Nokea
Which of the following statements about M cells is incorrect?
- A. M cells are found in Peyer's patches in the small intestine
- B. M cells are specialized epithelial cells
- C. M' stands for microfold as these cells show small folds on their luminal side rather than microvilli
- D. They specialize in the transport by transcytosis of IgA from the lamina propria (the tissue immediately below the gut lining) into the intestinal lumen
Correct Answer: D
Rationale: The correct answer is D because M cells do not transport IgA from the lamina propria into the intestinal lumen. Instead, they transport antigens and pathogens from the gut lumen to underlying immune cells. Choice A is correct as M cells are found in Peyer's patches. Choice B is correct as M cells are specialized epithelial cells. Choice C is incorrect as M cells have microfolds on their luminal side, not microvilli.
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Which of the following processes does not require the involvement of an antigen-specific T helper cell?
- A. Somatic hypermutation
- B. VDJ gene rearrangement
- C. Immunoglobulin class switching
- D. Memory cell differentiation
Correct Answer: B
Rationale: Correct Answer: B (VDJ gene rearrangement)
Rationale:
1. VDJ gene rearrangement occurs during B cell development in the bone marrow, independent of T helper cells.
2. Somatic hypermutation and immunoglobulin class switching require T helper cell interactions.
3. Memory cell differentiation also involves T helper cells for activation and differentiation.
4. Therefore, VDJ gene rearrangement is the only process not directly dependent on antigen-specific T helper cells.
A cell type capable of killing virus-infected cells that provides early protection against viral infection is
- A. Eosinophils
- B. NK cells
- C. Neutrophils
- D. Mast cells
Correct Answer: B
Rationale: The correct answer is B: NK cells. NK cells are part of the innate immune system and can directly kill virus-infected cells, providing early protection against viral infections. They do not require prior exposure to the virus to initiate their killing mechanism, making them crucial for early defense. Eosinophils (A), Neutrophils (C), and Mast cells (D) are not primarily involved in killing virus-infected cells. Eosinophils are more associated with parasitic infections, Neutrophils are primarily involved in bacterial infections, and Mast cells are involved in allergic reactions.
The nurse is reinforcing teaching to a person being tested for HIV in a clinic. Which test should the nurse explain is done first in HIV testing?
- A. ELISA test
- B. Western blot test
- C. Viral load studies
- D. Rheumatoid factor test
Correct Answer: A
Rationale: The correct answer is A: ELISA test. The ELISA test is typically the initial screening test for HIV due to its high sensitivity in detecting HIV antibodies. It is cost-effective and quick. Western blot test is a confirmatory test used if ELISA is positive. Viral load studies monitor the progression of the disease but are not typically done first. Rheumatoid factor test is unrelated to HIV testing. Therefore, the ELISA test is the most appropriate initial step in HIV testing.
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.
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.