Exam 2: Practice Set 1 Flashcards

1
Q

Epitope-specific receptors of T lymphocytes are found
A. as either cytosolic or membrane-bound proteins.
B. in blood plasma, lymph, and other secretory fluids.
C. on the surface of plasma cells.
D. as transmembrane polypeptides.
E. in the nuclear lipid bilayer.

A

The answer is D.
The epitope specific TCRs are displayed as membrane-bound molecules on their cell surfaces. TCRs are not found as soluble molecules. Epitope-specific molecules produced by plasma cells are genetically distinct from T cell receptor molecules.

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2
Q

Antibodies (immunoglobulins)
A. are synthesized and secreted by both B and T cells.
B. bind to several different epitopes simultaneously.
C. contain four different light chain polypeptides.
D. recognize specific epitopes together with self-molecules.
E. tag antigens for destruction and removal.

A

The answer is E.
Antibodies bind to epitopes on antigens to identify them or tag them for destruction by other elements of the immune system. They are synthesized only by B cells and plasma cells. An antibody molecule contains two (lgD, lgG, lgE, and serum lgA), four (secretory lgA), or ten (secreted lgM) identical epitope-binding sites. An antibody monomer contains two identical light chains and two identical heavy chains. Self-recognition is not required for antibody molecules.

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3
Q
The constant regions of the five major types of heavy chains of immunoglobulin molecules dictate the molecule's
A. epitope.
B. Fab fragment.
C. isotype.
D. tyrosine activation motif.
E. variable domain.
A

The answer is C.
The heavy chain constant regions determine immunoglobulin isotypes: mu (, lgM), delta (, lgD), gamma (, lgG), epsilon (, lgE), and alpha (, lgA). ab fragments are enzymatic cleavage products of immunoglobulin monomers. Immuno-receptor tyrosine activation motifs are not present on immunoglobulin molecules. Variable domains show extensive amino acid sequence variability among immunoglobulins, even within the same isotype.

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4
Q

When an immunoglobulin molecule is subjected to cleavage by pepsin, the product(s)
A. are individual heavy and light chains.
B. can no longer bind to antigen.
C. consist of two separated antigen-binding fragments.
D. crystallize during storage in the cold.
E. is a dimeric antigen-binding molecule.

A

The answer is E.
Enzymatic cleavage of the immunoglobulin monomer by pepsin occurs distal to the variable domain and distal to heavy-heavy chain disulfide bonds, which remain intact resulting in a molecule with two epitope-binding sites. lnterchain disulfide bonds are unaffected by pep- sin cleavage. The epitope-binding site remains intact on pepsin cleavage of the heavy chain. Papain cleavage of the immunoglobulin monomer occurs distal to the variable domain but proximal to the heavy-heavy chain disulfide bond, resulting in two separate epitope-binding ab fragments. Pepsin enzymatically degrades the CH2 portion of the immunoglobulin molecule resulting in fragments that rarely, if ever, form crystals.

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5
Q

In humans, MHC class II molecules are expressed by
A. all nucleated cells.
B. B cells, dendritic cells, and macrophages.
C. erythrocytes.
D. mast cells.
E. naïve T cells.

A
The answer is B.
B cells, dendritic cells, monocytes, and macrophages constitutively express MHC class II molecules. Only professional APCs expresses MHC class II molecules and it does not include mast cells or naive T cells. Erythrocytes do not express MHC class II molecules.
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6
Q

The basic structure of a T cell receptor consists of
A. a membrane-bound α/β or γ/δ heterodimer.
B. a complex of disulfide-linked heavy and light chains.
C. covalently linked CD3 and CD247 molecules.
D. peptide-MHC complexes.
E. soluble antigen-binding homodimers.

A

The answer is A.
The T-cell receptor (TCR) is a heterodimer composed of α/β or γ/δ polypeptide chains. Neither the α/β or γ/δ heterodimers nor their associated molecules (CD3 and CD247) are linked by disulfide bonds. TCR recognize peptide-MHC complexes on APCs. TCRs are found only on the surfaces of T cells and are not soluble.

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7
Q
Migration of a B lymphocyte to specific sites (such as a lymph node) is dependent in part on the
use of
A. antibodies.
B. CD8.
C. CD3.
D. complement.
E. selectins.
A

The correct answer is E.
Selectins are adhesion molecules that participate in the recognition that occurs between different types of cells and tissues. Antibodies do not serve as guides for such homing. CD8 and CD3 are expressed on T cells, not on B cells, and are responsible for lymphocyte homing. Complement fragments may be chemoattractants for leukocytes, but they attract those cells to the site of immune responses rather than to specific organs.

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8
Q
Which of the following molecules is expressed by a mature T cell that functions as a helper T cell?
A. CD4
B. CD8
C. GlyCAM-1 
D. lgA
E. lgG
A

The correct answer is A.
CD4+ T cells are also called T-helper cells. CD8+ T cells have cytotoxic or suppressive functions. GlyCAM-1 is an adhesion molecule found on certain vascular epithelial cells within lymph nodes. lgA and lgG are not expressed on T cells.

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9
Q
Following cytokine binding to a specific cell-surface receptor, a lymphocyte is stimulated to undergo signaling via the JAK-STAT pathway. In this pathway, which of the following will be induced to translocate to the cell's nucleus to regulate transcription?
A. JAK
B. Ras
C. SH2-containing adapter proteins
D. STAT dimers
E. tyrosine kinase
A

The correct answer is D.
STAT dimers translocate into the nucleus. JAKs are cytosolic tyrosine kinases that bind to the intracellular domain of the tyrosine-phosphorylated receptor and never enter the nucleus. Ras is a membrane-bound GTP binding protein that is bound by cytosolic proteins with SH2 domains that also bind to phosphotyrosine residues within the intracellular portion of the receptor. Catalytic receptors signal by stimulating tyrosine kinase, either of the receptor itself (intrinsic activity) or by associating with nonreceptor tyrosine kinases (e.g., JAK), neither of which enters the nucleus.

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10
Q

B lymphocytes synthesize and express immunoglobulin
A. containing multiple epitope specificities.
B. in cytoplasmic phagosomes.
C. in membrane complexes also containing CD3.
D. on their cell membrane surface.
E. only after leaving the bone marrow.

A

The correct answer is D.
B cells synthesize and express immunoglobulin on their cell surfaces. Immunoglobulins within an individual B cell contain specificity for one epitope, not several. Cytoplasmic phagosomes are involved in degradation of unwanted materials. Membrane complexes also containing CD3 are T-cell receptors (TCR) on the surfaces of T cells. B cells express surface lgM/IgD before leaving the bone marrow.

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11
Q
Which of the following molecules is expressed on the surface of mature CD4+ T cells?
A. BCRs
B. CD1d
C. CD3
D. CD8
E. CD19
A
The correct answer is C.
Mature T cells (both CD4+ and CD8+) express CD3, a molecular complex associated with the TCR. CD4+ cells are T cells with T helper function and do not express B-cell receptors. CD1d is a specialized, non-classical MHC class I molecule on NKT cells. CD8 is a molecule expressed by T cytotoxic and suppressor cells. CD19 is expressed on B cells.
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12
Q

Positive selection refers to
A. the ability of single positive cells to bind both MHC class I and II.
B. cortical thymocytes’ acquisition of TCR.
C. migration of stem cells to the thymus to become T cells.
D. programmed cell death of single positive T cells.
E. recognition of MHC by CD4+CD8+ thymocytes.

A
The correct answer is E.
Positive selection refers to recognition of MHC class I (by CD8) or MHC class II (by CD4) by double-positive (CD4+CD8+) thymocytes. Single positive thymocytes (and T cells) are either CD4+ or CD8+ and recognize either MHC class II (CD4) or MHC class I (CD8), but not both. Cortical thymocytes acquire a nascent TCR as well as CD4 and CD8 surface molecules, resulting in formation of double-positive (CD4+CD8+) thymocytes. Precursor T cells migrate or traffic from the bone marrow to the thymus before acquiring CD4 and CD8, which they will do as cortical
thymocytes. Cells that fail to complete positive selection undergo programmed cell death (apoptosis).
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13
Q

The white pulp of the spleen is enriched in
A. erythrocytes carrying hemoglobin.
B. CD4+CD8+ T cells binding to MHC.
C. NK cells recognizing targets.
D. plasma cells secreting immunoglobulin.
E. precursor cells developing into mature B cells.

A

The correct answer is D.
The white pulp of the spleen is enriched in plasma cells secreting immunoglobulin, in addition to B and T lymphocytes. Erythrocytes are found within the red pulp of the spleen. CD4+CD8+ T cells are found in the thymus. Natural killer cells function within peripheral blood. Precursors of B cells are located in the bone marrow.

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14
Q

A 2-year-old child exposed to an antigen for the first time already possesses a B cell with immunoglobulin specific for that antigen. This finding is best explained by
A. antigen-independent immunoglobulin gene rearrangements.
B. antigen stimulation of T cell cytokine production.
C. maternally derived antibodies to that antigen.
D. memory B cells that recognize the antigen.
E. somatic hypermutation of immunoglobulins.

A

The answer is A.
Determination of antibody specificity occurs prior to and independent from an individual’s first encounter with antigen. This process begins developmentally during prenatal and neonatal life. This process is independent of soluble factors (cytokines) produced by T cells and occurs independently of maternal immune function. By definition, memory B cells have previously encountered antigen. Somatic hypermutation occurs only after previous exposure to antigen.

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15
Q
Serum immunoglobulins containing both maternally and paternally derived Vκ light chains are found within an individual. A given B cell, however, expresses only maternally derived or paternally derived Vκ chains but never both. This finding is the result of
A. allelic exclusion.
B. antibody diversity.
C. isotype switching.
D. junctional diversity.
E. random VD and VDJ joining.
A

The answer is A.
A given B cell or plasma cell expresses a single maternal or paternal allele of a chromosome pair. This process, known as allelic exclusion, applies to both heavy and light chain genes. An additional exclusion allows for the expression of only a κ (chromosome 2) or λ (chromosome 22) gene, never both within the same cell. Allelic exclusion has only a slight impact on genetic variation. lsotype switching, junctional diversity, and random V(D)J joining occur after allelic exclusion.

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16
Q

When Ag-loaded B cell is stimulated by a follicular T helper cell via CD40-CD40L, small point mutations that accumulate in the DNA encoding variable regions of both light and heavy chains may result in
A. antigen-stimulated VDJ joining and new antigen specificity.
B. change from production of lgM to lgG.
C. DNA chromosomal rearrangement and altered antigen specificity.
D. inactivation of either the maternal or paternal VL and VH allele.
E. generation of antibody with increased binding affinity for its epitope.

A

The answer is E.
Accumulation of point mutations that affect light and heavy chain variable regions may increase binding affinity for antigen, by “fine-tuning” the antigen-binding site of the resulting immunoglobulin molecule. This is known as affinity maturation. These point mutations occur after allelic exclusion and VDJ joining. They do not affect DNA rearrangement, and they do not appear to affect isotype switching.

17
Q
T cell precursors, known as pro-thymocytes, migrate from the bone marrow to the thymus in response to
A. eotactin. 
B. IL-4.
C. IL-5.
D. IL-10.
E. lymphotactin.
A

The correct answer is E.
Lymphotactin is one of the thymic products that help to guide pro-thymocytes from the bone marrow to the thymus. IL-4, IL-5, and IL-10 are cytokines produced by mature, activated T cells as well as by other cell types. Eotactin guides the movement of eosinophils.

18
Q
What will be the fate of an early thymocyte that fails to express IL-7 receptors?
A. apoptotic cell death
B. development as a γ/δ T cell
C. development as an NKT cell
D. failure to traffic to the thymus
E. maturation along the B-cell lineage
A

The correct answer is A.
ailure to bind IL-7 dooms the developing thymocyte. It will be unable to develop into either an α/β or γ/δ thymocyte. This interaction occurs after migration of the thymocytes into the thymus. Thymocytes cannot switch to the B cell developmental pathway.

19
Q

γ/δ T cells
A. contain very extensive antigen recognition repertoires.
B. express surface markers that are also characteristic of NK cells.
C. generate memory when recognizing antigen on multiple occasions.
D. migrate preferentially to respiratory or organs, skin, and peritoneal cavity.
E. respond more slowly to antigen than do α/β T cells.

A

The correct answer is D.
γ/δ T cells are found predominantly in the respiratory organs, skin, and peritoneal cavity. Their recognition repertoire is far less extensive that found in a T cells. They do not express significant immunologic memory but do react to antigenic stimuli more rapidly than do α/β T cells.

20
Q

NKT cells
A. are usually CD8 single positive cells.
B. bind epitopes presented by MHC class II molecules.
C. express TCRs generated by DNA rearrangement and junctional diversity.
D. recognize carbohydrates and complex proteins.
E. synthesize immunoglobulin and display it on their cell surfaces.

A
The correct answer is C.
NKT cells do express TCRs generated (like those of other T cells) by DNA rearrangement and junctional diversity. They are CD4+ or CD4+CD8+. Despite this, their TCRs recognize lipid-related molecular fragments presented by the non-classical class I molecule CD1d. They do not synthesize or express immunoglobulins.
21
Q

Pre-pro-B cells
A. contain either κ or λ light chains.
B. demonstrate surface expression of pseudo-lgM.
C. express lgα and lgβ BCR accessory molecules.
D. have VDJ joining of genes.
E. express surrogate light chains.

A

The correct answer is C.
Pre-pro-B cells initially express lgα and lβ molecules. The synthesis of heavy and light chains (including surrogate light chains) occurs at later stages of development.

22
Q

In contrast to B-2 B cells, B-1 B cells
A. appear later in development.
B. function in innate-related immune responses.
C. express more lgD than lgM on their cell surfaces.
D. have a more extensive antigen recognition repertoire.
E. require interaction with T cells for their activation.

A

The correct answer is B.
B-1 B cells appear to be transitional types of lymphocytes whose functions are reminiscent of the innate immune system. B-1 B cells express more surface lgM than lgD and B-2 B cells express more surface lgD than lgM. The B-1 B cell repertoire is more limited, and their need for interaction with T cells is more limited than is seen for B-2 B cells. B-1 B cells appear developmentally earlier than B-2 B cells.

23
Q

T cells recognize epitopes they have never before encountered by
A. randomly generating enormous numbers of TCRs prior to antigenic encounter.
B. sampling the environment using phagocytosis and pinocytosis.
C. synthesizing immunoglobulins specific for a wide variety of epitopes.
D. selecting widely expressed molecules as TCR ligands.
E. using germline encoded pattern recognition receptors.

A

The correct answer is A.
T-cell receptors are randomly generated prior to any engagement with antigens. Phagocytic cells use phagocytosis and pinocytosis to internalize antigens without regard to the specificity of the ingested material. T cells do not synthesize immunoglobulins. The selection for receptors recognizing a widely expressed set of microbial molecules is a property of toll-like receptors, not of T-cell receptors. The germline encoded pattern recognition receptors are toll-like receptors.

24
Q
Which of the following naïve cells load peptide fragments into MHC class II molecules?
A. CD4+ T cells
B. CD8+ T cells
C. dendritic cells
D. γ/δ T cells
E. neutrophils
A

The correct answer is C.
Of those cell types listed, only dendritic cells can process peptide fragments and load them on MHC II molecules for presentation. Lymphocytes, whether of the C04+, CD8+, or γ/δ type, cannot do this. Neutrophils can ingest peptides and degrade them but do not synthesize MHC II molecules.

25
Q

Fragments of a cytoplasmic pathogen are presented to T cells by
A. direct engagement of cell surface pattern recognition receptors.
B. macropinocytosis into γ/δ T cells.
C. MHC class I molecules to CD8+ T cells.
D. phagocytosis and presentation to CD4+ T cells.
E. placement into endocytic vesicles or complexing with class II MHC

A
The correct answer is C.
Peptides derived in cytoplasm are presented by class I MHC molecules. Pattern recognition receptors do not present peptides to T cells nor do γ/δ TT cells. CD8+ T cells recognize peptide fragments presented by class I MHC molecules. They are not processed in endocytic vesicles for presentation by class II MHC to CD4+ T cells.
26
Q

The term immunologic synapse refers to
A. PAMP recognition by pattern recognition receptors.
B. restriction of CD4+ T cells to MHC class I.
C. selective unresponsiveness of T cells.
D. T cell recognition of soluble molecules.
E. the interface between antigen-presenting cells and T cells.

A

The correct answer is E.
The immunologic synapse is the interface between T cells and APCs. It does not refer to the recognition and binding by pattern recognition receptors. CD4+ T cells are restricted to the recognition of peptide presented by MHC II molecules. The selective unresponsiveness of T cells is called tolerance or anergy. T-cell receptors do not recognize soluble molecules.

27
Q
CD4+ T cells that respond to intracellular pathogens by recruiting and activating phagocytic cells are termed
A. antigen-presenting cells.
B. cytotoxic T lymphocytes.
C. Th0 cells.
D. Th1 cells.
E. Th2 cells.
A

The correct answer is D.
CD4+ Th1 cells recruit and activate macrophages to destroy intracellular pathogens. Antigen- presenting cells are not T cells. Cytotoxic T lymphocytes are CD8+. Th0 and Th2 cells, although also being CD4+, do not engage in this activity.

28
Q

Upon encountering an appropriate peptide-MHC I on an infected cell,
A. B-cell receptors become cross-linked and signaling ensues.
B. CD4+ cells release IL-4.
C. CD8+ cytotoxic T cells destroy the infected cell.
D. naïve Th1 cells secrete cytokines.
E. Th0 cells differentiate into Th2 cells.

A

The correct answer is C.
Once activated, cytotoxic T lymphocytes can bind and destroy infected cells expressing peptide- MHC I complexes recognized by their T-cell receptors. Neither B cells nor CD4+ T cells recognize peptide-MHC I. T helper cells – whether Th0, Th1, or Th2 – are CD4+ and do not recognize peptide-MHC I.

29
Q

Activation of an individual naïve B cell involves binding of Ag-associated epitopes leading to
A. dendritic cell presentation of MHC class I.
B. recognition of different epitopes by surface lgD and lgM.
C. signaling from the B-cell receptor.
D. the isotype switch.
E. ubiquitination and destruction of antigen by proteasomes.

A

The correct answer is C.
Activation of a naïve B calls requires the engagement of its BCR (immunoglobulin). The B cell does not require interaction with antigen-presenting cells such as dendritic cells. The IgD and lgM on its surface have the same epitope specificity. Turnover of cytoplasmic molecules by proteasomes is a normal ongoing activity, but is not involved in the naïve B cell’s activation. The isotype switch occurs only after B cell interaction with TH cell.

30
Q
A state of T-lymphocyte nonresponsiveness that occurs following peptide-MHC engagement is known as
A. allergy.
B. apoptosis.
C. anergy.
D. autoimmunity. 
E. hypersensitivity.
A

The correct answer is C.
Anergy is a state of nonreactivity that occurs when a lymphocyte receives a stimulus through its TCR or BCR in the absence of the additional appropriate signals provides by antigen-presenting cells or T cells. Allergy involves the degranulation of mast cells following binding of antigen to lgE molecules already affixed to the mast cell surfaces. Apoptosis is the programmed death of a cell through degradation of its nucleic acids. Autoimmunity is the active response of the immune system against self-epitopes. Hyper- sensitivity is a response mediated by activated lymphocytes or their products. Allergy is one form of hypersensitivity.