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Question 1
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Question 2
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Which immunoglobulin provides passive immunity to the neonate?
Your Answer: IgM
Correct Answer: IgG
Explanation:Passive immunity to the neonate is provided by immunoglobulin G (IgG) since it can be transferred through the placenta from mother to the foetus.
IgA is transferred from mothers to offspring through breast milk.
IgM molecular structure is too big to be filtered through the placental vasculature to the foetus. IgM is the first Ig to be synthesised by the neonate -
This question is part of the following fields:
- Immunology
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Question 3
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Question 4
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Which of the following cell types act as professional antigen presenter cells (APCs)
Your Answer: Macrophages
Explanation:Macrophages are the antigen presenting cells, they phagocytose the pathogen and after breaking them down present their protein structure to the B and T cells for a specific immune reaction to take place.
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This question is part of the following fields:
- Immunology
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Question 5
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Question 6
Incorrect
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To avoid potential haemolysis, Anti D immunoglobulin should be administered to which of the following?
Your Answer: Rhesus negative mother, non-sensitised, fetal cord blood Rh negative
Correct Answer: Rhesus negative mother, non-sensitised, fetal cord blood Rh positive
Explanation:The Rhesus status of a mother is important in pregnancy and even abortion. The exposure of an Rh-negative mother exposed to Rh antigens from a positive foetus, will influence the development of anti-Rh antibodies. This may cause problems in subsequent pregnancies leading to haemolysis in the newborn. Rh Anti RhD- globulin is therefore given to non-sensitised Rh-negative mothers who give birth to Rh-positive children to prevent the formation of anti-Rh antibodies. Anti RhD globulin is not useful for already sensitized, or RhD positive mothers; its administration could result in maternal blood being bound and taken out of circulation.
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This question is part of the following fields:
- Immunology
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Question 7
Incorrect
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Macrophages are derived from what type of white blood cell?
Your Answer: Natural Killer Cells
Correct Answer: Monocytes
Explanation:Macrophages are derived from monocytes. When monocytes come across a pathogen they differentiate into macrophages for phagocytosis to occur.
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This question is part of the following fields:
- Immunology
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Question 8
Correct
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Question 9
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Question 10
Incorrect
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Which Immunoglobulin (or antibody) is secreted in large amounts in breast milk?
Your Answer: IgM
Correct Answer: IgA
Explanation:When considering immunoglobulins in neonates. There are only a few key points you are likely to be tested on. 1. IgA is resistant to stomach acid and found in large amounts in breast milk. 2. IgG is the only Ig that can cross the placenta so is key for passive neonatal immunity 3. When the neonate starts synthesising its own Ig it is IgM that is produced first.
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This question is part of the following fields:
- Immunology
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