Immunity-PROF Question Flashcards
which graft rejection beshi ??
xenograft
why xenograft beshi rejected ?
HLA type mile na
SOMC te ki ki transplant hoy ?
cornea
HLA nam keno hoise <
first human e dekha jay
antigen defination ?
any substance that can be recognized
by the Ig receptor of B cell / by the T cell when complex with MHC
350
hypersensitivity 1 which Ig mediated ?
IgE
Cochelar transplant e ki transplant hoy ?
surgical implementation
a samll electronic device that directly stimulates the auditory nerve in the inner ear to produce a sense of sound
IgG er subtype koyta ?
4
IgA er subtype koyta ?
2
duration of type 1 H >
immediate
duration of Type4 H >
delayed
amra je oramenta pori- er theke scratch khaile kon hypersensitivity?
type=-1
ar ki ki type =1 H ?
375
which AB fix complement ?
IgG
IgM
complement fix krte pare na kon AB<
ig - A E
Type-2 H ?
388
is tuberculin test specific ?
no
low specificty
Directly complement fix kore ?
IgโG M
immunodeficiency D kon age hoy >
old age
kon AB kon type er Hypersensitivity kore?
IgE = 1
IgG = 2 3
kon type4 hypersensitivity test amra commonly kori >
tuberculin test
why old age e immunodeficiency diseases ?
regulatory T cell function weak
dec tolerance
primary & secondary immune response >
341
procedure of tuberculin test ?
5TU - tuberculin unit = 0.1 ml
intra-dermally on the flexor aspect of the forearm
observed half an hour - 30 min for - immediate hypersensitivity
2 hr por final reading
H - 1 2 3 ki mediated <
immune mediated
juts 4 = cell mediated
B cell origin <
stem cells of Bone amrrow
HELPER T cell type ?
Th1
Th2
type-4 h ki mediated ?
cell
body te B cell beshi naki T cell <
T cell
60-70%
maturation of B cell site <
bone marrow
origin of T cell <
bone marrow stem cells
maturation of T cell ,
thymus & GALT
which immunosuppressive in COVID >`
corticosteroids
IL-6 inhibitors - tocilizumab
Th1 fucntion ??
389
secreted IFN-gamma
delayed hypersensitivity
IFN gamma - activate macrophage
RF e kotodin por Ab-Atg produce hoy ?
2-3 weeks
RF e kar against a AB produce hoy ?
streptococcal Atg
Ki ki host tissue ache ,
heart valve glycoprotein
myocardial sarcolema
cardiac myosin
neuronal Ab in sub-thalamic and caudate nuclei
Rheumatic fever er primary infection ?
pharyngitis / sore throat by streptoccocus
168
RF type of hypersensitivity?
Type=2
Which AB in breast milk ,
IgA
Placenta cross kore kon AB <
IgG
anaphalaxis hole ki korba >
desensitization
IgE fucntion ,
immediate hypersensitivity
defend parasitic infections by casuing release of enzymes from eosinophils
desensitization ,
379
what is hapten ?
353
mediators of anaphylaxis?
378
which cells in anaphylaxis ,.
jhuma mam
378
Vaccine dile kon immunity ?
acquired
active artificial
type-4 H M/A ?
389
B cell fucntion ,
336
Which Ig is secretory?
IgA
immunoglobulins dile kon immunity <
passive
MHC & HLA ki same <
YES
MHC & HLA full form <
major histocompatibilty complex
human leukocyte antigen
differnce ki HLA & MHC ER <
MHC - Protein - cluster on gene
HLA - gene
HLA - MHC in human
MHC - 1 & 2 fucntion ,
372
RF in immunology must fro Jhuma mam >
168
antibody type <
GAMED
Sobceye beshi kon AB <
IgG - 75%
Ig kon dhoroner immnuty dey ?
PASSIVE
Molecular mimicry example .
GBSโ
reitres syndrome
R heart d
kom AB konta ?
IgE
0.004%
first time AB dhukle kon complement /
Alternative
Complement prokash kori ki diye
C
Immunodeficiency disease ki <
Defects in one or more components of the immune system can lead to seriuous and often fatal disorders
that are ccollectivly known as โ
immunologically previleged sites >
brain
eyes
testes
ovary
joint cartilage
immune response are limited
T cell type <
CD4+
CD8+
Complement kon type protein ,
Plasma
Importance of MHC ?
372
3 difference between sensitization and de-sensitization ?
Here are three key differences between sensitization and de-sensitization:
-
Immune Response:
- Sensitization: The immune system develops an increased sensitivity to an antigen, often leading to an allergic or hypersensitivity reaction upon subsequent exposure.
- De-sensitization: The immune system is gradually exposed to an allergen in controlled doses to reduce or eliminate hypersensitivity reactions.
-
Outcome:
- Sensitization: Results in heightened immune reactivity (e.g., IgE production in allergies).
- De-sensitization: Aims to induce immune tolerance, reducing or preventing allergic reactions.
-
Clinical Application:
- Sensitization: Often undesirable, as it underlies conditions like allergies, asthma, or transplant rejection.
- De-sensitization: Used therapeutically to treat allergies (e.g., immunotherapy) or prevent reactions to medications (e.g., penicillin de-sensitization).
MHC-1 vs 2 ?
372
what is Minor-histo compatibility complex <
The minor histocompatibility complex refers to a group of antigens encoded by genes outside the major histocompatibility complex (MHC). These antigens can trigger an immune response during organ or tissue transplantation, even when the donor and recipient are MHC-matched. They are called โminorโ because they elicit weaker immune responses compared to MHC antigens, but they can still contribute to graft rejection or graft-versus-host disease (GVHD).
cytotoxic T cell receptor ,
TCR
CD 8
Immunology def >< Jhuma mam
325
immunocompotent cell er name <
332
APC example ?
332
AB production M/A ?
345 whole figureee
graft /
392
ekta baccha congenital anomely niye jonmale ki valo kichu hobe ?>
NO
keno valo hobe na .
kichu din por por infection hobe
kivabe eii baccha ke safe rakhba ? H
hygiene maintain
relatives niye beshi vir kora jabe na
ICT te stool niye ki dekhbo ?
Atg blood e dekhbo AB
a bacteria and virus that have both live and kille dvaccine ?
V Cholerae
Polio
Why NK cells called so ?
338
they activate without prior exposure to the virus
not enhanced by exposure
not specific for any virus
kill without AB
no need of MHC
HOW NK cell then kill virus <
perforins โgranzymes
Graft er age ki ki mesaure <
397
fate of graft ?
acceptsnce
or rejection
tumor immunity mechanism ,
400
must
is blood transfusion is called transplantation ??
Blood transfusion is not called transplantation because it involves the transfer of only blood or blood components (e.g., RBCs, plasma) rather than solid organs or tissues. Transplantation typically refers to the grafting of organs, tissues, or cells (e.g., kidney, bone marrow) that integrate into the recipientโs body. Blood transfusions are temporary and do not involve long-term engraftment.
test done before blood donation ?
- Donor Questionnaire
- Hemoglobin/Hematocrit Test
- Blood Typing (ABO and Rh)
- Infectious Disease Screening (e.g., HIV, Hepatitis B/C, Syphilis)
- Blood Pressure Check
- Pulse Rate Check
- Temperature Check
cross matching e blood na mille shei blood dile ki hobe >??
- Acute Hemolytic Reaction
- Disseminated Intravascular Coagulation (DIC)
- Renal Failure
- Hypotension and Shock
- Jaundice
- Anaphylactic Reaction
- Death
cause of hyperacute graft rejection ?
Hyperacute rejection is characterized by thrombotic occlusion of the graft vasculature that begins within minutes to hours after host blood vessels are anastomose to graft vessles and mediated by pre-existing AB and the host circualtion
which Ig in primary response >
IgM
Which AB in secondary response?
IgG
Cell mediated immunity component ?
innate
=NK cell
=macrophage
adaptive
=Th
=Tcyt
humoral immunity component >
innate
=neutrophil
=complement
adaptive
=B cell
=plasma cell
328
desensitization type >
acute
chronic
acute desensitization kivabe <
very small amout of Atg at 15 minutes intervels
cchronic desensitization?
long term administration weekly
IgA destroy kore emon baccteeria er criteria ki ?
capsulated
emon bacteria er example deo»_space;
Some capsulated bacteria that can produce IgA proteases (enzymes that destroy IgA) include:
- Streptococcus pneumoniae
- Haemophilus influenzae
- Neisseria meningitidis
- Neisseria gonorrhoeae
These bacteria use IgA proteases to evade mucosal immune defenses.
site of secretory IgA ?
Secretory IgA (sIgA) is primarily found at mucosal surfaces, including:
- Gastrointestinal tract
- Respiratory tract
- Genitourinary tract
- Saliva
- Tears
- Breast milk
It plays a key role in mucosal immunity by preventing pathogen attachment and invasion.
Splenectomy pt e jeno capsulated bacteria disease korte na pre tar jonno ki korbo ?
vaccination
site of destruction of capsulated bacetia >?
spleen
why fetus as an allograft
not rejected ?
trophoblast layer
Thymic educationn ?/
334
hybridoma ki ?
b cell + myeloma
fusion derived immortalized
AB producing cell
which monoclonal AB in rheumatoid arthirits >
infliximab
adalimunab
rituximab
certolizumab
which AB has no AB-like function ?
IgD
Kon AB er molecular weight beshi ?
IgM
why IgG can pass placenta ? i
its Fc portion can bind with placental membrane
then what is the fucntion of IgD ><
BCR
monoclonal Ab ki >
363
PENTAMAR konta <
IgM
monomar ke M
IgG
B cell maturation ??
335
stemcell โ pre B cell โ- B cell immature โ mature โ activated โ plasma cell
Th 1 2 fucntion ,
349
MAC ki kore <
cell lysis
ultimate product of complement >
MAC
helper T cell fucntion ?
valo kore bolte hobe
333
T cell release cytokine <
IL-2
TNF
IFN- gamma
Agglutination VS precipitation ..
416
IgM form >
monomaric
pentamaric
First which AB is produced in body ,
IgM
what is prozone phenomenon ?
inhibition of agglutination by excess AB
How to overcome prozone phenomenon ?
AB dilution kore
Latent TB er shomoy ki korbo ?
IGRA
which type is Th17 cell <
CD4+ helper cell
source of complement ?
liver
macrrophage
fibroblast
365
Function of IgM ?
primary response
fix compliment
Type-1 2 3 hypersensitivyt ki mediated ,
AB
normally complement kemon thake >
plasma te inactiavte thake
vaccine dile kivabe AB produce hoy ?
345
CMI te participate kore na ke?>
B /T ??
B cell
T cell VS B cell ,
336
epitope spreading ki /
405
active passive example /
325
3 ta complement pathway kokhon ek jaygay asbe .
C5 produce er shomoy
which one is central complement >,
C3b
activator of complement >
367
immunodeficeincy te complement deficiency hole ki hobe ?
C3b โ jhuma mam
pyogenic bacterial infection
why name B cell <
they first discovered in birds
where maturation occur in bursa of Fabricus , a lympho-epithelial organ in birds
T cell why this name <
mature and develop in the thymus gland
widal test type ?
serological
atopy example <
urticaria
allergic rhinits
bronchial asthma
angioedema
eczema
SOMC te kon kon transplantation ?
cochlear
liver
kidney
cornea
heart
cartilage
why IgE IN type- 1 ?
377
paralysis type in GBS >
Ascending
polio vs GBS <
Paralysis pattern
polio - asymmetrical
GBS - symmetrical + ascending
GBS kivabe hoy /
Compylobacter diye
main fucntion of AB ,
recognize and bind to foreign sundtances
antigen er MW kom hole problem ki <
weak immunogenic
which immunity exercise korle bare <
acquired
MW of antigen >
> 10K dalton
systemic immune complex disease in Type-3
AB-Atg complex deposition in circulation
localized type of type-3 H ,
glomerulonephritis
arthirits
Type-3 hypersensitivity type ?
systemic
localized
what is CD <
Cluster differentiation
acute infection which AB <>
iG,M
CHronic infection which AB <
IgG
PHYSIOLOGIC sequlae of immunodeficeincy disease <
general malnutrition
energy metabolism
trace metal deficiency
vitamin deficeincy
which monoclonal AB in cancer <
bevacizumab
cetuximab
panitumumab
ICT kit ki type type /
421
principle of ICT /
rapid strip based immunoassay
qualitiative
CFT example
kala azar
gonococcus
filatiaisi
slide agglutination >
serotyping of bacteria
blood grouping
latex <
HBsAg detection
ASO titer
tube <
widal test
weil felix test
IF /
detect T B cell
secondarybB ce;ll
hypogmmaglobulnemia
dec sy theiss of IgG
primary T cell deficiency ,
thymic aplasia
hyper-IgM syndrome
chronic mucocutanueous candiditis
primary B cell deficeincy >
Ig deficiency
X linked Brutons hypogammaglobulinemia
Secondary T cell
AIDS โ
HIV
measles
3.38PM
13-2-2025
how IgG pass placenta ?
neonatal Fc receptor FcRn located on the syncytotrophoblast of the placenta
properties of IgG ?
Monomar
blood + interstitial fluyid
secondary response
fix complement
enhance complement
type-2 Hypersensitivity name ?
cytotoxic mediated
which IL produce CRP ?
IL-6
Protein of immune system ?
CRP
MBP
lipopolysaccharide
RF kon type ?
2
AGN kon type ?
3
eye e kon immune component ?
lysozyme
acute phase protein name ?
CRP
alpha 1 anti-trypsin
alpha 2 macroglobulin
C9
factor B
fibrinogen
chemical classify of Atg ?
protein
lipid
NA
polysaccharide
which Atg most potent ?
protein
cytotoxic cell konta ke kill kore /
tumor cell
graft cell
virus infected cell
plasma cell theeke ki toiri ?
AB
B cell to plasma hote ki lage ?
IL-4 5
Complement deficinecny whicch N ?
N meningitis
beshi AB ?
IgG -75%
2nd beshi AB ?
IgA -15%
primary vs secondary immune response ?
341
NK dekhte kemon ?
granular large lymphpcyte
shape of immunoglobulins ?
Y
portion koyta ?
Fab
Fc
Fc portion why ?
portion of carboxyl terminal
fraction crytallized
Fab portion why ?
antigen bind
merits and demerits of immune response ?
324
why no immune response in spermatic cord ?
Blood testis barrier
fas ligand - induce apoptosis
testestorione -suprress immune activation
immunity def ?
all those physiological mechanism
that endow the individual
with the ability to
recognize materials foreign to itself
and to neutrilize
metabolize / eliminbate it
with / without injury to the host cell
functions of innate immunity ?
killing invading microbes
activating adaptive immunity
mam slide
in which case penicillin IV ?
bacterial meningitis
neurosyphillis
gas gangrene
anthrax
which test before this ?
skin test
gram stain
sensitivity test
immunodeficeiy disorder example must ?
410
erytrhoblastosis fetalis ??
๐ถ๐ด Erythroblastosis Fetalis (Hemolytic Disease of the Newborn)
- Cause: Maternal IgG Abs against fetal RBC Ags (Rh incompatibility, ABO less severe).
- Pathophys: Rhโป mother โถ Rhโบ fetus โถ sensitization (1st pregnancy) โถ IgG anti-D Abs cross placenta (2nd pregnancy) โถ fetal RBC hemolysis.
- Sx: Hydrops fetalis, anemia, jaundice (โunconj. bilirubin), hepatosplenomegaly, kernicterus.
- Dx: Coombs test (Direct + on newborn RBCs).
- Tx: Exchange transfusion.
- Prevention: RhoGAM (Anti-D Ig at 28wks + postpartum).
@usmlereviews
coombs test all
415
why preganancy immunodeficiency state
๐คฐ๐ Pregnancy = Immunodeficient State
- ๐ปTh1, ๐บTh2, ๐บTregs โถ โcell-mediated immunity.
- Hormones: โProgesterone, Estrogen, hCG, Cortisol โถ immunosuppression.
- Placenta: No MHC-I (syncytiotrophoblast), HLA-G โถ NK cell inhibition.
- Effect: โInfections (Listeria, CMV), โAutoimmune flares (RA).
@usmlereviews
example of immunodeficient state ?
๐ฆ ๐ Examples of Immunodeficient States
-
Primary (Congenital)
- X-linked Agammaglobulinemia (BTK mut โถ โ B cells)
- SCID (Adenosine deaminase def, IL-2Rฮณ mut โถ โ T/B cells)
- Hyper-IgM Syndrome (CD40L defect โถ โ class switching)
- DiGeorge Syndrome (22q11 del โถ โ T cells, thymic aplasia)
-
Secondary (Acquired)
- HIV/AIDS (CD4+ T cell depletion)
- Chemo/Radiation (BM suppression)
- Pregnancy (Th1 โฌ, Th2 โฌ)
- Diabetes (Neutrophil dysfunction)
- Malnutrition (Zinc, protein def โถ T cell impairment)
@usmlereviews
which vaccine form part of a bacteria ?
๐ฆ ๐ Subunit (Component-Based) Bacterial Vaccines
-
Toxoid Vaccines (Inactivated bacterial toxin)
- Diphtheria (Corynebacterium diphtheriae)
- Tetanus (Clostridium tetani)
-
Polysaccharide Vaccines (Capsular Ag, ยฑ conjugation for T-cell response)
- Pneumococcal (Strep. pneumoniae) (PCV = conjugate, PPSV = polysaccharide)
- Meningococcal (Neisseria meningitidis)
- Haemophilus influenzae type B (Hib)
-
Protein Subunit Vaccines
- Pertussis (Bordetella pertussis) (aP in DTaP/Tdap)
@usmlereviews
which one is good
vaccine or AB >?
๐ vs. ๐ฆ Vaccine vs. Antibody Therapy
๐น Vaccine (Active Immunity) โ
Best for Prevention
- MOA: Stimulates immune memory (B/T cells).
- Duration: Long-term (years-lifetime).
- Types: Live, inactivated, subunit, toxoid.
- Example: MMR, DTaP, Hep B.
๐น Antibody Therapy (Passive Immunity) โ
Best for Immediate Protection
- MOA: Pre-formed IgG Abs neutralize pathogen.
- Duration: Short-term (weeks-months).
- Types: Monoclonal Abs, IVIG, convalescent plasma.
- Example: RhoGAM, Tetanus Ig, Rabies Ig.
Best Choice?
- Prevention โถ Vaccine.
- Immediate protection (high-risk exposure, immunocomp.) โถ Antibody.
@usmlereviews
Which AB not like AB ?
igd
IGd koi <
BCR
CMI kivabe hoy ?
346
HI kivabe hoy >
346
autoimmunity ki mediated ?
cell
B & T cell
which pathway first and why ?
๐ก๏ธ Complement Activation: First Pathway?
๐น Alternative Pathway (First) โ
Always Active
- MOA: Spontaneous C3 hydrolysis (tickover).
- Why? No need for Abs, innate defense.
- Fastest response to pathogens (LPS, fungi, bacteria).
๐น Lectin & Classical (Delayed)
- Lectin: MBL binds mannose (bacterial sugars).
- Classical: C1 binds IgG/IgM (adaptive, needs Abs).
@usmlereviews
role of 8 ?
MHC-II = 4
MHC-I = 8
How APC cell present atg ?
APC must have MHC-I / II
present to T cell (CD 4/8)
342
APC - Co-stimulation
MHC ki RBC te pawa jay >
immature e
cause tara neucleated
toxin er against e kon complement ? a
alternative
IgM IgG er agaiant kon complement ?
classical
smallest AB ?
IgG
largest AB >
IgM
no MHC where in body ?
Both MHC-I & II Absent โ
Corneal Cells (Immune privilege โ rejection). Sperm Cells (partially) (Immune tolerance).
atg-ab reaction name inside and outside the body ?
๐ฆ ๐ฌ Ag-Ab Reaction (In Vivo vs. In Vitro)
๐น Inside Body (In Vivo) ๐ฅ
- Neutralization (Toxins, viruses blocked).
- Opsonization (IgG tags for phagocytosis).
- ADCC (Antibody-Dependent Cell-Mediated Cytotoxicity) (NK cells kill).
- Complement Activation (Classical pathway โฌ C1 binding).
- Immune Complex Formation (Type III hypersensitivity).
๐น Outside Body (In Vitro) ๐งช
- Precipitation (Soluble Ag + Ab โ visible complex).
- Agglutination (Particulate Ag + Ab โ clumping, e.g., ABO test).
- ELISA (Ag-Ab binding โ color change).
- Western Blot (Protein-Ab detection).
- Immunofluorescence (Tagged Abs detect Ag).
@usmlereviews
APC in which type of immunity ?
Adaptive immune response
are APC neucleated cell ?
YES
memory T cell which type of response ?
secondary
how memory T cell produce >
if antigen enter into the body how cell will determine whether CMI / HI needed ?
atg - outside the body โ HI - AB
atg - inside the body CMI - cytotoxic T cell
central tolerance kader beeshuu ?
old
IL-4,5 from where in B cell ?
Th2
IL4 ??
b CELL growth
IL-5 ??
B cell differentiation
why Type=4 delayed ?
starts hours/days after contact with the ATG
last for days
which cell in type-4 ?
helper + cytotoxc
389
epitope spreading disease /
SLE
chrons disease
ulcerative collitis
IBD
coxsackie disease ?
myopcarditis
DM-1
sensitive test for SLE ?
Anti-nuclear antibody
ANA test
type 5 hypersensitivity?
graves d
myasthenia gravis
type 5 what ?
AB target surface receptor that are activated by hormones
cell mediated killing // AB ?
347