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Summer Immuno Lecture 10

front 1

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

back 1

B. Common invaders

front 2

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

back 2

B. Trained immunity

front 3

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

back 3

B. Weeks-months and local

front 4

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

back 4

A. Broad pathogen classes

front 5

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

back 5

C. Specific encountered attackers

front 6

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

back 6

D. Short plasma, long plasma, central memory

front 7

Short-lived plasma B cells are produced in which structure?
A. Lymphoid follicles
B. Thymic cortex
C. Splenic red pulp
D. Bone marrow niche

back 7

A. Lymphoid follicles

front 8

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

back 8

B. Bone marrow and spleen

front 9

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

back 9

C. Produce abundant antibodies

front 10

Both types of memory B cells require assistance from which cells?
A. NK cells
B. T cells
C. Neutrophils
D. Eosinophils

back 10

B. T cells

front 11

Long-lived plasma cells take up residence mainly where?
A. Bone marrow
B. Thymic medulla
C. Peyer patches
D. Inflamed mucosa

back 11

A. Bone marrow

front 12

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

back 12

A. Continual modest antibody production

front 13

Central memory B cells reside mainly in which location?
A. Peripheral tissues
B. Primary lymphoid organs
C. Secondary lymphoid organs
D. Bloodstream only

back 13

C. Secondary lymphoid organs

front 14

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

back 14

A. Maintain and replace memory pools

front 15

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

back 15

A. Short-lived plasma B cells

front 16

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

back 16

B. Th cells

front 17

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

back 17

B. Effector T cells

front 18

After an infection resolves, approximately what fraction of effector T cells die?
A. 10%
B. 30%
C. 60%
D. 90%

back 18

D. 90%

front 19

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

back 19

C. Tissue-resident memory T cells

front 20

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

back 20

A. Effector memory T cells

front 21

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

back 21

C. Central memory T cells

front 22

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

back 22

A. Th1, Th2, Th17

front 23

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

back 23

D. iTreg cells

front 24

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

back 24

A. Prevents prolonged immune suppression

front 25

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

back 25

B. Long-lived plasma cells

front 26

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

back 26

A. Central memory B cells

front 27

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

back 27

C. Tissue-resident memory

front 28

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

back 28

A. Effector memory

front 29

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

back 29

C. Central memory

front 30

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

back 30

A. Memory B-cell generation

front 31

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

back 31

A. More numerous on duty

front 32

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

back 32

B. Easier to activate

front 33

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

back 33

C. Somatic hypermutation

front 34

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

back 34

A. Class switching

front 35

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

back 35

C. Central memory cells

front 36

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

back 36

B. B cells only

front 37

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

back 37

A. B cells undergo somatic hypermutation

front 38

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

back 38

C. T cells lack long-lived plasma analog

front 39

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

back 39

A. Antibodies

front 40

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

back 40

B. B cells

front 41

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

back 41

B. Memory lymphocytes

front 42

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

back 42

A. Class switching, somatic hypermutation