A vaccine can generate memory B cells and helper T cells using microbial fragments even when what is absent?
____ ____
Active infection
Peptide debris from a pathogen can be transported to which site to activate B cells?
A. Secondary lymphoid organs
B. Primary endocrine organs
C. Bone marrow sinusoids
D. Peripheral nerve ganglia
A. Secondary lymphoid organs
After B cells recognize transported antigen fragments, which signal helps them become memory cells?
A. Complement lysis
B. NK-cell killing
C. T-cell help
D. Eosinophil recruitment
C. T-cell help
For memory killer T cells to form naturally, the pathogen usually must infect which cell type?
A. Plasma cell
B. APC
C. Eosinophil
D. Neutrophil
B. APC
In cross-presentation, an APC presents extracellular antigen using which molecule?
A. Class II MHC
B. CD40L
C. Secretory IgA
D. Class I MHC
D. Class I MHC
Cross-presentation can generate memory killer T cells even when the APC is not what? _____
Infected
An effective AIDS vaccine is believed to require generation of which memory population?
A. Memory B cells
B. Memory Th2 cells
C. Memory killer T cells
D. Memory plasma cells
C. Memory killer T cells
Long-term HIV resistance is linked to especially efficient versions of which molecule?
A. IgE receptors
B. Class I MHC
C. Class II MHC
D. Fas ligand
B. Class I MHC
The inactivated polio vaccine exposes the immune system to which viral form?
A. Nonreplicating virus
B. Fully virulent virus
C. Naked viral RNA
D. Purified bacterial toxin
A. Nonreplicating virus
Formaldehyde-treated viral vaccines mainly preserve viral proteins while doing what?
A. Increasing viral replication
B. Activating bacterial toxins
C. Deleting helper epitopes
D. Inactivating the virus
D. Inactivating the virus
Vaccines against bacterial toxins commonly use purified toxins called what?
A. Subunits
B. Toxoids
C. Attenuants
D. Adjuvants
B. Toxoids
Aluminum salts in toxoid vaccines primarily function as what?
A. Viral inactivators
B. Reverse transcriptase blockers
C. Adjuvants
D. Live vectors
C. Adjuvants
A vaccine retaining only selected pathogen components is called what?
______ vaccine
Acellular vaccine
Virus vaccines made from engineered protein components are called what?
____ vaccines
Subunit vaccines
Non-infectious vaccines effectively generate which two populations?
Memory helper T and B cells
A major limitation of non-infectious vaccines is poor generation of which cells?
A. Memory plasma cells
B. Memory killer T cells
C. Memory helper T cells
D. Memory B cells
B. Memory killer T cells
Compared with live vaccines, non-infectious vaccines generally last for what duration?
Shorter duration
A vaccine made from a weakened live microbe is called what?
A. Acellular vaccine
B. Subunit vaccine
C. Toxoid vaccine
D. Attenuated vaccine
D. Attenuated vaccine
Compared with non-infectious vaccines, attenuated vaccines usually provide what duration?
Longer protection
Attenuated vaccines usually last longer because they can do what inside the host?
A. Block antigen presentation
B. Avoid all immunity
C. Replicate somewhat
D. Destroy lymph nodes
C. Replicate somewhat
Attenuated vaccines strengthen immunity by most closely mimicking what?
A. Natural infection
B. Toxoid exposure
C. Passive immunity
D. Steroid therapy
A. Natural infection
A key advantage of attenuated vaccines is their ability to generate which cells?
Memory killer T cells
One drawback of attenuated vaccines is that recipients may temporarily become what?
A. Tolerant
B. Anergic
C. Infectious
D. Atopic
C. Infectious
Another drawback of attenuated vaccines is possible mutation leading to what?
A. Antibody class switching
B. Regained virulence
C. Complement depletion
D. IgE blockade
B. Regained virulence
A vaccine uses genetic engineering to insert pathogenic microbial genes into a harmless viral vector. What type is this?
_____ vaccine
Carrier vaccine
Carrier vaccines are designed to generate which immune memory population?
A. Memory killer T cells
B. Memory basophils
C. Memory eosinophils
D. Memory neutrophils
A. Memory killer T cells
In carrier vaccines, pathogenic-microbe information is inserted into the vector as what?
A. Purified toxins
B. Whole bacteria
C. Surface antibodies
D. Microbial genes
D. Microbial genes
A carrier vaccine places pathogenic genes into a virus that should lack which property?
A. MHC binding
B. Disease causation
C. Protein expression
D. APC entry
B. Disease causation
One major obstacle to creating an HIV-1 vaccine is which viral property?
A. High mutation rate
B. Low replication rate
C. Stable surface proteins
D. Weak cellular entry
A. High mutation rate
Chronic infection with which virus greatly increases liver cancer risk?
Hepatitis B virus
Chronic hepatitis B infection most strongly increases risk for which malignancy?
____ cancer
Liver cancer
Certain oncogenic HPV types are most strongly linked to which carcinoma?
A. Cervical carcinoma
B. Liver carcinoma
C. Gastric carcinoma
D. Renal carcinoma
A. Cervical carcinoma
About 70% of cervical cancers are linked to which two HPV types?
HPV 16 and 18
Vaccines often require a danger signal to activate which system?
A. Coagulation system
B. Endocrine system
C. Immune system
D. Nervous system
C. Immune system
A molecule added to vaccines to provide a danger signal is called what?
Adjuvant
Aluminum hydroxide used in vaccines is also called what?
A. MPL
B. Toxoid
C. Alum
D. Carrier
C. Alum
MPL is a modified version of which bacterial molecule?
A. Peptidoglycan
B. LPS
C. Flagellin
D. Capsule
B. LPS
Cervarix protects against infection from which virus? _____
HPV
Which vaccine component is described as somewhat toxic but immunologically useful?
A. Adjuvant
B. Toxoid
C. Subunit
D. Antibody
A. Adjuvant
Which polio vaccine is the live attenuated oral formulation?
A. Sabin
B. Salk
C. IPV
D. Toxoid
A. Sabin
Compared with Salk vaccine, Sabin vaccine produces stronger mucosal immunity through what?
A. Serum IgG
B. Circulating IgM
C. Luminal sIgA
D. Tissue IgE
C. Luminal sIgA
Which polio vaccine is inactivated and killed?
A. Sabin
B. Salk
C. MMR
D. Varicella
B. Salk
The injected influenza vaccine is best classified as what?
A. Live attenuated
B. Acellular
C. Toxoid
D. Inactivated/killed
D. Inactivated/killed
Injected influenza vaccine mainly induces neutralizing antibodies against which antigen?
A. Hemagglutinin
B. Neuraminidase
C. Matrix protein
D. Viral polymerase
A. Hemagglutinin
Anti-hemagglutinin antibodies protect by blocking influenza binding to which host structures?
A. Fc receptors
B. CD4 receptors
C. Sialylated receptors
D. Toll-like receptors
C. Sialylated receptors
The mnemonic “RIP Always” refers to vaccines that are generally what type?
A. Live attenuated
B. Inactivated/killed
C. Toxoid-based
D. Subunit-based
B. Inactivated/killed
What are the RIP always vaccines?
Rabies, Influenza, Polio (SALK), Hepatitis A
Which influenza vaccine can generate a CD8+ T-cell response?
A. Injected killed vaccine
B. Toxoid vaccine
C. Subunit vaccine
D. Live intranasal vaccine
D. Live intranasal vaccine
Live intranasal influenza vaccine stimulates which antigen-processing pathway?
A. MHC class I
B. MHC class II
C. CD40-CD40L
D. Fc receptor
A. MHC class I
A live intranasal influenza vaccine can activate CD8+ cells that kill which targets?
A. Extracellular bacteria
B. Free viral particles
C. Virus-infected cells
D. Soluble toxins
C. Virus-infected cells
During first pathogen exposure, which cells ingest the attacker or fragments?
Dendritic cells
Dendritic-cell antigen delivery to lymph nodes can eventually make which cells proliferate?
A. Helper T cells
B. Mast cells
C. Neutrophils
A. Helper T cells
Memory killer T-cell generation usually requires infected APCs because CD8 cells inspect which compartment?
A. Inside cells
B. Blood plasma
C. Extracellular mucus
D. Antibody complexes
A. Inside cells
The efficacy of vaccines is stated to be ______ of recipient hygiene or lifestyle.
independent
A non-infectious viral vaccine uses which viral form?
A. Replicating live virus
B. Virulent intact virus
C. Naked viral RNA
D. Dead nonfunctional virus
D. Dead nonfunctional virus
A whole killed-HIV vaccine would be dangerous if the virus were not what?
A. Fully inactivated
B. Strongly mutated
C. Poorly immunogenic
D. Class I presented
A. Fully inactivated
Toxoid vaccines mobilize which cells to make antibodies?
B cells
Tetanus vaccination is best classified as which vaccine type?
A. Live attenuated
B. Toxoid
C. Carrier
D. Intranasal
B. Toxoid
An acellular vaccine contains what material?
A. Whole live pathogen
B. Whole killed pathogen
C. Purified host cells
D. Selected pathogen parts
D. Selected pathogen parts
A major advantage of acellular vaccines is which feature?
Reduced side effects
A non-infectious subunit vaccine is made using what?
A. Aluminum-treated toxins
B. Whole killed bacteria
C. Engineered viral proteins
D. Live weakened microbes
C. Engineered viral proteins
Which route is used for Sabin polio vaccine?
Oral
Which influenza vaccine form is given by injection?
A. Inactivated vaccine
B. Live vaccine
C. Carrier vaccine
D. Attenuated vaccine
A. Inactivated vaccine
Neutralizing antibodies after injected influenza vaccine block which viral step?
A. Genome integration
B. Viral attachment
C. Toxin secretion
D. Reverse transcription
B. Viral attachment
Which vaccine in “RIP Always” protects against polio?
A. Sabin
B. MMR
C. Intranasal flu
D. Salk
D. Salk
Hepatitis B vaccination uses which vaccine type?
A. Subunit vaccine
B. Toxoid vaccine
C. Attenuated vaccine
D. Whole-cell vaccine
A. Subunit vaccine
HPV vaccination uses which vaccine type?
A. Live attenuated
B. Subunit vaccine
C. Toxoid vaccine
D. Whole-cell vaccine
B. Subunit vaccine
Subunit vaccines for hepatitis B and HPV are produced primarily through what method?
A. Toxin weakening
B. Live passage
C. Natural infection
D. Laboratory engineering
D. Laboratory engineering
The major downside of non-infectious vaccines is poor generation of which cells?
A. Memory killer T cells
B. Memory B cells
C. Helper T cells
D. Plasma cells
A. Memory killer T cells
Non-infectious vaccines fail to generate strong memory killer T-cell responses because APCs are not what?
A. Opsonized
B. Infected
C. Migratory
D. Activated
B. Infected
Most children in the United States receive measles, mumps, and rubella as which vaccine type?
A. Inactivated virus
B. Subunit protein
C. Toxoid
D. Attenuated virus
D. Attenuated virus
Attenuated vaccines involve administration of what viral form?
A. Fully killed virus
B. Weakened virus
C. Purified toxin
D. Isolated antibody
B. Weakened virus
Which patient group should generally avoid attenuated vaccines?
A. Healthy adolescents
B. Prior vaccine recipients
C. Atopic individuals
D. Immunosuppressed people
D. Immunosuppressed people
Carrier vaccines use genetic engineering to place microbial genes into what?
A. Harmless virus
B. Aluminum salt
C. Purified toxin
D. Killed bacterium
A. Harmless virus
Carrier vaccines can generate which immune response?
A. Eosinophil memory
B. Memory killer T cells
C. Mast-cell tolerance
D. IgE crosslinking
B. Memory killer T cells
Properly designed carrier vaccines should lack which property?
A. APC entry
B. Antigen expression
C. Disease causation
D. Genetic material
C. Disease causation
The Johnson & Johnson COVID-19 vaccine used which vaccine platform?
A. Toxoid vaccine
B. Subunit vaccine
C. Acellular vaccine
D. Carrier vaccine
D. Carrier vaccine
Nucleic acid vaccines package which material into a carrier?
Microbial _____ _____
Microbial genetic material
Nucleic acid vaccine carriers deliver genetic material for uptake by which cell type?
______
APC
After APC uptake, nucleic acid vaccines can activate which effector cell?
A. Mast cell
B. Th2 cell
C. Killer T cell
D. Neutrophil
C. Killer T cell
Rare AIDS patients may resist HIV-1 using which antibody type?
A. Broadly neutralizing antibodies
B. IgE autoantibodies
C. Cold agglutinins
D. Rheumatoid factor
A. Broadly neutralizing antibodies
Broadly neutralizing antibodies against HIV arise through which process?
_____ _____
Somatic hypermutation
Adjuvants improve vaccine effectiveness by making antigen appear what?
A. Self-like
B. Tolerogenic
C. Inert
D. Foreign and dangerous
D. Foreign and dangerous