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 products can B cells generate?
_____-lived _____ cells
_____-lived _____ cells
_____ _____ B cells
Short-lived plasma cells
long-lived plasma cells
Central memory B cells
Short-lived plasma B cells are produced in which structure?
_____ _____
Lymphoid follicles
After generation, short-lived plasma B cells travel mainly to which sites?
_____ _____ and _____
Bone marrow and spleen
Short-lived plasma B cells mainly perform which function?
_____ abundant _____
Produce abundant antibodies
Memory B cells require assistance from which cells?
____ ____ cells
Helper T cells
Long-lived plasma cells take up residence mainly where?
____ ____
Bone marrow
Long-lived plasma cells provide lifelong immunity by doing what?
____ modest ____ production
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?
______ and ______ memory pools
Maintain and replace memory pools
During a repeat infection, central memory B cells can rapidly generate which cells?
______ -______ plasma B cells
Short-lived plasma B cells
Memory T cells are generated most effectively when T-cell activation receives help from which cell type?
A. NK cells
B. Helper T cells
C. Plasma cells
D. Neutrophils
B. Helper T 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?
_____-_____ _____ T cells
Tissue-resident memory T cells
Some surviving effector T cells patrol through blood and lymph. What are they called?
_____ _____ T cells
Effector memory T cells
Some memory T cells remain in secondary lymphoid organs. What are they called?
_____ _____ T cells
Central memory T cells
Which helper T-cell subsets are described as having long memories?
___, ___, ___
Th1, Th2, Th17
Which T-cell subset has short memory because it turns immune responses off?
iTreg cells
Why is it useful for iTregs to have short memories?
Prevents prolonged _____ _____
Prevents prolonged immune suppression
A vaccine induces bone marrow plasma cells that survive for years and secrete low-level antibody. Which cells are responsible?
____ ____ ____ cells
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?
____ ____ ____ cells
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?
____ ____
Somatic hypermutation
A memory B cell produces a different antibody isotype than its original naive version. Which process caused this change?
____ ____
Class switching
Which feature is shared by memory B-cell and memory T-cell systems?
____ memory cells
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
The innate immune system has a “hard-wired” memory shaped over millions of years. Which receptor type represents this inherited recognition system?
A. BCR
B. TCR
C. Toll-like receptor
D. Fc receptor
C. Toll-like receptor — TLR genes are inherited and recognize conserved invader patterns.
A macrophage detects LPS on a gram-negative bacterium using a receptor encoded in the host genome. What type of immune memory is this?
A. Adaptive memory
B. Innate hard-wired memory
C. Central B-cell memory
D. Effector T-cell memory
B. Innate hard-wired memory — TLRs recognize conserved pathogen characteristics like LPS.
An invader first enters the body, and antibodies must be made quickly to tag it for destruction. Which B-cell product is mainly responsible early?
A. Long-lived plasma cells
B. Central memory B cells
C. Short-lived plasma cells
D. Resident memory T cells
C. Short-lived plasma cells — they rapidly produce antibodies during the initial response.
Where are short-lived plasma B cells activated during the initial response?
A. Bone marrow
B. Secondary lymphoid organs
C. Thymic cortex
D. Red pulp only
B. Secondary lymphoid organs — early B-cell activation occurs in lymph nodes, spleen, or MALT.
Which statement best describes short-lived plasma B cells in the initial response?
A. They live in bone marrow for lifelong immunity
B. They are short-lived and have not yet undergone somatic hypermutation
C. They are T cells that patrol epithelial tissue
D. They replace dead long-lived plasma cells
B. They are short-lived and have not yet undergone somatic hypermutation.
After the initial immune response, some upgraded high-affinity B cells become cells that live in bone marrow and provide lifelong antibody protection. What are these cells?
A. Short-lived plasma cells
B. Central memory T cells
C. Long-lived plasma cells
D. Resident memory T cells
C. Long-lived plasma cells — they live in bone marrow and provide long-term antibody immunity.
Which B-cell population provides immediate invader-specific antibody defense if the same pathogen attacks again?
A. Long-lived plasma cells
B. Naive B cells
C. Resident memory T cells
D. Short-lived neutrophils
A. Long-lived plasma cells — they maintain pathogen-specific antibody protection between exposures.
Central memory B cells primarily live in which location?
A. Secondary lymphoid organs
B. Bone marrow only
C. Skin epithelium
D. Blood vessel endothelium
A. Secondary lymphoid organs
What is the main function of central memory B cells between attacks?
A. Block phagosome-lysosome fusion
B. Replace long-lived plasma cells that have died
C. Directly lyse infected cells with perforin
D. Recognize LPS through TLR4
B. Replace long-lived plasma cells that have died.
During a second attack, which B-cell population helps generate more short-lived plasma cells again?
A. Central memory B cells
B. Naive neutrophils
C. Resident memory T cells
D. Macrophages
A. Central memory B cells — they can rapidly produce new antibody-secreting plasma cells.
A virus reinfects the same epithelial site where it first entered months ago. Which memory T-cell type is positioned to respond locally?
A. Central memory T cell
B. Effector memory T cell
C. Resident memory T cell
D. Naive T cell
C. Resident memory T cell — it recognizes and eliminates invaders returning to the same body area.
A pathogen returns but attacks a different tissue site than the original infection. Which memory T-cell type is most responsible for recognizing and eliminating it throughout the body?
A. Effector memory T cell
B. Resident memory T cell
C. Central memory B cell
D. Long-lived plasma cell
A. Effector memory T cell — it patrols more broadly and responds at different body sites.
Which memory T-cell population stands by in secondary lymphoid organs?
A. Resident memory T cells
B. Effector memory T cells
C. Central memory T cells
D. Short-lived plasma cells
C. Central memory T cells
Which sequence best describes adaptive immune memory after a first attack?
A. TLR genes mutate → LPS disappears → no cells remain
B. Pathogen-specific B/T cells proliferate → most die after resolution → memory cells remain
C. Plasma cells become macrophages → macrophages become T cells
D. Complement forms antibodies → antibodies form memory T cells
B. Pathogen-specific B/T cells proliferate → most die after resolution → memory cells remain.