The gut immune system at homeostasis is 'tolerogenic'. This is achieved by:
- A. The production of anti-inflammatory cytokines such as TGF-beta by resident dendritic cells
- B. Responding to innocuous microbiota antigens with production of antimicrobial peptides that limit microbiota overgrowth
- C. Induction of Tregs
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D. Resident dendritic cells in the gut produce anti-inflammatory cytokines like TGF-beta, promoting tolerance. The production of antimicrobial peptides in response to microbiota antigens helps maintain a balance with the microbiota. Induction of regulatory T cells (Tregs) also plays a crucial role in preventing excessive immune responses. Therefore, all of the choices (A, B, and C) contribute to maintaining gut immune system homeostasis by promoting tolerance and preventing inflammation.
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CD3 is a complex of proteins involved in
- A. Antigen binding
- B. Signal propagation in T cells
- C. Signal propagation in B cells
- D. T cell homing to lymph nodes
Correct Answer: B
Rationale: The correct answer is B: Signal propagation in T cells. CD3 is a protein complex found on the surface of T cells that is crucial for T cell receptor signaling and activation. It helps propagate signals within T cells, leading to T cell activation and immune responses. Choice A (Antigen binding) is incorrect as CD3 is not directly involved in antigen binding. Choice C (Signal propagation in B cells) is incorrect as CD3 is specific to T cells, not B cells. Choice D (T cell homing to lymph nodes) is incorrect as CD3 is not responsible for the physical migration of T cells to lymph nodes.
The annotation D refers to which DNA component?
- A. Plasmid DNA
- B. Vector DNA
- C. Insert DNA
- D. Recombinant DNA
Correct Answer: D
Rationale: The correct answer is D: Recombinant DNA. Recombinant DNA refers to the DNA molecule formed by combining DNA from different sources. In genetic engineering, this is created by inserting a foreign DNA fragment into a vector DNA, resulting in a new DNA molecule. Plasmid DNA (A) is a small, circular DNA found in bacteria. Vector DNA (B) is a carrier molecule used to transport foreign DNA into a host cell. Insert DNA (C) is the DNA fragment that is inserted into a vector. Therefore, choice D is the correct answer as it specifically refers to the combined DNA molecule formed in genetic engineering.
A critical role of secondary lymphoid tissues is to:
- A. Provide a place for B and T lymphocytes to mature and begin expression of antigen receptors
- B. Allow co-localization of the components required to activate naïve lymphocytes
- C. Minimize contact of naïve lymphocytes with self antigens
- D. All of the above
Correct Answer: B
Rationale: Step 1: Secondary lymphoid tissues bring together antigen-presenting cells and lymphocytes, facilitating the activation of naïve lymphocytes.
Step 2: Co-localization of these components is essential for efficient immune response initiation.
Step 3: Maturation and expression of antigen receptors primarily occur in primary lymphoid tissues, not secondary.
Summary:
A: Incorrect. Maturation of lymphocytes occurs mainly in primary lymphoid tissues.
C: Incorrect. Contact with self-antigens is necessary for self-tolerance and occurs in primary lymphoid tissues.
D: Incorrect. Only choice B accurately describes the critical role of secondary lymphoid tissues.
The 'rapid' HIV antibody testing is performed on a patient at high risk for HIV infection. What should the nurse explain about this test?
- A. The test measures the activity of the HIV and reports viral loads as real numbers.
- B. This test is highly reliable, and in 5 minutes the patient will know if HIV infection is present.
- C. If the results are positive, another blood test and a return appointment for results will be necessary.
- D. This test detects drug-resistant viral mutations that are present in viral genes to evaluate resistance to antiretroviral drugs.
Correct Answer: C
Rationale: While rapid tests provide preliminary results quickly, confirmatory testing is required for accurate diagnosis.
TLRs contain a cytoplasmic TIR domain also found in the receptor of
- A. Type I Interferons
- B. IL-1β
- C. TNF-α
- D. IL-8
Correct Answer: B
Rationale: Step-by-step rationale for Choice B (IL-1β) being correct:
1. The TIR domain is present in Toll-like receptors (TLRs) and IL-1 receptor.
2. TLRs recognize various microbial products, while IL-1 receptor binds IL-1 cytokines.
3. Both TLRs and IL-1 receptor signal through the TIR domain.
4. IL-1β is a cytokine that binds to IL-1 receptor, which contains a TIR domain.
Summary of why the other choices are incorrect:
A: Type I Interferons - Type I interferons signal through JAK-STAT pathway, not TIR domain.
C: TNF-α - TNF receptor family signals through TNF receptor-associated death domain, not TIR domain.
D: IL-8 - IL-8 binds to CXCR1 and CXCR2 receptors, which do not contain a TIR domain.
In summary, Choice B