The processes of affinity maturation and class switching are used to generate a lower-affinity, less effective antibody molecule during the immune response.

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Pediatric Immunizations NCLEX Questions Questions

Question 1 of 5

The processes of affinity maturation and class switching are used to generate a lower-affinity, less effective antibody molecule during the immune response.

Correct Answer: B

Rationale: Affinity maturation and class switching increase antibody affinity and effectiveness, not decrease.

Question 2 of 5

The membrane attack complex (MAC) uses C3 to activate the final part of the complement pathway. It is important in defense against Neisseria. Which of the following components is/are inserted into the plasma membrane of the target cell, allowing for free passage of water/solute and thus killing the cell?

Correct Answer: D

Rationale: C5b-C9 form the MAC, with C9 polymerizing to lyse the target cell.

Question 3 of 5

Increases marrow production of neutrophils

Correct Answer: C

Rationale: G-CSF stimulates neutrophil production in bone marrow.

Question 4 of 5

Increases vascular permeability

Correct Answer: B

Rationale: Histamine, released by mast cells, increases vascular permeability, aiding immune cell infiltration to the site of infection.

Question 5 of 5

Natural killer cell receptors NKG2/CD94 and killer inhibitory receptors allow for the killing of antibodies in the presence of:

Correct Answer: D

Rationale: NK cells kill when MHC class I is absent or reduced, as inhibitory receptors are not engaged.

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