Immunology MIDTERM - Raghad Munir
Which one of the molecules is responsible for exit the lymphocytes from the lymph node:
Integrins
Selectins
Immunoglobulins
S1PR1
All of the following are correct about acquired immunity except:
Antigen specific
Immediate/ rapid response after antigen exposure
Antigen dependent
Immunological memory
Discriminate between self/ nonself
Pattern recognition receptors (PRR) include:
LPS
PAMPs
Lipoteichoic acid
Lectin-like molecules
Unmethylated CpG sequences.
The mononuclear phagocyte system does not include:
Monocytes.
Kupffer cells.
Kidney mesangial cells
Lymph node medullary macrophages
Endothelial cells.
Clonal selection occurs when antigen is encountered by:
Neutrophils
Mast cells
T-cells
Basophils
Eosinophils
Protective antibodies against infectious agents are often:
Autoantibodies
Neutralizing
Toxoids
Natural Killer
Non-specific
T cell surface receptors for antigen partly recognize:
Cytokines
MHC
ADCC
Antibody
IL-2
The Fc receptor with the highest affinity of the following five receptors is:
CD64
FcgRII
CD16
FceRI
CD23
The percentage of human peripheral blood T-cells bearing a gamma delta T-cell receptor is:
30–80%.
1-5%
100%.
0%
Only present during mycobacterial infections.
An epitope
Is the area on an antigen which contacts antibody
Is the area on an antibody which contacts antigen.
Requires both antigen-binding arms of the antibody molecule for its recognition.
Is usually composed of a linear sequence of amino acids.
Is usually associated with a concave region of the antigen.
Which of the following lymphoid tissues is unencapsulated:?
Thymus
Lymph node
Spleen
Tonsil
MALT
The early increase in phospholipase C gamma 1 activity following Tcell stimulation:
Represents a sensitive regulatory negative feedback control mechanism.
Dephosphorylates protein tyrosine kinase inhibitors.
Accelerates hydrolysis of diacylglycerol
Accelerates hydrolysis of phosphatidylinositol diphosphate.
Accelerates hydrolysis of inositol triphosphate
The ____ immune system uses ____ as well as molecules (e.g. Complement components). The ____ immune system uses ____ as well as antigen recognition molecules.
Adaptive; Phagocytes; Innate; Lymphocytes
Adaptive; Lymphocytes; Innate; Phagocytes
Innate; Phagocytes; Adaptive; Lymphocytes
Innate; Lymphocytes; Adaptive; Phagocytes
Phagocytic white cells (leukocytes, e.g. macrophages) congregate within ____ when foreign organisms get through a cut in the skin.
Microseconds
Seconds
Minutes
Hours
Days
Which of the following mediates an early response to viral infections by the innate immune system?
Complement components
Vaccines
T and B lymphocytes
Cytokines
Interferons
Which of the following immune system components would NOT recognize a macromolecule epitope (binding site)?
Phagocyte
T lymphocyte
B lymphocyte
Antibody
Which of the following is a large genomic region or gene family found in most vertebrates, playing an important role in immunity?
Antigen-recognition molecules
Major histocompatibility complexes (MHCs)
Human leukocyte antigens (HLAs)
Immunoglobulin
Epitopes
How are B-cell and T-cell antigen receptors distributed?
By size (steric hindrance)
By molecular weight
By activation (clonal)
By location in the body
Equally (same number of each receptor)
A medical student acquired hepatitis B through a needle-stick injury. The student had not received their vaccinations for this virus and eventually experienced liver problems. One of the clinical signs of this disease is jaundice, which turns the skin and sclera what color?
Black
Red
White
Yellow
Blue
Monoclonal antibodies (mAb) are antibodies with a wide range of clinically important applications, such as pregnancy tests, cancer diagnosis, and cancer treatment. These antibodies are ____ and come from ____ parent cell(s)
Dissimilar; Multiple
Dissimilar; A single
Identical; Multiple
Identical; A single
Which of the following is NOT true when comparing innate to adaptive immunity?
Innate responds quickly and adaptive responds slowly
Innate has few pathogen (non-self) recognition mechanisms and adaptive has many
Innate has immunologic memory and adaptive does not
Innate does not show response improvements over time and adaptive does
Innate response is non-specific and adaptive is very specific
Which of the following components of the innate immune system involves recognition molecules such as mannan-binding lectin (MBL) for bacteria with mannose on the surface?
Natural killer (NK) cells
Complement system
Oxygen dependent and independent killing
Interferons
Acute phase proteins
Which of the following components of the innate immune system involves cytokines produced by macrophages, which are produced during infection?
Natural killer (NK) cells
Complement system
Oxygen dependent and independent killing
Interferons
Acute phase proteins
Which of the following components of the adaptive immune system secretes immunoglobulin (Ig)?
Activated B cell (plasma cell)
CD4+ activated T cell
CD8+ cytotoxic T cell (CTL)
Resting lymphocytes (B cell, CD4+ T cell, CD8+ T cell)
Two answers are correct
Humoral immunity is mediated by antibodies from ____ and is involved in the elimination of ____ pathogens. Cell mediated immunity is mediated by ____ and is involved in the elimination of ____ pathogens.
B lymphocytes; Intracellular; T lymphocytes; Extracellular
B lymphocytes; Extracellular; T lymphocytes; Intracellular
T lymphocytes; Intracellular; B lymphocytes; Extracellular
T lymphocytes; Extracellular; B lymphocytes; Intracellular
Which of the following is a transmembrane glycoprotein that serves as a co-receptor for the T cell receptor (TCR), and is also known as a cytotoxic T cell (CTL)?
Cluster of differentiation 4 (CD4+)
Cluster of differentiation 8 (CD8+)
Plasma cells (activated B cells)
An individual is bitten by a dog with rabies and begins to develop antibodies against the rabies. These antibodies are harvested and transferred to unimmunized individuals to confer protection more rapidly for these individuals. This is an example of:
Active immunity
Passive immunity
Which of the following types of antigen presenting cells (APCs) has immunoglobulin that functions as a receptor, then the antigen is internalized, degraded, and presented to T cells?
Macrophage
Dendritic cell
B cell
Which of the following is NOT true regarding the complement system?
They are serum proteins that form protein cascades, each activated component activating the next to generate a physiologic response
They can bind to bacteria, making holes in their membrane
They attract phagocytes to both foreign material and self cells
Binding of MBLs to a bacterial capsule triggers the complement cascad
They help to eliminate immune complexes (antibody-antigen) and prevent them from damaging the body
The genes encoding which of the following can undergo hypermutation to create receptors that are an even better fit for foreign antigens?
BCRs
TCRs
MHCs
BCRs & TCRs
BCRs, TCRs, & MHCs
According to the clonal selection hypothesis, which of the following is correct
Lymphocyte specificity is determined by exposure to an antigen
Clones of lymphocytes specific for antigens develop prior to exposure to the antigens
Each clone of lymphocytes express receptors for many different antigens
Antigen binding to secreted antibody stimulates proliferation of the B cell that secreted the antibody
The required number of complexes of a microbial peptide and a particular class II MHC allele onthe surface of an antigen-presenting cell to initiate a T cell response specific for the viral peptide is
One
All the MHC molecules on the cell must be complexed with the peptide
About 0.1% of the total number of class II MHC molecules on the cell surface
Greater than 106
Which of the following statements about microbial antigen presentation is correct
Class I MHC molecules display peptides derived mainly from cytosolic microbial proteins for recognition by CD8+ T cells
Class I MHC molecules display peptides derived mainly from cytosolic microbial proteins forrecognition by CD4+ T cells
Class II MHC molecules display peptides derived mainly from cytosolic microbial proteins forrecognition by CD4+ T cells
Class II MHC molecules display peptides derived mainly from extracellular microbial proteins forrecognition by CD8+ T cells
Class II MHC molecules display peptides derived mainly from extracellular microbial proteins forrecognition by B cells
A 4-year-old boy presents with chronic granulomatous disease (CGD), confirmed with a nitro blue tetrazolium (NBT) test. Which of the following pathogens could this child still mount a defense against?
Staphylococcus
Enterobacteria
Aspergillus
Pseudomonas
Streptococcus
Parasitic worm eggs are resistant to low pH and proteolytic digestion in the stomach. Adult worms living inside the lower gut are protected from many of the components of the immune response. Mast cells respond to worms. What immunoglobulin activates these mast cells, leading to degranulation?
IgA
IgD
IgG
IgE
IgM
Natural killer cell receptors NKG2/CD94 and killer inhibitory receptors allow for the killing of antibodies in the presence of:
MHC class I
MHC class II
Both MHC class I and II
Either MHC class I or II
Neither MHC class I nor II Match the description with the cytotoxic T cell (CTL) killing mechanism
Which one of the following is the most professional antigen presenting cell :
Neutrophils
Macrophages
Dendritic cells
Microglial cells
Mast cell
All of the following are MHC encoded except
Alpha 2 of MHC class I
Alpha 1 of MHC class I
Beta macroglobulin of MHC I
Alpha 3 of MHC class I
Which of the following statements does not apply to IgG
Appears early in the primary immune response
Neutralizes bacterial toxins
Can fix complement
Crosses the human placenta
Opsonizes bacteria
A complement component which is strongly chemotactic for neutrophils is :
C9
C5a
C3
C3b
C5b
Your patient is a 20-year-old woman who complains of swelling on her arms and legs and a feeling of fullness in her throat that makes it difficult to breathe. The swelling are not red ,hot, or tender. You suspect she may have angioedema caused by a complement abnormality. Which of the following is the most likely explanation?
She has too little C1 inhibitor
She has too little factor B
She has too little C3b
She has too much C5a
She has too much C9
A 40-year-old man was treated for an upper respiratory tract infection with amoxicillin. 12 hours after administration of the drug, the patient developed fever, pruritus, and rashes. A complete blood count was done. Apart from anemia and mild lymphocytosis, the rest of the complete blood count was within normal limits. Direct Coombs test was positive. The most likely reason for the autoimmune hemolytic anemia after therapy in this patient was due to the drug being a:
Superantigen
Hapten
Polysaccharide antigen
Mitogen
Lonophore
The blood from an 8-year old boy was analyzed by flow cytometry .The cells were treated with fluorescent-labeled antibodies to various cell surface markers before they were evaluated by flow cytometry .which of the following markers would identify the B lymphocytes in the sample ?
CD4
CD3
CD8
CD19
CD56
An 18-year-old member of a college soccer team is seen by a physician becauseof chest tightness and dyspnea on exertion. A 15-cm mediastinal mass is detected radiographically. Eighty percent of the white blood cells in the peripheral blood are small, abnormal lymphocytes with lobulated nuclei and scant cytoplasm. Immunophenotyping of the abnormal cells shows them to be CD4+ and CD8+.Where would such cells normally be found in ?
Body Bone marrow
Peripheral blood
Thymic cortex
Thymic medulla
Splenic periarteriolar lymphoid sheaths
A 22-year-old woman receives the series of vaccinations for hepatitis B virus. Three months later she has detectable hepatitis B surface antibody in her blood. Through which of the following cellsurface components does signal transduction from hepatitis B viral epitopes most likely occur to initiate immunoglobulin synthesis by B lymphocytes?
Beta-2-microglobulin
CD3
Gamma chain
MHC I molecule
Surface immunoglobulin
A 62-year-old accountant develops a solid tumor that is unresponsive to chemotherapy. He elects to participate in an experimental treatment pro- tocol to stimulate his own immune effector cells to recognize and kill the malignant cells. The tumor cells are found to have no expression of MHC class I antigens. Which of the following in vitro treatments of his tumor cells is likely to stimulate the most effective immune response when rein- fused into the patient?
IFN-γ
IL-2
IL-8
IL-10
The blood from an 8-year-old boy was analyzed by flow cytometry. The cells were treated with fluorescent-labeled antibodies to various cellsurface mark- ers before they were evaluated by flow cytometry. Which of the following markers would identify the B lymphocytes in the sample?
CD3
CD4
CD8
CD19
CD56
A 66-year-old man receives his flu shot in the Fall. A month later he becomes infected with a strain of influenza A that was in the vaccine he received. Which of the following cells is most critical in preventing the development of a severe pneumonia?
Epithelial cell
Macrophage
Memory lymphocyte
Neutrophil
NK cell
A 52-year-old woman has had malaise with fever and non- productive cough for 4 weeks. Her temperature is 37.7 C. A chest radiograph shows upper lobe cavitation along with infiltrates and focal calcifications. In this situation, there is more likely to be a subset of T helper cells secreting which of the following substances?
CD40 ligand
GM-CSF
IL-4
Interferon-gamma
TGF-beta
A Fab fragment :
Produced by pepsin treatment
Produced by separation of heavy and light chains.
Binds antigen
Lacks light chains.
Has no interchain disulfide bonds
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