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MLT 243 Immunology, Unit 3 (41-79) Exam with answers, Exams of Immunology

MLT 243 Immunology, Unit 3 (41-79) Exam with answers

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MLT |! 243 |! Immunology, |! Unit |! 3 |! (41-79) |!
Exam |! with |! answers
41) |! A |! patient |! with |! hereditary |! angioedema |! will |! present |! with |! swelling |! in |! the |!
tissues |! and |! has |! what |! deficiencies? |! - |! Correct |! answer |! C1 |! inhibitor
42) |! A |! 7-month-old |! boy |! is |! seen |! by |! a |! specialist |! because |! of |! hypocalcemia, |!
viral |! pneumonia, |! a |! history |! significant |! for |! recurrent |! diarrhea, |! and |! oral |!
candidiasis. |! An |! x-ray |! reveals |! the |! lack |! of |! a |! thymic |! shadow. |! This |! boy |! most |!
likely |! has: |! - |! Correct |! answer |! DiGeorge |! syndrome
43) |! An |! autosomal |! recessive |! disease |! characterized |! by |! the |! presence |! of |!
abnormally |! large |! granules |! primarily |! affecting |! the |! function |! of |! lysosomes |! is |!
known |! as: |! - |! Correct |! answer |! Chédiak-Higashi |! syndrome
44) |! A |! child |! suspected |! of |! having |! an |! inherited |! humoral |! immunodeficiency |!
disease |! is |! given |! diphtheria/tetanus |! vaccine. |! Two |! weeks |! after |! the |!
immunization, |! his |! level |! of |! antibody |! to |! the |! specific |! antigens |! is |! measured. |!
Which |! result |! is |! expected |! for |! this |! patient |! if |! he |! does |! have |! this |! deficiency? |! - |!
Correct |! answer |! no |! change |! in |! the |! level |! of |! specific |! antibody
45) |! Which |! disease |! may |! be |! expected |! to |! show |! an |! IgM |! spike |! on |! an |!
electrophoretic |! pattern? |! - |! Correct |! answer |! Waldenström's |!
macroglobulinemia
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MLT |! 243 |! Immunology, |! Unit |! 3 |! (41-79) |!

Exam |! with |! answers

  1. |! A |! patient |! with |! hereditary |! angioedema |! will |! present |! with |! swelling |! in |! the |! tissues |! and |! has |! what |! deficiencies? |! - |! Correct |! answer |! ✔C1 |! inhibitor
  2. |! A |! 7-month-old |! boy |! is |! seen |! by |! a |! specialist |! because |! of |! hypocalcemia, |! viral |! pneumonia, |! a |! history |! significant |! for |! recurrent |! diarrhea, |! and |! oral |! candidiasis. |! An |! x-ray |! reveals |! the |! lack |! of |! a |! thymic |! shadow. |! This |! boy |! most |! likely |! has: |! - |! Correct |! answer |! ✔DiGeorge |! syndrome
  3. |! An |! autosomal |! recessive |! disease |! characterized |! by |! the |! presence |! of |! abnormally |! large |! granules |! primarily |! affecting |! the |! function |! of |! lysosomes |! is |! known |! as: |! - |! Correct |! answer |! ✔Chédiak-Higashi |! syndrome
  4. |! A |! child |! suspected |! of |! having |! an |! inherited |! humoral |! immunodeficiency |! disease |! is |! given |! diphtheria/tetanus |! vaccine. |! Two |! weeks |! after |! the |! immunization, |! his |! level |! of |! antibody |! to |! the |! specific |! antigens |! is |! measured. |! Which |! result |! is |! expected |! for |! this |! patient |! if |! he |! does |! have |! this |! deficiency? |! - |! Correct |! answer |! ✔no |! change |! in |! the |! level |! of |! specific |! antibody
  5. |! Which |! disease |! may |! be |! expected |! to |! show |! an |! IgM |! spike |! on |! an |! electrophoretic |! pattern? |! - |! Correct |! answer |! ✔Waldenström's |! macroglobulinemia
  1. |! What |! diseases |! results |! in |! an |! acquired |! or |! secondary |! immunodeficiency? |! - |! Correct |! answer |! ✔HIV |! infection
  2. |! A |! 1-year-old |! boy |! is |! evaluated |! for |! a |! suspected |! immune |! deficiency. |! He |! has |! a |! history |! since |! birth |! of |! eczema, |! recurrent |! rashes, |! and |! diarrhea. |! (Normal |! values |! are |! given |! in |! parentheses.) |! His |! WBC |! count |! is |! 6.75/uL |! (5.0- 10.8 |! × |! 103 |! uL) |! with |! a |! normal |! differential. |! Platelet |! count |! is |! 35,000 |! (150,000-350,000/uL) |! and |! the |! platelets |! are |! small. |! His |! IgG |! is |! 750 |! mg/dL |! (600-1,500 |! mg/dL), |! IgM |! is |! 30 |! mg/dL |! (75-150 |! mg/d |! :), |! IgA |! is |! 475 |! mg/dL |! (50-125 |! mg/dL), |! and |! IgE |! is |! 750 |! mg/dL |! (10-50 |! mg/dL). |! The |! boy's |! blood |! is |! typed |! as |! O-positive, |! and |! he |! does |! not |! have |! anti-A |! or |! anti-B |! antibodies. |! Flow |! cytometry |! performed |! on |! his |! blood |! shows |! 11% |! (5-20%) |! CD19 |! and |! 50% |! (60-80%) |! CD3 |! cells |! with |! a |! normal |! ratio |! of |! CD4:CD8. |! T-cell |! function |! tests |! are |! abnormal. |! This |! boy |! most |! likely |! has: |! - |! Correct |! answer |! ✔Wiskott- Aldrich |! syndrome
  3. |! A |! 2-week-old |! girl |! is |! evaluated |! by |! a |! specialist |! because |! her |! physical |! appearance |! is |! abnormal. |! She |! has |! been |! hospitalized |! since |! birth. |! (Normal |! values |! are |! given |! in |! parentheses.) |! Her |! CD3 |! level |! is |! reported |! as |! 15% |! (60- 80%), |! CD4 |! = |! 10% |! (30-65%), |! CD8 |! = |! 5% |! (10-40%), |! and |! CD19 |! = |! 84% |! (5- 20%). |! Serum |! immunoglobulin |! levels |! are |! normal. |! Karyotyping |! reveals |! a |! deletion |! on |! chromosome |! 22. |! This |! girl |! has: |! - |! Correct |! answer |! ✔DiGeorge |! syndrome
  4. |! A |! 9-month-old |! infant |! is |! seen |! by |! a |! physician |! due |! to |! a |! persistent |! skin |! infection. |! His |! white |! and |! red |! blood |! cell |! counts |! are |! normal. |! However, |! immunofixation |! electrophoresis |! indicates |! a |! low |! level |! of |! IgG. |! When |! the |! infant |! returns |! to |! the |! physician |! for |! a |! follow-up |! visit |! in |! a |! month, |! his |! IgG |! level |! has |! increased. |! What |! condition |! do |! these |! results |! indicate? |! - |! Correct |! answer |! ✔transient |! hypogammaglobulinemia
  1. |! Which |! term |! applies |! to |! the |! type |! of |! graft |! rejection |! that |! begins |! within |! a |! few |! weeks |! or |! months |! after |! transplantation |! of |! an |! organ |! and |! is |! due |! to |! CD8 |! reactive |! T |! cells? |! - |! Correct |! answer |! ✔chronic |! rejection
  2. |! Which |! antigens |! are |! most |! important |! in |! matching |! for |! tissue |! transplants? |!
  • |! Correct |! answer |! ✔HLA |! A |! and |! B, |! blood |! group |! antigens |! A |! or |! B, |! and |! HLA |! DR1 |! and |! DQ
  1. |! A |! 25- |! year-old |! female |! is |! in |! kidney |! failure |! and |! needs |! a |! transplant. |! She |! is |! A |! positive |! and |! HLA |! A1A3/B5B7/C2C9/DR4DR8. |! What |! donors |! would |! be |! the |! best |! match? A)her |! brother, |! who |! is |! B |! positive |! and |! HLA |! A1A3/B7B5/C2C9/DR8DR B)her |! sister, |! who |! is |! A |! positive |! and |! HLA |! A3A4/B7B9/C2C3/DR4DR C)her |! mother, |! who |! is |! AB |! positive |! and |! HLA |! 1A4/B9B5/C9C3/DR8DR D)an |! unrelated |! donor |! who |! is |! A |! positive |! and |! HLA |! A6A3/B5B7/C3C10/DR2DR9 |! - |! Correct |! answer |! ✔B)her |! sister, |! who |! is |! A |! positive |! and |! HLA |! A3A4/B7B9/C2C3/DR4DR
  2. |! The |! type |! of |! rejection |! that |! occurs |! within |! minutes |! to |! hours |! due |! to |! preformed |! antibody |! is |! known |! as: |! - |! Correct |! answer |! ✔hyperacute |! rejection
  3. |! Graft-versus-host |! disease |! results |! under |! which |! conditions? |! - |! Correct |! answer |! ✔when |! immunocompetent |! cells |! are |! placed |! in |! an |! immunocompromised |! host
  1. |! Transplantation |! of |! an |! individual's |! skin |! from |! one |! place |! to |! another |! is |! an |! example |! of |! a(n): |! - |! Correct |! answer |! ✔autograft
  2. |! When |! foreign |! HLA |! antigens |! are |! presented |! by |! antigen-presenting |! cells |! to |! T |! cells, |! this |! is |! known |! as: |! - |! Correct |! answer |! ✔indirect |! allorecognition
  3. |! When |! a |! complement-dependent |! cytotoxicity |! test |! was |! performed |! using |! standard |! antibodies |! to |! HLA |! A1, |! A3, |! B2, |! and |! B11, |! the |! following |! microscopic |! results |! were |! obtained: |! a |! majority |! of |! blue |! cells |! were |! seen |! with |! anti-A1, |! A3, |! and |! B11. |! Based |! on |! these |! results, |! what |! is |! the |! phenotype |! of |! the |! donor |! cells? |! - |! Correct |! answer |! ✔HLA |! A1, |! A3, |! B
  4. |! Which |! test |! would |! be |! best |! to |! determine |! the |! actual |! genotype |! in |! an |! HLA |! matching? |! - |! Correct |! answer |! ✔polymerase |! chain |! reaction
  5. |! How |! can |! normal |! cells |! become |! malignant? |! - |! Correct |! answer |! ✔Overexpression |! of |! oncogenes, |! Underexpression |! of |! tumor-suppressing |! genes, |! Viral |! infection
  6. |! A |! woman |! goes |! 3 |! days |! per |! week |! to |! a |! tanning |! bed |! for |! 20 |! minutes |! of |! UV |! exposure |! per |! visit. |! Which |! stage |! of |! cancer |! is |! this? |! - |! Correct |! answer |! ✔Induction
  7. |! If |! a |! disease |! is |! present |! in |! 1 |! in |! every |! 10,000 |! ndividuals, |! and |! a |! marker |! can |! detect |! this |! disease |! with |! 100% |! sensitivity |! and |! 95% |! specificity, |! what |! would |! be |! the |! number |! of |! false |! positives |! for |! each |! cancer |! found? |! - |! Correct |! answer |! ✔ 5

A) |! polymerase |! chain |! reaction B) |! urease C) |! enzyme |! immunoassay D) |! DNase |! - |! Correct |! answer |! ✔D) |! DNase

  1. |! What |! is |! the |! main |! reason |! testing |! for |! cold |! agglutinins |! is |! no |! longer |! recommended |! to |! diagnose |! infection |! with |! Mycoplasma |! pneumonia? |! - |! Correct |! answer |! ✔False-positives |! may |! be |! caused |! by |! certain |! viruses.
  2. |! Organisms |! that |! are |! short |! rods |! or |! coccobacilli |! and |! obligate |! intracellular |! bacteria |! best |! describes: |! - |! Correct |! answer |! ✔Rickettsia |! prowazekii
  3. |! How |! does |! complement |! help |! in |! defense |! against |! bacterial |! invasion? |! - |! Correct |! answer |! ✔It |! promotes |! phagocytosis.
  4. |! Antibodies |! detected |! by |! reacting |! rickettsial |! antigens |! with |! specific |! antibody |! followed |! by |! use |! of |! an |! anti-immunoglobulin |! with |! a |! fluorescent |! tag |! could |! be |! used |! to |! diagnose: |! - |! Correct |! answer |! ✔Rocky |! Mountain |! spotted |! fever