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?
Phagosome
A macrophage internalizes a bacterium, then the bacterium-containing vesicle fuses with an enzyme-rich organelle. Which organelle fuses with it?
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
White blood cells are “white” rather than red because they lack which molecule?
D. Hemoglobin
A blood cell destined to become a macrophage leaves bone marrow and enters circulation. What is it called at this stage?
Monocyte
Monocytes remains in blood for how long before later becoming a macrophage?
about ____ ____
about 3 days
Monocytes will not mature into macrophages until they enter _____.
tissue
Once monocytes migrate to tissue and become macrophages, they release ______ which starts an inflammatory response
Cytokines
In immunology, the term “immunoglobulin” is synonymous with which
molecule?
A. Cytokine
B. Antigen
C. Antibody
D. Complement
C. Antibody
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
Which cells directly produce antibodies?
____ ____ cells
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?
____ region
Fab region
The Fab region of an antibody is best described as the region that binds which target?
____
Antigens
A macrophage receptor interacts with the non-antigen-binding portion of an antibody. Which antibody region is involved?
_____ region
Constant region
The class of an antibody (IgG, IgM, etc.) is determined by the structure of its _____ region.
constant
The _____ of every B cell contain multiple copies of four types of _____ molecules: V, D, J, C
chromosomes
DNA
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
When DNA bases are added or removed from where gene segments are joined together, this creates _____ _____ which adds further variation.
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 ______ antibody can bind to a virus outside of a cell and can keep it from ______ the cell or from ______ once it has entered.
neutralizing
entering
reproducing
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?
Class I MHC
Killer T cells mainly inspect which MHC class?
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?
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
Macrophages will produce _____ to facilitate _____ between immune system cells.
cytokines
communication
Macrophages and all the other blood cells in your body are the descendants of self-renewing _____ _____ _____
blood stem cells
Complement proteins and NK cells are a part of the [innate or adaptive] immune system
innate
Immunizations take advantage of [innate vs adapative] immune system
adapative
Clonal selection refers to antigen binding followed by which cellular process?
A. Cell membrane rupture
B. Proliferation of selected cells
C. Loss of antigen receptors
D. Decreased lymphocyte survival
B. Proliferation of selected cells
A lymphocyte binds its specific antigen and then expands into many identical cells. What process is being described?
A. Clonal selection
B. Central tolerance
C. Somatic recombination
D. Complement activation
A. Clonal selection
Which immune cell can force abnormal or infected cells to undergo suicide-like death?
A. Helper T cell
B. Regulatory T cell
C. Natural killer cell
D. Plasma cell
C. Natural killer cell
Which T-cell subtype directly kills infected host cells by inducing apoptosis?
A. Helper T cell
B. Cytotoxic T cell
C. Regulatory T cell
D. Memory B cell
B. Cytotoxic T cell
Which T-cell subtype primarily secretes cytokines to coordinate immune responses?
A. Helper T cell
B. Cytotoxic T cell
C. Regulatory T cell
D. Naive B cell
A. Helper T cell
Which T-cell subtype prevents excessive immune activation and overreaction?
A. Cytotoxic T cell
B. Helper T cell
C. Regulatory T cell
D. Plasma cell
C. Regulatory T cell
The first signal for helper T-cell activation is recognition of cognate antigen displayed on which molecule?
A. Class I MHC
B. Class II MHC
C. IgE receptor
D. Complement C3b receptor
B. Class II MHC
A helper T cell recognizes its specific antigen on class II MHC. What second signal is also required for full activation?
A. CD40 binding to IgA
B. B7 binding to CD28
C. C5b binding to C9
D. Fc binding to CD16
B. B7 binding to CD28
Lymph from most of the body, including the left upper body, drains into which lymphatic structure?
A. Right lymphatic duct
B. Thoracic duct
C. Azygos vein
D. Inferior vena cava
B. Thoracic duct
The thoracic duct empties lymph back into the blood near which vessel
A. Left subclavian vein
B. Right subclavian vein
C. Portal vein
D. Femoral vein
A. Left subclavian vein
Lymph from the right side of the upper body drains into which lymphatic structure?
A. Thoracic duct
B. Right lymphatic duct
C. Cisterna chyli
D. Splenic vein
B. Right lymphatic duct
The right lymphatic duct empties lymph back into the blood near which vessel?
A. Left subclavian vein
B. Right subclavian vein
C. Inferior vena cava
D. Portal vein
B. Right subclavian vein