Which of the following immunoglobulins is present normally in plasma at the highest concentration?

Correct Answer: A

Rationale: The correct answer is A: IgG. IgG is the most abundant immunoglobulin in plasma, comprising around 75% of total immunoglobulins. It is produced in response to infections and provides long-term immunity. IgM is the first antibody produced in response to an infection, but its concentration decreases over time. IgA is mainly found in mucosal areas and secretions. IgD is present in small amounts and its function is not fully understood. Thus, IgG is the correct answer due to its high concentration in plasma and important role in long-term immunity.

Correct Answer: C

Rationale: The correct answer is C because a capillary refill time of 8 seconds indicates poor perfusion, which could be a sign of compromised blood flow to the fingers post-surgical decompression. This finding requires immediate action to prevent complications such as ischemia or impaired wound healing. A: Swollen and warm fingers are expected after surgery due to inflammation. B: Generalized pain can be managed with appropriate pain relief measures and is not an immediate concern post-surgery. D: Pink and cool fingers indicate adequate perfusion and are normal findings post-surgery.

Correct Answer: B

Rationale: The correct answer is B because immunoglobulins can indeed recognize conformational antigens on viral particles. Immunoglobulins have variable regions that can bind to a wide range of antigen shapes. Choice A is correct as Ig structure consists of two light and two heavy chains. Choice C is incorrect as immunoglobulins can also bind to internal epitopes. Choice D is incorrect as Ig expression starts during the late B cell development stage.

Correct Answer: D

Rationale: The correct answer is D because Signal 2 is essential for the activation of naïve T cells. Signal 1 provides the antigen recognition, while Signal 2, typically provided by co-stimulatory molecules, is required for full T cell activation. A is incorrect because Signal 2 is not specifically for memory T cell re-activation. B is incorrect because Signal 2 is not related to self-tolerance, which is typically maintained by regulatory T cells. C is incorrect because CD3 is a component of the T cell receptor complex, not the primary mediator of Signal 2.

Correct Answer: B

Rationale: The correct answer is B because mature naïve T cells that leave the thymus can include self-reactive T cells that have not been tolerized against a specific antigen. This is because the process of negative selection in the thymus eliminates most self-reactive T cells but does not catch all of them. Some self-reactive T cells may escape negative selection and circulate as mature naïve T cells. Therefore, it is possible for mature naïve T cells leaving the thymus to include self-reactive T cells that have not been tolerized against a specific antigen. Choices: A: This is incorrect because although negative selection in the thymus eliminates most self-reactive T cells, it does not catch all of them, so some self-reactive T cells may still be present in the mature naïve T cell population. C: This is incorrect because mature naïve T cells already have the ability to recognize antigens presented by MHC, which is developed in the th