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Human Diseases

Description: This test is based on questiond from AIDS and Cancer.This test will help the students in revising these topics thoroughly.
Number of Questions: 15
Created by:
Tags: AIDS and Cancer Related Disorders Auto Immune Diseases AID and Cancer -- Causes and Control AIDS Cancer
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Defects in neutrophil NADPH oxidase system produces ________________.

  1. chronic granulomatous disease

  2. chediak-higashi disease

  3. leukocyte adhesion deficiency

  4. hashimoto's disease

  5. streptococcal infection


Correct Option: A
Explanation:

There is a failure to make reactive oxygen intermediates and to raise the pH in the phagocytic vacuole, which facilitates microbicidal action.

Which of the following enzymes is sole responsible for manufacturing HIV proteins during the production of new viruses?

  1. Integrase

  2. Protease

  3. Reverse transcriptase

  4. DNA polymerase

  5. Nucleoside-diphosphate kinases


Correct Option: B
Explanation:

Proteases are enzymes that break the peptide bond that joins amino acids together in proteins. It is essential for the life-cycle of HIV and is responsible for processing the viral proteins of HIV following transcription and translation.

Paroxysmal nocturnal hemoglobinuria is a rare, genetically acquired life-threatening disorder. It results from deficiency in which of the following?

  1. Myeloperoxidase

  2. Decay accelerating factor (DAF)

  3. Classical pathway C components

  4. C1 inhibitor

  5. C8


Correct Option: B
Explanation:

The spontaneous creation of alternative pathway C3 convertase on the red cell is normally eliminated through membrane bound DAF.

Mutation in which of the following results in X-linked agammaglobulinemia?

  1. IFN gamma receptor

  2. The CIITA promoter protein

  3. An HLA gene

  4. CD40L (CD154)

  5. A tyrosine kinase gene


Correct Option: E
Explanation:

Mutations occur in the Bruton's tyrosine kinase (Btk) gene.

A defect in which of the following results in Di George syndrome?

  1. Purine nucleoside phosphorylase

  2. WASP

  3. Thymic development

  4. DNA repair

  5. CD3


Correct Option: C
Explanation:

Stem cells are unable to differentiate to mature T-cells in the absence of the thymic microenvironment.

Wheat germ agglutinin binds strongly to ______________.

  1. surface lipoproteins on resting T-cells

  2. surface glycoproteins on resting T-cells

  3. surface glycoproteins on resting B-cells

  4. surface glycoproteins on activated T- and B-cells

  5. surface lipoproteins on activated T and B-cells


Correct Option: D
Explanation:

Within 24 h of stimulation by lymphocyte polyclonal activators, high concentrations of binding sites for this lectin appear on the surface of the cell.

Which of the following is found in the amyloid deposits found in 10–20% of patients with myeloma?

  1. Immunoglobulin light chains

  2. Immunoglobulin heavy chains

  3. Amyloid A (AA) protein

  4. Isolated single molecules

  5. Congo red


Correct Option: A
Explanation:

Immunoglobulin-secreting cells produce an excess of light chain over heavy chain. Fragments of this excess light chain form the amyloid deposits found in 10–20% of patients with multiple myeloma.

The normal immunological control of tumors is referred to as _____________.

  1. immunological tolerance

  2. immune surveillance

  3. type III hypersensitivity

  4. immunological silence

  5. superantigen recognition


Correct Option: B
Explanation:

Immunological surveillance refers to the recognition of altered cells with a neoplastic potential, which may then be eliminated to prevent the emergence of the tumor.

Which of the following is a non-organ-specific (systemic) autoimmune disease?

  1. Myasthenia gravis

  2. Systemic lupus erythematosus (SLE)

  3. Hashimoto's thyroiditis

  4. Pernicious anemia

  5. Insulin-dependent diabetes mellitus


Correct Option: B
Explanation:

SLE is a disease involving antibodies to non-organ specific antigens such as DNA and induces immune complexes, which deposit in the vascular bed causing kidney, skin, joint and cerebral lesions.

Which of the following antibodies are useful for the diagnosis of Sjogren's syndrome in a person?

  1. Anti-cardiolipin

  2. Anti-neutrophil cytoplasm (ANCA)

  3. Anti-SS-A(Ro) and anti-SS-B(La)

  4. Anti-21-hydroxylase

  5. Anti-glomerular basement membrane


Correct Option: C
Explanation:

They give a speckled nuclear fluorescence pattern.

Which of the following statements does not characterise non-nucleoside reverse transcriptase inhibitors in an individual suffering from AIDS?

  1. They cannot be used parallel to nucleoside reverse transcriptase inhibitors.

  2. They get attached to an allosteric binding site.

  3. Resistance can be created due to a mutation resullting asparagine in the target binding site changed into lysine.

  4. Binding of NNRTIs with the main protein chain in the binding site slowers the reaction.

  5. They interfere with reverse transcriptase by binding indirectly to the enzyme.


Correct Option: B
Explanation:

The non-nucleoside reverse transcriptase inhibitors bind to an allosteric binding site next to the active site of reverse transcriptase.

Upon examination doctor told a couple that their daughter is suffering from pernicious anemia, thus she is most likely to also suffer from which of the following disorders?

  1. Rheumatoid arthritis

  2. Graves' disease

  3. Addison's disease of the adrenal glands

  4. Autoimmune hemolytic anemia

  5. Multiple sclerosis


Correct Option: B
Explanation:

Graves' disease is a fairly frequent organ-specific disease and is often found in association with pernicious anemia.

On examination it was found that a boy was HLA-DR2 positive. He is at a risk of developing which of the following disease?

  1. Insulin-dependent (type I) diabetes

  2. Ankylosing spondylitis

  3. Multiple sclerosis

  4. Rheumatoid arthritis

  5. Myasthenia gravis


Correct Option: C
Explanation:

Individuals with HLA-DR2 are more at risk of developing multiple sclerosis than those with other HLA-DR specificities. Thus a higher frequency of HLA-DR2 is found in MS patients versus the normal population.

The high concordance rate for monozygotic vs dizygotic twins in type 1 diabetes indicates ___________.

  1. a strong environmental element

  2. a major influence of sex

  3. the influence of HLA

  4. a strong genetic element

  5. that microbial infection cannot be involved


Correct Option: D
Explanation:

The higher concordance rate for genetically identical monozygotic compared to the genetically non-identical dizygotic twins brought up in the same environment clearly favours a strong genetic element.

On daignosis it was found that Mr. Batra is suffering from pernicious anemia. Which of the following antibodies are of most use for the diagnosis of pernicious anemia in an individul?

  1. Anti-parietal cell

  2. Anti-thyroid peroxidase

  3. Anti-nuclear antibodies

  4. Anti-IgG Fc

  5. Anti-TSH receptors


Correct Option: A
Explanation:

Parietal cell antibodies detected by immunofluorescence on stomach sections are important markers of inflammatory atrophic gastritis and the subsequent pernicious anemia which can develop. Antibodies to intrinsic factors are even stronger confirmation.

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