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Disorders of Immune System

Description: This test contains 25 multiple choice questions on immune system disorders.
Number of Questions: 25
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Reduction of gamma globulins is a characteristic of

  1. Acute disseminated encephalomyelitis

  2. Addison's disease

  3. Hypogammaglobulinemia

  4. Alopecia areata


Correct Option: C
Explanation:

Hypogammaglobulinemia is a type of immune disorder characterized by a reduction in all types of gamma globulins. Hypogammaglobulinemia is a characteristic of common variable immunodeficiency.

Which among the following is a pruritic skin disorder?

  1. Blau syndrome

  2. Antiphospholipid syndrome

  3. Atopy

  4. Atopic dermatitis


Correct Option: D
Explanation:

Atopic dermatitis is an inflammatory, chronically relapsing, non-contagious and pruritic skin disorder.The skin of a patient with atopic dermatitis reacts abnormally and easily to irritants, food, and environmental allergens and becomes red, flaky and very itchy.

The bone marrow is unable to produce sufficient new cells to replenish blood cells in

  1. Aplastic anemia

  2. Autoimmune hemolytic anemia

  3. Autoimmune hepatitis

  4. Biermer's anemia


Correct Option: A
Explanation:

Aplastic anemia is a condition where bone marrow does not produce sufficient new cells to replenish blood cells.Typically, anemia refers to low red blood cell counts, but aplastic anemia patients have lower counts of all three blood cell types: red blood cells, white blood cells, and platelets, termed pancytopenia.

The lymphocyte apoptosis gets affected in

  1. Autoimmune lymphoproliferative syndrome

  2. Peripheral neuropathy

  3. Autoimmune pancreatitis

  4. Autoimmune polyendocrine syndrome


Correct Option: A
Explanation:

Autoimmune lymphoproliferative syndrome is a form of lymphoproliferative disorder. It affects lymphocyte apoptosis. ALPS results from mutations in the human genes, Fas and FasL, which are upstream effectors of the apoptotic pathway in cells.

The middle layer of the eye gets inflammed in

  1. Autoimmune progesterone dermatitis

  2. Idiopathic thrombocytopenic purpura

  3. Uveitis

  4. Balo concentric sclerosis


Correct Option: C
Explanation:

Uveitis specifically refers to inflammation of the middle layer of the eye, termed the uvea but in common usage may refer to any inflammatory process involving the interior of the eye.

Which among the following is an inflammatory disorder of the central nervous system?

  1. Behçet's disease 

  2. IgA nephropathy 

  3. Bickerstaff's encephalitis 

  4. Blau syndrome 


Correct Option: C
Explanation:

Bickerstaff's encephalitis is a rare inflammatory disorder of the central nervous system, first described by Edwin Bickerstaff. It may also affect the peripheral nervous system, and has features in common with both Miller Fisher syndrome and Guillain-Barré syndrome.

In which of the following disorders, bones are characterised by lesions, inflammation, and pain?

  1. Chronic inflammatory demyelinating polyneuropathy

  2. Chronic recurrent multifocal osteomyelitis

  3. Churg-Strauss syndrome

  4. Cicatricial pemphigoid


Correct Option: B
Explanation:

Chronic recurrent multifocal osteomyelitis is a rare condition in which the bones have lesions, inflammation, and pain. Its definition is evolving. It is an autoimmune disease that has symptoms similar to osteomyelitis, but without the infection.

The concentrations of circulating antibodies become higher in

  1. Cogan syndrome 

  2. Cold agglutinin disease 

  3. Giant-cell arteritis 

  4. Degos disease 


Correct Option: B
Explanation:

Cold agglutinin disease is an autoimmune disease characterized by the presence of high concentrations of circulating antibodies, usually IgM, directed against red blood cells. It is a form of autoimmune hemolytic anemia, specifically one in which antibodies only bind red blood cells at low body temperatures, typically 28-31°C.

Body cells display uncontrolled growth in

  1. Bullous pemphigoid

  2. Cancer

  3. Castleman's disease

  4. Coeliac disease


Correct Option: B
Explanation:

Cancer is a class of diseases in which a group of cells display uncontrolled growth, invasion that intrudes upon and destroys adjacent tissues, and sometimes metastasis, or spreading to other locations in the body via lymph or blood. These three malignant properties of cancers differentiate them from benign tumors, which do not invade or metastasize.

The multiple, painful lipomas are the symptoms of

  1. Adiposis dolorosa

  2. Dermatitis herpetiformis

  3. Dermatomyositis

  4. Diabetes mellitus type 1


Correct Option: A
Explanation:

Adiposis dolorosa, is a rare condition characterized by multiple, painful lipomas. These lipomas mainly occur on the trunk, the upper arms and upper legs. The diagnosis of Dercum's disease implies a long, chronic pain syndrome of debilitating nature.

Which among the following is a secondary form of pericarditis?

  1. Systemic sclerosis

  2. Dressler's syndrome

  3. Discoid lupus erythematosus

  4. Eczema


Correct Option: B
Explanation:

Dressler's syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium .It consists of a triad of features, fever, pleuritic pain and pericardial effusion.

The lining of the stomach gets inflammed in

  1. Cryoglobulinaemia

  2. Evans syndrome

  3. Fibrodysplasia ossificans progressiva

  4. Gastritis


Correct Option: D
Explanation:

Gastritis is an inflammation of the lining of the stomach, and has many possible causes. The main acute causes are excessive alcohol consumption or prolonged use of nonsteroidal anti-inflammatory drugs (also known as NSAIDs) such as aspirin or ibuprofen.

The fat cells under the skin get inflammed in

  1. Eosinophilic fasciitis

  2. Eosinophilic gastroenteritis

  3. Epidermolysis bullosa acquisita

  4. Erythema nodosum


Correct Option: D
Explanation:

Erythema nodosum is an inflammation of the fat cells under the skin (panniculitis) characterized by tender red nodules or lumps that are usually seen on both shins.It is an immunologic response to a variety of different causes.

The thyroid gland of the body becomes overactive in

  1. Giant-cell arteritis

  2. Glomerulonephritis

  3. Goodpasture's syndrome

  4. Graves' disease


Correct Option: D
Explanation:

Graves' disease is an autoimmune disease where the thyroid is overactive, producing an excessive amount of thyroid hormones (a serious metabolic imbalance known as hyperthyroidism and thyrotoxicosis). This is caused by autoantibodies (TSHR-Ab) that activate the TSH-receptor (TSHR), thereby stimulating thyroid hormone synthesis and secretion, and thyroid growth (causing a diffusely enlarged goiter).

In which of the following autoimmune disorders, muscles of the limbs become weak?

  1. Lambert-Eaton myasthenic syndrome

  2. Cutaneous small-vessel vasculitis

  3. Lichen planus

  4. Lichen sclerosus


Correct Option: A
Explanation:

Lambert-Eaton myasthenic syndrome is a rare autoimmune disorder that is characterised by muscle weakness of the limbs. It is the result of an autoimmune reaction, where antibodies are formed against voltage-gated calcium channels in the neuromuscular junction .

The thyroid gland is gradually destroyed in

  1. Guillain-Barre syndrome 

  2. Hashimoto's thyroiditis 

  3. Hemolytic anemia 

  4. Henoch-Schِnlein purpura 


Correct Option: B
Explanation:

Hashimoto's thyroiditis is an autoimmune disease in which the thyroid gland is gradually destroyed by a variety of cell and antibody mediated immune processes.

Which of the following auto-immune diseases leads to liver cirrhosis?

  1. Adult linear IgA disease

  2. Amyotrophic lateral sclerosis

  3. Lupoid hepatitis

  4. Lupus erythematosus


Correct Option: C
Explanation:

Lupoid hepatitis is an auto-immune disease which causes liver cirrhosis. It maybe associated with systemic lupus erythematosus (SLE) or other connective tissue disorders. 60% of patients have chronic hepatitis that may mimic viral hepatitis, but without serologic evidence of a viral infection.

In which of the following disorders the body's defence system attacks the body itself?

  1. Majeed syndrome

  2. Meniere's disease

  3. Microscopic polyangiitis

  4. Connective tissue disease


Correct Option: D
Explanation:

In medicine, mixed connective tissue disease is an autoimmune disease, in which the body's defence system attacks itself. It was characterized in 1972.

Which of the following auto immune disorders is associated with infants?

  1. Systemic lupus erythematosus

  2. Discoid lupus erythematosus

  3. Drug-induced lupus erythematosus

  4. Neonatal lupus erythematosus


Correct Option: D
Explanation:

Neonatal lupus erythematosus is the occurrence of SLE symptoms in an infant born from a mother with SLE, most commonly presenting with a rash resembling discoid lupus erythematosus, and sometimes with systemic abnormalities such as heart block or hepatosplenomegaly.

Which among the following is a neurological disorder?

  1. Opsoclonus myoclonus syndrome

  2. Palindromic rheumatism

  3. Paraneoplastic cerebellar degeneration

  4. Paroxysmal nocturnal hemoglobinuria


Correct Option: A
Explanation:

Opsoclonus Myoclonus Syndrome (OMS) is a rare neurological disorder of unknown causes which appears to be the result of an autoimmune process involving the nervous system. It is an extremely rare condition, affecting as few as 1 in 10,000,000 people per year. It affects 2 to 3% of children with neuroblastoma.

The mylein sheath gets damaged in

  1. Morphea

  2. Pityriasis lichenoides et varioliformis acuta

  3. Multiple sclerosis

  4. Myasthenia gravis


Correct Option: C
Explanation:

Multiple sclerosis is an inflammatory disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms.

In which of the following disorders, the immune system of the body itself attacks the optic nerves and spinal cord of the body?

  1. Myositis

  2. Neuromyelitis optica

  3. Neuromyotonia

  4. Cicatricial pemphigoid


Correct Option: B
Explanation:

Neuromyelitis optica is an autoimmune, inflammatory disorder in which a person's own immune system attacks the optic nerves and spinal cord. This produces an inflammation of the optic nerve (optic neuritis) and the spinal cord (myelitis).

Which among the following is a debilitating disease of the urinary bladder?

  1. Interstitial cystitis

  2. Inclusion body myositis

  3. Juvenile idiopathic arthritis

  4. Kawasaki disease


Correct Option: A
Explanation:

Interstitial cystitis is a chronic, oftentimes severely debilitating disease of the urinary bladder. It is characterised by: pain associated with the bladder, pain associated with urination (dysuria), urinary frequency (as often as every 10 minutes), urgency, and/or pressure in the bladder and/or pelvis.

The body is unable to absorb vitamin B12 in

  1. Parry-Romberg syndrome

  2. Intermediate uveitis

  3. Pemphigus

  4. Pernicious anemia


Correct Option: D
Explanation:

Pernicious anemia is one of many types of the larger family of megaloblastic anemias. It is caused by loss of gastric parietal cells, and subsequent inability to absorb vitamin B12.

Neck, shoulders and hips become stiff in

  1. Polyarteritis nodosa

  2. Polymyalgia rheumatica

  3. Polymyositis

  4. Primary sclerosing cholangitis


Correct Option: B
Explanation:

Polymyalgia rheumatica is a syndrome with pain or stiffness, usually in the neck, shoulders, and hips. The pain can be very sudden, or can occur gradually over a period of time. It may be caused by an inflammatory condition of blood vessels, muscle biopsies, however, are normal.

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