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Example Questions
Example Question #2 : Other Immunity Principles
Which of the following group of cells are of the myeloid lineage?
NK cells
All of the above
T cells
Some dendritic cells
B cells
Some dendritic cells
Cells of myeloid lineage include dendritic cells, monocytes, macrophages, neutrophils, basophils, and eosinophils, while cells of lymphoid lineage include NK cells, B cells and T cells.
Example Question #122 : Immune And Lymphatic Systems
Which of the following statements is true?
Healthy individuals do not have any B cells that are reactive against self-antigen.
The elimination of autoreactive lymphocytes during central tolerance is more important in the prevention of autoimmunity than peripheral tolerance.
Female sex hormones do not play an important role in the pathogenesis of autoimmune disease.
Naive B cells need more than one signal to become activated towards a specific antigen.
In the prevention of autoimmunity, T cell tolerance is more critical than B cell tolerance against self-nuclear antigens.
Naive B cells need more than one signal to become activated towards a specific antigen.
Naive B cells (and most other immune cell subtypes) need more than one signal to become activated. They normally need B cell receptor signaling (signal 1), costimulation by other receptors (signal 2), and cytokines/chemokines (signal 3). This system is necessary in order to prevent aberrant activation of lymphocytes (safeguard against autoimmunity).
In regards to the other statements, there are numerous autoreactive B cells at any given time due to the stochastic nature of VDJ recombination and germinal center reactions. Therefore, tolerance mechanisms and checkpoints are incredibly important to keep these cells in check; central and peripheral tolerance are equally important. Self-nuclear reactive B cells and T cells are both necessary and critical in autoimmune pathogenesis. Female sex hormones are definitely believed to contribute greatly to autoimmune disease pathogenesis (e.g. estrogen). Over 75% of autoimmune patients are women.
Example Question #471 : Mcat Biological Sciences
Somatic hypermutation of B cell receptor (BCR) genes in immature, developing B lymphocytes generates numerous specificities that are useful against a specific foreign antigen, however the process generates many more specificities that are either low affinity or reactive against self-antigens. Tolerance mechanisms, which include apoptosis or anergy, are in place in the bone marrow to prevent these "non-useful" or "harmful" B cells from exiting. However, these checkpoints are not 100% accurate and numerous B cells with autoreactive BCR's leave and travel to secondary lymphoid tissues.
Tolerance checkpoints exist in secondary lymphoid tissues to purge the repertoire of low-affinity or autoreactive B cells. What is the tolerance checkpoint mechanism in the secondary lymphoid tissues referred to as?
Clonal expansion
Affinity maturation
Peripheral tolerance
Clonal deletion
Central tolerance
Peripheral tolerance
Peripheral tolerance is the correct term for the tolerance checkpoint mechanisms that are instituted in the secondary lymphoid organs such as spleen and lymph nodes. B cells with BCR specificities that are low affinity or reactive against self-nuclear antigen will be purged from the repertoire.
Example Question #472 : Mcat Biological Sciences
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the loss of tolerance to self antigens leading to the presence of high autoantibody titers. There are several underlying causes behind SLE, one of which is a dysregulation in the clearance of apoptotic cells, which can lead to secondary necrosis. This leads to the leakage of danger signals which contributes to the loss of peripheral tolerance and chronic inflammation.
A deficiency in the clearance of apoptotic cells can be attributed to which immune cell type?
Macrophages
Natural killer cells
Germinal center B cells
Cytotoxic T cells
Plasma cells
Macrophages
The defect in clearance of apoptotic cells in SLE is mainly attributed to macrophages, which serve integral roles in phagocytosis of dead cells and debris. An inability to clear these apoptotic cells over time leads to secondary necrosis, which results in the production and release of several DAMPS or damage-associated molecular pattern molecules which are potent inducers of the immune response.
Example Question #123 : Immune And Lymphatic Systems
Bone marrow chimeric mice are an invaluable tool used by immunologists to elucidate specific mechanisms of the immune response. The generation of these chimeras involve whole body irradiation to eliminate the mouse bone marrow followed by adoptive transfer of bone marrow from a donor mouse (usually transgenic).
One critical step in the successful generation of bone marrow chimeric mice involves the depletion of T cells from the donor bone marrow. Which of the following is reason for this necessary step?
The donor T cells are unable to reconstitute, proliferate, and mature in the recipient mouse.
All of these
The donor T cells may be activated by the MHC antigens from the recipient's cells, resulting in a graft versus host response.
The donor T cells have an inherently reduced cytotoxic killing ability.
The donor T cells are inherently defective in their ability to produce cytokines and growth factors needed in the bone marrow reconstitution.
The donor T cells may be activated by the MHC antigens from the recipient's cells, resulting in a graft versus host response.
T cells from the donor must be depleted due to the risk of incompatible MHC antigens on the recipient cells. If there is incompatibility, the donor T cells will attack and kill the host cells resulting in a graft versus host response.
Example Question #1 : Excretory And Digestive Systems
Which of the following processes occurs in the kidney?
Reabsorption
Secretion
Filtration
The kidney uses all of the listed processes
The kidney uses all of the listed processes
The kidney uses all three of the following processes: filtration, secretion and reabsorption. All three of these processes aid in allowing the body to filter waste products from the blood while retaining nutrients, salts, and water when needed.
Filtration occur when filtrate is separated from blood in the renal corpuscle. Reabsorption is the removal of ions from the filtrate to retain salts. Secretion is the input of salts to the filtrate to eliminate them. All of these processes occur in the nephrons.
Example Question #1 : Kidney And Nephron Physiology
Which of the following is most directly responsible for concentrating urine in the kidney?
Loop of Henle
Glomerulus
Bowman's capsule
Proximal convulated tubule
Loop of Henle
The ascending and descending limbs of the Loop of Henle are responsible for creating a countercurrent multiplier system, which concentrates urine and allows water and electrolytes to passively diffuse down their concentration gradients.
All the other options are part of the nephron, but are not responsible for the process of urine concentration. The glomerulus and Bowman's capsule are responsible for collecting and producing initial filtrate from the blood, and form the renal corpuscle. The proximal convoluted tuble is the initial site of reabsorption.
Example Question #2 : Excretory System
The interaction between blood pressure and kidney function in humans requires coordination by the renin-angiotensin-aldosterone system (RAAS). This system involves the dynamic interplay of the kidneys, lungs, and blood vessels to carefully regulate sodium and water balance.
A normal human kidney has cells adjacent to the glomerulus called juxtaglomerular cells. These cells sense sodium content in urine of the distal convoluted tubule, releasing renin in response to a low level. Renin is an enzyme that converts angiotensinogen to angiotensin I (AI). AI is converted to angiotensin II (AII) by angiotensin converting enzyme (ACE) in the lung.
AII stimulates aldosterone secretion in the zona glomerulosa of the adrenal gland. Aldosterone then acts to upregulate the sodium-potassium pump on the basolateral side of distal tubule epithelial cells to increase sodium reabsorption from the urine, as well as increasing potassium excretion.
A scientist is studying a normally functioning nephron in an adult human. He examines the filtrate as it moves through the ascending limb of the loop of Henle. What observation is he most likely to make?
The filtrate becomes less concentrated as it moves up the loop because the ascending limb is permeable to salt
The filtrate concentration does not change as it moves up the limb
The filtrate becomes less concentrated as it moves up the loop because the ascending limb is permeable to water
The filtrate becomes more concentrated as it moves up the loop because the ascending limb is permeable to salt
The filtrate becomes more concentrated as it moves up the loop because the ascending limb is permeable to water
The filtrate becomes less concentrated as it moves up the loop because the ascending limb is permeable to salt
The ascending limb of the loop of Henle is permeable to salt, not water. As salt is removed from the urine, the urine becomes less concentrated. The urine will ultimately be concentrated in the collecting duct prior to excretion. The ascending limb of the loop of Henle helps to establish the salt gradient of the nephron, ensuring that water will be removed from the urine as it travels down the collecting duct, ultimately increasing the final concentration, even by decreasing the immediate concentration.
Example Question #3 : Excretory System
The interaction between blood pressure and kidney function in humans requires coordination by the renin-angiotensin-aldosterone system (RAAS). This system involves the dynamic interplay of the kidneys, lungs, and blood vessels to carefully regulate sodium and water balance.
A normal human kidney has cells adjacent to the glomerulus called juxtaglomerular cells. These cells sense sodium content in urine of the distal convoluted tubule, releasing renin in response to a low level. Renin is an enzyme that converts angiotensinogen to angiotensin I (AI). AI is converted to angiotensin II (AII) by angiotensin converting enzyme (ACE) in the lung.
AII stimulates aldosterone secretion in the zona glomerulosa of the adrenal gland. Aldosterone then acts to upregulate the sodium-potassium pump on the basolateral side of distal tubule epithelial cells to increase sodium reabsorption from the urine, as well as increasing potassium excretion.
A scientist is studying the effect of aldosterone on the distal tubule cells of a kidney. He finds that antidiuretic hormone also exerts changes on the concentration of urine produced by this kidney. Where does antidiuretic hormone exert its most potent effect?
Proximal tubule
Thick ascending loop of Henle
Glomerulus
Collecting duct
Distal tubule
Collecting duct
Antidiuretic hormone (ADH), also known as vasopressin, increases the permeability of the collecting duct to water. This allows a more concentrated urine to be excreted, because water is being lost from the urine to the kidney tissue before excretion. The gradient created by the reabsorption of ions from the loop of Henle means that the interstitium is hypertonic to the collecting duct. If the permeability of the collecting duct to water is increased, we would expect water to flow out of the collecting duct. We would expect ADH levels to increase with dehydration in order to preserve water.
Example Question #1 : Excretory And Digestive Systems
The proximal tubule of the nephron is the primary location for the reabsorption of which of the following blood filtrates?
Glucose
Proteins
Sodium
All of these
All of these
The proximal tubule of the nephron directly follows after Bowman's capsule, and is the first site of reabsorption. Any glucose and proteins that were able to enter the filtrate are removed here via active transport. Most glucose and proteins are blocked from the filtrate by the structure of the glomerulus wall and Bowman's capsule, but those that are able to pass must be removed quickly to maintain the proper oncotic pressures in the nephron. Sodium is perhaps the most important electrolyte in the body; though large quantities of sodium may enter the filtrate, over half of it is reabsorbed in the proximal tubule.
The proximal tubule also serves as a site for reabsorption for potassium and phosphate. Other regions of the nephron closely regulate the reabsorption of bicarbonate and protons, as well as fine-tune the balance of sodium and potassium.
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