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Patho- Immunodeficiencies (exam 4)

Total questions: 16

Worksheet time: 8mins

Name
Class
Date
1.

What is APECED also known as?

a)

APS-1

b)

autoimmune polyendorocrine syndrome

c)

SCID

d)

WAS

2.

Match the opportunistic infections with the immunodeficiency: ear, sinus, lung infections (staphylococcal, streptococcal, pneumococcal, Haemophilus influenzae bacteria; gastrointestinal (enterovirus, Giardia)

a)

antibody

b)

cell-mediated immunity

c)

complement

d)

phagocytes

3.

Match the opportunistic infections with the immunodeficiency: pneumonia (pyogenic bacteria, Pneumocystitis jirovecii, viruses); tuberculosis and other mycobacterial infections, GI (viruses), mycoses of skin and mucous membranes (fungi)

a)

antibody

b)

cell-mediated immunity

c)

complement

d)

phagocytes

4.

Match the opportunistic infections with the immunodeficiency: sepsis and other blood-borne infections (streptococci, pneumococci, Neisseria)

a)

antibody

b)

cell-mediated immunity

c)

complement

d)

phagocytes

5.

Match the opportunistic infections with the immunodeficiency: skin abscesses, reticuloendothelial infections (staphylococci, enteric bacteria, fungi, mycobacteria)

a)

antibody

b)

cell-mediated immunity

c)

complement

d)

phagocytes

6.

Primary immunodeficiencies may cause __________?

a)

recurrent infections

b)

a one time infection to allow antibodies to build

7.

Screening newborn blood samples for TCR gene rearrangement products called ________________.

a)

TCR excision circles

b)

BCR excision circles

8.

What is the main characteristic of SCID?

a)

lack of T cells in the periphery

b)

lack of B cells in the periphery

9.

Primary immunodeficiencies are NOT

a)

are the most common primary immunodeficiencies

b)

are generally not especially severe

c)

do not impair complement fixation

d)

both are the most common primary immunodeficiencies and are generally not especially severe

e)

both are the most common primary immunodeficiencies and do not impair complement fixation

10.

Primary immunodeficiencies affecting T cells tend to be MORE severe than those affecting B cells because

a)

T cells control the innate immune response

b)

T cells regulate antigen presentation

c)

T cells coordinate the adaptive immune response

d)

T cells can trigger apoptosis

11.

Severe combined immunodeficiency (SCID)

a)

is a result of the absence of macrophages or B cells

b)

affects only part of the adaptive immune response

c)

can be caused by failure of TAP transporters

d)

can be caused by failure of V(D)J recombination

12.

Adenosine deaminase deficiency leads to SCID, even though

a)

cells have alternate pathways to use

b)

it primarily affects dendritic cells

c)

it is only used in adults

d)

the gene is not part of the immune system

e)

none of the answers are correct

13.

Hyper IgM syndrome

a)

is autosomal

b)

is a result of a helper T cell defect

c)

includes normal affinity maturation

d)

has impaired cytotoxic T cell responses

14.

HIV-1

a)

is a retrovirus

b)

integrates as a provirus

c)

all of the answers are correct

d)

none of the answers are correct

15.

Because reverse transcriptase is an error-prone enzyme, it follows that

a)

HIV-1 will have a high mutation rate

b)

drugs targeting HIV will affect only part of any population

c)

treatment of HIV will produce temporary results only

d)

all of the answers are correct

e)

none of the answers are correct

16.

Multidrug treatment of HIV-1 is preferred over single-drug treatment because

a)

the high mutation rate of HIV-1 means that many drugs are not likely to work against it

b)

multidrug treatment places a more challenging selective pressure on the virus; to survive requires multiple mutations

c)

protecting itself against one drug makes the virus less able to protect itself against the others

d)

the drugs work synergistically with each other

e)

one drug makes the virus more susceptible to the others