3.1 Basic Principles of Immunology Flashcards

1
Q

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 (Ig)

A

D. Immunoglobulin (Ig)

Ig is a specific part of the adaptive immune system and is formed only in response to a specific antigenic stimulation. Complement, lysozyme, and commensal organisms all act nonspecifically as a part of the adaptive immune system. These three components do not require any type of specific antigenic stimulation.

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2
Q

Which two organs are considered the primary lymphoid organs in which immunocompetent cells originate and mature?
A. Thyroid and Peyer patches
B. Thymus and bone marrow
C. Spleen and mucosal-associated lymphoid tissue (MALT)
D. Lymph nodes and thoracic duct

A

B. Thymus and bone marrow
##Footnote
Bone marrow and the thymus are considered primary lymphoid organs because immunocompetent cells either originate from them or mature in them. Some immunocompetent cells mature or reside in bone marrow (the source of all hematopoietic cells) until transported to the thymus, spleen, or Peyer patches, where they process antigen or manufacture antibody. T lymphocytes, after originating in bone marrow, travel to the thymus to mature and differentiate.

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3
Q

What type of B cells is formed after antigen stimulation?
A. Plasma cells and memory B cells
B. Mature B cells
C. Antigen-dependent B cells
D. Receptor-activated B cells

A

A. Plasma cells and memory B cells
##Footnote
Mature B cells exhibit surface Ig that may cross-link a foreign antigen, thus forming the activating B cell and leading to capping and internalization of antigen. The activated B cell gives rise to plasma cells that produce and secrete Igs and memory cells that reside in lymphoid organs.

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4
Q

T cells travel from bone marrow to the thymus for maturation. What is the correct order of the maturation sequence for T cells in the thymus?
A. Bone marrow to the cortex; after thymic education, release back to peripheral circulation
B. Maturation and selection occur in the cortex; migration to the medulla; release of mature T cells to secondary lymphoid organs
C. Storage in either the cortex or medulla; release of T cells into the peripheral circulation
D. Activation and selection occur in the medulla; mature T cells are stored in the cortex until activated by antigen

A

B. Maturation and selection occur in the cortex; migration to the medulla; release of mature T cells to secondary lymphoid organs

Immature T cells travel from bone marrow to the thymus to mature into functional T cells. Once in the thymus, T cells undergo a selection and maturation sequence that begins in the cortex and moves to the medulla of the thymus. Thymus factors, such as thymosin and thymopoietin, and cells within the thymus, such as macrophage and dendritic cells, assist in this sequence. After completion of the maturation cycle, T cells are released to secondary lumphoid organs to await antigen recognition and activation.

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5
Q

Which cluster of differentiation (CD) marker is the most specific identifying marker for mature T cell?
A. CD1
B. CD2
C. CD3
D. CD4 or CD8

A

C. CD3

The CD3 marker appears during the early stages of T-cell development and can be used to differentiate T cells from other lymphocytes.

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6
Q

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

A

D. CD2, CD3, CD4

Mature, peripheral helper T cells have the CD2, CD3 (mature T cell), and CD4 (helper) markers.

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7
Q

Which T cells express the CD8 marker and act specifically to kill tumors or virally infected cells?
A. Helper T cells
B. Suppressor T cells
C. Cytotoxic T cells (Tc cells)
D. Regulator T cells

A

C. Cytotoxic T cells (Tc cells)

Tc cells recognize antigen in association with major histocompatibility complex (MHC) class I complexes and act against target cells that express foreign antigens. These include viral antigens and the HLAs that are the target of graft rejection.

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8
Q

How are 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 human leukocyte antigen (HLA) class II markers
D. Do not bind to infected cells

A

B. Effective against virally infected cells

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9
Q

What is the name of the process by which phagocytic cells are attracted to a substance such as a bacterial peptide?
A. Diapedesis
B. Degranulation
C. Chemotaxis
D. Phagotaxis

A

C. Chemotaxis

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10
Q

All of the following are immunologic functions of complement except:
A. Induction of an antiviral state
B. Opsonization
C. Chemotaxis
D. Anaphylatoxin formation

A

A. Induction of an antiviral state

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11
Q

Which complement component is found in both the classic and alternative pathways?
A. C1
B. C4
C. Factor D
D. C3

A

D. C3

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12
Q

Which Ig(s) help(s) initiate the classic complement pathway?
A. IgA and IgD
B. IgM only
C. IgG and IgM
D. IgG only

A

C. IgG and IgM

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13
Q

How is complement activity destroyed in vitro?
A. Heating serum at 56C for 30 minutes
B. Keeping serum at room temperature of 22C for 1 hour
C. Heating serum at 37C for 45 minutes
D. Freezing serum at 0C for 24 hours

A

A. Heating serum at 56C for 30 minutes

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14
Q

What is the purpose of C3a, C4a, and C5a, the split products of the complement cascade?
A. To bind with specific membrane receptors of lymphocytes and cause release of cytotoxic substances
B. To cause increased vascular permeability, contraction of smooth muscle, and release of histamine from basophils
C. To bind with membrane receptors of macrophages to facilitate phagocytosis and the removal of debris and foreign substances
D. To regulate and degrade membrane cofactor protein after activation by C3 convertase

A

B. To cause increased vascular permeability, contraction of smooth muscle, and release of histamine from basophils

C3a, C4a, and C5a are split products of the complement cascade that participate in various biological functions, such as vasodilation and smooth muscle contraction. These small peptides act as anaphylatoxins, for example, effector molecules that participate in the inflammatory response to assist in the destruction and clearance of foreign antigens.

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15
Q

Which region of the Ig molecule can bind antigen?
A. Fragment antigen binding (Fab)
B. Fragment crystallizable (Fc)
C. Constant light (CL)
D. Constant heavy (CH)

A

A. Fragment antigen binding (Fab)

Fab is the region of the Ig molecule that can bind antigen. Two Fab fragments are formed from hydrolysis of the Ig molecule by papain. Each consists of a light chain and the V(H) and C(H1) regions of the heavy chain. The variable regions of the light and heavy chains interact, forming a specific antigen-combining site.

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16
Q

Which region determines whether an Ig molecule can fix complement?
A. Variable heavy (VH)
B. Constant heavy (CH)
C. Variable light (VL)
D. Constant light (CL)

A

B. Constant heavy (CH)

17
Q

Which Ig class(es) has (have) a J-chain?
A. IgM
B. IgE and IgD
C. IgM and surface IgA (sIgA)
D. IgG3 and IgA

A

C. IgM and surface IgA (sIgA)

18
Q

Which Ig appears first in the primary immune response?
A. IgG
B. IgM
C. IgA
D. IgE

A

B. IgM

19
Q

Which immunoglobulin appears in highest titer in the secondary response?
A. IgG
B. IgM
C. IgA
D. IgE

A

A. IgG

20
Q

Which Ig can cross the placenta?
A. IgG
B. IgM
C. IgA
D. IgE

A

A. IgG

21
Q

Which Ig cross-links mast cells to release histamine?
A. IgG
B. IgM
C. IgA
D. IgE

A

D. IgE

22
Q

All of the following are functions of Igs 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

A

C. Interacting with Tc cells to lyse viruses

23
Q

Which of the following cell surface molecules is classified as an MHC class II antigen?

A. HLA-A
B. HLA-B
C. HLA-C
D. HLA-DR

A

D. HLA-DR

24
Q

**Which MHC class of molecule is 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

A

B. Class II

25
Q

Which of the following are products of HLA class III genes?
A. T-cell immune receptors
B. HLA-D antigens on immune cells
C. Complement proteins C2, C4, and factor B
D. Ig VL regions

A

C. Complement proteins C2, C4, and factor B

26
Q

What molecule on the surface of most T cells recognizes antigen?
A. IgT, a four-chain molecule that includes the tau heavy chain
B. MHC protein, a two-chain molecule encoded by the HLA region
C. CD3, consisting of six different chains
D. T-cell receptor (TcR), consisting of two chains: alpha-chain and beta-chain

A

D. T-cell receptor (TcR), consisting of two chains: alpha-chain and beta-chain

27
Q

TcR is similar to Ig molecules in that it:
A. Remains bound to the cell surface and is never secreted
B. Contains V and C regions on each of its chains
C. Binds complement
D. Can cross the placenta and provide protection to a fetus

A

B. Contains V and C regions on each of its chains

28
Q

Toll-receptors (TLRs) are found on which cells?
A. T cells
B. Dendritic cells
C. B cells
D. Large granular lympocytes

A

B. Dendritic cells

29
Q

Macrophages produce which of the following proteins during antigen processing?
A. IL-1 and IL-6
B. y-Interferon
C. IL-4, IL-5, and IL-10
D. Complement components C1 and C3

A

A. IL-1 and IL-6

30
Q

A superantigen, such as toxic shock syndrome toxin-1 (TSST-1), bypasses the normal antigen-processing stage by binding to and cross-lining:
A. A portion of an Ig molecule and complement component C1
B. TLRs and an MHC class 1 molecule
C. A portion of an Ig and portion of a TcR
D. A portion of a TcR and an MHC class II molecule

A

D. A portion of a TcR and an MHC class II molecule

31
Q

T-regulator cells, responsible for controling autoimmune antibody production, express which of the following phenotypes?
A. CD3, CD4, CD8
B. CD3, CD8, CD25
C. CD3, CD4, CD25
D. CD8, CD25, CD56

A

C. CD3, CD4, CD25