Human Leukocyte Antigens Flashcards

1
Q
  1. True or false? The HLA complex is the most polymorphic genetic system known to date.
A

True

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2
Q
  1. What is the most important biologic function of the MHC genes?
A

Involvement in mitigating and regulating the
adaptive immune response

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3
Q
  1. Which region does not contain HLA genes but does contain genes that code for complement components?
    a. class I
    b. class II
    c. class III
A

c. class III

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4
Q
  1. Coding regions of genes are called
    a. exons
    b. introns
    c. polyons
    d. none of the above
A

a. exons

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5
Q
  1. True or false? The class I and class II molecules are codominantly expressed but have different tissue distributions.
A

True

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6
Q
  1. True or false? Class I molecules can only be found on
    nucleated cells.
A

False

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7
Q
  1. HLA-DR, HLA-DQ, and HLA-DP are which type of
    molecules?
    a. class I
    b. class II
    c. class III
    d. class IV
A

b. class II

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8
Q
  1. Closely linked genes are inherited as a block which is
    known as a:
    a. polytype
    b. haplotype
    c. diplotype
    d. triplotype
A

b. haplotype

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9
Q
  1. True or false? A child is haploidentical to each parent
    and only siblings may have a 25% chance of being
    genotypically identical to each other.
A

True

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10
Q
  1. Define linkage disequilibrium
A

Genes occur more frequently together than expected by chance

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11
Q
  1. Define epitope.
A

An antigenic determinant, the minimum structure
unit with six to seven amino acids that can be perceived as foreign by T- or B-cell receptors

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12
Q
  1. What is the tissue source for DNA-based typing?
A

Nucleated cells

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13
Q
  1. Why is quality control particularly important in the HLA
    laboratory?
A

Avoid contamination

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14
Q
  1. What two blood group systems are the major barriers to
    transplantation?
A

ABO, HLA

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15
Q
  1. Most immunologic refractoriness to platelets results from
    antibodies to:
    a. HLA class I antigens
    b. HLA class II antigens
    c. HLA class III antigens
    d. ABO antigens
A

a. HLA class I antigens

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16
Q
  1. Name at least two ways to screen for HLA antibodies.
A

Complement-dependent microcytotoxicity test, flow cytometry, ELISA, Luminex technology,
LABScreen antibody detection system, crossmatch

17
Q
  1. True or false? The best outcomes for graft survival are
    those from HLA-identical sibling donors
A

True

18
Q
  1. What is the major complication of HSCT?
A

Graft-versus-host disease

19
Q
  1. The demonstration of HLA class I or class II or neutrophil-specific antibodies in donor plasma and the presence of cognate antigen in the recipient is laboratory
    evidence for what condition?
A

TRALI

20
Q
  1. HLA-B27 is associated with which disease?
    a. narcolepsy
    b. celiac disease
    c. type I diabetes mellitus
    d. ankylosing spondylitis
A

d. ankylosing spondylitis