Nokea
Which historical event provides evidence for immune adaptation?
- A. Spanish flu pandemic
- B. The Black Death caused by Yersinia pestis
- C. HIV/AIDS epidemic
- D. The eradication of smallpox
Correct Answer: B
Rationale: The Black Death caused by Yersinia pestis is the correct answer because it led to immune adaptation in survivors. Yersinia pestis triggered the body to develop immunity. The Spanish flu pandemic, HIV/AIDS epidemic, and eradication of smallpox did not directly result in immune adaptation like the Black Death. The Spanish flu and HIV/AIDS were caused by viruses that did not lead to long-term immunity, and smallpox eradication was achieved through vaccinations, not natural immune adaptation.
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Which of the following is not considered a virulence factor?
- A. Flagella
- B. Effector proteins manipulating host actin cytoskeleton
- C. Toxins
- D. Peptidoglycan
Correct Answer: D
Rationale: The correct answer is D: Peptidoglycan. Peptidoglycan is a structural component of bacterial cell walls and does not directly contribute to the pathogenicity or virulence of the bacterium. Flagella aid in motility and colonization, effector proteins manipulate host cells, and toxins damage host tissues, all of which are virulence factors. Peptidoglycan is essential for maintaining cell shape and integrity but does not directly enhance the ability of the bacteria to cause disease.
The precursor of IL-1β is processed to its active form by
- A. Pro-caspase 1
- B. Caspase 1
- C. Procaspase 8
- D. Caspase 8
Correct Answer: B
Rationale: The correct answer is B: Caspase 1. Caspase 1 is responsible for the cleavage of pro-IL-1β into its active form IL-1β. This process involves the activation of Caspase 1 by various inflammasomes upon sensing danger signals. Pro-caspase 1 (Choice A) is the inactive precursor form of Caspase 1 and is not involved in processing IL-1β. Procaspase 8 (Choice C) and Caspase 8 (Choice D) are part of the extrinsic apoptosis pathway and are not directly involved in the processing of IL-1β. Therefore, the correct choice is Caspase 1 as it specifically cleaves pro-IL-1β to its active form.
A site of intense B cell proliferation in the lymph node is
- A. Germinal center
- B. Paracortex
- C. Medulla
- D. Infected tissue
Correct Answer: A
Rationale: The correct answer is A: Germinal center. Germinal centers are specialized regions within lymph nodes where B cells undergo intense proliferation, somatic hypermutation, and class switching to generate high-affinity antibodies. This process is crucial for the adaptive immune response. Paracortex (B) contains T cells, not B cells. Medulla (C) is mainly involved in filtering lymph. Infected tissue (D) is not a specific site for B cell proliferation.
Which of the following is a feature of antigen recognition by B cells?
- A. Their antigen receptors are never secreted
- B. Their antigen receptors recognize a fragment of protein in combination with an MHC molecule
- C. Their receptors each have two identical antigen binding sites
- D. They recognize pattern associated molecular structures (PAMPs) that are unique to a particular pathogen
Correct Answer: C
Rationale: The correct answer is C because B cell receptors, known as antibodies, are Y-shaped proteins with two identical antigen-binding sites. This feature allows B cells to bind to specific antigens with high specificity. Each B cell receptor can bind to a unique antigen, leading to the initiation of an immune response.
Choice A is incorrect because B cell receptors can be secreted as antibodies to target antigens outside the cell.
Choice B is incorrect because B cell receptors recognize antigens directly, not in combination with MHC molecules.
Choice D is incorrect because B cells primarily recognize specific antigens rather than general PAMPs associated with pathogens.
Which of the following is the main reason why older clients with AIDS need more care than their younger counterparts?
- A. Because older clients lack in balanced diet and activity
- B. Because older clients lack knowledge about disorders
- C. Because older clients have a faster progression of disease
- D. Because older clients do not generally adhere to a therapy
Correct Answer: C
Rationale: Older clients with AIDS often experience a faster progression of the disease due to age-related declines in immune function.