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Perforin is produced by


A) B cells.
B) macrophages.
C) NK cells.
D) T helper cells.
E) B cells AND NK cells.

F) B) and D)
G) A) and E)

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An IgG molecule has two


A) heavy chains, light chains, AND antibody binding sites.
B) heavy chains, light chains, AND antigen binding sites.
C) light chains, antigen binding sites, AND antibody binding sites.
D) antibody binding sites AND antigen binding sites.
E) Fc regions AND one Fab region.

F) D) and E)
G) C) and D)

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B

T cell receptors are identical to antibodies.

A) True
B) False

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Specific regions on an antigen molecule to which the immune response is directed are


A) antigenic determinants.
B) an autoimmune response.
C) monomers.
D) allergens.
E) antibody determinants.

F) A) and D)
G) A) and C)

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The cells that actually secrete antibodies are


A) natural killer cells.
B) phagocytes.
C) plasma cells.
D) T cells.
E) naive B cells.

F) A) and C)
G) A) and B)

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You explain to your patient the role of the lymphocytes in her adaptive immune response. In the middle of your explanation, you are distracted and you tell her something that is NOT correct. Identify that statement.


A) After activation, T lymphocytes divide and proliferate to form a population of helper T cells and a population of cytotoxic T cells; activated T cells secrete cytokines that exert an effect on other cells.
B) After activation, B lymphocytes divide and proliferate to form a population of plasma cells and a population of memory cells; plasma cells produce antibodies that tag microbial invaders for elimination by phagocytes. 
C) Once activated, helper T cells form a population of TH effector cells and a population of TH memory cells; TH effector cells produce cytokines that activate B cells and macrophages.
D) Once activated, cytotoxic T cells form a population of TC effector cells and a population of TC memory cells; TC effector cells produce cytokines that induce apoptosis in virally infected self cells.
E) Effector B cells and T cells express traits that help eliminate invaders in a primary response. Memory B cells and T cells are responsible for the effectiveness of the secondary response.

F) A) and B)
G) A) and C)

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The characteristic function and properties of each class of antibody is determined by the


A) variable region on the light chains.
B) hinge region of all chains.
C) constant region on the light chains.
D) constant region on the heavy chains.
E) variable region on the heavy chains.

F) B) and E)
G) None of the above

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Which of the following is/are secondary lymphoid organ(s) ?


A) Thymus AND spleen
B) Spleen AND lymph nodes
C) Lymph nodes AND bone marrow
D) Spleen AND bone marrow
E) Thymus AND bone marrow

F) C) and D)
G) A) and E)

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What would be an appropriate response if an antigen is presented on MHC class II molecules?


A) An effector CD4 cell activates the presenting cell.
B) An effector CD8 cell activates the presenting cell.
C) An effector CD4 cell kills the presenting cell.
D) An effector CD8 cell kills the presenting cell.
E) An effector CD8 cell activates a naive CD4 cell.

F) B) and D)
G) A) and E)

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Which of the following contribute to antibody diversity?


A) Gene rearrangement AND imprecise joining
B) Imprecise joining AND combinatorial associations
C) Imprecise joining AND negative selection
D) Gene rearrangement, imprecise joining AND combinatorial associations
E) Positive selection, negative selection AND gene rearrangement

F) A) and B)
G) A) and C)

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The function of the secretory component of the IgA molecule is


A) to protect IgA from being destroyed by proteolytic enzymes.
B) to coat the antigen.
C) to facilitate opsonization.
D) to protect breast-fed infants against intestinal pathogens.
E) to protect IgA from being destroyed by lipases.

F) A) and C)
G) C) and D)

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Which of the following do not induce a strong immune response?


A) Lipids
B) Proteins
C) Polysaccharides
D) Simple sugars
E) Lipids AND simple sugars.

F) A) and E)
G) A) and B)

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Antibodies are made by


A) red blood cells.
B) macrophages.
C) B cells/plasma cells.
D) T cells.
E) all leukocytes.

F) A) and B)
G) A) and C)

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Your friend Ellie is pregnant. She tells you that her mother, a microbiologist, has warned her not to clean out the cat's litter box while she is pregnant in case she contracts a disease called toxoplasmosis, which can affect her fetus. She says her mom told her toxoplasmosis is caused by a parasite called Toxoplasma gondii, that may be found in the feces of infected cats and also in raw meat. Your friend's mom tells her that when a person has not had a particular disease, they are not immune to the pathogen that causes the disease, and lack antibodies against that microbe. Your friend has never had toxoplasmosis but she doesn't quite understand why this, and the fact that she doesn't have antibodies to T. gondii, is important. You help her understand some facts about her adaptive immune system. -Ellie doesn't understand why it is important as to whether a woman has a first or subsequent exposure to a pathogen such as T. gondii when she is pregnant. You explain to her the difference between a primary and a secondary immune response. Which of the following would you NOT say to her?


A) When memory B cells become activated, some quickly differentiate to form plasma cells, resulting in the rapid production of antibodies. IgG crosses the placenta and protects the fetus.
B) In the first (primary) exposure to an antigen, it takes about 10 to 14 days for a significant concentration of antibodies to accumulate. IgM is made, followed by IgG.
C) The second exposure to an antigen, which characterizes the memory of adaptive immunity, causes rapid production of relatively large quantities of IgM but no IgG.
D) If the same antigen is encountered later in life, a stronger antigen-specific adaptive immune response occurs, called the secondary response. Large amounts of IgG are made.
E) The first adaptive immune response to an antigen is the primary response; effector cells and memory cells are formed as a result of this initial encounter.

F) A) and D)
G) B) and D)

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A term synonymous with antibody is


A) antigen.
B) immunoglobulin.
C) epitope.
D) determinant.
E) immunotope.

F) C) and D)
G) B) and C)

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T-independent antigens


A) include polysaccharides.
B) require the involvement of T cells.
C) interact with MHCI molecules.
D) are usually proteins.
E) include polysaccharides AND require the involvement of T cells.

F) B) and E)
G) B) and D)

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"Clonal selection" and "clonal expansion"


A) imply that each individual lymphocyte produces a single antibody.
B) describe how a single lymphocyte proliferates in a population of effector cells.
C) depend on an antibody recognizing a specific epitope.
D) explain how an antigen stimulates the production of matching antibodies.
E) All of the answer choices are correct.

F) A) and E)
G) C) and D)

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CD8 cells are


A) T helper cells.
B) natural killer cells.
C) T cytotoxic cells.
D) macrophages.
E) plasma cells.

F) D) and E)
G) A) and B)

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Secondary lymphoid organs


A) facilitate interactions between cells.
B) are hematopoietic.
C) are the site of T cell maturation.
D) include the bone marrow and thymus.
E) are the site of B cell maturation.

F) All of the above
G) B) and C)

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A

The immune response is directed against an entire molecule.

A) True
B) False

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False

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