Fundamentals of immunology Flashcards

2015-2018 HS 202

1
Q

Major immune response developed by a healthy person infected with intracellular bacterial or fungal infection

A. Humoral response
B. Cell-mediated immune response
C. Classical complement cascade
D. Alternative complement cascade

A

A

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2
Q

First to appear during infection

A. IgA
B. IgM
C. IgD
D. IgG
E. IgE
A

B

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3
Q

Regarded as antigen processing and presenting cells?

A. Macrophages (activated monocytes)
B. B cells
C. Dendritic cells
D. A and C

A

D

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4
Q

The primary immune response is the type of immune response elicited by the body at the first encounter with the antigen, infectious agent, or foreign body. Which of the following is/are true?

A. IgG is the major antibody that is produced
B. It is a function of the memory cells of both the B and T cells
C. Presence of a lag phase after the encounter of the antigen with the immunocompetent cells
D. B and C

E. NOTA

A

*

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5
Q

Innate and adaptive immunity are regarded as two separate mechanisms involving different effector cells and molecules, until recently, with the results of different studies that changed the separation of these two types of immunity. In this regard which of the following is true?

A. NK cells which are components of innate, inborn, non-specific immunity can exhibit memory

B. gamma-sigma T cells are not restricted by MHC molecules in their recognition of specific antigens and their consequent activation

C. NK cells and gamma-sigma T cells are now regarded as components of both innate non-specific immunity and adaptive specific immunity

D. AOTA

E. A and B only

A

*

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6
Q

T lymphocytes are immunocompetent cells that have subpopulations, the activation of which is restricted by the MHC molecules. Which of the following is/are true?

A. Th cells are CD8+ which recognize only processed antigen in association with MHC class II molecules

B. CD4+ T cells are able to recognize processed antigens in association with MHC class I molecules

C. Subtypes of Th cells include the Th1 and Th2 characterized by the paradigm that when Th 1 is activated, Th 2 is inhibited and vice versa

D. AOTA

E. A and B only

A

*

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7
Q

B lymphocytes, like T cells, are the major immunocompeteny cells involved in the adaptive specific immunity. Which is/are true of B cells?

A. Plasma cells are transformed B cells after activation with an antigen and produce the immunoglobulins which are major components of the humoral immune response

B. IgE is secreted in humoral immune response, which is mainly involved in anaphylaxis

C. B cells are able to internalize, process, and present antigens; activation of which can be influenced by Th cells

D. A and C

E. AOTA

A

*

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8
Q

Overreaction or overstimulation of the immune system in mounting an immune response involves hypersensitivity reaction. Which is true of type I immune response?

A. Involves IgE
B. Involves degranulation of mast cells
C. Asthma is an example
D. AOTA
E. A and B only
A

*

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9
Q

For viruses in general, CMIR is the major immunity activated to eliminate the pathogen. Which of the following is/are the evasive mechanism/s used by viruses (ex. Ebola) to evade the immune system?

A. Masking of surface antigen
B. Sialic acid content recognized by immunocompetent cells as “self” cells have sialic component
C. Release of protease and other enzymes
D. Phase variation of antigen

A

D

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10
Q

In dengue shock syndrome, as well as in sepsis and leptospirosis, the shock syndrome is mainly due to which of the following?

A. Inflammatory cytokine storm
B. Platelet depletion
C. Generation of anaphylactic complement fragments C3a and C5a
D. Opsonization and immune complexes formation

A

*

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11
Q

Killing of helminth/parasite by immune system

A. Phagocytosis by macrophage/neutrophil
B. Cytotoxic T and T helper cells
C. Antibodies and activation of eosinophil
D. Antibodies and activation of specific antibodies to basophil

A

*

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12
Q

Synthesis of antibodies are activated by lymphokines secreted by

A. Cytotoxic T cells
B. T helper type I
C. T helper type II
D. T suppressor cell
E. T regulator cell
A

*

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13
Q

Which of the following combinations is responsible for mucosal immunity?

A. alpha-beta T cell and IgA
B. IgG and alpha-beta T cell
C. IgA and IgG
D. gamma-delta T cell and IgE
E. gamma-delta T cell and IgA
A

E

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14
Q

True of immunotherapy:

A. Humanized antibodies can be raised in SCID mice to produce antibodies that are used in the treatment of specific diseases

B. Biologicals are mostly polyclonal antibodies that are used as immunotherapeutics against cancer and other diseases

C. In the current Ebola hemorrhagic fever outbreak, the experimental drugs used to treat the 2 American volunteers are monoclonal antibodies against a specific epitope of the Ebola virus

D. AOTA

E. A and C only

A

*

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15
Q

Which of the following is/are true of the mediators of ADCC or antibody dependent cell cytotoxicity?

A. Activated complement fragments/proteins
B. Eosinophils
C. NK cells
D. Cytotoxic T cells

A

*

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16
Q

7 year old stumbled on wood with protruding nail. He got fever due to infected wound. What type of immunity
was developed?

a. innate
b. natural active
c. artificial
d. natural passive

A

A

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17
Q

Volunteer got leptospirosis during habagat, what did he develop?

a. innate, inborn immunity
b. natural, active, specific/adaptive immunity
c. artificial, active, specific/adaptive immunity
d. natural, passive, specific/adaptive immunity
e. artificial, passive, specific/adaptive immunity

A

B

18
Q

What immunity does a baby gain when his mother have him vaccinated with BCG, etc.?

a. Inborn/innate immunity
b. natural active specific immunity
c. natural passive specific immunity
d. acquired active specific immunity
e. acquired passive specific immunity

A

D

19
Q

Which type of immunity is manifested by a healthy person infected by intracellular bacteria and/or fungi?

a. Humoral cell response
b. Cytotoxic T-cell response and mainly cells of the innate, inborn, non-specific immunity
c. Classical component cascade pathway
d. Alternative complement pathway

A

B

20
Q

Which are mainly involved in elimination of extracellular bacteria?

a. Antibodies
b. Cytotoxic T cells
c. Helper T cells
d. Naural killer lymphocytes/LGL

A

*

21
Q

For viruses, CMIR is the major immunity activated to eliminate the pathogen, which of the following is/are the evasive mechanisms/s used by viruses to evade the immune system?

a. Masking of the surface antigen
b. Sialic acid content recognized by immunocompetent cells as “self” since cells have sialic component
c. Release of protease and other enzymes
d. Phase variations of antigen

A

D

22
Q

Hypersensitivity Type I

a. CD
b. IL 6, 8, 10
c. IgE

A

C

23
Q

Synthesis of antibodies activated by lymphokines.

a. Cytotoxic T-cells
b. T helper 1 cells
c. T helper 2 cells
d. T repressor cells

A

A

24
Q

Effectors of mucosal immunity?

a. Alpha beta T and IgA
b. Alpha beta T and IgE
c. IgG and IgE
d. Gamma delta and IgE
e. Gamma delta and IgA

A

E

25
Q

Central tolerance

A. Peripheral tolerance occurs in the circulation
B. Central tolerance occurs in the major lymphoid organs such as the thymus and bone marrow
C. T and B lymphocyte that recognizes self-antigen are deleted before they are developed
D. All of the above
E. Both A and B

A

*

26
Q

Asthma is an example of what type of hypersensitivity response

A. I
B. II
C. III
D. IV

A

A

27
Q

Type of immunity when person receives vaccines

A. natural active specific immunity
B. natural passive specific immunity
C. artificial active specific immunity
D. artificial passive specific immunity

A

C

28
Q

First immunoglobulin to be produced in response to infection

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

A

A

29
Q

The immune response also known as the “anamnestic” (not to forget) immune response:

A. Primary immune response
B. Secondary immune response
C. Cell-mediated immune response
D. Humoral immune response

A

B

30
Q

Which of the following immune responses type is characterized as ‘horror autotoxicus’?

A. Primary Immune Response 
B. Secondary Immune Response 
C. Cell-mediated Immune Response 
D. Humoral Immune Response
E. All of the Above
A

E

31
Q

Antibodies that can cross the placenta

A. IgA 
B. IgD 
C. IgE 
D. IgM 
E. IgG
A

E

32
Q

Main Immune response for bacterial infections

A. Primary response immunity
B. Secondary response immunity
C. Humoral immunity
D. Cell-mediated immunity

A

C

33
Q

Main Immune response for viruses

A. Primary response immunity
B. Secondary response immunity
C. Humoral immunity
D. Cell-mediated immunity

A

D

34
Q

Which of the following immunoglobulins is homocytotrophic and reaginic?

A. IgA 
B. IgD 
C. IgE 
D. IgG 
E. IgM
A

C

35
Q

Which of the following is true of immunologic tolerance?

A. Peripheral tolerance - antigens not recognized by circulating lymphocytes

B. Central tolerance involves lymphocytes maturing in primary lymphoid organs

C. Tolerance to self-antigens involves deletion of aberrant T cell and B cell in thymus and bone marrow

D. All of the above

E. A and B only

A

D

36
Q

True of hypersensitivity reactions

A. IgE previously formed in reaction to an infection attaches to mast cells….

B. ADCC or antibody dependent cell-mediated cytoxixity is a hypersensitivity reaction

C. Antibody-mediated allergic response is initiated 48 hours after stimulus, while T-cell mediated allergic reaction is initiated 24 hours after

D. AOTA

E. A and B only

A

E

37
Q

In innate inborn non-specific immunity, which of the following is NOT involved?

A. PMN
B. T-lymphocytes
C. Macrophages
D. NK cells

A

B

38
Q

T lymphocytes mature in the

A. bone marrow
B. liver
C. spleen
D. thymus

A

D

39
Q

Autoimmunity, immune tolerance, hypersensitivity, and primary and secondary immune response can be demonstrated by which of the following?

A. humoral immune response
B. cell-mediated immune response
C. Both
D. Neither

A

*

40
Q

Antibody production requires the increase in production and differentiation

A. B-lymphocytes
B. Neutrophil
C. Macrophages
D. T-cell

A

A

41
Q

A girl was bitten by a dog in the face and injected with a vaccine. She was given a vaccine for tetanus as well as for

rabies virus. What type of immunity did she acquire?

A. Artificial active immunity C. Natural active immunity

B. Articifial passive immunity D. Natural passive immunity

A

A

42
Q

Patient workup shows hepatitis profile comprising negative HBsAg,negative IgM core antibody and positive Anti-HBS,.

What is the best interpretation of these results?

A. Patient chronic active hepatitis. C. Patient is in “window phase” of infection.

B. Patient has is immune to hepatitis B. D. Patient has acute hepatitis infection.

A

B