Immunodeficiency Flashcards

1
Q

CD40L gene is associated with which immune deficiency?

A

Hyper IgM syndrome

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2
Q

B cells that are unable to undergo class-switching?

A

Hyper IgM

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3
Q

A mutation in the common gamma chain is associated with which immune deficiency?

A

X-linked SCID

common gamma chain aka IL-2 receptor subunit gamma

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4
Q

Lack of MHC II expression on antigen presenting cells, what inheritance pattern is this condition?

A

Bare lymphocyte syndrome

Autosomal recessive

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5
Q

Granulocyte precursors are unable to form granules secondary to mitochondrial adenylate kinase 2 malfunction

A

Reticular dysgenesis - a form of SCID

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6
Q

A defective enzyme which leads to the accumulation of dATP which in turn inhibits ribonucleotide reductase.

A

Adenosine deaminase deficiency - second most common form of SCID

(The enzyme is adenoise deaminase. The dATP inhibits ribonucleotide reductase - overall inhibits lymphocyte proliferation)

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7
Q

Autosomal dominant microdeletion condition

A

DiGeorge syndrome (22q11)

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8
Q

X-linked disease with thrombocytopenia, eczema and inability of T cells to become polarised

A

Wiskott-Aldrich syndrome

WASp gene

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9
Q

Complete lack of B cells and low levels of all antibody classes

A

X-linked agammaglobulinaemia (Bruton’s)

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10
Q

This molecule includes C2, C4 and B factor as well as other cytokines and heat shock proteins.

A

MHC III

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11
Q

What type of inheritance is present in Adenosine deaminase deficiency?

A

Autosomal recessive

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12
Q

What type of inheritance is present in Bare lymphocyte syndrome?

A

Autosomal recessive

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13
Q

What type of inheritance is present in the most common form of SCID?

A

X-linked

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14
Q

What type of inheritance is present in Bruton’s agammaglobulinaemia?

A

X-linked

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15
Q

What type of inheritance is present in DiGeorge syndrome?

A

Autosomal dominant

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16
Q

What type of inheritance is present in Wiskott-Aldrich syndrome?

A

X-linked

17
Q

What type of inheritance is present in Hyper IgM syndrome type 1?

A

X-linked

18
Q

What type of inheritance is present in Hyper IgM syndrome type 2?

A

Autosomal recessive

think type 2 - takes 2 copies to be present

19
Q

Recurrent respiratory and gastrointestinal tract infections

A

Selective IgA deficiency

20
Q

What does triple therapy immunosuppression consist of?

A

Corticosteroids, e.g. prednisolone or hydrocortisone

Calcinuerin inhibitors, e.g. ciclosporin or tacrolimus

anti-proliferatives, e.g. azathioprine or mycophenolic acid (aka mycophenolate)

21
Q

Which class of HLA belong to MHC I therefore involved with CD8 response

A

HLA A, B and C

22
Q

Which class of HLA belong to MHC II therefore involved with CD4 response?

A

HLA DR

23
Q

An immunossupressant which can cause gum hypertrophy and increased hair growth

A

Ciclosporin