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Immunology Assessment: Central and Peripheral Tolerance, Clonal Deletion, Clonal Anergy, Clonal Editing, Autoreactive T and B Cells, Tolerogens, Apoptosis, Immune Privilege, Autoimmune Diseases, Hashimoto’s Thyroiditis, Type 1 Diabetes, Myasthenia Gravis,

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Immunology Assessment: Central and Peripheral Tolerance, Clonal Deletion, Clonal Anergy, Clonal Editing, Autoreactive T and B Cells, Tolerogens, Apoptosis, Immune Privilege, Autoimmune Diseases, Hashimoto’s Thyroiditis, Type 1 Diabetes, Myasthenia Gravis, Systemic Lupus Erythematosus, Multiple Sclerosis, Rheumatoid Arthritis, HLA-B27, Genetic Susceptibility, Antigen-Specific Immunotherapy, Graft Rejection, Autografts, Isografts, Allografts, Minor and Major Histocompatibility Loci, ABO Blood Group Matching, T-cell Sensitization, Effector Phase, CD4+ and CD8+ T Cells, Immunosuppressive Therapy, Immunological Memory, and T-cell Deficient Models Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 1. Central tolerance: A. is the first step of tolerance mechanisms. B. affects both T cells and B cells. C. deletes cells that are autoreactive. D. occurs in the bone marrow and thymus. E. All of the above. Answer: E Section: Establishment and Maintenance of Tolerance Difficulty: 1 Hint: Autoreactivity can involve both T cells and B cells. 2. Which of the following statements does NOT describe tolerogens accurately? A. They can be the same molecules as immunogens. B. They lead cells to become unresponsive. C. They are part of peripheral tolerance. D. They only affect B cells. E. All of the above. Answer: D Section: Establishment and Maintenance of Tolerance Difficulty: 2 Hint: Tolerogens are equivalent to immunogens, but in different context. 3. The tolerogenic response: A. is not antigen specific. B. leads to apoptosis but not anergy. C. results in cells becoming non-responsive. D. depends of the presentation context. E. affects T cells only. Answer: C Section: Establishment and Maintenance of Tolerance Difficulty: 2 Hint: Anergy and apoptosis are both mechanisms of tolerance. 4. Tolerance is promoted by all of the following circumstances EXCEPT: A. high doses of antigen. B. persistent antigen. C. oral introduction of antigen. D. presence of adjuvant. E. low levels of costimulation. Answer: D Section: Establishment and Maintenance of Tolerance Difficulty: 2 Hint: Oral polio vaccine is unusual in its effectiveness. 5. Tolerance is promoted by: A. induction of anergy. B. induction of apoptosis. C. regulation of activity of cells. D. Both A and B. E. All of the above. Answer: E Section: Establishment and Maintenance of Tolerance Difficulty: 1 Hint: Autoreactivity is such a large potential problem that multiple systems to control it are used. 6. Apoptosis

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Immunology Assessment: Central and Peripheral Tolerance, Clonal Deletion,
Clonal Anergy, Clonal Editing, Autoreactive T and B Cells, Tolerogens, Apoptosis,
Immune Privilege, Autoimmune Diseases, Hashimoto’s Thyroiditis, Type 1
Diabetes, Myasthenia Gravis, Systemic Lupus Erythematosus, Multiple Sclerosis,
Rheumatoid Arthritis, HLA-B27, Genetic Susceptibility, Antigen-Specific
Immunotherapy, Graft Rejection, Autografts, Isografts, Allografts, Minor and
Major Histocompatibility Loci, ABO Blood Group Matching, T-cell Sensitization,
Effector Phase, CD4+ and CD8+ T Cells, Immunosuppressive Therapy,
Immunological Memory, and T-cell Deficient Models Exam Questions Verified
and Provided with Complete A+ Graded Rationales Latest Updated 2026




1. Central tolerance:



A. is the first step of tolerance mechanisms.

B. affects both T cells and B cells.

C. deletes cells that are autoreactive.

D. occurs in the bone marrow and thymus.

E. All of the above.

Answer: E

Section: Establishment and Maintenance of Tolerance

Difficulty: 1

Hint: Autoreactivity can involve both T cells and B cells.




2. Which of the following statements does NOT describe tolerogens accurately?

, A. They can be the same molecules as immunogens.

B. They lead cells to become unresponsive.

C. They are part of peripheral tolerance.

D. They only affect B cells.

E. All of the above.

Answer: D

Section: Establishment and Maintenance of Tolerance

Difficulty: 2

Hint: Tolerogens are equivalent to immunogens, but in different context.




3. The tolerogenic response:



A. is not antigen specific.

B. leads to apoptosis but not anergy.

C. results in cells becoming non-responsive.

D. depends of the presentation context.

E. affects T cells only.

Answer: C

Section: Establishment and Maintenance of Tolerance

Difficulty: 2

Hint: Anergy and apoptosis are both mechanisms of tolerance.




4. Tolerance is promoted by all of the following circumstances EXCEPT:

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