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Sometimes a microorganism can directly activate complement through


A) the alternative pathway only
B) the lectin pathway only
C) the alternative and the lectin pathway
D) usually the alternative and the lectin pathways, but with some microorganisms, also the classical pathway

E) All of the above
F) C) and D)

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Complement


A) aids in immune complex clearance
B) interacts with the coagulation pathway
C) can be involved in immune memory enhancement
D) all of the above
E) A and C only

F) B) and E)
G) C) and D)

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Amplification steps in the complement pathways occur


A) in the classical pathway with C1 cleaving multiple molecules of C4 and multiple C2 for every C1 and C4; in the alternative pathway with the C3b of other pathways becoming C3 convertase; and then the C3b becoming part of a C5 convertase
B) in all pathways with all the C3 convertases making multiple C3a +C3b
C) with C9 polymerization
D) all of the above
E) A and B only

F) A) and E)
G) B) and E)

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Complement proteins are synthesized by


A) the liver
B) monocytes
C) macrophages
D) epithelial cells
E) All of the above

F) B) and D)
G) None of the above

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Which of the following is an active C3 convertase?


A) C4bC2a
B) C3bC5b
C) C4bC2a.
D) BbDd

E) A) and C)
F) A) and D)

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What molecule is needed for C1q,r and s to stay together?


A) Mg++
B) Ca++ and Mg++
C) Ca++
D) none of the above

E) A) and B)
F) All of the above

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The difference in the three pathways is the way the C3 convertase is formed


A) in the classical pathway, the C3 convertase is C1C2; in the alternative pathway, it is C3wBb; and in the MBL pathway, the C3 convertase is C2aC4b
B) in the classical pathway, the C3 convertase is C2aC4b' in the alternative pathway, it is C3wBb; and in the MBL pathway, the C3 convertase is C2aC4b
C) in the classical pathway, the C3 convertase is C1C2; in the alternative pathway, it is C3wBb; and in the MBL pathway, the C3 convertase is MBL-MASP-2
D) in the classical pathway, the C3 convertase is C2aC4b; in the alternative pathway, it is PDBb; and in the MBL pathway, the C3 convertase is C2aC4b

E) A) and D)
F) A) and C)

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Complement


A) causes lysis of gram-positive cells and has no effect on gram-negative cells
B) causes lysis of gram-negative cells and has no effect on gram-positive cells
C) causes lysis of gram-positive cells and increases the amount of phagocytosis of gram-negative cells
D) causes lysis of gram-negative cells and increases the amount of phagocytosis of gram-positive cells

E) All of the above
F) A) and C)

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Anaphylatoxins include


A) C5a
B) C4a
C) C3a
D) C5a and C4a
E) all of the above

F) B) and C)
G) A) and E)

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Susie has an acute infection-strep throat-and her friend Zoe has a chronic illness, systemic lupus erythematosus.


A) Susie probably has an elevated CH 50 while Zoe probably has a decreased CH50.
B) Susie probably has a decreased CH 50 while Zoe probably has an increased CH50.
C) Both Susie and Zoe probably have an elevated CH 50.
D) Both Susie and Zoe probably have a decreased CH 50.

E) A) and B)
F) None of the above

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Which pathway(s) can act as a powerful amplifier of the other pathways?


A) the classical pathway
B) the alternative pathway
C) the lectin pathway
D) all of the pathways can amplify each other

E) A) and B)
F) C) and D)

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Collectin is


A) another name for the mannose-binding lectin
B) a name for the collective processes involved in all complement pathways
C) a receptor for C3b
D) a receptor for C1q

E) B) and C)
F) None of the above

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The AH50 differs from the CH50 because the AH50


A) measures the alternative pathway and the CH50 measures the classical pathway
B) measures the classical pathway and the CH50 measures the alternative pathway
C) uses rabbit red blood cells and the CH50 uses sheep red blood cells with antibody
D) measures the alternative pathway and the CH50 measures the classical pathway and uses rabbit red blood cells and the CH50 uses sheep red blood cells with antibody
E) measures the classical pathway and the CH50 measures the alternative pathway and uses rabbit red blood cells and the CH50 uses sheep red blood cells with antibody

F) None of the above
G) A) and B)

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MBL binds


A) mannose and MASP-2 become associated and cleave C2 and C4
B) mannose and MASP-1 become associated and cleave C4
C) ficolin and MASP-2 become associated and cleave C2 and C4
D) membranes and MASP-1 become associated and cleave C2 and C4

E) B) and D)
F) B) and C)

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