Secondary lymphoid tissues are where:

Correct Answer: D

Rationale: The correct answer is D because secondary lymphoid tissues are where both A and C processes occur. Naïve lymphocytes become activated in secondary lymphoid tissues through interactions with antigens, leading to their differentiation into effector cells. Somatic hypermutation also occurs in secondary lymphoid tissues, specifically in germinal centers of lymph nodes, leading to the generation of high-affinity antibodies. Option B, VDI gene rearrangement, does not occur in secondary lymphoid tissues; it is a process that happens in the primary lymphoid organs (bone marrow and thymus) during the development of lymphocytes. Thus, options A and C are correct, making the correct answer D.

Correct Answer: D

Rationale: The correct answer is D because all the options contribute to improving flu vaccines. A cytotoxic T cell response can help block viral spread, strain-specific neutralizing antibodies can prevent viral entry, and targeting less variable regions of HA with antibodies can improve recognition across strains. Each approach addresses different aspects of the immune response to enhance vaccine efficacy. Therefore, combining these strategies can lead to a more comprehensive and effective flu vaccine. Options A, B, and C alone are not sufficient as they only target specific aspects of the immune response, while option D encompasses a holistic approach for better vaccine success.

Correct Answer: A

Rationale: The correct answer is A because cytotoxic T lymphocytes (CTLs) kill target cells by recognizing specific peptide antigens presented on major histocompatibility complex (MHC) class I molecules. This recognition triggers the CTLs to release cytotoxic molecules that induce apoptosis in the target cells. Choice B is incorrect because CTLs do not die in the process of killing target cells; they survive to continue their immune response. Choice C is incorrect as CTLs do not kill target cells by activating complement, but rather through direct cell-cell contact. Choice D is incorrect because CTLs carry out their effector function in peripheral tissues where they encounter target cells, not specifically in secondary lymphoid tissues.

Correct Answer: B

Rationale: Positive selection is necessary to produce a T-cell repertoire capable of interacting with self MHC molecules. During positive selection in the thymus, T-cells that can recognize self MHC molecules are retained, ensuring self-tolerance and functionality. Negative selection eliminates self-reactive T-cells. Induction of anergy is a state of T-cell unresponsiveness and does not contribute to the development of a functional T-cell repertoire. Choice A is incorrect as only positive selection is necessary for self MHC recognition.

Correct Answer: C

Rationale: The correct answer is C: 1-b, 2-d, 3-a, 4-c. To determine this, we need to match each item correctly. Step by step: 1) First item is matched with b because it corresponds to the correct sequence. 2) Second item is matched with d as it follows the order. 3) Third item is matched with a as it aligns with the pattern. 4) Fourth item is matched with c to complete the sequence. Other choices lack logical consistency in matching the items as per their correct order, making them incorrect.