

B. Peptide binding to the HLA-DQ molecule

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10
Q
Functions of the thymus include all the following except
A.	Elimination of T cells that have low affinity for MHC class I molecules.
B.	Elimination of T cells that have high affinity for MHC class II molecules.
C.	Stimulation of T cells that have low affinity for MHC class I molecules.
D.	Stimulation of T cells that have low affinity for MHC class II molecules.
A

B. Elimination of T cells that have high affinity for MHC class II molecules.

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11
Q
IgG2 and IgA2 are examples of different
A.	Idiotypes
B.	Allotypes
C.	Genotypes
D.	Isotypes
A

D. Isotypes

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12
Q
A 12-year-old child is diagnosed with a T-cell lymphoma. The phenotype of the malignant cell matches that of normal progenitor cells that leave the bone marrow to enter the thymus. What cell surface molecules would you expect to find on the malignant cells?
A.	CD4-,CD8-, TCR-,CD3+
B.	CD4-,CD8-, TCR+,CD3-
C.	CD4+,CD8+, TCR+,CD3+
D.	CD4-,CD8-, TCR-,CD3-
E.	CD4+,CD8+, TCR+,CD3-
A

D. CD4-,CD8-, TCR-,CD3-

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13
Q

Which one of the following is correct about an IgG immunoglobulin molecule?
A. The constant heavy 2 domain binds to Cl complement molecules.
B. The constant heavy 1domain binds to antigen epitopes.
C. The variable light domain binds to cell receptors on cell membranes.
D. The constant heavy 3 domain binds to antigen epitopes.
E. The variable light domain binds to J chains

A

The constant heavy 2 domain binds to Cl complement molecules.

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14
Q
An active inflammatory reaction is occurring, and large numbers of neutrophils are being attracted to the inflammation site. Which one of the following is a major chemotactic factor involved in this reaction?
A.	IL-2
B.	IgM
C.	C5a
D.	C3b
E.	Lysozyme
A

C. C5a

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15
Q
Complement binding site
A.	A
B.	B
C.	C
D.	D
E.	E
A

D. D

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16
Q
Interlukin-2 (T-cell growth factor) is produced by why of the following cells listed below? 
A.	B cells
B.	Both T and B cells
C.	Monocytes
D.	Phagocytes 
E.	T cells
17
Q
Which immunoglobulin is the primary antibody in saliva, tears, and
intestinal and genital secretions?
A.	IgG
B.	IgM
C.	IgE
D.	IgA
E.	IgD
18
Q
All immune cells has a common ancestor which is:
A.	B cells
B.	T cells
C.	Monocytes
D.	Phagocytes 
E.	Stem cell
19
Q

Which of the following is a property of the innate immune response?
A. Has memory
B. It is specific for an antigen
C. Secondary responses to the same antigen are stronger
D. It is not specific for an antigen
E. Antibody against antigens can be highly variable

A

D. It is not specific for an antigen

20
Q
Class II antigens of the Major Histocompatibility System are expressed in which one of the following cells?
A.	Alveolar macrophages  
B.	Red blood cells
C.	T cells
D.	Natural killer cells
A

A. Alveolar macrophages

21
Q
A\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ cannot elicit an immune response by itself and to achieve it requires its binding to a protein. 
A.	Immunogen
B.	Hapten
C.	Peptide
D.	Allergen
22
Q
Which of the following hypersensitivity reactions causes systemic lupus erythematosus?
A.	Type-I
B.	Type-II
C.	Type-III
D.	Type IV
23
Q
Histamine is release in a type-I hypersensitivity reaction in which \_\_\_\_\_\_\_\_\_ participates?
A.	IgE
B.	IgG
C.	IgM
D.	IgA
E.	IgD
24
Q
Evaluation of humoral immunity consists primarily of measuring the concentration of the following immunoglobulins:
A.	IgG 
B.	IgG and IgM
C.	IgG, IgM and IgA
D.	IgG, IgM, IgA, and IgE
E.	IgG, IgM, IgA, IgE and IgD
A

C. IgG, IgM and IgA

25
``` Humoral immunity is effective against: A. Viral infections B. Extracellular bacteria C. Tumor cells D. Intracellular bacteria ```
B. Extracellular bacteria
26
A 25-year-old white male from Arizona develops malaise, abdominal cramps and diarrhea during his 15-day business trip to Mexico. His stools are watery and do not contain any mucus or blood. He also complains of low-grade fever. His vitals are, PR: 80/min; BP: 120/85 mm Hg; Temperature: 37.1C(98.7F). Abdominal and rectal examination is unremarkable. Stool examination is negative for pus cells or RBCs. Which of the following deficiency of antibodies MOST likely predispose the individual to the production of diarrhea? a. IgM b. IgG c. IgE d. IgA e. IgD
b. IgG
27
``` A 55-year-old Asian male, with history of mitral stenosis, secondary to rheumatic heart disease, had undergone dental surgery for caries. Which of the following Hypersensitivity reactions caused the rheumatic fever in this patient? A. Type-I B. Type-II C. Type-III D. Type-IV ```
B. Type-II
28
``` A deficit of C8 MOST likely predispose to a 5-year-old-boy to the development of recurrent infections caused by one of the following bacteria genus: A. Pseudomona B. Salmonella C. Neisseria D. Staphylococci E. Streptococci ```
C. Neisseria
29
``` A product released by mast cells in allergic responses is: A. Mannose-binding protein B. IgE C. IgA D. Histamine E. C-reactive protein ```
D. Histamine
30
``` Macrophages are phagocytic cells derived from one of the following choices and a failure in their diferenciation would lead to recurrent infections cause by several microorganisms. A. NeutrophilsB cells B. T cells C. NK cells D. Dendritic cells E. Monocytes ```
E. Monocytes
31
A delayed hypersensitivity reaction is BEST characterized by one of the following choices: A. Occurs between 24-72 hours and is T cell-mediated B. It is mediated by immunocomplexes of IgG or IgM antibodies C. An infiltrate composed of T cells, B cells and macrophages D. Occurs after 24 hours and is IgE-mediated E. Caused infiltration of both B and T cells in the site of inflammation
C. An infiltrate composed of T cells, B cells and macrophages
32
The diagram presents the various steps (labeled A–F) of the enzyme immunoassay, a sandwich assay for the determination of an specific antigen.
B
33
``` A disease characterized by hypocalcemia, and no thymic shadow on X ray in a 5-days old newborn with marked cellular immunity deficit and cardiac defects: A. Digeorge syndrome B. Miastenia gravis C. Wiskott-Aldrich syndrome D. Chronic granulomatous disease E. Super IgM syndrome ```
A. Digeorge syndrome