levinson questions Flashcards
402: C3 is cleaved to form C3a and C3b by C3 convertase. C3b is involved in all of the following except:
A: increasing vascular permeability
B: promoting phagocytosis
C: forming alternative-pathway C3 convertase
D: forming C5 convertase
A
403: after binding to its specific antigen, a B lymphocyte may switch its: A: immunoglobulin light chain isotype B: immunoglobulin heavy chain class C: variable region of the immunoglobulin heavy chain D: constant region of the immunoglobulin light chain
B
404: diversity is an important feature of the immune system. which one of the following statements about it is incorrect?
A: humans can make antibodies with about 10^8 different VhxVl combinations
B: a single cell can synthesize IgM antibody then switch to IgA antibody
C: the hematopoietic stem cell carries the genetic potential to create more than 10^4 immunoglobulin genes
D: a single B lympocyte can produce antibodies of many different specificities, but a plasma cell is monospecific
D
405: C3a and C5a can cause: A: bacterial lysis B: vascular permeability C: phagocytosis of IgE-coated bacteria D: aggregation of C4 and C2
B
406: neutrophils are attracted to an infected area by: A: IgM B: C1 C: C5a D: C8
C
407: complement fixation refers to:
A: the ingestion of C3b-coated bacteria by macrophages
B: the destruction of complement in serum by heating at 56 C for 30 minutes
C: the binding of complement components by antigen-antibody complexes
D: the interaction of C3b with mast cells
C
408: the classic complement pathway is initiated by interaction of C1 with: A: antigen B: B-factor C: antigin-IgG complexes D: bacterial lipopolysaccharides
C
409: patients with severely reduced C3 levels tend to have:
A: increased numbers of severe viral infections
B: increased numbers of severe bacterial infections
C: low gamma globulin levels
D: frequent episodes of hemolytic anemia
B
410: individuals with a genetic deficiency of C6 have:
A: decreased resistance to viral infections
B: increased hypersensitivity reactions
C: increased frequency of cancer
D: decreased resistance to neisseria bacteremia
D
411: natural killer cells are:
A: b cells that can kill without complement
B: cytotoxic T cells
C: increased by immunization
D: able to kill virus-infected cells without prior sensitization
D
415: “isotype switching” of immunoglobulin clases by B cells involves:
A: simultaneous insertion of VH genes adjacent to each CH gene
B: successive insertion of a Vh gene adjacent to different Ch genes
C: activation of homologous genes on chromosome 6
D: switching of light chain types (kappa and lambda)
B
416: which one of the following pairs of genes is linked on a single chromosome?
A: V gene for lambda chain and C gene for kappa chain
B: C gene for gamma chain and C gene for kappa chain
C: V gene for lambda chain and B gene for heavy chain
D: C gene for gamma chain and C gene for alpha chain
D
417: idiotypic determinants are located within:
A: hypervariable regions of heavy and light chains
B: constant regions of light chains
C: constant regions of heavy chains
D: the hinge region
A
418: a primary immune response in an adult human requires approximately how much time to produce detectable antibody levels in the blood? A: 12 hours B: 3 days C: 1 week D: 3 weeks
C
419: the membrane IgM and IgG on the surface of an individual B cell:
A: have identical heavy chains but different light chains
B: are identical except for their Ch regions
C: are identical except for their Vh regions
D: have different Vh and Vl regions
B
420: during the maturation of a B lymphocyte, the first immunoglobulin heavy chain synthesized is the: A: Mu chain B: gamma chain C: epsilon chain D: alpha chain
A
421: in the immune response to a hapten-protein conjugate, in order to get anti-hapten antibodies, it is essential that:
A: the hapten be recognized by helper T cells
B: the protein be recognized by helper T cells
C: the protein be recognized by B cells
D: the hapten be recognized by suppressor T cells
B
423: which one of the following sequences is appropriate for testing a patient for antibody against the AIDS virus with the ELISA procedure? (the assay is carried out in a plastic plate with an incubation and a wash step after each addition except the final one.)
A: patient’s serum/enzyme substrate/HIV antigen/enzyme-labeled antibody against HIV
B: HIV antigen/patient’s serum/enzyme-labeled antibody against human gamma globulin/- enzyme substrate
C: enzyme-labeled antibody against human gamma globulin/patient’s serum/HIV antigen/enzyme substrate
D: enzyme-labeled antibody against HIV/HIV antigen/patient’s serum/enzyme sustrate
B
424: the best method to demonstrate IgG on the glomerular basement membrane in a kidney tissue section is the: A: precipitin B: complement fixation test C: agglutination test D: indirect fluorescent antibody test
D
427: which one of the following substances is not released by activated helper T cells? A: alpha interferon B: gamma interferon C: interleukin-2 D: interleukin-4
A
432: which one of the following is not true of class I MHC antigens?
A: they can be assayed by a cytotoxic test that uses antibody and complement
B: one of their two polypeptide chains is a beta-2-microglobulin
C: they are encoded by at least three gene loci in the major histocompatibility complex
D: they are found mainly on B cells, macrophages, and activated T cells
D
434: an antibody directed against the idotypic determinants of a human IgG antibody would react with:
A: the Fc part of the IgG
B: an IgM antibody produced by the same plasma cell that produced the IgG
C: all human kappa chains
D: all human gamma chains
B
435: which one of the following is not true of the gene segments that combine to make up heavy chain gene?
A: many V region segments are available
B: several J segments and several D segments are available
C: V, D, and J segments combine to encode the antigen-binding site
D: A V segment and a J segment are preselected by an antigen to make up the variable-region portion of the gene
D
437: if an individual was genetically unable to make J chains, which immunoglobulin(s) would be affected? A: IgG B: IgM C: IgA D: IgG and IgM E: IgM and IgA
E
438: the antibody-binding site is formed primarily by:
A: the constant regions of H and L chains
B: the hypervariable regions of H and L chains
C: the hypervariable regions of H chains
D: the variable regions of H chains
E: the variable regions of L chains
B
439: the class of Ig present in highest concentration in the blood of a human newborn is: A: IgG B: IgM C: IgA D: IgD E: IgE
A
441: cytotoxic T cells induced by infection with virus A will kill target cells:
A: from the same host infected with any virus
B: infected by virus A and identical at class I MHC loci of the cytotoxic T cells
C: infected by virus A and identical at class II MHC loci of the cytotoxic T cells
D: infected with a different virus and identical at class I MHC loci of the cytotoxic cells
E: infected with a different virus and identical at class II MHC loci of the cytotoxic cells
B
442: antigen-presenting cells that activate helper T cells must express which one of the following on their surfaces? A: IgE B: gamma interferon C: class I MHC antigens D: class II MHC antigens
D
443: which one of the following does not contain C3b? A: classic-pathway C5 convertase B: alternative-pathway C5 convertase C: classic-pathway C3 convertase D: alternative-pathway C3 convertase
C
444: which one of the following is not true regarding the alternative complement pathway?
A: it can be triggered by infectious agents in absence of antibody
B: it does not require C1, C2 or C4
C: it cannot be initiated unless C3b fragments are already present
D: it has the same terminal sequence of events as the classic pathway
C
447: complement lyses cells by:
A: enzymatic digestion of the cell membrane
B: activation of adenylate cyclase
C: insertion of complement proteins into the cell membrane
D: inhibition of elongation factor 2
C
449: which one of the following properties of antibodies is not dependent on the structure of the heavy chain constant region? A: ability to cross the placenta B: isotype (class) C: ability to fix complement D: affinity for antigen
D