Immunology and Immunological Preparations One Shot Notes and MCQs

Immunology and Immunological Preparations One Shot Notes and MCQs

Immunology and Immunological Preparations One Shot Notes and MCQs

Immunology and Immunological Preparations

1. Principles of Immunology

Immunology is the branch of biology that studies the immune system and how the body defends itself from foreign invaders such as bacteria, viruses, and other pathogens. The immune response involves various cells, molecules, and reactions designed to recognize and neutralize harmful agents.

2. Antigens and Haptens

  • Antigen: A substance that stimulates an immune response by the production of antibodies. They are typically proteins or polysaccharides found on the surface of pathogens.
  • Hapten: A small molecule that, by itself, is not immunogenic but becomes immunogenic when attached to a larger carrier molecule. Haptens can cause allergic reactions (e.g., penicillin allergy).

3. The Immune System

The immune system is divided into:

  1. Innate Immunity: The non-specific first line of defense (e.g., skin, mucous membranes, phagocytes).
  2. Adaptive Immunity: Specific immunity involving recognition of specific antigens and memory formation. It includes:
    • Cellular Immunity: T-cells destroy infected or cancerous cells.
    • Humoral Immunity: B-cells produce antibodies against pathogens in body fluids.

4. Immunological Tolerance

  • Immunological tolerance: The immune system’s ability to distinguish between self and non-self and to avoid attacking its own cells.
  • Central tolerance occurs during immune cell development (in the thymus and bone marrow), while peripheral tolerance prevents autoimmune responses in mature immune cells.

5. Antigen-Antibody Reactions and Applications

Antibodies bind specifically to antigens to neutralize pathogens. The major reactions include:

  • Precipitation: Soluble antigen-antibody complexes form a precipitate.
  • Agglutination: Antibodies clump particulate antigens (e.g., blood cells in blood grouping).
  • Neutralization: Antibodies block the harmful effects of toxins or viruses.
  • Complement fixation: Antibody binding activates the complement system, leading to cell lysis.

Applications:

  • Diagnosis of infectious diseases (e.g., ELISA, Western Blot).
  • Blood grouping and transfusion testing.
  • Immunotherapy (e.g., monoclonal antibodies in cancer treatment).

6. Hypersensitivity Reactions

Hypersensitivity refers to exaggerated immune responses that can cause tissue damage. It is classified into four types:

  1. Type I (Immediate): IgE-mediated reactions (e.g., allergies, anaphylaxis).
  2. Type II (Cytotoxic): Antibody-mediated cell destruction (e.g., hemolytic anemia).
  3. Type III (Immune Complex): Immune complexes cause inflammation (e.g., serum sickness).
  4. Type IV (Delayed-type): T-cell-mediated (e.g., contact dermatitis).

7. Active and Passive Immunization

  • Active Immunization: Stimulating the body’s immune response by administering a vaccine containing antigens. It provides long-term immunity.
    • Example: MMR vaccine, polio vaccine.
  • Passive Immunization: Providing pre-formed antibodies (in the form of sera) to offer immediate protection, but the immunity is short-lived.
    • Example: Anti-venom for snake bites, immunoglobulin injections.

8. Vaccines and Sera: Preparation, Standardization, and Storage

Vaccines

Vaccines are biological preparations that provide immunity against specific diseases. Types of vaccines include:

  1. Live-attenuated vaccines: Contain weakened forms of the pathogen (e.g., measles, mumps).
  2. Inactivated vaccines: Contain killed pathogens (e.g., inactivated polio vaccine).
  3. Subunit/conjugate vaccines: Contain only parts of the pathogen (e.g., hepatitis B vaccine).
  4. Toxoid vaccines: Contain inactivated toxins (e.g., diphtheria and tetanus toxoids).
  5. mRNA vaccines: Use synthetic mRNA to instruct cells to produce viral proteins (e.g., COVID-19 vaccines).

Standardization and Storage:

  • Vaccines are standardized to ensure safety, efficacy, and consistency.
  • They are stored under cold conditions (2-8°C) to maintain potency. Some vaccines (like mRNA vaccines) require ultra-low temperatures.

Sera (Antisera)

  • Sera contain antibodies extracted from animals or humans exposed to a specific antigen.
  • Used for passive immunization, such as anti-rabies serum or tetanus antitoxin.

Standardization and Storage:

  • Antisera are standardized based on potency and dose.
  • Stored at low temperatures to prevent degradation.

MCQs on Immunology and Immunological Preparations

  1. Which type of immunity involves T-cells directly attacking infected cells?
    a) Humoral immunity
    b) Cellular immunity
    c) Passive immunity
    d) Innate immunity
    Answer: b) Cellular immunity
  2. What type of molecule is a hapten?
    a) Large protein
    b) Small molecule requiring a carrier to become immunogenic
    c) Lipopolysaccharide
    d) Antibody fragment
    Answer: b) Small molecule requiring a carrier to become immunogenic
  3. Which antibody is responsible for allergic reactions?
    a) IgG
    b) IgM
    c) IgE
    d) IgA
    Answer: c) IgE
  4. Which of the following is an example of Type IV hypersensitivity?
    a) Anaphylaxis
    b) Hemolytic anemia
    c) Serum sickness
    d) Contact dermatitis
    Answer: d) Contact dermatitis
  5. What is the purpose of adjuvants in vaccines?
    a) To inactivate the virus
    b) To increase immune response
    c) To stabilize vaccine proteins
    d) To suppress the immune response
    Answer: b) To increase immune response
  6. Which type of vaccine uses weakened pathogens?
    a) Subunit vaccine
    b) Inactivated vaccine
    c) Toxoid vaccine
    d) Live-attenuated vaccine
    Answer: d) Live-attenuated vaccine
  7. What is the primary antibody found in the blood?
    a) IgA
    b) IgM
    c) IgG
    d) IgD
    Answer: c) IgG
  8. Which of the following is an example of active immunity?
    a) Receiving antitoxin for tetanus
    b) Immunity acquired after a measles infection
    c) Receiving immunoglobulin for hepatitis
    d) Injection of monoclonal antibodies
    Answer: b) Immunity acquired after a measles infection
  9. What is the term for the immune system’s ability to avoid attacking the body’s own cells?
    a) Immunological tolerance
    b) Humoral immunity
    c) Innate immunity
    d) Hypersensitivity
    Answer: a) Immunological tolerance
  10. Which immune cells produce antibodies?
    a) T-cells
    b) B-cells
    c) Macrophages
    d) Natural killer cells
    Answer: b) B-cells
  11. Which immunoglobulin is involved in mucosal immunity?
    a) IgE
    b) IgG
    c) IgA
    d) IgM
    Answer: c) IgA
  12. What type of hypersensitivity involves immune complexes?
    a) Type I
    b) Type II
    c) Type III
    d) Type IV
    Answer: c) Type III
  13. Which reaction is used to determine blood groups?
    a) Precipitation reaction
    b) Agglutination reaction
    c) Neutralization reaction
    d) Complement fixation
    Answer: b) Agglutination reaction
  14. What is the primary function of T-helper cells?
    a) Produce antibodies
    b) Activate other immune cells
    c) Kill infected cells
    d) Suppress immune response
    Answer: b) Activate other immune cells
  15. What is passive immunity?
    a) Immunity achieved by vaccination
    b) Transfer of antibodies from an external source
    c) Immunity provided by memory cells
    d) Immunity from live-attenuated vaccines
    Answer: b) Transfer of antibodies from an external source
  16. Which test uses an antigen-antibody reaction to detect HIV?
    a) ELISA
    b) PCR
    c) Western blot
    d) Hemagglutination test
    Answer: a) ELISA
  17. Which immunoglobulin is the largest in size?
    a) IgA
    b) IgG
    c) IgM
    d) IgE
    Answer: c) IgM
  18. Which of the following is a toxoid vaccine?
    a) Polio vaccine
    b) Diphtheria vaccine
    c) Hepatitis B vaccine
    d) Measles vaccine
    Answer: b) Diphtheria vaccine
  19. What is the purpose of sterility testing in vaccines?
    a) To confirm antigen stability
    b) To ensure the absence of microbial contamination
    c) To verify antibody production
    d) To standardize the vaccine dose
    Answer: b) To ensure the absence of microbial contamination
  20. Which cells are involved in humoral immunity?
    a) Macrophages
    b) B-cells
    c) T-cells
    d) Dendritic cells
    Answer: b) B-cells
  21. What is the term for antibodies binding to soluble antigens to form a visible precipitate?
    a) Agglutination
    b) Precipitation
    c) Neutralization
    d) Complement fixation
    Answer: b) Precipitation
  22. Which hypersensitivity reaction occurs immediately after exposure to the allergen?
    a) Type II
    b) Type IV
    c) Type I
    d) Type III
    Answer: c) Type I
  23. What is the role of natural killer (NK) cells?
    a) Produce antibodies
    b) Phagocytose pathogens
    c) Destroy virus-infected cells
    d) Present antigens to T-cells
    Answer: c) Destroy virus-infected cells
  24. Which immunoglobulin is transferred from mother to baby through the placenta?
    a) IgG
    b) IgA
    c) IgE
    d) IgM
    Answer: a) IgG
  25. Which method is used to determine the potency of vaccines?
    a) ELISA
    b) Sterility testing
    c) Animal models
    d) Agglutination test
    Answer: c) Animal models
  26. Which immune response is faster on subsequent exposure to the same antigen?
    a) Primary immune response
    b) Secondary immune response
    c) Innate immune response
    d) Passive immune response
    Answer: b) Secondary immune response
  27. Which vaccine type does not contain live organisms?
    a) Inactivated vaccine
    b) Live-attenuated vaccine
    c) Conjugate vaccine
    d) Recombinant vaccine
    Answer: a) Inactivated vaccine
  28. What is used to assess the sterility of pharmaceutical products?
    a) Blood test
    b) Culture media
    c) ELISA test
    d) PCR
    Answer: b) Culture media
  29. Which term describes an exaggerated immune response to a harmless antigen?
    a) Autoimmunity
    b) Hypersensitivity
    c) Immunodeficiency
    d) Tolerance
    Answer: b) Hypersensitivity
  30. Which component is essential in passive immunity?
    a) Memory cells
    b) Live virus
    c) Antibodies
    d) Antigens
    Answer: c) Antibodies

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