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WorksheetsMTAP - Immunoserology
Total questions: 108
Worksheet time: 54mins
___________ is the movement of cells in a certain direction under the stimulation of chemical substances while __________ is the coating of antibody and/or complement. Both of these two processes help facilitate _________.
Chemotaxis - opsonization – phagocytosis
Engulfment - opsonization - phagocytosis
Opsonization - chemotaxis - engulfment
Phagocytosis - chemotaxis - opsonization
Chemotaxis - degranulation - phagocytosis
Active Artificial Immunity is induced by vaccine that contains which of the ff?
1-Toxoid, 2-dead typhoid bacteria, 3-IgG, 4-Live small pox virus
All except 1
All except 4
All except 3
All except 2
A newborn infant gets immune antibodies from his mother through the colostrum during breast feeding. What adaptive immunity is involved?
Artificial active immunity
natural passive immunity
artificial passive immunity
natural active immunity
A thermolabile protein present in normal serum is known as:
Buffer
Antibody
Amboceptor
Complement
Chemical reagent(s) that distinguishes IgG from IgM antibodies. This substance denatures IgM by breaking its disulfide bonds.
A. sulfhydryl compounds
B. Thiol reagents
C. organic solvents
A and C
all of the above
Kupffer cell is the macrophage that is found in the ______ tissue.
Pulmonary
Hepatic
Renal
Nervous
Natural Immunity is represented by which of the ff. defense systems? 1-Acidity of Gatro intestinal tract, 2- Interferons, 3-IgG, 4-Lymphokines
All except 2 and 4
All except 1 and 3
All except 1 and 2
All except 3 and 4
The first leukocyte to migrate to the area of damaged/infected tissues during inflammatory response.
B-cell
Eosinophil
Neutrophil
Monocyte
Macrophage
The most potent phagocytic cell and most effective APC is
Macrophage
Dendritic cell
T cell
B cell
This interleukin inhibits cytokine synthesis.
IL 12
IL 8
IL 6
IL 10
Transfer of antibodies through the injection is classified as:
ARTIFICIAL PASSIVE
NATURAL PASSIVE
ARTIFICIAL ACTIVE
NATURAL ACTIVE
What cytokine stimulate trans-endothelial leukocyte movement from the blood to the tissue site of infection and regulate the migration of PMNs and mononuclear leukocytes within tissues?
Monokine
Chemokine
TNF
Lymphokine
What is the leukocyte that mediates cellular immunity of an individual?
Eosinophil
B-cell
T-cell
Macrophage
Plasma cell
What is the name of the process by which phagocytic cells are attracted to a substance such as a bacterial peptide?
Diapedesis
Chemotaxis
Phagocytosis
Degranulation
Which of the ff interleukins will act as a growth factors to B- cells?
1-IL-1
2-IL-4
3-IL-5
4-IL-6
2 and 3
3 and 4
2,3, and 4
1, 2, and 3
Which of the ff is routinely included in compatibility testing?
1-ABO/Rh testing of donor and recipient
2-antibody screening of donor
3-Minor crossmatch
4-Major crossmatch
All except 1
All except 2
All except 3
All except 4
Which of the ff. are true for ADAPTIVE IMMUNITY?
1-Specific in nature
2-Secondary response has the same magnitude as that of the primary response
3-It produces memory cells
4-It is the first line of defense.
1,3,4
1,3
1.2
1,2,3,4
Which of the following cytokines stimulates hematopoeitic cells and supports the growth of bone marrow stem cells?
IL-1
IL-2
IL-3
IFN
TNF
where is histamine synthesized?
A. Mast cell
B. Basophil
C. Eosinophil
A and B
All of the Above
largest white blood cell found in the blood
macrophage
monocyte
neutrophil
mesangial cell
potent enzyme that kills bacteria through respiratory burst
lactoferrin
lysozyme or muramidase
myeloperoxidase
all of the above
none of the above
arginine rich protein that has anti-parasitic activity
myeloperoxidase
major basic protein
histamine
lactoferrin
located on the skin and the mucous membranes
histiocytes
macrophages
langerhans cells
osteoclast
what is the speed of response for neutrophils
4 hours
10 mins
30-60 mins
1-2 hours
what is the speed of response for macrophage
4 hours
10 mins
30-60 mins
1-2 hours
what type of phagocytosis is it if opsonins are not involved?
direct phagocytosis
indirect phagocytosis
both
none
it is sensitive to acute stage inflammation but it is non-specific
complement
c-reactive protein
cytokines
natural antibodies
can be found in tears, saliva, and other secretions
properdin
betalysin
cytokines
lysozyme
type of cytokines which transmits between similar type of cells
autocrine
paracrine
both
none
type of cytokines which transmits between different types of cells
autocrine
paracrine
both
none
produced by immunologically stimulated, primarily T lymphocytes
alpha IFN
beta IFN
gamma IFN
all of the above
none of the above
means of communication between leukocytes
interleukins
interferons
tumor necrosis factor
all of the above
none of the above
produced mainly by macrophages or monocytes
interleukins
interferons
tumor necrosis factor
all of the above
none of the above
lymphocyte activating factor
IL-2
IL-6
IL-3
IL-1
IL-7
key cell involved in immune response
lymphocyte
monocyte
neutrophil
eosinophil
lymphoid organ where differentiation, development, and maturation occurs
primary lymphoid organ
secondary lymphoid organ
none
both
Which among the CD markers are used to identify B-cells?
1 - CD 19
2 - CD 20
3 - CD 22
4 - CD 21
5 - CD 17
ALL
1,2,4
3,4,5
2,3,5
NONE
B-cell responsible for antibody production
plasma cell
pro b cell
memory cells
activated b cell
exhibit identifying marker CD25
plasma cell
pro b cell
memory cells
activated b cell
recognize antigen upon reexposure
plasma cell
pro b cell
memory cells
activated b cell
first antibody to have a complete set of structure?
IgM
IgG
IgE
IgA
IgD
Which CD markers are specific for T-cells
1 - CD1
2- CD2
3- CD3
4- CD4
5- CD8
6-CD21
7-CD16
8-CD56
1,4,6,7
ALL
NONE
1,2,3,4,5
3,4,5
Which CD markers are specific for NK CELLS
1 - CD1
2- CD2
3- CD3
4- CD4
5- CD8
6-CD21
7-CD16
8-CD56
1,4,6,7
ALL
NONE
1,3,4,
4,5
thymocytes that lacks both CD4 and CD8
mature T cell
Double negative thymocytes
Double positive thymocytes
sensitized T cell
activated T cell
thymocytes that has both CD4 and CD8
mature T cell
Double negative thymocytes
Double positive thymocytes
sensitized T cell
activated T cell
thymocytes that has either CD4 or CD8
mature T cell
Double negative thymocytes
Double positive thymocytes
sensitized T cell
activated T cell
most immunocompetent, is CD4 positive, collaborates with B-cells
T-helper
T-suppressor
Mature T-cell
Thymocytes
CD8 positive and controls and inhibits antibody production
T-helper
T-suppressor
Mature T-cell
Thymocytes
- has the ability to destroy virally infected cells or tumor cells
- not MHC class restricted
- aka "kiss of death"
NK cells
monocytes and macrophages
killer cells
LAK cells
stimulated by IL-2 to help lyse tumor cells
NK cells
monocytes and macrophages
killer cells
LAK cells
lyse target cells by using antibody-dependent cell mediated cytolysis (ADCC)
NK cells
monocytes and macrophages
killer cells
LAK cells
Statement 1: Nonspecific function of monocytes and macrophage is phagocytosis
Statement 2: Specific function of monocytes and macrophage is antigen presenting cell (APC)
both statements are true
none of the statements are true
only statement 1 is correct
only statement 2 is correct
what CD is the marker receptor on the surface of different cytotoxic cells?
CD 15
CD 18
CD 20
CD 23
CD 16
It is the most common technique separating lymphocytes from the peripheral blood sample
Ficoll-Hypaque Density Gradient
Flow Cytometry
Rosette technique
Surface immunoglobulin test
this test is specific for b-cells and its method is immunoenzymatic method
Ficoll-Hypaque Density Gradient
Flow Cytometry
Rosette technique
Surface immunoglobulin test
an old method for the presumptive identification of T-cells and is specific for t-cells only
Ficoll-Hypaque Density Gradient
Flow Cytometry
Rosette technique
Surface immunoglobulin test
responsible for the molecular weight of the antigen
carrier portion
epitope or determinant
both
none
determines the specificity of the antigen
carrier portion
epitope or determinant
both
none
antigens that belong to the host
autoantigen
alloantigen
heteroantigen
heterophile antigen
heteroantigens that exist in unrelated plants or animals but are identical or closely related in structure
autoantigen
alloantigen
heteroantigen
heterophile antigen
antigens derived from other species that are introduced to human
autoantigen
alloantigen
heteroantigen
heterophile antigen
antigens from other members of the same host's species
autoantigen
alloantigen
heteroantigen
heterophile antigen
transplant derived from identical member of host's species
autograft
allograft
isograft/syngraft
heterograft/xenograft
it is the best and strongest antigen
polysaccharide
glycoproteins
nucleic acids and lipids
polypeptide
proteins
least immunogenic
polysaccharide
glycoproteins
nucleic acids and lipids
polypeptide
proteins
chemical agents that when added to antigen can induce or enhance immune response
allergen
immunogen
adjuvants
hapten
special class of immunogen that induces hypersensitivity reactions
allergen
immunogen
adjuvants
hapten
strength of attraction between an epitope and an antigen combining site of an antibody
affinity
avidity
both
none
strength of attraction between complex antigens and antibodies
affinity
avidity
both
none
treatment with papain will produce which fragments
2 Fc, 1 Fab
1 Fab, 1 Fc
2 Fc, 1 Fab
3 Fc
treatment with pepsin will produce which fragments
2 Fc
1 Fc
3 Fab
2 Fab
3 Fc
what chromosome does heavy chain synthesis occur?
14
5
6
12
which chromosome does light chain kappa synthesis occur?
2
10
22
12
which chromosome does light chain lambda synthesis occur?
2
10
22
12
What test is used to identify S. pneumoniae infection?
Francis
Moan
Dick
Schick
Mendel
What test is used to identify Diphtheria
Francis
Moan
Dick
Schick
Mendel
What test is used to identify Hydatid
Frei
Moan
Cansoni
Malletin
Von pirquet
gene tumor marker for CML
BCR-ABL
B-HCG
CA 72-4
CA 15-3
PSA
best tumor marker for prostate cancer
CEA
B-HCG
CA 125
CA 15-3
PSA
tumor marker for ovarian cancer
CEA
B-HCG
CA 125
CA 15-3
PSA
tumor marker for gastric cancer
CEA
CA 72-4
AFP
CA 15-3
PSA
tumor marker for hepatocellular cancer
CEA
CA 72-4
AFP
CA 15-3
PSA
Identify which type of hypersensitivity:
- 5 to 8 hours
- Ab directed against cell-surface antigens
Type I
Type II
Type III
Type IV
Identify which type of hypersensitivity:
- 2 to 8 hours
- Ag-Ab complexes deposit at various sites
- soluble antigens involved
Type I
Type II
Type III
Type IV
Identify which type of hypersensitivity:
- 2 to 30 mins
- IgE antibody is involved
Type I
Type II
Type III
Type IV
most severe type of hypersensitivity
Type I
Type II
Type III
Type IV
which among the IgG can cross the placenta?
Ig1 and Ig3
Ig2 and Ig3
Ig4 only
Ig3 only
Ig 1 only
Arrange from most to least potent
IgG, IgA, IgM, IgD, IgE
IgA, IgM, IgG, IgE, IgD
IgD, IgM, IgG, IgA, IgE
IgE, IgA, IgM, IgG, IgD
Identify which antibody is being described:
- cold antibody
- biggest antibody
- primary response antibody
IgG
IgA
IgM
IgD
IgE
Identify which antibody is being described:
- mucosal immunity
- seen in breastmilk
- monomer and dimer
IgG
IgA
IgM
IgD
IgE
Identify which antibody is being described:
- warm antibody
-predominant in humans
- best precipitating antibody
- smallest antibody
IgG
IgA
IgM
IgD
IgE
Identify which antibody is being described:
- least abundant
- heat labile
- binds strongly to mast cell and basophil
IgG
IgA
IgM
IgD
IgE
C3 convertase of classical pathway
C4b2a
C4b2a3b
C3bBb3b
C3bBb
C3 convertase of alternative pathway
C4b2a
C4b2a3b
C3bBb3b
C3bBb
C5 convertase of alternative pathway
C4b2a
C4b2a3b
C3bBb3b
C3bBb
activating substance is Mannose
lectin pathway
classical pathway
alternative pathway
none
phase where antibody is not yet detectable
lag phase
log phase
plateau phase
decline phase
antibody titer increases exponentially
lag phase
log phase
plateau phase
decline phase
anamestic or memory response
secondary response
primary response
both
none
Statement 1: Primary response has a longer plateau phase
Statement 2: Secondary response has a shorter lag phase
both statements are true
none of the statements are true
only statement 2 is true
only statement 1 is true
which class of MHC is being described?
- present in all nucleated cells
- presented to CD8 positive cells or T suppressor type of cells
- includes HLA-A, HLA-B, HLA-C, B2-microglobulin, HLA-E
MHC I
MHC II
MHC III
NONE
ALL
Statement 1: If lymphocytes stain blue or pink, it has HLA MHC I antigens
Statement 2: If lymphocytes don't stain blue or punk, it does not have HLA MHC I antigens
both statements are true
none of the statements are true
only statement 2 is true
only statement 1 is true
which class of MHC is being described?
- restricted to immunocompetent cells
- present in macrophages, b-cells, and dendritic cells
- includes HLA-DP, HLA-DQ, HLA-DR
MHC I
MHC II
MHC III
NONE
ALL
HLA that causes ankylosing spondylitis
HLA B27
HLA DR2
HLA DR3
HLA DR4
HLA that causes Rheumatoid Arthritis
HLA B27
HLA DR2
HLA DR3
HLA DR4
HLA that causes SLE
HLA B27
HLA DR2
HLA DR3
HLA DR4
HLA that causes Goodpasture's syndrome
HLA B27
HLA DR2
HLA DR3
HLA DR4
which class of MHC is being described?
- minor MHC antigens
- involves complement components such as C2, C4, and Factor B/C3 proactivate
MHC I
MHC II
MHC III
NONE
ALL
