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Thymic Development and T-helper Differentiation Worksheet

Total questions: 15

Worksheet time: 11mins

Name
Class
Date
1.

During T-cell development in the thymus, the rearrangement of the TCR betta-chain genes occurs at which specific stage?

a)

Double-positive (CD4+ CD8+)

b)

Double-negative (CD4- CD8-)

c)

Single-positive CD4+

d)

Single-positive CD8+

e)

Mature naive T-cell

2.

A developing thymocyte successfully produces a functional pre-TCR complex. Which of the following biological events is the immediate downstream consequence of this checkpoint?

a)

Apoptosis of the thymocyte

b)

Initiation of TCR alpha-chain rearrangement and proliferation

c)

Downregulation of CD4 and CD8 expression

d)

Export of the cell to the periphery

e)

Expression of the AIRE protein

3.

Which cell type is primarily responsible for presenting self-MHC molecules to developing thymocytes during the process of positive selection in the thymic cortex?

a)

Thymic medullary epithelial cells (mTECs)

b)

Thymic cortical epithelial cells (cTECs)

c)

Thymic dendritic cells

d)

Macrophages

e)

B-lymphocytes

4.

A medical student asks why T-cells do not attack the pancreas, given that insulin is a self-protein not typically found in the thymus. You explain that expression of tissue-restricted antigens (like insulin) in the thymus is mediated by:

a)

The RAG-1/RAG-2 recombinase complex

b)

The Autoimmune Regulator (AIRE) protein

c)

The pre-T alpha chain

d)

Cortical Thymic Epithelial Cells (cTECs)

e)

T-cell specific transcription factor T-bet

5.

If a double-positive thymocyte binds with high affinity to a self-peptide/MHC complex presented by a medullary thymic epithelial cell, what is the expected outcome?

a)

It differentiates into a Th1 cell.

b)

It undergoes positive selection and survives.

c)

It undergoes negative selection (apoptosis).

d)

It downregulates CD28 to become anergic.

e)

It re-expresses RAG genes to edit its receptor.

6.

Which of the following accurately describes the phenotype of a cell that has just successfully completed positive selection but has not yet undergone negative selection?

a)

CD3+ CD4- CD8- (Double Negative)

b)

CD3- CD4+ CD8+ (Double Positive)

c)

CD3+ CD4+ CD8+ (Double Positive) with MHC restriction

d)

CD3+ CD4+ CD8- (Single Positive)

e)

CD19+ IgM+

7.

A child is diagnosed with DiGeorge syndrome (congenital absence of the thymus). Which specific stage of T-cell development would be most directly arrested in this patient?

a)

Migration of lymphoid progenitors from bone marrow to the thymus

b)

Maturation of Double Positive cells into Single Positive cells

c)

Activation of naive T-cells in the lymph node

d)

Somatic hypermutation of T-cell receptors

e)

VDJ recombination in B-cells

8.

A 35-year-old male presents with a mycobacterial infection. His immune response requires macrophage activation to kill the intracellular bacteria. Which subset of T-helper cells is most critical for this response, and which cytokine induces their differentiation?

a)

Th2 cells; induced by IL-4

b)

Th17 cells; induced by IL-6 and TGF-beta

c)

Th1 cells; induced by IL-12 and IFN-gamma

d)

TFH cells; induced by IL-21

e)

Treg cells; induced by TGF-beta

9.

In a mouse model of asthma, researchers observe high levels of IgE and eosinophilic infiltration. Which transcription factor is most likely overexpressed in the T-cells driving this pathology?

a)

T-bet

b)

GATA-3

c)

RORγt

d)

FoxP3

e)

Bcl-6

10.

Which cytokine pair is produced by Th2 cells to promote intestinal mucus secretion and peristalsis for the expulsion of helminths?

a)

IL-4 and IL-13

b)

IFN-gamma and IL-2

c)

IL-17 and IL-22

d)

IL-12 and TNF-alpha

11.

A key distinction between Th1 and Th2 subsets is the cross-regulation of their development. Which cytokine secreted by Th2 cells directly inhibits the differentiation of Th1 cells?

a)

IL-2

b)

IFN-gamma

c)

IL-4

d)

IL-12

e)

IL-17

12.

Hyper-IgE syndrome (Job's syndrome) is often associated with a defect in STAT3 signaling, impairing the generation of Th17 cells. Besides susceptibility to fungal infections, these patients lack which specific barrier-protective cytokine produced by Th17 cells?

a)

IL-2

b)

IL-5

c)

IL-22

d)

IFN-gamma

e)

IL-4

13.

Which of the following interactions is required for the initial activation and differentiation of a naive CD4+ T cell into an effector T helper cell?

a)

TCR binding to MHC Class I and CD28 binding to B7

b)

TCR binding to MHC Class II and CD28 binding to B7 (CD80/86)

c)

TCR binding to MHC Class II and CD40L binding to CD40

d)

TCR binding to peptide alone and CTLA-4 binding to B7

e)

BCR binding to soluble antigen

14.

During an immune response to an extracellular bacterial infection, the release of IL-6 and IL-23 by dendritic cells preferentially drives the differentiation of which T-cell subset?

a)

Th1

b)

Th2

c)

Th17

d)

Treg

e)

CD8+ Cytotoxic T cells

15.

Without specific polarizing cytokines (like IL-12 or IL-4), but in the presence of TGF-beta alone, a naive CD4+ T cell is most likely to differentiate into which phenotype?

a)

Th1

b)

Th2

c)

Th17

d)

iTreg (induced Regulatory T cell)

e)

TFH