Exam 3 Set 2 2017 Flashcards
Defects in neutrophil NADPH oxidase system produce:
A. Chronic granulomatous disease B. Chediak-Higashi disease C. Leukocyte adhesion deficiency D. Hashimoto's disease E. Streptococcal infection
A. Chronic granulomatous disease
X-linked agammaglobulinemia results from a mutation in:
A. IFNg receptor B. The CIITA promoter protein C. An HLA gene D. CD40L (CD154) E. A tyrosine kinase gene
E. A tyrosine kinase gene
DiGeorge syndrome results from a defect in:
A. Purine nucleoside phosphorylase B. WASP C. Thymic development D. DNA repair E. CD3
C. Thymic development
Mutations in the gamma chain of the receptors for IL-2, 4, 7, 9 & 15 lead to:
A. Reticular dysgenesis
B. Bare lymphocyte syndrome
C. Hyper-IgM syndrome
D. Severe combined immunodeficiency (SCID)
E. Build-up of toxic nucleotide metabolites
D. Severe combined immunodeficiency (SCID)
Poor skin tests to a range of microbial antigens such as tuberculin and mumps indicate a deficiency of:
A. NK cells B. T cells C. B cells D. Phagocytosis E. Opsonization
B. T cells
Primary immunodeficiency producing susceptibility to infection by viruses and molds is due to:
A. B-cell deficiency B. T- cell deficiency C. Phagocyte deficiency D. Complement deficiency E. Eosinophil deficiency
B. T cell deficiency
Deletions in the T-cell CD154 (CD40L) gene produce:
A. The hyper-IgM syndrome
B. Congenital X-linked agammaglobulinemia
C. IgA deficiency
D. Wiskott-Aldrich Syndrome
E. Deficiency in cytotoxic T-cell activity
A. The hyper-IgM syndrome
Which one of these is due to thymic aplasia?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
B. DiGeorge syndrome
Which one of these is due to defective TAP?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
E. Bare lymphocyte syndrome (MHC class I)
Which one of these is due to a defective RAG1 or RAG2?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
D. Severe combined immunodeficiency
Which one of these is due to defective C1 inhibitor?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
A. Hereditary angioneurotic edema
Which one of these is due to defective CD40 ligand?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
C. X-linked hyper IgM syndrome
Which one of these is due to defective Btk tyrosine kinase?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
F. X-linked agammaglobulinemia
Which one of these if due to defective CD18?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
G. Leukocyte adhesion deficiency
Which one of these is due to defective NADPH oxidase?
A. Hereditary angioneurotic edema B. DiGeorge syndrome C. X-linked hyper IgM syndrome D. Severe combined immunodeficiency E. Bare lymphocyte syndrome (MHC class I) F. X-linked agammaglobulinemia G. Leukocyte adhesion deficiency H. Chronic granulomatous disease
Chronic granulomatous disease
Which one of the following statements regarding inherited immunodeficiency diseases is correct?
A. Affected individuals are less susceptible to infection
B. Mortality rates are reduced by the administration of antibodies to affected individuals
C. Most deficiency syndromes are caused by dominant gene defects
D. Women are more likely than men to inherit X-linked immunodeficiencies
E. Extracellular bacterial infections are common in deficiency syndromes with T-cell defects
B. Mortality rates are reduced by the administration of antibodies to affected individuals
Which of the following deficiency syndromes affects T-cell but not B-cell function?
A. X-linked agammaglobulinemia B. X-linked hyper IgM syndrome C. X-linked lymphoproliferative syndrome D. X-linked SCID E. X-linked Wiskott-Aldrich syndrome
E. X-linked Wiskott-Aldrich syndrome
Which immune deficiencies result in defective phagocytic processes causing chronic bacterial infections? (Select all that apply)
A. Chediak-Higashi syndrome B. Wiskott-Aldrich syndrome C. Myeloperoxidase deficiency D. X-linked agammaglobulinemia (XLA) E. Chronic granulomatous disease (CGD)
A. Chediak-Higashi syndrome
C. Myeloperoxidase deficiency
E. Chronic granulomatous disease (CGD)
Which of the following participates in the T-cell cytoskeletal reorganization required for T-cell cytokine production and cell-mediated interactions?
A. Adenosine deaminase (ADA) B. Purine nucleotide phosphorylase (PNP) C. Wiskott-Aldrich syndrome protein (WASP) D. Myeloperoxidase E. Bruton's tyrosine kinase (Btk)
C. Wiskott-Aldrich syndrome protein (WASP)
Chronic granulomatous disease (CGD), a condition resulting in chronic bacterial and fungal infections, is caused by one or more defects in _____________, comprising the ability of macrophages to ________.
A. CD18; produce cell adhesion molecules B. NADPH oxidase; produce superoxide radical C. CD40 ligand; produce GM-CSF D. C5-C9; defend against Neisseria E. C3; opsonize capsulated bacteria
B. NADPH oxidase; produce superoxide radical
Which genetic defect results in the accumulation of toxic levels of nucleotide metabolites and loss of T-cell function?
A. NADPH oxidase B. Glucose-6-phosphate dehydrogenase C. Myeloperoxidase D. SH2D1A E. Adenosine deaminase (ADA)
E. Adenosine deaminase (ADA)
Bare lymphocyte syndrome leading to a lack of HLA class II molecule expression is due to a defect in:
A. Transcriptional regulators of HLA class II loci
B. The sequence of the conserved X box of the HLA class II promoter
C. A TAP peptide transporter
D. RAG-1 or RAG-2
E. Thymic development
A. Transcriptional regulators of HLA class II loci
When an individual receives a kidney transplant, the main concern will be to control the development of:
A. Graft-versus-host disease B. Transplant rejection C. Xenorecognition D. Allergic reactions E. Lymphoproliferative disorders
B. Transplant rejection
Which of the following are correctly matched? (Select all that apply)
A. Allograft; same person B. Autograft; to treat damage caused by autoimmune processes C. Isograft; syngeneic D. Antithymocyte globulin; xenogeneic E. Same species; allogenic
C. Isograft; syngeneic
D. Antithymocyte globulin; xenogeneic
E. Same species; allogeneic