Help with Antigens, Antibodies, and MHCs

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Anatomy › Help with Antigens, Antibodies, and MHCs

Questions 1 - 10
1

A patient has A positive blood type. What type of blood can this patient receive?

O positive

AB negative

B positive

AB positive

None of these

Explanation

For any recipient, we must consider what antibodies they have. A patient with A positive blood has the following antibodies: anti-B For any donor, we must consider what antigens they have. The donor cannot have an antigen that matches the recipient's antibodies, or else agglutination will occur. Therefore, any B blood types will result in agglutination. The O positive person only expresses the Rh antigen, and the recipient does not express this antibody. No agglutination will occur.

2

Which of the following are true, assuming A, B, O blood type compatibility?

I. An Rh positive patient cannot receive blood from an Rh negative donor

II. An Rh negative patient cannot receive blood from an Rh positive donor

III. An Rh negative patient can only receive blood from an Rh negative donor

II and III

I only

II only

III only

I, II, and III

Explanation

We must first assume the two people are A, B, O compatible (ie., both patients are type A). An Rh negative person is negative because they lack the Rh antigen. An Rh positive person does not produce any Rh antibodies or else they would attack their own blood. Therefore, there is no antigen to attack and no antibodies to attack with, so agglutination will not occur.

3

Which of the following attaches directly to pathogens to mark them for destruction?

Antibodies

B-cells

T-cells

Macrophages

Plasma cells

Explanation

Antibodies are produced by plasma cells (mature B-cells) with specific binding affinity for surface proteins that have been presented by antigen-presenting cells, like dendritic cells and macrophages. Once the plasma cell is stimulated by the presence of the specific antigen, it increases production of its antibody. These antibodies enter the blood and bind the antigen molecules on the surface of the pathogen cell. Cytotoxic T-cells and cytokines can then interact with the antibodies to initiate lysis of the infected cell or pathogen.

4

Which of the following statements is true?

B-lymphocytes have antibodies that attach to presented antigens

A B-lymphocyte will release different antibodies until one of them attaches to an antigen

An antibody can attach to multiple antigens

Memory T-cells release antibodies in the event of infection by a previously encountered pathogen

Explanation

It helps to think of antigens and antibodies like a lock and key: they are highly specific for one another. B-lymphocytes create only one type of antibody. When this antibody attaches to an antigen presented by a macrophage or antigen-presenting cell, the B-lymphocyte will differentiate with the help of a helper T-cell. The result is replication of the B-lymphocyte to produce more of the same antibody from plasma cells and generate memory B-cells to easily respond in the event of a second infection by the pathogen.

5

The human immune system is organized along two broad arms: innate immunity and adaptive immunity. The differences between these two approaches to immunity are not always black and white, but can be described in general terms with regard to immunological memory. Adaptive immunity displays this type of memory, and mounts a more intense response to pathogens upon second and subsequent exposures.

Within adaptive immunity, the system is further divided into humoral immunity and cell-mediated immunity. We can say that antibodies are the primary mediators of the former, while CD8 T-cell based cytotoxicity is the mediator of the latter.

CD4 T-cells, unlike their CD8 counterparts, are involved in both the humoral and cell-mediated arms of adaptive immunity. These CD4 cells drive isotype switching, a process that changes the types of antibodies produced after initial exposure to a pathogen to increase their molecular affinity. Additionally, CD4 cells promote the activity of macrophages to directly digest invading pathogens.

After isotype switching facilitates the production of new serum antibody types by B-cells, an experiment shows that antibodies bind more tightly to pathogens. The researcher conducting the experiment concludes that these new antibodies are more efficient at interrupting infection than were the antibodies produced immediately following initial exposure to the pathogen. Which of the following is the most likely?

IgM was produced immediately after initial pathogen exposure, while IgG was produced after isotype switching

IgA was produced immediately after initial pathogen exposure, while IgM was produced after isotype switching

IgG was produced immediately after initial pathogen exposure, while IgM was produced after isotype switching

IgM was produced immediately after initial pathogen exposure, while IgA was produced after isotype switching

IgA was produced immediately after initial pathogen exposure, while IgG was produced after isotype switching

Explanation

The question specifies that the antibodies in question are serum antibodies, while IgA is primarily an antibody type secreted into luminal environments. As a result, we can conclude that IgA is not likely to be involved at all in this experiment. Beyond this, you must know that IgM is the type of antibody that is produced upon initial pathogen exposure. After CD4 cells facilitate isotype switching, IgG is produced and demonstrates more robust binding.

6

Which of the following correctly lists the antibodies and antigens an person with A positive blood has?

Antibodies: B

Antigens: A, Rh

Antibodies: A, Rh

Antigens: B

Antibodies: A, B, Rh

Antigens: A, Rh

Antibodies: A, Rh

Antigens: A, Rh

None of these

Explanation

Blood antigens are the protein markers on the surface of red blood cells. On an A positive red blood cell, there is the A marker (antigen) and the Rh marker (antigen). Antibodies are found in the blood plasma, and these bind to foreign antibodies to cause agglutination. People produce antibodies for the antigens they do not have (Rh antibodies are only made after exposure to Rh positive blood). An A positive person will express the B antibody.

7

Which antibody is able to cross the placenta?

IgG

IgM

IgA

IgE

IgD

Explanation

IgG is the only class of immunoglobulin that is able to cross the placenta. This is important as this immunoglobulin is able to provide passive immunity to the unborn fetus

8

Which of the following statements are true?

I. An Rh negative patient can receive Rh positive blood once without a reaction, but any subsequent exposure will result in agglutination

II. An Rh positive patient can receive Rh negative blood once without a reaction, but any subsequent exposure will result in agglutination

III. An Rh negative patient can receive Rh negative blood once without a reaction, but any subsequent exposure will result in agglutination

I only

I and II

III only

I, II and III

I and III

Explanation

Rh negative people are not born with Rh antibodies. After exposure to Rh positive blood, the Rh negative patient will begin producing Rh antibodies. Any subsequent exposure will cause agglutination. This has applications in childbirth, if there mother is Rh negative, and the baby is Rh positive. It is possible for the baby's blood to come in contact with the mother's (especially during childbirth). Neither the baby nor the mother are at risk, however, if the mother has another baby that is Rh positive, the mother will have antibodies from when she first encountered Rh positive blood from the previous baby. This may cause harm to the second (and any subsequent) Rh positive babies.

9

MHC I is found on which cell types?

All nucleated cells

Antigen presenting cells only

B cells only

None of the other answers

Phagocytic cells only

Explanation

MHC I is found on all nucleated cells and presents antigens to cytotoxic T lymphocytes. These cytotoxic T cells contain CD8 receptors, which binds to MHC I. MHC II cells are found on B-lymphocytes and antigen presenting cells only. MHC II presents antigens to helper T cells, which contain CD4 receptors.

10

The human immune system is organized along two broad arms: innate immunity and adaptive immunity. The differences between these two approaches to immunity are not always black and white, but can be described in general terms with regard to immunological memory. Adaptive immunity displays this type of memory, and mounts a more intense response to pathogens upon second and subsequent exposures.

Within adaptive immunity, the system is further divided into humoral immunity and cell-mediated immunity. We can say that antibodies are the primary mediators of the former, while CD8 T-cell based cytotoxicity is the mediator of the latter.

CD4 T-cells, unlike their CD8 counterparts, are involved in both the humoral and cell-mediated arms of adaptive immunity. These CD4 cells drive isotype switching, a process that changes the types of antibodies produced after initial exposure to a pathogen to increase their molecular affinity. Additionally, CD4 cells promote the activity of macrophages to directly digest invading pathogens.

A scientist is conducting an experiment with a bacterial cell that stimulates an antibody response in mice. The scientist is able to isolate the particular region of the bacterial cell that generates the response and binds to the antibody. This portion of the bacterial cell is best described as the __________.

epitope

variable region

constant region

heavy chain

light chain

Explanation

The epitope is the region of a target cell to which an antibody binds. The remaining choices are all structural regions of the antibody itself, as opposed to the target cells to which an antibody binds.

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