What is another name for innate immunity?
A. Acquired immunity
B. Adaptive immunity
C. Native immunity
D. Humoral immunity
C. Native immunity
Which are the principal innate immune reactions?
A. Inflammation and antiviral defense
B. Antibodies and cytotoxicity
C. Memory and clonal expansion
D. Tolerance and class switching
A. Inflammation and antiviral defense
Type I interferons primarily produce which effect?
A. Increase antibody affinity
B. Activate complement proteins
C. Promote bacterial phagocytosis
D. Block intracellular viral replication
D. Block intracellular viral replication
Necrotic cells release molecules that activate innate immunity. What are these called?
A. PAMPs
B. DAMPs
C. Opsonins
D. Anaphylatoxins
B. DAMPs
Conserved microbial structures recognized by innate immunity are called what?
A. DAMPs
B. Epitopes
C. PAMPs
D. Opsonins
C. PAMPs
Which host molecules directly recognize microbial PAMPs?
A. Pattern-recognition receptors
B. Antigen-specific antibodies
C. Major histocompatibility proteins
D. T-cell coreceptors
A. Pattern-recognition receptors
Which toll receptor recognizes Gram-positive peptidoglycan?
TLR2
Which receptor recognizes double-stranded viral RNA?
TLR3
Which receptor recognizes gram-negative bacterial LPS?
TLR4
Which two receptors primarily recognize single-stranded RNA?
TLR7 and TLR8
A motile bacterium releases flagellin. Which receptor detects it?
TLR5
Which receptor recognizes unmethylated microbial CpG DNA?
TLR9
TLR signaling commonly activates which transcription factor?
A. NF-κB
B. STAT6
C. GATA3
D. FOXP3
A. NF-κB
NF-κB activation promotes expression of what?
A. Immunoglobulin variable regions
B. T-cell antigen receptors
C. Complement membrane proteins
D. Cytokines and adhesion molecules
D. Cytokines and adhesion molecules
Which transcription factors stimulate type I interferons?
A. Nuclear hormone receptors
B. Hypoxia-inducible factors
C. Interferon regulatory factors
D. Activator protein factors
C. Interferon regulatory factors
Where do NOD-like receptors detect danger signals?
A. Plasma membrane
B. Cellular cytosol
C. Extracellular matrix
D. Nuclear membrane
B. Cellular cytosol
NOD1 and NOD2 recognize products from what?
A. Bacterial peptidoglycan
B. Viral capsid proteins
C. Fungal membrane sterols
D. Parasitic surface glycoproteins
A. Bacterial peptidoglycan
NOD1 and NOD2 signaling activates what?
A. Caspase-8
B. STAT3
C. NF-κB
D. FOXP3
C. NF-κB
Which cytokine induces fever and acute inflammation?
A. IL-2
B. IL-4
C. IL-10
D. IL-1
D. IL-1
Which of the following best describes an inflammasome?
A. A nuclear transcription factor that upregulates Type I interferons
B. A cytosolic multiprotein complex that activates Caspase-1
C. A membrane-bound receptor that senses viral double-stranded RNA
D. A secreted plasma enzyme that initiates the classical complement pathway
B. A cytosolic multiprotein complex that activates Caspase-1
Inflammasomes generate active forms of which cytokines?
A. IL-2 and IL-4
B. IL-5 and IL-13
C. IL-1β and IL-18
D. IL-10 and TGF-β
C. IL-1β and IL-18
Which enzyme activates immature IL-1β?
A. Caspase-1
B. Caspase-8
C. Granzyme B
D. Phagocyte oxidase
A. Caspase-1
_____-_____ is an inflammatory enzyme activated by multi-protein complexes called inflammasomes.
Its core functions are to convert inactive pro-inflammatory cytokines into active forms and to trigger a lytic, inflammatory form of programmed cell death known as pyroptosis.
Caspase-1
Inflammasome-mediated inflammatory cell death is called what?
A. Necroptosis
B. Pyroptosis
C. Autophagy
D. Senescence
B. Pyroptosis
Which cytosolic receptors recognize viral RNA?
A. NOD1 and NOD2
B. TLR2 and TLR4
C. STING and cGAS
D. RIG-I and MDA5
D. RIG-I and MDA5
RIG-I and MDA5 signaling induces what?
A. Antibody class switching
B. Complement protein synthesis
C. Type I interferon production
D. Mast-cell degranulation
C. Type I interferon production
Excessive cytosolic self-DNA may cause what?
A. Interferonopathy
B. Immunoglobulin deficiency
C. Complement consumption
D. Allergic sensitization
A. Interferonopathy
Most innate cytosolic DNA sensors engage the stimulator of IFN genes (______) pathway to induce type I IFN production
STING
Lectins are proteins that recognize what?
A. Lipids
B. Carbohydrates
C. Nucleic acids
D. Peptide hormones
B. Carbohydrates
In immunology, ______ act as soluble or cell-surface pattern recognition receptors (PRRs) that differentiate between host cells and pathogens based on their surface sugar profiles.
lectins
Which receptors specifically recognize fungal glucans?
A. Dectins
B. Integrins
C. Selectins
D. Fc receptors
A. Dectins
Formyl peptide receptor 1 (FPR1) is a pattern recognition receptor expressed primarily on the surface of innate immune cells, particularly _______ and _______.
neutrophils
macrophages
Formyl peptide receptor 1 is expressed mainly where?
A. Plasma cells
B. Helper T cells
C. Phagocytes
D. Erythrocytes
C. Phagocytes
Formyl peptide receptor 1 recognizes which molecule?
A. Unmethylated CpG DNA
B. Double-stranded RNA
C. Bacterial flagellin
D. N-formylmethionine peptides
D. N-formylmethionine peptides
Which macrophage activation produces inflammatory M1 cells?
A. Alternative activation
B. Classical activation
C. Regulatory activation
D. Humoral activation
B. Classical activation
Which cytokine drives classical macrophage activation?
A. IL-4
B. IL-13
C. IFN-γ
D. IL-10
C. IFN-γ
Alternative macrophage activation produces which phenotype?
A. Anti-inflammatory M2 cells
B. Proinflammatory M1 cells
C. Cytotoxic lymphoid cells
D. Antibody-producing plasma cells
A. Anti-inflammatory M2 cells
Which cytokines drive alternative macrophage activation?
A. IL-1 and IL-6
B. IL-2 and IFN-γ
C. IL-5 and GM-CSF
D. IL-4 and IL-13
D. IL-4 and IL-13
Which cells produce helper-like cytokines without TCRs?
A. Natural killer T cells
B. Innate lymphoid cells
C. Regulatory T cells
D. Follicular helper cells
B. Innate lymphoid cells
Innate lymphoid cells are found primarily where?
A. Circulating plasma
B. Bone marrow
C. Peripheral tissues
D. Thymic cortex
C. Peripheral tissues
Which cells recognize virus-infected and stressed cells?
A. B lymphocytes
B. Plasma cells
C. Neutrophils
D. Natural killer cells
D. Natural killer cells
Natural killer cells activate macrophages by secreting what?
A. IFN-γ
B. IL-4
C. IL-10
D. TGF-β
A. IFN-γ
How do NK cells respond to infected cells?
A. Produce high-affinity antibodies
B. Kill cells and secrete IFN-γ
C. Present antigen through MHC II
D. Form complement membrane pores
B. Kill cells and secrete IFN-γ
Which cytokine supports NK-cell development and maturation?
A. IL-4
B. IL-15
C. IL-17
D. IL-23
B. IL-15
Which cytokines enhance NK-cell killing functions?
A. IL-4 and IL-13
B. IL-10 and TGF-β
C. IL-1 and IL-6
D. Type I IFNs and IL-12
D. Type I IFNs and IL-12
Which set contains NK-activating cytokines?
A. IL-15, type I IFNs, IL-12
B. IL-4, IL-5, IL-13
C. IL-1, IL-6, TNF
D. IL-10, TGF-β, IL-35
A. IL-15, type I IFNs, IL-12
Which activating receptor is expressed by NK cells?
A. CD28
B. CTLA-4
C. NKG2D
D. CD40
C. NKG2D
NKG2D recognizes molecules induced by what?
A. Antibody class switching
B. Complement activation
C. Cellular stress
D. Thymic selection
C. Cellular stress
Which cells principally mediate antibody-dependent cellular cytotoxicity?
A. Natural killer cells
B. Helper T cells
C. Plasma cells
D. Dendritic cells
A. Natural killer cells
Which are major NK inhibitory receptor families?
A. TCRs and BCRs
B. CD28 and CTLA-4
C. FcεRI and FcγRI
D. KIRs and CD94/NKG2 receptors
D. KIRs and CD94/NKG2 receptors
A virus reduces host MHC I expression. Which cell can still kill it?
A. Helper T cell
B. Natural killer cell
C. Plasma cell
D. Regulatory T cell
B. Natural killer cell
Which complement pathway activates spontaneously on microbial surfaces?
A. Alternative pathway
B. Classical pathway
C. Lectin pathway
D. Terminal pathway
A. Alternative pathway
Why is alternative complement activation sustained on microbes?
A. Microbes secrete complement proteins
B. Microbes express antibody receptors
C. Microbes lack regulatory proteins
D. Microbes contain host MHC
C. Microbes lack regulatory proteins
Which complement pathway is usually antibody initiated?
A. Alternative pathway
B. Classical pathway
C. Lectin pathway
D. Terminal pathway
B. Classical pathway
Which pathway begins when MBL binds microbial carbohydrates?
A. Classical pathway
B. Alternative pathway
C. Terminal pathway
D. Lectin pathway
D. Lectin pathway
Which complement protein is the major opsonin?
A. C3a
B. C5a
C. C5b
D. C3b
D. C3b
Which fragments promote inflammation and leukocyte recruitment?
A. C3b and C5b
B. C3a and C5a
C. C1q and C2a
D. C5b and C9
B. C3a and C5a
Which acute-phase protein indicates systemic inflammation?
A. Fibrinogen
B. Albumin
C. C-reactive protein
D. Transferrin
C. C-reactive protein
Which functions are performed by C-reactive protein?
A. Opsonization and classical complement activation
B. Antibody secretion and neutralization
C. Cytotoxicity and perforin release
D. Histamine release and vasodilation
A. Opsonization and classical complement activation
Which cytokines are classified as type I interferons?
IFN-α and IFN-β
At high concentrations, TNF promotes which endothelial event?
A. Reduced leukocyte adhesion
B. Increased antibody transport
C. Decreased coagulation
D. Thrombus formation
D. Thrombus formation
How can excessive TNF reduce blood pressure?
A. Vasodilation, leakage, myocardial depression
B. Vasoconstriction and increased contractility
C. Bradycardia and renal vasoconstriction
D. Reduced permeability and thrombosis
A. Vasodilation, leakage, myocardial depression
Defective integrins and selectin ligands cause what?
A. Chronic granulomatous disease
B. Severe combined immunodeficiency
C. Leukocyte adhesion deficiency
D. Complement component deficiency
C. Leukocyte adhesion deficiency
What reaction is catalyzed by macrophage iNOS?
A. Arginine to nitric oxide
B. Oxygen to superoxide
C. Histidine to histamine
D. Tyrosine to dopamine
A. Arginine to nitric oxide
Phagocyte oxidase deficiency causes which disorder?
A. Leukocyte adhesion deficiency
B. Chediak-Higashi syndrome
C. Chronic granulomatous disease
D. Severe combined immunodeficiency
C. Chronic granulomatous disease
Which cells secrete antiviral cytokines after sensing viral nucleic acids?
A. Classical dendritic cells
B. Follicular dendritic cells
C. Langerhans cells
D. Plasmacytoid dendritic cells
D. Plasmacytoid dendritic cells
What is another name for B7-1?
A. CD28
B. CD80
C. CD86
D. CD40
B. CD80
What is another name for B7-2?
A. CD40
B. CD80
C. CD28
D. CD86
D. CD86
B7-1 and B7-2 are surface proteins on immune cells that help activate ___ cells
T
Which one comes earlier: B7-1 or B7-2?
B7-2
_______ macrophages secrete anti-inflammatory cytokines (e.g., IL-10, TGF-beta) and produce proline and polyamines via arginase-1 to promote tissue repair, wound healing, fibrosis, and defense against helminth parasites.
M2
_______ macrophages produce pro-inflammatory cytokines (IL-1, IL-6, TNF-alpha) and reactive oxygen species (ROS) to kill intracellular pathogens.
M1