Immunology Basics

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Questions and Answers

What is the role of protein A in the pathogenesis of infections caused by Staphylococcus aureus?

  • is a bacterial surface protein that binds to the Fc portion of IgG1 (correct)
  • converts hydrogen peroxide into water and oxygen
  • is a potent enterotoxin
  • is responsible for the rash in toxic shock syndrome

Aminoglycosides antibiotics have extended spectrum. Which is an example of such an antibiotic?

  • Gentamicin (correct)
  • Penicillin
  • Erythromycin
  • Tetracycline

What is the phenylalanine deamination test indicator used for?

  • Measuring bacterial growth in a nutrient broth
  • Detecting the presence of lactose fermentation
  • Assessing the production of hydrogen sulfide
  • Determining bacterium's ability to convert phenylalanine to phenylpyruvic acid (correct)

Which test determines antibacterial susceptibility?

<p>Disc diffusion test (C)</p> Signup and view all the answers

What type of hemolysis is indicated by a streptococcal group that can completely lyse blood and appears positive for the Bacitracin test?

<p>Beta hemolysis (A)</p> Signup and view all the answers

What is the primary focus of humoral immunity?

<p>Production of antibodies (C)</p> Signup and view all the answers

Which cells are specifically involved in cellular immunity?

<p>T-cells (C)</p> Signup and view all the answers

Which of the following is a primary lymphoid organ?

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

What is the key function of mast cells?

<p>Release of histamine (C)</p> Signup and view all the answers

What term refers to a complex formed between an antigen and an antibody?

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

Which of the following statements about penicillins is NOT true?

<p>Penicillins don't require dosage adjustment in renal failure. (B)</p> Signup and view all the answers

Which of the following does NOT inhibit nucleic acid synthesis?

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

Which type of adverse reaction is most commonly associated with sulphonamides?

<p>Haemolytic anaemias (A)</p> Signup and view all the answers

Which of the following antibiotics is considered to be bacteriostatic?

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

Which of the following is NOT true regarding metronidazole?

<p>It inhibits alcohol dehydrogenase. (A)</p> Signup and view all the answers

Which of the following antibiotics function as protein synthesis inhibitors?

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

Which of the following sequences correctly depicts the flow of genetic information in cells?

<p>DNA to RNA to protein (B)</p> Signup and view all the answers

Which of the following DNA sequences would be synthesized using 5'-CAGTTCGGA-3' as a template?

<p>3'-TCCGAACTG-5' (D)</p> Signup and view all the answers

During elongation in translation, to which ribosomal site does an incoming charged tRNA molecule bind?

<p>A site (D)</p> Signup and view all the answers

During which stage of bacterial transcription is the σ subunit of the RNA polymerase involved?

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

At what location is the immune response initiated?

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

What is the source of Interferon-γ (IFN-γ)?

<p>Natural killer cells (A)</p> Signup and view all the answers

What is the first immunoglobulin produced after antigen exposure such as bacteria?

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

What is a substance capable of eliciting a specific immune response?

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

What is the single most important method for classifying and spectating Streptococci?

<p>Agglutination using antisera against the cell wall group specific substance. (C)</p> Signup and view all the answers

Which of the following test methods is the least sensitive for diagnosing colitis caused by Shiga toxin-producing Escherichia coli?

<p>Culture on sorbitol MacConkey agar. (D)</p> Signup and view all the answers

What mechanism does the Heat-labile toxin of ETEC use?

<p>Activation of adenylyl cyclase. (B)</p> Signup and view all the answers

Enterococci can be distinguished from nonenterococcal group D streptococci based on which characteristic?

<p>Growth in 6.5% NaCl. (B)</p> Signup and view all the answers

Which of the following tests is NOT primarily used for classifying Streptococci?

<p>Esculin hydrolysis. (D)</p> Signup and view all the answers

What is a characteristic of nonenterococcal group D streptococci?

<p>Growth in the presence of bile. (D)</p> Signup and view all the answers

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Study Notes

Immunology

  • Humoral immunity: related to B-cells and antibody production

  • Cellular immunity: related to T-cells and cell-mediated immune responses

  • Primary lymphotic organism: bone marrow (where B-cells mature)

  • Secondary lymphotic organism: spleen, lymph nodes, and other tissues (where T-cells mature)

  • Mast cells: involved in allergic reactions and immune responses

  • Killer cells: Natural Killer cells (NK cells) and Cytotoxic T cells

  • Immunoglobulin: also known as antibodies, produced by B-cells

  • Natural Killer: type of immune cell that can kill infected cells or tumor cells

  • Immune Complex: formed when antibodies bind to antigens

  • TNF: Tumor Necrosis Factor, a cytokine involved in immune responses

  • Cytokines: signaling molecules involved in immune responses

Protein A and Staphylococcus aureus

  • Protein A: a bacterial surface protein that binds to the Fc portion of IgG1

Microbiology

  • Aminoglycosides antibiotics: have an extended spectrum and include antibiotics such as streptomycin
  • Phenylanine deamination test: used to detect the presence of bacteria
  • Disc diffusion test: used to determine antibacterial susceptibility
  • Beta hemolysis: a type of hemolysis caused by streptococcal group, characterized by complete hemolysis and a positive result for Bacitracin test
  • Polymyxin B: a type of polymyxin antibiotic used to treat infections

Antibiotics

  • Penicillins: inhibit cross-linkage of peptidoglycans in bacterial cell walls, most do not cross the blood-brain barrier, and dosage adjustment is not required in renal failure
  • Norfloxacillin: inhibits nucleic acid synthesis
  • Chloramphenicol: inhibits protein synthesis
  • Trimethoprim: inhibits nucleic acid synthesis
  • Rifampicin: inhibits nucleic acid synthesis
  • Sulfasalazin: inhibits nucleic acid synthesis
  • Ciprofloxacin: inhibits DNA synthesis
  • Cefoxitin: inhibits cell wall synthesis
  • Tobramycin: inhibits protein synthesis
  • Metronidazole: used to treat giardiasis, causes a metallic taste in the mouth, and inhibits alcohol dehydrogenase

Flow of Genetic Information

  • The correct sequence of genetic information flow is: DNA to RNA to protein

DNA Synthesis

  • The correct DNA sequence synthesized using 5'-CAGTTCGGA-3' as a template is: 3'-GTCAAGCCT-5'

tRNA Binding Site

  • During elongation in translation, the incoming charged tRNA molecule binds to the A site of the ribosome

Bacterial Transcription

  • The σ subunit of the RNA polymerase is involved in the initiation stage of bacterial transcription

Transcriptional Control

  • Negative transcriptional control: inhibits gene expression by blocking transcription
  • Positive transcriptional control: enhances gene expression by stimulating transcription
  • Both negative and positive transcriptional control can be used to regulate both inducible and repressible genes

True or False

  • True: Innate immunity is antigen-independent and the first defense
  • False: Thymus is the site for maturation of T cells and B cells (only T cells)
  • False: Peyer patch is a mini lymph node (it is a type of lymphoid tissue)
  • False: Macrophage is the only source of interleukin-6 (IL-6) (other cells can also produce IL-6)
  • False: Ig M antibodies play a role in protection against helminth infection (IgE antibodies are involved in protection against helminth infection)

Immune System

  • The immune response is initiated at the site of lymph nodes
  • Interferon-y (IFN-y) is produced by natural killer cells and T cells
  • Macrophages produce oxygen-dependent compounds, including nitric oxide
  • Ig M is the first immunoglobulin produced after antigen exposure, such as bacteria
  • An antigen is a substance capable of eliciting a specific immune response

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