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  • High endothelial venules (HEVs) bring naive lymphocytes into lymph nodes.
  • What best distinguishes cytokines from chemokines?
  • What is the function of B cell receptor signaling in activation?
  • Compared to constant regions, where are most amino acid differences between two IgG antibodies located, and which variable-region subregions are involved?
  • What is allelic exclusion and how does it affect adaptive immune receptors?
  • GALT and MALT coordinate immune defenses at mucosal surfaces with specialized B and T cell responses and production of which antibody?
  • Which statement is true about CRP in relation to innate immunity?
  • The initiation of class switch recombination involves recombination between which genetic elements?
  • Which statement correctly maps TLRs to their ligands?
  • When NK cells are outnumbered by dendritic cells, what do NK cells signal dendritic cells to do?
  • Which cell type is a primary producer of Type I interferons?
  • During the neutrophil respiratory burst, which species is directly produced by NADPH oxidase?
  • What are the two IgA subclasses in humans?
  • Which mechanisms contribute to antibody diversity at the antigen-binding site?
  • Do light chains have isotypes? If so, what are they and can an antibody have both light-chain isotypes?
  • How do vaccines generate protective immunity, and what is the role of adjuvants?
  • Which function best describes dendritic cells in initiating adaptive immunity?
  • If NK cells outnumber dendritic cells, what happens to the dendritic cells?
  • What is the role of Fc receptors in immune complex handling?
  • Which enzyme is involved in both somatic hypermutation and isotype switching?
  • Which statement describes the role of plasma cells in humoral immunity?
  • Which antibody is most abundant in secondary immune responses and can fix complement?
  • Define clonal anergy and clonal deletion.
  • Which gene is mutated in X-linked agammaglobulinemia?
  • What is the main immunoglobulin produced during primary antibody responses?
  • AID is required for which B cell processes?
  • What holds the four chains of an antibody together?
  • What is the 'danger model' of immunity?
  • Describe the general steps of antigen processing for MHC class II presentation.
  • Which cell type expresses CD40L to activate B cells?
  • How do immunogenic and tolerogenic antigens differ?
  • Which cytokine is commonly produced by NK cells during early innate responses?
  • Which immunoglobulin heavy chain constant regions are typically produced by CSR rather than RNA splicing?
  • Distinguish the roles of CD4 and CD8 co-receptors in antigen recognition.
  • IgD is present on the surface of B cells and plays a role in induction of antibody production. Which isotype is IgD?
  • What are the different isotypes of heavy chains and light chains?
  • What is the function of memory B cells compared to plasma cells?
  • Explain the role of interferons in antiviral immunity.
  • Which immunoglobulin is typically produced first during a primary immune response?
  • Which statement about Type I interferon forms in humans is correct?
  • Arrange the steps of leukocyte extravasation in their correct order.
  • Which combination of cytokines promotes Th1 vs Th2 differentiation?
  • Which immunoglobulin class is produced first during a typical antibody response?
  • Are the antigen-binding sites on surface IgM and IgD the same, and how can both be expressed on the surface simultaneously?
  • Somatic hypermutation is catalyzed by which enzyme, and what is the consequence?
  • Which of the following changes are permanent DNA-level changes in B cell maturation?
  • What does the germline configuration of the TCR variable region genes look like in all cells except mature T-cells?
  • Which molecule initiates the classical complement pathway?
  • What is the role of dendritic cells in initiating adaptive immunity?
  • Which combination represents a direct antibody-mediated mechanism to neutralize viral infections?
  • Define clonal selection theory and its main implication for immunology.
  • Differentiate MHC class I and class II in terms of peptide origin, presenting cell type, and T cell recognition.
  • What is the role of germinal centers in humoral immunity?
  • After switching from μ to γ1, which DNA would be excised?
  • What explains why C delta does not require a switch region for expression?
  • What is ELISA and what is it used for?
  • Explain the role of regulatory T cells (Tregs) and the transcription factor involved.
  • Explain immune checkpoint inhibition and mention two molecules involved.
  • Name two transcription factors central to Th17 and Treg differentiation and their associated cytokines.
  • Which statement about isotype switching is true?
  • L-selectin binds to which ligands?
  • True or False: The removal of DNA during CSR is reversible?
  • What does antibody neutralization entail?
  • Which condition is a classic example of Type II hypersensitivity?
  • In MHC class II antigen processing, which component is most directly responsible for promoting exchange of CLIP for antigenic peptide in endosomes?
  • Know what neutrophils do and their hematopoietic lineage. Which sequence correctly describes their development?
  • Which sample is primarily analyzed in serology to detect antibodies?
  • What is the first step of leukocyte extravasation?
  • Secreted IgA is typically a dimer and is distributed to serum, nasal secretions, saliva, breast milk, and bowel fluid; breast milk protects the gastrointestinal tract. Which isotype is this?
  • Mucosa-associated lymphoid tissue (MALT) primarily serves to what?
  • Explain somatic hypermutation and class switch recombination and where they occur.
  • How do cytotoxic T lymphocytes kill target cells?
  • Which statement about Type IV hypersensitivity is correct?
  • How do memory responses differ from primary responses in terms of speed and magnitude?
  • Explain the three complement pathways and a key feature of each.
  • Which statement about RAG1 and RAG2 is correct?
  • Which statement about T cell costimulation is correct?
  • A Th2-dominated response is most associated with which cytokines and effects?
  • What is the role of GALT and MALT in mucosal immunity?
  • What is the primary function of T follicular helper cells (Tfh) in the germinal center?
  • Which characteristic best describes memory B cells in secondary immune responses?
  • The marginal zone contains specialized B cells and macrophages that rapidly respond to which type of pathogens?
  • What is class switch recombination and what enzyme mediates it?
  • Which description best describes the TLR4 signaling mechanism?
  • What are the two key processes that occur in germinal centers to diversify antibody responses?
  • An antibody is composed of how many chains and which types?
  • Which statement best distinguishes innate immunity from adaptive immunity?
  • What happens when a membrane BCR becomes a secreted antibody?
  • What are the main types of hypersensitivity and an example of each?
  • Which sequence correctly describes antigen processing for MHC class I presentation?
  • What is the role of natural killer (NK) cells in innate immunity?
  • Know the two effector functions of NK cells.
  • Which cytokine is anti-inflammatory and helps regulate immune responses?
  • Which chain confers the antibody's isotype?
  • Secretory IgA at mucosal surfaces mainly functions to?
  • A Th1-skewed immune response is most associated with which of the following features?
  • Pattern recognition receptors detect PAMPs and DAMPs. Name two families of PRRs and provide examples.
  • Which antibody isotype is primarily responsible for placental transfer?
  • What is another widely used name for neutrophils?
  • What are the two main epitope types described?
  • Which statement correctly describes the four types of hypersensitivity reactions?
  • Which cytokine primarily promotes Th2 differentiation and humoral immunity?
  • Central tolerance occurs via deletion of self-reactive clones in which location?
  • Affinity maturation results from which process?
  • How many IgA subclasses exist in humans?
  • Which adhesion molecule binds to ICAM-1?
  • What are the two signals required for naive CD4+ T cell activation?
  • CD2 (LFA-2) binds to which molecule?
  • Which cell type is primarily responsible for producing large quantities of antibody during an active immune response?
  • Which immune mechanism is most associated with memory formation in adaptive immunity?
  • Which component is primarily responsible for opsonization in the complement system?
  • What is the role of the complement system in immunity?
  • Where are HV and CDR located within the antibody structure?
  • How many IgG subclasses exist in humans?
  • Which option correctly identifies the receptor family that includes TLRs, RLRs, and NLRs?
  • What is the role of mucosal immunity in barrier defense?
  • Medulla of the lymph node contains which cells?
  • Which immunoglobulin isotype predominates in mucosal immunity?
  • Define clonal expansion and affinity maturation in B cell responses.
  • Name two immunodeficiencies that illustrate humoral vs cellular immune defects.
  • How do memory B and T cells differ from naive cells in terms of response speed and magnitude upon re-exposure?
  • In transplantation, how does MHC (HLA) compatibility affect graft rejection?
  • What is the significance of the spleen’s white pulp PALS?
  • What is the role of IL-2 in T cell biology?
  • Which sequence best describes antigen processing for MHC class II presentation?
  • Somatic hypermutation occurs when and what does it affect?
  • What provides the costimulatory signal in naive CD4+ T cell activation?
  • Which cells predominantly produce IL-17?
  • What does RSS stand for in V(D)J recombination, and what is its role?
  • Type II interferon gamma is produced in response to which infections?
  • In MHC class II antigen processing, what is the role of CLIP?
  • What does the 12/23 rule govern in V(D)J recombination?
  • Which statement best describes the function of pattern recognition receptors (PRRs) and provide examples?
  • What term describes non-reactivity to self-antigens that prevents autoimmunity?
  • What happens during somatic recombination and somatic hypermutation? Where and when do each occur?
  • IgG subclass concept: Which statement is true?
  • Which cell type is primarily responsible for presenting antigen to naïve T cells in lymph nodes?
  • What is immune tolerance and where does central tolerance occur?
  • Which immunoglobulin isotypes are co-expressed on the surface of mature naive B cells?
  • What is the general term for the five products transcribed as a result of TLR-4 recognition?
  • Which Ig constant region gene is expressed on naive B cells without a switch region, due to being produced by RNA splicing with μ?
  • Which cell type is most directly activated by IFN-γ to enhance microbicidal activity?
  • Which transcription factor is essential for T helper 1 differentiation and is activated by IL-12?
  • Which vitamin is essential for maintaining mucosal barriers and supporting immune function via retinoic acid signaling?
  • Which statement about memory B cells is true?
  • Which cells express MHC class II?
  • What is the role of CD28 in T cell activation?
  • Switch regions in Ig heavy chain locus are best described as:
  • Which gene segments need to come together to make a functional gene for the variable region in B-cells for heavy and light chains?
  • What is the role of clonal deletion and receptor editing in B cell tolerance?
  • How do pattern recognition receptors contribute to cytokine networks in early infection?
  • Which immunoglobulin isotype is prominently produced in mucosal immunity, including IgA production?
  • Which type of neutrophil granule contains gelatinase?
  • Which T cell subset primarily recognizes peptides presented by MHC class I molecules?
  • Which target do NK cells typically fight?
  • Which antibody is the main circulating antibody that can cross the placenta and protect a newborn?
  • Which statement best contrasts live attenuated vaccines with inactivated vaccines in terms of durability and safety?
  • Which effector cell primarily mediates antibody-dependent cellular cytotoxicity (ADCC)?
  • Which component is NOT found in neutrophil secondary (specific) granules?
  • Antibody-dependent cellular cytotoxicity (ADCC) involves which effector cells primarily, and what receptor mediates recognition?
  • If a B cell switches from IgM to IgG1, can it later revert to IgG3 or IgD?
  • Where are autoreactive T cells primarily deleted during central tolerance?
  • Naive B cells express IgM and IgD via which mechanism?
  • Besides direct neutralization and ADCC, which other antibody-mediated mechanism contributes to viral clearance?
  • Which antibody isotype specializes in mucosal immunity?
  • Which cytokine promotes Th1 differentiation and activates macrophages?
  • Which cytokine profile best defines a Th1 response?
  • Which cytokine does an NK cell secrete to activate macrophages?
  • How many constant-region isotypes do heavy chains have?
  • How do MHC class II molecules present peptides and to which T cells?
  • Which enzyme initiates somatic hypermutation in B cells?
  • Which cytokine recruits neutrophils and promotes inflammation?
  • Which immunoglobulin isotype cannot be produced by class switch recombination because it lacks a switch region?
  • How do MHC class I molecules present peptides and to which T cells?
  • What is the basic premise of clonal selection theory?
  • TLR-4 recognition transcribes five genes; which set lists these genes correctly?
  • Which statement about Th2 differentiation is correct?
  • Affinity maturation occurs in which location?
  • Which statement correctly describes a common downstream event shared by all three complement pathways?
  • Name the three pathways of complement activation.
  • Which transcription factor promotes regulatory T cell development and function?
  • Which chemokine guides T and B cells to lymph nodes?
  • Which immunoglobulin is the first antibody produced?
  • Which response is produced in a cell targeted by an NK cell?
  • Which statement best describes the CD40-CD40L interaction in B cell activation?
  • What is the role of Toll-like receptors (TLRs) in innate immunity, and give an example ligand?
  • Which enzyme adds non-templated N nucleotides at junctions during V(D)J recombination?
  • Which CDRs are present in the immunoglobulin variable region?
  • Which immunoglobulin isotypes can cross the placenta to provide fetal immunity?
  • In a given antibody, are the two heavy chains identical to each other, and are the two light chains identical to each other?
  • Which statement differentiates memory B cells from plasma cells?
  • Which organ contains the white pulp with the PALS T cell–rich region around central arterioles?
  • Describe the main functional difference between innate and adaptive immunity and provide an example of each.
  • What is the structure and function of a ZAP-70 tyrosine kinase in T cell receptor signaling?
  • The splenic marginal zone is especially effective against which type of pathogens?
  • Which statement best describes the role of C-reactive protein (CRP) and Mannose-binding lectin (MBL) in innate immunity?
  • Which antibody crosses the placenta best?
  • Which mechanism accounts for the additional diversity at the antigen-binding site through junctional rearrangements?
  • In the TLR4 signaling pathway, which adaptor protein is involved in transmitting signals leading to NF-κB activation?
  • Which molecule prevents premature binding of peptides to MHC class II during processing?
  • Which transcription factor drives Th17 differentiation?
  • Which molecule presents endogenous peptides to CD8+ T cells?
  • Affinity measures the strength of binding between an antibody and antigen and is most accurately indicated by which parameter?
  • Outline the role of TAP1 and TAP2 in antigen processing for MHC I.
  • Which immune process restores tolerance in B cells by altering the light chain to reduce autoreactivity?
  • Which two cell types are enriched in the splenic marginal zone?
  • Which statement correctly describes Type I interferons?
  • Which chemokine is primarily associated with guiding B cells to lymphoid follicles?
  • What is the main innate immune cell activated by Type I interferons?
  • Which statement about Cδ production on naive B cells?
  • What does the germline configuration of the Ig variable region genes look like in all cells except mature B-cells?
  • Which immune cells are the major producers of interleukin-12 (IL-12) in early immune responses?
  • Which zone in a lymph node is primarily populated by B cells?
  • What is the primary role of regulatory T cells in immune homeostasis?
  • SCID is often due to defects in which genes?
  • What is the significance of endosomal acidification in antigen processing for MHC II?
  • Which statement best describes ELISA in the context of immunology testing?
  • What does CDR stand for, and where are HV regions located within the antibody structure?
  • Diversity in CDR3 is primarily generated by which gene segments and junctions?
  • IgM is pentameric and distributed in the blood; it is produced early in the immune response. Which isotype is this?
  • Which statement about marginal zones and PALS in the spleen is correct?
  • Which cells are primarily responsible for cross-presentation of extracellular antigens to CD8+ T cells?
  • Which molecule among the following is a chemokine associated with neutrophil attraction and is listed among the TLR4-induced genes?
  • What is the significance of MHC polymorphism in immune responses?
  • What is flow cytometry used for in immunology?
  • What is serology versus cellular immunity assays?
  • Type II hypersensitivity is primarily mediated by antibodies of which isotypes?
  • Which molecule is produced from superoxide by the action of superoxide dismutase during the respiratory burst?
  • Engagement of receptors such as mannose receptor, CR3, CR4, or scavenger receptor initiates which mechanism in a phagocyte?
  • What is the role of cytokine IL-10 in immune regulation?
  • Distinguish opsonization versus neutralization.
  • What are the main effector functions of complement component C3b?
  • Which description correctly characterizes Type III hypersensitivity?
  • Peripheral tolerance refers to mechanisms that prevent self-reactivity in tissues, including:
  • CSR functional consequence?
  • When TLRs are engaged on macrophages, which mechanism is initiated?
  • Which cell type secretes large amounts of antibodies?
  • Which statement best describes the function of regulatory T cells?
  • What is the primary function of the constant regions of antibodies?
  • IgE is associated with immunity to parasites and allergic reactions such as pollinosis. Which isotype is IgE?
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