Tuberculosis
Antibodies
Innate Immunity
T cell Activation
B Cell Activation
100

This feature of Mycobacterium tuberculosis allows it to resist gram staining.

What is mycolic acid?

100

This antibody is produced first in a primary response.

What is IgM?

100

These are the most abundant granulocytes that phagocytose bacteria.

What are neutrophils (PMNs)?

100

This is the molecule a T cell must recognize on an APC during Signal 1.

What is MHC?

100

This event occurs during Signal 1 when BCRs bind and cluster.

What is BCR cross-linking?

200

This TB stage is walled off inside granulomas and shows no symptoms.

What is latent TB infection (LTBI)?

200

This antibody is the most abundant in secretions like saliva and tears.

What is IgA?

200

This PRR detects dsRNA in the cytoplasm.

What is RLR?

200

This molecule on the T cell delivers Signal 2 when it binds B7.

What is CD28?

200

These are three molecules upregulated during partial activation.

What are MHC II, B7, and CD40?

300

This is why TB becomes drug-resistant quickly.

What is its slow generation time increasing mutation accumulation?

300

This function involves antibodies coating a pathogen to enhance phagocytosis.

What is opsonization?

300

These two complement fragments drive inflammation.

What are C3a and C5a?

300

This happens to a naïve T cell if it receives Signal 1 without co-stimulation.

What is anergy (or deletion)?

300

This required interaction between B cells and T cells completes full activation.

What is CD40–CD40L binding?

400

This test measures IFN-γ release to detect TB infection.

What is an IGRA?

400

This antibody crosses the placenta in pregnant women, enabling the baby to have a "bulletproof vest" from pathogens for several months.

What is IgG?

400

This is the process by which macrophages fuse lysosomes with the phagosome.

What is phagolysosome formation?

400

These two cytotoxic molecules released by Tc cells induce apoptosis in target cells.

What are perforin and granzymes?

400

This process improves antibody–antigen binding strength during clonal expansion.

What is affinity maturation?

500

The probability of resistance to both INH (10⁻⁶) and RIF (10⁻⁷) is this.

What is 10⁻¹³?

500

This structural feature gives IgM its strong complement-activating ability.

What is the pentamer/J-chain?

500

This structural feature prevents C3b binding and inhibits phagocytosis—hint: Streptococcus pneumoneae has this as a virulence factor.

What is a capsule?

500

This explains why NK cells kill virus-infected cells that downregulate MHC I, while CD8 T cells cannot.

What is “missing self” recognition by NK cells?

500

Failure of this specific step results in a patient producing only IgM.

What is class switching?

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