Unit 2: Antigens; Immunoglobulins (Antibodies) - Practice Quiz

BTS511 — Immunology 60 Questions
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1 What is an antigen?

introduction to antigens Easy
A. An enzyme that digests foreign material
B. A substance that can be recognized and bound by antibodies or immune cell receptors
C. A protein that only destroys bacteria
D. A type of white blood cell

2 Which term describes a substance capable of inducing an immune response on its own?

immunogen vs antigen Easy
A. Epitope
B. Hapten
C. Adjuvant
D. Immunogen

3 Which statement about immunogens and antigens is correct?

immunogen vs antigen Easy
A. Immunogens and antigens are exactly the same thing
B. Every antigen is an immunogen, but not every immunogen is an antigen
C. Neither immunogens nor antigens bind antibodies
D. Every immunogen is an antigen, but not every antigen is an immunogen

4 Which property generally makes a molecule more immunogenic?

factors affecting immunogenicity Easy
A. Smaller molecular size
B. Larger molecular size
C. Closer similarity to self molecules
D. Greater chemical simplicity

5 Which factor increases the immunogenicity of a substance?

factors affecting immunogenicity Easy
A. High chemical simplicity
B. Greater similarity to the host's own molecules
C. Very low molecular weight
D. Greater foreignness relative to the host

6 Which class of molecules is typically the most immunogenic?

factors affecting immunogenicity Easy
A. Small metal ions
B. Simple sugars
C. Pure lipids
D. Proteins

7 What is an epitope?

epitopes Easy
A. The specific part of an antigen recognized by an antibody
B. The entire surface of a pathogen
C. A signaling molecule released by T cells
D. A type of antibody heavy chain

8 An epitope that is formed by amino acids brought together by protein folding is called a:

epitopes Easy
A. Conformational epitope
B. Linear epitope
C. Continuous epitope
D. Sequential epitope

9 What is a hapten?

haptens Easy
A. A small molecule that is antigenic but not immunogenic on its own
B. A large protein that is highly immunogenic
C. An antibody that binds two antigens
D. A type of antibody light chain

10 To make a hapten immunogenic, it must be attached to a:

haptens Easy
A. Free antibody
B. Second hapten
C. Carrier molecule
D. Complement protein

11 A typical antibody monomer is composed of how many polypeptide chains?

basic structure Easy
A. Two (one heavy and one light)
B. Six (four heavy and two light)
C. Three (two heavy and one light)
D. Four (two heavy and two light)

12 Which region of the antibody is responsible for binding to the antigen?

basic structure Easy
A. Hinge region only
B. Constant heavy region
C. Fab region
D. Fc region

13 The two types of light chains found in antibodies are:

basic structure Easy
A. Alpha and beta
B. Kappa and lambda
C. Mu and epsilon
D. Gamma and delta

14 Which immunoglobulin is the most abundant in human serum?

types of immunoglobulins and their roles Easy
A. IgA
B. IgE
C. IgM
D. IgG

15 Which immunoglobulin is the first to be produced during a primary immune response?

types of immunoglobulins and their roles Easy
A. IgD
B. IgA
C. IgM
D. IgG

16 Which immunoglobulin is mainly associated with allergic reactions and defense against parasites?

types of immunoglobulins and their roles Easy
A. IgA
B. IgM
C. IgE
D. IgG

17 Which immunoglobulin is the predominant antibody found in mucosal secretions such as saliva and tears?

types of immunoglobulins and their roles Easy
A. IgD
B. IgE
C. IgA
D. IgG

18 Which immunoglobulin can cross the placenta to provide passive immunity to the fetus?

types of immunoglobulins and their roles Easy
A. IgM
B. IgE
C. IgA
D. IgG

19 The term antigenic determinant is another name for:

antigenic determinants Easy
A. Isotype
B. Paratope
C. Epitope
D. Carrier

20 Which process is a major source of antibody diversity?

generation of antibody diversity Easy
A. Random loss of light chains
B. V(D)J recombination of gene segments
C. Simple duplication of one antibody gene
D. Translation of ribosomal RNA

21 A researcher injects a small chemical group coupled to a large protein into a mouse and detects antibodies against the small chemical group. When the small chemical group is injected alone, no antibodies are produced. Which statement best explains this observation?

immunogen vs antigen Medium
A. The small group is an immunogen but not an antigen
B. Both the small group and protein are complete immunogens independently
C. The protein is a hapten and the small group is a carrier
D. The small group is an antigen but not an immunogen on its own

22 Two proteins of similar molecular weight are compared. Protein X is highly identical to a mouse self-protein, while Protein Y differs substantially from any mouse protein. When both are injected into mice, which is expected to be more immunogenic and why?

factors affecting immunogenicity Medium
A. Neither, because size is the only relevant factor
B. Protein Y, because greater foreignness increases immunogenicity
C. Both equally, because molecular weight determines immunogenicity
D. Protein X, because similarity aids antigen presentation

23 Penicillin can trigger allergic reactions in some patients even though it is a small molecule. Which mechanism best explains how penicillin becomes immunogenic in the body?

haptens Medium
A. It directly stimulates B cells without any carrier
B. It is large enough to be immunogenic on its own
C. It binds to host proteins, acting as a hapten on a carrier
D. It degrades into nucleotides that trigger antibodies

24 An antibody recognizes a region of a folded protein formed by amino acids that are far apart in the primary sequence but close together in 3D space. What type of epitope is this?

epitopes Medium
A. Linear (sequential) epitope
B. Conformational (discontinuous) epitope
C. Cryptic denatured epitope
D. Haptenic epitope

25 A protein antigen is treated with a denaturing agent that unfolds it. After denaturation, an antibody that previously bound the native protein no longer binds. This antibody most likely recognized a:

epitopes Medium
A. Continuous epitope
B. Conformational epitope
C. Carbohydrate epitope
D. Linear epitope

26 Treating an IgG molecule with the enzyme papain yields how many and what type of fragments?

basic structure Medium
A. One F(ab') fragment and one Fc fragment
B. Two Fab fragments and one Fc fragment
C. Two Fc fragments and one Fab fragment
D. One large Fab and two small Fc fragments

27 Pepsin digestion of IgG differs from papain digestion. What is the main product of pepsin cleavage?

basic structure Medium
A. One Fab and one Fc fragment
B. A single F(ab') fragment with two antigen-binding sites
C. Only degraded Fc peptides with no binding sites
D. Two separate Fab fragments and an intact Fc

28 During a secondary immune response, which immunoglobulin class predominates and reflects immunological memory?

types of immunoglobulins and their roles Medium
A. IgE, associated with allergic memory
B. IgD, the main memory antibody
C. IgG, due to class switching and high affinity
D. IgM, as the first antibody produced

29 A nursing infant receives protection at mucosal surfaces through breast milk. Which immunoglobulin is primarily responsible for this passive mucosal immunity?

types of immunoglobulins and their roles Medium
A. Secretory IgA
B. IgE
C. IgG
D. IgM

30 A patient shows elevated levels of an antibody bound to mast cells and involved in a hypersensitivity reaction to pollen. Which immunoglobulin is most likely elevated?

types of immunoglobulins and their roles Medium
A. IgE, which binds Fc receptors on mast cells
B. IgA, which protects mucosa
C. IgG, which fixes complement
D. IgM, which forms pentamers

31 Which immunoglobulin is the most efficient at activating the classical complement pathway due to its pentameric structure?

types of immunoglobulins and their roles Medium
A. IgG, present in highest serum concentration
B. IgA, found in secretions
C. IgD, expressed on naive B cells
D. IgM, with multiple available binding sites

32 Which immunoglobulin can cross the human placenta to provide passive immunity to the fetus?

types of immunoglobulins and their roles Medium
A. IgE, via mast cell binding
B. IgG, via FcRn-mediated transport
C. IgA, through secretory transport
D. IgM, due to its large size

33 Which process rearranges separate gene segments to create a functional variable region and is a major source of antibody diversity before antigen exposure?

generation of antibody diversity Medium
A. Allelic exclusion
B. Somatic hypermutation
C. Class switch recombination
D. V(D)J recombination

34 After antigen exposure in the germinal center, point mutations accumulate in the variable regions of antibody genes, improving antigen binding. This process is known as:

generation of antibody diversity Medium
A. Junctional diversity
B. Somatic hypermutation
C. V(D)J recombination
D. Combinatorial diversity

35 The imprecise addition or removal of nucleotides at the joints between recombined V, D, and J segments contributes to which type of diversity?

generation of antibody diversity Medium
A. Combinatorial diversity
B. Isotype diversity
C. Allelic diversity
D. Junctional diversity

36 A large protein antigen can stimulate the production of many different antibodies simultaneously. What term best describes this property?

antigenic determinants Medium
A. It is multivalent, bearing multiple antigenic determinants
B. It is a non-immunogenic tolerogen
C. It is a hapten requiring a carrier
D. It is monovalent, with a single determinant

37 Why are large proteins generally more immunogenic than small polypeptides of the same chemical nature?

factors affecting immunogenicity Medium
A. Greater size provides more epitopes and complexity
B. Smaller molecules are always more foreign
C. Larger molecules avoid antigen presentation
D. Small molecules diffuse faster to lymph nodes

38 A substance binds specifically to a T-cell receptor or antibody but requires processing and MHC presentation to activate T cells. Which term best describes a molecule recognized specifically by the adaptive immune system?

introduction to antigens Medium
A. Cytokine, a signaling molecule between cells
B. Complement, a serum enzyme cascade
C. Adjuvant, a substance enhancing responses non-specifically
D. Antigen, any molecule specifically recognized by receptors

39 In a classic hapten-carrier experiment, mice are immunized with hapten A coupled to carrier P. A strong secondary response to hapten A requires that the animal is re-challenged with:

haptens Medium
A. A different hapten on carrier P
B. Carrier P alone
C. Hapten A coupled to carrier P
D. Hapten A alone

40 In an immunoglobulin monomer, where is the antigen-binding specificity primarily determined?

basic structure Medium
A. The hinge region between Fab and Fc
B. The variable regions of both heavy and light chains
C. The constant region of the heavy chain only
D. The Fc region interacting with receptors

41 A synthetic polymer of 8 amino acids is injected into a mouse and fails to elicit any antibody response, yet when preformed antibodies against this polymer are added in vitro, they bind it specifically with high affinity. Which conclusion is most accurate?

immunogen vs antigen Hard
A. The polymer is both an immunogen and an antigen
B. The polymer is neither an immunogen nor an antigen
C. The polymer is an antigen but not an immunogen
D. The polymer is an immunogen but not an antigen

42 In Landsteiner's classic hapten-carrier experiments, dinitrophenol (DNP) coupled to bovine serum albumin (BSA) elicits anti-DNP antibodies. If a mouse is primed with DNP-BSA and later boosted with DNP conjugated to ovalbumin (OVA), the secondary anti-DNP response is weak. What explains this?

haptens Hard
A. Ovalbumin suppresses B cell activation through tolerance induction
B. Free hapten cannot be recognized by B cells regardless of the carrier
C. A secondary response requires the same carrier to which the hapten was originally conjugated (carrier effect)
D. The hapten epitope changes conformation when linked to a different carrier

43 Consider a hypothetical Ig heavy chain locus with 40 V, 25 D, and 6 J segments. Ignoring junctional diversity and heavy-light pairing, how many distinct VDJ combinations are possible, and which mechanism adds the most diversity beyond this figure?

generation of antibody diversity Hard
A. combinations; somatic hypermutation contributes most
B. combinations; heavy-light chain pairing contributes most
C. combinations; junctional diversity (P/N nucleotide addition) contributes most
D. combinations; combinatorial VJ joining contributes most

44 A patient with a selective IgA deficiency is generally protected against many mucosal pathogens. Which compensatory mechanism most plausibly accounts for retained mucosal immunity?

types of immunoglobulins and their roles Hard
A. Elevated serum IgG crossing epithelium via FcRn into mucosal secretions
B. Increased secretion of pentameric IgM, which also binds the poly-Ig receptor for transcytosis
C. Upregulation of IgE-mediated mast cell defense at mucosal surfaces
D. Enhanced IgD signaling driving local plasma cell differentiation

45 Papain and pepsin cleave IgG at different sites relative to the hinge disulfide bonds. Which statement correctly contrasts the functional fragments produced?

basic structure Hard
A. Pepsin yields two Fab and an intact Fc; papain digests the Fc entirely
B. Both enzymes yield an intact Fc, but only papain-derived Fab can precipitate antigen
C. Pepsin yields a bivalent F(ab') that can cross-link antigen; papain yields two monovalent Fab fragments that cannot
D. Papain yields F(ab') that fixes complement; pepsin yields monovalent Fab that does not

46 An antibody binds a native protein but loses all reactivity after the protein is boiled and reduced. A second antibody binds equally well to the native and denatured forms. What is the best interpretation?

epitopes Hard
A. The first recognizes a conformational epitope; the second recognizes a linear (sequential) epitope
B. The first recognizes a linear epitope; the second recognizes a conformational epitope
C. Both antibodies recognize neotopes created only after denaturation
D. The first is a hapten-specific antibody; the second is carrier-specific

47 Two proteins of identical molecular weight are injected into genetically identical mice with the same adjuvant and dose. Protein X is a highly conserved mammalian housekeeping enzyme; protein Y is a bacterial toxin. Protein Y is far more immunogenic. Which factor best explains the difference?

factors affecting immunogenicity Hard
A. Greater foreignness (phylogenetic distance) of protein Y increases immunogenicity
B. Higher molecular complexity of protein X reduces its immunogenicity
C. Protein X has more epitopes, causing high-zone tolerance
D. Protein Y has a lower degree of chemical heterogeneity

48 The RAG1/RAG2 complex introduces double-strand breaks at recombination signal sequences (RSS). Efficient recombination requires the '12/23 rule.' What does this rule enforce?

generation of antibody diversity Hard
A. Joining occurs only between two RSS with identical 12-bp spacers
B. V segments must recombine before D segments in a fixed 12-then-23 order
C. Joining occurs only between an RSS with a 12-bp spacer and one with a 23-bp spacer
D. Recombination is limited to 12 V and 23 J segments per allele

49 During a secondary immune response, class switch recombination (CSR) alters the antibody isotype but preserves antigen specificity. Which molecular feature guarantees that specificity is retained after switching from IgM to IgG?

types of immunoglobulins and their roles Hard
A. Somatic hypermutation regenerates the identical CDR3 in the new isotype
B. The light chain is re-recombined to match the new heavy-chain constant region
C. AID edits the constant region without altering variable-region affinity
D. The rearranged VDJ exon is retained while only the constant-region gene is exchanged

50 Isotypic, allotypic, and idiotypic determinants distinguish immunoglobulin variants. An anti-idiotypic antibody raised against one monoclonal antibody's variable region can sometimes act as an 'internal image' of the original antigen. Which principle underlies this?

antigenic determinants Hard
A. Isotypic determinants of the Fc region cross-react with the antigen
B. Idiotypes are shared across all antibodies of a given isotype
C. The idiotope's shape can mimic the antigen's epitope, letting anti-idiotype bind the same paratope
D. Allotypic determinants in the constant region resemble the antigen surface

51 For a globular protein antigen, the number of epitopes recognized by antibodies (the antigenic 'valence') is often much lower than the theoretical number of surface patches. Which factor most limits the functional epitope number?

epitopes Hard
A. Only sequential epitopes can be recognized, halving the total
B. The molecular weight of the antigen caps the maximum epitope count
C. Immunodominance and steric accessibility restrict which surface regions are effectively targeted
D. Each antibody binds all epitopes simultaneously, reducing the count

52 IgG affinity for antigen depends on the intrinsic binding of a single Fab, whereas avidity depends on multivalent binding. If a monovalent Fab has M and the intact bivalent IgG shows an apparent M for a multivalent antigen, which term best describes this -fold enhancement?

basic structure Hard
A. A shift caused by cross-reactivity with a second epitope
B. An increase in intrinsic affinity of each binding site
C. The avidity effect, arising from multivalent (cooperative) binding
D. Allosteric activation of the Fc region

53 IgE is present in serum at the lowest concentration of all isotypes yet mediates potent immediate hypersensitivity. Which structural/receptor feature best accounts for its disproportionate biological effect?

types of immunoglobulins and their roles Hard
A. Its pentameric structure enables extensive antigen cross-linking
B. High-affinity binding of its Fc to FcεRI on mast cells pre-arms them independent of serum level
C. It has the longest serum half-life, allowing accumulation on target cells
D. It fixes complement more efficiently than any other isotype

54 Somatic hypermutation (SHM) and class switch recombination (CSR) both require activation-induced cytidine deaminase (AID). What is AID's direct enzymatic action, and why do both processes depend on it?

generation of antibody diversity Hard
A. AID methylates cytosine residues, silencing constant-region genes to allow switching
B. AID directly excises D segments to increase junctional diversity
C. AID deaminates cytosine to uracil in single-stranded DNA, initiating repair pathways that cause point mutations (SHM) or double-strand breaks (CSR)
D. AID cleaves RNA transcripts to introduce variable-region substitutions

55 Penicillin causes drug allergy because its reactive β-lactam ring covalently modifies host proteins. In immunological terms, penicillin acts as which entity, and what is the role of the host protein?

haptens Hard
A. Penicillin is a hapten; the host protein serves as the carrier providing T-cell help
B. Penicillin is a complete immunogen; the host protein is an irrelevant bystander
C. Penicillin is an adjuvant; the host protein is the true immunogen
D. Penicillin is a superantigen; the host protein presents it nonspecifically

56 A very high dose of a soluble protein antigen given without adjuvant induces a state of specific unresponsiveness rather than immunity. This phenomenon is best described as:

factors affecting immunogenicity Hard
A. High-zone tolerance
B. Original antigenic sin
C. Immunodominance
D. Low-zone tolerance

57 T-independent type 2 (TI-2) antigens such as bacterial polysaccharides can activate B cells without cognate T-cell help. Which property of these antigens enables this, and what is a typical consequence for the response?

introduction to antigens Hard
A. They stimulate complement directly, replacing the need for BCR signaling
B. Highly repetitive epitopes extensively cross-link the BCR, but the response lacks strong memory and class switching
C. They act as haptens requiring a protein carrier for any response
D. They are processed and presented on MHC II, generating robust memory

58 Allotypic determinants of immunoglobulins are used in paternity and forensic studies. Which statement correctly characterizes allotypes?

antigenic determinants Hard
A. They are constant-region features shared by all members of a species
B. They arise only through somatic hypermutation during infection
C. They are polymorphic constant-region variants inherited in Mendelian fashion, differing among individuals of a species
D. They are variable-region variants unique to a single antibody clone

59 Adjuvants are frequently required to convert a purified protein into an effective vaccine immunogen. Which best explains why the same protein may be antigenic without an adjuvant yet only weakly immunogenic?

immunogen vs antigen Hard
A. Adjuvants convert the protein into a hapten that requires a carrier
B. Adjuvants increase the protein's molecular weight above the immunogenicity threshold
C. Adjuvants supply danger/innate signals and depot effects needed to fully activate APCs and lymphocytes
D. Adjuvants change the protein's epitopes so antibodies can bind it

60 The hinge region of IgG confers segmental flexibility but is absent in IgM. Which functional consequence best follows from IgM lacking a classical hinge yet still binding multivalent antigen effectively?

basic structure Hard
A. Its lack of hinge prevents any complement activation
B. It cannot bind antigen until proteolytically cleaved into monomers
C. Its pentameric multivalency compensates for limited flexibility, giving high avidity despite low intrinsic affinity
D. Its monomeric subunits each require a separate hinge to function