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Body Fluids and Circulation

Description: This test will help the students to revise the topc thoroughly as it covers many topics from the mentioned branch.
Number of Questions: 15
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Tags: Circulatory system Human Blood Components of Blood Lymphatic System Blood Components: Lymph
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Which of the following statements does not characterises IgG?

  1. It apears early in the primary immune response.

  2. It neutralizes bacterial toxins.

  3. It can fix complement.

  4. It crosses the human placenta.

  5. It opsonizes bacteria.


Correct Option: A
Explanation:

IgM is the class which appears early following the first encounter with a specific antigen.

Mitosis occurs when lymphocytes of two individuals are mixed ____________.

  1. in presence of mitomycin C

  2. in presence of anti-CD4

  3. who are identical twins

  4. of differing MHC class II haplotype

  5. of differing MHC class I but identical MHC class II haplotype


Correct Option: D
Explanation:

The mixed lymphocyte reaction is used for typing MHC class II polymorphic variants.

CD8 is a glycoprotein acting as a co-receptor for the T-cell receptor. For which of the following cells, it is an indicator?

  1. B-cells

  2. Helper T-cells

  3. Cytotoxic T-cells

  4. An activated macrophage

  5. A neutrophil precursor


Correct Option: C
Explanation:

CD8 + T-cell receptor on the cytotoxic T-cell, recognize the MHC class I + peptide on the target cell surface.

Which type of cells is known to be involved in the initial presentation of antigen to T-lymphocytes?  

  1. Dendritic cells

  2. Plasma cells

  3. Neutrophil polymorphonuclear leucocytes

  4. Erythrocytes

  5. Platelets


Correct Option: A
Explanation:

Dendritic cells are potent antigen presenting cells that possess the ability to stimulate naïve T-cells. There are several types of dendritic cells, well distributed over the body.

On venturing into a germinal center, the primary B-blasts multiplies exponentially to produce which cell type in the dark zone?

  1. Secondary B-blasts

  2. Centrocytes

  3. Centroblasts

  4. Memory B-cells

  5. Plasma cells


Correct Option: C
Explanation:

Centroblasts are found in the dark zone and are highly mitotic cells with no surface IgD and very little surface IgM.

Which among the following changes takes place when an antigen reaches a lymph node in an equipped animal?

  1. There is an increase in the output of cells in the efferent lymphatics over the following 24 h.

  2. There is a decrease in the output of cells in the efferent lymphatics over the following 24 h.

  3. There is an immediate output of activated blast cells.

  4. It is transported to the spleen.

  5. It is all immediately destroyed by macrophages.


Correct Option: B
Explanation:

Antigen-reactive cells are depleted from the circulating pool of lymphocytes within 24 h of antigen first localizing in the lymph nodes or spleen, and there is a dramatic fall in the output of cells in the efferent lymphatics.

Which among the following specialized cells are involved in the entry of lymphocytes into lymph node within a tissue?

  1. M-cells

  2. Mesangial cells

  3. PALS

  4. HEV endothelial cells

  5. Selectins


Correct Option: D
Explanation:

The high-walled endothelium of the post-capillary venules (HEV) in lymph nodes express vascular addressins which are recognized by homing receptors on lymphocytes passing through the afferent lymphatics and which mediate entry of the lymphocytes into the lymph nodes.

The tactile bodies inside germinal center macrophages are _____________.

  1. the VLA molecules

  2. the Phagocytosed foreign antigen

  3. a sign of macrophage apoptosis

  4. bacterial cell wall components resistant to degradation

  5. the DNA fragments


Correct Option: E
Explanation:

There is very extensive apoptotic cell death amongst light zone centrocytes and the resultant DNA fragments are visible as 'tingible bodies' within the macrophages, which have phagocytosed the apoptotic lymphocytes.

The paracortical area of a lymph node accomodates significantly

  1. follicular dendritic cells

  2. plasma cells

  3. macrophages

  4. T-cells

  5. B-cells


Correct Option: D
Explanation:

T-cells are mainly confined to the paracortical (thymus-dependent) area of lymph nodes and in nodes taken from children with selective T-cell deficiency. The paracortical region is virtually devoid of lymphocytes.

S3 stands for pneumococcus polysaccharide SIII. In a lymph node, the antigen pneumococcus polysaccharide SIII causes

  1. lymphocyte proliferation in the paracortex

  2. PALS development

  3. proliferation in cortical lymphoid follicles

  4. development of cellular hypersensitivity

  5. the absence of germinal centers


Correct Option: C
Explanation:

Stimulation of antibody-formation by this thymus-independent antigen leads to proliferation in this location with development of germinal centers while the paracortical region remains inactive, reflecting the inability to develop cellular hypersensitivity to the polysaccharide.

Expression of a CD8 alpha-alpha homodimer is characteristic feature of ____________.

  1. follicular dendritic cells

  2. intraepithelial lymphocytes

  3. eosinophils

  4. classical cytotoxic T-lymphocytes

  5. classical helper T-lymphocytes


Correct Option: B
Explanation:

CD8 alpha-alpha homodimers are almost exclusively found on intraepithelial lymphocytes and may restrict these cells to recognition of certain nonclassical MHC molecules, perhaps including TL and Qa1.

Several different types of tissues form the structures of the lymphatic system. Which of the following lymphoid tissue is unencapsulated?

  1. Thymus

  2. Lymph node

  3. Spleen

  4. MALT

  5. Tonsils


Correct Option: D
Explanation:

The respiratory, alimentary and genitourinary tracts are guarded immunologically by subepithelial accumulations of lymphoid tissues which are not constrained by a connective tissue capsule. These may occur as diffuse collections of lymphocytes, plasma cells and phagocytes throughout the body and the lamina propria of the intestinal wall, or as more clearly organized tissue with well-formed follicles as found in the Peyer's patches.

Fibroblastsare the principal active cells of connective tissue. Which among the following occurs when a resting native T-cell activates its specific MHC/peptide complex on the edge of a fibroblast?

  1. It undergoes blast cell formation.

  2. It produces IL-2.

  3. It becomes anergic.

  4. It moves from Go to G1 of the cell cycle.

  5. It secretes IL-1.


Correct Option: C
Explanation:

In the absence of costimulator, a cell becomes anergic and incapable of subsequent response to the specific antigen.

CD4 cells or T-cells are the “generals” of the human immune system. Which among the following statement regarding CD4 cells is true?

  1. It is essentially an intracellular glycoprotein.

  2. It is heterodimeric.

  3. It binds processed peptide in its outer groove.

  4. It binds to MHC class II on antigen-presenting cells.

  5. It is highly polymorphic.


Correct Option: D
Explanation:

The CD4 binds to constant regions on the MHC class II.

Which among the following is a distinctive feature of B cells?

  1. Class I MHC

  2. CD3

  3. Measles virus receptor

  4. Polyclonal activation by concanavalin A

  5. Surface immunoglobulin


Correct Option: E
Explanation:

B-cells express surface immunoglobulin of a specificity created by that cell's particular immunoglobulin gene recombination. A totally different gene set encodes the T-cell receptor for antigen.

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