Tulek Revision Flashcards

1
Q

24 mother breastfeeding

A

Passive acquired

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2
Q

Antibodies directed against which of following are useful in identifying T helper cells in samples of peripheral blood

A

CXCR4

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3
Q

27 yr old male isolated cells

A

B cells

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4
Q

58 women mastectomy
500
1500-8000

A

Granulocytes colony stimulating factor (G-CSF)

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5
Q

Which of following is innate

A

Effective the first time as it is the next times

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6
Q

In a study of B cells immune response B7 costimulator

A

CD4 cells

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7
Q

Polio vaccine orally

A

Mucousal IgA secretions

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8
Q

Secondary antibody response better because

A

They are strong and fast

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9
Q

2 month biy childhood vaccination

A

Binding of CD 28 To B7-1 (CD80)

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10
Q

Signal transduction and through the TCR is enhanced by

A

CD 28

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11
Q

Which promotes allergic responses

A

IL4

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12
Q

Blockade of which ameliorate endotoxic

A

Tumor necrosis factor

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13
Q

NIT true about T cells

A

Tregs control immune responses by lysing effector CD4 T cells

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14
Q

NK cells contribute to innate immunity in all of the following ways except

A

Initiating antigen presentation

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15
Q

Part of innate immune responses which cells participate in phagocytosis

A

Macrophages and neutrophils

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16
Q

Which is associated with MHC

A

binds with antigen and presents it to T cells

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17
Q

Immunoglobulin class is responsible for inhibition of bacteria on mucousal surfaces is

A

IgA

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18
Q

MHC class 1 molecules are important

A

CD 8+T-cell cytotoxicity

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19
Q

Which one of the following cell types expresses receptors for IgE on it’s cell surface… worms

A

Mast cells

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20
Q

Host responsible to the interaction of a pathogen with it’s specific TLR generates

A

Cell activation and production of cytokines and chemokines

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21
Q

IgE mediated histamine release is classified as

A

Type 1

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22
Q

PD 1 and CTLA 4 are targets for cancer immune therapy

A

Mast cells

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23
Q

Which doesn’t pritect body surface

A

Salivary

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24
Q

Pattern recognition receptors PRR include

A

Pathogen associated molecular patterns (PAMP)

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25
Q

Which is true about interferons

A

Interferons induce enzyme in target

26
Q

Immunological memory

A

Lymphocytes

27
Q

Structure recognised by the ab T cell receptor on the cell surface of antigen presenting cell

A

Processed peptide antigen

28
Q

Activation of resting B cells by T helper cells depend on

A

CD40 and CD40L

29
Q

Th1 cells secrete

A

IFNy

30
Q

Which is true about meningitis

A

Transmission is generally by the fecal oral route

31
Q

26 yr old man ehat is not associated with coxsackvirus

A

Progressive postpolio muscle atrophy

32
Q

48 yr old alcoholic man

A

Meningitis caused by S pneumonia

33
Q

3 month baby

Enteroviruses are characterised by

A

Transmission primarily by the fecal oral route

34
Q

Most characteristic of poliovirus

A

Intestinal replication is expensive

35
Q

Vaccine effective prevention herpesvirus

A

Varcilla zoster reactivation

36
Q

Diabetic patient fever around eye

A

Rhizopus

37
Q

Live attenuated polio vaccine

When is OPV preferred

A

Mass immunization programs in areas of high poliomyelitis endemicity

38
Q

Apparently tired 38 yr old teacher

A

Red blood cells containing trophozoites with dots

39
Q

Pic of blood strea

A

Plasmodium falciparum

40
Q

Pic which does first infect enter body

A

Hepatocyte

41
Q

Which mosquito spread malaria

A

Anopheles mosquito

42
Q

8 yr old boy sore throat

A

A catalase negative gram positive coccus that grows in chains

43
Q

All about hyaluronic acid of S pyogenes are correct except

A

A vaccine is currently available

44
Q

4 ye old boy honey cluster lesions

A

Catalase test

45
Q

8 yr old boy sore throat 3 weeks ago no physician

A

M protein

46
Q

5 yr old girl sore throat scant exudate on one tonsillar pillar

A

Throat culture

47
Q

Which is most common clinical presentation of acute rheumatic fever

A

Polyarthritis

48
Q

Mother holiday brazil

A

Zika virus

49
Q

Mosquitoes spread disease except

A

Influenza

50
Q

Which is not seen in blood borne malaria

A

Hypnosoite

51
Q

Aedes aegypti is the primary mosquito vector except

A

Sandfly fever

52
Q

Each about crimean congo hemorrhagic fever is correct except

A

Contact with contaminated water

53
Q

27 farmer tick tweezers

A

Crimean congo hemorrhagic fever virus

54
Q

Best definition of janeway lesions

A

Small hemorrhagic lesions on the palms or soles caused by septic emboli from infective endocarditis

55
Q

Which is correct about crimean congo hemorrhagic fever

A

Numerous wild animals

56
Q

Which lesion is associated with infective endocarditis and presents as painful red raised lesions on hands and feet

A

Osler nodes

57
Q

55 women heart valve replacement

A

Streptococcus viridans

58
Q

68 yr old man is found to have infective endocarditis 2 weeks after valve replacement

A

Staphylococcus species

59
Q

Which is not a member of HACEK

A

Chlamydia

60
Q

Which is most likely to cause infective endocarditis with negative blood cultures

A

Coxiella burnetii