Microbiology

Chapter 16

 

Question 1

Allergy is an exaggerated immune response that is manifested by what reaction?

     A) Immunopathology

     B) Hypersensitivity

     C) Inflammation

     D) Fever

     E) Autoimmunity

 

Question 2

Which of the categories of hypersensitivities involves a T-cell response?

     A) Type I

     B) Type II

     C) Type III

     D) Type IV

     E) Types I-IV

 

Question 3

Which category of hypersensitivities is IgE-mediated?

     A) Type I

     B) Type II

     C) Type III

     D) Type IV

     E) Types II and III

 

Question 4

What type of allergens are the most allergenic?

     A) Carbohydrates

     B) Proteins

     C) Nucleic acids

     D) Fats

     E) Haptens

 

Question 5

What sets the stage for the reactions that occur upon repeated exposure to the same allergen in a type I hypersensitivity reaction?

A) The release of the allergenic particles into the tissue fluids and lymphatics

     B) Recognition of the allergen by B and T cells

     C) Proliferation and differentiation of B cells into plasma cells

     D) Secretion of IgE by plasma cells

     E) Binding of IgE to mast cells and basophils

 

Question 6

Mast cells have important roles in the development of allergies. This is due to all but which of the following reasons.

     A) Their tendency to degranulate

B) Their cytoplasmic granules that contain physiologically active chemicals

     C) Their ubiquitous location in tissues

     D) Their ability to produce IgE

     E) Their capacity to bind IgE during sensitization

 

Question 7

What is the most abundant and fastest acting cytokine released by mast cells?

     A) Serotonin

     B) Histamine

     C) Bradykinin

     D) Leukotriene

     E) Platelet-activating factor

 

Question 8

What differs between atopy and anaphylaxis?

     A) The allergen that triggers the response

     B) The site of the reaction

     C) The concentrations of the chemical mediators released

     D) The organ systems targeted by the chemical mediators

     E) The types of chemical mediators released

 

Question 9

What is injected into patients undergoing allergic desensitization?

     A) IgG antibodies

     B) IgE antibodies

     C) Monoclonal antibodies against IgE

     D) Corticosteroids

     E) Pure allergen to which the patient is allergic

 

Question 10

A person with type A blood has what type of ABO antibodies in their plasma?

     A) Anti-O

     B) Anti-A

     C) Anti-B

     D) Anti-A and Anti-B

     E) Neither Anti-A nor Anti-B

 

Question 11

Why are people with type O blood known as universal donors?

A) Because antibodies against A and B antigens are not present in their plasma

B) Because their plasma contains antibodies against both A and B antigens

     C) Because A and B antigens are present on their red blood cells

D) Because neither A nor B antigens are present on their red blood cells

E) Because type O blood is the most common blood type in the United States

 

Question 12

The maternal antibodies that cross the placenta and lead to the development of erythroblastosis fetalis are of what class?

     A) IgM

     B) IgA

     C) IgD

     D) IgG

     E) IgE

 

Question 13

In what manner does a type III hypersensitivity reaction differ from a type II hypersensitivity reaction?

A) The antigens involved in a type III reaction are not bound to a cell's surface, while those involved in a type II reaction are bound to the surface

B) Type III is an immediate hypersensitivity, while type II is a delayed hypersensitivity reaction

C) Type III hypersensitivities involve IgE, while type II hypersensitivities involve IgG and IgM

D) Type III hypersensitivities are T-cell mediated, while type II hypersensitivities are B-cell mediated

E) Type III hypersensitivities involve complement, while type II hypersensitivities do not

 

Question 14

All but which of the following statements characterizes an Arthus reaction?

     A) It is a systemic reaction

     B) It depends on the formation of IgG, IgM, or IgA antibodies

     C) The onset of symptoms is delayed

     D) Large doses of antigen are required for its initiation

     E) It is a localized dermal reaction

 

Question 15

The lack of which immunoglobulin class is the most prevalent, occurring in about one person in 600?

     A) IgA

     B) IgD

     C) IgG

     D) IgM

     E) IgE

 

Question 16

Which of the following is not an autoimmune disease?

     A) SLE

     B) Type I diabetes

     C) Serum sickness

     D) Rheumatoid arthritis

     E) Multiple sclerosis

 

Question 17

A positive tuberculin skin test is an example of what type of hypersensitivity reaction?

     A) Type I

     B) Type II

     C) Type III

     D) Type IV

     E) Types II and III

 

Question 18

What cells initially recognize grafted foreign tissue and begin the process of rejection?

     A) Helper T cells

     B) B cells

     C) Macrophages

     D) Stem cells

     E) Cytotoxic T cells

 

Question 19

When a person consents to be an organ donor upon his/her death, what is the most likely procedure that will be performed with the donated organs?

     A) Xenograft

     B) Allograft

     C) Isograft

     D) Autograft

     E) Malograft

 

Question 20

Which of the listed immunodeficiencies is typically more devastating?

     A) Phagocytic defects

     B) Complement defects

     C) Granulocyte defects

     D) B cell defects

     E) T cell defects

 

Question 21

Although not yet a reality, scientists hope to use what procedure to treat both X-linked and ADA types of SCID?

     A) Passive immunotherapy

     B) Gene therapy

     C) Desensitization

     D) Bone marrow transplant

     E) Chemotherapy

 

Question 22

Which is incorrect about human ABO antigens?

     A) Three alleles are involved in this system.

     B) Only red blood cells carry the A and B antigen.

     C) Type O blood is the most common among all groups in the U.S.

D) The red blood cells of type O persons have antigens, but not A and B antigens.

     E) A person with type A blood has the genotype AA or AO.

 

Question 23

Which theory on the origin of autoimmune diseases explains psoriasis?

     A) Clonal Selection Theory

     B) Theory of Immune Deficiency

     C) Molecular Mimicry

     D) Sequestered Antigen Theory

     E) Theory of Viral Infection

 

Question 24

Alergy injections to promote desensitization to a specific allergan may be beneficial against all of the following except:

     A) Dust mites

     B) Foods

     C) Venoms

     D) Plants

     E) Molds

 

Question 25

The primary types of cells that operate in surveillance and destruction of tumor cells are cytotoxic T cells, NK cells, and what other cell type?

     A) Macrophages

     B) Dendritic cells

     C) Neutrophils

     D) Eosinophils

     E) Monocytes