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AIDS and Cancer

Description: This test will boost the students knowledge about AIDS and cancer.
Number of Questions: 15
Created by:
Tags: Cancer AIDS and Cancer: Causes and Control AIDS
Attempted 0/15 Correct 0 Score 0

Which of the following is the coreceptor for HIV?

  1. RANTES

  2. CD8

  3. CD54

  4. CR5

  5. CXCR4


Correct Option: E
Explanation:

CXCR4 is a chemokine receptor, which HIV utilizes as a coreceptor for entry into naive CD4+ T-cells and mature dendritic cells. Another chemokine receptor, CCR5 is used particularly for entry of HIV into immature dendritic cells, macrophages and activated effector or memory CD4+ T-cells.

The human immunodeficiency virus (HIV) is a retrovirus that infects cells of the immune system, destroying or impairing their function. HIV binds to ________________.

  1. CD4

  2. IL-2 receptor

  3. NF kappa B

  4. Reverse transcriptase

  5. TNF receptors


Correct Option: A
Explanation:

The HIV envelope protein gp120 binds to CD4. This targets the virus to this T-cell subset.

Which of the following HIV antigens provides a potential target for neutralising antibody?

  1. U3

  2. gp120

  3. Reverse transcriptase

  4. Protease

  5. tat


Correct Option: B
Explanation:

gp120 is an envelope protein,  which binds to CD4 on the T-cell. Antibodies to the V3 loop of gp120 arise during the disease and are particularly effective as neutralising agents in vitro, although less so in vivo. Generally, neutralising antibodies are more effective against HIV-2 than against HIV-1.

Which of the following is not helpful in the diagnosis of AIDS?

  1. CD4 numbers

  2. CD8 numbers

  3. Skin tests to bacterial antigens

  4. Lymph node biopsy

  5. Serum p24 antigen


Correct Option: B
Explanation:

CD8 numbers are largely unaffected. It is the ratio of CD4:CD8 that falls dramatically.

Deletions in the T-cell CD154 (CD40L) gene produces which of the following?

  1. Congenital X-linked agammaglobulinemia

  2. IgA deficiency

  3. Wiskott–Aldrich Syndrome

  4. Deficiency in cytotoxic T-cell activity

  5. The hyper–IgM syndrome


Correct Option: E
Explanation:

Lack of CD154 (CD40L) prevents signalling to the B-cell CD40 to bring about Ig class-switching away from IgM.

Primary immunodeficiency producing susceptibility to infection by viruses and molds is due to ___________.

  1. B-cell deficiency

  2. T-cell deficiency

  3. phagocyte deficiency

  4. complement deficiency

  5. eosinophil deficiency


Correct Option: B
Explanation:

Production of cytokines and of cytotoxic T-cells are important in the protective response.

Which of the following have not provided examples of secondary immunodeficiency?

  1. Viral infection

  2. Lymphoproliferative disorders

  3. Cytotoxic drugs

  4. High fat diet

  5. Low iron diet


Correct Option: D
Explanation:

Here is no evidence that a high fat diet can lead to secondary immunodeficiency.

Lol p1-11 are allergens cloned from which of the following?

  1. Rye grass pollen

  2. House dust mite

  3. House dust mite feces

  4. Animal danders

  5. Dermatophagoides pteryonyssinus


Correct Option: A
Explanation:

At least 10% of the population suffer to a greater or lesser degree from allergies involving localized IgE-mediated anaphylactic reactions to extrinsic allergens. An increasing number of these allergens have now been cloned including Der p1-14 from house dust mites and Lol p1-11 from rye grass pollen.

Which of the following mice strains are deficient in NK cells?

  1. SJL

  2. Beige

  3. Nude

  4. MRL-lpr/lpr

  5. Moth-eaten viable


Correct Option: B
Explanation:

NK cells are spontaneously cytotoxic for certain tumor cell lines and express CD16, the low affinity Fc gamma RIII. Beige mice congenitally lack NK cells and die with spontaneous tumors earlier than their non-deficient heterozygous+/bg littermates.

Which of the following mast cell products is not preformed and therefore has to be newly synthesised?

  1. Histamine

  2. Prostaglandin D2

  3. Heparin

  4. Neutral protease

  5. Eosinophil chemotactic factor (ECF)


Correct Option: B
Explanation:

Prostaglandins and thromboxanes are newly synthesised by the mast cell using the cyclo-oxygenase pathway. The leukotrienes B4, C4 and D4 (slow reacting substance of anaphylaxis, SRS-A) are also newly synthesised by the mast cell, in this instance using the lipoxygenase pathway.

Which of the following can block the Type I hypersensitivity?

  1. Histamine

  2. An IgA myeloma

  3. A myeloma protein of mixed antibody class

  4. Sodium cromoglycate

  5. Interleukin-5


Correct Option: D
Explanation:

Sodium cromoglycate is a mast cell stabiliser,  which makes the cell resistant to triggering. It is thus able to block type I hypersensitivity.

Which of the following diagnostic markers is for intestinal tumor?

  1. Alpha-fetoprotein

  2. Carcinoembryonic antigen

  3. The presence of Reed-Sternberg cells

  4. EBV-related antigens

  5. Common acute lymphoblastic leukemia antigen


Correct Option: B
Explanation:

Carcinoembryonic antigen (CEA) is an oncofetal antigen but there is a high incidence of false positives. Reappearance of CEA after surgical removal of the primary tumor is strongly indicative of fresh tumor growth.

The approximate percentage of cases of Severe Combined Immuno Deficiency (SCID) due to defects in the Artemis gene is ____________.

  1. 5%

  2. 10%

  3. 15%

  4. 40%

  5. 60%


Correct Option: C
Explanation:

Another 15% of cases is due to RAG - 1/RAG - 2 defects.

Anita's youngest son is suffering from myeloid leukemias. Bone marrow purging in myeloid leukemias can be successfully carried out using antibodies to ________.

  1. CD3

  2. CD33

  3. CD5

  4. CD45

  5. CD1


Correct Option: B
Explanation:

Anti-CD33 is highly specific for myeloid leukemias in relation to other hematopoietic stem cells and has been used successfully for bone marrow purging and also for therapy.

Which of the following cannot bypass the T-helpers?

  1. Failure of regulatory T-cells

  2. Polyclonal activation of B-cells

  3. Idiotypic mechanisms

  4. Antigenic cross-reaction

  5. T-cell recognition of carrier complexed to autoantigen


Correct Option: A
Explanation:

Failure of regulatory T-cells would release the T-helper for direct stimulation by antigen. This statement is therefore incorrect, since this would not be a bypass of the T-helpers.

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