Exam code: 7402
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Define vaccine.
A vaccine is a preparation containing antigens from a pathogen, designed to stimulate a specific immune response and provide immunity without causing disease.

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Define vaccine.
A vaccine is a preparation containing antigens from a pathogen, designed to stimulate a specific immune response and provide immunity without causing disease.
What do plasma cells release in response to an antigen introduced by a vaccine?
Plasma cells release antibodies in response to an antigen introduced by a vaccine.
Vaccines can contain , antigens, or genetic material that codes for the .
Vaccines can contain weakened forms of the pathogen, antigens, or genetic material that codes for the antigens.
What type of immunity is produced by vaccination and how?
Vaccination produces active immunity by causing the body to generate memory cells after exposure to vaccine antigens.
The immune system recognises the from the vaccine and triggers a response upon re-exposure.
The immune system recognises the antigen from the vaccine and triggers a faster, stronger secondary response upon re-exposure.
Why do vaccinated individuals usually not develop symptoms if they encounter the real pathogen?
Vaccinated individuals usually do not develop symptoms because their immune system mounts a secondary response that eliminates the pathogen before symptoms appear.
Define herd immunity.
Herd immunity is when a large proportion of a population is immune to a disease, reducing spread and protecting individuals who are not immune.
Herd immunity protects individuals who cannot be vaccinated, such as or those with .
Herd immunity protects individuals who cannot be vaccinated, such as babies or those with weakened immune systems.
True or False?
If vaccination rates fall below the herd immunity threshold, disease outbreaks can occur.
True.
If vaccination rates drop below the threshold required for herd immunity, diseases can spread easily and outbreaks, such as the measles outbreak in Swansea in 2012, can occur.
Define active immunity.
Active immunity is when the immune system is stimulated by an antigen to produce antibodies and memory cells.
Define passive immunity.
Passive immunity is when a person receives ready-made antibodies without producing them, so no immune response or memory cells are formed.
What is the difference between natural and artificial active immunity?
Natural active immunity is acquired from infection by a pathogen, while artificial active immunity is acquired through vaccination.
True or False?
Passive immunity provides long-term protection due to memory cell formation.
False.
Passive immunity provides short-term protection because no memory cells are formed.
In active immunity, the body produces and after being stimulated by an antigen.
An example of natural passive immunity is antibodies passed from mother to baby via the placenta or breast milk (colostrum).
What is an example of natural passive immunity?
An example of natural passive immunity is antibodies passed from mother to baby via the placenta or breast milk (colostrum).
Passive immunity is useful when protection is needed and there is no time to wait for an immune response.
Passive immunity is useful when immediate protection is needed and there is no time to wait for an immune response.
Which type of immunity involves the production of memory cells and leads to a faster secondary response?
Active immunity involves the production of memory cells and leads to a faster and stronger secondary response.
Define retrovirus.
A retrovirus is a virus whose genetic material is RNA, and which uses reverse transcriptase to make a DNA copy in the host cell.
Define AIDS.
AIDS (acquired immune deficiency syndrome) is the disease caused by infection with HIV, where the immune system is weakened and cannot fight off infections.
Define reverse transcriptase.
Reverse transcriptase is an enzyme used by HIV to convert its RNA into DNA inside the host cell.
What is the difference between HIV and AIDS?
HIV is the virus that infects the body, while AIDS is the disease caused when HIV weakens the immune system until it can no longer fight infections.
Which type of cell does HIV primarily infect and destroy?
HIV primarily infects and destroys helper T cells, which are crucial for the immune response.
After initial infection, HIV enters a period with no obvious symptoms.
After initial infection, HIV enters a latent period with no obvious symptoms.
When the immune system can’t respond to pathogens, develops and opportunistic infections can occur.
When the immune system can’t respond to pathogens, AIDS develops and opportunistic infections can occur.
True or False?
Antibiotics can be used to treat viral infections like HIV.
False.
Antibiotics are ineffective against viruses like HIV because viruses do not have the cellular structures targeted by antibiotics.
What is the genetic material found in HIV?
The genetic material in HIV is RNA, not DNA.
The enzyme that converts HIV RNA into DNA is .
The enzyme that converts HIV RNA into DNA is reverse transcriptase.
How is HIV transmitted between individuals?
HIV is transmitted by direct exchange of body fluids, such as during sexual intercourse or blood donation.
AIDS is characterised by a reduced number of T cells and a loss of the ability to fight .
AIDS is characterised by a reduced number of helper T cells and a loss of the ability to fight infections.
What is the main reason why HIV-positive individuals can have a normal life expectancy today?
With the use of antiviral drugs, HIV-positive individuals can have a normal life expectancy because these drugs slow down virus replication.
Define monoclonal antibody.
A monoclonal antibody is an identical antibody produced from a single clone of B cells.
Why are monoclonal antibodies highly specific in their action?
Monoclonal antibodies are highly specific because they are produced by a single B cell clone and bind to only one particular antigen.
Monoclonal antibodies are produced from a single clone and bind to a single .
Monoclonal antibodies are produced from a single B cell clone and bind to a single antigen.
How can monoclonal antibodies be used in the treatment of cancer?
Monoclonal antibodies can be attached to a therapeutic drug and designed to bind only to cancer cells, delivering the drug directly to them and reducing damage to healthy cells.
In targeted drug delivery, a monoclonal antibody carries a directly to the target cells, increasing effectiveness and reducing to healthy cells.
In targeted drug delivery, a monoclonal antibody carries a therapeutic drug directly to the target cells, increasing effectiveness and reducing damage to healthy cells.
True or False?
Monoclonal antibodies can be used to detect the presence of specific antigens in medical diagnosis.
True.
Monoclonal antibodies are used in medical diagnosis to detect the presence and location of specific antigens.
Define targeted drug delivery.
Targeted drug delivery is the use of monoclonal antibodies to carry a therapeutic drug directly to specific cells, such as cancer cells, increasing effectiveness and reducing damage to healthy cells.
Give two examples of diagnostic uses of monoclonal antibodies.
Diagnostic uses of monoclonal antibodies include pregnancy tests (detecting hCG in urine) and infection detection (such as HIV or Streptococcus).
Define reproducibility.
Reproducibility refers to whether other scientists can obtain similar results using the same method and data.
Claims about vaccine or monoclonal antibody (mAb) safety and effectiveness must be backed by .
Claims about vaccine or monoclonal antibody (mAb) safety and effectiveness must be backed by scientific evidence.
Why is a large, unbiased sample important in evaluating vaccine studies?
A large, unbiased sample reduces the risk of misleading results and increases the reliability and validity of a study's conclusions.
True or False?
Peer review and replication are not necessary when evaluating scientific claims about vaccines.
False.
Peer review and replication are essential for ensuring scientific claims are reliable and valid.
Define herd immunity.
Herd immunity is when enough of the population is immune to a disease, reducing its spread and protecting individuals who are not immune.
Vaccines are often first tested on , which some consider .
Vaccines are often first tested on animals, which some consider unethical.
What ethical concern arises when vulnerable people participate in vaccine trials for payment?
There is a concern about exploitation, as vulnerable people may take risks for payment.
True or False?
Monoclonal antibodies are produced using mice, which raises animal welfare concerns.
True.
Producing monoclonal antibodies involves injecting mice and extracting cells, which can cause suffering and raises ethical concerns for animal welfare.
Define informed consent.
Informed consent is when a person fully understands the risks and benefits before agreeing to participate in a treatment or trial.
A concern with monoclonal antibody treatments is that they are often , raising issues of fair .
A concern with monoclonal antibody treatments is that they are often expensive, raising issues of fair access.
Why is transparency about funding and conflicts of interest crucial in medical studies?
Transparency helps ensure that results are unbiased and trustworthy, reducing the risk of misleading conclusions due to hidden motives.
A study is considered valid if its answer the research question and the are well controlled.
A study is considered valid if its data answer the research question and the variables are well controlled.
What is a major ethical issue regarding vaccine access during epidemics?
A major issue is fair distribution, as wealthier countries may obtain vaccines before poorer nations, raising concerns over equality.
Define ELISA (Enzyme-Linked Immunosorbent Assay).
An ELISA (Enzyme-Linked Immunosorbent Assay) is a test that uses antibodies to detect the presence and quantity of a specific antigen or antibody in a sample.
What role does the enzyme play in an ELISA test?
In an ELISA test, the enzyme attached to the antibody reacts with a substrate to produce a coloured product, which indicates the presence of the antigen or antibody of interest.
A direct ELISA test uses a single that is complementary to the being tested for.
A direct ELISA test uses a single antibody that is complementary to the antigen being tested for.
How does an indirect ELISA differ from a direct ELISA?
An indirect ELISA uses two antibodies, a primary and a secondary, whereas a direct ELISA uses only a single antibody.
In an indirect ELISA, the is attached to the bottom of the well, and the from the patient is added.
In an indirect ELISA, the antigen is attached to the bottom of the well, and the blood plasma from the patient is added.
Why is a wash step important in the ELISA procedure?
A wash step removes unbound antibodies to prevent false-positive results in the ELISA test.
Define primary antibody in the context of ELISA.
A primary antibody is the first antibody added in an ELISA that is specific to the antigen being tested for.
True or False?
A colour change in an indirect ELISA for HIV indicates the presence of HIV antigens in the patient's blood.
False.
A colour change indicates the presence of HIV-specific antibodies in the patient's blood, not HIV antigens.
In the final step of an indirect ELISA, a is added. If the enzyme is present, a occurs.
In the final step of an indirect ELISA, a substrate is added. If the enzyme is present, a colour change occurs.
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