More Q's Flashcards

1
Q

1.An antibody made against the antigen tetanus toxoid (TT) reacts with it even when the TT is denatured by disrupting all disulfide bonds. Another antibody against TT fails to react when the TT is similarly denatured. The most likely explanation can be stated as follows:
A.The first antibody is specific for several epitopes expressed by TT.
B.The first antibody is specific for the primary amino acid sequence of TT, whereas the second is specific for conformational determinants.
C.The second antibody is specific for disulfide bonds.
D.The first antibody has a higher affinity for TT.

A

B. The first antibody is specific for the primary amino acid sequence of TT, whereas the second is specific for conformational determinants.

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2
Q
Injection into rabbits of a preparation of pooled human IgG could stimulate production of
A. anti-g heavy-chain antibody.
B. anti-k chain antibody.
C. anti-l chain antibody.
D. anti-Fc antibody.
E. All are correct.
A

E. All are correct.

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3
Q
A polyclonal antiserum raised against pooled human IgA will react with
A. human IgM.
B. k light chains.
C. human IgG.
D. J chain.
E. All are correct.
A

E. All are correct

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4
Q

The first immunoglobulin synthesized by the fetus is
A. IgA.
B. IgE.
C. IgG.
D. IgM.
E. None; the fetus does not synthesize immunoglobulins.

A

IgM

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5
Q

The relative level of specific IgM antibodies can be of diagnostic significance because
A. IgM is easier to detect than the other isotypes.
B. viral infection often results in very high IgM responses.
C. IgM antibodies are more often protective against reinfections than are the other isotypes.
D. relatively high levels of IgM often correlate with a first recent exposure to the inducing agent

A

D. relatively high levels of IgM often correlate with a first recent exposure to the inducing agent

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6
Q

The primary and secondary antibody responses differ in
A. the predominant isotype generated.
B. the number of lymphocytes responding to antigen.
C. the speed at which antibodies appear in the serum.
D. the biologic functions manifested by the Ig isotypes produced.
E. All of the above.

A

E. All of the above.

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7
Q

Primary interactions between antigens and antibodies involve all of the following except
A. covalent bonds.
B. van der Waals forces.
C. hydrophobic forces.
D. electrostatic forces.
E. a very close fit between an epitope and the antibody.

A

A. covalent bonds.

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8
Q

If an IgG antibody preparation specific for hen egg lysosome (HEL) is treated with papain to
generate Fab fragments, which of the following statements concerning the avidity of such
fragments is true?
A) They will have a lower avidity for HEL as compared with the intact IgG.
B) They will have a higher avidity for HEL as compared with the intact IgG.
C) There will have the same avidity for HEL as the intact IgG.
D) They will have lost their avidity to bind to HEL.
E) They will have the same avidity but will have a lower affinity for HEL.

A

A) They will have a lower avidity for HEL as compared with the intact IgG.

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9
Q

Which of the following are functions of proteins encoded by of TAP-1 and -2 genes?
A. bind b2-microglobulin
B. prevent peptide binding to MHC molecules
C. are part of the proteasome
D. transport peptides into the endoplasmic reticulum for binding to MHC class I
E. transport peptides into the endoplasmic reticulum for binding to MHC class II

A

D. transport peptides into the endoplasmic reticulum for binding to MHC class I

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10
Q

When the sequences of different MHC class I molecules are compared, the variation between
molecules is concentrated within which of the following?
A. Areas of the molecule that bind CD4
B. Areas of the molecule that bind to the T cell receptor and to the antigenic peptide
C. b-2 microglobulin
D. the transmembrane domain of the a chain
E. the b1 domain (the N terminal domain of the b chain)

A

B. Areas of the molecule that bind to the T cell receptor and to the antigenic peptide

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11
Q

Which of the following statements about interleukin 2 (IL-2) is INCORRECT?
A. It is produced primarily by activated macrophages.
B. It is produced by CD4+ T cells.
C. It can induce the proliferation of CD4+ T cells.
D. It binds to a specific receptor on CD4+ T cells.
E. It can activate CD8+ T cells in the presence of antigen.

A

A. It is produced primarily by activated macrophages.

IL-2 is primarily produced by activated T cells

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12
Q
CD40 Ligand (CD154) is expressed by which of the following?
A. B cells
B. dendritic cells
C. resting T cells
D. activated T cells
E. all leukocytes
A

D. activated T cells

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13
Q

Which of the following statements about cytokines synthesized by CD4+ TH1 and TH2 subsets is
incorrect?
A. Cytokines produced by TH1 cells include IFN-gamma
B. Cytokines produced by TH2 cells are important in allergic responses
C. TH1 cells secrete cytokines that induce macrophage and NK cell activation
D. TH2 cells secrete cytokines that induce proliferation of CD8 + T cells
E. TH2 cell cytokines induce proliferation of B cells

A

D. TH2 cells secrete cytokines that induce proliferation of CD8 + T cells

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14
Q

Infection with vaccinia virus results in the priming of virus-specific CD8+ T cells. If these vaccinia
virus-specific CD8+ T cells are subsequently removed from the individual, which of the following
cells will they kill in vitro?
A. vaccinia-infected cells expressing MHC class II molecules from any individual
B. influenza-infected cells expressing the same MHC class I molecules as the individual
C. uninfected cells expressing the same MHC class I molecules as the individual
D. vaccinia-infected cells expressing the same MHC class I molecules as the individual
E. vaccinia-infected cells expressing the same MHC class II molecules as the individual

A

D. vaccinia-infected cells expressing the same MHC class I molecules as the individual

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15
Q
An individual does not make an immune response to a self-protein because
A. self-proteins cannot be processed into peptides.
B. peptides from self-proteins cannot bind to MHC class I.
C. peptides from self-proteins cannot bind to MHC class II.
D. lymphocytes that express a receptor reactive to a self-protein are inactivated by deletion
E. None of the above
A

D. lymphocytes that express a receptor reactive to a self-protein are inactivated by deletion

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16
Q

Which of the following is incorrect concerning immune tolerance?
A. Tolerance induction is antigen-specific.
B. Tolerance results from inactivation and/or elimination of B and/or T cells.
C. Tolerance can be induced in both young and old individuals.
D. Immature neutrophils are more susceptible to tolerance than mature neutrophils.
E. The breakdown of tolerance can result in autoimmunity.

A

D. Immature neutrophils are more susceptible to tolerance than mature neutrophils.

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17
Q

Which of the following statements regarding the functional properties of cytokines is false?
A. They typically have pleiotropic properties.
B. They often exhibit functional redundancy.
C. They often display antigen specificity.
D. They exhibit synergistic or antagonistic properties.
E. They assist in the regulation and development of immune effector cells.

A

C. They often display antigen specificity.

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18
Q

When IL-2 is secreted by antigen-specific T cells activated due to presentation of antigen by
APCs, what happens to naive antigen-nonspecific T cells in the vicinity?
A. They proliferate due to their exposure to ILB.
They often undergo apoptosis.
C. They begin to express IL-2 receptors.
D. They secrete cytokines associated with their T H phenotype.
E. Nothing happens.

A

E. Nothing happens.

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19
Q

A patient is admitted with multiple bacterial infections and is found to have a complete absence
of C3. Which complement-mediated function would remain intact in such a patient?
A. lysis of bacteria
B. opsonization of bacteria
C. generation of anaphylatoxins
D. generation of neutrophil chemotactic factors
E. None of the above.

A

E. None of the above.

20
Q
Complement is required for
A. lysis of erythrocytes by lecithinase.
B. NK-mediated lysis of tumor cells.
C. phagocytosis.
D. bacteriolysis by specific antibodies.
E. All of the above.
A

D. bacteriolysis by specific antibodies.

21
Q

Which of the following screening tests would be most useful for confirming a presumptive
diagnosis of a congenital absence of a complement component?
A. quantitation of serum opsonic activity
B. quantitation of serum hemolytic activity
C. quantitation of C3 content of serum
D. quantitation of C1 content of serum
E. electrophoretic analysis of patient’s serum

A

B. quantitation of serum hemolytic activity

22
Q
Soluble fragments of C5 can lead to the following, except
A. contraction of smooth muscle.
B. vasodilation.
C. attraction of leukocytes.
D. phagocytosis.
E. All of the above.
A

D. phagocytosis.

23
Q

The alternative pathway of complement activation is characterized by the functions listed
below, except
A. use of C3 component
B. activation of complement components beyond C3 in the cascade.
C. participation of properdin.
D. generation of anaphylatoxin.
E. use of C1 component

A

E. use of C1 component

24
Q

Decay-accelerating factor (DAF) regulates the complement system to prevent complementmediated
lysis of cells. This involves
A. dissociation of C4b2a or the C3bBb enzyme complex.
B. blocking the binding of C3 convertase to the surface of bacterial cells.
C. inhibiting the membrane attack complex from binding to bacterial membranes.
D. acting as a cofactor for the cleavage of C3b.
E. causing dissociation of C5 convertase.

A

A. dissociation of C4b2a or the C3bBb enzyme complex.

25
Q

Which component(s) of complement could be missing and still leave the remainder of the
complement system capable of activation by the alternative pathway?
A. C1, C2, and C3
B. C3 only
C. C2, C3, and C4
D. C1, C2, and C4
E. C1, C3, and C4

A

D. C1, C2, and C4

26
Q
Which of the following is mismatched?
A. CD8 T cell: cytotoxicity
B. CD4 TH2 cell: cytotoxicity
C. CD4 TH1 cell: Macrophage activation
D. CD4 TH2 cell: B cell activation
E. CD4 TH1 cell: HIB infection
A

B. CD4 TH2 cytotoxicity

27
Q

When the sequences of different MHC class I molecules are compared, the variation between molecules is concentrated within what?

A

Areas of the molecule that bind to the T cell receptor and to the antigenic peptide

28
Q

Primary and secondary responses differ in which of the following?
A. Predominant isotype generated
B. Number of lymphocytes responding to antigen
C. Speed at which antibodies appear in the serum
D. Biological functions by the Ig isotypes produced
E. All of the above

A

All of the above

29
Q

What is the most abundant leukocyte in the peripheral blood?

A

Neutrophil

30
Q

What is the most abundant Ig in the blood?

A

IgG

31
Q

What is the most abundant Ig in the body?

A

IgA

32
Q

Which one is higher during the primary response, IgG or IgM?

A

IgM

33
Q

Which one is higher during the secondary response, IgG or IgM?

A

IgG

34
Q

If a person has an extracellular infection, what is the most important function of IgM?

A

Activation of the complement

35
Q

In what way do B and T cells differ?

A

B cells utilize membrane bound Immunoglobulins to bind to antigen in its natural state. The Ag does not need to be processed by an APC

36
Q
What molecule generates the intracellular signal iniitated by an antigen binding to the T cell receptor?
A. CD3
B. CD4
C. CD28
D. CD45
E. CD152
A

CD3

It is not CD4 because this is what helps bind to the MHC class II and does not have any intracellular function

37
Q
Which of the following cells does not have clonally distributed antigen receptors?
A. NK cells
B. Cytotoxic T lymphcytes
C. Naive B cells
D. Helper T cells
E. Memory B cells
A

NK cells

38
Q

What do high levels of IgM during an infection correlate to diagnostically?

A

A first recent exposure to the inducing agent. If it was a secondary exposure, the higher Ig should be IgG

39
Q

Which Ig is secreted into the blood as a monomer, and then appears as a dimer in gastrointestinal fluid, colostrum, saliva, tears, and sweat?

A

IgA

Remember that IgD is initially secreted as a dimer, not a monomer

40
Q

Mast cells and basophils differ from each other in which way?

A

Where they are located

Mast cells- in peripheral tissues

Basophils- in the blood

41
Q

What are the 3 APC’s?

A

Macrophages, Dendritic cells, and B cells

42
Q

After exposure to an antigen, memory B cells are formed for life. Upon re-introduction of that antigen, what releases antibodies to fight the infection?

A

Memory B cells will be activated and form plasma cells that produce antibodies

43
Q

Antigen receptors on T and B cells share which similar feature?

A

The variable portions of both receptor types are generated by random recombination of genes

44
Q

Which portion of an antibody defines its isotype?

A

The constant regions of the heavy chains

45
Q

Which MHC class is associated with B2- microglobulins?

A

MHC class I

46
Q

What does papain produce?

A

2 Fab fragments and 1 Fc fragment