Which of the following statement concerning Influenza infection is NOT true?

Correct Answer: C

Rationale: The correct answer is C because it states that human strains of Influenza extensively infect epithelial cells throughout the body, which is not true. Influenza primarily infects cells of the respiratory tract, leading to respiratory symptoms. Systemic symptoms such as fever, fatigue, and muscle aches are more related to the body's immune response rather than widespread infection of epithelial cells throughout the body. This statement is incorrect as it misrepresents the pathogenesis of Influenza. Choices A, B, and D are incorrect because they are all true statements supported by scientific evidence regarding Influenza transmission, asymptomatic spread, and viral entry mechanism, respectively.

Correct Answer: A

Rationale: The correct answer is A: How the number of different immunoglobulins produced by an individual can be far greater than the number of genes in the human genome. Immunoglobulin gene rearrangement occurs during B cell development, leading to the generation of a diverse repertoire of antibodies from a limited number of genes. This process allows for the production of a vast array of immunoglobulins through mechanisms like V(D)J recombination. Choice B is incorrect because the gene rearrangement process actually enables a single gene to encode for multiple immunoglobulins. Choice C is partially correct but does not fully capture the significance of gene rearrangement in expanding the diversity of immunoglobulins beyond what the genome would suggest. Choice D is incorrect as it combines a correct statement (A) with an incomplete statement (C).

Correct Answer: B

Rationale: The correct answer is B because polarizing cytokines secreted by dendritic cells play a crucial role in determining the differentiation of activated Th cells into specific effector subsets. These cytokines guide the Th cells towards different functional phenotypes, such as Th1, Th2, Th17, or Treg cells. This process helps tailor the immune response to the specific type of pathogen encountered. Choices A, C, and D are incorrect because while signal 1 of activation, T cell receptor co-receptors, and duration of signaling are important factors in T cell activation and differentiation, they do not have as direct and significant an impact on effector subset differentiation as the influence of polarizing cytokines.

Correct Answer: D

Rationale: The correct answer is D because all the factors mentioned are important in the eradication of smallpox. A is correct because smallpox is specific to humans, simplifying eradication efforts. B is correct as the vaccine was easily deployable. C is correct as isolation of symptomatic individuals helped control the spread. Therefore, all choices are important in the successful eradication of smallpox.

Correct Answer: B

Rationale: The correct answer is B because innate immune cells do not respond better and faster at a second encounter with the same pathogen. This is a characteristic of adaptive immunity, not innate immunity. During a second encounter, adaptive immune cells produce a faster and stronger response due to memory cells formed during the initial exposure. In contrast, innate immune cells do not have memory cells and their response remains the same upon repeated encounters. Choice A is correct as innate cells are immediately active and do not require clonal amplification or differentiation. Choice C is correct as innate receptors recognize broad structures on pathogens. Choice D is correct as innate receptors can recognize modified-self, such as in autoimmune diseases.