Immuno final 2021
Immunology Mastery Quiz
Test your knowledge with our comprehensive quiz on immunology, designed for students and professionals alike. This quiz consists of 35 questions covering various aspects of immunology, from antibodies and cytokines to autoimmune diseases and immunodeficiencies.
- Challenging questions to enhance your understanding
- Immediate feedback on your performance
- Perfect for exam preparation or self-assessment
Specific phagocytosis is mediated by
PRR receptors
PAMP receptors on phagocytes
Scavenger receptors on bacterial cell wall
Toll-like receptors on bacterial cell
Fc receptors on phagocyte
Choose true about antibodies:
IgD are crucial for phagocytosis efficiency
IgM are secreted to mucoses
IgG4 do not activate complement
IgG represent 80% of serum antibodies
IgE contribute to antiparasitic response
Which of the following represent phagocytosis deficiency?
Chronic granulomatous disease (CGD)
SCID
Wiskott-aldrich syndrome
Nijmegen syndrome
Di George syndrome
The kidney donor is having the following HLA: HLA: A-01,03, B-0.8,19 DR-0.5,12. In virtual PRA recipient express antiHLA4 antibodies (MFI 18956) and anti HLA 10 antibodies (MFI 2357)
These anti HLA antibodies can be recognized as DSA
These anti HLA antibodies are not DSA
Virtual cross match is negative
Virtual cross match is positive
The recipient is qualified for next stage of matching
Chose which is characterized by following features: represent membrane derived complement inhibitors, inhibit C3 and C5 convertase
CD59
F factor
CR1
C1 inhibitor
DAF
Choose correct connection between tumor and relevant antigen
HPV- Burkitt lymphoma
PSA- colorectal cancer
CEA multiple myeloma
Ca125-ovarian cancer
AFP-prostatic cancer
Choose correct about di George syndrome:
Related to B lymphocyte deficiency
Related to T cell deficiency
Related to NADPH oxidase inhibition
Related to thymus hyperplasia
Acronym is CATCH 22
Choose true about type IV hypersensitivity:
Typically Th2 dependent
Macrophages represent the major effector cells
Complement components decrease is characteristic for most chronic inflammation present in course of hypersensitivity
It is a reaction to M. Tuberculosis infection
Represent sudden allergic reactions
Choose true about antiviral immunity:
Type I interferons do not contribute to antiviral responses
Tc appear within first 1-2 days
SIgM mainly contribute to mucosal defense
NK cells cytotoxicity appear earlier than Tc
IFN-y appear several hours post invasion
Choose true about anti-tumor immunity
Tumors induce different sorts of immunity
Local immunotolerance dominates in local tumor microenvironment
Tumors represent the source of different antigens
Tumors associated antigens are used in the clinical diagnostics and treatment monitoring
Immunotherapy is applied in tumors treatment
Which of the cell populations is characterized by the following features: - Represent 2,4% of WBC - These ingest acid marker, reveal red granules and double lobed glass like nucleus - Produce major basic protein (MBP) - Represent weak phagocytic activity - Elevate on the course of allergies and parasitic infections
Neutrophils
Monocytes
Lymphocytes
Eosinophiles
Macrophages
Choose true about phagocytosis:
Chemotaxis is not involved
C3a and C5a represent chemotactic agent
Peptidoglycans belong to PRR recognized by PAMPs
Intracellular killing represents the final stage
Antibodies enhance phagocytosis
Humoral immunity induction, boost doses requirement and stability in storage refer to all type of vaccines except:
Inactivated vaccines
Anatoxins
Live attenuated vaccines
Toxoids
Recombined vaccines
Neutrophiles activation and therefor elevated neutrophiles levels in the peripheral blood can result from
Viral infection
Parasitic infection
Bacterial infection
Allergy
Contact dermatitis
Choose true about interferons
Type II interferon is produced by the cells infected with the virus
Type I interferons inhibit viral replication inside the infected cells
Type II interferons activates macrophages
Type I interferons are produced by activated T cells
Type II interferons inhibits Th2 cells
Choose the most appropriate donor for the following recipient and prove your choice by compatibility calculation: The donor: HLA A-01,03 B-07,08 DR-01, 05 The recipients: 1. HLA A- 01,02 B-07,15 DR-01,16 2. HLA A- 02,07 B-04,06 DR-01,05 20 3. HLA A- 02,03 B-07,08 DR-02,03 4. HLA A- 01,03 B-07,44 DR-12,15 5. HLA A- 04,09 B-07,08 DR-01,05
Recipient 1- 17pts
Recipient 4 – 7pts
Recipient 5 – 30pts
Recipient 3 – 14 pts
Recipient 2 – 22 pts
Select true:
Acute accelerated rejection is the most common rejection after organ transplantation
HLA antigens do not correlate with autoimmune diseases
Positive cross-match enables kidney transplantation
Highly immunized individuals recognized with PRA level over 20%
Panel reactive antibodies (PRA) evaluates the level of recipients alloimmunization
Which of the following represent central tolerance induction mechanisms anatomic sequestration?
Anergy
Anatomic sequestration
Molecular sequestration
Negative selection
Clonal ignorance
I; organ specific autoimmune disease result from hypersensitivity type II because, II; organ specific antibodies attack self antigens on the cells
Both are true without causative connection
Both are false
First is false, second is true
First is true second is false
Both are true with clear causative connection
Choose false about hypersensitivity
Desenzitations aims at decreasing level of IgE and increasing IgG
Radioimmunological RIST and RAST test are used in the diagnosis
Histamine represent one of the performed mediators responsible for clinical symptoms
Result from atopy which never reveals clinically
Anaphylactic reaction can appear as one of the clinical forms
Cross presentation refers to:
The professional antigen presenting cells
NK cells
Th cells
Neutorphiles
Tc
Which of the following appear in course of systemic scleroderma?
AMA, ASMA, LKM, SLA
PLAR, anty GBM
ASMA anty SSB
ACA, Scl70
ANCA, ACA, ANA, APCA
Choose false about SLE
Immune complexes are deposited in the skin and kidneys
Women aged 30-40 are mainly predisposed
Granulomatous reaction mediated by macrophages is mostly involved
Anti ds-DNA antibodies play major role in diagnostics
This is a systemic disease which result from type III hypersensitivity
Choose true about vaccines:
Live attenuated vaccines are never used anymore
Live attenuated vaccines induce cellular immunity
Toxoid based vaccines induce cellular immunity
Polysaccharide vaccines are weakly immunogenic and require adjuvants
Recombined vaccines are classified as polysaccharide vaccines
Choose true about indirect immunofluorescence
This involves enzymatic markers
This is used to detect the antigens in the sample
This involves radiometric markers
This is used to detect the antibodies in the serum
This is used to assess the level of compliment components.
Choose true about immunodeficiencies
SCID represent the most common disorder among primary immunodeficiencies
Humoral immunity deficiencies are typically characterized by fungal infections
Anti HIV antibodies represent the most efficient immune mechanism against HIV infections
Thrombocytopenia represents a component of Wiskott Aldrich syndrome (WAS)
Bruton’s agammaglobulinemia is characterized by complete lack of mature B lymphocytes and consequently complete lack of antibodies
Positive lupus band test, anti-dsDNA antibodies and LE cells are characteristic for the following autoimmune disease:
Dermatomyositis
Sjogren syndrome
Rheumatoid arthritis
Goodpasture syndrome
Systemic lupus erythematosus (SLE)
Choose the wrong connection between ligand and receptor:
CD4-MHC I (MHC II)
TCR-MHC II
B7-CD28
CD4-MHC II
Choose correct about biological cross-match:
This is performed repeatedly
This is performed once before transplantation
The aim is to assess the alloimmunization level of the society
The aim is to assess the existence of anti-donors HLA antibodies
The lymphocytes are obtained from 30 unrelated individuals
Choose correct about autoimmune diseases
Organ specific antibodies are preset in course of myastaenia
Pernicious anemia is treated with lifelong B12 vitamin administration
Graves-basedow disease result from hypersensitivity type II
Autoantibodies are used in diagnosis of Hashimoto disease
Systemic autoimmune disease result from hypersensitivity type III
Choose true:
Type I interferons represent the major mechanism in antibacterial immunity
Type IV hypersensitivity is activated in the course of certain parasitic infections
Th1 is the major helper population involved in the secondary viral infection
The antibodies represent the major immune factor against bacterial toxins
T CD8+ cells cytotoxicity represent major effectory mechanism in primary viral infection
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