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Immunology of Pregnancy

Description: This quiz is designed to assess your knowledge of Immunology of Pregnancy. It covers topics such as the maternal immune response, fetal antigens, and the role of cytokines in pregnancy.
Number of Questions: 15
Created by:
Tags: immunology pregnancy maternal immune response fetal antigens cytokines
Attempted 0/15 Correct 0 Score 0

What is the primary role of the maternal immune system during pregnancy?

  1. To attack and destroy the fetus

  2. To protect the fetus from infection

  3. To provide nutrients to the fetus

  4. To regulate the growth of the fetus


Correct Option: B
Explanation:

The maternal immune system plays a crucial role in protecting the fetus from infection by producing antibodies and other immune cells that can target and eliminate pathogens.

Which type of immune cell is primarily responsible for the maternal immune response during pregnancy?

  1. T cells

  2. B cells

  3. Natural killer cells

  4. Macrophages


Correct Option: A
Explanation:

T cells, particularly regulatory T cells (Tregs), play a key role in maintaining immune tolerance and preventing the rejection of the fetus during pregnancy.

What is the name of the phenomenon in which the maternal immune system recognizes and tolerates the presence of fetal antigens?

  1. Immune suppression

  2. Immune tolerance

  3. Immune evasion

  4. Immune privilege


Correct Option: B
Explanation:

Immune tolerance is the state in which the maternal immune system recognizes fetal antigens as self and does not mount an immune response against them.

Which fetal antigen is primarily responsible for inducing immune tolerance in the mother?

  1. Human leukocyte antigen (HLA)-G

  2. Placental growth factor (PlGF)

  3. Insulin-like growth factor (IGF)

  4. Alpha-fetoprotein (AFP)


Correct Option: A
Explanation:

HLA-G is a unique fetal antigen expressed on the surface of trophoblast cells and is recognized by maternal immune cells, contributing to the induction of immune tolerance.

What is the role of cytokines in pregnancy?

  1. To promote inflammation and tissue damage

  2. To regulate immune responses and tissue remodeling

  3. To inhibit the growth of the fetus

  4. To induce labor and delivery


Correct Option: B
Explanation:

Cytokines are signaling molecules that play a crucial role in regulating immune responses and tissue remodeling during pregnancy, promoting the growth and development of the fetus.

Which cytokine is primarily responsible for promoting immune tolerance and suppressing inflammation during pregnancy?

  1. Interleukin-10 (IL-10)

  2. Interleukin-12 (IL-12)

  3. Tumor necrosis factor-alpha (TNF-alpha)

  4. Interferon-gamma (IFN-gamma)


Correct Option: A
Explanation:

IL-10 is a key anti-inflammatory cytokine that plays a crucial role in promoting immune tolerance and suppressing inflammation during pregnancy.

What is the role of the placenta in the immunology of pregnancy?

  1. To produce hormones that suppress the maternal immune response

  2. To act as a physical barrier between the maternal and fetal immune systems

  3. To facilitate the exchange of nutrients and waste products between the mother and fetus

  4. All of the above


Correct Option: D
Explanation:

The placenta plays a multifaceted role in the immunology of pregnancy, including producing hormones that suppress the maternal immune response, acting as a physical barrier, and facilitating the exchange of nutrients and waste products.

Which pregnancy-specific hormone is primarily responsible for suppressing the maternal immune response?

  1. Human chorionic gonadotropin (hCG)

  2. Progesterone

  3. Estrogen

  4. Prolactin


Correct Option: B
Explanation:

Progesterone is a key pregnancy-specific hormone that plays a crucial role in suppressing the maternal immune response and promoting immune tolerance.

What is the name of the condition in which the maternal immune system attacks the fetus, leading to pregnancy complications?

  1. Pre-eclampsia

  2. Gestational diabetes

  3. Placental abruption

  4. Alloimmune thrombocytopenia


Correct Option: D
Explanation:

Alloimmune thrombocytopenia is a condition in which the maternal immune system produces antibodies against fetal platelet antigens, leading to a decrease in fetal platelet count and potential bleeding complications.

Which type of fetal antigen is primarily responsible for inducing alloimmune thrombocytopenia?

  1. Human platelet antigen-1a (HPA-1a)

  2. Human platelet antigen-5b (HPA-5b)

  3. Human platelet antigen-9 (HPA-9)

  4. Human platelet antigen-15 (HPA-15)


Correct Option: A
Explanation:

HPA-1a is the most common fetal platelet antigen that can induce alloimmune thrombocytopenia in pregnant women who lack this antigen.

What is the primary treatment for alloimmune thrombocytopenia during pregnancy?

  1. Administration of corticosteroids

  2. Intravenous immunoglobulin (IVIG) therapy

  3. Platelet transfusion

  4. All of the above


Correct Option: D
Explanation:

The primary treatment for alloimmune thrombocytopenia during pregnancy involves a combination of corticosteroids, IVIG therapy, and platelet transfusion to manage the condition and prevent severe complications.

What is the role of regulatory T cells (Tregs) in the immunology of pregnancy?

  1. To promote immune tolerance and prevent rejection of the fetus

  2. To activate cytotoxic T cells and attack the fetus

  3. To produce antibodies against fetal antigens

  4. To induce inflammation and tissue damage


Correct Option: A
Explanation:

Tregs play a crucial role in promoting immune tolerance and preventing the rejection of the fetus by suppressing the activation of other immune cells and maintaining immune balance.

Which type of immune cell is primarily responsible for attacking and destroying infected cells during pregnancy?

  1. Natural killer cells

  2. Cytotoxic T cells

  3. Helper T cells

  4. B cells


Correct Option: A
Explanation:

Natural killer cells play a crucial role in the innate immune response during pregnancy by recognizing and destroying infected cells, including those infected with viruses or bacteria.

What is the name of the condition in which the maternal immune system produces antibodies against fetal red blood cell antigens, leading to hemolytic disease of the newborn (HDN)?

  1. Alloimmune hemolytic anemia

  2. Alloimmune thrombocytopenia

  3. Pre-eclampsia

  4. Gestational diabetes


Correct Option: A
Explanation:

Alloimmune hemolytic anemia is a condition in which the maternal immune system produces antibodies against fetal red blood cell antigens, leading to the destruction of fetal red blood cells and potential complications for the fetus.

Which fetal red blood cell antigen is primarily responsible for inducing alloimmune hemolytic anemia?

  1. Rhesus (Rh) factor

  2. Kell antigen

  3. Duffy antigen

  4. Kidd antigen


Correct Option: A
Explanation:

The Rh factor is the most common fetal red blood cell antigen that can induce alloimmune hemolytic anemia in pregnant women who lack this antigen.

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