A newborn’s intact skin and mucosal surfaces prevent pathogen
entry before immune cells are activated. Which immune defense
line is being tested?
A. Adaptive immunity
B. Innate
immunity
C. Physical barriers
D. Plasma antibodies
C. Physical barriers
A patient with a splinter develops rapid neutrophil and macrophage
activity before antigen-specific lymphocytes expand.
Which defense line is primarily active?
A. Innate immune
system
B. Adaptive immune system
C. Physical barrier
system
D. Humoral memory system
A. Innate immune system
A vaccine generates antigen-specific lymphocyte
memory that improves future responses. Which
defense line does this represent?
A. Physical barriers
B.
Innate immunity
C. Monocyte circulation
D. Adaptive immunity
D. Adaptive immunity
The immune system is broadly divided into which two major groups?
A. Humoral and cellular
B. Innate and adaptive
C.
Monocytes and lymphocytes
D. Plasma and tissue
B. Innate and adaptive
A macrophage surrounds a bacterium and traps
it inside an intracellular pouch before digestion. What is
the pouch called?
A. Lysosome
B. Endosome
C.
Phagosome
D. Peroxisome
C. Phagosome
A macrophage internalizes a bacterium, then the
bacterium-containing vesicle fuses with an enzyme-rich
organelle. Which organelle fuses with it?
A.
Ribosome
B. Golgi body
C. Nucleus
D. Lysosome
D. Lysosome
A macrophage engulfs a fungal particle and
digests it after vesicle fusion with destructive
enzymes. What is this overall process called?
A.
Phagocytosis
B. Chemotaxis
C. Opsonization
D. Exocytosis
A. Phagocytosis
A hematopoietic stem cell divides into two
daughter cells. One differentiates, while the other remains
a stem cell. What property is demonstrated?
A. Somatic
recombination
B. Self-renewal
C. Junctional
diversity
D. Clonal deletion
B. Self-renewal
White blood cells are “white” rather than red because they lack which
molecule?
A. Myosin
B. Albumin
C. Keratin
D. Hemoglobin
D. Hemoglobin
A blood cell destined to become a macrophage leaves bone marrow and
enters circulation. What is it called at this stage?
A.
Monocyte
B. Plasma cell
C. Mast cell
D. Reticulocyte
A. Monocyte
Monocytes remains in blood for how long before later becoming a
macrophage?
A. 1-3 hours
B. 1-3 months
C. 1-3
days
D. 1-3 weeks
C. 1-3 days
A monocyte leaves circulation and enters infected lung
tissue. What must happen before it becomes a
macrophage?
A. It enters marrow
B. It enters tissue
C. It binds IgE
D. It secretes antibody
B. It enters tissue
A macrophage senses bacteria and releases
signaling proteins that coordinate nearby immune
cells. What are these proteins called?
A.
Antigens
B. Immunoglobulins
C. Lysozymes
D. Cytokines
D. Cytokines
In immunology, the term “immunoglobulin” is synonymous with which
molecule?
A. Cytokine
B. Antigen
C. Antibody
D. Complement
C. Antibody
A student remembers antibody classes using “______”
GAMED
A bacterial surface molecule triggers B
cells to produce antibodies against it. What
is that molecule called?
A. Cytokine
B. Receptor
C.
Constant region
D. Antigen
D. Antigen
A patient develops high levels of circulating
antibodies after infection. Which cells
directly produce these
antibodies?
A. Helper T cells
B. Plasma B cells
C.
Macrophages
D. Monocytes
B. Plasma B cells
An antibody contains two pairs of
structurally different protein chains. Which pair
is correct?
A. Alpha and beta chains
B. Variable and
joining chains
C. Heavy and light chains
D. Fab and Fc chains
C. Heavy and light chains
A researcher mutates the antibody
region that directly binds microbial surface
molecules. Which region was altered?
A. Fab
region
B. Constant region
C. Fc receptor
D. Heavy tail
A. Fab region
The Fab region of an antibody is best described as
the region that binds which target?
A. Cytokines
B.
Receptors
C. Lysosomes
D. Antigens
D. Antigens
A macrophage receptor interacts with the non-antigen-binding
portion of an antibody. Which antibody region is
involved?
A. Fab region
B. Constant region
C. Light
chain
D. Junctional site
B. Constant region
A B cell switches from producing IgM to IgG while preserving antigen
specificity. Which antibody region determines class?
A. Fab region
B. Light chain
C. Constant
region
D. Phagosome region
C. Constant region
A B cell generates antibody
diversity by recombining inherited
DNA segments. Which gene segments are involved?
A. A,
B, C, D
B. H, L, F, C
C. G, A, M, E
D. V, D, J, C
D. V, D, J, C
A developing B cell pastes different
antibody gene segments together to generate many
receptor possibilities. What is this strategy called?
A. Modular design
B. Clonal deletion
C. Antigen
presentation
D. Cytokine signaling
A. Modular design
During antibody gene recombination,
nucleotide bases are added or removed at segment
junctions, creating extra variability. What is this called?
A.
Somatic expansion
B. Class switching
C. Junctional
diversity
D. Receptor editing
C. Junctional diversity
Why does the immune system use modular design and junctional
diversity to make antibodies?
A. To reduce antigen
exposure
B. To create massive diversity
C. To destroy stem
cells
D. To prevent cytokine release
B. To create massive diversity
Roughly how many different antibodies are needed to protect against
possible invaders?
A. 100 million
B. 100 thousand
C.
25 thousand
D. 20 million
A. 100 million
Humans generate millions of unique antibodies using only a ____ amount of DNA through a highly efficient process called ____ recombination
Humans generate millions of unique antibodies using only a limited amount of DNA through a highly efficient process called VDJ recombination
After a B cell creates its antibody “recipe,” where are small batches
of antibody displayed?
A. Inside lysosomes
B. Within
phagosomes
C. On the B-cell surface
D. Inside macrophages
C. On the B-cell surface
Surface antibodies on a B cell function as which receptor?
A.
Fc receptor
B. B cell receptor
C. Cytokine receptor
D. Lysosome receptor
B. B cell receptor
On a B cell receptor, which region faces outward to search for
matching antigen?
A. Fab region
B. Constant region
C. Heavy tail
D. Fc region
A. Fab region
The specific molecule that fits a B cell’s antigen-binding region is
called what?
A. Junctional antigen
B. Constant
antigen
C. Innate antigen
D. Cognate antigen
D. Cognate antigen
A naive B cell encounters the exact antigen fitting its surface
receptor. What is the expected result?
A. Hemoglobin
production
B. Macrophage maturation
C. B-cell
proliferation
D. Lysosome destruction
C. B-cell proliferation
Following the initial encounter with its cognate antigen, it generally takes about ___ to ___ days for a naïve B cell to undergo massive clonal expansion and differentiate into antibody-secreting effector cells (plasma cells).
4 to 5 days
After finding its cognate antigen, a B cell expands into
approximately how many clones?
A. 2,000 clones
B. 20,000 clones
C. 100,000
clones
D. 1 million clones
B. 20,000 clones
A plasma cell is working at maximum
antibody-secreting capacity during an acute infection. How
many antibodies can it produce per second?
A. 200
B. 2,000
C. 20,000
D. 100,000
B. 2,000
The main defensive role of antibodies against foreign invaders is
best described as which function?
A. Destroy host cells
directly
B. Mature inside thymus
C. Tag invaders for
destruction
D. Form class I MHC
C. Tag invaders for destruction
A bacterium becomes coated with antibodies, making
it easier for phagocytes to recognize and destroy it.
What is this process called?
A. Neutralization
B.
Opsonization
C. Proliferation
D. Presentation
B. Opsonization
A patient develops antibodies that bind viral particles
before they infect respiratory epithelial cells. Which
antibody type best describes this action?
A. Neutralizing
antibody
B. Opsonizing antibody
C. Regulatory
antibody
D. Memory antibody
A. Neutralizing antibody
A neutralizing antibody binds a viral particle outside a host cell.
What is one major effect?
A. Blocks viral entry
B.
Activates thymic cortex
C. Forms class II MHC
D. Produces
beta chains
A. Blocks viral entry
A patient has circulating antibodies against an enveloped virus, but
some virions have already entered epithelial cells and
uncoated in the cytosol. Why can the antibodies not
directly bind those intracellular virions?
A. Antibodies lack
antigen specificity
B. Antibodies cannot cross intact
membranes
C. Viruses destroy all immunoglobulins
D. Host
cytosol contains no antigens
B. Antibodies cannot cross intact membranes
Antibodies primarily circulate in which body compartment?
A.
Extracellular fluids
B. Cytosolic fluid
C. Nuclear
matrix
D. Mitochondrial space
A. Extracellular fluids
Which location would normally contain circulating soluble antibodies?
A. Host cell cytosol
B. Viral nucleocapsid
C. Blood
plasma
D. Mitochondrial matrix
C. Blood plasma
A virus successfully enters and uncoats inside a host cell without
prior antibody binding. What protects it from direct antibody
binding?
A. Its intracellular location
B. Its larger
genome
C. Its bacterial capsule
D. Its thymic origin
A. Its intracellular location
A child with impaired thymic development has
defective maturation of which immune cell
type?
A. B cells
B. T cells
C. Monocytes
D. Macrophages
B. T cells
Which group correctly lists the three main T-cell types?
A.
Killer, helper, regulatory
B. Plasma, memory, naive
C.
Monocyte, macrophage, dendritic
D. IgG, IgA, IgM
A. Killer, helper, regulatory
Cytotoxic lymphocytes are another name for which
T-cell type?
A. Helper T cells
B. Regulatory T cells
C. Killer T cells
D. Plasma T cells
C. Killer T cells
A T cell determines whether a host cell is infected by
inspecting molecules displayed on the cell surface.
What does it inspect?
A. Immunoglobulin
B.
Hemoglobin
C. Cytokine receptor
D. MHC
D. MHC
T cells can indirectly “view” intracellular contents
because cells display peptides using which molecule?
A. MHC
B. IgE
C. BCR
D. Lysosome
A. MHC
Most nucleated body cells use which MHC class to
show intracellular material?
A. Class I MHC
B. Class II MHC
C. Class III
MHC
D. Class IV MHC
A. Class I MHC
Killer T cells mainly inspect which
MHC class?
A. Class II MHC
B. Class I MHC
C. Class
III MHC
D. Class IV MHC
B. Class I MHC
A virally infected epithelial cell displays abnormal
intracellular peptides. Which immune cell is most directly
involved in checking it?
A. Helper T cell
B. Plasma B
cell
C. Killer T cell
D. Regulatory B cell
C. Killer T cell
Certain immune cells display extracellular
antigen fragments to helper T cells. What are these cells
called?
A. Antigen-presenting cells
B. Antibody-secreting
cells
C. Hemoglobin-lacking cells
D. Beta-microglobulin cells
A. Antigen-presenting cells
Antigen-presenting cells use which MHC
class to communicate with helper T cells?
A. Class I MHC
B. Class II MHC
C. Class III
MHC
D. Class IV MHC
B. Class II MHC
Helper T cells primarily assess
infection in which environment through class II MHC?
A.
Intracellular environment
B. Extracellular environment
C.
Bone marrow niche
D. Thymic medulla
B. Extracellular environment
Class I MHC is structurally composed of one long chain plus which
smaller chain?
A. Alpha chain
B. Beta chain
C. Delta
chain
D. B2-microglobulin
D. B2-microglobulin
Which structure is part of class I MHC but not class
II MHC?
A. B2-microglobulin
B. Alpha chain
C. Beta
chain
D. Fab region
A. B2-microglobulin
Class II MHC is made of which two long chains?
A. Heavy and
light
B. Alpha and beta
C. Fab and constant
D. Gamma
and delta
B. Alpha and beta
Which statement correctly describes class I MHC?
A. One long
chain
B. Two alpha chains
C. Two beta chains
D.
Heavy and light chains
A. One long chain
Which statement correctly describes class II MHC structure?
A.
One long chain
B. Two long chains
C. B2-microglobulin
only
D. Fab and Fc regions
B. Two long chains
B cells and T cells are collectively called what?
Lymphocytes
After an infection is cleared, most expanded B and T cells
undergo cell death. What are the surviving
long-lived cells called?
A. Plasma cells
B. Memory cells
C. Stem cells
D. Monocytes
B. Memory cells
During a second exposure to the same pathogen, the
adaptive immune system responds faster. Which cells
mainly explain this?
A. Memory cells
B. Monocytes
C.
Neutrophils
D. Macrophages
A. Memory cells
A vaccine works partly because some lymphocytes survive after
the initial response. What is the main benefit of these
cells?
A. Faster secondary response
B. Slower antigen
recognition
C. Reduced MHC expression
D. Blocked antibody secretion
A. Faster secondary response