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If Peter is allergic to peanuts and Paul is not, what is the precise molecular difference in Peter's bloodstream responsible for this?


A) Peter's blood has mast cells and basophils carrying IgEs that match an antigen on peanuts.
B) Peter's blood has a continually excessive level of histamines and prostaglandins.
C) Paul's blood has mast cells and basophils with IgEs that confer immunotolerance to peanuts, but Peter's does not.
D) Peter inherited a peanut-specific IgG gene from his mother or father, while Paul did not.

E) A) and B)
F) All of the above

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A

You are studying a trafficking protein important for secretion in helper T cells.What is the likely outcome of a defect in this protein?


A) impaired secretion of immunoglobulins
B) impaired secretion of degraded antigens
C) impaired secretion of membrane attack complex
D) impaired secretion of cytokines

E) C) and D)
F) A) and B)

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A pathogenic virus has a new mutation in one of the coat proteins, that just happens to resemble the structure of a normal human protein present in glial cells of the CNS.What do you predict may be an outcome of infection by this virus?


A) The initial response to the virus will be strong, but will then be shut down by immunological tolerance.
B) An autoimmune disease of the brain may develop.
C) The innate immune system will ignore the pathogen, but the acquired immune system will attack it.
D) The membrane attack complex will be unable to burst the viral membrane.

E) B) and D)
F) A) and C)

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What cells are phagocytes that can also present antigens to TH cells?


A) B cells
B) macrophages
C) plasma cells
D) T cells

E) B) and C)
F) None of the above

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Imagine that a Toll-like receptor (TLR) gene has duplicated and mutated, creating a leucine-rich region binding pocket that can now bind to the hemagglutinin protein in the envelope of influenza virus.What do you predict will happen to this novel gene?


A) It will be selected for and over evolutionary time will become an even better receptor for HA protein.
B) It will spread from species to species.
C) It will undergo VDJ rearrangement.
D) It will continue to mutate, perhaps changing to bind other proteins or becoming deleted.

E) B) and D)
F) B) and C)

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A patient with melanoma receives three types of therapy: surgery, radiation, and interferon.Which of these represents something the immune system uses against cancer as well?


A) Radiation -- a class of lymphocytes uses powerful electromagnetic radiation to attack "altered self" cells.
B) Interferon -- TH cells and NK cells secrete interferon in response to tumor cells.
C) Interferon -- NK cells insert interferon into the membranes of tumor cells, creating large pores that burst the cells.
D) Interferon -- In complexes bound with MHC proteins, the interferons indicate the presence of altered tissue to B cells.

E) A) and B)
F) A) and C)

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Every year a new version of the flu vaccine is made using a mixture of strains.The strains are chosen based on surveillance and analysis by experts from the FDA, WHO, and CDC.For other diseases however, such as varicella (chickenpox) , the same vaccine is used continually and repeated vaccinations are not necessary.What do you conclude is the important difference between the influenza virus and the varicella zoster virus with regards to vaccinations?


A) Influenza virus is transmitted through aerosol droplets in the air, while varicella can be transmitted via skin secretions.
B) Varicella is attacked by the innate immune system, while influenza is attacked by the acquired immune system.
C) Influenza virus has a much higher mutation rate than varicella, leading to frequent antigen changes in the coat proteins.
D) Influenza envelope proteins are bound by IgM, while varicella envelope proteins are bound by IgG.

E) A) and B)
F) A) and D)

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Which of the following cells is matched to an incorrect function?


A) eosinophil-important to the elimination of parasites
B) mast cell-releases histamine
C) macrophage-phagocytic cell
D) neutrophil-important antigen presenting cell

E) C) and D)
F) A) and B)

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When a person is tested for HIV, the test is considered positive if _______ to the HIV are present.


A) bacteria
B) antigens
C) antibodies
D) T-cells

E) A) and C)
F) C) and D)

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Which of the following regarding antigens is true?


A) A large antigen is likely to have many different epitopes, each of which can stimulate a distinct immune response.
B) An antigen is a molecule which promotes a general immune response.
C) Bacteria do not contain antigens.
D) Antigens can only be recognized by their lipid moieties.

E) C) and D)
F) All of the above

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Which process allows a vertebrate to generate millions of different lymphocytes?


A) DNA rearrangement
B) DNA reestablishment
C) clonal variability
D) instructional variation

E) B) and D)
F) All of the above

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A

Lymphocyte receptors are encoded by genes that are assembled by rearrangement and mutation of what molecules?


A) pre-mRNA
B) mRNA
C) tRNA
D) DNA

E) C) and D)
F) B) and C)

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During a blood transfusion, what can occur when the antigens on the blood cells of a blood donor interact with the antibodies that are present in the plasma of a recipient that has a different blood type?


A) an autoimmune reaction
B) an infection
C) an agglutination reaction
D) an inflammatory reaction

E) B) and C)
F) A) and B)

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What is the most fundamental difference between the innate immune system and acquired immune system?


A) the way in which pathogens are recognized
B) the way in which pathogens are destroyed
C) the types of cells that participate in each response
D) the speed

E) None of the above
F) A) and C)

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Until renamed by Paul Ehrlich in the 1890s, the heat-labile, nonspecific part of the immune system that enhances inflammation was known as "alexin".We now know that various proteins of this system attract neutrophils to tissues, direct phagocytosis of targets by neutrophils and macrophages, burst pathogens by insertion of the membrane attack complex (MAC) , stimulate histamine release, and increase capillary permeability.What did Ehrlich rename this part of the immune system?


A) complement
B) contingent
C) Toll-like response
D) acquired immunity

E) B) and C)
F) None of the above

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What is a necessary component of a powerful immune system?


A) immunological tolerance
B) strict temperature homeostasis
C) thousands of different Ig genes
D) a large thymus gland

E) A) and B)
F) None of the above

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Which part of an antibody determines to which epitope it will bind?


A) the two arms of the Y
B) disulfide chains
C) the heavy chains
D) the stem of the Y

E) A) and D)
F) B) and D)

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What is the term for immunity gained by the transfer of antibodies across the placental barrier?


A) passive immunity
B) acquired immunity
C) humoral immunity
D) cell-mediated immunity

E) A) and C)
F) B) and C)

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Which is the major form of antibody in external secretions?


A) IgM
B) IgG
C) IgD
D) IgA

E) C) and D)
F) All of the above

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D

What are two inflammatory mediators secreted by basophils and mast cells?


A) immunoglobulins and antibodies
B) antibodies and antigens
C) histamines and prostaglandins
D) allergens and antigens

E) A) and B)
F) A) and C)

Correct Answer

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