T1 L13: Autoimmune diseases 2 (MTz)
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Questions and Answers

Which of the following is a potential environmental factor that can contribute to autoimmunity?

  • Genetics
  • Inflammation
  • Infection (correct)
  • Antigens

What is the term used to describe the phenomenon where a viral peptide has similarity to a self peptide?

  • Autoimmunity
  • Antigen presenting
  • Molecular mimicry (correct)
  • Inflammation

Which type of immune cell is responsible for presenting the viral peptide to the CD4+ T cell?

  • Antigen presenting cell (correct)
  • MHC class T molecule
  • CD4+ T cell
  • Antiviral CD4+ T cell

What is the potential consequence of an activated CD4+ T cell that has been activated by a self peptide with homology to a viral peptide?

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

Which of the following is a key factor in the complexity of molecular mimicry?

<p>The T cell receptors being unique to each individual (A)</p> Signup and view all the answers

Which autoimmune disease is associated with cross-reactivity between streptococcal antibodies and connective tissue?

<p>Rheumatic fever (D)</p> Signup and view all the answers

What is a distinguishing feature of type one diabetes compared to type two diabetes?

<p>Autoimmune destruction of the pancreas (A)</p> Signup and view all the answers

What is the role of genetic susceptibility in the development of diabetes?

<p>It increases the risk of developing diabetes (B)</p> Signup and view all the answers

Which disease is characterized by the presence of immunofluorescence in a chicken wire pattern?

<p>Pent the gas (D)</p> Signup and view all the answers

Which antibody is targeted in the diagnosis of coeliac disease?

<p>Antibody against monkey oesophagus (A)</p> Signup and view all the answers

Which antibody is associated with pernicious anaemia?

<p>Antibody against intrinsic factor (A)</p> Signup and view all the answers

What is the significance of HLA typing in the diagnosis of coeliac disease?

<p>Presence of HLA DKI two and eight makes coeliac disease unlikely (B)</p> Signup and view all the answers

Which method is used to detect autoantibodies in the blood and cerebrospinal fluid?

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

What is the advantage of using indirect immunofluorescence to detect antibodies?

<p>It requires minimal knowledge about the antibody (B)</p> Signup and view all the answers

What is the purpose of diagnostic autoimmune serology antibodies in autoimmune diseases?

<p>They diagnose autoimmune diseases (D)</p> Signup and view all the answers

What is the main reason why indirect immunofluorescence is not commonly used in laboratories?

<p>It is time-consuming and requires manual reading (D)</p> Signup and view all the answers

Which of the following is a possible reason why it is difficult to study the initiation of autoimmune diseases?

<p>There is a gap between the initiation of disease and its presentation (C)</p> Signup and view all the answers

What is a potential mechanism that could link Epstein-Barr virus (EBV) to multiple sclerosis?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as a potential treatment for multiple sclerosis related to Epstein-Barr virus (EBV)?

<p>An HPV vaccine (B)</p> Signup and view all the answers

What factors contribute to the complexity of autoimmune disease development?

<p>All of the above (D)</p> Signup and view all the answers

Which method is NOT commonly used in the diagnostic lab anymore?

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

What is the main difference between direct and indirect immunofluorescence?

<p>Direct immunofluorescence requires a tissue biopsy, while indirect immunofluorescence looks for something in the blood (C)</p> Signup and view all the answers

What is the significance of the thick-walled pearly lesions seen in the top left panel?

<p>They indicate the presence of an autoantibody at the dermoepidermal junction (C)</p> Signup and view all the answers

Which disease is characterized by big areas of denuded skin and involvement of mucosal surfaces?

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

Which of the following is a reason why autoimmune diseases are often treated by managing the consequences rather than using immunosuppression?

<p>Immunosuppressive drugs have severe side effects (A)</p> Signup and view all the answers

What makes it difficult to treat autoimmune pancreatitis or autoimmune thyroiditis with immunosuppression?

<p>The diseases are subclinical (B)</p> Signup and view all the answers

Why might treating the consequences of an autoimmune disease be preferred over using immunosuppression?

<p>Treating the consequences has fewer side effects (D)</p> Signup and view all the answers

What is a potential drawback of using immunosuppressive drugs to treat autoimmune diseases?

<p>They have severe side effects (B)</p> Signup and view all the answers

What is a possible reason why autoimmune diseases are often subclinical?

<p>They are difficult to diagnose (C)</p> Signup and view all the answers

How can underactive thyroid be treated?

<p>By replacing Thyroxine as a daily tablet (A)</p> Signup and view all the answers

Which of the following is a potential cause of autoimmune hypothyroidism (Hashimoto's thyroiditis)?

<p>Exposure to a self-antigen with an adjuvant (A)</p> Signup and view all the answers

Which immune cells are primarily responsible for the tissue damage in autoimmune diseases?

<p>CD8 T cells (B)</p> Signup and view all the answers

What is the role of T cells in autoimmune responses?

<p>They damage tissue directly (D)</p> Signup and view all the answers

What is the significance of HLA associations in autoimmune diseases?

<p>They indicate genetic susceptibility to autoimmune diseases (B)</p> Signup and view all the answers

Which of the following is a characteristic of peripheral tolerance mechanisms?

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

Which of the following is an example of an autoimmune disease classified as multi-system?

<p>Systemic lupus erythematosis (B)</p> Signup and view all the answers

Which type of hypersensitivity is characterized by the presence of autoantibodies that directly cause tissue damage?

<p>Type II hypersensitivity (D)</p> Signup and view all the answers

Which of the following autoimmune diseases is characterized by muscle weakness and fatigability, with eyelids, facial muscles, chewing, talking, and swallowing most often affected?

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

Which autoimmune disease is associated with a possible link to Coxsackie Virus?

<p>Type I diabetes mellitus (C)</p> Signup and view all the answers

What is the potential consequence of an activated CD4+ T cell that has been activated by a self peptide with homology to a viral peptide?

<p>It may lead to autoimmune disease (D)</p> Signup and view all the answers

What is a potential drawback of using immunosuppressive drugs to treat autoimmune diseases?

<p>Increased risk of infection (B)</p> Signup and view all the answers

What is the main reason why indirect immunofluorescence is not commonly used in laboratories?

<p>It is less sensitive (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a potential treatment for autoimmune diseases?

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

What is the main reason why indirect immunofluorescence is not commonly used in laboratories?

<p>It is less sensitive than other methods (D)</p> Signup and view all the answers

Which of the following is a distinguishing feature of type one diabetes compared to type two diabetes?

<p>Onset in adulthood (D)</p> Signup and view all the answers

What is a potential drawback of using immunosuppressive drugs to treat autoimmune diseases?

<p>Increased risk of infection (B)</p> Signup and view all the answers

Which gene is responsible for regulating the ectopic expression of tissue-specific antigens in the thymus?

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

Which autoimmune disorder is strongly associated with organ-specific autoimmune diseases such as type 1 diabetes, vitiligo, and alopecia?

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

Which autoimmune disorder is characterized by inflammatory bowel disease, dermatitis, and organ-specific autoimmunity?

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

Which HLA molecules are encoded by the HLA system on chromosome 6?

<p>Class I: A, B, C; Class II: DR, DP, and DQ (D)</p> Signup and view all the answers

Which method is commonly used to detect autoantibodies in the blood and cerebrospinal fluid?

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

What is the main difference between type 1 diabetes and type 2 diabetes?

<p>Type 1 diabetes requires insulin, while type 2 diabetes can be managed with lifestyle changes. (C)</p> Signup and view all the answers

What is the significance of HLA typing in the diagnosis of coeliac disease?

<p>HLA typing can identify the specific antigens targeted by autoantibodies. (A)</p> Signup and view all the answers

Which disease is characterized by thick-walled bullae on the skin and mucus membranes that rupture easily?

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

Which of the following is the most accurate description of pernicious anaemia?

<p>Autoimmune destruction of the gastric parietal cells (B)</p> Signup and view all the answers

What is the role of tissue transglutaminase (tTG) in modern immunoassays for coeliac disease?

<p>It is the target antigen detected in the assays (D)</p> Signup and view all the answers

What is the significance of HLA typing in the diagnosis of coeliac disease?

<p>Absence of HLA DQ-2/8 makes coeliac disease very unlikely (C)</p> Signup and view all the answers

What is the main reason why treating the consequences of an autoimmune disease may be preferred over using immunosuppression?

<p>By the time the disease is overt, the damage may already have been done (D)</p> Signup and view all the answers

Which of the following is NOT a potential manifestation of vitamin B12 depletion in pernicious anaemia?

<p>Gastric parietal cell destruction (D)</p> Signup and view all the answers

What is the purpose of plasmapheresis in the treatment of antibody-mediated diseases?

<p>To remove antibodies from the bloodstream (D)</p> Signup and view all the answers

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