Most important MCQS Immunology Flashcards
1- The major role of T cells includes which one of the following?
a) Recognition of epitopes presented with MHC on cells.
b) Complement fixation.
c) Phagocytosis.
d) Production of antibodies.
a) Recognition of epitopes presented with MHC on cells.
2-Megakaryocytes are minimally immunoresponsive; such cells are also known as:
a) B lymphocytes
b) T lymphocytes
c) Platelets
d) Interleukins
c) Platelets
3- A cell that kills the invading microorganisms by ADCC:
a) B lymphocytes
b) Natural killer cells
c) Cytotoxic T lymphocytes
d) T helper cells
b) Natural killer cells
4- Which one of the following is a primary lymphoid organ?
a) Thymus
b) Spleen
c) Lymph nodes
d) Tonsils
a) Thymus
5- All the following cells are antigen presenting cells EXCEPT
a) Langerhans cells
b) Dendritic cells
c) T helper-1
d) B lymphocytes
c) T helper-1
6-A cell that Does Not need MHC for antigen presentation
a) TH-1 cell
b) NK cell
c) TH-2 cell
d) Cytotoxic T lymphocyte
b) NK cell
7- CD28 molecule is found on
a) B lymphocytes
b) NK cells
c) T lymphocytes
d) Macrophages
c) T lymphocytes
8- Natural Killer cells:
a) Are important phagocytic cells
b) Are important APCs
c) Need antigen-specific MHC activation to kill abnormal cells
d) Are important in the late stages of viral infection
e) Have Fc receptors
c) Need antigen-specific MHC activation to kill abnormal cells
9-A molecule presents on all T cells and is responsible for signal transduction
a) CD1
b) CD3
c) TCR
d) CD2
b) CD3
10-The human macrophages
a) Differentiate in the thymus
b) Have IL-2 receptors
c) Have MHC antigens
d) Are activated by mitogens
c) Have MHC antigens
11- Cytotoxic T cells are involved in all of the following functions Except
a) Lysis of cells infected with viruses
b) Autoimmune diseases
c) Tumor destruction
d) Antigen presentation
d) Antigen presentation
12- T helper lymphocytes are important in augmentation of
a) Antibody production
b) Increased cytotoxicity of NK cells
c) Increase the function of macrophages
d) All of the above
d) All of the above
13- B lymphocytes differentiate into:
a) Macrophages
b) Mast cells
c) Plasma cells
d) NK cells
c) Plasma cells
14- NK cells are involved in:
a) Inflammation
b) Humoral immunity
c) Destruction of cancer cells
d) Immunotolerance
c) Destruction of cancer cells
15- CD4 and CD8 lymphocytes mature in:
a) Thymus
b) Lymph nodes
c) Thyroid gland
d) GALT system
a) Thymus
16- Antigen processing occurs in:
a) Macrophages
b) T cells
c) NK cells
d) Plasma cells
a) Macrophages
17- A molecule found on T cells and is responsible for recognition antigen
a) CD4
b) T cell receptor
c) C3
d) CD28
b) T cell receptor
18- Which of the following cytokines is secreted by T helper-1 lymphocytes?
a) IL-1
b) IL-4
c) IL-10
d) IFN-γ
d) IFN-γ
19- Which of the following cells has B7 on their surface?
a) T cells
b) Macrophages
c) NK cells
d) Mast cells
b) Macrophages
20- All of the following cells are involved in the non-specific immunity EXCEPT:
a) Neutrophils
b) Monocytes
c) B lymphocytes
d) NK cells
c) B lymphocytes
21- Myeloid lineage of the hematopoietic stem cells gives rise to all of the following cells EXCEPT:
a) Monocytes
b) T cells
c) Dendritic cells
d) Granulocytes
b) T cells
22- Which of the following surface molecules identifies B lymphocytes?
a) CD4
b) CD28
c) CD8
d) CD19
d) CD19
23- All the following describe the phagocytic cells EXCEPT:
a) They constitute the main cells of the adaptive immune response.
b) They include monocytes, macrophages, and neutrophils
c) They have CD14 as antigen binding site
d) They have MHC-II on their surfaces
a) They constitute the main cells of the adaptive immune response.
24- Macrophages perform all the following functions EXCEPT:
a) Engulf foreign material
b) Secrete cytokines
c) Form antibodies
d) Act as antigen presenting cells
c) Form antibodies
25- T lymphocytes:
a) Are not derived from bone marrow stem cells.
b) Produce antibodies.
c) Undergo maturation in the thymus.
d) Mature in lymph nodes
c) Undergo maturation in the thymus.
26- Th2 cells:
a) Are involved in antigen processing.
b) Are involved in co-stimulation.
c) Help B lymphocytes to respond to thymus dependent antigen.
d) Mucosal immunity.
c) Help B lymphocytes to respond to thymus dependent antigen.
27- Which of the following cell types is responsible for the Ag specificity of the immune response?
a) Neutrophils.
b) Lymphocytes.
c) Monocytes.
d) Basophils.
b) Lymphocytes.
28- A lymphocyte that Does Not have the CD4 or CD8 on its surface:
a) T cytotoxic cell
b) T helper cell
c) T suppressor cell
d) B cell
d) B cell
29- Cytotoxic T lymphocytes recognise foreign antigen:
a) In the context of class I MHC molecules.
b) In the context of class II MHC molecules.
c) In association with CD10.
d) In association with gamma heavy chain of IgG.
a) In the context of class I MHC molecules.
30- A monocyte in tissues is called:
a) Blood platelet
b) Mast cell
c) Macrophage
d) Natural killer cell.
c) Macrophage
31- Natural killer (NK) cells DO NOT:
a) Recognise and destroy certain tumor cells.
b) Lyse virus infected cells.
c) Require antibodies for their cytotoxic activity.
d) Display either T or B cell surface markers.
d) Display either T or B cell surface markers.
32- Which of the following cells DO NOT have Fc receptors for IgG?
a) Helper T cells
b) B lymphocytes
c) Neutrophils
d) Macrophages
a) Helper T cells
33- Which of the following tissues have over 60% B lymphocytes?
a) Peripheral blood
b) Spleen
c) Lymph nodes
d) Thymus
b) Spleen
34- The site of B cell development in mammals is:
a) The bone marrow
b) The bursa of Fabricus
c) The thymus
d) The lymph nodes
e) The spleen
a) The bone marrow
1- A substance that can evoke an immune response is termed a (an):
a) Immunogen
b) Hapten
c) Epitope
d) Adjuvant
a) Immunogen
2- A hapten:
a) Is usually a high molecular weight substance.
b) Acts as an antigen if coupled to a protein molecule.
c) Is capable of inducing immune response alone.
d) Determines specificity of an antigen.
b) Acts as an antigen if coupled to a protein molecule.
3- IgA is characterized by the following EXCEPT:
a) It provides immunity at mucosal surfaces.
b) It is a dimer in secretions.
b) It can cross the placental barrier.
d) It is found as a monomer in serum.
b) It is a dimer in secretions.
4- Which one of the following statements regarding super-antigens is true?
a) Staphylococcal toxic shock syndrome is an example of super-antigen associated disease.
b) Super-antigens are presented by antigen-presenting cells in identical manner to conventional antigens.
c) In humans, a super-antigen reacts with few numbers of T cells.
d) Superantigens activate large numbers of B cells.
a) Staphylococcal toxic shock syndrome is an example of super-antigen associated disease.
5- Superantigens:
a) Are processed inside antigen presenting cells.
b) Lead to development of memory T cells.
c) Stimulate an acquired immune response.
d) Lead to release of huge amount of non-beneficial cytokines.
d) Lead to release of huge amount of non-beneficial cytokines.
6- The following fragments are seen when IgG is split by papain:
a) Two monovalent fractions with antibody activity (Fab).
b) Two fractions devoid of antibody activity.
c) Fab fragments that contain the variable (V) domains of heavy chain but not the light chain.
d) Fab fragments that contain the variable (V) domains of the light chain not the heavy chain.
a) Two monovalent fractions with antibody activity (Fab).
7- The portion of the antibody molecule that bind antigenic epitopes is :
a) Termed the determinant.
b) Composed of variable and constant regions of Ig heavy and Ig light chains.
c) Composed of the variable regions of Ig heavy and Ig light chains.
d) The Fc fragment.
e) Two Ig light chains.
c) Composed of the variable regions of Ig heavy and Ig light chains.
8- The monoclonal antibody is characterized by the following EXCEPT:
a) Highly specific.
b) Produced by different clones of B cells.
c) Can be artificially produced.
d) Can be used in diagnosis.
e) Can be used in therapy.
b) Produced by different clones of B cells.
9- Which of the following statements is NOT TRUE about haptens?
a) Haptens elicit immune response.
b) Nickel is an example.
c) Haptens react with specific antibodies.
d) Haptens bind to tissue proteins.
a) Haptens elicit immune response.
10- Which one of the following best describes immunoglobulin structure?
a) There is little flexibility in the hinge region between Fc and Fab portion.
b) IgM is monomeric structure.
c) The amino acid sequence variation of the heavy chain is different from that of the light chain.
d) J chain is present in all Ig classes
c) The amino acid sequence variation of the heavy chain is different from that of the light chain.
11- Which of the following is the immunoglobulin that is found in acute infection and is present as a monomer on B cells but a pentamer in serum?
a) IgG
b) IgA
c) IgD
d) IgM
d) IgM
12- The part of the immunoglobulin that recognizes the antigen is called:
a) The Fab region
b) The hinge region
c) The Fc region
d) The secretory piece
a) The Fab region
13- All the following describe T-dependent antigen EXCEPT:
a) Simple structure
b) Stimulate all classes of antibodies
c) Stimulate T & B lymphocytes
d) Stimulate memory cells
a) Simple structure
4- Which one of the following properties DOES NOT describe the Immunogen?
a) Foreign
b) Reacts with MHC
c) Of low molecular weight
d) Complex structure
c) Of low molecular weight
15- IgA antibody is the first line of defense against infections at the mucous membrane. Which of the following statements is NOT TRUE for IgA?
a) IgA is not found in saliva, thus detection of IgA in saliva has no diagnostic value
b) Ig A is present in colostrum
c) IgA has two subclasses
d) IgA gives protection to intestine
a) IgA is not found in saliva, thus detection of IgA in saliva has no diagnostic value
16- Which immunoglobulin has no known function but is present on the surface of B cells and acts as antigen receptor
a) IgG
b) IgD
c) IgM
d) IgE
b) IgD