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CHaPTEr 30  Host Defenses to Protozoa           435.e1


              MULTIPLE-CHOICE QUESTIONS


           1.  Which one of the following is characteristic of the immuno-  3.  Which one of the following is a component of the innate
             pathogenesis of cerebral malaria?                      immune response to Cryptosporidium infection?
              A. Absence of Plasmodium-specific antibodies           A. Decreased intestinal mucin production
              B. Impaired interferon (IFN)-γ mediated production of nitric    B. Increased type I and type II interferon production
               oxide                                                 C. Decreased nuclear factor-kappa B (NF-κB) activation
              C. Cytoadhesion of parasites and leukocytes to vascular    D. Antigen-specific CD8 intraepithelial T-cell responses
               endothelium                                           E.  Antigen-specific immunoglobulin A (IgA) responses
              D. Immune-mediated destruction of infected erythrocytes
              E.  Failure of leukocyte production of leukotriene/tumor
               necrosis factor (LT/TNF)
           2.  Which one of the following is NOT a mechanism through
             which Leishmania can evade the host immune response?
              A. Complement resistance mediated by the parasite’s surface
               lipophosphoglycan
              B. Blunted interferon (IFN)-γ-mediated macrophage activation
               through the disruption of signal transduction pathways
              C. Increased synthesis of the immunosuppressive molecules
               interleukin (IL)-10, transforming growth factor (TGF)-β,
               and prostaglandin (PG)E 2
              D. Depletion  of  L-arginine through the activity of host
               arginase
              E.  Suppression of an early neutrophil response at the site of
               infection
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