Immunodeficiency Flashcards

1
Q

1. Defects in the neutrophil NADPH oxidase system result in:

A Chronic granulomatous disease

B Chediak–Higashi disease

C Leukocyte adhesion deficiency

D Hashimoto’s disease

E Agammaglobulinemia

A

A Chronic granulomatous disease

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2
Q

2. Mendelian susceptibility to mycobacterial infection does NOT involve the gene for:

A IFNγR1

B IL-12 p40

C IFNγR2

D MEFV

E IL-12RβI

A

D MEFV

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3
Q

3. Paroxysmal nocturnal hemoglobulinuria results from deficiency in:

A Myeloperoxidase

B Decay accelerating factor (DAF)

C Classical pathway C components

D C1 inhibitor

E C8

A

B Decay accelerating factor (DAF)

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4
Q

4. X-linked agammaglobulinemia results from a mutation in:

A IFNγ receptor

B The CIITA promoter protein

C An HLA gene

D CD40L (CD154)

E A tyrosine kinase gene

A

E A tyrosine kinase gene

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5
Q

5. Di George syndrome results from a defect in:

A Purine nucleoside phosphorylase

B Wiskott–Aldrich syndrome protein (WASP)

C Thymic development

D DNA repair

E CD3

A

C Thymic development

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6
Q

6. What is the approximate percentage of cases of severe combined immunodeficiency (SCID) due to defects in the Armetis gene?

A 5%

B 10%

C 15%

D 40%

E 60%

A

C 15%

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7
Q

7. What deficiency is indicated by poor skin test results to a range of microbial antigens such as tuberculin and mumps?

A NK cells

B T-cells

C B-cells

D Phagocytosis

E Opsonization

A

B T-cells

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8
Q

8. What does HIV binds to?

A CD4

B IL-2 receptor

C NFκB

D Reverse transcriptase

E TNF receptors

A

A CD4

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9
Q

9. Which of the following is a coreceptor for HIV?

A RANTES

B CD8

C CD54

D CR5

E CXCR4

A

E CXCR4

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10
Q

10. Which of the following is NOT helpful in the diagnosis of AIDS?

A CD4 numbers

B CD8 numbers

C Skin tests to bacterial antigens

D Lymph node biopsy

E Serum p24 antigen

A

B CD8 numbers

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11
Q

11 Which of the following HIV antigens provides a potential target for neutralizing antibody?

A rev

B gp120

C Reverse transcriptase

D Protease

E tat

A

B gp120

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12
Q

12. Primary immunodeficiency producing susceptibility to infection by viruses and molds is caused by:

A B-cell deficiency

B T-cell deficiency

C Phagocyte deficiency

D Complement deficiency

E Eosinophil deficiency

A

B T-cell deficiency

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13
Q

13. Deletions in the T-cell CD154 (CD40L) gene produce:

A The hyper-IgM syndrome

B X-linked agammaglobulinemia

C Selective IgA deficiency

D Wiskott–Aldrich syndrome

E Deficiency in cytotoxic T-cell activity

A

A The hyper-IgM syndrome

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14
Q

14. Which of the following have NOT provided examples of secondary immunodeficiency?

A Viral infection

B Lymphoproliferative disorders

C Cytotoxic drugs

D High fat diet

E Low iron diet

A

D High fat diet

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15
Q

15. Mutations in the gene encoding which of the following most commonly results in severe combined immunodeficiency (SCID)?

A Adenosine deaminase (ADA)

B IL-7 receptor α chain

C Gamma C interleukin receptor component of the interleukin-15 receptor

D RAG-2 (recombination activating gene-2)

E Artemis

A

C Gamma C interleukin receptor component of the interleukin-15 receptor

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16
Q

16. Which of the following is the single immunodeficiency disease that most profoundly affects CD4-positive T-cells?

A AIDS

B Complete DiGeorge syndrome

C Purine nucleoside phosphorylase (PNP) deficiency

D Severe protein-calorie malnutrition

E Wiskott–Aldrich syndrome

A

B Complete DiGeorge syndrome

17
Q

17. What is the best description of an antibody that would prevent infection with HIV?

A Neutralizing antibody

B Anti-vpu

C Enhancing antibody

D Opsonizing antibody

E Anti-gag

A

A Neutralizing antibody

18
Q

18. What is the only HIV vaccine employed to have provided any evidence of efficacy?

A Freund’s complete adjuvant

B HIV vif

C Priming with HIV protein

D Recombinant HIV gag

E A canarypox vector

A

E A canarypox vector

19
Q

19. Which of the following is an example of an HIV-1 restriction factor?

A EcoR1

B TRIM5α

C gp41

D CXCR4

E Integrase

A

B TRIM5α

20
Q

20. Which of the following is the most prevalent primary immunodeficiency disease?

A DiGeorge syndrome

B X-linked agammaglobulinemia

C Wiskott Aldrich syndrome

D Selective IgA deficiency

E Reticular dysgenesis

A

D Selective IgA deficiency