HIV and Immunology Quiz
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Questions and Answers

What classification is given to antigens that are typically expressed on embryonic cells but can also appear on tumors?

  • Cryptic antigens
  • Neonatal antigens
  • Human T-cell lymphotropic virus type 1
  • Oncofetal antigens (correct)
  • Why is ABO blood type incompatibility between a mother and her fetus typically not a significant risk factor for hemolytic anemia in newborns?

  • Isohemagglutinins are IgM (correct)
  • Isohemagglutinins are IgD
  • Isohemagglutinins are IgG
  • Isohemagglutinins are IgA
  • Which mechanism allows tumor cells to evade elimination by the adaptive immune system?

  • Increased expression of programmed cell death ligand-1 (PD-L1) (correct)
  • Increased expression of gamma interferon
  • Increased expression of neoantigens
  • Increased expression of class I MHC proteins
  • What is the MOST effective method for reducing the incidence of graft-versus-host disease (GVHD) in a bone marrow transplant recipient?

    <p>Removing mature T cells from the graft (B)</p> Signup and view all the answers

    A researcher is investigating potential cancer therapies. Which of the following strategies would be MOST likely to enhance the adaptive immune system's ability to eliminate tumor cells?

    <p>Blocking the interaction between PD-1 and PD-L1. (A)</p> Signup and view all the answers

    Which immune effector cell is the primary target of the human immunodeficiency virus (HIV)?

    <p>CD4 expressing T cells (B)</p> Signup and view all the answers

    What term describes the transplantation of tissue from one part of an individual's body to another part of the same individual's body?

    <p>Autograft (C)</p> Signup and view all the answers

    A patient develops a fever and chills shortly after receiving a blood transfusion. Which of the following is the LEAST likely cause, assuming standard blood banking procedures were followed?

    <p>Bradykinin in blood products (C)</p> Signup and view all the answers

    A patient experiences a sudden drop in blood pressure, wheezing, and hives shortly after beginning a blood transfusion. Which of the following is the most likely cause?

    <p>Recipient’s antibodies against transfused red blood cells (E)</p> Signup and view all the answers

    Which blood type can theoretically be donated to all persons, and what characteristic of this blood type makes this possible?

    <p>O / antigens (C)</p> Signup and view all the answers

    In the context of tissue transplantation, what distinguishes an isograft from other types of grafts?

    <p>It involves transplanting tissue from one individual to another genetically identical individual. (A)</p> Signup and view all the answers

    A patient receiving a blood transfusion develops fever and chills after two hours. The blood transfusion is immediately stopped, and the patient is given intravenous normal saline. Thirty minutes later, the patient’s temperature normalizes, blood pressure improves, and pulse rate decreases. Which of the following immunological mechanisms is LEAST likely to have directly caused the initial febrile reaction?

    <p>Direct activation of recipient’s T cells by donor MHC molecules. (B)</p> Signup and view all the answers

    A patient experiencing anaphylaxis following a blood transfusion is most likely experiencing a reaction mediated by which type of antibody?

    <p>IgE (B)</p> Signup and view all the answers

    Which of the following is the best example of a Type III hypersensitivity reaction?

    <p>Serum sickness (D)</p> Signup and view all the answers

    A 52-year-old woman presents with pain during intercourse, difficulty swallowing (especially bread and crackers), and bilateral parotid gland enlargement. Which condition is LEAST likely to be associated with these findings?

    <p>Ischemic stroke due to hypercoagulability (D)</p> Signup and view all the answers

    A 48-year-old woman with difficulty swallowing, itchy eyes with a gritty feeling, and bilateral parotid gland enlargement most likely has antibodies against which of the following?

    <p>Anti-SSA/Ro and Anti-SSB/La (C)</p> Signup and view all the answers

    A 27-year-old African American woman presents with malaise, joint pain, and a facial rash that worsens with sun exposure. Which of the following lab results, if positive, would best confirm a diagnosis of systemic lupus erythematosus (SLE)?

    <p>Anti-dsDNA antibody (D)</p> Signup and view all the answers

    A 40-year-old man presents with fatigue, hemoptysis, proteinuria, and hematuria. Renal biopsy shows a smooth, linear pattern of glomerular IgG staining. Which lab finding would best confirm the diagnosis?

    <p>Anti-collagen type 4 antibodies (B)</p> Signup and view all the answers

    A 23-year-old woman has intermittent hand stiffness and pain, fatigue, knee and chest pain. Labs show anemia, thrombocytopenia, leukopenia, and proteinuria. Which test is most likely ordered to confirm diagnosis?

    <p>Antinuclear antibodies (A)</p> Signup and view all the answers

    A 45-year-old woman has progressive dyspnea, nonproductive cough, dysphagia, Raynaud phenomenon, and thickened skin on her face, hands, arms, and trunk, in addition to crackles in the lungs. What condition is suspected?

    <p>Interstitial lung disease (B)</p> Signup and view all the answers

    Which of the following is the most accurate definition of a hypersensitivity reaction?

    <p>An immune response to an antigen that is harmful to the body (B)</p> Signup and view all the answers

    Which of the following is classified as a Type IV hypersensitivity reaction?

    <p>Poison ivy rash (C)</p> Signup and view all the answers

    A 15-year-old girl receiving an allogeneic bone marrow transplant develops a skin rash, jaundice, and diarrhea a month after the transplant. Which mechanism is most likely responsible for these complications?

    <p>Donor CD8 T-cells activated Fas receptors and induced apoptosis in host cells (D)</p> Signup and view all the answers

    Which of the following viruses has a well-established link to oncogenesis (cancer development)?

    <p>Epstein-Barr virus (A)</p> Signup and view all the answers

    Which of the following is NOT true about hypersensitivity reactions?

    <p>They always occur immediately after exposure to an antigen. (D)</p> Signup and view all the answers

    A patient presents with symptoms suggestive of an autoimmune disorder. Which of the following best describes the PRIMARY underlying mechanism of such disorders?

    <p>The immune system attacking the body's own tissues. (C)</p> Signup and view all the answers

    In graft-versus-host disease (GVHD), which of the following components is primarily responsible for the tissue damage observed in the host?

    <p>Donor T cells attacking the host tissues (A)</p> Signup and view all the answers

    What is a common characteristic of Type I hypersensitivity reactions?

    <p>They are characterized by the release of histamine from mast cells. (A)</p> Signup and view all the answers

    Flashcards

    HIV target

    HIV primarily targets CD4 expressing T cells, leading to immune dysfunction.

    Type of graft: autograft

    Autograft is the transplantation of tissue from one site to another on the same individual.

    Transfusion fever cause

    Fever after transfusion often results from recipient antibodies reacting to donor plasma proteins.

    Acute transfusion reaction

    An acute reaction after blood transfusion can occur from recipient antibodies against transfused red blood cells.

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    Type O blood donation

    Type O blood can be universally donated because it lacks A and B antigens.

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    Allograft

    An allograft is a tissue graft from a genetically non-identical individual of the same species.

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    ABO incompatibility

    ABO incompatibility occurs when a person's immune system attacks transfused blood cells due to anti-A or anti-B antibodies.

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    Cytokines from leukocytes

    Cytokines produced by donor's white blood cells can cause fever and reactions in the recipient.

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    Oncofetal antigens

    Antigens primarily found on embryonic cells that may also appear on tumors.

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    ABO blood type incompatibility

    A situation where mother's blood type conflicts with fetal's, usually not harmful.

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    Isohemagglutinins are IgM

    Isohemagglutinins involved in ABO incompatibility are typically IgM antibodies.

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    PD-L1 expression in tumors

    Cancer cells may evade immune response by expressing PD-L1, inhibiting T-cell activity.

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    Reducing graft-versus-host disease

    Best method is to remove mature T cells from the graft in a bone marrow transplant.

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    Type III immune complex disease

    Diseases caused by immune complexes that trigger inflammation and tissue damage.

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    Antibodies associated with Sjögren's syndrome

    Anti-SSA/Ro and Anti-SSB/La antibodies are commonly found in Sjögren's syndrome.

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    Antinuclear antibody (ANA)

    A test used to confirm autoimmune diseases; it detects antibodies against cell nuclei.

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    Type IV hypersensitivity reaction

    A delayed immune response mediated by T-cells, causing tissue damage.

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    Oncogenic virus

    Viruses known to cause cancers, like Epstein-Barr virus.

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    Hypersensitivity reaction

    An exaggerated immune response to antigens resulting in tissue damage.

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    Sjögren's syndrome symptoms

    Characterized by dry eyes and dry mouth due to immune attack on glands.

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    Systemic lupus erythematosus (SLE)

    An autoimmune disease marked by a range of symptoms including rash and joint pain.

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    Renal biopsy findings

    Smooth linear IgG staining indicates certain types of glomerulonephritis.

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    Anti-cyclic citrullinated peptide antibodies

    Antibodies often found in rheumatoid arthritis patients.

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    Donor CD8 T-cells in transplant

    These cells can cause graft-versus-host disease by attacking recipient's cells.

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    Fatigue and hemoptysis

    Common symptoms in conditions like pulmonary hemorrhage, requiring urinalysis.

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    Chronic dry cough and difficulty swallowing

    Symptoms suggesting progressive diseases like scleroderma.

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    Antibodies for rheumatoid arthritis

    Rheumatoid factor and anti-citrullinated antibodies are key indicators.

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    Study Notes

    HIV and Immunology

    • HIV Target: HIV primarily targets CD4 expressing T cells, weakening the immune system.

    Tissue Transplantation

    • Autograft: Transplantation of tissue from one part of the body to another.
    • Isograft: Transplant between genetically identical individuals.
    • Allograft: Transplant between genetically different individuals of the same species.
    • Xenograft: Transplant between different species.

    Blood Transfusion Complications

    • Transfusion Reaction (Fever): Bacterial contamination of transfused blood can cause fever, chills, and other symptoms.
    • Antibody Reaction (Fever): Recipient antibodies against donor plasma proteins can trigger a reaction , indicated by fever.
    • ABO Incompatibility (Transfusion Reaction): ABO blood incompatibility is a dangerous situation as recipient's antibodies mistakenly target transfused red blood cells.
    • Cytokine Release Syndrome (Transfusion Reaction): Cytokines released from donor white blood cells can trigger a reaction, producing symptoms like low blood pressure and wheezing.
    • Leukocyte-mediated reactions (Transfusion Reaction): Donor's plasma antibodies targeting recipient's white blood cells.

    Blood Types

    • Universal Donor: Type O blood lacks A and B antigens.
    • Universal Recipient: Type AB blood lacks antibodies to A and B antigens.

    Immune Complex Diseases

    • Type III Immune Complex Disease Example: Serum sickness.

    Glandular Diseases

    • Parotid Gland Enlargement: Parotid gland enlargement, pain during intercourse, difficulty swallowing, and dental caries can be caused by immune disorders.
    • Autoimmune Etiology: Certain autoimmune diseases present with specific symptoms and lab findings, making diagnoses possible.
    • Specific Antibodies: Certain antibodies are indicative of specific autoimmune diseases, helping with diagnosis

    Systemic Lupus Erythematosus

    • Confirmed by positive results for Antinuclear antibodies (ANAs).
    • Clinical presentations include facial rash, fatigue, joint pain, etc.
    • Specific criteria like positive Antinuclear antibody (ANA) tests and other relevant lab findings are necessary for diagnosis.

    Other Immunological Conditions

    • Glomerulonephritis: Patients with this condition may exhibit proteinuria, hematuria, and fatigue. Immunofluorescent staining for human IgG would be used to confirm suspicion with a linear pattern.
    • Vasculitis: characterized by inflammation of blood vessels.
    • Bone Marrow Transplant Complications: Complications such as skin rash, jaundice, and diarrhea are often accompanied by immune responses like immune complex depositions in the kidneys or cytokine release reactions
    • Graft-Versus-Host Disease (GVHD): This is a complication where the transplanted immune cells attack the recipient's tissues. It can be minimized by removing mature T cells from the graft.
    • Oncogenic Viruses: Some viruses, like Epstein-Barr virus, can increase the risk of certain cancers.

    Tumor Antigens

    • Oncofetal Antigens: Antigens that are characteristic of fetal development but are also found on tumors.

    ABO Incompatibility in Mother-Fetus

    • IgM Antibodies: ABO incompatibility between mother and fetus commonly has no significant risk, primarily due to the IgM nature of maternal antibodies.

    Immune Evasion by Tumors

    • PD-L1 Expression: Many tumors evade the immune system by increasing the expression of proteins like PD-L1, which suppresses immune responses,

    Minimizing GVHD

    • Removing mature T cells from the graft: Removing mature T cells from the graft can reduce the risk of GVHD, allowing the recipient to accept the graft better

    Hypersensitivity Reactions

    • Definition: Hypersensitivity is an immune response that damages the body.
    • Type IV Hypersensitivity Reaction Example: Poison ivy rash or contact dermatitis.

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    Description

    Test your knowledge on HIV, tissue transplantation, and blood transfusion complications. This quiz covers vital topics including the immune system's response to HIV, different types of grafts, and transfusion reactions. Perfect for students in immunology and related health fields.

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