,DOWNLOADgTHEgTestgBankgforgBasicgandgAppliedgConceptsgofgBloodgBankinggandgT
ransfusiongPracticesg4thgEditiongHoward
Chapterg02:gImmunology:gBasicgPrinciplesgandgApplicationsgingthegBloodgBankgHowar
d:gBasicg&gAppliedgConceptsgofgBloodgBankinggandgTransfusiongPractices,g4thgEdition
MULTIPLEgCHOICE
1. Selectgthegcellginvolvedginghumoralgimmunity.
a. Neutrophils
b. Tglymphocytes
c. Bglymphocytes
d. Monocytes
ANS:g C
Bglymphocytesghavegthegabilitygtogtransformgintogplasmagcellsgtogproducegantibodies,gwhichgi
sgconsideredgaghumoralgresponse.
DIF: Levelg2 REF:g g p.g23
2. Whatgprocessgisgdescribedgbygopsonization?
a. Lysisgofgcells
b. Bindinggtogcellsgorgantigens
c. Ingestiongofgcells
d. Phagocytosis
ANS:g B
Opsonizationgpromotesgphagocytosisgbygbindinggtogcellsgorgantigens.
DIF: Levelg1 REF:g g p.g35
3. Selectgthegtermgthatgdescribesgcellsgorgtissuegfromgaggeneticallygdifferentgindividualgwithingth
egsamegspecies.
a. Allogeneic
b. Autologous
c. Xenogeneic
d. Autograft
ANS:g A
Allogeneicgcellsgorgtissuegcomegfromgaggeneticallygdifferentgindividualgwithingthegsamegspeci
es.
DIF: Levelg1 REF:g g p.g33
4. Selectgthegsubstancegthatgregulatesgthegactivitygofgothergcellsgbygbindinggtogspecificgreceptors.
a. Cytokines
b. Complement
c. Immunoglobulins
d. Anaphylatoxin
ANS:g A
Cytokinesgaregproteinsgsecretedgbygcellsgthatgregulategthegactivitygofgothergcellsgbygbindinggtog
specificgreceptors.
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgBasicgandgAppliedgConceptsgofgBloodgBankinggandgT
ransfusiongPracticesg4thgEditiongHoward
DIF: Levelg1 REF:g g p.g23
5. Whichgofgthegfollowinggisgresponsiblegforgthegactivationgofgthegclassicgpathwayg
ofgcomplement?
a. Bacteria
b. Foreigngproteins
c. Virus
d. Antibodygboundgtogantigen
ANS:g D
Angantigen-
antibodygcomplexgactivatesgthegclassicalgcomplementgcascade,gwhereasgbacterialgmembranesg
activategthegalternativegpathway.
DIF: Levelg1 REF:g g p.g33
6. Whatgbiologicalgmoleculesgaregconsideredgthegmostgimmunogenic?
a. Carbohydrates
b. Lipids
c. Proteins
d. Enzymes
ANS:g C
Proteingmoleculesgaregthegmostgimmunogenic,gfollowedgbygcarbohydratesgandglipids,gwhichgte
ndgtogbegimmunologicallyginert.
DIF: Levelg2 REF:g g p.g24
7. Whatgpartgofgthegimmunoglobulingmoleculegdistinguishesgthegisotype?
a. Lightgchain
b. Heavygchain
c. Kappagchain
d. Lambdagchain
ANS:g B
Thegfivegdistinctivegheavy-
chaingmoleculesgdistinguishgthegclassgorgisotype.gEachgheavygchaingimpartsgcharacteristicgfeat
ures,gwhichgpermitgthemgtoghaveguniquegbiologicalgfunctions.
DIF: Levelg2 REF:g g p.g24
8. Selectgthegimmunoglobulingclassgproducedgfirstgingthegprimarygimmunegresponse.
a. IgG
b. IgE
c. IgA
d. IgM
ANS:g D
IgMgantibodiesgaregproducedgfirst,gfollowedgbygthegproductiongofgIgGgantibodies.
DIF: Levelg1 REF:g g p.g28
9. Ingagserologicgtest,gthegtermgprozonegisgalsogknowngas:
mynursytest.store
, DOWNLOADgTHEgTestgBankgforgBasicgandgAppliedgConceptsgofgBloodgBankinggandgT
ransfusiongPracticesg4thgEditiongHoward
a. equivalence.
b. antigengexcess.
c. antibodygexcess.
d. serum-to-cellgratio.
ANS:g C
Antibodygexcessgisgtermedgprozone,goftengleadinggtogagfalse-negativegreaction.
DIF: Levelg1 REF:g g p.g38
10. Whatgisgthegpotentialgeffectgingagtubegagglutinationgtestgifgagredgcellgsuspensiongwith
a concentrationggreatergthang5%gisgused?
g g
a. Falsegnegatives
b. Falsegpositives
c. Hemolysis
d. Nogeffect
ANS:g A
Antigengexcessgisgtermedgpostzonegandgwillglessengthegreaction,gcausinggagfalse-negative.
DIF: Levelg3 REF:g g p.g38
11. Aftergaddinggantigengandgantibodygtogagtestgtube,goneglargegagglutinategwasgobserved.gHo
wgshouldgthisgreactiongbeggraded?
a. 2+
b. 3+
c. 4+
d. 0
ANS:g C
Oneglargegagglutinategisggradedgag4+greaction.
DIF: Levelg2 REF:g g p.g39
12. Selectgthegportiongofgthegantibodygmoleculegthatgimpartsgthegantibody’sguniquegclassgfunction.
a. Constantgregiongofgthegheavygchain
b. Constantgregiongofgtheglightgchain
c. Variablegregiongofgthegheavygchain
d. Variablegregiongofgtheglightgchain
ANS:g A
Thegheavy-chaingconstantgregionghasgthegfunctiongofgthegclass.
DIF: Levelg1 REF:g g p.g26
13. Whatgportiongofgthegantibodygmoleculegbindsgtogreceptorsgongmacrophagesgandgassistsgingth
egremovalgofgantibodygboundgtogredgcells?
a. Fabgfragment
b. Hingegregion
c. Fcgfragment
d. Jgchain
ANS:g C
mynursytest.store
ransfusiongPracticesg4thgEditiongHoward
Chapterg02:gImmunology:gBasicgPrinciplesgandgApplicationsgingthegBloodgBankgHowar
d:gBasicg&gAppliedgConceptsgofgBloodgBankinggandgTransfusiongPractices,g4thgEdition
MULTIPLEgCHOICE
1. Selectgthegcellginvolvedginghumoralgimmunity.
a. Neutrophils
b. Tglymphocytes
c. Bglymphocytes
d. Monocytes
ANS:g C
Bglymphocytesghavegthegabilitygtogtransformgintogplasmagcellsgtogproducegantibodies,gwhichgi
sgconsideredgaghumoralgresponse.
DIF: Levelg2 REF:g g p.g23
2. Whatgprocessgisgdescribedgbygopsonization?
a. Lysisgofgcells
b. Bindinggtogcellsgorgantigens
c. Ingestiongofgcells
d. Phagocytosis
ANS:g B
Opsonizationgpromotesgphagocytosisgbygbindinggtogcellsgorgantigens.
DIF: Levelg1 REF:g g p.g35
3. Selectgthegtermgthatgdescribesgcellsgorgtissuegfromgaggeneticallygdifferentgindividualgwithingth
egsamegspecies.
a. Allogeneic
b. Autologous
c. Xenogeneic
d. Autograft
ANS:g A
Allogeneicgcellsgorgtissuegcomegfromgaggeneticallygdifferentgindividualgwithingthegsamegspeci
es.
DIF: Levelg1 REF:g g p.g33
4. Selectgthegsubstancegthatgregulatesgthegactivitygofgothergcellsgbygbindinggtogspecificgreceptors.
a. Cytokines
b. Complement
c. Immunoglobulins
d. Anaphylatoxin
ANS:g A
Cytokinesgaregproteinsgsecretedgbygcellsgthatgregulategthegactivitygofgothergcellsgbygbindinggtog
specificgreceptors.
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgBasicgandgAppliedgConceptsgofgBloodgBankinggandgT
ransfusiongPracticesg4thgEditiongHoward
DIF: Levelg1 REF:g g p.g23
5. Whichgofgthegfollowinggisgresponsiblegforgthegactivationgofgthegclassicgpathwayg
ofgcomplement?
a. Bacteria
b. Foreigngproteins
c. Virus
d. Antibodygboundgtogantigen
ANS:g D
Angantigen-
antibodygcomplexgactivatesgthegclassicalgcomplementgcascade,gwhereasgbacterialgmembranesg
activategthegalternativegpathway.
DIF: Levelg1 REF:g g p.g33
6. Whatgbiologicalgmoleculesgaregconsideredgthegmostgimmunogenic?
a. Carbohydrates
b. Lipids
c. Proteins
d. Enzymes
ANS:g C
Proteingmoleculesgaregthegmostgimmunogenic,gfollowedgbygcarbohydratesgandglipids,gwhichgte
ndgtogbegimmunologicallyginert.
DIF: Levelg2 REF:g g p.g24
7. Whatgpartgofgthegimmunoglobulingmoleculegdistinguishesgthegisotype?
a. Lightgchain
b. Heavygchain
c. Kappagchain
d. Lambdagchain
ANS:g B
Thegfivegdistinctivegheavy-
chaingmoleculesgdistinguishgthegclassgorgisotype.gEachgheavygchaingimpartsgcharacteristicgfeat
ures,gwhichgpermitgthemgtoghaveguniquegbiologicalgfunctions.
DIF: Levelg2 REF:g g p.g24
8. Selectgthegimmunoglobulingclassgproducedgfirstgingthegprimarygimmunegresponse.
a. IgG
b. IgE
c. IgA
d. IgM
ANS:g D
IgMgantibodiesgaregproducedgfirst,gfollowedgbygthegproductiongofgIgGgantibodies.
DIF: Levelg1 REF:g g p.g28
9. Ingagserologicgtest,gthegtermgprozonegisgalsogknowngas:
mynursytest.store
, DOWNLOADgTHEgTestgBankgforgBasicgandgAppliedgConceptsgofgBloodgBankinggandgT
ransfusiongPracticesg4thgEditiongHoward
a. equivalence.
b. antigengexcess.
c. antibodygexcess.
d. serum-to-cellgratio.
ANS:g C
Antibodygexcessgisgtermedgprozone,goftengleadinggtogagfalse-negativegreaction.
DIF: Levelg1 REF:g g p.g38
10. Whatgisgthegpotentialgeffectgingagtubegagglutinationgtestgifgagredgcellgsuspensiongwith
a concentrationggreatergthang5%gisgused?
g g
a. Falsegnegatives
b. Falsegpositives
c. Hemolysis
d. Nogeffect
ANS:g A
Antigengexcessgisgtermedgpostzonegandgwillglessengthegreaction,gcausinggagfalse-negative.
DIF: Levelg3 REF:g g p.g38
11. Aftergaddinggantigengandgantibodygtogagtestgtube,goneglargegagglutinategwasgobserved.gHo
wgshouldgthisgreactiongbeggraded?
a. 2+
b. 3+
c. 4+
d. 0
ANS:g C
Oneglargegagglutinategisggradedgag4+greaction.
DIF: Levelg2 REF:g g p.g39
12. Selectgthegportiongofgthegantibodygmoleculegthatgimpartsgthegantibody’sguniquegclassgfunction.
a. Constantgregiongofgthegheavygchain
b. Constantgregiongofgtheglightgchain
c. Variablegregiongofgthegheavygchain
d. Variablegregiongofgtheglightgchain
ANS:g A
Thegheavy-chaingconstantgregionghasgthegfunctiongofgthegclass.
DIF: Levelg1 REF:g g p.g26
13. Whatgportiongofgthegantibodygmoleculegbindsgtogreceptorsgongmacrophagesgandgassistsgingth
egremovalgofgantibodygboundgtogredgcells?
a. Fabgfragment
b. Hingegregion
c. Fcgfragment
d. Jgchain
ANS:g C
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