Manipulation of the Immune Response

50 questions available

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Questions

Question 1

What is the primary mechanism by which corticosteroid drugs like prednisone exert their powerful anti-inflammatory and immunosuppressive effects?

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Question 2

Which of the following immunosuppressive drugs is metabolized to mycophenolic acid and works by inhibiting the enzyme inosine monophosphate dehydrogenase, thereby blocking the de novo synthesis of guanosine monophosphate?

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Question 3

What is the primary mechanism of action for the immunosuppressive drugs cyclosporin A and tacrolimus?

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Question 4

How does the drug rapamycin (sirolimus) exert its immunosuppressive effects?

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Question 5

What is the primary mechanism of action for tofacitinib, a Jakinib approved for treating rheumatoid arthritis?

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Question 6

A monoclonal antibody therapeutic is named with the suffix '-zumab'. What does this suffix indicate about the antibody's origin?

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Question 7

How does the anti-CD20 monoclonal antibody rituximab primarily function in the treatment of certain autoimmune diseases and B-cell lymphomas?

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Question 8

What is the mechanism of action of etanercept, a biologic agent used to treat rheumatoid arthritis?

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Question 9

How does the humanized monoclonal antibody natalizumab function to treat multiple sclerosis and Crohn's disease?

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Question 10

What rare but serious opportunistic infection has been associated with natalizumab therapy, leading to its temporary withdrawal from the market?

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Question 11

What is the mechanism of abatacept, a fusion protein used to treat rheumatoid arthritis?

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Question 12

According to the 'immune surveillance' hypothesis, which phase of tumor growth involves the immune system recognizing and destroying potential tumor cells?

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Question 13

How can some tumors, such as colon and cervical cancers, evade immune recognition by T cells?

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Question 14

What are cancer-testis antigens, such as the MAGE antigens, which can serve as targets for tumor immunotherapy?

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Question 15

What technology involves introducing a novel receptor, known as a CAR, into a patient's T cells to target cancer cells?

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Question 16

What is the primary target of the monoclonal antibody trastuzumab (Herceptin), which is used to treat about one-quarter of breast cancer patients?

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Question 17

A clinical trial for a recombinant vaccine against human papilloma virus (HPV), designed to prevent cervical cancer, showed what level of effectiveness against the two key strains, HPV-16 and HPV-18?

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Question 18

What is the therapeutic approach known as checkpoint blockade in the context of cancer immunotherapy?

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Question 19

In the historical practice of variolation against smallpox, what was the approximate percentage of cases that resulted in fatal smallpox?

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Question 20

What is the primary immunological advantage of using a live-attenuated viral vaccine over a 'killed' viral vaccine?

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Question 21

What is the primary purpose of creating conjugate vaccines, such as the Haemophilus influenzae type b (HiB) vaccine?

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Question 22

What is the primary function of an adjuvant when included in a vaccine formulation?

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Question 23

How did treatment with the checkpoint blockade antibody ipilimumab affect the number of T cells recognizing the cancer-testis antigen NY-ESO-1 in melanoma patients?

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Question 24

What is the primary mechanism by which the cancer vaccine sipuleucel-T (Provenge) works?

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Question 25

In a study of metastatic prostate cancer, treatment with sipuleucel-T (Provenge) reduced the risk of death by what percentage compared to a placebo group?

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Question 26

What is the primary side-effect of ipilimumab, an anti-CTLA-4 checkpoint blockade antibody?

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Question 27

Pembrolizumab and nivolumab are checkpoint blockade antibodies used to treat metastatic melanoma. What is their molecular target?

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Question 28

What is the concept of 'herd immunity' in the context of a vaccination program?

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Question 29

In a trial for a long-peptide vaccine against HPV-16, what was the clinical outcome for the treated patients with vulvar intraepithelial neoplasia?

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Question 30

What is the key difference in the type of immune response generated by an inactivated ('killed') viral vaccine compared to a live-attenuated viral vaccine?

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Question 31

Which of the following describes the makeup of an immunotoxin?

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Question 32

What is the primary drawback of using peptide-based vaccines related to the human population's genetic diversity?

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Question 33

What is the mechanism of action of the drug fingolimod (FTY720)?

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Question 34

What is a major component of late failure of vascularized transplanted organs, characterized by concentric arteriosclerosis of graft blood vessels?

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Question 35

Which immunosuppressive drug is a fusion protein consisting of the Fc region of an immunoglobulin fused to the extracellular domain of CTLA-4?

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Question 36

What is the primary mechanism by which statin drugs might exert immunomodulatory effects, besides reducing cholesterol levels?

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Question 37

What is the term for the phenomenon where an infection is in progress and inflammatory mediators cause the activation of self-reactive 'bystander' lymphocytes that are not specific for the infectious agent?

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Question 38

In the context of the 'hygiene hypothesis,' what is proposed to be a consequence of a lack of infection during childhood?

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Question 39

What phenomenon describes how antibodies produced against a pathogen epitope can cross-react with a self molecule, potentially leading to autoimmunity?

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Question 40

A drug is used to treat heart arrhythmias, but in a small proportion of patients, it induces autoantibodies similar to those in SLE. What is this drug?

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Question 41

What is the primary function of the enzyme indoleamine 2,3-dioxygenase (IDO) at the maternal-fetal interface?

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Question 42

What is the primary cause of hyperacute graft rejection, which occurs within minutes of transplantation?

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Question 43

What is graft-versus-host disease (GVHD)?

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Question 44

What is the therapeutic benefit of the 'graft-versus-leukemia' effect in the context of hematopoietic stem cell transplantation for leukemia?

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Question 45

What is the primary reason that rejection of an MHC-identical graft from a sibling can still occur without immunosuppression?

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Question 46

In the treatment of acute lymphocytic leukemia (ALL), what surface molecule on B cells has been successfully targeted by CAR T cells?

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Question 47

Which drug is a member of the nitrogen mustard family, was originally developed as a chemical weapon, and has highly toxic effects including hemorrhagic cystitis?

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Question 48

What is the primary role of regulatory T cells (Treg cells) in the context of transplant rejection?

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Question 49

What is the function of the drug glatiramer acetate (Copaxone), which is approved for treating multiple sclerosis?

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Question 50

What is the primary mechanism of action of the murine antibody muromomab (OKT3) in treating graft rejection?

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