Nokea
The researcher that postulated the existence of 'pattern recognition receptors' on innate cells was:
- A. Susumu Tonegawa
- B. Ilya Metchnikoff
- C. Charles Janeway
- D. Ralph Steinman
Correct Answer: C
Rationale: The correct answer is C: Charles Janeway. He proposed the existence of pattern recognition receptors on innate cells in the 1980s, leading to the development of the concept of innate immunity. Janeway's hypothesis revolutionized our understanding of immune responses by emphasizing the role of pattern recognition in detecting pathogens. Tonegawa is known for his work on immune diversity; Metchnikoff discovered phagocytes; and Steinman identified dendritic cells. Janeway's contribution to immunology specifically focuses on pattern recognition receptors, making him the correct choice for this question.
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What role do Toll-like receptors (TLRs) play in the immune response?
- A. They identify self-antigens
- B. They mediate phagocytosis directly
- C. They recognize pathogen-associated molecular patterns
- D. They suppress cytokine secretion
Correct Answer: C
Rationale: The correct answer is C because Toll-like receptors (TLRs) recognize pathogen-associated molecular patterns (PAMPs) on pathogens, initiating the immune response. This recognition triggers the production of cytokines and chemokines, leading to inflammation and activation of immune cells. Choice A is incorrect because TLRs do not identify self-antigens but rather foreign antigens. Choice B is incorrect as TLRs do not directly mediate phagocytosis but rather initiate signaling pathways that lead to phagocytosis by immune cells. Choice D is incorrect because TLRs do not suppress cytokine secretion; rather, they stimulate cytokine production.
APECED is a rare autoimmune disease caused by deficiency of
- A. CTLA-4
- B. AIRE
- C. Tregs
- D. TGF-β
Correct Answer: B
Rationale: The correct answer is B: AIRE. APECED (Autoimmune Polyendocrinopathy-Candidiasis-Ectodermal Dystrophy) is caused by mutations in the AIRE gene. AIRE is responsible for regulating the expression of self-antigens in the thymus, crucial for the development of immune tolerance. Deficiency in AIRE leads to the production of autoantibodies and autoimmune manifestations.
Incorrect options:
A: CTLA-4 is involved in downregulating immune responses but is not directly linked to APECED.
C: Tregs (regulatory T cells) play a role in immune tolerance, but APECED is not directly caused by their deficiency.
D: TGF-β is a cytokine involved in immune regulation, but its deficiency does not lead to APECED.
What is the medical term for excessive bleeding?
- A. Thrombosis
- B. Embolus
- C. Hemorrhage
- D. Hemostasis
Correct Answer: C
Rationale: The correct answer is C: Hemorrhage. Hemorrhage refers to excessive bleeding. Thrombosis (A) is the formation of blood clots, not excessive bleeding. Embolus (B) is a blood clot that travels through the bloodstream and blocks a blood vessel. Hemostasis (D) is the process of stopping bleeding, not the term for excessive bleeding. In summary, only choice C directly relates to the medical term for excessive bleeding.
Which type of immunity is the result of contact with the antigen through infection and is the longest lasting type of immunity?
- A. Active innate immunity
- B. Passive innate immunity
- C. Active acquired immunity
- D. Passive acquired immunity
Correct Answer: C
Rationale: Active acquired immunity results from direct exposure to an antigen, such as through infection or vaccination. It involves the body's immune system recognizing and remembering the antigen, leading to long-lasting immunity.
Viral antigenic shift
- A. Is caused by multiple random mutations
- B. Is caused by a single mutation
- C. It affects only internal viral proteins not recognized by preexisting antibodies
- D. It refers to the appearance of new HA variants not recognized by preexisting antibodies
Correct Answer: D
Rationale: Step 1: Viral antigenic shift involves major changes in the surface proteins of the virus, particularly the hemagglutinin (HA) protein.
Step 2: These changes result in the emergence of new variants that are not recognized by preexisting antibodies.
Step 3: This process is distinct from antigenic drift, which involves minor changes due to random mutations.
Step 4: Choice D correctly states that viral antigenic shift refers to the appearance of new HA variants not recognized by preexisting antibodies.
Summary: Choice A is incorrect because viral antigenic shift is not caused by multiple random mutations. Choice B is incorrect as antigenic shift involves major changes, not a single mutation. Choice C is incorrect as it affects surface proteins like HA, not just internal proteins.