Nokea
A protein-protein interaction domain present both in TLR-4 and MyD88 is:
- A. CARD
- B. TIR
- C. Leucine rich repeat (LRR)
- D. Immunoglobulin-like domain
Correct Answer: B
Rationale: The correct answer is B: TIR. This is because both TLR-4 and MyD88 contain a Toll/interleukin-1 receptor (TIR) domain, which mediates protein-protein interactions in the Toll-like receptor signaling pathway. The other options, such as A (CARD), C (LRR), and D (Immunoglobulin-like domain), are not present in both TLR-4 and MyD88 and do not play a significant role in their interaction in the signaling pathway. This makes B the most appropriate choice as it accurately identifies the common protein-protein interaction domain between TLR-4 and MyD88.
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Which represents a correct grouping with respect to the target of an immune response, immune response strength, and resulting health status?
- A. Self-antigen, weak response, autoimmune disease
- B. Pathogen, strong response, recurrent infection
- C. Tumour antigen, weak response, cancer
- D. Transplanted organ, strong response, graft acceptance
Correct Answer: C
Rationale: Rationale:
1. Tumor antigens are non-self antigens that trigger a weak immune response due to immune tolerance.
2. Weak immune response against tumor antigens may lead to uncontrolled cell growth, resulting in cancer.
3. Strong immune responses are typically mounted against pathogens to clear infections.
4. Self-antigens should not trigger immune responses to prevent autoimmune diseases.
5. Transplanted organs can elicit strong immune responses leading to rejection, not acceptance.
Summary:
A - Incorrect: Self-antigens should not elicit immune responses to prevent autoimmune diseases.
B - Incorrect: Pathogens typically trigger strong immune responses to clear infections, not recurrent ones.
D - Incorrect: Transplanted organs often lead to strong immune responses and rejection, not acceptance.
What is a primary reason that the normal immune response fails to contain the HIV infection?
- A. CD4+ T cells become infected with HIV and are destroyed.
- B. The virus inactivates B cells, preventing the production of HIV antibodies.
- C. Natural killer cells are destroyed by the virus before the immune system can be activated.
- D. Monocytes ingest infected cells, differentiate into macrophages, and shed viruses in body tissues.
Correct Answer: A
Rationale: HIV specifically targets CD4+ T cells, depleting the immune system's ability to mount an effective response against pathogens.
Macrophages differentiate
- A. From blood neutrophils
- B. In tissues
- C. From the common lymphoid progenitor
- D. In the bone marrow
Correct Answer: B
Rationale: Macrophages differentiate in tissues because they originate from monocytes which leave the bloodstream and mature into macrophages in various tissues. This process is essential for their diverse functions in immune response and tissue maintenance. Choices A, C, and D are incorrect because macrophages do not differentiate from blood neutrophils, the common lymphoid progenitor, or in the bone marrow.
What type of antibodies predominate in the secondary immune response?
- A. IgM
- B. IgE
- C. IgG
- D. IgD
Correct Answer: C
Rationale: The correct answer is C: IgG. In the secondary immune response, IgG antibodies predominate due to memory B cells rapidly producing them upon re-exposure to the same antigen. IgG provides long-lasting immunity and is more efficient in neutralizing pathogens. IgM (A) is the primary antibody in the initial immune response. IgE (B) is involved in allergic reactions. IgD (D) functions as a receptor on B cells.
As the hospital employee health nurse,you are completing a health history for a newly hired nursing assistant. Which information given by the new employee most indicates the need for further nursing action prior to orienting the nursing assistant to patient care?
- A. The new employee takes enalapril (Vasotec) for hypertension.
- B. The new employee is allergic to bananas,avocados and papayas.
- C. The new employee received a tetanus vaccination 3 years ago.
- D. The new employee’s TB skin test has a 5-mm induration at 48 hours.
Correct Answer: D
Rationale: A 5-mm induration on a TB skin test is considered positive in healthcare workers indicating possible exposure to tuberculosis. This requires further evaluation and possibly treatment before the nursing assistant can safely care for patients. The other information while important does not pose an immediate risk to patient care.