transplant and reproductive immunology

Beschreibung

Medicine Quiz am transplant and reproductive immunology, erstellt von mariam Butt am 07/07/2021.
mariam Butt
Quiz von mariam Butt, aktualisiert more than 1 year ago
mariam Butt
Erstellt von mariam Butt vor fast 3 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
The graft is a graft from 1 place to another in the same individual
Antworten
  • right
  • wrong

Frage 2

Frage
Should blood group compatibility between donor and recipient be determined before kidney transplantation
Antworten
  • yes
  • no

Frage 3

Frage
3. Classical MHC class II antigens (HLA-DR, DQ) have a more limited distribution than MHC class I antigens
Antworten
  • yes
  • no

Frage 4

Frage
4. The most suitable cells for HLA compatibility testing are lymphocytes derived from the patient's peripheral blood
Antworten
  • yes
  • no

Frage 5

Frage
After blood transfusions, pregnancy and previous transplants can form circulating antibodies
Antworten
  • yes
  • no

Frage 6

Frage
The acute rejection reaction of the transplanted organ is manifested:
Antworten
  • 3 years
  • 5-6 months
  • up to 3 months
  • up to 1-2 weeks

Frage 7

Frage
Rejection of the transplant is a manifestation of
Antworten
  • Cell-mediated immunity
  • An important process in allograft rejection is humoral-mediated immunity
  • Hypersensitivity of type 3 (immune complexes)
  • Complement-dependent cytotoxicity
  • can damage the graft through its prancreatic enzymes.
  • The immune response to the allograft may also include antibodies- igD

Frage 8

Frage
Graft reaction against the host (GVH)
Antworten
  • -It manifests itself in different MHC antigens between donor and recipient
  • GVH response does require suppressor T cells
  • -May be the result of an infusion of blood products containing viable lymphocytes into immunologically incompetent recipient
  • (GVH) is caused by the destruction of cells or tissues of immunocompetent recipient of immunocompetent stem cells

Frage 9

Frage
During transplantation, the preformed cytotoxic antibodies in the recipient
Antworten
  • Are responsible for the super-sharp rejection
  • Cytotoxic antibodies of class IgA and IgD lead to an over-acute rejection reaction
  • Can be directed against HLA or ABO antigens of the graft
  • all are correct

Frage 10

Frage
Immunological follow-up of an organ transplant patient requires examination of
Antworten
  • Changes in lymphocyte populations and subpopulations
  • n acute rejection is dominated by CD3 + T lymphocytes
  • Donor-specific AT
  • Serum levels of cytokines
  • serum levels of interferons

Frage 11

Frage
In recipients with repeated kidney transplants, graft survival compared to that in recipients with a first kidney transplant is:
Antworten
  • reduced
  • increased
  • recurrent antigenic incompatibilities (especially DR) between donor and recipient in repeated kidney transplants have a positive effect on graft survival.

Frage 12

Frage
Prevention of hemolytic disease of the newborn due to compatibility with maternal Rhesus (RhD) factor includes
Antworten
  • passive maternal immunization to remove Rh antigen
  • active maternal immunization to remove Rh antigen
  • infusion done after 72hours after the first birth
  • infusion of anti-RhD antibodies to the Rh (+) mother

Frage 13

Frage
If the mother develops IgG AT to A and B erythrocyte antigens of the fetus, hemolytic disease of the newborn will appear in children from:
Antworten
  • - 0 mother and AB father
  • AB mother and 0 father
  • A mother and ab father
  • 0 mother and A father

Frage 14

Frage
Which of the following AGs are rich in cell membranes of B-lymphocytes
Antworten
  • MHC class II antigens
  • MHC class I antigens
  • all are correct
  • none are correct

Frage 15

Frage
Class III MHC regions in the major human tissue compatibility complex contain genes which encode
Antworten
  • - components of the complement system
  • heat shock proteins and cytokines
  • none are correct
  • components of cellular immunity

Frage 16

Frage
Antimetabolites that suppress the immune response are the purine antagonists are
Antworten
  • involved in dna synthesis
  • mercapturin
  • azathioprine
  • involved in mRna synthesis

Frage 17

Frage
Hypersensitivity graft rejection is associated with
Antworten
  • preformed cytotoxic antibodies
  • complement activation
  • cellular immunity
  • nantural resistance

Frage 18

Frage
The accelerated rejection reaction involves the following immunological factors and mechanisms of
Antworten
  • sensitized T cells preformed by HLA AT formed during immune response to graft or AZKC
  • activated b cells
  • complement system
  • all are correct

Frage 19

Frage
Molecular genetic methods for HLA typing in clinical transplant practice include
Antworten
  • elisa
  • electrophoresis
  • immunoblot
  • pcr

Frage 20

Frage
The cells infiltrating the graft in the acute rejection reaction are predominantly
Antworten
  • CD4 +
  • CD3 +
  • CD16 +
  • CD8+

Frage 21

Frage
Allogeneic transplantation
Antworten
  • bone marrow transplantation from mother to daughter
  • bone marrow transplantation from daughter to mother
  • bone marrow transplantation from mother to son
  • bone marrow transplantation from father to daughter

Frage 22

Frage
Autologous transplantation
Antworten
  • transplantation of skin from the thigh to the face of the same individual
  • transplantation of skin from the thigh to the face of the different individual
  • transplantation of skin from the thigh of a twin to the face of the other twin individual
  • done to replace cicatrix for cosmetic procedure

Frage 23

Frage
Syngenna
Antworten
  • bone marrow transplantation from same individual
  • bone marrow transplantation between twins
  • bone marrow transplantation between family members
  • bone marrow transplantation between two compatible donor and recipient

Frage 24

Frage
Sources of stem cells
Antworten
  • serum
  • peripheral blood
  • pancreas
  • umbilical cord
  • bone marrow
  • epiphysis

Frage 25

Frage
Gene loci of the HLA-class II region (3 correct)
Antworten
  • dp
  • rt
  • dq
  • dr
  • ds
  • located in the long arm of the sixth chromosome in humans

Frage 26

Frage
Hormones: luteinizing (LH), follicle-stimulating (FSH), inhibin B and estradiol, are tested in serum to assess ovarian reserve in women with reproductive disorders
Antworten
  • yes
  • no

Frage 27

Frage
Recurrent abortions are not associated with defects in coagulation factors or circulating anticoagulants (lupus-like anticoagulants)
Antworten
  • correct
  • incorrect

Frage 28

Frage
Women with positive anti-ovarian antibodies have an increased chance of becoming pregnant after birth control in vitro fertilization or embryo transfer compared to women in whom no such was found antibodies
Antworten
  • no
  • yes

Frage 29

Frage
Antibodies in women with reproductive disorders are tested by serum
Antworten
  • yes
  • no

Frage 30

Frage
Antiphospholipid syndrome is associated with the presence of anticardiolipin antibodies, loss of fetal, arterial and venous thrombosis
Antworten
  • no
  • yes

Frage 31

Frage
which hormone is secreted by the granulosa cells of the ovary and controls the series of follicle-stimulating hormone from the pituitary gland
Antworten
  • fsh
  • lh
  • inhibin b
  • estradiol

Frage 32

Frage
Which immune indicators are associated with premature decline in ovarian function
Antworten
  • rbc,wbc,anti-dna
  • ca19-9, anti phospholipid,antithyroid
  • - antiphospholipid, antinuclear, antithyroid and anti-ovarian AT
  • none of the above

Frage 33

Frage
The study of the reproductive immunophenotype in women with reproductive problems includes
Antworten
  • T-lymphocytes CD3 +, CD4 +, CD8 +
  • B-lymphocytes CD19 +
  • NK cells CD3 CD56 +, CD16 +

Frage 34

Frage
Immunological manifestations in patients with endometriosis and reproductive problems are demonstrated
Antworten
  • increased serum levels of antiphospholipid and antinuclear antibodies
  • activated reproductive phenotype and increased NK-cell cytotoxicity
  • increase in CA125

Frage 35

Frage
In patients with previous abortions, monitoring and prognosis of the current pregnancy includes a study of serum concentrations of
Antworten
  • FSH
  • - beta human chorionic gonadotropin
  • LH
  • pituitary gland

Frage 36

Frage
HLA-G antigens are expressed in
Antworten
  • myoblast
  • osteoblasts
  • trophoblasts
  • lymphokines

Frage 37

Frage
The main functions of HLA-G antigens are (SPECIFY THE WRONG ANSWER)
Antworten
  • inhibiting the antitrophoblast activity of maternal NK cells
  • protecting the fetus from the mother's immune response against the paternal antigens in it
  • inducing frequent abortions
  • protection of the fetus from transplant infections

Frage 38

Frage
Elevated NK cells in women with frequent abortions (SPECIFY THE WRONG ANSWER)
Antworten
  • secrete tumor necrosis factor (TNF)
  • are examined by peripheral venous blood in an anticoagulant
  • are cytotoxic to the placental trophoblast
  • they don't matter

Frage 39

Frage
The immunological examination of anti-phospholipid syndrome in pregnant women includes
Antworten
  • - anticardiolipin antibodies
  • -antibodies to phosphatidylethanolamine, phosphatidylinositol, phosphatidic acid, phosphatidylglycerol, phosphatidylserine, phosphatidylcholine
  • anti-beta-2-glycoprotein I AT

Frage 40

Frage
Anti-ovarian antibodies include AT versus (2 correct)
Antworten
  • antigens of the pellucid zone
  • antigens of steroid-producing granulosa-luteinizing cells
  • Antibodies against the pellucid zone are also important in specifying cases of cervical cancer
  • Antibodies against the pellucid zone are also important in specifying cases of cystic disease.

Frage 41

Frage
The normal development of pregnancy is due to the predominance of
Antworten
  • Th1 cytokines
  • Th2 cytokines
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