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Immunology Chp. 11

Total questions: 38

Worksheet time: 19mins

Name
Class
Date
1.

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?

a)

homogeneous

b)

competitive

c)

capture

d)

ELISA

2.

Which of the following best describes competitive binding assays?

a)

A limited number of binding sites are present.

b)

The concentration of patient antigen is directly proportional to the label detected.

c)

All patient antigen present is allowed to bind.

d)

Labeled and unlabeled analyte are present in equal amounts.

3.

Identify the characteristic associated with noncompetitive enzyme immunoassays.

a)

They are less sensitive than agglutination reactions.

b)

They are used when quantitation is necessary.

c)

Antibody is bound to the solid phase.

d)

Binding sites for patient antibody are limited.

4.

Which of the following best describes homogeneous assays?

a)

A washing step is not necessary.

b)

The concentration of patient antigen is always directly proportional to the label detected.

c)

The reagent antibody has an enzyme tag.

d)

Labeled and unlabeled analyte are present in equal amounts.

5.

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?

a)

Competitive radioimmunoassay using labeled antigen

b)

Competitive enzyme immunoassay using labeled antigen

c)

Noncompetitive enzyme immunoassay using a second labeled antibody

d)

Any of the above

6.

Compared to a heterogeneous assay, a homogeneous assay:

a)

is more sensitive

b)

requires more procedural steps

c)

is less prone to analytical interferences

d)

takes longer to preform

7.

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?

a)

shelf life of reagents

b)

speed of detection

c)

wavelengths detected by microtiter plate reader

d)

sensitivity

8.

Which assay format is the best choice for measuring small molecules, such as drugs and small peptide hormones?

a)

latex agglutination

b)

enzyme multiplied immunoassay technique (EMIT)

c)

capture ELISA

d)

indirect

9.

Point-of-care testing is performed most easily using:

a)

homogeneous enzyme immunoassay

b)

immunofixation assay

c)

immunochromatogrphic assay

d)

capture ELIZA

10.

Compared with a capture assay, a radioimmunoassay is likely to be more advantageous in terms of:

a)

use in diverse, nonlaboratory setting

b)

cost of equipment

c)

analytical sensitivity

d)

cost of reagents

11.

The signal measured in a fluorescence polarization immunoassay is the:

a)

wavelength of absorbed light

b)

angle of light scattering

c)

intensity of light emission

d)

orientation of emitted light waves

12.

Rheumatoid factor can cause false-positive results in which type of assay?

a)

homogeneous competitive

b)

heterogeneous competitive

c)

homogeneous noncompetitive

d)

heterogeneous noncompetitive

13.

Extremely high analyte concentrations can cause false-negative results (hook effect) in which type of assay?

a)

Homogeneous competitive

b)

Heterogeneous competitive

c)

Homogeneous noncompetitive

d)

Heterogeneous noncompetitive

14.

Which statement about noncompetitive enzyme immunoassays is true?

a)

Binding sites for patient antigen are limited.

b)

Washing in between steps is not necessary.

c)

All patient antigen is allowed to react with binding sites.

d)

Color is indirectly proportional to the antigen concentration.

15.

Which compound would be an appropriate label in a chemiluminescent assay?

a)

horseradish peroxidase

b)

iodine-125

c)

fluorescein

d)

Ruthenium derivative

16.

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?

a)

antigen

b)

labeled antibody

c)

unlabeled antibody

d)

antihuman immunoglobulin

17.

The use of vitamin B7 in a delayed capture assay is found in which technique?

a)

indirect ELISA

b)

biotin-avidin labeling assay

c)

chemiluminescence

d)

fluorescence immunoassay

18.

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?

a)

Directly proportional

b)

indirectly proportional

c)

logartihtmic

d)

2-fold

19.

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?

a)

capture

b)

competitive

c)

ELISA

d)

homogeneous

20.

When is enzyme-labeled antibody added in the sandwich immunoassay testing technique?

a)

at the start before incubation

b)

before the addition of patient sample

c)

right after incubation stage

d)

during the incubation stage

21.

The “sandwich” in the sandwich immunoassay testing techniques is between:

a)

two reagent antibodies

b)

two reagent antigens

c)

reagent antigen and patient antibody

d)

reagent antibody and patient antigen

22.

To detect low molecular weight analytes, which immunoassay is best?

a)

heterogeneous immunoassay

b)

homogeneous immunoassay

c)

sandwich immunoassay

d)

fluorescence immunoassay

23.

A urine drug screen is performed using which technique below? (LO 9, T2)

a)

chemiliminescence

b)

heterogeneous immunoassay

c)

sandwich immunoassay

d)

homogeneous immunoassay

24.

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?

a)

MIA

b)

FPIA

c)

Rapid immunoassay

d)

IIF

25.

Pregnancy testing can be performed at home using:

a)

capture assay

b)

immunochromatography

c)

fluorescence polarization

d)

chemiluminescence

26.

Which is more sensitive?

a)

heterogeneous chemiluminescence

b)

homogeneous chemiluminescence

c)

EMIT

d)

CEDIA

27.

Which immunoassay is sensitive enough to detect very low and very high analyte concentrations?

a)

EIA

b)

heterogeneous chemiluminescence

c)

EMIT

d)

CEDIA

28.

Indirect immunofluorescence is similar to which type of enzyme immunoassay in terms of the performance of the assay?

a)

competitive

b)

capture

c)

ELISA

d)

homogeneous

29.

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:

a)

direct immunofluorescence

b)

indirect immunofluorescence

c)

fluorescence polarization

d)

autofluorescence

30.

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:

a)

direct immunofluorescence

b)

indirect immunofluorescence

c)

fluorescence polarization

d)

auto fluorescne

31.

Which immunoassay provides results indirectly proportional to the concentration of patient antigen present?

a)

direct immunofluorescence assays

b)

CMIA

c)

EMT

d)

CEDIA

32.

Therapeutic drug monitoring for phenytoin is commonly tested using which technique? (LO 13, T2)

a)

EIA

b)

CEDIA

c)

EMT

d)

CMIA

33.

Which assay format has the lowest equipment cost?

a)

enzyme immunoassay

b)

immunochromatography

c)

fluorescence polarization

d)

chemiluminescence

34.

Which assay poses the greatest risk of exposure to biohazards? (LO 14, T1)

a)

radioimmunoassay

b)

enzyme immunoassay

c)

fluorescence polarization

d)

chemiluminescent immunoassays

35.

Select the technique that would most likely be used to determine the concentration of a therapeutic drug.

a)

radioimmunoassay

b)

chemiluminescent microparticle assay

c)

fluorescence polarization immunoassay

d)

enzyme immunoassay

36.

The standard method for detecting antinuclear antibodies (in certain autoimmune diseases) is:

a)

direct immunofluorescence

b)

indirect imminofluorescence

c)

fluorescence polarization

d)

autofluorescence

37.

Which is a testing interference that would cause a false positive result?

a)

low molecular weight analyte

b)

excess patient antigen

c)

prozone effect

d)

cross-reactivity

38.

Which is a testing interference that would cause a false negative result?

a)

cross-reactivity

b)

postzone effect

c)

heterophile antibodies produced by the patient

d)

biotin-SAv complex