,Table of Contents
qy qy
Chapter 01 Properties and Overview of Immune Responses
qy qy qy qy qy qy qy 1
Chapter 02 Cells and Tissues of the Immune System
qy qy qy qy qy qy qy qy 3
Chapter 03 Leukocyte Circulation and Migration Into Tissues
qy qy qy qy qy qy qy 6
Chapter 04 Innate Immunity
qy qy qy 10
Chapter 05 Antibodies and Antigens
qy qy qy qy 17
Chapter 06 Antigen Presentation to T Lymphocytes and the Functions of Major
qy qy qy qy qy qy qy qy qy qy qy
Histocompatibility Complex Molecules
qy qy 20
Chapter 07 Immune Receptors and Signal Transduction
qy qy qy qy qy qy 27
Chapter 08 Lymphocyte Development and Antigen Receptor Gene Rearrangement
qy qy qy qy qy qy qy qy 30
Chapter 09 Activation of T Lymphocytes
qy qy qy qy qy 34
Chapter 10 Differentiation and Functions of CD4+ Effector T Cells
qy qy qy qy qy qy qy qy qy 38
Chapter 11 Differentiation and Functions of CD8+ Effector T Cells
qy qy qy qy qy qy qy qy qy 42
Chapter 12 B Cell Activation and Antibody Production
qy qy qy qy qy qy qy 46
Chapter 13 Effector Mechanisms of Humoral Immunity
qy qy qy qy qy qy 52
Chapter 14 Specialized Immunity at Epithelial Barriers and in Immune Privileged Tissues
qy qy qy qy qy qy qy qy qy qy qy 56
Chapter 15 Immunologic Tolerance and Autoimmunity
qy qy qy qy qy 62
Chapter 16 Immunity to Microbes
qy qy qy qy 67
Chapter 17 Transplantation Immunology
qy qy qy 72
Chapter 18 Tumor Immunology
qy qy qy 77
Chapter 19 Hypersensitivity Disorders
qy qy qy 81
Chapter 20 Allergy
qy qy 86
Chapter 21 Primary and Acquired Immunodeficiencies
qy qy qy qy qy 89
,Chapter 01: Properties and Overview of Immune Responses
qy qy qy qy qy qy qy
Abbas, Lichtman, and Pillai: Cellular and Molecular Immunology, 11th Edition
qy qy qy qy qy qy qy qy qy
MULTIPLE CHOICE qy
1. The principal function of the immune system is:
qy qy qy qy qy qy qy
a. Defense against cancer qy qy
b. Repair of injured tissues qy qy qy
c. Defense against microbial infections qy qy qy
d. Prevention of inflammatory diseases qy qy qy
e. Protection against environmental toxins qy qy qy
ANS: C q y
The immune system has evolved in the setting of selective pressures imposed by microbi
qy qy qy qy qy qy qy qy qy qy qy qy qy
al infections. Although immune responses to cancer may occur, the concept that ―immun
qy qy qy qy qy qy qy qy qy qy qy qy
osurveillance‖ against cancer is a principal function of the immune system is controversi
qy qy qy qy qy qy qy qy qy qy qy qy
al. Repair of injured tissues may be a secondary consequence of the immune responses a
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
nd inflammation. Although the immune system has regulatory features that are needed to
qy qy qy qy qy qy qy qy qy qy qy qy
prevent excessive inflammation, prevention of inflammatory diseases is not a primary fu
qy qy qy qy qy qy qy qy qy qy qy qy
nction. The immune system can protect against microbial toxins, but it generally does not
qy qy qy qy qy qy qy qy qy qy qy qy qy q
offer protection against toxins of nonbiologic origin.
y qy qy qy qy qy qy
2. Which of the following infectious diseases was prevented by the first successf
qy qy qy qy qy qy qy qy qy qy qy
ul vaccination?
qy
a. Polio
b. Tuberculosis
c. Smallpox
d. Tetanus
e. Rubella
ANS: C q y
In 1798, Edward Jenner reported the first intentional successful vaccination, which was a
qy qy qy qy qy qy qy qy qy qy qy qy
gainst smallpox in a boy, using material from the cowpox pustules of a milkmaid. In 1980
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
, smallpox was reported to be eradicated worldwide by a vaccination program. Effective
qy qy qy qy qy qy qy qy qy qy qy qy qy
vaccines against tetanus toxin, rubella virus, and poliovirus were developed in the 20th c
qy qy qy qy qy qy qy qy qy qy qy qy qy
entury and are widely used. There is no effective vaccine against Mycobacterium tubercu
qy qy qy qy qy qy qy qy qy qy qy qy
losis.
3. Which of the following is a unique property of the adaptive immune system?
qy qy qy qy qy qy qy qy qy qy qy qy
a. Highly diverse repertoire of specificities for antigens
qy qy qy qy qy qy
b. Self-nonself discrimination qy
c. Recognition of microbial structures by both cell-associated and soluble receptors
qy qy qy qy qy qy qy qy qy
d. Protection against viral infections qy qy qy
e. Responses that have the same kinetics and magnitude on repeated exposure to t
qy qy qy qy qy qy qy qy qy qy qy qy
he same microbe qy qy
ANS: q y A
, Highly diverse repertoires of specificities for antigens are found only in T and B lympho
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
cytes, which are the central cellular components of the adaptive immune system. Both th
qy qy qy qy qy qy qy qy qy qy qy qy qy
e innate and the adaptive immune systems use cell-
qy qy qy qy qy qy qy qy
associated and soluble receptors to recognize microbes, display some degree of self-
qy qy qy qy qy qy qy qy qy qy qy
nonself discrimination, and protect against viruses. On repeated exposure to the same mi
qy qy qy qy qy qy qy qy qy qy qy qy
crobe, the adaptive immune response becomes more rapid and of greater magnitude; this
qy qy qy qy qy qy qy qy qy qy qy qy q
is the manifestation of memory.
y qy qy qy qy
4. Antibodies and T lymphocytes are the respective mediators of which two types
qy qy qy qy qy qy qy qy qy qy qy qy
of immunity?
qy
a. Innate and adaptive qy qy
b. Passive and active qy qy
c. Specific and nonspecific qy qy
d. Humoral and cell-mediated qy qy
e. Adult and neonatal qy qy
ANS: D q y
Both B and T lymphocytes are principal components of adaptive immunity. B lymphocyte
qy qy qy qy qy qy qy qy qy qy qy qy
s produce antibodies, which are the recognition and effector molecules of humoral immun
qy qy qy qy qy qy qy qy qy qy qy qy
e responses to extracellular pathogens. T cells recognize and promote eradication of intrac
qy qy qy qy qy qy qy qy qy qy qy qy
ellular pathogens in cell- qy qy qy
mediated immunity. Passive and active immunity both can be mediated by either B or T ly
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
mphocytes. Specific immunity is another term for adaptive immunity. Both B and T lymp
qy qy qy qy qy qy qy qy qy qy qy qy qy
hocytes participate in adult adaptive immunity but are still developing in the neonatal peri
qy qy qy qy qy qy qy qy qy qy qy qy qy
od.
5. The two major functional classes of effector T lymphocytes are:
qy qy qy qy qy qy qy qy qy
a. Helper T lymphocytes and cytotoxic T lymphocytesqy qy qy qy qy qy
b. Natural killer cells and cytoWtoWxW
ic.TTlB
yS
mMph.oW
cyStesqy qy qy qy
c. Memory T cells and effector T cells qy qy qy qy qy qy
d. Helper cells and antigen-presenting cells qy qy qy qy
e. Cytotoxic T lymphocytes and target cells qy qy qy qy qy
ANS: A q y
T cells can be classified into effector subsets that perform different effector functions. Mo
qy qy qy qy qy qy qy qy qy qy qy qy qy
st effector T cells are either helper T lymphocytes, which enhance the responses of other
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
immune cells, including phagocytes and B cells, to infections, or cytotoxic T lymphocyt
qy qy qy qy qy qy qy qy qy qy qy qy qy
es, which directly kill infected cells. Natural killer cells are not T lymphocytes.
qy qy qy qy qy qy qy qy qy qy qy qy
Antigen-presenting cells usually are not T cells. Memory T cells are not effector T cells. qy qy qy qy qy qy qy qy qy qy qy qy qy qy
6. Which of the following cell types is required for all adaptive humoral immune responses?
qy qy qy qy qy qy qy qy qy qy qy qy qy
a. Natural killer cells qy qy
b. Dendritic cells qy
c. Cytolytic T lymphocytes qy qy
d. B lymphocytes qy
e. Helper T lymphocytes qy qy
ANS: D q y
Humoral immune responses are antibody- qy qy qy qy
mediated immune responses, and all antibodies are made by B lymphocytes and no oth
qy qy qy qy qy qy qy qy qy qy qy qy qy
er cell type.
qy qy
qy qy
Chapter 01 Properties and Overview of Immune Responses
qy qy qy qy qy qy qy 1
Chapter 02 Cells and Tissues of the Immune System
qy qy qy qy qy qy qy qy 3
Chapter 03 Leukocyte Circulation and Migration Into Tissues
qy qy qy qy qy qy qy 6
Chapter 04 Innate Immunity
qy qy qy 10
Chapter 05 Antibodies and Antigens
qy qy qy qy 17
Chapter 06 Antigen Presentation to T Lymphocytes and the Functions of Major
qy qy qy qy qy qy qy qy qy qy qy
Histocompatibility Complex Molecules
qy qy 20
Chapter 07 Immune Receptors and Signal Transduction
qy qy qy qy qy qy 27
Chapter 08 Lymphocyte Development and Antigen Receptor Gene Rearrangement
qy qy qy qy qy qy qy qy 30
Chapter 09 Activation of T Lymphocytes
qy qy qy qy qy 34
Chapter 10 Differentiation and Functions of CD4+ Effector T Cells
qy qy qy qy qy qy qy qy qy 38
Chapter 11 Differentiation and Functions of CD8+ Effector T Cells
qy qy qy qy qy qy qy qy qy 42
Chapter 12 B Cell Activation and Antibody Production
qy qy qy qy qy qy qy 46
Chapter 13 Effector Mechanisms of Humoral Immunity
qy qy qy qy qy qy 52
Chapter 14 Specialized Immunity at Epithelial Barriers and in Immune Privileged Tissues
qy qy qy qy qy qy qy qy qy qy qy 56
Chapter 15 Immunologic Tolerance and Autoimmunity
qy qy qy qy qy 62
Chapter 16 Immunity to Microbes
qy qy qy qy 67
Chapter 17 Transplantation Immunology
qy qy qy 72
Chapter 18 Tumor Immunology
qy qy qy 77
Chapter 19 Hypersensitivity Disorders
qy qy qy 81
Chapter 20 Allergy
qy qy 86
Chapter 21 Primary and Acquired Immunodeficiencies
qy qy qy qy qy 89
,Chapter 01: Properties and Overview of Immune Responses
qy qy qy qy qy qy qy
Abbas, Lichtman, and Pillai: Cellular and Molecular Immunology, 11th Edition
qy qy qy qy qy qy qy qy qy
MULTIPLE CHOICE qy
1. The principal function of the immune system is:
qy qy qy qy qy qy qy
a. Defense against cancer qy qy
b. Repair of injured tissues qy qy qy
c. Defense against microbial infections qy qy qy
d. Prevention of inflammatory diseases qy qy qy
e. Protection against environmental toxins qy qy qy
ANS: C q y
The immune system has evolved in the setting of selective pressures imposed by microbi
qy qy qy qy qy qy qy qy qy qy qy qy qy
al infections. Although immune responses to cancer may occur, the concept that ―immun
qy qy qy qy qy qy qy qy qy qy qy qy
osurveillance‖ against cancer is a principal function of the immune system is controversi
qy qy qy qy qy qy qy qy qy qy qy qy
al. Repair of injured tissues may be a secondary consequence of the immune responses a
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
nd inflammation. Although the immune system has regulatory features that are needed to
qy qy qy qy qy qy qy qy qy qy qy qy
prevent excessive inflammation, prevention of inflammatory diseases is not a primary fu
qy qy qy qy qy qy qy qy qy qy qy qy
nction. The immune system can protect against microbial toxins, but it generally does not
qy qy qy qy qy qy qy qy qy qy qy qy qy q
offer protection against toxins of nonbiologic origin.
y qy qy qy qy qy qy
2. Which of the following infectious diseases was prevented by the first successf
qy qy qy qy qy qy qy qy qy qy qy
ul vaccination?
qy
a. Polio
b. Tuberculosis
c. Smallpox
d. Tetanus
e. Rubella
ANS: C q y
In 1798, Edward Jenner reported the first intentional successful vaccination, which was a
qy qy qy qy qy qy qy qy qy qy qy qy
gainst smallpox in a boy, using material from the cowpox pustules of a milkmaid. In 1980
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
, smallpox was reported to be eradicated worldwide by a vaccination program. Effective
qy qy qy qy qy qy qy qy qy qy qy qy qy
vaccines against tetanus toxin, rubella virus, and poliovirus were developed in the 20th c
qy qy qy qy qy qy qy qy qy qy qy qy qy
entury and are widely used. There is no effective vaccine against Mycobacterium tubercu
qy qy qy qy qy qy qy qy qy qy qy qy
losis.
3. Which of the following is a unique property of the adaptive immune system?
qy qy qy qy qy qy qy qy qy qy qy qy
a. Highly diverse repertoire of specificities for antigens
qy qy qy qy qy qy
b. Self-nonself discrimination qy
c. Recognition of microbial structures by both cell-associated and soluble receptors
qy qy qy qy qy qy qy qy qy
d. Protection against viral infections qy qy qy
e. Responses that have the same kinetics and magnitude on repeated exposure to t
qy qy qy qy qy qy qy qy qy qy qy qy
he same microbe qy qy
ANS: q y A
, Highly diverse repertoires of specificities for antigens are found only in T and B lympho
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
cytes, which are the central cellular components of the adaptive immune system. Both th
qy qy qy qy qy qy qy qy qy qy qy qy qy
e innate and the adaptive immune systems use cell-
qy qy qy qy qy qy qy qy
associated and soluble receptors to recognize microbes, display some degree of self-
qy qy qy qy qy qy qy qy qy qy qy
nonself discrimination, and protect against viruses. On repeated exposure to the same mi
qy qy qy qy qy qy qy qy qy qy qy qy
crobe, the adaptive immune response becomes more rapid and of greater magnitude; this
qy qy qy qy qy qy qy qy qy qy qy qy q
is the manifestation of memory.
y qy qy qy qy
4. Antibodies and T lymphocytes are the respective mediators of which two types
qy qy qy qy qy qy qy qy qy qy qy qy
of immunity?
qy
a. Innate and adaptive qy qy
b. Passive and active qy qy
c. Specific and nonspecific qy qy
d. Humoral and cell-mediated qy qy
e. Adult and neonatal qy qy
ANS: D q y
Both B and T lymphocytes are principal components of adaptive immunity. B lymphocyte
qy qy qy qy qy qy qy qy qy qy qy qy
s produce antibodies, which are the recognition and effector molecules of humoral immun
qy qy qy qy qy qy qy qy qy qy qy qy
e responses to extracellular pathogens. T cells recognize and promote eradication of intrac
qy qy qy qy qy qy qy qy qy qy qy qy
ellular pathogens in cell- qy qy qy
mediated immunity. Passive and active immunity both can be mediated by either B or T ly
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
mphocytes. Specific immunity is another term for adaptive immunity. Both B and T lymp
qy qy qy qy qy qy qy qy qy qy qy qy qy
hocytes participate in adult adaptive immunity but are still developing in the neonatal peri
qy qy qy qy qy qy qy qy qy qy qy qy qy
od.
5. The two major functional classes of effector T lymphocytes are:
qy qy qy qy qy qy qy qy qy
a. Helper T lymphocytes and cytotoxic T lymphocytesqy qy qy qy qy qy
b. Natural killer cells and cytoWtoWxW
ic.TTlB
yS
mMph.oW
cyStesqy qy qy qy
c. Memory T cells and effector T cells qy qy qy qy qy qy
d. Helper cells and antigen-presenting cells qy qy qy qy
e. Cytotoxic T lymphocytes and target cells qy qy qy qy qy
ANS: A q y
T cells can be classified into effector subsets that perform different effector functions. Mo
qy qy qy qy qy qy qy qy qy qy qy qy qy
st effector T cells are either helper T lymphocytes, which enhance the responses of other
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
immune cells, including phagocytes and B cells, to infections, or cytotoxic T lymphocyt
qy qy qy qy qy qy qy qy qy qy qy qy qy
es, which directly kill infected cells. Natural killer cells are not T lymphocytes.
qy qy qy qy qy qy qy qy qy qy qy qy
Antigen-presenting cells usually are not T cells. Memory T cells are not effector T cells. qy qy qy qy qy qy qy qy qy qy qy qy qy qy
6. Which of the following cell types is required for all adaptive humoral immune responses?
qy qy qy qy qy qy qy qy qy qy qy qy qy
a. Natural killer cells qy qy
b. Dendritic cells qy
c. Cytolytic T lymphocytes qy qy
d. B lymphocytes qy
e. Helper T lymphocytes qy qy
ANS: D q y
Humoral immune responses are antibody- qy qy qy qy
mediated immune responses, and all antibodies are made by B lymphocytes and no oth
qy qy qy qy qy qy qy qy qy qy qy qy qy
er cell type.
qy qy