The innate immune system’s “memory” is best described as hard-wired
defense against which invaders?
A. Specific prior
attackers
B. Common invaders
C. Self-antigens
D.
Tumor neoantigens
B. Common invaders
A macrophage responds more vigorously to a second microbial challenge
after a prior exposure. What is this called?
A. Central
memory
B. Trained immunity
C. Somatic hypermutation
D. Peripheral tolerance
B. Trained immunity
Trained immunity usually has which duration and distribution?
A. Lifelong and systemic
B. Weeks-months and local
C. Days
and systemic
D. Years and lymphoid
B. Weeks-months and local
The innate immune system uses hard-wired receptors to recognize
what?
A. Broad pathogen classes
B. Specific lifetime
attackers
C. Somatically mutated epitopes
D. Cognate
peptide-MHC only
A. Broad pathogen classes
Adaptive immune memory is best distinguished by remembering
what?
A. Broad microbial patterns
B. Common tissue
stress
C. Specific encountered attackers
D. Local cytokine gradients
C. Specific encountered attackers
During an initial B-cell response, which set of
B-cell products is generated?
A. CTLs, Tfh, iTregs
B. Th1,
Th2, Th17
C. FDCs, TDCs, mTECs
D. Short plasma, long
plasma, central memory
D. Short plasma, long plasma, central memory
Short-lived plasma B cells are produced in which
structure?
A. Lymphoid follicles
B. Thymic cortex
C.
Splenic red pulp
D. Bone marrow niche
A. Lymphoid follicles
After generation, short-lived plasma B cells travel
mainly to which sites?
A. Thymus and MALT
B. Bone marrow
and spleen
C. Cortex and paracortex
D. PALS and thymus
B. Bone marrow and spleen
Short-lived plasma B cells mainly perform which
function?
A. Edit light chains
B. Present
self-antigens
C. Produce abundant antibodies
D. License NK cells
C. Produce abundant antibodies
Both types of memory B cells require assistance from which
cells?
A. NK cells
B. T cells
C. Neutrophils
D. Eosinophils
B. T cells
Long-lived plasma cells take up residence mainly where?
A. Bone
marrow
B. Thymic medulla
C. Peyer patches
D.
Inflamed mucosa
A. Bone marrow
Long-lived plasma cells provide lifelong immunity by doing
what?
A. Continual modest antibody production
B. Constant
massive cytokine release
C. Permanent TCR rearrangement
D.
Rapid neutrophil recruitment
A. Continual modest antibody production
Central memory B cells reside mainly in which location?
A.
Peripheral tissues
B. Primary lymphoid organs
C. Secondary
lymphoid organs
D. Bloodstream only
C. Secondary lymphoid organs
Central memory B cells are best described as memory “stem cells”
because they do what?
A. Maintain and replace memory pools
B. Kill infected epithelial cells
C. Present self-antigen in
thymus
D. Downregulate Class I MHC
A. Maintain and replace memory pools
During a repeat infection, central memory B cells can rapidly
generate which cells?
A. Short-lived plasma B cells
B.
Medullary thymic epithelial cells
C. Follicular dendritic
cells
D. Natural regulatory T cells
A. Short-lived plasma B cells
Memory T cells are generated only when T-cell activation depends on
help from which cell type?
A. NK cells
B. Th cells
C. Plasma cells
D. Neutrophils
B. Th cells
After naive T cells activate, proliferate, and receive tissue-travel
passports, they are called what?
A. Central T cells
B.
Effector T cells
C. Anergic T cells
D. Virgin T cells
B. Effector T cells
After an infection resolves, approximately what fraction of effector
T cells die?
A. 10%
B. 30%
C. 60%
D. 90%
D. 90%
Some surviving effector T cells remain near the original tissue
encounter site. What are they called?
A. Central memory T
cells
B. Effector memory T cells
C. Tissue-resident memory
T cells
D. Follicular helper T cells
C. Tissue-resident memory T cells
Some surviving effector T cells patrol through blood and lymph. What
are they called?
A. Effector memory T cells
B.
Tissue-resident memory T cells
C. Central memory T cells
D. Inducible regulatory T cells
A. Effector memory T cells
Some memory T cells remain in secondary lymphoid organs. What are
they called?
A. Tissue-resident memory T cells
B. Effector
memory T cells
C. Central memory T cells
D. Natural
regulatory T cells
C. Central memory T cells
Which helper T-cell subsets are described as having long
memories?
A. Th1, Th2, Th17
B. iTreg, nTreg, Tfh
C.
CTL, NK, Tfh
D. Th0, CTL, iTreg
A. Th1, Th2, Th17
Which T-cell subset has short memory because it turns immune
responses off?
A. Th1 cells
B. Th17 cells
C. Th2
cells
D. iTreg cells
D. iTreg cells
Why is it useful for iTregs to have short memories?
A. Prevents
prolonged immune suppression
B. Increases antibody
affinity
C. Promotes NK licensing
D. Maintains thymic selection
A. Prevents prolonged immune suppression
A vaccine induces bone marrow plasma cells that survive for years and
secrete low-level antibody. Which cells are responsible?
A.
Short-lived plasma cells
B. Long-lived plasma cells
C.
Central memory B cells
D. Marginal-zone B cells
B. Long-lived plasma cells
A patient has rapid antibody expansion after re-exposure because
memory “stem cells” generate new plasma cells. Which cells mediate
this?
A. Central memory B cells
B. Long-lived plasma
cells
C. Tissue-resident memory T cells
D. Effector memory
T cells
A. Central memory B cells
A skin infection leaves T cells stationed locally after resolution.
Which memory compartment is being formed?
A. Central
memory
B. Effector memory
C. Tissue-resident memory
D. Natural regulatory
C. Tissue-resident memory
A previously infected patient has T cells circulating through blood
and lymph, ready for reactivation. Which compartment is this?
A.
Effector memory
B. Central memory
C. Tissue-resident
memory
D. Short-lived plasma
A. Effector memory
A memory T cell remains in a lymph node rather than patrolling
peripheral tissues. Which compartment is this?
A.
Tissue-resident memory
B. Effector memory
C. Central
memory
D. Trained immunity
C. Central memory
A defect prevents T-cell help during B-cell activation. Which outcome
is most directly impaired?
A. Memory B-cell generation
B.
NK missing-self recognition
C. Innate trained immunity
D.
Short cytokine half-life
A. Memory B-cell generation
A patient previously infected with a virus is re-exposed years later
and clears it faster. One major reason memory cells respond better is
that they are now what?
A. More numerous on duty
B. Less
antigen-specific
C. Newly generated in thymus
D. Unable to
undergo apoptosis
A. More numerous on duty
Compared with a first immune response, a second immune response is
faster partly because memory B and T cells are what?
A. Harder
to stimulate
B. Easier to activate
C. Unable to
migrate
D. Independent of antigen
B. Easier to activate
A memory B cell responds to antigen with a
higher-affinity receptor than its original naive precursor.
Which process explains this upgrade?
A. Receptor editing
B. Positive selection
C. Somatic hypermutation
D.
Missing-self recognition
C. Somatic hypermutation
A memory B cell produces a different antibody
isotype than its original naive version. Which process caused
this change?
A. Class switching
B. AICD
C. NK
licensing
D. Central tolerance
A. Class switching
Which feature is shared by memory B-cell and memory T-cell
systems?
A. Long-lived plasma cells
B. Somatic
hypermutation
C. Central memory cells
D. Secreted antibody deployment
C. Central memory cells
Which memory cell type can fine-tune antigen receptors after
activation?
A. T cells only
B. B cells only
C. NK
cells only
D. Both B and T cells
B. B cells only
Why can memory B cells improve receptor affinity over time while
memory T cells cannot?
A. B cells undergo somatic
hypermutation
B. T cells lack antigen receptors
C. T cells
cannot become memory
D. B cells avoid class switching
A. B cells undergo somatic hypermutation
Which statement best describes T-cell memory compared with B-cell
memory?
A. T cells form plasma equivalents
B. T cells lack
central memory
C. T cells lack long-lived plasma analog
D.
T cells constantly secrete antibodies
C. T cells lack long-lived plasma analog
After an infection resolves, which immune product can continue to be
deployed because of B-cell memory?
A. Antibodies
B.
TCRs
C. Fas ligand
D. Class I MHC
A. Antibodies
Which cell type produces antibodies that may persist after an
invasion is over?
A. T cells
B. B cells
C. NK
cells
D. Dendritic cells
B. B cells
A repeat infection is controlled rapidly because many
antigen-specific lymphocytes already exist and require less
stimulation. Which cells best explain this?
A. Naive
lymphocytes
B. Memory lymphocytes
C. Thymic epithelial
cells
D. Follicular dendritic cells
B. Memory lymphocytes
Which pair best describes memory B-cell upgrades?
A. Class
switching, somatic hypermutation
B. Anergy, receptor
deletion
C. Positive selection, AIRE expression
D. Missing
self, NK licensing
A. Class switching, somatic hypermutation