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Immune System Questions and Answers

81.

A disease due to allergic reaction is

Answer: C

Correct answer: Hay fever

Hay fever (allergic rhinitis) is a type I hypersensitivity to inhaled allergens, usually pollen: IgE on mast cells in the nasal lining is cross-linked, histamine is released, and the result is sneezing, a runny nose and itching eyes. Enteric, yellow and trench fevers are infections - by Salmonella, a virus, and a Bartonella respectively.

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82.

Which of the following white blood cells act as scavengers when they engulf and digest pathogens?

Answer: A

Correct answer: Macrophages

Macrophages are the body’s scavengers: they engulf microbes, dead cells and debris, digest them in lysosomes, and then display fragments of what they have eaten to T cells. B and T cells are lymphocytes and do not phagocytose.

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83.

Rh factor is named after

Answer: A

Correct answer: Monkey

The factor takes its name from the rhesus monkey, in whose red cells Landsteiner and Wiener first raised antibodies to it in 1940, before the corresponding human antigen was recognised.

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Answer: A

Correct answer: National Institute of Virology – Pune

The National Institute of Virology is at Pune. The others are misplaced: the National Centre for Disease Control (formerly the National Institute of Communicable Diseases) is in Delhi, the Central Drug Research Institute is at Lucknow, and the National Institute of Nutrition is at Hyderabad.

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85.

Which of the following is most likely to produce anaphylaxis in a susceptible individual?

Answer: D

Correct answer: Bee sting

Injected allergen is the danger. Venom entering the bloodstream directly can trigger mast cell degranulation throughout the body within minutes, causing the collapse in blood pressure and the airway swelling of anaphylaxis. Pollen, mould and dust are inhaled, and typically cause a local reaction - rhinitis or asthma - rather than a systemic one.

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86.

Inflammation reaction is brought about by

Answer: B

Correct answer: Mast cells

Mast cells sit in the tissues, especially at surfaces that meet the outside world, packed with granules of histamine and other mediators. When triggered they degranulate, dilating local vessels and making them leaky - the redness, heat and swelling of inflammation. Macrophages contribute cytokines, but the immediate reaction is the mast cell’s.

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87.

Innate immune responses are accompanied by inflammation.

Answer: A

Correct answer: True

Inflammation is the innate response made visible. Damaged tissue and activated macrophages release mediators such as histamine and cytokines, which dilate the local vessels and make them leaky - producing the redness, heat, swelling and pain, and bringing plasma proteins and phagocytes to the site.

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88.

The phagocytes can recognize pathogens by means of _____________________

Answer: C

The pathogens make their initial contact with phagocytic cells (dendrites and macrophages) which possess pattern recognition receptors (PRRs). The PRRs can recognize the highly conserved macromolecules in bacteria and viruses.

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Answer: D

Correct answer: repairing damage to the body wall

A clot plugs the breach: it stops the loss of blood and, just as importantly for defence, seals the wound against microbes while the tissue underneath is repaired. It is a physical barrier rather than an immune recognition mechanism - though the mesh of fibrin also traps bacteria within it.

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90.

Which of the following components of the vertebrate immune response occurs first upon invasion by a virus or bacterium?

Answer: C

Correct answer: The inflammatory response

Inflammation is immediate - damaged tissue and resident macrophages release mediators within minutes, dilating vessels and drawing in phagocytes. Complement follows quickly, but the lymphocyte responses take days, because the few cells that recognise the antigen must first be found and made to divide.

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