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MOH exam preparation (UAE) – page 12

700 practice MCQs for the MOH medical laboratory exam. Level: Basic to intermediate.

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Q221EasyImmune system principles

The paratope, the antigen-binding site, is found on which molecule?

Answer: C. An antibody

The paratope is part of the antibody variable region; it binds the epitope on the antigen.

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Q222EasyImmune system principles

Which statement about IgE is FALSE?

Answer: D. It crosses the placenta and fixes complement

IgE neither crosses the placenta (IgG does) nor activates complement. It binds mast cells, causing allergy and anti-parasite responses.

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Q223EasyImmune system principles

What is true of kappa and lambda light chains?

Answer: A. Either type can be found in any class

Kappa or lambda light chains may pair with any heavy-chain class. Light chains have both variable and constant domains.

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Q224EasyImmune system principles

Which is NOT true of antibodies?

Answer: B. They are secreted by T cells

Antibodies are made by B cells and plasma cells, not T cells.

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Q225EasyAutoimmune & hypersensitivity

Which is NOT a type of immune disorder?

Answer: B. Immunological tolerance

Tolerance is the normal lack of response to self antigens.

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Q226EasyImmune system principles

An exaggerated immune reaction to harmless antigen, such as pollen, that damages the host is called:

Answer: C. Hypersensitivity

Hypersensitivity is an excessive response to foreign antigen. Autoimmunity targets self antigen.

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Q227EasyAutoimmune & hypersensitivity

Wheal-and-flare and bronchospasm in type I hypersensitivity are chiefly caused by release of:

Answer: A. Histamine

Mast cell degranulation releases histamine, which causes vasodilation, increased permeability and smooth muscle contraction.

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Q228EasyImmune system principles

HIV mainly infects and depletes which cells?

Answer: C. CD4+ T helper cells

HIV binds CD4 with a chemokine co-receptor and depletes CD4 T cells. Monitoring uses CD4 counts.

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Q229EasyImmune system principles

Interferon-alpha and -beta are proteins released mainly by:

Answer: B. Virus-infected cells

Type I interferons are released by virus-infected cells and induce an antiviral state in neighbouring cells.

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Q230EasyImmune system principles

Which blood cell is a professional phagocyte?

Answer: D. Neutrophil

Neutrophils ingest and kill bacteria. NK cells kill by cytotoxicity and plasma cells secrete antibody.

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Q231EasyImmune system principles

Redness, heat, swelling and pain after tissue injury form a response called:

Answer: C. Inflammation

Inflammation involves vasodilation, increased permeability and leukocyte recruitment. Phagocytosis is one part of it.

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Q232EasyImmune system principles

A small molecule that elicits antibody only when attached to a carrier protein is a(n):

Answer: B. Hapten

Haptens are antigenic but not immunogenic alone. Adjuvants non-specifically enhance immune responses.

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Q233EasyImmune system principles

The part of an antigen that binds an antibody is the:

Answer: C. Epitope

The epitope is the antigenic determinant; the paratope is on the antibody.

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Q234EasyImmune system principles

Which immunoglobulin is co-expressed with IgM on naive B cells?

Answer: D. IgD

Naive B cells co-express IgM and IgD with the same specificity.

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Q235EasyImmune system principles

Which pair of immunoglobulins activates the classical complement pathway?

Answer: D. IgM and IgG

IgM and IgG bind C1q. IgA and IgE do not activate the classical pathway.

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Q236EasyImmune system principles

The membrane attack complex is formed by:

Answer: B. C5b, C6, C7, C8, C9

C5b-9 forms the membrane pore. C4b2a is the classical C3 convertase.

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Q237EasyImmune system principles

Complement proteins in plasma:

Answer: D. Circulate in inactive forms

Complement circulates as inactive zymogens activated in cascade.

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Q238EasyImmune system principles

C3a and C5a cause:

Answer: A. Increased vascular permeability

C3a and C5a are anaphylatoxins; they cause mast cell degranulation and increased permeability.

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Q239EasyImmune system principles

Plasma cells arise from:

Answer: B. B cells

Activated B cells differentiate into plasma cells.

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Q240EasyImmune system principles

Which is an example of natural passive immunity?

Answer: D. Placental transfer of maternal IgG

Maternal IgG crossing the placenta is natural passive immunity. Recovery from infection gives natural active immunity.

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