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Test your basic knowledge |
Immunology
Start Test
Study First
Subject
:
health-sciences
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Defectin in isotype switching
IgM and IgD
Selective Ig def - IgA most common
Common variable immunodeficiency (CVID)
SCID
2. Defect in CD40L on helper T
Hyper IgM
Right arm and right half of head
Perforins and granzymes to induce apoptosis of virally infected or tumor cells
PMNs recruited by IL-8 to clear infxns
3. X linked recessive defect in BTK no B cell differentiation
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4. p - ANCA
MHC II - B7 - CD40 - CD14 - receptors for Fc and C3b
Leukocyte adhesion deficiency type 1
DM type 1
Other vasculitidies
5. What happens in the follicle of the lymph node
Ataxia telangectasia
Wilskott Aldrich (TIE = thrombocytopenia - infections - eczema) high IgE and IgA - low IgM
Leukocyte adhesion deficiency type 1
B cell localization and proliferation
6. Antihistone
Encapsulated - S SHiN (salmonella - S.pneumo - H. influ - N. menin
Macs - dendritic cell - B cell
IgA
Drug induced lupus
7. HLA- D2
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8. Which portion of the antibody determines the isotype
Graves' dz
Bruton's agamma
Fc
IgG - IgM GM makes classic cars
9. What does a deficiency in C5- C8 lead to?
Poly/dermato myositis
Neisseria bacteremia
Chronic granulomatous disease
Superficial inguinal pectinate line
10. What inhibits Th2 cells
C3b
IFN gamma from lymph activate MAC - IL-1 and TNF alpha from MAC activate lympho
IFN gamma
MS - hay fever - SLE - goodpasture's
11. Anticentromere
Salmonella - 2 flaggellar variants - Borrelia - relapsing fever - N. gono - pilus protein
Autoimmune hepatitis
Scleroderma CREST
IgE
12. Which bacteria secrete superantigen
S. aureus and S. pyogenes
DiGeorge
Pemphigus vulgaris
PAIR - psoriasis - ankylosing spondylitis - inflammatory bowel dz - reiter's syndrome
13. Which is the receptors for EBV?
CD56
Wegeners granulomatosis
IgM
CD21
14. What are the three things you find post splenectomy
IgA
Chronic: fibrosis of graft tissue and blood vessels
Howell - Jolly bodies - Target cells - thrombocytosis
Scleroderma diffuse
15. HLA- B27
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16. transplant rejection: grafted immunocompetent T cells from donor proliferate and attack host cells
Common variable immunodeficiency (CVID)
Graft versus host: severe organ dysfunction - maculopapular rash - jaundice - hepatosplenomegaly - diarrhea often in bone marrown and liver transplant
Other vasculitidies
Mesenchyme
17. AR - defect in microtubule fxn with decreased phagocytosis
Chediak Higashi
Interfereon alpha - beta gamma. Alpha/beta inhibit viral protein synthesis - gamma upregulate MHC I and II - all three activate NK cells
RA - DM type 1
IL-12
18. What are the 4 T's of type IV hypersense
Chronic granulomatous disease
Wilskott Aldrich (TIE = thrombocytopenia - infections - eczema) high IgE and IgA - low IgM
T- lymphos - Transplant - TB skin test - Touching (contact dermatitis)
Major shift minor drift
19. What are the two signals in helper T activation?
2
DiGeorge
Steroid - responsive nephrotic syndrome
Signal 1 = APC - signal 2 = B7 and CD28
20. What are the cell surface receptors on MACS
Ataxia telangectasia
MHC II - B7 - CD40 - CD14 - receptors for Fc and C3b
Opsonization - neutralization and complement activation
DM type 1
21. Which complement proteins make up the MAC
Steroid - responsive nephrotic syndrome
Signal 1 = IL-4 -5 -6 signal 2 = CD40 receptor on b cell binds CD40L on Th cell
C5b -9
Signal 1 =peptide expressed on MHC I - signal 2 = Il -2
22. Which type of hypersens rxn is antibody mediated?
II
Other vasculitidies
Signal 1 =peptide expressed on MHC I - signal 2 = Il -2
SLE
23. Lack of NADPH oxidase - decreased in ROS - absetn respiratory burst in PMNs
Mixed connective tissue disease
Chronic granulomatous disease
Common variable immunodeficiency (CVID)
CD40 and CD40L
24. What does HOT- T- Bone stEAk stand for?
IL-1 = fever - IL-2 = T cells - IL-3 = bone marrow - IL-4 = IgE - IL-5 = IgA
Scleroderma CREST
Hashimotos
Hyper IgM
25. anti glutamate decarboxylase
S. aureus and S. pyogenes
Signal 1 = APC - signal 2 = B7 and CD28
Neisseria bacteremia
DM type 1
26. antigliadin - antiendomysial
Fc
III
CD40 and CD40L
Ceilac disase
27. Which infections require administering passive immunity?
CD40 and CD40L
Innate
Tetanus - Botulinum toxin - HBV or Rabies (To Be Healed Rapidly
Autoimmune hepatitis
28. HLA- DR7
Mature t cells - epithelial reticular cells - Hassalls corpuscles
RA - DM type 1
Steroid - responsive nephrotic syndrome
Wilskott Aldrich (TIE = thrombocytopenia - infections - eczema) high IgE and IgA - low IgM
29. What is the difference in antigenic variation in viruses
Major shift minor drift
Fab
IgE
Hyperacute : occlusion - ischemia - necrosis
30. What is the role of CD4 cels
Help B cells make antibody - secrete IFN gamma to activate macs
S. aureus and S. pyogenes
Everything else - not right arm and right half of head
IgG
31. What does clean up on Aisle 8 stand for?
Neisseria bacteremia
MHC II - B7 - CD40 - CD14 - receptors for Fc and C3b
PMNs recruited by IL-8 to clear infxns
II
32. antismooth muscle
MHC II - B7 - CD40 - CD14 - receptors for Fc and C3b
IL-2 and IFN gamma
Autoimmune hepatitis
I
33. Which antibody mediates type II and type III hypersens rxn
Type III hypersens rxn after intradermal rxn with antigen - antibodies in the skin causing edema - necrosis and activation of complement
IgG
Graves' dz
Adaptive
34. How do CD8 cells kill?
CD14
Perforin - granzyme - granulysin
Everything else - not right arm and right half of head
Graves' dz
35. Deficiency in DAF
Complement mediated lysis of RBCs and paroxysmal nocturnal hemoglobinuria
CD14
APCs - and DR - DP and DQ
Drug induced lupus
36. Which immunoglobulin is found in breast milk - tears - saliva - and mucous
RA - DM type 1
IgA
Regulates the humoral response
Ig - CD19 - 20 - 21 - CD40 - MHCII - B7
37. Which lymph node drains the anal canal below
Superficial inguinal pectinate line
Steroid - responsive nephrotic syndrome
CD14
Other vasculitidies
38. Which receptor on MACS to endotoxin directy stimulate?
IL-10
IgE
IL-1 = fever - IL-2 = T cells - IL-3 = bone marrow - IL-4 = IgE - IL-5 = IgA
CD14
39. Which parts of the antibody to heavy chain contribute?
Primary biliary cirrohosis
Poly/dermato myositis
Fc and Fab
Regulates the humoral response
40. Which type of hypersens rxn is delayed
IFN gamma from lymph activate MAC - IL-1 and TNF alpha from MAC activate lympho
IV
Mature t cells - epithelial reticular cells - Hassalls corpuscles
CD14
41. X- linked recessive defect with progessive deletion of B and T cells
Hereditary angioedema
Perforins and granzymes to induce apoptosis of virally infected or tumor cells
Wilskott Aldrich (TIE = thrombocytopenia - infections - eczema) high IgE and IgA - low IgM
SLE
42. c - ANCA
Wegeners granulomatosis
IL-12 - IFN- beta. IFN- alpha
SLE
Mixed connective tissue disease
43. thwat does the Right lymphatic duct drain?
Right arm and right half of head
IL-4 - 5 - 10
Encapsulated - S SHiN (salmonella - S.pneumo - H. influ - N. menin
Other vasculitidies
44. What does a deficiency in C3 lead to...
Severe pyogenic sinus and respiratory infections - inc suscept to type III hypersen rxn
IL-1 = fever - IL-2 = T cells - IL-3 = bone marrow - IL-4 = IgE - IL-5 = IgA
Help B cells make antibody - secrete IFN gamma to activate macs
Ceilac disase
45. anti U1 RNP
C3b
Prevents attachment of bacteria and viruses to mucous membranes
Mixed connective tissue disease
Chronic: fibrosis of graft tissue and blood vessels
46. which areas of the body are drained by the celiac lymph node?
Opsonization - neutralization and complement activation
Common variable immunodeficiency (CVID)
Stomach
Primary biliary cirrohosis
47. Which MHC complex to CD4 cells bind
Hereditary angioedema
MHC II 4 x 2=8
SLE
All nucleated cells (no RBCs) A - B - C
48. antidesmoglein
III
CD21
Pemphigus vulgaris
IV
49. What do mature B lymphos express on their surface?
Wilskott Aldrich (TIE = thrombocytopenia - infections - eczema) high IgE and IgA - low IgM
Mesenchyme
Common variable immunodeficiency (CVID)
IgM and IgD
50. Which complement protein opsonizes bacteria?
Hyper IgE syndrome (Job's)
C3b
Secondary
Wegeners granulomatosis