A viral infection activates cytotoxic T cells, and a bacterial infection activates helper T cells. Once these T cells begin performing their immune functions, what are they called?
_____ _____
Effector cells
A helper T-cell clone produces IL-4 and
IL-5 but not IFN-gamma or IL-17. What best explains this
finding?
A. Subset-restricted cytokine programs
B. Uniform
cytokine secretion
C. Antibody class deletion
D. TCR chain editing
A. Subset-restricted cytokine programs
Effector helper T cells are classically divided into which three major cytokine-producing groups?
Th1, Th2, Th17
A cell samples microbial products, reads local cytokine signals, and determines how helper T cells should respond. Which cell is being described?
Dendritic cell
A dendritic cell detects both microbial motifs and local soluble
immune signals. Which two input systems is it integrating?
A.
MHC and TCRs
B. Fc and complement receptors
C. PRRs and
cytokine receptors
D. BCRs and integrins
C. PRRs and cytokine receptors
Skin cells near an infection release a characteristic mixture of signals that helps dendritic cells identify the attack location. What are these signals?
_______
Cytokines
An activated dendritic cell instructs a helper T cell how to respond.
Which output best conveys this plan?
A. Antibody and
complement
B. Histamine and leukotrienes
C. Perforin and
granzyme
D. Co-stimulation and cytokines
D. Co-stimulation and cytokines
A dendritic cell leaves infected intestinal tissue and primes a
helper T cell. Its instructions mainly reflect what prior
information?
A. T-cell receptor affinity
B. Local tissue
immune signals
C. Bone marrow stromal signals
D. Plasma
antibody concentration
B. Local tissue immune signals
A patient with gram-negative sepsis has macrophage activation after recognition of LPS. Which receptor is most directly involved?
TLR4
A dendritic cell detects molecules from gram-positive bacteria. Which Toll-like receptor is classically involved?
TLR2
During a viral infection, dendritic cells detect double-stranded RNA produced during replication. Which receptor recognizes it?
TLR3
During a viral infection, dendritic cells detect single-stranded RNA produced during replication. Which receptor recognizes it?
TLR7
A dendritic cell detects unmethylated CpG DNA during infection. Which receptor is most associated with this pattern?
TLR9
Unmethylated CpG dinucleotides are detected by innate
immune cells. This pattern most strongly suggests which source?
A. Bacterial DNA
B. Viral envelope
C. Fungal capsule
D. Helminth cuticle
A. Bacterial DNA
A dendritic cell presents antigen plus IL-12 to a virgin helper T cell. Which helper subset is most likely induced?
Th1
Which cytokine trio best matches the classical Th1 profile?
TNF, IFN-gamma, IL-2
A Th1 response helps activate macrophages and natural killer cells early in infection. Which cytokine performs this function?
TNF
A macrophage has already been activated during intracellular infection. Which Th1 cytokine helps keep it activated?
IFN-gamma
A patient needs B-cell class switching toward human IgG3 during a Th1 response. Which cytokine provides this influence?
IFN-gamma
A cytokine keeps NK cells “charged up” and promotes proliferation of CTLs, NK cells, and Th1 cells. Which cytokine is this?
IL-2
Tissue invasion by a parasite causes activated dendritic cells to polarize helper T cells toward which cytokine subset?
Th2
Which 5 cytokines best matches the Th2 subset?
IL-4, IL-5, IL-6, IL-10, IL-13
A Th2 cytokine acts as a growth factor for helper T cells already secreting Th2 cytokines. Which cytokine is it?
IL-4
A mucosal immune response encourages B cells to produce IgA antibodies. Which Th2 cytokine is responsible?
IL-5
A helminth-associated immune response promotes B-cell class switching toward IgE. Which cytokine most directly supports this?
IL-4
During intestinal parasite defense, goblet-cell mucus production increases. Which cytokine best explains this effect?
IL-13
Fungi attack a mucosal barrier. Activated dendritic cells produce TGF-beta plus IL-6. Which helper subset is favored?
Th17
Which cytokine trio best matches the Th17 subset in this material?
IL-17, IL-21, IL-23
A growth factor expands helper T cells producing the Th17 cytokine subset. Which cytokine is this?
IL-23
A mucosal fungal infection triggers recruitment of massive numbers of neutrophils. Which cytokine is most responsible?
IL-17
B cells guarding mucosal surfaces begin producing IgG3 and IgA. Which Th17 cytokine caused this shift?
IL-21
A dendritic cell tells a helper T cell where to
migrate but gives no clear effector
instructions. What subset results?
A. Th1
B.
Th0
C. Th2
D. Th17
B. Th0
A helper T cell retains the ability to produce a broad range
of cytokines after incomplete dendritic-cell
instruction. What is this called?
A. Th2
polarization
B. Th1 commitment
C. Th17 maturation
D.
Th0 subset
D. Th0 subset
A Th0 cell reaches infected tissue and encounters cytokines specific
to that site. What happens next?
A. It adopts a relevant
subset
B. It becomes permanently anergic
C. It deletes its
TCR
D. It stops cytokine secretion
A. It adopts a relevant subset
A researcher finds helper T cells that do not fit neatly into Th1,
Th2, or Th17 categories. What is the best interpretation?
A. All
T cells are mislabeled
B. Only CTLs make cytokines
C. The
paradigm has exceptions
D. Dendritic cells lack cytokines
C. The paradigm has exceptions
A Th1-polarized response becomes dominant during infection. Which cytokine helps suppress proliferation of competing Th2 cells?
IFN-gamma
A Th2 response is limiting excessive Th1 expansion. Which cytokine most directly mediates this inhibition?
IL-10
Why do Th helper subsets inhibit one another?
A. To increase
antibody diversity
B. To prevent competing activation
C.
To destroy infected cells
D. To increase cytokine range
B. To prevent competing activation
What is a cytokine property?
A. Limited local range
B.
Permanent receptor binding
C. Systemic endocrine spread
D.
Antigen-specific recognition
A. Limited local range
A patient receives intradermal tuberculin and
returns days later for evaluation. What immune phenomenon is being
tested?
A. Type I hypersensitivity
B. Immune-complex
disease
C. Delayed-type IV hypersensitivity
D.
Complement-mediated lysis
C. Delayed-type IV hypersensitivity
The tuberculosis skin test requires waiting several days after
tuberculin injection. This delay best reflects which process?
A.
T cell-mediated inflammation
B. Immediate mast-cell
degranulation
C. IgE-mediated wheal formation
D. Direct
bacterial toxin injury
A. T cell-mediated inflammation
A cytotoxic T lymphocyte kills a virus-infected epithelial
cell by delivering enzymes into the target
cell. Which pair is most involved?
A. FasL and
IL-10
B. Perforin and granzyme B
C. IFN-gamma and
IL-4
D. IL-17 and IL-23
B. Perforin and granzyme B
A CTL releases a molecule that disrupts the target cell membrane, allowing entry of apoptotic enzymes. Which molecule does this?
Perforin
A CTL delivers an enzyme into an infected target cell, triggering apoptosis. Which molecule is responsible?
Granzyme B
A cytotoxic T cell uses a death-receptor pathway instead of granule exocytosis. Which molecule on the CTL is responsible?
_____ _____
Fas ligand
Fas ligand on a CTL triggers apoptosis by binding which target-cell structure?
_____ _____
Fas receptor
A CTL secretes IFN-gamma near infected cells. What
is the main local effect?
A. Decrease class II MHC
B.
Increase class I MHC
C. Suppress Fas expression
D. Block
granzyme uptake
B. Increase class I MHC
Why does CTL-derived IFN-gamma help future CTL
recognition?
A. It increases IgE switching
B. It recruits
eosinophils locally
C. It raises MHC I expression
D. It
suppresses viral apoptosis
C. It raises MHC I expression
A virus-infected cell is killed by apoptosis rather than necrosis.
Why is apoptosis safer locally?
A. Less surrounding tissue
damage
B. More enzyme leakage occurs
C. More complement
activation occurs
D. Greater neutrophil rupture occurs
A. Less surrounding tissue damage
Necrosis of an infected cell can worsen nearby injury because it
releases which contents?
A. Antibodies and cytokines
B.
MHC and TCRs
C. Enzymes and chemicals
D. Perforin and FasL
C. Enzymes and chemicals
A CTL induces apoptosis in a virus-infected cell before viral assembly is complete. What benefit does this provide?
Destroys viral ______ ______
Destroys viral nucleic acids
A cytotoxic T cell uses three major weapons against infected host
cells. Which set is most complete?
A. IL-4, IL-5, IL-13
B.
TLR2, TLR3, TLR9
C. Perforin, FasL, IFN-gamma
D. IgA, IgE, IgG3
C. Perforin, FasL, IFN-gamma
Which set of helper T cells help to attack fungi or extracellular bacteria?
Th17
produced by Th1 helper t-cells, will stimulate prolonged activity of NK Cells after 16 hours
IL-2
stimulates macrophage activation and prolonged activity & stimulates b-cell class switching to produce IgG3
ifn-gamma
What cell conveys "gameplan" to the helper T cell?
dendritic cell
What subset would be activated if you have a puncture wound that results in a bacterial infection or if you are attacked by a virus that replicates in the tissues?
Th1
What subset would be activated if you have been infected by a parasite (e.g., hook worms) or you have eaten some food that is contaminated with pathogenic bacteria?
Th2
Th2 are induced by ______ and ______
IL-2 and IL-4
What cytokine stimulates the production of mucus in the intestine?
IL-13
TH17 Cells are induced by ______, ______, ______
TGF-B, IL-6, IL-23
What cytokine can cause B cells that guard the mucosal surfaces to produce IgG3 and IgA antibodies.
IL-21
Once a Killer T cell has been activated and mobilized to the sight of attack
First way of killing
1. ______ is a close relative of MAC
which will punch holes in the membrane
2. ______ will induce apoptosis
2nd Way
A killer T cell can use a fas ligand which can bind
to Fas and induce ______
Perforin
Granzyme
apoptosis