Immunology Exam 2 Flashcards
A child disturbs a wasp nest is stung repeatedly, and goes into shock within minutes, manifesting respiratory failure and vascular collapse. This is most likely to be due to?
Systemic Anaphylaxis
Type II hypersensitivities are due to
Complement-induced lysis of cells in the presence of IgF or IgM antibodies.
Presentation of T-cell-dpendent antigens to B cells will be done with the help of which of the following T cells?
CD4
When the total antibody has its highest level during primary response?
Exponential Period
A primary immune response in an adult human requires approximately how much time to produce detectible antibody levels in the blood?
1 Week
Which of the following allergic response best describes hemolytic disease of the newborn caused by Rh incompatibility?
Type II
J chain is a glycopeptide chain associated with which of the following immunoglobulin?
IgA
IgD antibody has receptors on B-cell
True
Pollen is which type of allergen, and causes which type of hpersensitivity
Inhalant - Type I
B cells are responsible for which allergies?
Asthma and Anaphylaxis (A & B)
T-Cells have the ability to respond to antigens such as
Protein
Production of IgG is involved in–
Immune complex disease
Antibody in treatment with ______ enzyme produces two identical fragments of Fab and Fc fragments.
Papain
Fc fragment of antibody can bind to C1 component of complement
True
Which type of these allergies is B cell-mediated?
Type II & Type III
Cell-associated cytotoxicity occurs in which of the following hypersensitivity reactions?
Type 2
The T helper (Th) cells produce _________, that stimulates a general increase in the activity of committed B-Cells.
Interleukin-2
Which of the following antibody cannot function as opsonin because of the lack of Fc receptor on phagocytic cells?
IgM
A cytokine, interleukin-1 produced by _________, activates the T helper cells (mature & proliferate).
Macrophage
C3 is not a stable molecule & is constantly undergoing spontaneous low level activation. Spontaneous activation of C3 is most likely to happen on cell surface components.
True
This antibody has harmful effect and has a low percent in blood circulation.
IgE
C1 component of complement has a receptor for which of the following fragments of the immunoglobin?
F-C
Which of the following components of the complement primarily undergoes activation in the alternative complement pathway?
C2/C4
Mechanism/s for cell damage in type II hypersensitivity will be caused by
Claccical complement cascade
Natural killer cells
Opsonization
ALL OF THE ABOVE
Incompatible blood transfusion could induce a hemolytic reaction that results in intravascular lysis of the RBC’s, and release of _______ from lysed cells.
Hemoglobin
Antibodies bind to antigens and cause _____
Opsonization
Agglutination
Neutralization
ALL OF THE ABOVE
_________ regions in both chains of antibody are responsible for fixing complement.
Variable
Which of the following Immunoglobin is able to activate the complement system by classic pathway?
IgG
T4 (helper) cells are able to recognize foreign antigens in combination with which of the following classes of the Majoe Histocompatibility Complex?
Class II molecules
A fetus can produce immunoglobin of which of the following classes?
IgM
This component of complement that is produced during complement activation, is the most important opsonin for activation of phagocytic cells
C3
Which of the following components of complement is called anaphylatoxin?
C5a and C3a (A and C)
In secondary antibody responses the antibodies of which of the following classes of immunoglobulin is produced most?
IgG
Which of the following is antigen presenting cell?
Dendritic Cells
Deficiency or low level ________ can cause recurrent bacterial infection (pyogenc bacteria).
C1, C2, C3, C4 (All of the above)
Combination of which of the following components of complement is called membrane attack complex?
C5b, C6b, C7b, C8b, C9b
Ingeneration of atopic hypersensitivity, fixation of IgE to _______ occurs via the Fc fragment
Mast, Basophiles (A and B)
The human major histocompatibility complex (MHC) is composed of a cluster of genes located ______
Chromosome 6
The human major histocompatibility complex (MHC) also know as ______
Human Leukocyte antigen (HLA)
Theoretically, type _____ blood can not be donated to all persons because it contains ____
AB Antigens
Cell associated cytotoxcity occurs in which of the following hypersensitivity reactions?
Type 2
Mechanism/s for cell damage in type II hypersensitivity
Classical complement cascade
Activation of Natural Killer Cells
Opsonization
ALL OF THE ABOVE
Incompatible blood transfusion could induce a hemolytic reaction that results in intravascular lysis of the RBC’s and release of _____ from lysed cells
Hemoglobulin
Antibodies bind to antigens and cause
Opsonization
Agglutination
Neutralization
ALL OF THE ABOVE
_______ regions in both chains of antibody are responsible for fixing compliment.
Variable (V)
Which of the following Immunoglobulin is not able to activate the complement system by classic pathway?
IgD
C1 component of complement has a receptor for which of the following fragments of the immunoglobulin?
F-c
Which of the following components of the complement primarily undergoes activation in the lectin complement pathway?
C3
T4 (helper) cells are able to recognize foreign antigens in combination with which of the following classes of the Major Histocompatibility Complex?
Class II molecules
A fetus can produce immunoglobulins of which of the following classes?
IgM
This component of complement that is produced during complement activation, is the most important opsonin for activation of phagocytic cells
C3
Which of the following components of complement is called anaphylatoxin?
C5a & C3a ( A and C)
In secondary antibody responses the antibodies of which of the following classes of immunoglobuin is produced most?
IgG
Which of the following is antigen presenting cell?
Denritic cells
Deficiency or low levels of ____ can cause recutrrent bacterial infection (pyogenic bacteria.
C1, C2, C3, C4
ALL OF THE ABOVE
Combinatino of which of the following components of complement is called membrane attack complex?
C5b, C6b, C7b, C8b, C9b
In gene3ration of atopic hypersensitivity, fixation of IgE to _______ occurs via the Fc fragment
Mast cells
Basophils
(A and B)
The human major histocompatibility complex (MHC) is composed of a cluster of genes located _____
Chromosome 6
The human major histocompatibility complex (MHC) also known as _____
Human Leukocyte antigen (HLA)
Theoretically, type ______ blood can be donated to all persons because it lack _____
O, antigens
An example of a type I hypersensitivity is _____ .
Atopy
Type II hypersensitivities are due to
Activation of cytotoxic T cells
Properties of haptons include
Reactivity but no immunogenicity
An antigen that occurs in various tissues of same species is referred to as:
Alloantigen
Antigenic site that bind to antibody are called _________
Epitopes
Small moecules that have antigenic determinant group ard are not immunogenic are, ______
Penicillin
Catechol
(A and B)
Some bacterial toxins are Super-Antigens. Presence of super-antigens in an infection blocks activation of T-cells.
FALSE
B-cells have the ability to respond to antigens such as _____
Protein
Polysaccharide
Carbohydrate
ALL OF THE ABOVE
This antibody has lowest percent in blood circulation and has harmful effect.
IgE
The T helper (Th) cells produce______, that stimulates a general increase in the activity of committed B-Cells.
Interleukin-2
Because of the lack of Fc receptor on phagocytic cells, this antibody cannot function as opsonin.
IgM
A cytokin, interleukin-1 produced by ________, activates the T helper cells (mature & proliferate)
Macrophage
C3 is not a stable molecule and is constantly undergoing spontaneous low level activation. Spontaneous activation of C3 is most likely to happen on cell surface components.
TRUE
Examples of physiologic barrier to infection.
Oil & Skin
Nonspecific host defense is associated with ________
Saliva
These leukocytes have no identifiable membrane markers, can fight against cancer and belong to innate immunity.
Natural Killer Cels
This antibody has lowest percent in blood circulation and has harmful effect.
IgE
Interferon (IFN) can interfere with viral infection. Interferon is a protein made by viral infected cells that bind to adjacent cells, and make them to be resistant to viral infection.
FALSE
IFN (y) can be produced by which one of the following cells?
Macrophages
Some microbes may produce peptide antigens that are similar to, and cross-react with, self antigen. Immune response attacks against these self antigens and produce antibodies that can cross react with tissues. These finding are based on ____.
Theory of Sequestered Antigens
Lymphokines play a mediator role in the manifestation of which of the following hypersensitivities?
A delayed type allergy
Acute contact dermatitis
(A & B)
Prevalence of MS is ______ in tropical, and ______ in North Europe, and Central USA.
Low, High
Immunosupprasive strategies for prolongation of allograft
Antigen specific Immunosuppresion
Generalized immunosuppresion is effective, but it predisposes patients to __________
Cancer
T cells are important in controlling
Virus Infection
Allergy
Autoimmunity
ALL OF THE ABOVE
J chain is a glycopeptide chain associated with which of the following immunoglobulin?
IgA
Which of the following autoimmune disease is very rare and associated with Blood vessel inflammation affecting the nose, lung, and glomuerals?
Wegner’ granolumatosis
This tolerance is unresponsive to self-antigens (all the endogenous antigens ____________
Natural Tolerance