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Exam 2 Review
Immunology Exam 2 Review
97
Biology
Undergraduate 3
11/25/2014

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Term
When ABY is bound to the carrier molecule and used to detect AGN this technique is known as:
Definition
Reverse passive agglutination
Term
Which of the following procedures is the MOST sensitive?
Countercurrent immunoelectrophoresis
Immunoassays
Definition
Immunoassays
Term
What is the following an example of?
Titer = 1:2, 1:4, 1:8, 1:16, 1:32, 1:64
Titer : = = = 3+ 3+ 2+
Definition
Prozone
Term
The following results were obtained on a newborn serum test for exposure to Toxoplasma:
Toxoplasma IgG: Negative
Toxoplasma IgM: Positive
These results indicate:
Definition
The child has current infection due to congenital toxoplasmosis
Term
Is the following a fourfold rise in titer?
1:2 ---> 1:8
Definition
Yes
Term
[image]

Which area of the curve shows no agglutination formed due to AGN excess?
Definition
B
Term
Hybridoma cells used to produce specific monoclonal ABY are made by the fusion of:
Definition
Plasma cells and myeloma cells
Term
AGN derived from different individuals from the same species are BEST described as:
Definition
Alloantigens
Term
A child is given the measles vaccine and produces measles ABYs. This type of immunity is best described as:
Definition
Actively acquired
Term
T cells which respond to self AGNs are usually destroyed by the:
Definition
Thymus
Term
The carrier particles in coagglutination tests are:
Definition
S. auerus cells
Term
1&4 - Known Blastomyces + serum (control)
2 - patient J. Jones serum
3 - patient D. Brown serum
4 - Known Blastomyces AGN
It may be concluded that the patient in well #2:
[image]
Definition
Shows serologic IDENTITY for Blastomyces
Term
1&4 - Known Blastomyces + serum (control)
2 - patient J. Jones serum
3 - patient D. Brown serum
4 - Known Blastomyces AGN
It may be concluded that the patient in well #5:
[image]
Definition
Does NOT have Blastomyces dermatitidis
Term
In performing a cytomegalovirus (CMV) ABY (using a latex agglutination method) test the following results were obtained:
+ Control: Clumping
= Control: No Clumping
Patient Specimen: Clumping
These results indicate:
Definition
Presence of CMV ABY
Term
A 50-year-old teacher began complaining of weakness, fatigue, and low back pain. Lytic bone lesions were observed in her X-rays. The following immunoglobulin levels were obtained:
Decrease IgA
High Increase IgG
Decrease IgM
A likely Diagnosis is:
Definition
Multiple Myeloma
Term
The following results were obtained when a beta-HCG test (agglutination inhibition method) was performed on a urine specimen:
+ Control: No Clumping
= Control: Clumping
Patient Specimen: No Clumping
The technologist should report the test as:
Definition
Beta-HCG present
Term
Listed below are the steps used in fluorescent antibody microscopy.

A. Anti-rabbit antibody tagged with fluorescein added to slide; incubation followed by rinse.
B. Patient serum placed onto slide; incubation followed by rinse.
C. Slide examined using fluorescent microscope.
D. Patient specimen fixed onto slide.
E. Anti-human antibody tagged with fluorescein added to slide; incubation followed by rinse.
F. Fluorescence indicates Legionella antigen present.
G. Fluorescence indicates Legionella antibody present.
H. Known Legionella organism fixed onto slide.
I. Anti-Legionella antibody tagged with fluorescein placed onto slide; incubation followed by rinse.
J. Anti-Legionella antibody (made by rabbits) placed onto slide; incubation followed by rinse.

The correct order for the "Direct Fluorescent Assay" test for Legionella is:

The correct order for the "Direct Fluorescent Assay" test for Legionella is:
Definition
D, I, C, F
Term
The type of cell most often associated with acute inflammation is:
Definition
Polymorphonuclear neutrophils (PMNs)
Term
The term used to describe all ABYs of the IgM type is
Definition
Isotype
Term
The immunoglobulin that has a secretory piece is:
Definition
IgA
Term
Listed below are the sequence of events for Enzyme Immunoassays (EIA) - in no particular order. Incubation, wash, and certrifugation steps have been omitted.
A. Enzyme substrate added and amount of color measured.
B. Specific antibody attached to a solid phase.
C. Specific antigen attached to a solid phase.
D. Patient specimen added.
E. Enzyme-labeled anti-human antibody added.
F. Mix patient specimen with labeled antibody.
G. Enzyme-labeled antibody (against antigen) added.
H. Add excess unlabeled antigen (attached to solid phase).
I. Patient specimen and labeled antigen added to tube.

The correct order for an indirect ELISA test is:
Definition
C, D, E, A
Term
Match the immunoglobulin with its characteristic:
The Largest Immunoglobulin
Definition
IgM
Term
Match the immunoglobulin with its characteristic:
Associate with mucous membranes
Definition
IgA
Term
Match the immunoglobulin with its characteristic:
Immunoglobulin with the highest serum concentration
Definition
IgG
Term
Match the immunoglobulin with its characteristic:
Immunoglobulin that most effectively binds complement
Definition
IgM
Term
Match the immunoglobulin with its characteristic:
Associated with hay fever
Definition
IgE
Term
Match the immunoglobulin with its characteristic:
Reacts best at 30 degrees to 37 degrees Celsius
Definition
IgG
Term
Match the immunoglobulin with its characteristic:
Immunoglobulin present in Waldenstrom's macroglobulinemia
Definition
IgM
Term
Match the immunoglobulin with its characteristic:
Found with IgM on mature B cells
Definition
IgD
Term
Indicate whether the following is characteristic of monoclonal or polyclonal ABYs:
Produced by many different kinds of plasma cells
Definition
Polyclonal
Term
Indicate whether the following is characteristic of monoclonal or polyclonal ABYs:
Heterogenous group of ABYs
Definition
Polyclonal
Term
Indicate whether the following is characteristic of monoclonal or polyclonal ABYs:
Specific for a single epitope
Definition
Monoclonal
Term
Indicate whether the following is characteristic of monoclonal or polyclonal ABYs:
Problems with cross-reactivity
Definition
Polyclonal
Term
T or F:
Individuals who lack IgA are prone to anaphylactic reactions when given blood transfusions
Definition
True
Term
T or F:
In nephelometry the light device is placed in a direct line with the incident light
Definition
False
Term
T or F:
Agglutination is the combination of PARTICULATE antigens with antibody to produce clumps
Definition
True
Term
T or F:
The bone marrow is primary lymphoid tissue.
Definition
True
Term
T or F:
The term "sensitization" refers to initial immunoglobulin binding
Definition
True
Term
T or F:
Rheumatoid factor is associated with false positive results in reverse passive agglutination tests
Definition
True
Term
T or F:
Flow cytometry can be used to detect specific cell AGNs
Definition
True
Term
T or F:
Nucleic acid probes detect a specific nucleic acid sequence.
Definition
True
Term
T or F:
HLA class I antigens are found on B cells.
Definition
True
Term
T or F:
Infants at birth usually have adult levels of IgG.
Definition
True
Term
T or F:
Acute phase reactants usually DECREASE when an injury occurs.
Definition
False
Term
T or F:
Immunoglobulins are NOT immunogens.
Definition
False
Term
T or F:
Antibody responses to protein are usually T cell INDEPENDENT.
Definition
False
Term
T or F:
The bone marrow is the site of antigen-DEPENDENT lymphopoiesis.
Definition
False
Term
T or F:
Cytotoxic T cells interact with Class II bound antigen to remove viral infected cells.
Definition
False
Term
T or F:
The skin is an example of the external defense system.
Definition
True
Term
T or F:
Human IgA has 2 subtypes
Definition
True
Term
T or F:
T helper cells help B cells switch the ABY class produced
Definition
True
Term
T or F:
The normal ratio of kappa to lambda chains is 1:2
Definition
False
Term
T or F:
Homogeneous immunoassays do NOT require a separation step
Definition
True
Term
The following HLA results were obtained:
Mother: A1/A19, B5/B37, Cw1/Cw11, DR2/DR7
Man A: A3/A28, B14/B35, Cw5/Cw7, DR3/DR9
Man B: A1/A31, B12/B37, Cw2/Cw5, DR12/DR18
Child: A1/A7, B5/B37, Cw1/Cw7,
DR2/DR3

Based on these results, which man is the father?
Definition
Neither Man is the father
Term
The following HLA results were obtained:
Mother: A1/A19, B5/B37, Cw1/Cw11, DR2/DR7
Man A: A3/A28, B14/B35, Cw5/Cw7, DR3/DR9
Man B: A1/A31, B12/B37, Cw2/Cw5, DR12/DR18
Child: A1/A7, B5/B37, Cw1/Cw7,
DR2/DR3

What is one of the haplotypes that belongs to the child?
Definition
A7, B37, Cw7, DR3
Term
Match the disease with its immunodeficiency classification:
Chronic granulomatus disease
Definition
Neutrophil function defect
Term
Match the disease with its immunodeficiency classification:
Bruton's agammaglobulinemia
Definition
Primary deficiency of B cell system
Term
Match the disease with its immunodeficiency classification:
Severe combined immunodeficiency
Definition
Combined deficiency of cellular and humoral immunity
Term
Match the disease with its immunodeficiency classification:
Diabetes mellitus
Definition
Secondary immunodeficiency
Term
Match the disease with its immunodeficiency classification:
Common variable immunodeficiency
Definition
Primary deficiency of B cell system
Term
Match the disease with its immunodeficiency classification:
DiGeorge Anomaly
Definition
Primary deficiency of cellular immunity
Term
Classify the following as Class I or II:
Located on gene loci: DR, DQ, DP
Definition
MHC Class II AGNs
Term
Classify the following as Class I or II:
Expressed on all nucleated cells
Definition
MHC Class I AGNs
Term
Classify the following as Class I or II:
Used by AGN presenting cells to present AGN to T helper cells
Definition
MHC Class II AGNs
Term
The following test was performed:
Known ABY and known AGN tagged with enzyme are placed in patient sample (unknown AGN)
The amount of enzymatic activity is determined.

This test is the:
Definition
Homogeneous EIA
Term
Markers which must be on a thymocyte so it can be called a double-positive cell are:
Definition
CD4 & CD8
Term
An immunoglobulin which possesses a J chain is:
Definition
IgA
Term
Identify the regions indicated on the immunoglobulin molecule diagram:
[image]
Fab fragment
Definition
D
Term
Identify the regions indicated on the immunoglobulin molecule diagram:
[image]
Fc fragment
Definition
A
Term
Identify the regions indicated on the immunoglobulin molecule diagram:
[image]
Heavy chain
Definition
B
Term
Identify the regions indicated on the immunoglobulin molecule diagram:
[image]
Light chain
Definition
C
Term
Identify the regions indicated on the immunoglobulin molecule diagram:
[image]
Hinge region
Definition
E
Term
Total WBC = 4,000/ microliter
Basophils 1%
Eosinophils 4%
Neutrophils 45%
Lymphocytes 40%
Monocytes 10%
CD3 70%
CD4 25%
CD8 45%
CD20 10%
CD56 20%
CD45 99%
The ratio of Helpter to Cytotoxic T cells is:
Definition
Abnormally low
Term
Total WBC = 4,000/ microliter
Basophils 1%
Eosinophils 4%
Neutrophils 45%
Lymphocytes 40%
Monocytes 10%
CD3 70%
CD4 25%
CD8 45%
CD20 10%
CD56 20%
CD45 99%
The cytotoxic T cell count is:
Definition
720 / microliter
Term
Total WBC = 6,000/ microliter
Basophils 1%
Eosinophils 4%
Neutrophils 45%
Lymphocytes 40%
Monocytes 10%
CD3 70%
CD4 25%
CD8 45%
CD20 10%
CD56 20%
CD45 99%

The absolute NK cell count is:
Definition
480 / microliter
Term
The part of the ABY molecule that combines with an epitope is found in:
Definition
The variable regions of the heavy and light chains
Term
The following serum immunofixation electrophoresis results was obtained on a woman. These results indicate the patient:
[image]
Definition
Has a IgG Kappa monoclonal gammopathy
Term
This serum protein electrophoresis pattern was obtained on a 65-year old man. These results are consistent with:
[image]
Definition
Multiple myeloma
Term
What is the name of the following procedure:
[image]
Definition
Ouchterlony
Term
What is the name of the following procedure:
[image]
Definition
Immunoelectrophoresis
Term
What is the name of the following procedure:
[image]
Definition
Agglutination
Term
What does this SPE pattern show?
[image]
Definition
"common variable immunodeficiency"
Term
What does this SPE pattern show?
[image]
Definition
Normal SPE
Term
Prepares AGN for phagocytosis
Definition
Opsonin
Term
ABY binding site for AGN
Definition
Epitope
Term
An excess amount of a particular immunoglobulin
Definition
Paraprotein
Term
Free light chains in urine
Definition
Bence-Jones protein
Term
Proteins which precipitate at cold temperatures
Definition
Cryoglobulin
Term
Small molecule capable of stimulating ABY formation when combined with a carrier molecule
Definition
Hapten
Term
The SUM of all ABY-epitope interactions
Definition
Avidity
Term
The ionic cloud surrounding RBC
Definition
Zeta-potential
Term
The ability of a particular ABY to bind to one AGN instead of another
Definition
Specificity
Term
ABYs interacting with structurally similar AGNs
Definition
Cross-reactivity
Term
When a cytokine acts on a nearby cell
Definition
Paracrine
Term
Different forms of a gene
Definition
Alleles
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