Serological Reactions and Immune Responses Quiz
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Questions and Answers

What is the primary cause of tissue incompatibility?

  • Complement activation
  • Cytotoxic reactions
  • Immune response (correct)
  • Genetic variation

Which type of vaccine is composed of live but weakened microorganisms?

  • Vaccines with synthetic peptides
  • Vaccines containing dead microorganisms
  • Vaccines containing toxins
  • Attenuated vaccines (correct)

What is the distinctive feature of neutrophils visible under a microscope?

  • Granules (correct)
  • Bilobed nucleus
  • Large cytoplasm
  • Lack of nucleus

Which immune system cell is capable of synthesizing 10 million immunoglobulin molecules in one hour?

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

What type of immunity is acquired after serum administration?

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

In a fetus, which organ primarily performs haematopoietic functions?

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

Which cells are responsible for the presentation of antigenic peptides in complex with MHC molecules?

<p>Antigen-presenting cells (APC) (B)</p> Signup and view all the answers

Which type of immunity involves the body producing antibodies in response to an antigen?

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

What test is primarily used to determine the Rh factor?

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

Which serological reaction inhibits hemolysis to detect antibodies?

<p>Complement fixation test (A)</p> Signup and view all the answers

What type of reaction causes a local hyperergic inflammatory response and tissue necrosis?

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

What is the process by which antibodies promote phagocytosis called?

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

Which method is used to evaluate the quality of the antibody's antigen detection knob?

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

Which cells are involved in the destruction of extracellular parasitic infectious agents?

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

What term is used for proteins that enhance the process of phagocytosis?

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

Which antibody class is characterized as decavalent with 10 antigen-binding sites?

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

Which condition is a clinical example of type III hypersensitivity?

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

What is the sequence of antibody synthesis during the effector phase of the humoral immune response?

<p>IgM, IgG, IgA, IgE (C)</p> Signup and view all the answers

Which type of hypersensitivity is demonstrated by the tuberculin test?

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

T-lymphocytes that are presensitized by macrophages are known as what?

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

How long does delayed-type hypersensitivity typically take to develop?

<p>2-3 days (B)</p> Signup and view all the answers

Which immunoglobulin class indicates a transmitted infection?

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

Which process occurs during the immunological stage of hypersensitivity development?

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

Which mediators, involved in the first phase of the atopic reaction, are found in mast cells and basophils?

<p>Vaso-active amines (A)</p> Signup and view all the answers

What is an example of secondary immunoprophylaxis?

<p>Passive vaccination (rabies) (A)</p> Signup and view all the answers

What does type IV hypersensitivity primarily depend on?

<p>Sensitized T cells (A)</p> Signup and view all the answers

In which scenario is emergency passive immunoprophylaxis administered?

<p>Tetanus post-exposure (C)</p> Signup and view all the answers

How is artificial, active immunity primarily formed?

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

What is the expected effect of vaccine therapy?

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

Which method is used to determine cytokine content in serum?

<p>By enzyme reaction (C)</p> Signup and view all the answers

Where do juvenile forms of white blood cells primarily develop and mature?

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

Which type of hypersensitivity reaction is primarily associated with atopic disorders?

<p>Type I hypersensitivity (B)</p> Signup and view all the answers

What is the basis for the specificity of serological reactions?

<p>Antigen-antibody complex (B)</p> Signup and view all the answers

Which immunoglobulin is produced primarily during an initial allergen exposure in atopy?

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

How is the white blood cell count commonly represented in medical analyses?

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

Which of the following is a classic clinical manifestation of type I hypersensitivity?

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

What component in some vaccines acts as an adjuvant?

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

Fetal and maternal blood incompatibility can lead to which condition?

<p>Hemolytic disease of the newborn (D)</p> Signup and view all the answers

Hemolytic disease of the newborn develops as a result of which type of hypersensitivity?

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

Type IV hypersensitivity is primarily a manifestation of which type of immunity?

<p>Cell-mediated immunity (A)</p> Signup and view all the answers

In type II hypersensitivity, the immune complex is primarily formed by which antibodies?

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

In graft-versus-host reactions, the antigen interacts primarily with which immune cell?

<p>T-helper (B)</p> Signup and view all the answers

Hypersensitivity of the immediate type involves which mechanism?

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

What is the basis for the phenomenon of immunological memory?

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

What occurs with naive T lymphocytes following activation?

<p>Differentiate into CD8+ cells (A)</p> Signup and view all the answers

Flashcards

Rh factor testing

An antibody test that identifies the presence of Rh antigens on red blood cells by observing the agglutination (clumping) of red blood cells.

Complement fixation test

A serological reaction that uses hemolysis (destruction of red blood cells) as an indicator to detect the presence of antibodies.

Arthus reaction

A local type III hypersensitivity reaction caused by the binding of antigens and antibodies in the vascular wall and surrounding tissues, triggering an inflammatory response and tissue damage.

Opsonization

The process by which antibodies attach to pathogens, making them more easily recognized and engulfed by phagocytic cells like macrophages and neutrophils.

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Affinity test

A laboratory test that measures the strength of the binding between an antibody and its specific antigen.

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Opsonins

Proteins that enhance phagocytosis by binding to pathogens and marking them for engulfment by immune cells.

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IgM antibody

The decavalent antibody, meaning it has 10 antigen-binding sites.

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Eosinophils

White blood cells that are essential for defending against parasitic infections and allergic reactions.

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Type III Hypersensitivity

Immune complexes (antigen-antibody complexes) deposit in tissues, triggering inflammation and tissue damage. This often involves the complement system.

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Serum Sickness

A condition involving antibody-mediated immune complex deposition, often associated with infections or drugs.

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IgM antibodies

The initial antibody produced in a humoral immune response, followed by a class switch to other isotypes like IgG, IgA, and IgE.

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Type IV Hypersensitivity

An immune reaction characterized by a delayed response (48-72 hours) involving T cells, commonly seen in tuberculosis testing.

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Sensitized T Cells

T cells that have encountered an antigen and are sensitized to it, meaning they can recognize and react to that antigen upon re-exposure.

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Immunological Stage of Hypersensitivity

The stage in hypersensitivity development where the immune system produces specific antibodies against the antigen.

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Vasoactive Amines

Chemical messengers released by mast cells and basophils, responsible for the immediate inflammatory response in allergies.

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Passive Vaccination

The administration of pre-formed antibodies to provide immediate protection against a specific pathogen, like rabies or tetanus.

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Type IV Hypersensitivity Mechanism

Immune response that depends on the presence of sensitized T cells, rather than antibodies.

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IgG Antibodies

An antibody class that persists in the blood long after an infection, indicating past exposure and possibly immunity.

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Vaccination

A method used to stimulate the immune system by introducing antigens in a controlled manner, leading to active immunity.

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ELISA for cytokine detection

An assay that utilizes enzymes to detect and quantify the levels of cytokines in blood serum, a valuable tool in studying immune responses.

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Naive Lymphocytes

Mature lymphocytes that have not yet encountered their specific antigen and therefore haven't been activated.

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Adhesion of Particles in Phagocytosis

The step in phagocytosis where phagocytes physically attach to the target particle, preparing for engulfment.

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Cellular Innate Immunity

The branch of the immune system that provides an immediate, non-specific response to pathogens, involving cells like NK cells, macrophages, and neutrophils.

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Tissue incompatibility

The body's immune system recognizes foreign substances (antigens) on tissues from a different individual, triggering an immune response to reject them.

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Attenuated vaccine

A type of vaccine that uses weakened but live versions of the pathogen to induce immunity. The weakened pathogen can't cause the disease but stimulates the immune response.

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Neutrophils

A type of white blood cell that is often the first responder to infection. They are characterized by their distinctive granules when viewed under a microscope.

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Plasma cells

Specialized white blood cells that produce vast quantities of antibodies (immunoglobulins) to fight infections. They are the antibody factories of the immune system.

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Passive immunity

A type of immunity that is gained by receiving pre-formed antibodies from an external source, such as serum. It provides immediate protection but is only temporary.

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Hematopoiesis in the fetus

The liver takes on this vital role during fetal development, producing blood cells until the bone marrow is mature enough.

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Antigen-presenting cells (APCs)

Special cells, like dendritic cells, which capture antigens and present them to T cells in the context of MHC molecules, initiating the adaptive immune response.

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T cells

A type of lymphocyte that recognizes and targets specific antigens presented by MHC molecules on antigen-presenting cells.

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Where do white blood cells develop?

The process of white blood cell development and maturation, primarily occurring in the bone marrow.

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What type of hypersensitivity are atopic disorders?

Type I hypersensitivity is an IgE-mediated immune response that involves an immediate reaction to allergens, typically causing symptoms like sneezing, hives, and difficulty breathing.

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What determines the specificity of serological reactions?

The precise interaction between antigens and antibodies, which allows the immune system to specifically target and neutralize foreign substances.

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What immunoglobulin is produced in atopy?

A type of antibody that plays a crucial role in atopic disorders, mediating allergic reactions by binding to allergens and triggering the release of histamine and other inflammatory mediators.

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How is WBC count expressed?

Wite blood cell counts are typically expressed as percentages in differential leukocyte analysis, providing information about the relative abundance of different white blood cell types.

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What is a clinical manifestation of type I hypersensitivity?

Urticaria, also known as hives, is a common manifestation of type I hypersensitivity, characterized by itchy, red welts that appear on the skin.

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What can be used as an adjuvant in vaccines?

Aluminum salts, used as adjuvants in some vaccines, enhance the immune response to antigens by promoting inflammation and stimulating a stronger immune response.

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What is the main manifestation of fetal and maternal blood incompatibility?

Hemolytic disease of the newborn is a serious condition that occurs when maternal antibodies attack fetal red blood cells, leading to anemia and other complications.

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What type of hypersensitivity does hemolytic disease of the newborn belong to?

Hemolytic disease of the newborn, a condition resulting from maternal-fetal Rh incompatibility, falls under type II hypersensitivity, which involves antibody-mediated cytotoxic reactions.

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How is Type IV hypersensitivity different?

Type IV hypersensitivity stands out as a cell-mediated response, unlike other types that rely primarily on antibody-mediated mechanisms. It is characterized by a delayed reaction involving T cells.

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What antibodies are involved in Type II hypersensitivity?

Type II hypersensitivity, which involves antibody-mediated cytotoxicity, is mediated by IgG and IgM antibodies, which bind to target cells and trigger their destruction by complement or other immune effector mechanisms.

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What cell type does the antigen interact with in GvHD?

Graft-versus-host disease (GvHD) is a serious complication that occurs when immune cells from a donor (graft) attack recipient (host) cells. In GvHD, the antigen interacts with T helper cells, triggering a cascade of immune responses that can lead to tissue damage and organ dysfunction.

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What type of immune response mediates immediate hypersensitivity?

Immediate hypersensitivity, characterized by rapid reactions to allergens, is mediated by humoral immunity, which involves antibody-mediated immune responses.

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What is the basis for immunological memory?

Immunological memory is a critical aspect of adaptive immunity, allowing the immune system to mount more rapid and robust responses to previously encountered antigens. It relies on memory B and T cells, which are long-lived cells that retain the ability to recognize and respond to specific antigens upon re-exposure.

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What do naïve T lymphocytes do?

Naive T lymphocytes are unactivated T cells that have not yet encountered their specific antigen. They are primed to differentiate into effector T cells, either CD8+ cytotoxic T cells or CD4+ helper T cells, upon activation by antigen presentation.

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What is antibody-dependent cytotoxic allergic reaction?

Antibody-dependent cytotoxic allergic reactions, as categorized under type II hypersensitivity, involve antibodies that bind to target cells, leading to their destruction by complement or other immune effector mechanisms. This type of hypersensitivity plays a role in conditions such as blood transfusion reactions and autoimmune disorders.

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What type of hypersensitivity causes ABO blood group incompatibility?

ABO blood group incompatibility, a common cause of transfusion reactions, falls under type II hypersensitivity. It occurs when antibodies in the recipient's plasma attack antigens on the donor's red blood cells, leading to hemolysis and other complications.

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Which type of vaccine most often needs booster doses?

Live attenuated vaccines, which contain weakened forms of the pathogen, often require booster doses to maintain long-term immunity. This is because live attenuated vaccines stimulate a robust but ultimately transient immune response.

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Study Notes

Serological Reactions and Immune Responses

  • Rh Factor Determination: Rh factor is determined using an agglutination test, which detects Rh antigens on red blood cells (RBCs).

  • Complement Fixation Test: A serological reaction that uses hemolysis as an indicator to detect antibodies.

  • Arthus Reaction: A local type III hypersensitivity reaction characterized by tissue necrosis due to immune complex deposition in blood vessels.

  • Opsonization: Antibodies enhance phagocytosis by coating antigens, preparing them for engulfment by immune cells.

  • Affinity Tests: Used to assess the binding strength (affinity) between an antibody and its antigen.

  • Extracellular Parasite Destruction: Neutrophils, macrophages, and eosinophils/mast cells combat extracellular parasites.

  • Opsonins: Proteins that enhance phagocytosis by marking pathogens for engulfment.

  • IgM Antibodies: Decavalent, possessing 10 antigen-binding sites.

  • White Blood Cell Development: White blood cells originate and mature in the bone marrow.

  • Atopic Disorders: Atopic disorders are type I hypersensitivity reactions mediated by IgE antibodies.

  • Specificity in Serological Reactions: Specificity arises from the precise interaction between antigens and antibodies.

Hypersensitivity Reactions

  • Type I Hypersensitivity (Atopy): Initial allergen exposure triggers IgE production in plasmocytes in atopy.

  • White Blood Cell Counts: WBC counts are often expressed as percentages during differential analysis.

  • Type I Hypersensitivity Manifestations: Urticaria (hives) is a clinical example.

  • Vaccines and Adjuvants: Aluminum salts are examples of adjuvants to enhance vaccine immunogenicity.

  • Hemolytic Disease of the Newborn: Maternal-fetal blood incompatibility (e.g., Rh incompatibility) can lead to this condition, where maternal antibodies attack fetal RBCs.

  • Type II Hypersensitivity: This cytotoxic reaction, exemplified by hemolytic disease of the newborn, involves IgG and IgM antibodies.

  • Type IV Hypersensitivity: A cell-mediated response, distinguished by its delayed onset of 2-3 days.

  • Type III Hypersensitivity: Immune complex-mediated disorders, like serum sickness, result from immune complex deposition.

Immune System Components and Functions

  • Cellular Immunity and Antibodies: T cells play a central role in cell-mediated immunity, unlike the antibody-mediated (humoral) immunity of other types.

  • Immunological Memory: Memory B and T cells are responsible for immunological memory response to re-exposure to an antigen.

  • Naive T-lymphocytes: Naive T cells can differentiate into various effector T cells, including cytotoxic CD8+ T cells or helper CD4+ T cells following activation.

  • ABO Blood Group Incompatibility: This is a type II hypersensitivity reaction.

  • Booster Doses: Live attenuated vaccines often require booster doses to maintain immunity.

  • IgG antibodies and Infections: IgG antibodies are formed later but indicate current or past infection, as a secondary response.

  • Antibody Production Timing: IgM is initially produced, followed by IgG, IgA, and IgE in the humoral response.

  • Tuberculin Test: An example of type IV hypersensitivity, a delayed hypersensitivity reaction.

  • Sensitized T Cells: These T cells are presensitized by macrophages and have receptors to antigens.

  • Cytokine Measurement: ELISA is a common method to measure cytokines in serum.

  • Naive Lymphocytes: These are mature lymphocytes that haven't encountered their specific antigen.

  • Phagocytosis Stages: Phagocytosis stages including chemotaxis, particle attachment, engulfment, and phagolysosome formation.

  • Innate Immunity Cellular Components: NK cells, macrophages, neutrophils, and granulocytes are crucial cellular components.

  • Adaptive Immunity: Adaptive immunity results from the synthesis of complementary antibodies to an antigen.

  • Tissue Incompatibility: Tissue incompatibility arises due to an immune response to foreign antigens (genetic variation).

  • Attenuated Vaccines: Attenuated vaccines contain weakened living microorganisms.

  • Neutrophil Characteristics: Neutrophils are identified by their granulated appearance under a microscope.

  • Plasma Cells: Plasma cells are specialized B cells capable of producing high quantities of antibodies.

  • Passive Immunity: Passive immunity is attained through the administration of pre-formed antibodies.

  • Fetal Hematopoiesis: During fetal development, the liver performs hematopoietic function.

  • Antigen Presentation (APCs): Antigen-Presenting Cells (APCs) present antigens in complex with MHC molecules.

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Test your knowledge on serological reactions and immune responses with this quiz. Covering key topics such as Rh factor determination, complement fixation tests, and types of hypersensitivity reactions, this quiz is perfect for students in immunology. Prepare to enhance your understanding of how the immune system interacts with various pathogens and antigens.

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