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CHaPTEr 19  Host Defenses in Skin          283.e1


              MULTIPLE-CHOICE QUESTIONS

           1.  Pembrolizumab and nivolumab are neutralizing antibodies    C. Dermatitis herpetiformis
             directed at the programmed death ligand type 1 (PD-L1) and    D. Hyper-IgE syndrome (HIES)
             ipilimumab  is an antibody that  neutralizes cytotoxic T    E.  Pemphigus
             lymphocyte antigen-4 (CTLA-4). They are used to treat which   4.  In a normal healthy individual, which of the following has
             of the following cutaneous malignancies?               the largest number of lymphocytes?
              A. Basal cell carcinoma                                A. Blood
              B. Fibrosarcoma                                        B. Brain
              C. Kaposi sarcoma                                      C. Kidney
              D. Melanoma                                            D. Liver
              E.  Sebaceous gland carcinoma
                                                                     E.  Skin
           2.  Skin is a rich source of cytokines and chemokines. Which
             cell type does not produce them in skin?             5.  Which of the following is true about epidermal Langerhans
              A. Fibroblasts                                        cells?
              B. Keratinocytes                                       A. They possess a specialized organelle called the  Birbeck
              C. Mast cells                                            granule.
              D. Melanocytes                                         B. They are a type of myeloid dendritic cell (DC).
              E.  All of the above produce cytokines in the skin     C. Following cutaneous exposure to danger signals, they
                                                                       extrude their processes to capture external antigens.
           3.  Cathelicidins are antimicrobial peptides that are produced    D. After cutaneous antigen exposure, they migrate to draining
             by skin. They have been implicated in which of the following   lymph nodes.
             diseases?                                               E.  All of the above are true.
              A. Atopic dermatitis
              B. Cutaneous T-cell lymphoma
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