IS Flashcards

(62 cards)

1
Q

lk,.lkjhnm,.lkiujhgbnm,Which of the following are antigen-presenting cells?
1.) B cells 3.) Dendritic cells
2.) Monocytes 4.) Macrophages

A. 1 and 2
B. 2 and 4
C. 1, 2, and 4
D. 1, 2, 3, and 4

A

D. 1, 2, 3, and 4

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2
Q

Stages of Phagocytosis:
1.) Chemotaxis 4.) Adherence
2.) Engulfment 5.) Digestion
3.) Formation of phagosome

A. 1,2,4,3,5
B. 1,4,2,3,5
C. 1,2,3,4,5
D. 4,1,2,3,5

A

B. 1,4,2,3,5

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3
Q

B lymphocytes and T lymphocytes are derived from

A. Hematopoietic stem cells
B. Macrophages
C. Lymphoid tissue
D. The fetal liver

A

C. Lymphoid tissue

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4
Q

Which one of the following would not be considered
an anatomic barrier of the innate immune system?

A. Tears and saliva
B. Low pH
C. Mucous membranes
D. Neutrophils

A

D. Neutrophils

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5
Q

Antigenic determinant

A. Immunogen
B. Epitope
C. Binding site
D. Paratope

A

B. Epitope

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6
Q

Which is the most significant agent formed in the
phagolysosome for the killing of microorganisms?

A. Proteolytic enzymes
B. Hydroxyl radicals
C. Hydrogen peroxide
D. Superoxide

A

C. Hydrogen peroxide

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7
Q

It releases histamine and is induced by allergenic
causes that trigger inflammatory processes.
A. Eosinophil
B. Neutrophil
C. Lymphocytes
D. Mast cell

A

D. Mast cell

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8
Q

Which immunoglobulin class/es has/have a J
chain?
1.) IgA 3.) IgM
2.) IgE 4.) lgD

A. 1 and 3 C. 1, 2, 3
B. 2 and 4 D. 2. 3 4

A

A. 1 and 3

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8
Q

Which refers to the effect of an excess antigen in a
test system?

A. Postzone C. Zone of equivalence
B. Prozone D. Endzone

A

B. Prozone

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9
Q

The prozone effect can be described by all of the
following except:

A. Results in a false negative reaction
B. The result of antibody excess
C. Dilution of antibody can help prevent its
occurrence
D. Results in a false positive reaction

A

A. Results in a false negative reaction

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10
Q

The type of immunity that follows after COVID
vaccine?

A. Artificial active C. Artificial passive
B. Natural active D. Natural passive

A

C. Artificial passive

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11
Q

Most immunogenic:

A. Proteins C. DNA
B. Glycolipids D. Polysaccharides

A

A. Proteins

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12
Q

What is the most common complement deficiency?
A. C1 B. C2
C. C3 D. C5

A

B. C2

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13
Q

A deficiency in C1INH may result in which
condition?

A. AtherosclerosIs
B. Paroxysmal nocturnal hemoglobinuria
C. Hereditary angioedema
D. Recurrent pyogenic infection

A

C. Hereditary angioedema

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14
Q

The HLA complex is located primarily on

A. Chromosomes C. Chromosome 9
B. Chromosome 6 D. Chromosome 17

A

B. Chromosome 6

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15
Q

Surface marker on NK cells:

A. CD16
B. CD56
C. CD94
D. All of the above

A

D. All of the above

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16
Q

Which complement protein Is present in the
greatest concentration in human serum?

A. C1
B. C2
C. C3
D. C5

A

C. C3

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17
Q

Which of the following is known as the “recognition
unit’ in the classical complement pathway?

A. C1q C. C4
B. C3a D. C5

A

A. C1q

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18
Q

Which of the following is false regarding C-reactive
protein?

A. Increases rapidly within 4-6 hours reaching peak
value at 48 hours
B. Acts like an antibody
C. Calcium-dependent end specific
D. Level of 2 mg/L is a risk for cardiovascular
problems

A

C. Calcium-dependent end specific

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19
Q

Which is a distinguishing feature of a pre-B cell?

A. u chains in the cytoplasm
B. Complete IgM on the surface
C. Presence of CD21 antigen
D. Presence of CD25 antigen

A

A. u chains in the cytoplasm

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20
Q

Which immunoglobulin plays a role in
hypersensitivity?

A. laA C. IgG
B. IgE D. IgM

A

C. IgG

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21
Q

Normal pH of the skin

A. 5.6 C. 7.0
B. 6.0 D. 7.5

A

A. 5.6

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22
Q

IgG subclass most effective in fixing complement:

A. IgG1 C. IgG3
B. IgG2 D. 19G4

A

A. IgG1

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23
Q

Immunoglobulin classes most commonly found on
the surface of circulating B cells in the peripheral of
a health person:

A. IgM, IgA C. IgM, IgD
B. IgM, igG D. IgM, IgE

A

C. IgM, IgD

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24
Interferons can be produced by which of the following? A. macrophages C. virus-infected cells B. T cells D. AOTA
C. virus-infected cells
25
In anamnestic response, all the following characteristics are correct except: A. IgG is the predominant antibody type B. It has a shorter lag phase C. The antibody titer is lower D. It has a more gradual decline in antibody response
C. The antibody titer is lower
26
Which of the following complement proteins is part of the membrane attack complex? A. C1 C. C4 B. C3 D. C5
D. C5
27
A patient in septic shock caused by a gram-negative bacterial Infection exhibits the following symptoms: high fever, very low blood pressure, and DIC. Which cytokine is the most likely contributor to these symptoms? A. IL-2 C. IL-12 B. TNF D. IL-7
B. TNF
28
For an antibody-coated antigen to be phagocytized, what part of the antibody molecule fits Into a receptor on the phagocytic cell? A. Fc region C. Hinge region B. Fab region D. Variable region
A. Fc region
29
Which region determines whether an immunoglobulin mole can fix a complement? A VH C. VL B. CH D. CL
B. CH
30
Which CD marker appears during the first stage of T-cell development and remains present as a marker for T cells? A. CD1 C. CD3 B. CD2 D. CD4 or CD8
B. CD2
31
Which tests are considered screening tests for HIV? A. ELISA, 4th generation, and rapid antibody tests B. Immunofluorescence, Western blot, radioimmuno-precipitation assay C. Culture, antigen capture assay, DNA amplification D. Reverse transcriptase and mRNA assay
A. ELISA, 4th generation, and rapid antibody tests
32
From the following, identify a specific component of the adaptive immune system that is formed in response to antigenic stimulation: A. Lysozyme B. Complement C. Commensal organisms D. Immunoglobulin
D. Immunoglobulin
33
Which two organs are considered the primary lymphoid organs in which immunocompetent cells originate and mature? A. Thyroid and Peyer’s patches B. Thymus and bone marrow C. Spleen and mucosal-associated lymphoid tissue (MALT) D. Lymph nodes and thoracic duct
B. Thymus and bone marrow
34
Which region of the immunoglobulin molecule can bind antigen? A. Fab B. Fc C. CL D. CH
A. Fab
34
Which region of the immunoglobulin molecule can bind antigen? A. Fab B. Fc C. CL D. CH
A. Fab
35
Which complement component is found in both the classic and alternative pathways? A. C1 B. C4 C. Factor D D. C3
D. C3
36
Which immunoglobulin appears first in the primary immune response? A. IgG B. IgM C. IgA D. IgE
B. IgM
37
Which immunoglobulin appears in the highest titer in the secondary response? A. IgG B. IgM C. IgA D. IgE
A. IgG
38
Which immunoglobulin(s) help(s) initiate the classic complement pathway? A. IgA and IgD B. IgM only C. IgG and IgM D. IgG only
C. IgG and IgM
39
Which markers are found on mature, peripheral helper T cells? A. CD1, CD2, CD4 B. CD2, CD3, CD8 C. CD1, CD3, CD4 D. CD2, CD3, CD4
D. CD2, CD3, CD4
40
How are cytotoxic T cells (TC cells) and natural killer (NK) cells similar? A. Require antibody to be present B. Effective against virally infected cells C. Recognize antigen in association with HLA class II markers D. Do not bind to infected cells
B. Effective against virally infected cells
41
Which immunoglobulin can cross the placenta? A. IgG B. IgM C. IgA D. IgE
A. IgG
42
Which immunoglobulin cross links mast cells to release histamine? A. IgG B. IgM C. IgA D. IgE
D. IgE
43
All of the following are functions of immunoglobulins except: A. Neutralizing toxic substances B. Facilitating phagocytosis through opsonization C. Interacting with TC cells to lyse viruses D. Combining with complement to destroy cellular antigens
C. Interacting with TC cells to lyse viruses
44
Which MHC class of molecule is necessary for antigen recognition by CD4-positive T cells? A. Class I B. Class II C. Class III D. No MHC molecule is necessary for antigen recognition
B. Class II
45
Toll-like receptors are found on which cells? A. T cells B. Dendritic cells C. B cells D. Large granular lymphocytes
B. Dendritic cells
46
The interaction between an individual antigen and antibody molecule depends upon several types of bonds such as ionic bonds, hydrogen bonds, hydrophobic bonds, and van der Waals forces. How is the strength of this attraction characterized? A. Avidity B. Affinity C. Reactivity D. Valency
B. Affinity
47
What would happen if the colour reaction phase is prolonged in one tube or well of an ELISA test? A. Result will be falsely decreased B. Result will be falsely increased C. Result will be unaffected D. Impossible to determine
B. Result will be falsely increased
48
Which serum antibody response usually characterizes the primary (early) stage of syphilis? A. Antibodies against syphilis are undetectable B. Detected 1–3 weeks after appearance of the primary chancre C. Detected in 50% of cases before the primary chancre disappears D. Detected within 2 weeks after infection
B. Detected 1–3 weeks after appearance of the primary chancre
48
The detection of precipitation reactions depends on the presence of optimal proportions of antigen and antibody. A patient’s sample contains a large amount of antibody, but the reaction in a test system containing antigen is negative. What has happened? A. Performance error B. Low specificity C. A shift in the zone of equivalence D. Prozone phenomenon
D. Prozone phenomenon
48
What substance is detected by the rapid plasma reagin (RPR) and Venereal Disease Research Laboratory (VDRL) tests for syphilis? A. Cardiolipin B. Anticardiolipin antibody C. Anti-T. pallidum antibody D. Treponema pallidum
B. Anticardiolipin antibody
49
What type of antigen is used in the RPR card test? A. Live treponemal organisms B. Killed suspension of treponemal organisms C. Cardiolipin D. Tanned sheep cells
C. Cardiolipin
50
A 12-year old girl has symptoms of fatigue and a localized lymphadenopathy. Laboratory tests reveal a peripheral blood lymphocytosis, a positive RPR, and a positive spot test for IM. What test should be performed next? A. HIV test by ELISA B. VDRL C. Epstein–Barr virus (EBV) specific antigen test D. Treponema pallidum particle agglutination (TP-PA) test
D. Treponema pallidum particle agglutination (TP-PA) test
51
Which tests are considered confirmatory tests for HIV? A. ELISA and rapid antibody tests B. Western blot test, HIC-1,2 differentiation assays, and polymerase chain reaction C. Culture, antigen capture assay, polymerase chain reaction D. Reverse transcriptase and mRNA assay
B. Western blot test, HIC-1,2 differentiation assays, and polymerase chain reaction
52
Which type of nephelometry is used to measure immune complex formation almost immediately after reagent has been added? A. Rate B. Endpoint C. Continuous D. One dimensional
A. Rate
53
Which outcome indicates a negative result in a complement fixation test? A. Hemagglutination B. Absence of hemagglutination C. Hemolysis D. Absence of hemolysis
C. Hemolysis
54
What effect does selecting the wrong gate have on the results when cells are counted by flow cytometry? A. No effect B. Failure to count the desired cell population C. Falsely elevated results D. Impossible to determine
B. Failure to count the desired cell population
55
Which of the following is the most sensitive test to detect congenital syphilis? A. VDRL B. RPR C. Microhemagglutinin test for T. pallidum (MHA-TP) D. Polymerase chain reaction (PCR)
D. Polymerase chain reaction (PCR)
56
Which CD4:CD8 ratio is most likely in a patient with acquired immunodeficiency syndrome (AIDS)? A. 2:1 B. 3:1 C. 2:3 D. 1:2
D. 1:2
57
Which hepatitis B marker is the best indicator of early acute infection? A. HBsAg B. HBeAg C. Anti-HBc D. Anti-HBs
A. HBsAg
58
Which is the first antibody detected in serum after infection with hepatitis B virus (HBV)? A. Anti-HBs B. Anti-HBc IgM C. Anti-HBe D. All are detectable at the same time
B. Anti-HBc IgM