WorksheetsImmunology Chp. 11
Total questions: 38
Worksheet time: 19mins
An immunoassay is performed in the following manner to look for an antigen (Ag) in the patient serum: Patient serum + labeled Ag + known antibody (Ab) are added together and incubated. Unbound material is removed by a wash step. The amount of labeled Ag is then measured. What assay is performed?
homogeneous
competitive
capture
ELISA
Which of the following best describes competitive binding assays?
A limited number of binding sites are present.
The concentration of patient antigen is directly proportional to the label detected.
All patient antigen present is allowed to bind.
Labeled and unlabeled analyte are present in equal amounts.
Identify the characteristic associated with noncompetitive enzyme immunoassays.
They are less sensitive than agglutination reactions.
They are used when quantitation is necessary.
Antibody is bound to the solid phase.
Binding sites for patient antibody are limited.
Which of the following best describes homogeneous assays?
A washing step is not necessary.
The concentration of patient antigen is always directly proportional to the label detected.
The reagent antibody has an enzyme tag.
Labeled and unlabeled analyte are present in equal amounts.
In which of the following testing situations is there a direct relationship between the amount of bound label and the amount of patient antigen present?
Competitive radioimmunoassay using labeled antigen
Competitive enzyme immunoassay using labeled antigen
Noncompetitive enzyme immunoassay using a second labeled antibody
Any of the above
Compared to a heterogeneous assay, a homogeneous assay:
is more sensitive
requires more procedural steps
is less prone to analytical interferences
takes longer to preform
You must choose between two widely accepted, commonly used colorimetric enzyme immunoassay kits to measure a plasma protein that circulates at a moderately high concentration. Each kit uses a different enzyme and substrate. What is the most important consideration in making your choice?
shelf life of reagents
speed of detection
wavelengths detected by microtiter plate reader
sensitivity
Which assay format is the best choice for measuring small molecules, such as drugs and small peptide hormones?
latex agglutination
enzyme multiplied immunoassay technique (EMIT)
capture ELISA
indirect
Point-of-care testing is performed most easily using:
homogeneous enzyme immunoassay
immunofixation assay
immunochromatogrphic assay
capture ELIZA
Compared with a capture assay, a radioimmunoassay is likely to be more advantageous in terms of:
use in diverse, nonlaboratory setting
cost of equipment
analytical sensitivity
cost of reagents
The signal measured in a fluorescence polarization immunoassay is the:
wavelength of absorbed light
angle of light scattering
intensity of light emission
orientation of emitted light waves
Rheumatoid factor can cause false-positive results in which type of assay?
homogeneous competitive
heterogeneous competitive
homogeneous noncompetitive
heterogeneous noncompetitive
Extremely high analyte concentrations can cause false-negative results (hook effect) in which type of assay?
Homogeneous competitive
Heterogeneous competitive
Homogeneous noncompetitive
Heterogeneous noncompetitive
Which statement about noncompetitive enzyme immunoassays is true?
Binding sites for patient antigen are limited.
Washing in between steps is not necessary.
All patient antigen is allowed to react with binding sites.
Color is indirectly proportional to the antigen concentration.
Which compound would be an appropriate label in a chemiluminescent assay?
horseradish peroxidase
iodine-125
fluorescein
Ruthenium derivative
In a capture assay to determine the presence of a viral antigen in a patient sample, which of the following would be on solid phase?
antigen
labeled antibody
unlabeled antibody
antihuman immunoglobulin
The use of vitamin B7 in a delayed capture assay is found in which technique?
indirect ELISA
biotin-avidin labeling assay
chemiluminescence
fluorescence immunoassay
An indirect ELISA assay was performed on a patient's serum sample. What is the relationship of the amount of enzyme activity to the amount of patient antibody measured?
Directly proportional
indirectly proportional
logartihtmic
2-fold
An immunoassay is performed in the following way: Antigen is bound to a solid support. Patient serum is added, and patient antibodies bind to the antigen. The well is washed, and enzyme-labeled anti-immunoglobulin antibodies are added. The well is washed, and enzyme substrate is added. Enzyme activity is determined. Which immunoassay is described?
capture
competitive
ELISA
homogeneous
When is enzyme-labeled antibody added in the sandwich immunoassay testing technique?
at the start before incubation
before the addition of patient sample
right after incubation stage
during the incubation stage
The “sandwich” in the sandwich immunoassay testing techniques is between:
two reagent antibodies
two reagent antigens
reagent antigen and patient antibody
reagent antibody and patient antigen
To detect low molecular weight analytes, which immunoassay is best?
heterogeneous immunoassay
homogeneous immunoassay
sandwich immunoassay
fluorescence immunoassay
A urine drug screen is performed using which technique below? (LO 9, T2)
chemiliminescence
heterogeneous immunoassay
sandwich immunoassay
homogeneous immunoassay
A out-patient physician’s office is investigating the addition of a convenient way to perform analysis for a commonly tested analyte where results are often needed before the physician enters the examination room. Which is most appropriate?
MIA
FPIA
Rapid immunoassay
IIF
Pregnancy testing can be performed at home using:
capture assay
immunochromatography
fluorescence polarization
chemiluminescence
Which is more sensitive?
heterogeneous chemiluminescence
homogeneous chemiluminescence
EMIT
CEDIA
Which immunoassay is sensitive enough to detect very low and very high analyte concentrations?
EIA
heterogeneous chemiluminescence
EMIT
CEDIA
Indirect immunofluorescence is similar to which type of enzyme immunoassay in terms of the performance of the assay?
competitive
capture
ELISA
homogeneous
An antigen is fixed to a microscope slide, then incubated with patient serum. After washing, fluorescently labeled anti-human immunoglobulin is applied. After an additional wash, the slide is inspected with a fluorescent microscope. This technique is called:
direct immunofluorescence
indirect immunofluorescence
fluorescence polarization
autofluorescence
A tissue section is fixed to a microscope slide, then incubated with a fluorescently labeled antibody that binds to an antigen expressed by cells in that tissue. The preparation is then washed and inspected with a fluorescent microscope. This technique is called:
direct immunofluorescence
indirect immunofluorescence
fluorescence polarization
auto fluorescne
Which immunoassay provides results indirectly proportional to the concentration of patient antigen present?
direct immunofluorescence assays
CMIA
EMT
CEDIA
Therapeutic drug monitoring for phenytoin is commonly tested using which technique? (LO 13, T2)
EIA
CEDIA
EMT
CMIA
Which assay format has the lowest equipment cost?
enzyme immunoassay
immunochromatography
fluorescence polarization
chemiluminescence
Which assay poses the greatest risk of exposure to biohazards? (LO 14, T1)
radioimmunoassay
enzyme immunoassay
fluorescence polarization
chemiluminescent immunoassays
Select the technique that would most likely be used to determine the concentration of a therapeutic drug.
radioimmunoassay
chemiluminescent microparticle assay
fluorescence polarization immunoassay
enzyme immunoassay
The standard method for detecting antinuclear antibodies (in certain autoimmune diseases) is:
direct immunofluorescence
indirect imminofluorescence
fluorescence polarization
autofluorescence
Which is a testing interference that would cause a false positive result?
low molecular weight analyte
excess patient antigen
prozone effect
cross-reactivity
Which is a testing interference that would cause a false negative result?
cross-reactivity
postzone effect
heterophile antibodies produced by the patient
biotin-SAv complex
