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T/F: An epidemic is an infectious disease outbreak affecting multiple countries and/or continents
false
Which of the following are ongoing pandemics?
polio
ebola
covid 19
spanish flu
measles
black death
aids
covid 19, aids
T/F: only procaryotic organisms and viruses can cause infections in humans
false
T/F: gram positive bacteria have lipopolysaccharides on their surface
false
which of the following are virulence factors?
adhesins
plasmids in vibrio cholerae
ctx
integrins and cadherins
lps
beta-chemokines
cd4
ccr5
hemolysin
alpha-chemokines
ha
cxcr4
adhesins, ctx, lps, hemolysin, ha
which of the following are related to cholera?
gp120 - CD4/CCR5
gp120 - CD4/CXCR4
GPCR - AC - cAMP - CFTR
adhesin - E-cadherin - type III secretion apparatus
GPCR - AC - cAMP - CFTR
What is the main envelope protein of influenza virus that allows for cell entry?
ccr5
cd4
ha
hemolysin
cxcr4
gp120
ha
T/F: most bacteria have mechanisms to prevent fusion of phagosomes with lysosomes
true
which of the following are functions of the immune system?
promote harmful pathogen infiltration into the body
identify and destroy harmful microbes
prevent microbes from entering the body
destroy healthy host cells
limit how much damage microbes cause
identify and destroy harmful microbes, prevent microbes from entering the body, limit how much damage microbes cause
the main lymphoid organ is:
lymph nodes
bone marrow
thymus
spleen
bone marrow
T/F: the thymus is the site of B cell development
false
how fast does the innate immune response respond to a microbe?
3 weeks
0-6 hours
2 days
0-6 hours
T/F: the adaptive immune response will respond more quickly to the same secondary infection
true
what subunit of the classical complement pathway recognizes the antibodies bound to the microbe?
c1
c2
c3
c4
c5
c1
what is the main difference between the classical and lectin complement pathway
the alternative pathway does not use c3 convertase
the classical pathway recognizes antibodies, and the lectin pathway recognizes lectin on the microbes
both pathways lead to different outcomes
the classical pathway recognizes antibodies, and the lectin pathway recognizes lectin on the microbes
what are the outcomes of the complement cascade?
lysis
infection
opsonization
inflammation
autoimmunity
lysis, opsonization, inflammation
what non-immune cells are the first line of defense against a pathogen
epithelial cells
fibroblasts
endothelial cells
epithelial cells
neutrophils, the first immune cell responders, use what processes to kill microbes?
neutrophil extracellular traps (NETs)
phagocytosis
direct killing of microbes
promoting inflammation
antibody neutralization
neutrophil extracellular traps (NETs), phagocytosis
which immune cells are both phagocytes and antigen presenting cells
NK cells
neutrophils
macrophages
dendritic cells
macrophages
T/F: CAR-NK cells require self MHC I presentation to recognize infected or cancerous cells
false
identify the incorrect MHC Class - TCR/co-receptor interaction(s) between dendritic cells and T cells
MHC II - TCR/CD4
MHC I - TCR/CD4
MHC II - TCR/CD8
MHC I - TCR/CD8
MHC I - TCR/CD4, MHC II - TCR/CD8
what are the 3 signals needed for dendritic cells to active T cells?
antigen presentation
co-stimulation
direct contact
chemokine signals
cytokine signals
antigen presentation, co-stimulation, cytokine signals
identify the correct pair(s) of effector CD4+ T cell - pathogen
Th2 cells - helminths
Th2 cells - fungi
Th17 cells - extracellular bacteria and fungi
Th1 cells - intracellular pathogens
Tfh cells - intracellular pathogens
Th2 cells - helminths, Th17 cells - extracellular bacteria and fungi, Th1 cells - intracellular pathogens
T/F: regulatory T cells suppress effector immune responses by producing both IL-10 and IFNy
false
T/F: B cells travel directly to the site of infection
false
T/F: activation of target killing pathways include MHC Class I and II
false
which of the following transmembrane channels on target cells?
selectin
perforin
granzyme B
type I interferons
fas receptor trimer
perforin
which of the following activate apoptotic caspases in target cells?
granzyme B
inflammasome
fas receptor
T cell receptor
toll-like receptors
granzyme B, fas receptor
which of the following form the peptide-binding site on MHC Class I proteins
alpha 1 domain
complementarity determining regions (CCRs)
alpha3 domain
alpha2 domain
beta2 domain
alpha1 domain, alpha2 domain
which of the following sentences are correct?
TCRs of CD8+ T cells bind to MHC Class II on APCs
TCRs of CD8+ T cells bind to MHC Class I on APCs
TCRs of CD4+ T cells bind to MHC Class II on APCs
TCRs of CD4+ T cells bind to MHC Class I on APCs
TCRs of CD8+ T cells bind to MHC Class I on APCs, TCRs of CD4+ T cells bind to MHC Class II on APCs
MHC Class I consists of which of these molecules?
a beta chain
a beta2 microglobulin
a gamma chain
an alpha chain
a beta2 microglobulin, an alpha chain
MHC Class II consists of which of these molecules?
a beta chain
an alpha chain
a gamma chain
a beta2 microglobulin
a beta chain, an alpha chain
how many Complementarity Determining Regions (CDRs) are on a single chain of a T cell receptor?
1
2
3
6
12
3
which of the following pathways elicit an inflammatory response?
NF-kappaB
TGF-beta
JAK/STAT
toll-like receptor pathway
NF-kappaB, jak/stat, toll-like receptor pathway
which of the following are transcription factors?
IKK
interferon regulatory factors (e.g. IFR-3)
STAT
Ikappab (IkB)
interferons (IFN)
NF-kappaB (NF-kB)
JAK
interferon regulatory factors (e.g. IFR-3), stat, nf-kappab (nf-kb)
T/F: interferons are ancient anti-viral proteins found in all eukaryotes
false
which of the following are inflammatory pathway mediators?
eicosanoids
inflammasomes
chemokines
vasodilators
glucocorticoids
pro-inflammatory cytokines (e.g. IL-1)
eicosanoids, chemokines, vasodilators, pro-inflammatory cytokines (e.g. IL-1)
which of the following are components of the inflammasome?
ASC protein adaptor
pro-IL-beta
pro-caspase 1
caspase 1
NRL protein sensor
ASC, protein adaptor, pro-caspase 1, NRL protein sensor
what is the role of the inflammasome?
activate the NF-kappaB pathway
activate apoptotic pro-caspases
activate the Dicer/RISC pathway to eliminate dsRNA
activate inflammatory pro-interleukins
activate inflammatory pro-interleukins
which of the following are pro-inflammatory molecules?
IL-1
IL-4
IL-6
IL-10
IL-13
NGF-beta
TNF-alpha
IL-1, IL-6, TNF-alpha
which of the following can be attributed to pro-inflammatory cytokines?
infections
organ failure
cytokine release syndrome (CRS)
wound healing
weakened immune response
fever
organ failure, cytokine release syndrome (CRS), fever
which of the following produces cortisol?
pituitary gland
hypothalamus
bone marrow
thymus
liver
adrenal gland
adrenal gland
which of the following stimulate the production of cortisol?
TGF-beta
TNF-alpha
anti-inflammatory cytokines
adrenocorticotropin hormone (ACTH)
stress
sleep/wake cycle
pro-inflammatory cytokines
tnf-alpha, adrenocorticotropin hormone (ACTH), stress, sleep/wake cycle, pro-inflammatory cytokines
a precursor for the production of prostaglandins is:
serotonin
arachidonic acid
cholesterol
histamine
cortisol
arachidonic acid
which of the following describes chronic inflammation
the regulated release of cytokines to combat infection
the rapid and uncontrollable release of large amounts of pro-inflammatory cytokines
the continuous release of pro-inflammatory cytokines even in the absence of infection
the continuous release of pro-inflammatory cytokines even in the absence of infection
which of the following conditions can become life-threatening?
cytokine release syndrome (CRS)
chronic inflammation
acute inflammation
anaphylaxis (severe allergic reaction)
cytokine release syndrome (CRS), anaphylaxis (severe allergic reaction)
PD-1 activation in effector T cells leads to:
apoptosis
inhibition of perforin and granzyme B production
cell cycle progression
release of pro-inflammatory cytokines
proliferation
apoptosis, inhibition of perforin and granzyme B production
T/F: cancer cells have high levels of PD-L1
true
which of the following best describes T cell exhaustion:
a decrease in T cell proliferation
a progressive loss of effector function
a progressive decrease of cytokine production
an increase in the expression of exhaustion-associated markers
an increase in the expression of PD-1
a progressive loss of effector function
under physiologic conditions, PD-1 signaling leads to:
killing of cancer cells and pathogens
restraining immune responses of effector T cells and Tregs
T cell exhaustion
T cell dysfunction
restraining immune responses of effector T cells and Tregs