Immunology Flashcards

(53 cards)

1
Q

What antibody do you get in hypothyroidism

A

Anti-thyroglobulin

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2
Q

What antibody do you get in Sjogren’s syndrome (dry eyes, dry mouth, dry skin, vaginal dryness, dry mucous membranes)

A

Anti-Ro

Anti-La (more specific)

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3
Q

What antibody do you get in droopy eyelid which is fatiguable (Myasthenia gravis)

A

Anti-acetylcholine receptor

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4
Q

What antibody do you get in tight lips (CREST)

A

Anti-Centromere

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5
Q

What antibody do you get in: swollen joints of the hand, x-ray shows erosive joint changes in keeping with rheumatoid arthritis

A

Anti-CCP

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6
Q

Biological treatment for: Ankylosing spondylitis

A

Etanercept

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7
Q

Biological treatment for: resistant psoriasis

A

Etanercept

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8
Q

Biological treatment for: Chronic granulomatous disease treatment

A

IFN gamma

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9
Q

Biological treatment for: osteoporosis

A

Denosumab

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10
Q

Biological treatment for: hyperIgM syndrome

A

Human Ig

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11
Q

What immune cell resides in bone marrow until migrates to site of injury. Oxidative and non-oxidative killing. Dies once job’s done.

A

Neutrophils

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12
Q

Subset of lymphocytes that express Foxp3 and CD25, mature in the thymus

A

Treg cells

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13
Q

What immune cells detects antigen in the periphery and moves to lymph nodes?

A

Dendritic cells

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14
Q

What immune cell detects MHC1 and kills virus infected/cancer cells. Is inhibited by MHC I

A

NK cells

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15
Q

What immune cells is targeted by HIV?

A

CD4+

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16
Q

Which is a naturally occurring cytokine that is able to inhibit HIV fusion to CD4+ T-lymphocytes?

A

MIP-1alpha

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17
Q

What type of hypersensitivity (Gel and Coombs classification) is myasthenia gravis and what cell?

A

Type II

B/plasma cell

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18
Q

IPEX affects what type of immune cell?

A

Treg

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19
Q

What is the definition of herd immunity threshold?

A

1 –1/R0

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20
Q

Name 1 of the 3 characteristics of Influenza A that could cause a pandemic?

A

Novel antigenicity
Efficient replication in human airway
Efficiency viral transmission between people

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21
Q

16 year old girl has pleuritic chest pain, joint pain, positive ANA and Anti-Sm, no liver enzyme derangement, raised ESR?

A

SLE

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22
Q

Chimeric antigen receptor T-cell therapy against CD19: what type of haematological malignancy does it target?

A

B cells (CD19 is present on B cells)

23
Q

Child with low calcium, cleft palate, low T cells?

A

DiGeorgesyndrome

24
Q

Ankylosing spondylitis - they’ve tried NSAID and TNF inhibitor?, what else can you target?

25
45yo woman with autoimmune diseases, low IgM, IgA and IgE; full blood count is normal?
Common variable immunodeficiency
26
Which immunoglobulin is found in mucosa
IgA
27
What cell goes wrong in IPEX?
Treg cells
28
Antibody for Graves Disease?
stimulatory anti-TSH receptor Ab
29
Nivolumab is a PD1 inhibitor, what cells does it target?
T cells
30
PCSK9 inhibitor - evolucumab, what does it halve?
LDL levels
31
Which of the following vaccine is a polysaccharide and conjugate vaccine?
Strep pneumonae
32
What Type Hypersensitivity causes serum sickness?
Immune complex mediated (type 3)
33
What is the effect of the gene mutation in familial mediterranean fever?
Increased IL-1 production
34
Which cell is activated by inhibitory receptors that bind MHC I
NK cells
35
Cells which produce Ig and reside in bone marrow
Plasma cells
36
Antibody involved in: Hashimoto's Thyroiditis
anti-TPO antibodies
37
Antibody involved in: rheumatoid arthritis
Anti-Cyclic Citrullinated Peptide Antibodies | Rheumatoid Factor
38
Immunodeficiency with common gamma chain problem?
X linked SCID
39
Reactivation of a virus following a transplant.
Epstein Barr Virus
40
Mother is a donor for kidney to a child, what is the max number of mismatches possible with HLA class I? 
6? or 2?
41
Sacroiliitis, HLA B27 positive
Ankylosing Spondylitis
42
Previous IVDU man is given Rituximab - CHOP treatment for Non-Hodgkin’s lymphoma. He later 8 months later develops fulminant liver failure and dies. Why?
rituximab can cause reactivation of hepatitis B which typically causes acute hepatocellular injury that can be severe and lead to acute liver failure
43
Which type of cell does Rituximab target?
(CD20 expressed on) Mature B cell
44
Treatment for CLL with p53 mutation. What is the first line treatment?
Ibrutinib
45
Treatment for CML?
Imatinib
46
What is the usual prophylaxis for allograft rejection?
Prednisolone AND Calcineurin inhibitors are commonly used such as: Tacrolimus Ciclosporin Cell cycle inhibitors: Mycofenolate mofetil Azathioprine (old drug) Targeting TCR (These cause apoptosis of T cells): Anti-CD3 antibody (OKT3) Anti-thymocyte globulin
47
Which allergy is more likely to present in child than adult? 
Egg
48
Biological treatment for rheumatoid arthritis?
Antibody against IL6 receptor - Tocilizumab Anti-TNFa Antibodies - infliximab, adalimumab, certolizumab, golimumab TNF-alpha antagonist - Etanercept JAK inhibitor - tofacitinib Anti-CD20 antibodies - Rituximab
49
HIV - what natural antibody against, which confers protective immunity against HIV?
Anti-gp120 and anti-gp41 (Nt) antibodies
50
Name the main class of drug used to treat HIV
2x nucleoside reverse transcriptase inhibitor | 1x non-nucleoside reverse transcriptase inhibitor or protease inhibitor
51
Immune therapy for Granulomatous | Disease
Interferon gamma
52
Antibody against: SLE
anti ds-dna
53
Kupffer cell (and other specialised macrophages) are all types of
macrophages