The Human Major Histocompatibility Complex (MHC) and Immune Responses Quiz

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Which of the following is NOT a primary immune organ?

Spleen

What is the cellularity of bone marrow at the age of 10?

90%

What is the function of the thymus?

Maturation of T-cells

Which of the following is NOT a function of the thymus?

Production of B lymphocytes

Where does positive selection of T cells occur?

Cortex of the thymus

Which of the following is NOT a component of the lymph node?

Spleen

Which type of immunity is characterized by the production of antibodies?

Humoral immunity

Which chromosome is the Human Major Histocompatibility Complex Class II D region located on?

Chromosome #6

What is the function of Antigen Presenting Cells (APCs)?

To process and present antigens to T cells

Which type of transplant rejection is characterized by slow organ deterioration?

Chronic

What is the main problem with xenotransplants?

The presence of galactose sugars on the surface of animal cells

Which type of antigens are bacteria and viruses examples of?

Biological antigens

What is the function of antibodies in the immune system?

To bind to antigens

What is the most common type of immunoglobulin in plasma?

IgG

What is the purpose of adjuvants in vaccines?

To enhance vaccine efficacy

Which of the following is true about Staphylococcus epidermidis?

Staphylococcus epidermidis can cause infection on biomaterials.

What is the term used to describe Staphylococcus epidermidis strains that are resistant to many antibiotics?

MRSA's

Which staining method is commonly used to visualize fungi in histological samples?

PAS

Which cells are the major regulators of the immune response and produce lymphokines?

Helper T cells

Which cells mediate the killing of cells, viruses, tumors, and transplants?

Cytotoxic T cells

Which cells are cytotoxic to the target cell and secrete perforins and granzymes?

Cytotoxic T cells

Which cells are responsible for direct killing of viruses, tumors, and transplants?

Natural Killer cells

Which type of vaccines are designed to induce memory antibody responses?

Live attenuated vaccines

What is the main function of adjuvants in vaccines?

To enhance vaccine efficacy

Which type of transplant rejection is characterized by slow organ deterioration?

Chronic rejection

Which of the following is NOT a function of antibodies in the immune system?

Phagocytosis of pathogens

Which cells are responsible for the direct killing of viruses, tumors, and transplants?

T lymphocytes

What is the main problem with xenotransplants?

Rejection by the recipient's immune system

Which region of the chromosome is the Human Major Histocompatibility Complex (MHC) Class II located on?

Short arm of chromosome #6

Which class of MHC molecules are responsible for presenting antigens to T cells?

Class II MHC molecules

What is the function of Antigen Presenting Cells (APCs)?

To process and present antigens to T cells

What is the main problem with xenotransplants?

Presence of galactose sugars on animal cells

Which of the following is NOT a common site of Staphylococcus epidermidis infection?

Joints

What is the term used to describe Staphylococcus epidermidis strains that are resistant to many antibiotics?

MRSA

Which staining method is commonly used to visualize fungi in histological samples?

Gomori methenamine silver stain

Which of the following is NOT a function of the spleen?

Production of antibodies

Which of the following is NOT a characteristic of adaptive immunity?

Rapid and limited

Which of the following is NOT a role of dendritic cells?

Phagocytosis

Which cells are responsible for direct killing of viruses, tumors, and transplants?

Cytotoxic T cells

Which of the following is NOT a characteristic of antigens?

Part of the host

Which of the following is NOT a function of the thymus?

Production of B cells

What is the main problem with xenotransplants?

Rejection by the recipient's immune system

Which staining method is commonly used to visualize fungi in histological samples?

Periodic acid-Schiff stain

What are the primary immune organs?

Bone marrow and thymus

What is the function of T-cells in the immune system?

T-cells are responsible for cell-mediated immunity and help in the recognition and destruction of infected cells.

What is the CD system used for in immunophenotyping?

The CD system is commonly used as cell markers in immunophenotyping to define or identify cells based on the presence of specific molecules on their surface.

What are the two types of selection that occur in the thymus?

Positive selection and negative selection

What are the four major issues of the immune system?

Recognition, effector functions, regulation, and memory

What are the two types of immunity in the immune system?

Innate immunity and adaptive immunity

What are the three major types of immune cells?

T lymphocytes, B lymphocytes, and antigen presenting cells (APCs)

What are the four major types of cells involved in cell-mediated immunity?

Helper T cells, cytotoxic T cells, regulatory T cells, and natural killer cells.

What are the functions of helper T cells and cytotoxic T cells in cell-mediated immunity?

Helper T cells are the major regulators of the immune response and produce lymphokines. Cytotoxic T cells mediate the killing of cells, viruses, tumors, and transplants.

What are the four types of hypersensitivity reactions to biomaterials?

Latex sensitivity, hypersensitivity to materials, hypersensitivity to wear particles, and hypersensitivity to infection.

What is the main problem with xenotransplants?

Xenotransplants face rejection by the recipient's immune system due to differences in major histocompatibility complex (MHC) molecules and other factors.

What is the role of Staphylococcus epidermidis in causing illness?

Most strains of Staphylococcus epidermidis do not cause illness, but when they do, it is frequently in a hospital setting.

What are some common sites of Staphylococcus epidermidis infection?

Staphylococcus epidermidis can cause infection on biomaterials such as catheters, prosthetic valves, cerebrospinal fluid shunts, joint prosthesis, vascular prosthesis, postoperative wounds, and venous catheters.

What is the resistance of Staphylococcus epidermidis to antibiotics?

Staphylococcus epidermidis is resistant to many antibiotics, including methicillin, all penicillins, panems, carbapanems, and cephalosporins. These are called MRSA's.

What are haptens and how do they relate to drugs?

Haptens are small molecules that bind to higher molecular weight molecules. Drugs can act as haptens by binding to larger molecules in the body.

What are the different types of antigens?

The different types of antigens include biological antigens (such as bacteria, viruses, and parasites), soluble molecules (toxins, chemicals leached from materials), and biomaterials with specific functional groups.

What are the functions of antibodies in the immune system?

Antibodies have multiple functions in the immune system, including binding to antigens, facilitating the destruction of pathogens, activating complement proteins, and acting as opsonins to enhance phagocytosis.

What are adjuvants in vaccines and how do they enhance vaccine efficacy?

Adjuvants are substances added to vaccines to enhance their efficacy. They help to stimulate an immune response, often by causing inflammation and activating antigen-presenting cells. Adjuvants can improve the immune response to vaccines and enhance the production of antibodies.

What are the three major classes of MHC molecules in humans and what types of cells do they present antigens to?

The three major classes of MHC molecules in humans are Class I, Class II, and Class III. Class I molecules present antigens to nucleated cells, Class II molecules present antigens to antigen presenting cells (APCs), and Class III molecules have various immune-related functions.

What are Human Leukocyte Antigens (HLA) and what are they used for in transplantation?

Human Leukocyte Antigens (HLA) are individual MHC molecules in humans. They are used in transplant matching to determine compatibility between the donor and recipient.

Where is the Human Major Histocompatibility Complex (MHC) Class II D region located?

The Human Major Histocompatibility Complex (MHC) Class II D region is located on the short arm of chromosome #6.

What is the main problem with xenotransplants?

The main problem with xenotransplants is the presence of galactose sugars on the surface of animal cells, which can lead to an immune response and rejection of the transplanted organ or tissue.

Match the following immune organs with their key characteristics:

Bone Marrow = Cellularity = $100 - $ the age Thymus = This is where T-cells get educated Spleen = Responsible for filtering blood Lymph Nodes = Site of immune cell activation

Match the following immune terms with their definitions:

CD System = Commonly used as cell markers in immunophenotyping Memory = Ability of the immune system to remember past encounters with pathogens Clonality = Ability of the immune system to produce a large number of identical cells Specificity = Ability of the immune system to recognize and respond to specific pathogens

Match the following components of the immune system with their functions:

T Cells = Responsible for direct killing of viruses, tumors, and transplants Antibodies = Proteins that recognize and bind to specific antigens Macrophages = Engulf and destroy pathogens B Cells = Produce antibodies

Match the following types of antigens with their corresponding MHC classes:

Antigens on surface of nucleated cells = Class I Humoral or Cell-Mediated Responses = Class II Minor antigens = Class III HLA used in transplant matching = Individual MHC

Match the following types of cells with their roles in the immune system:

Antigen Presenting Cells or APCs = Process and present antigen to T cells T cells = Require "presentation" of antigens by APCs Dendritic cells, B cells or macrophages = Examples of APCs APCs = Key to genesis of T cell responses

Match the following types of transplant recipients with their corresponding donor types:

Recipient 1 = $1, 23$ Recipient 2 = $1, 24$ Donor 1 = $1, 24$ Donor 2 = $7, 8$

Match the following types of transplant rejection with their descriptions:

Hyperacute = Minutes to hours, antigen-antibody reaction Acute = Days to months, cellular destruction and organ failure Chronic = Present in most transplanted tissues, slow organ deterioration Xenotransplants = Presence of galactose sugars on the surface of animal cells

Match the following organisms with their resistance to antibiotics:

Staphylococcus epidermidis = Resistant to many antibiotics, including methicillin, all penicillins, panems, carbapanems and cephalosporins MRSA = Strains of Staphylococcus epidermidis that are resistant to many antibiotics Mold = Not resistant to antibiotics Yeast = Not resistant to antibiotics

Match the following biomaterials with their potential for Staphylococcus epidermidis infection:

Catheters = Can cause infection on biomaterials such as catheters Prosthetic valves = Can cause infection on biomaterials such as prosthetic valves Joint prosthesis = Can cause infection on biomaterials such as joint prosthesis Vascular prosthesis = Can cause infection on biomaterials such as vascular prosthesis

Match the following staining methods with their common usage in histological samples:

Silver = Commonly used to visualize fungi in histological samples Periodic acid Schiff = Commonly used to visualize fungi in histological samples Gomori metheamine silver = Commonly used to visualize fungi in histological samples PAS = Commonly used to visualize fungi in histological samples

Match the following terms with their correct definitions:

Hapten = Small molecules that bind to higher molecular weight molecules, drugs are haptens Antigen = Biological- bacteria, viruses, parasites, RBC surface, cell surfaces, tissues, MHC (HLA) Antibody = Proteins in globulin fraction of blood, antibodies are functional, immunoglobulins are biochemical Adjuvant = Designed to help or enhance vaccine efficacy

Match the following terms with their correct descriptions:

IgG = Immunoglobulin in plasma that is most abundant in the body Active Vaccination = Seeks to actively stimulate immune memory which can protect from disease upon (re)exposure to pathogenic microorganisms Polyethyleneimines (PEI) = A cationic polymer that has been shown to be a potent adjuvant Passive Vaccination = Involves giving immunoglobulins (IgGs or plasma)

Match the following types of vaccines with their correct descriptions:

Traditional (Inactivated) = More tedious and expensive to manufacture, immune response against the entire virus Modern (Genetic Engineered) = Much easier and less expensive to manufacture, only target one antigen

Match the following terms with their correct functions:

B cells = Produce plasma cells which secrete antibodies Plasma cells = Produce and secrete antibodies Antigen Presenting Cells (APCs) = Capture, internalize, and degrade antigens, present them on their surface to T cells T cells = Recognize and kill virus-infected cells, activate B cells to produce antibodies

Match the following immune cells with their descriptions:

Helper T Cells = Major regulator of immune response, produce lymphokines Cytotoxic T Cells = Mediate killing of cells, viruses, tumors, transplants Regulatory T Cells = Involved in immune tolerance Natural Killer Cells = Directly kill viruses, tumors, transplants

Match the following immune response components with their descriptions:

Cytokines = Cell-derived products that are soluble or membrane bound Interleukins = A type of cytokine, includes IL-1 and IL-6 Tumor Necrosis Factor alpha = A type of cytokine, abbreviated as TNF-a Colony Stimulating Factors = A type of cytokine, includes GM-CSF

Match the following terms with their definitions:

Bamboo Spine = A condition caused by an autoimmune disorder called ankylosing spondylitis, where the spine fuses Autoimmune Disease = A reaction against 'self-antigens', where the immune system fails to recognize its own cells and tissues Osteolysis = A condition where the body's immune response to wear particles from a hip replacement leads to bone destruction Latex Sensitivity = Hypersensitivity to latex proteins, which can induce an immune response

Match the following components of the immune system with their functions:

Complement System = A group of proteins that work together to destroy foreign cells and pathogens Antibodies = Proteins produced by B cells that recognize and neutralize foreign substances in the body T Cells = Play a central role in cell-mediated immunity B Cells = Produce antibodies

Match the following immune cells with their correct descriptions:

T lymphocytes = Cells responsible for direct killing of viruses, tumors, and transplants B lymphocytes = Cells that produce antibodies Natural Killer (NK) Cells = Cells that are CD3-, CD56+ and kill infected cells and produce cytokines Dendritic Cells = Antigen presenting cells that are the 'King' of APCs and can activate naïve T cells

Match the following immune terms with their correct definitions:

Immunogen = A substance that is capable of inducing an immune response Epitopes = Complex chemicals, often greater than 10,000 M.W., normally not part of the host, molecules that react with antibodies (or T cell receptors) Antigen = A complex chemical that reacts with antibodies CD Markers = A system commonly used as cell markers in immunophenotyping, allowing cells to be defined or identified, based on what molecules are present on their surface

Match the following types of immunity with their correct descriptions:

Innate Immunity = Type of immunity that is present at birth and includes phagocytes, complement, and immune cells Adaptive Immunity = Type of immunity that is acquired through exposure and includes antibodies, B and T cells, and complement. Specificity and memory are key Humoral Immunity = Type of immunity that involves B cells, plasma cells, and antibodies Cell-Mediated Immunity = Type of immunity that involves T cells, macrophages, B cells, cytokines, and lymphokines. The key is multicellular and integrated

Match the following types of cells with their correct immune functions:

T lymphocytes = Responsible for direct killing of viruses, tumors, and transplants B lymphocytes = Produce antibodies Dendritic Cells = The 'King' of APCs and can activate naïve T cells Macrophages = Phagocytic and produce cytokines

Test your knowledge of the human major histocompatibility complex (MHC) and its role in immune responses. Learn about MHC class I, II, and III molecules, minor antigens, and the genetic differences in the MHC class II D region. Explore how MHC molecules, also known as Human Leukocyte Antigens (HLA), are used in transplant matching.

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