Nokea
The joints most commonly involved with rheumatoid arthritis include:
- A. Symmetrical involvement of major joints.
- B. Small joints of hands and feet.
- C. Spine,from the sacrum upward to cervical.
- D. Slightly movable joints of the axial skeleton.
Correct Answer: B
Rationale: Rheumatoid arthritis primarily affects small joints symmetrically, especially those in the hands and feet. Major joints and axial skeleton involvement occurs but is less characteristic of early disease presentation.
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The rearrangement of gene segments that occurs randomly in B cell receptor genes and T cell receptor genes:
- A. Occurs during clonal expansion of B cells and T cells
- B. Involves rapid genetic mutation after lymphocytes become activated
- C. Allows the mature lymphocyte population to recognize an enormous diversity of antigens
- D. Occurs in the DNA of all cells in the body
Correct Answer: C
Rationale: Step 1: Gene rearrangement in B cell and T cell receptor genes creates unique receptor proteins.
Step 2: This diversity allows mature lymphocytes to recognize a wide range of antigens.
Step 3: This process is crucial for adaptive immune response and antigen specificity.
Step 4: Choices A and B do not accurately describe gene rearrangement.
Step 5: Choice D is incorrect as gene rearrangement is specific to lymphocytes, not all cells in the body.
Determine the following diseases that are not thought to be an autoimmune disease.
- A. Rheumatoid arthritis
- B. Multiple sclerosis
- C. Cancer of the bone marrow
- D. Insulin-dependent diabetes
Correct Answer: C
Rationale: The correct answer is C, Cancer of the bone marrow. Autoimmune diseases occur when the immune system mistakenly attacks healthy cells. Rheumatoid arthritis, multiple sclerosis, and insulin-dependent diabetes are autoimmune diseases where the immune system targets specific tissues or organs. Cancer of the bone marrow, on the other hand, is a result of uncontrolled cell growth and division, not a malfunction of the immune system attacking the body's own tissues. Therefore, it is not considered an autoimmune disease.
VDJ gene rearrangement takes place in
- A. Germinal Centers
- B. Lymph Nodes
- C. Bone marrow
- D. Spleen
Correct Answer: C
Rationale: Rationale: VDJ gene rearrangement occurs during lymphocyte development to generate diverse antigen receptors. This process occurs in the bone marrow, specifically in the early stages of B cell development. In the bone marrow, B cell precursors undergo VDJ recombination to create unique antibody specificity. Germinal centers are sites for B cell activation and proliferation, not gene rearrangement. Lymph nodes and spleen are secondary lymphoid organs where mature lymphocytes are activated, not where VDJ recombination occurs.
The annotation C refers to which DNA component?
- A. Vector DNA
- B. Plasmid DNA
- C. Chromosomal DNA
- D. Recombinant DNA
Correct Answer: C
Rationale: The correct answer is C: Chromosomal DNA. Chromosomal DNA refers to the DNA found in the chromosomes of an organism's nucleus, carrying the majority of its genetic information. In molecular biology, the annotation C typically refers to the chromosomal DNA of the organism being studied. Plasmid DNA (choice B) and vector DNA (choice A) are extrachromosomal DNA elements that are separate from the chromosomal DNA. Recombinant DNA (choice D) is a DNA molecule formed by combining DNA from different sources, which can include chromosomal, plasmid, or vector DNA. Therefore, the correct choice is C as it specifically refers to the chromosomal DNA component.
Acquired immunity is a result of previous exposure
- A. serious illness
- B. to vaccination
- C. repeated exposure to the same factor
- D. treatment with penicillin
Correct Answer: B
Rationale: The correct answer is B: to vaccination. Acquired immunity is the immune response developed after exposure to a vaccine, which stimulates the immune system to recognize and remember specific pathogens. Vaccination helps the body build immunity without causing serious illness like choice A, without requiring repeated exposure like choice C, and without being related to treatment with penicillin like choice D. Vaccination mimics natural infection, prompting the body to produce memory cells that can respond more effectively when encountering the actual pathogen in the future.