The regulation of the immune response Flashcards

1
Q

1. What is the major factor regulating the adaptive immune response?

A The neutrophil

B Complement membrane attack complex

C C-reactive protein

D Antigen concentration

E Haptoglobin

A

D Antigen concentration

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2
Q

2. Which of the following statements is TRUE of antigenic competition?

A Antigenic competition involves competition between T-cell epitopes for the MHC groove

B Antigenic competition is initiated at the pre-T cell stage

C Antigenic competition is unrelated to the concept of dominant and subdominant epitopes

D Antigenic competition can only occur with cryptic epitopes

E Antigenic competition refers to the differential immunogenicity of the carbohydrate and protein moieties in a glycoprotein

A

A Antigenic competition involves competition between T-cell epitopes for the MHC groove

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3
Q

3. What is negative feedback on adaptive B-cell responses mediated by?

A Antigen-specific IgM

B Antigen specific IgG

C Just antigen neutralization

D Fcγ receptors on macrophages

E F(ab′)2 anti-μ

A

B Antigen specific IgG

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4
Q

4. Which of the following is an example of an anti-apoptotic molecule?

A Bcl-2

B TRAIL

C Bax

D FADD

E Caspase 8

A

A Bcl-2

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5
Q

5. Injection of a mouse with a very high dose of sheep erythrocytes induces:

A A generalized antigen non-specific suppression

B Antigen-specific T-cell-mediated suppression

C Class switching to IgM antibody production

D IFNγ production by Th2 cells

E A high antibody response

A

B Antigen-specific T-cell-mediated suppression

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6
Q

6. Suppression of Th2 by Th1 cells can be mediated by:

A IL-1

B IL-3

C IL-4

D GM-CSF

E IFNγ

A

E IFNγ

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7
Q

7. Cells bearing MHC class I plus peptide are targets for specific:

A B-cells

B Cytotoxic T-cells

C Th1 cells

D Th2 cells

E Interdigitating dendritic cells

A

B Cytotoxic T-cells

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8
Q

8. Which of the following statements is TRUE of natural antibodies?

A Natural antibodies are mostly IgG

B Natural antibodies are mostly high affinity autoantibodies

C Natural antibodies are produced spontaneously by CD5+ B-cells

D Natural antibodies are acquired by transplacental passage from the mother

E Natural antibodies do not arise in thymectomized mice

A

C Natural antibodies are produced spontaneously by CD5+ B-cells

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9
Q

9. Antibodies specific for different epitopes on the same antigen:

A Will usually bind to each other through idiotypic interactions

B Cannot bear similar idiotypes

C Can bear similar idiotypes independently of their antigenic specificity

D Can only bear similar idiotypes if the antigenic epitopes cross-react

E Must be of the same immunoglobulin class

A

C Can bear similar idiotypes independently of their antigenic specificity

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10
Q

10. An internal image monoclonal anti-idiotype:

A Has specificity for its own internal structure

B Is the mirror image of the idiotype

C Has identical idiotypes on heavy and light chains

D Mimics a single epitope on the antigen

E Cannot function as a “surrogate” antigen

A

D Mimics a single epitope on the antigen

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11
Q

11. High responder ‘Biozzi’ mice:

A Phagocytose carbon particles faster than low responders

B Were obtained by breeding wild mice through five generations, selectively mating the high responders each time

C Differ from low responders by a single gene

D Produce high titer antibodies to only a very restricted number of antigens

E Produce high titer antibodies to a variety of antigens

A

E Produce high titer antibodies to a variety of antigens

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12
Q

12. A high antibody response to an antigen such as (TG)-A-L in a given mouse strain:

A Is linked to immunoglobulin gene polymorphism

B Is independent of MHC (H-2) haplotype

C Depends on T-cell recognition of the antigen bound to MHC class II

D Depends on T-cell recognition of the antigen bound to MHC class I

E Reflects a general propensity to make high titer antibody responses

A

C Depends on T-cell recognition of the antigen bound to MHC class II

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13
Q

13. Which of the following is NEVER related to poor MHC-linked immune response?

A Defective T-cell repertoire

B T-cell-mediated suppression

C Inadequate antigen processing

D Poor binding of peptide epitope to MHC

E Defective V gene rearrangement

A

E Defective V gene rearrangement

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14
Q

14. Which of the following statements is TRUE of immune responses?

A Immune responses are depressed by stress

B Immune responses are stimulated by glucocorticoids

C Immune responses are depressed by estrogens

D Immune responses are stimulated by androgens

E Immune responses are depressed by growth hormone

A

A Immune responses are depressed by stress

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15
Q

15. Stimulation of glucocorticoid synthesis by IL-1:

A Provides a basis for a feedback suppressor circuit

B Cannot provide a basis for a feedback suppressor circuit

C Augments IL-1 synthesis

D Augments cell-mediated immunity

E Augments IFNγ synthesis

A

A Provides a basis for a feedback suppressor circuit

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16
Q

16. Protein-calorie malnutrition does NOT affect:

A Lymphoid tissue

B The level of circulating CD4 T-cells

C Cell-mediated immunity

D The affinity of antibody responses

E Phagocytosis of bacteria

A

E Phagocytosis of bacteria

17
Q

17. The stress induced by severe exercise can increase susceptibility to infection by:

A Raising plasma levels of cortisol

B Increasing lymph flow

C Increasing synthesis of adrenaline

D Damaging mast cells

E Increasing the respiratory rate

A

A Raising plasma levels of cortisol

18
Q

18. The level of antigen:

A Is unrelated to the intensity of the immune response

B Is related to the intensity of the immune response

C Never has an effect on the response to a T-independent antigen

D Has no effect on the concentration of MHC bound processed antigen

E Is constant in the extracellular fluid

A

B Is related to the intensity of the immune response

19
Q

19. Which is the single best defining feature of a regulatory T-cell?

A Expression of CD4

B Expression of Foxp3

C Production of IL-10

D That it can be induced by TGFβ

E Expression of CD25

A

B Expression of Foxp3

20
Q

20. What is the single most effective agent at downregulating Th2 cells?

A IFNγ

B IL-12

C Antigen

D IL-2

E Th17 cells

A

A IFNγ