Immunology

Descrição

All immune deficiencies except HIVb
ivenkat
Quiz por ivenkat, atualizado more than 1 year ago
ivenkat
Criado por ivenkat quase 9 anos atrás
10
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Resumo de Recurso

Questão 1

Questão
All of the following are correctly matched except?
Responda
  • APCED - AIRE gene is affected - T cells react to self antigens (Central tolarence)
  • IPEX - FOX P3 is affected - Lack of Tregs - autoimmune - Peripheral tolarence
  • Chronic granulomatous Disease - gp91 gene - NADPH oxidase deficiency
  • Leucocyte adhesion deficiency - CD20 deficiency

Questão 2

Questão
All of the following lead to suspicion of an immunodeficiency in infants or children except
Responda
  • Needs for IV antibiotics and or hospitalization
  • 2 or more serious sinus infections or pneumonias within a year
  • Recurrent or resistant candidasis
  • Infection with opportunistic organism
  • Resistant to viral infections

Questão 3

Questão
All of the following are defects in phagocytic cells except?
Responda
  • LAD (Leukocyte Adhesion Deficiency)
  • CGD (chronic granulomatous disease)
  • G6PD deficiency
  • Myeloperoxidase deficiency
  • Chediak-Higashi syndrome
  • None of the above

Questão 4

Questão
All of the following are seen in LAD except?
Responda
  • Recurrent viral infections
  • Elevated white blood count
  • autosomal recessive
  • Rebuck Skin window test and flow cytometric analyses show absence of CD18 are diagnostic
  • Absence of pus and delayed wound healing

Questão 5

Questão
For CGD dihydrorhodamine test (DHR) is more accurate than NBT
Responda
  • True
  • False

Questão 6

Questão
All of the following are correctly matched except?
Responda
  • Chediak Higashi - no oxidative burst
  • Chronic granulomatous disease - no oxidative burst
  • Both of the above
  • None of the above

Questão 7

Questão
all of the following are correctly matched except?
Responda
  • Paroxysmal Nocturnal Hemoglobinuria - DAF deficiency (CD55/CD59)
  • Hereditary Angioedema - C1 esterase deficiency
  • CH50 tests - alternate pathway and A50 tests - classic pathway

Questão 8

Questão
All of the following about Bruton's agammaglobulinemia are correct except?
Responda
  • X linked recessive transmission
  • Serum titers of IgM is not detectable, Iga and IgG are low
  • cannot handle measles infection
  • none of the above
  • Caused by mutation in btk gene (Bruton's tyrosine kinase)

Questão 9

Questão
X linked hyper IgM (XHIGM) - all of the following are true except?
Responda
  • a B cell defect
  • CD 40 L is deficient
  • None of the above

Questão 10

Questão
All of the following for selective IgA deficiency are true except?
Responda
  • Most common immunodeficiency in European descent
  • Only mucosal IgA is absent and serum is normal
  • none of the above
  • Some patients when transfused with blood containing normal IgA develop severe even fatal anaphylactic reaction because they have made IgE anti-IgA antibodies

Questão 11

Questão
IN CVID the roles in B and plasma cell survival and isotype switch is common due to a defect in TACI
Responda
  • True
  • False

Questão 12

Questão
all of the following are true about Di George syndrome except
Responda
  • Autosomal dominant inheritance
  • Deletion of 22q11
  • Hypercalcemia
  • Low set ears, underdeveloped jaw, small mouth, abnormally increased distance between the eyes

Questão 13

Questão
All of the following are true about Bare Lymphocytes syndrome (BLS) except?
Responda
  • BLS type I - MHCII deficiency, BLS type II - MHC I deficiency
  • Mutation in TAP 1 or TAP 2 genes
  • All of the above
  • None of the above

Questão 14

Questão
All the following statements are true except?
Responda
  • ADA deficiency - has NO T,B, NK cell
  • PNP deficiency - No T cells
  • X linked SCID - No T cells
  • Autosomal SCID - NO T or B cells

Questão 15

Questão
All of the following about X- linked SCID are true except?
Responda
  • LEAST common form of SCID
  • Mutation of the gamma-c chain of IL-2 receptor (CD132)
  • Normal B cell levels
  • lack of delayed hypersensitivity, atrophy of thymus, susceptible to viral fungal and bacterial infections, lymphocytopenia

Questão 16

Questão
All of the following are true except?
Responda
  • JAK3 deficiency - Autosomal Dominant SCID
  • Omenn Syndrome - Cannot undergo somatic recombination

Questão 17

Questão
The following are correctly matched except?
Responda
  • X linked SCID - absent T cells, B cells present - Jak 3 deficiency and CD45 deficiency
  • IL-7R alpha chain deficiency - CD3 delta chain deficiency - absent T cell, B cell absent
  • ADA deficiency - absent T and B cells
  • RAG1 or RAG2 deficiency - absent T and B cells

Questão 18

Questão
All of the following are true about Wiskott-ALdrich Syndrome except ?
Responda
  • X-linked recessive
  • Thrombocytosis (elevated platelet levels)
  • Severe eczema by one year of age - elevated IgE
  • recurrent pyogenic infections with encapsulated bacteria, bloody diarrhea

Questão 19

Questão
All of the following about Ataxia-Telangiectasia are true except?
Responda
  • Autosomal recessive
  • Selective IgM deficiency

Questão 20

Questão
X-linked lymphoproliferative syndrome - highly fatal infectious mononucleosis
Responda
  • True
  • False

Questão 21

Questão
In both multiple mylemoa and Waldenstrom's Macrogobulinemia have punched out lesions in the skull
Responda
  • True
  • False

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