Tulek Revision

Question 1

24 mother breastfeeding

Answer 1

Passive acquired

Question 2

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

Answer 2

CXCR4

Question 3

27 yr old male isolated cells

Answer 3

B cells

Question 4

58 women mastectomy
500
1500-8000

Answer 4

Granulocytes colony stimulating factor (G-CSF)

Question 5

Which of following is innate

Answer 5

Effective the first time as it is the next times

Question 6

In a study of B cells immune response B7 costimulator

Answer 6

CD4 cells

Question 7

Polio vaccine orally

Answer 7

Mucousal IgA secretions

Question 8

Secondary antibody response better because

Answer 8

They are strong and fast

Question 9

2 month biy childhood vaccination

Answer 9

Binding of CD 28 To B7-1 (CD80)

Question 10

Signal transduction and through the TCR is enhanced by

Answer 10

CD 28

Question 11

Which promotes allergic responses

Answer 11

IL4

Question 12

Blockade of which ameliorate endotoxic

Answer 12

Tumor necrosis factor

Question 13

NIT true about T cells

Answer 13

Tregs control immune responses by lysing effector CD4 T cells

Question 14

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

Answer 14

Initiating antigen presentation

Question 15

Part of innate immune responses which cells participate in phagocytosis

Answer 15

Macrophages and neutrophils

Question 16

Which is associated with MHC

Answer 16

binds with antigen and presents it to T cells

Question 17

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

Answer 17

IgA

Question 18

MHC class 1 molecules are important

Answer 18

CD 8+T-cell cytotoxicity

Question 19

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

Answer 19

Mast cells

Question 20

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

Answer 20

Cell activation and production of cytokines and chemokines

Question 21

IgE mediated histamine release is classified as

Answer 21

Type 1

Question 22

PD 1 and CTLA 4 are targets for cancer immune therapy

Answer 22

Mast cells

Question 23

Which doesn’t pritect body surface

Answer 23

Salivary

Question 24

Pattern recognition receptors PRR include

Answer 24

Pathogen associated molecular patterns (PAMP)

Question 25

Which is true about interferons

Answer 25

Interferons induce enzyme in target

Question 26

Immunological memory

Answer 26

Lymphocytes

Question 27

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

Answer 27

Processed peptide antigen

Question 28

Activation of resting B cells by T helper cells depend on

Answer 28

CD40 and CD40L

Question 29

Th1 cells secrete

Answer 29

IFNy

Question 30

Which is true about meningitis

Answer 30

Transmission is generally by the fecal oral route

Question 31

26 yr old man ehat is not associated with coxsackvirus

Answer 31

Progressive postpolio muscle atrophy

Question 32

48 yr old alcoholic man

Answer 32

Meningitis caused by S pneumonia

Question 33

3 month baby | Enteroviruses are characterised by

Answer 33

Transmission primarily by the fecal oral route

Question 34

Most characteristic of poliovirus

Answer 34

Intestinal replication is expensive

Question 35

Vaccine effective prevention herpesvirus

Answer 35

Varcilla zoster reactivation

Question 36

Diabetic patient fever around eye

Answer 36

Rhizopus

Question 37

Live attenuated polio vaccine | When is OPV preferred

Answer 37

Mass immunization programs in areas of high poliomyelitis endemicity

Question 38

Apparently tired 38 yr old teacher

Answer 38

Red blood cells containing trophozoites with dots

Question 39

Pic of blood strea

Answer 39

Plasmodium falciparum

Question 40

Pic which does first infect enter body

Answer 40

Hepatocyte

Question 41

Which mosquito spread malaria

Answer 41

Anopheles mosquito

Question 42

8 yr old boy sore throat

Answer 42

A catalase negative gram positive coccus that grows in chains

Question 43

All about hyaluronic acid of S pyogenes are correct except

Answer 43

A vaccine is currently available

Question 44

4 ye old boy honey cluster lesions

Answer 44

Catalase test

Question 45

8 yr old boy sore throat 3 weeks ago no physician

Answer 45

M protein

Question 46

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

Answer 46

Throat culture

Question 47

Which is most common clinical presentation of acute rheumatic fever

Answer 47

Polyarthritis

Question 48

Mother holiday brazil

Answer 48

Zika virus

Question 49

Mosquitoes spread disease except

Answer 49

Influenza

Question 50

Which is not seen in blood borne malaria

Answer 50

Hypnosoite

Question 51

Aedes aegypti is the primary mosquito vector except

Answer 51

Sandfly fever

Question 52

Each about crimean congo hemorrhagic fever is correct except

Answer 52

Contact with contaminated water

Question 53

27 farmer tick tweezers

Answer 53

Crimean congo hemorrhagic fever virus

Question 54

Best definition of janeway lesions

Answer 54

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

Question 55

Which is correct about crimean congo hemorrhagic fever

Answer 55

Numerous wild animals

Question 56

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

Answer 56

Osler nodes

Question 57

55 women heart valve replacement

Answer 57

Streptococcus viridans

Question 58

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

Answer 58

Staphylococcus species

Question 59

Which is not a member of HACEK

Answer 59

Chlamydia

Question 60

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

Answer 60

Coxiella burnetii