Exam 1 Review Flashcards

1
Q

The enzyme responsible for cleaving C3 into C3a and C3b is called C3 convertase, and it differs in composition depending on the particular complement pathway. The classical and lectin pathways use the classical C3 convertase (C3bBb), whereas the alternative pathway uses the alternative convertase (C4b2a).

A

False

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2
Q

Which of the following complement components is an opsonin that binds to complement receptor 1 (CR1) on macrophages?

a. C3b
b. C3a
c. Bb
d. Ba
e. C3bBb

A

C3b

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3
Q

_____ are soluble complement fragments that mediate localized and systemic inflammatory responses.

a. cryptdins
b. defensins
c. anaphylatoxins
d. selectins
e. C-reactive proteins

A

anaphylatoxins

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4
Q

All of the following are examples of chemical barriers of innate immunity except _____.

a. lactic acid
b. normal microbiota
c. lysozyme
d. fatty acids
e. proteases

A

normal microbiota

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5
Q

Regarding the three pathways of complement: (1) The classical pathway requires an activating surface of a pathogen, which stabilizes complement components. (2) The lectin pathway requires the presence of mannose-binding lectin, an acute-phase protein made by the liver in response to interleukin-6 (IL-6) (secreted by activated macrophages) and which accumulates in plasma during infection. (3) The alternative pathway is activated in two ways, either by the presence of antibody bound to the surface of the microorganism (for example IgM bound to lipopolysaccharide of Gram-negative bacteria) or by the presence of C-reactive protein bound to a bacterium.

A

False

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6
Q

Which of the following Toll-like receptors are expressed exclusively by NK cells? (Select all that apply.)

a. TLR3 and TLR8
b. TLR2 and TLR4
c. TLR1 and TLR2
d. TLR5 and TLR9
e. TLR1, TLR2, and TLR6

A

TLR3 and TLR8

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7
Q

_____ is(are) a soluble protein(s).

a. TLR4
b. TLR2
c. lipopolysaccharide-binding protein (LBP) and mannose-binding lectin (MBL)
d. CXCR1
e. TLR1

A

lipopolysaccharide-binding protein (LBP) and mannose-binding lectin (MBL)

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8
Q

Lectins recognize microbial _____.

a. phosphate-containing lipoteichoic acids
b. nucleic acids
c. carbohydrates
d. flagellin
e. peptides

A

carbohydrates

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9
Q

The spleen differs from other secondary lymphoid organs in which of the following ways?

a. It does not contain T cells.
b. It filters blood as well as lymph.
c. It is populated by specialized cells called M cells.
d. It receives pathogens via afferent lymphatic vessels.
e. It has no connection with the lymphatics.

A

It has no connection with the lymphatics.

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10
Q

C-reactive protein binds to _____.

a. phosphorylcholine
b. mannose-containing carbohydrates
c. lipoteichoic acid
d. flagellin
e. MASP-1/MASP-2

A

phosphorylcholine

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11
Q

Which of the following does not accurately describe complement components?

a. soluble proteins
b. made by the spleen
c. located in extracellular spaces
d. some function as proteases once activated
e. activated by a cascade of enzymatic reactions

A

made by the spleen

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12
Q

The first line of defense against microorganisms that infect the body is referred to as _____.

a. opportunistic immunity
b. innate immunity
c. adaptive immunity
d. primary immunity
e. central immunity

A

innate immunity

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13
Q

Primary lymphoid tissues are the sites where lymphocytes _______, whereas secondary lymphoid tissues are the sites where lymphocytes _______.

a. are stimulated; develop and mature
b. encounter pathogens; undergo apoptosis
c. develop and mature; become stimulated
d. undergo clonal selection; differentiate from hematopoietic stem cells
e. die; are phagocytosed after death

A

develop and mature; become stimulated

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14
Q

Toll-like receptors differ from scavenger receptors in that they _____.
a. bind to common repetitive arrays on microbial surfaces
. stimulate a pathway that causes enzymatic degradation of the microbe to which they bind
c. are soluble receptors that bind to microbes in extracellular spaces
d. mediate signal transduction pathways, causing cytokine production
donâ t mediate signal transduction pathways, causing cytokine production

A

mediate signal transduction pathways, causing cytokine production

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15
Q

A term generally used to describe all white blood cells is _____.

a. hematopoietic cells
b. myeloid progenitor
c. dendritic cells
d. monocytes
e. leukocytes

A

leukocytes

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16
Q

_____ help to prevent systemic bacterial dissemination by producing chromatin structures loaded with antimicrobial substances.

a. Inflammasomes
b. Neutrophil extracellular traps (NETs)
c. RIG-1-like helicases
d. Granulomas
e. Plasmacytoid dendritic cells

A

Neutrophil extracellular traps (NETs)

17
Q

Which of the following pairs is mismatched?

a. primary granules: azurophilic granules
b. secondary granules: unsaturated lactoferrin
c. azurophilic granules: myeloperoxidase
d. gelatinase: iron sequestration
e. tertiary granules: natural killer cells

A

tertiary granules: natural killer cells

18
Q

_____ binds to and retains NFkB in the cytosol.

a. MyD88
b. TRAF6
c. IkB
d. Ikk
e. IRAK4

A

IkB

19
Q

Which of the following pairs of associations is mismatched?

a. large granular lymphocyte: T cell
b. megakaryocyte: platelet
c. B cell: plasma cell
c. monocyte: macrophage
d. myeloid progenitor: neutrophil

A

arge granular lymphocyte: T cell

20
Q

All of the following are true of MyD88 except _____.

a. It binds to the TIR domains of all Toll-like receptors except TLR3.
b. It binds to IRAK4, a protein kinase, causing the kinase to phosphorylate itself.
c. It is an adaptor protein with similar function to TRIF.
d. A genetic deficiency of MyD88 causes the disease X-linked ectodermal dysplasia and immunodeficiency.

A

A genetic deficiency of MyD88 causes the disease X-linked ectodermal dysplasia and immunodeficiency

21
Q

Immediately after engagement of NK-cell Toll-like receptors, the NK cell _____.

a. discharges cytotoxic granules
b. ligates IL-12R\beta1 and IL-12Rbeta 2
c. synthesizes and secretes IL-15
d. synthesizes and secretes IL-12
e. synthesizes and secretes type I interferons (IFN-alpha and IFN-beta)

A

synthesizes and secretes type I interferons (IFN-alpha and IFN-beta)

22
Q

Which of the following explains why immunity to influenza may appear to be relatively short-lived?

a. Effective immunological memory fails to develop.
b. Immune responses to influenza involve innate immune mechanisms only.
c. The primary and secondary immune responses are equivalent.
d. Influenza virus targets memory cells.
e. New influenza variants able to escape previous immunity appear regularly.

A

New influenza variants able to escape previous immunity appear regularly.