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Immunology Chapter 7 study questions

Total questions: 31

Worksheet time: 16mins

Name
Class
Date
1.

The proteins of the complement system are part of:

a)

adaptive immunity immunologic memory

b)

phagocytosis

c)

innate immunity

d)

B-cell formation

2.

Which of the following is a characteristic of complement?

a)

it is activated by IgE in the classical pathway

b)

it cannot be activated by molecules other than antigen-antibody complexes

c)

it plays a role in the lysis of target cells coated with specific antibodies

d)

it is enhanced by decay-accelerating factor

3.

Complement is essential for our body’s response to infection, by being heavily involved in:

a)

phagocytosis

b)

inflammation

c)

T-cell activation

d)

B-cell differentiation

4.

Which complement component is found in both the classical and alternative pathways?

a)

C1

b)

C2

c)

Factor B

d)

C3

5.

Which of the following can activate the alternative complement pathway?

a)

IgG

b)

mannose-binding lectin

c)

C3b

d)

C1q

6.

Which of the following is the correct order of activation of complement in the lectin activation pathway?

a)

C1, C4, C2, C3

b)

MBL, C4, C2, C3

c)

C3, factor B, C3

d)

MBL, C2, C3, C4

7.

The lectin pathway is initiated by the presence of which of the following?

a)

antibody

b)

C3

c)

mannose

d)

C1qrs

8.

The recognition unit in the classical complement pathway consists of:

a)

C4b2a3b

b)

C5b6789

c)

C1qrs

d)

factor B

9.

Which of the following immunoglobulins is able to activate complement?

a)

IgA

b)

IgD

c)

IgE

d)

IgM

10.

Which of the following functions by inserting itself into target membranes and forming channels or holes in the membranes?

a)

C3bBb3b

b)

C4b2a

c)

C5b6789

d)

C3b

11.

The C5 convertase of the alternative pathway of complement activation is: 

a)

C4b

b)

C4b2a

c)

C4b2a3b

d)

C3bBb3bP

12.

C5b6789 functions in:

a)

target cell lysis

b)

recongnition of antigen

c)

chemotaxis

d)

complement inhibition

13.

Which of the following acts as an opsonin?

a)

IgD

b)

C3b

c)

C5a

d)

IL-2

14.

Which complement protein is the key intermediate in all complement pathways?

a)

C4

b)

C2

c)

C3

d)

C1

15.

Which of the following complement components has chemotactic activity?

a)

C3b

b)

C3a

c)

C1qrs

d)

C5b6789

16.

The alternative and classical pathway C3 convertases are destabilized as a means of downregulating complement function. One molecule that performs this function is:

a)

C1 esterase inhibitor

b)

membrane cofactor protein

c)

S protein

d)

CD59

17.

Formation of the membrane attack complex (C5b–C9) is stopped by which factor?

a)

Factor H

b)

Factor I

c)

C1INH

d)

S protein

18.

Which factor must be associated with factor H to inactivate complement components?

a)

C11NH

b)

Factor I

c)

DAF

d)

CR1

19.

Lack of the complement components C5 through C9 may result in which condition?

a)

Neisseria infection

b)

Paroxysmal nocturnal hemoglobinuria

c)

atherosclerosis

d)

meningitis

20.

Dense deposits of C3 breakdown products can accumulate in the kidneys because of:

a)

properdin deficiency

b)

inadequate C3b-mediated opsonization

c)

membrane attack complex formation

d)

autoantibodies that bind C3bBb

21.

Lack of the complement inhibitor C11NH results in which disease?

a)

hereditary angioedema

b)

parozysmal nocturnal hemoglobinuria

c)

immune complex disease

d)

meningitis

22.

Kidney glomeruli can become obstructed with immune complexes as a result of:

a)

Properdin deficiency

b)

inadequate C3b-mediated opsonization

c)

membrane attack complex formation

d)

autoantibodies that bind C3bBb

23.

Which of the following complement therapeutics targets the classical pathway?

a)

PNH

b)

aHUS

c)

C1-INH

d)

C3G

24.

Antibodies targeting C1s as therapy for cold agglutinin autoimmune hemolytic anemia would cause which of the following?

a)

High CH50

b)

Low AH50

c)

High AH50

d)

Low CH50

25.

What reagent is present in a CH50 assay and absent in an AH50 assay?

a)

calcium

b)

red blood cells

c)

ethylene glycol

d)

magnesium

26.

A decreased CH50 and a decreased AH50 would indicate a low amount of which of the following complement components?

a)

C4

b)

C3

c)

C4 binding protein

d)

Factor B

27.

Select the test that could be used to determine whether a patient has a specific deficiency in C3.

a)

CH50

b)

AH50

c)

radial immunodiffusion

d)

hemolytic titration assay

28.

A patient has an abnormal alternative pathway activation pattern. Which of the following complement proteins should be assessed to further investigate the problem?

a)

C1

b)

C2

c)

C3

d)

C4

29.

A normal CH50 and low AH50 may indicate which of the following?

a)

alternative pathway deficiency issues

b)

classical pathway deficiency issues

c)

lectin pathway deficiency issues

d)

normal complement activity

30.

Patients undergoing treatment with complement therapeutics for hereditary angioedema (HAE) would expect to have which of the following laboratory values?

a)

normal C4 and C2

b)

decreased C4 and C2

c)

increased C4 and C2

d)

increased C4 and low C2

31.

Therapeutics targeting the alternative pathway typically cause:

a)

increased AH50

b)

increased CH50

c)

decreased CH50

d)

decreased AH50