Immunology Quiz on T-Cell and Neutrophil Functions
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Questions and Answers

What role do T-cell antigen receptors (TCR) play in immune response?

  • They enhance the activity of neutrophils.
  • They initiate mucus production.
  • They bind to molecules expressed on pathogens. (correct)
  • They directly kill bacteria.
  • Which of the following is NOT a function of neutrophils in killing microbes?

  • Releasing cationic proteins.
  • Producing hydrogen peroxide.
  • Secreting antibodies specific to the antigen. (correct)
  • Internalizing bacteria into phagocytic vacuoles.
  • Which cytokines are produced by TH0 cells during the immune response?

  • IL-10 and IL-8
  • IL-12 and TGF-β
  • IL-1 and TNF-α
  • IL-2, IFN-γ, and IL-4 (correct)
  • What do bacterial molecules with repetitive structures specifically interact with?

    <p>B cells expressing surface IgM and IgD.</p> Signup and view all the answers

    How do γ/δ T cells and NKT cells contribute during the immune response?

    <p>They sense phosphorylated amine metabolites from some bacteria.</p> Signup and view all the answers

    Which mechanism primarily helps neutrophils to kill gram-negative bacteria?

    <p>Oxygen-dependent killing.</p> Signup and view all the answers

    What indicates lymphocyte growth in response to an antigenic challenge?

    <p>Swollen lymph nodes.</p> Signup and view all the answers

    What type of molecules do dendritic cells present that activate NKT cells?

    <p>Bacterial glycolipids.</p> Signup and view all the answers

    What color do organisms appear when using the Ziehl-Neelsen stain?

    <p>Red against a light blue background</p> Signup and view all the answers

    Which staining method requires heating of the specimen?

    <p>Ziehl-Neelsen stain</p> Signup and view all the answers

    What is the color of the background when using Auramine-rhodamine stain?

    <p>Black</p> Signup and view all the answers

    What is the main purpose of selective media?

    <p>To recover specific organisms from a mixture</p> Signup and view all the answers

    What characteristic defines Shigella colonies on differential media?

    <p>They appear red because they do not ferment certain carbohydrates</p> Signup and view all the answers

    What type of organisms can be detected using Calcofluor white stain?

    <p>Fungi and Pneumocystis spp.</p> Signup and view all the answers

    How does sodium deoxycholate function in selective media?

    <p>It suppresses the growth of nonpathogenic bacteria</p> Signup and view all the answers

    Which organisms are considered partially acid-fast?

    <p>Nocardia and Rhodococcus</p> Signup and view all the answers

    What happens to bacteria at an acid pH when using acridine orange stain?

    <p>They remain reddish-orange while background stains greenish-yellow</p> Signup and view all the answers

    What is the role of glucose in selective media for fungi?

    <p>It serves as a primary energy source for fungi</p> Signup and view all the answers

    What occurs when Salmonella is cultured on selective media?

    <p>It decarboxylates lysine, leading to alkaline by-products</p> Signup and view all the answers

    What distinguishes Kinyoun stain from Ziehl-Neelsen stain?

    <p>Kinyoun stain is a cold acid-fast stain</p> Signup and view all the answers

    Which component is used as a counterstain in the Auramine-rhodamine staining method?

    <p>Potassium permanganate</p> Signup and view all the answers

    Which components are typically included in Xylose-lysine deoxycholate (XLD) agar?

    <p>Yeast extract, xylose, lysine, lactose, and sodium thiosulfate</p> Signup and view all the answers

    What is a common result of carbohydrate fermentation in media?

    <p>It may produce acid, leading to colony color change</p> Signup and view all the answers

    What distinguishes differential media from selective media?

    <p>Differential media allows for identification of organisms within a mixture</p> Signup and view all the answers

    What role do neutrophils play in inflammation?

    <p>They increase vascular permeability and release prostaglandins.</p> Signup and view all the answers

    What enhances the production of TH17 cells?

    <p>IL-1 and TNF-α together with TGF-β</p> Signup and view all the answers

    Which cytokine is critical for the activation of macrophages to kill phagocytized microbes?

    <p>IFN-γ</p> Signup and view all the answers

    What occurs when neutrophils die during an inflammatory response?

    <p>They form a sticky DNA net known as a neutrophil extracellular trap.</p> Signup and view all the answers

    Which cytokine plays a major role in promoting TH1 responses?

    <p>IL-12</p> Signup and view all the answers

    What maintains the antimicrobial action of macrophages during an immune response?

    <p>GM-CSF, TNF-α, and lymphotoxin (TNF-β)</p> Signup and view all the answers

    Which of the following is NOT a function of TH17 cells?

    <p>Clearing encapsulated bacteria</p> Signup and view all the answers

    Which cells are involved in the early immune response by producing IFN-γ?

    <p>NK and NKT cells</p> Signup and view all the answers

    What role do immature dendritic cells (iDCs) play at the site of infection?

    <p>They acquire microbial debris and activate to present antigens.</p> Signup and view all the answers

    What is the primary function of IFN-γ in the immune response?

    <p>To activate macrophages to kill phagocytized microbes.</p> Signup and view all the answers

    During a secondary response, which cells can present antigens?

    <p>Dendritic cells, B cells, and macrophages.</p> Signup and view all the answers

    Which cytokines are produced by CD4 TH1 T cells in response to infections?

    <p>IFN-γ and TNF-α.</p> Signup and view all the answers

    What type of infections do TH1 responses primarily combat?

    <p>Intracellular bacterial infections.</p> Signup and view all the answers

    What is the purpose of granulomas formed during the immune response?

    <p>To encase and limit the spread of intracellular infections.</p> Signup and view all the answers

    How do CD4 TFH cells contribute to the immune response?

    <p>By promoting memory cell production and B cell differentiation.</p> Signup and view all the answers

    What happens when macrophages are chronically stimulated by specific microbial antigens?

    <p>They transform into epithelioid cells and giant cells.</p> Signup and view all the answers

    What role do Peyer patches and intestinal lymphoid follicles play in the gut?

    <p>They monitor and control the bacteria within the gut.</p> Signup and view all the answers

    Which cells are responsible for secreting IgA into the gut?

    <p>Plasma cells</p> Signup and view all the answers

    What is the primary means of controlling a viral infection?

    <p>The immune response</p> Signup and view all the answers

    Which immune responses are important for antiviral immunity?

    <p>Both humoral and cellular responses</p> Signup and view all the answers

    What can disrupt the microbial flora and trigger inflammatory bowel diseases?

    <p>Alterations in microbial flora and immune cell interactions</p> Signup and view all the answers

    During which time frame does the innate immune response begin after infection?

    <p>0-4 hours</p> Signup and view all the answers

    Which cytokine is produced shortly after the onset of an influenza infection?

    <p>IFN-α</p> Signup and view all the answers

    What is the major consequence of an excessive immune response in the gut?

    <p>Development of inflammatory bowel diseases</p> Signup and view all the answers

    Which immune component is best known for its role against viral infections?

    <p>T cells</p> Signup and view all the answers

    Which of the following is a property of regulatory cells in the gut?

    <p>They prevent excessive immune responses.</p> Signup and view all the answers

    What role do antimicrobial peptides play in the gut?

    <p>They control bacterial populations.</p> Signup and view all the answers

    Which cytokine is primarily associated with promoting T cell activation?

    <p>IFN-γ</p> Signup and view all the answers

    What type of immune response is most immediate during the early phase of infection?

    <p>Innate response</p> Signup and view all the answers

    What is the consequence of an imbalance in the gut microbiome?

    <p>Increased vulnerability to infections</p> Signup and view all the answers

    Which immune response component is secreted in the gut to maintain healthy bacteria levels?

    <p>IgA</p> Signup and view all the answers

    Study Notes

    Introduction to Medical Microbiology

    • Microbiology is the study of microscopic organisms, including bacteria, viruses, fungi, and parasites.
    • Anton van Leeuwenhoek's observations of "animalcules" in 1674 marked the beginning of the field.
    • The "germ theory" of disease, championed by Henle, Koch, and Pasteur, established microorganisms as disease causes.
    • Advances in genome analysis and sequencing techniques revolutionized microbiology, enabling insights into microbial populations and their interactions with humans.
    • The human microbiome is a complex community of microbes that live in, on, and around the human body, influencing health and disease. A "core microbiome" is shared by most individuals, while other species vary more widely. The microbes contribute metabolic functions and stimulate immunity.

    Viruses

    • Viruses are the smallest infectious agents, ranging from 18 to 600 nanometers.
    • Viruses are obligate intracellular parasites, requiring host cells for replication.
    • Viral nucleic acids (DNA or RNA) are enclosed in a protein coat.
    • Infection can lead to cell destruction or integration into the host genome (latent period), causing varying degrees of illness—from the common cold to fatal diseases like AIDS or Ebola.

    Bacteria

    • Bacteria are prokaryotic, simple unicellular organisms without a nuclear membrane, mitochondria, Golgi bodies or endoplasmic reticulum.
    • They vary in size and shape, with cell walls composed of peptidoglycan.
    • Bacteria can cause disease through toxin production or tissue invasion.
    • Bacterial classification is based on size, shape, arrangement, and phenotypic/genotypic characteristics.
    • Different types inhabit human bodies, some transiently, others in permanent association, leading to disease if introduced to normally sterile areas.

    Fungi

    • Fungi are eukaryotic microbes characterized by their cellular structure with a defined nucleus, mitochondria, Golgi bodies, and endoplasmic reticulum.
    • Most exist as yeasts (single-celled) or molds (filamentous).
    • Some fungi are dimorphic, exhibiting both forms.
    • Fungi can cause various diseases, from superficial infections to life-threatening conditions.

    Parasites

    • Parasites are eukaryotic microbes, ranging in size from protozoa to worms (tapeworms).
    • These microbes, some unicellular, others multicellular, have complex life cycles often involving multiple host organisms.
    • They range in size from microscopic organisms to macroscopic.
    • They can cause potentially dangerous illnesses, including malaria and other infections
    • Their epidemiology, life cycle, and treatment are important aspects of understanding these microbes

    Immunology

    • Immune systems protect against microbial invasion.
    • Innate and adaptive immunity work together to control infections.
    • Innate immunity forms the initial defense line with barriers and inflammatory response, while adaptive immunity uses memory to target invaders better.
    • Microbial disease results from disruptions in the normal balance of immunity, often due to microbial evasion techniques.

    Diagnostic Microbiology

    • Clinical microbiology labs aid in diagnosing and managing infectious diseases.
    • Quality of specimen collection, transport, and microbiological procedures are crucial.
    • Microscopy and culturing are crucial tools for identifying microbes.
    • Modern methods like molecular assays are now the primary diagnostic tools.
    • Many types of microbes are identified via various microscopy and staining techniques.

    Human Microbiome In Health and Disease

    • The human microbiome is a complex community of microorganisms residing on and in the human body.
    • Commensal, mutualistic, and pathogenic groups are present on many body surfaces, especially the skin surfaces and the intestines.
    • A core microbiome, shared by many individuals, includes major species, while a secondary microbiome represents minor species with more variability.
    • Microbial communities evolve with diet, exposure to antimicrobial agents, and other stimuli. Disrupting this equilibrium can lead to dysbiosis and associated diseases.

    Microscopy and In Vitro Culture

    • Microscopy is used to detect and identify microbes.
    • Common methods include brightfield, darkfield, phase-contrast, and fluorescent microscopy and electron microscopy.
    • In vitro culture is used to cultivate microbes.
    • Different media and growth conditions are required based on the specific microbial species.

    Molecular Diagnosis

    • Microbial genetic material (DNA/RNA) is often used for diagnosis.
    • Electrophoresis, RFLP, PCR, Southern blotting (DNA), and Northern blotting (RNA) identify and analyze differences in genetic material.
    • DNA probes are used as molecular tools, like antibodies, to identify specific sequences in clinical samples.
    • Advanced molecular techniques provide rapid, sensitive, and specific diagnostic tools for identifying and analyzing microbes, including bacteria, viruses, and fungal pathogens.

    Serologic Diagnosis

    • Serologic techniques rely on antibody-antigen interactions to detect, identify, and quantify pathogens and their components.
    • Methods include precipitation reactions, immunodiffusion (e.g., Ouchterlony, single radial), and immunoelectrophoresis.
    • Antibody assays can detect specific antibodies against pathogens in a sample and diagnose diseases
    • Serological testing provides a snapshot of a patient's immune response and history of exposure.

    Elements of Host Protective Responses

    • Host defenses include barriers, innate responses (complement, phagocytes, interferons, and NK cells), and adaptive responses.
    • Complement and other molecules (e.g., chemokines and C3a, C5a) attract cells to infection sites and promote phagocytosis.
    • Different types of lymphocytes, such as TH1, TH2,TH17, Treg, and CTLs, work together to control infections and eliminate pathogens.
    • Inflammatory responses and soluble factors (cytokines) play critical roles during immune activation and resolution of infection.

    Immune Responses to Infectious Agents

    • The immune response to infection follows a specific sequence.
    • Infections can spread into distant organs and tissue if the initial immune response does not clear the agent
    • Innate and adaptive immunity responses provide various tools to clear infections (e.g., phagocytosis, antibody production, cell-mediated killing).
    • Immunopathology from uncontrolled or inappropriate immune responses can lead to disease in some cases
    • Autoimmunity, immunodeficiency, and hypersensitivity are immune related diseases that may result if the response is abnormal

    Antimicrobial Vaccines

    • Vaccines stimulate protective immune responses against infectious agents.
    • Active immunization involves exposure to a weakened or inactivated pathogen or its antigens to induce a response.
    • Passive immunization involves providing preformed antibodies to rapidly neutralize pathogens.
    • Different approaches exist for vaccine production (e.g., live attenuated, inactivated, subunit, conjugate, toxoid).
    • Vaccine administration schedules varies with age, type of vaccine, and the specific microbial invader.

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    Test your knowledge on the critical roles of T-cell antigen receptors, neutrophil functions, and the immune response dynamics. This quiz covers key concepts including cytokine production and the interaction of immune cells with antigens. Perfect for students studying immunology or related fields.

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