Immunoassays Flashcards

1
Q

What test indicates the presence of the organism in the specimen?

A

Antigen Detection Test

  • Requires specific antibodies
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2
Q

What test indicates the host responses to the organism?

A

Antibody and Cytokine Detection Test

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3
Q

True or False: Antigen and Antibody/Cytokine Detection Tests are always retrospective to some extent?

A

True

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4
Q

What is the difference between antigen vs. epitope

A

An epitope is the part of an antigen where the antibodies bind.

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5
Q

What are examples of antigen detection tests?

A
  1. Direct Fluorescence Microscopy Assay (DFA)
  2. Rapid Strep Test
  3. Staph Aureus Agglutination Test
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6
Q

Immunoassays such as ELISA can be built to detect

A

Serum Antigen or Serum Antibody

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7
Q

True or False: All infections result in antibody production.

A

False

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8
Q

Is Serology An Antigen or Antibody Detection Assay?

A

Antibody

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9
Q

What type of test would have a higher limit of detection?

A

Less sensitive test

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10
Q

What type of test would have a lower limit of detection?

A

More sensitive test

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11
Q

How can you distinguish more recent from longer-standing infection with an antibody detection test?

A

Through antibody affinity maturation

*Early antibodies would have lower affinity than later antibodies.

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12
Q

What is population-based measure of exposure?

A

Seroprevalence

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13
Q

What does seroprevalence tell you?

A

% of people tested with detectable antibody to a pathogen in question.

*Think of COVID

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14
Q

What are examples of T-cell based assays?

A
  1. TB Skin Test (TS)

2. Interferon y Release Assay (IGRA)

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15
Q

What does TB skin test detect or look for?

A

The test detects cellular responses to a substance known as Purified Protein Derivate (PPD).

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16
Q

Where is PPD made from?

A

Mycobacterium tuberculosis

17
Q

Why is BCG no longer given in the US?

A

BCG is a TB vaccine made from Mycobacterium bovis which is closely related to M. tuberculosis. TB skin test can also recognize BCG and give false positive results for people who have been vaccinated with BCG.

18
Q

Describe IGRA

A

It’s an in vitro test that measures a person’s response to M. tuberculosis by measuring IFN-gamma concentration released by T cells (Th1).

19
Q

What is an example of false-positive result with cross-reactivity?

A

People who have been vaccinated with BCG can have false positives for TST.

20
Q

What is an example of false-negative result with immune compromise?

A

People with T cell immunodeficiencies can have false negatives for TST and IGRA since both tests require T cell response.