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Medicine
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The Immune System
Quiz 7: The Development of T Lymphocytes
Path 4
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Question 21
Essay
As we age,our thymus shrinks,or atrophies,by a process called involution,yet T-cell immunity is still functional in old age. A.Explain how T-cell numbers in the periphery remain constant in the absence of continual replenishment from the thymus. B.How does this differ from the maintenance of the B-cell repertoire?
Question 22
Multiple Choice
If the process of positive selection did not occur,then
Question 23
Multiple Choice
Allelic exclusion occurs for all of the following except
Question 24
Multiple Choice
Immediately after positive selection
Question 25
Multiple Choice
The function of negative selection of thymocytes in the thymus is to eliminate
Question 26
Multiple Choice
Healthy individuals have approximately ____ of CD4 T cells compared with CD8 T cells.
Question 27
Essay
In T cells,allelic exclusion of the α-chain locus is relatively ineffective,resulting in the production of some T cells with two T-cell receptors of differing antigen specificity on their cell surface. A.Will both these receptors have to pass positive selection for the cell to survive? Explain your answer. B.Will both receptors have to pass negative selection for the cell to survive? Explain your answer. C.Is there a potential problem in having T cells with dual specificity surviving these selection processes and being exported to the periphery?
Question 28
Multiple Choice
Giulia McGettigan was born full term with a malformed jaw,cleft palate,a ventricular septal defect,and hypocalcemia.Within 48 hours of birth she developed muscle tetany,convulsions,tachypnea,and a systolic murmur.A chest X-ray showed an enlarged heart and the absence of a thymic shadow.Blood tests showed severely depleted levels of CD4 and CD8 T cells; B-cell numbers were low but within normal range.Parathyroid hormone was undetectable.Fluorescence in situ hybridization of the buccal mucosa revealed a small deletion in the long arm of chromosome 22.Giulia failed to thrive and battled chronic diarrhea and opportunistic infections,including oral candidiasis and Pneumocystis jirovecii,the latter infection causing her death.Giulia most probably had which of the following immunodeficiency diseases?
Question 29
Essay
MHC class II deficiency is inherited as an autosomal recessive trait and involves a defect in the coordination of transcription factors involved in regulating the expression of all MHC class II genes (HLA-DP,HLA-DQ,and HLA-DR). A.What is the effect of MHC class II deficiency? B.Explain why hypogammaglobulinemia is associated with this deficiency.
Question 30
Essay
A.What is the role of regulatory CD4 T cells (T
reg
)? B.How can T
reg
be distinguished from other non-regulatory CD4 T cells?
Question 31
Essay
Mature B cells undergo somatic hypermutation after activation,which,after affinity maturation,results in the production of antibody with a higher affinity for antigen than in the primary antibody response.Suggest some reasons why T cells have not evolved the same capacity.
Question 32
Multiple Choice
Double-negative thymocytes initiate rearrangement at the _____ locus (loci) before all other T-cell receptor genes.
Question 33
Multiple Choice
Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) is caused by a defect in
Question 34
Multiple Choice
Individuals with a defective autoimmune regulator gene (AIRE) exhibit
Question 35
Multiple Choice
Identify which of the following describes how antigen processing and presentation of self antigens by thymic epithelial cells differs from that of antigen-presenting cells in peripheral tissues.(Select all that apply.)