問題一覧
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19.The ag marker most closely asso w/ transmissibility of HBV infection is:
HBeAg
2
100. What kind of ag-ab rxn would be expected if soluble antigen is added to homologous antibody?
precipitation
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51. Hep B, a dse arising from a DNA virus, is diagnosed in its acute phase via serology for HBsAg, HBeAg, IgM alpha-HBC and total alpha-HBc. Once a px reaches chronic HBV infxn, effectiveness of therapy may be evaluated using:
HBV DNA testing w/ real time PCR
4
25. The ff cold agglutinin titer results are observed:
(+) 1:128
5
40. The J-chain is asso w/ w/c of the ff IG?
IgA
6
78.W/c of the ff has been asso w/ px who have homozygous C3 deficiency?
a lifelong history of life-threatening infections
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2. MHC class III genes code for
complement
8
46. SLE px often have which of the ff test results?
high titer of DNA ab
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52. The area of the IG molecule referred to as the hinge region is located between which domains?
CH1&CH2
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41. Chronic transplant rejection is a cell mediated & humoral immune response that involves all the ff EXCEPT:
antibodies to MHC antigens on white cells
11
69.HLA-B8 ag has been asso w/ w/c of ff pairs of dse
myasthenia gravis & celiac dse
12
13. Multiplex bead assays for the detection of cytokines are efficient quantifiers of numerous cytokines at one time. One complication of such testing is:
the short half-life of certain cytokines
13
34. The strength of a visible reaction is known as:
avidity
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26. On a follow-up visit to her dr, a young woman was given the results of her FTA-ABS test. She had been symptomatic for a couple months b4 this visit, w/ fever swollen cervical lymph nodes, fatigue,& rash affecting the palms of her hands & the soles of her feet,but she was now feeling better.Earlier test strategies that u would expect the dr. to have requested include all of the ff EXCEPT:
RAST
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50. C3b and Fc receptors are present on:
B lymphocytes & monocytes
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74. A 16yo boy w/ infectious mononucleosis has a cold agglutinin titer of 1:2000. An important consideration of this antibody's clinical relevance is the:
thermal range
17
96.W/c of the ff is the larger residual split portion of C3?
C3b
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86.W/c of the ff IG is the most efficient at aggln?
IgM
19
93. Immunoassays are based on the principle of:
antibody recognition of homologous antigen
20
68. Macrophages are characterized by:
surface rece[tprs for C3b complement
21
62. W/c of the ff is the most common humoral immune deficiency dse?
selective IgA deficiency
22
87. Antibody allotype is determined by the:
constant regions of heavy & light chain
23
60. A px returns from a camping trip, where he vacationed for several days in a tick-endemic environment.1month after his return home, he visited his health care provider w/ complaints of fatigue, numbness & history of rash surrounding an insect bite that occurred immediately on his return home from vacation. Suspecting Lyme disease, his clinician ordered an ELISA to test for Lyme ab, results of w/c were equivocal on 2 diff tests. His health care provider then ordered follow-up testing with:
Western blot
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28. A px abnormal lymphocytes are CD2(+)ag, lack C3 receptors,& are surface IG(-) This can be classified as a disorder of:
T cells
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31. In indirect ELISA mtd designed to detect ab to the rubella virus in px serum the conjugate used should be:
anti-human IgG conjugated to an enzyme
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47.Mantoux skin test to identify infxn w/ M. tuberculosis
a cell-mediated response
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22. The hyperviscosity syndrome is most likely to be seen in monoclonal dse of which of the ff IG classes?
IgM
28
5. A heterophile antigen is best described as?
existing in an unrelated animal
29
53. Biological false(+)VDRL rxn are frequently encountered in px with:
lupus erythematosus
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70.W/c test is used to evaluate cellular immune system in a px?
skin test for commonly encountered ag
31
42. serological test that can be modified to selectively detect only specific IgM ab in untreated serum is:
enzyme immunoassay
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18. MHC class I includes which peptides / proteins?
HLA A, B, C
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73.Anti-phospholipid ab asso w/ autoimune disorders tend to have IG that belongs to w/c subclasses?
IgG2 & IgG4
34
83.A (+)ANA w/ pattern of anti-centromere ab is most frequently seen in px with:
CREST syndrome
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66. Cells from a px w/ hairy cell leukemia have immunologic and functional features of:
B lymphocytes & monocytes
36
6. In skin test, a wheal & flare development is:
immediate hypersensitivity
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11.20nm spheres & filamentous structures of HBV
circulating aggregates of HBsAg
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88. Substances that are antigenic only when coupled to a protein carrier are:
haptens
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30. IMMUNOlogic mtd utilized in the FLOW cytometer?
immunofluorescence
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98. Tumor-asso transplantation ag are not found in:
bacterial cells
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49. A suspected anthrax lesion was submitted to the lab for preparation and testing. The test of choice
direct immunoassay
42
55. Which of the ff is an important marker for the presence of immature B cells in px with ALL?
TdT
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21. The visible serological rxn between soluble ag & its specific ab is:
precipitation
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71.A px w/ B cell deficIeNCy will most likely exhibit:
inc bacterial infections
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27. IL-4 can stimulate B cells to produce IgE, a major contributor to:
Type I hypersensitivity
46
80. The Mantoux test for M. tuberculosis is based on
Type 4 hypersensitivity rxn
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81. The profile that matches the typical test profile for chronic active hepatitis due to hepatitis B virus is:
profile a
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95. PCR is extremely sensitive, but testing is often complicated by:
contamination of samples yielding false(+) results
49
8. Immunoglobulin idiotypic diversity is explained by
germ line recombination
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3. Ab class & ab subclass are determined by major physiochemical differences & antigenic variation found primarily in the
constant region of heavy chain
51
97. Polyclonal B cell activation:
can induce autoantibody prodn
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82.RheuMatoid factor is most often of w/c of the ff classes:
IgM
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23.w/c lab technique most frequently use to diagnos & follow the course of therapy of px w/ 2ndary syphilis?
flocculation
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75. Which of the ff is most likely to activate the alternative patHway of complement activation?
haptens
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48. The assembly of the complement "membrane attack unit" is initiated with the binding of:
C5
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76. The IIF staining pattern on ethanol-fixed leukocytes slides shows a perinuclear or nuclear staining pattern. This pattern is typically due to:
P-ANCA
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91. The procedure for compatibility testing in organ transplant medicine is very similar for the donor & the recipient. One additional procedure that the recipient must undergo that is not relevant to the donor testing is:
anti-HLA ab testing
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72. W/c of the ff is released during T cell activation?
cytokines
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35. The APR that has the fastest response time & can rise 100X is?
CRP
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99. For the diagnosis of late latent or tertiary syphilis, the most appropriate assay is:
FTA-ABS
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1.Floculation test for syphilis detect the presence of:
reagin ab
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4. A serological test for syphilis that depends upon the detection of cardiolipin-lecithin-cholesterol ag is:
RPR
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58. A haptenic determinant will react with:
ab but not T cells
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89. A substrate is first exposed to a px serum, then after washing, anti-human immunoglobulin labeled with a fluorochrome is added. The procedure described is:
indirect fluorescence
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64.W/c of the ff is an organ specific autoimmune dse
Addison disease
66
33.The enzyme cntrl tube in ASO hemolytic assay exhibits no cell lysis.What is the most likely explanation
reduction of the enzyme
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56. Initiation of the activation mechanism of the alternative complement pathway differs from that of the classical pathway in that:
ag-ab complexes containing IgA or IgE may initiate activation
68
92. In hybridoma technology, the desirable fused cell
myeloma-lymphocyte hybrid
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45. The primary advantage of the labeled immunoassays compared to unlabeled immunoassays is:
sensitivity
70
77.The result of an ANA test was a titer of 1:320 w/ a peripheral pattern.W/c of the ff sets of results best correlate w/ these results?
anti-dsDNA titer 1:80, & a high titer of ab to Sm
71
39. the test results above,it can be concluded that px #3 has:
acute hepatitis B
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14.Blood is drawn from a px for a serological test for a viral dse shortly after the time of onset & again 4wks later. The results of the test are considered diagnostic if:
2nd ab titer is at least 4X the 1st
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63. The technologist observes apparent homogenous staining of nucleus of interphase cells while performing an IFA-ANA, as well as staining of the chromosomes in mitotic cells. This results is:
expected for anti-DNA ab
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59. Components of the complement system most likely to coat a cell are:
C1 & C2
75
61.W/c of the ff complement components is a strong chemotactic factor as well as a strong anaphylatoxin?
C5a
76
15. The best mtd to detect infections due to rubella, Epstein-Barr & HIV is:
ab detection by EIA
77
57. Soluble immune complexes r formed under the condition of:
ag excess
78
94. Antibody idiotype is dictated by the:
variable regions of heavy & light chain
79
17. T lymphocytes that possess the CD8 surface marker mediate which of the ff T cell functions?
cytotoxic
80
7. Rheumatoid factors are immunoglobulins with specificity for allotypic determinants located on the:
Fc fragment of IgG
81
37. The kEy Structural difference that distinguishes immunoglobulin subclasses is the:
the sequence of the constant regions
82
65. A single, reliable screening test for detecting neonatal infection in the absence of clinical signs is:
quantitative serum IgM
83
84. Which of the ff activities is associated with C3b?
opsonization
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9.the ff pattern of aggln was observed in ab titration: This set of reactions most likely resulted from:
prozoning
85
67. Cytokines involved in innate immune regulation include all but:
IL-3
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10. Bone marrow transplant donors & their recipients must be matched for which antigen system(s)?
HLA
87
43. Sera to be tested for IFA-ANA 6days after drawing is best stored at:
5C+2C
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85. A DPT vaccination is an example of:
active humoral-mediated immunity
89
38. W/c of the ff is most useful in establishing a diagnosis in convalescence phase of a viral infection?
serological techniques
90
36. procedure has been routinely used for detection of HBsAg because of its high level of sensitivity:
ELISA
91
54. Anti-glomerular basement membrane antibody is most often associated with this condition:
Goodpasteur syndrome
92
16. Immunodeficiency w/ thrombocytopenia & eczema is often referred to as:
Wiskott-Aldrich syndrome
93
29.ratio of kappa to lambda light chain producing cells in normal individuals
2:1
94
44. The most commonly used serological indicator of recent streptococcal infection is the antibody to:
Streptolysin O
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90. Methods of target amPlification in molecular testing include all but:
primer amplification
96
12. Antihistamines like Benadryl:
block H1 histamine receptors
97
20.Ab directed at native DNA are most frequently asso w/ w/c pattern of fluorescence in the IFA-ANA test?
rim
98
32. Incompatibility by which of the ff procedures is an absolute contraindication to allotransplantation?
ABO grouping
99
79. Hereditary angioedema is characterized by:
dec activity of C1 esterase inhibitor