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WorksheetsImmunology Chapter 7 study questions
Total questions: 31
Worksheet time: 16mins
The proteins of the complement system are part of:
adaptive immunity immunologic memory
phagocytosis
innate immunity
B-cell formation
Which of the following is a characteristic of complement?
it is activated by IgE in the classical pathway
it cannot be activated by molecules other than antigen-antibody complexes
it plays a role in the lysis of target cells coated with specific antibodies
it is enhanced by decay-accelerating factor
Complement is essential for our body’s response to infection, by being heavily involved in:
phagocytosis
inflammation
T-cell activation
B-cell differentiation
Which complement component is found in both the classical and alternative pathways?
C1
C2
Factor B
C3
Which of the following can activate the alternative complement pathway?
IgG
mannose-binding lectin
C3b
C1q
Which of the following is the correct order of activation of complement in the lectin activation pathway?
C1, C4, C2, C3
MBL, C4, C2, C3
C3, factor B, C3
MBL, C2, C3, C4
The lectin pathway is initiated by the presence of which of the following?
antibody
C3
mannose
C1qrs
The recognition unit in the classical complement pathway consists of:
C4b2a3b
C5b6789
C1qrs
factor B
Which of the following immunoglobulins is able to activate complement?
IgA
IgD
IgE
IgM
Which of the following functions by inserting itself into target membranes and forming channels or holes in the membranes?
C3bBb3b
C4b2a
C5b6789
C3b
The C5 convertase of the alternative pathway of complement activation is:
C4b
C4b2a
C4b2a3b
C3bBb3bP
C5b6789 functions in:
target cell lysis
recongnition of antigen
chemotaxis
complement inhibition
Which of the following acts as an opsonin?
IgD
C3b
C5a
IL-2
Which complement protein is the key intermediate in all complement pathways?
C4
C2
C3
C1
Which of the following complement components has chemotactic activity?
C3b
C3a
C1qrs
C5b6789
The alternative and classical pathway C3 convertases are destabilized as a means of downregulating complement function. One molecule that performs this function is:
C1 esterase inhibitor
membrane cofactor protein
S protein
CD59
Formation of the membrane attack complex (C5b–C9) is stopped by which factor?
Factor H
Factor I
C1INH
S protein
Which factor must be associated with factor H to inactivate complement components?
C11NH
Factor I
DAF
CR1
Lack of the complement components C5 through C9 may result in which condition?
Neisseria infection
Paroxysmal nocturnal hemoglobinuria
atherosclerosis
meningitis
Dense deposits of C3 breakdown products can accumulate in the kidneys because of:
properdin deficiency
inadequate C3b-mediated opsonization
membrane attack complex formation
autoantibodies that bind C3bBb
Lack of the complement inhibitor C11NH results in which disease?
hereditary angioedema
parozysmal nocturnal hemoglobinuria
immune complex disease
meningitis
Kidney glomeruli can become obstructed with immune complexes as a result of:
Properdin deficiency
inadequate C3b-mediated opsonization
membrane attack complex formation
autoantibodies that bind C3bBb
Which of the following complement therapeutics targets the classical pathway?
PNH
aHUS
C1-INH
C3G
Antibodies targeting C1s as therapy for cold agglutinin autoimmune hemolytic anemia would cause which of the following?
High CH50
Low AH50
High AH50
Low CH50
What reagent is present in a CH50 assay and absent in an AH50 assay?
calcium
red blood cells
ethylene glycol
magnesium
A decreased CH50 and a decreased AH50 would indicate a low amount of which of the following complement components?
C4
C3
C4 binding protein
Factor B
Select the test that could be used to determine whether a patient has a specific deficiency in C3.
CH50
AH50
radial immunodiffusion
hemolytic titration assay
A patient has an abnormal alternative pathway activation pattern. Which of the following complement proteins should be assessed to further investigate the problem?
C1
C2
C3
C4
A normal CH50 and low AH50 may indicate which of the following?
alternative pathway deficiency issues
classical pathway deficiency issues
lectin pathway deficiency issues
normal complement activity
Patients undergoing treatment with complement therapeutics for hereditary angioedema (HAE) would expect to have which of the following laboratory values?
normal C4 and C2
decreased C4 and C2
increased C4 and C2
increased C4 and low C2
Therapeutics targeting the alternative pathway typically cause:
increased AH50
increased CH50
decreased CH50
decreased AH50
