(完整word版)免疫学检验复习题选择题.pdf

一、单选题(A1A2 型题)1 最早将抗原抗体反应原理及方法应用于临床血清学诊断的学者是(A)AWidal B Landsteiner CKOhler D ManciniECoons2下列各项用于反映B 细胞功能的试验是(B)A。淋巴细胞转化B血清免疫球蛋白检测C迟发型超敏反应皮肤试验D移动抑制试验ECD3 检测3对流免疫电泳的沉淀线出现在抗原抗体之间且靠近抗原孔可说明(B)A抗原强阳性B抗原弱阳性C抗原阴性D抗体弱阳性E抗体阴性4。下列何种抗原是触发移植排斥反应的首要抗原(D)A HLA-A、B、C B HLA-DPC HLA-DQD HLA-DR E HLA-D5人类 MHC 基因位于第几对染色体上(B)A第 1 对 B第 6 对 C第 9 对 D第 12 对 E第 19 对6机体的免疫系统具有杀灭或排斥突变细胞功能称为(C)A免疫防御B.免疫自稳C.免疫监视D.免疫应答E.兔疫识别7用异硫氰荧光色素(FITC)作标记时其激发光波长近于(D)A365nm B435nm C450mn D490nm E500nm8.血清中含量最高的补体分子是(C)AC1 BC2 CC3 DC4 EC59检测不完全抗体可使用的凝集反应(D)A协同凝集反应B间接凝集反应C间接血凝试验DCoombs试验E直接凝集反应精品资料-欢迎下载-欢迎下载 名师归纳-第 1 页，共 12 页 -10ELISA 试验时易造成空白值增高的原因主要来自于(C)A加样不准B 保温时间短C 洗涤不彻底D 比色误差E 包被不好11GVHR 的中文全称为(B)A宿主抗移植物反应B 移植物抗宿主反应C 补体依赖的细胞毒作用D荧光偏振免疫分析E 人类白细胞抗原12为提取高纯度特异性IgG 通常采用的方法是(C)A区带电泳 B凝胶过滤C亲和层析 D选择性沉淀E超速离心13初次应答中首先产生的抗体是(C)A1gA BIgG CIgM DIgE EIgD14用于前列腺癌初筛的首选肿瘤标志物是(B)AAFP BPSA CCEA DCAl9-9 EHCG15不完全抗原的特点是(B)A仅具有免疫原性B 仅具有反应原性C 具有免疫原性及反应原性D与抗体不产生沉淀反应E不可能是病原微生物的产物16化学发光的基本原理是发光物由于(D)A在一定波长激发光照射下发光B在化学反应中获得能量而发光C在电子激发态时发光D 在电子激发态返回基态时释放能量而发光E某物在化学反应中生成发光物而发光17组织相容性抗原指的是(C)A同种异型抗原B隐蔽的自身抗原C 同种移植抗原D有核细胞表面抗原EN 曾异性抗原精品资料-欢迎下载-欢迎下载 名师归纳-第 2 页，共 12 页 -文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 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ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T418NBT 还原试验。常用来检测(D)A吞噬细胞吞噬能力B吞噬细胞细胞内杀伤能力CT 细胞活力DB 细胞活力ENK 细胞活力19型变态反应又称(C)A速发型变态反应B迟发型变态反应C细胞毒型变态反应D免疫复合物型变态反应EArthus 反应20下列哪项属于人工主动免疫(A)A 服用小儿麻痹糖丸B 白喉抗毒素C 丙种球蛋白D 干扰素E 输血21动物免疫中最常用的佐剂是(D)A卡介曲B氢氧化铝C脂多糖 D福氏佐剂E细胞因子佐剂22半抗原必须与下列何种物质结合才具免疫原性(E)A.红细胞 B.免疫佐剂 C免疫增强剂D蚩白质E 载体23如反应板上包被某抗体，用一步法(标记抗原与标本同时加入)测某抗体时，如标本中含相应抗原，则结果出现(A)A假阳性B假阴性 C前带反应 D后带反应 E无影响24下列哪项指标可以评价AIDS 病人的细胞免疫功能?(D)ACD2+CD3+比值BCD3+CD4+比值CCD3+/CD8+比值DCD4+/CD8+比值ECD2+/CD4+比值25E 花环法用于(A)AT 淋巴细胞计数BT 淋巴细胞功能检测CB 淋巴细胞计数DB 淋巴细胞功能检测ET 淋巴细胞亚群检测精品资料-欢迎下载-欢迎下载 名师归纳-第 3 页，共 12 页 -文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 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ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4二、多选题(X 型题)26有关免疫球蛋白轻链的叙述，错误的是(BCD)A免疫球蛋白有K 及两种轻链B一种免疫球蛋白分子两条轻链可以共存K、两个型C人类血清中各类免疫球蛋白所含k、两型的比例相近D.仅型游离链能从尿中排出E轻链又称 L 链分子量约 2500027用抗体检测细胞表面的HLA 抗原有(ABC)AHLA-A BHLA-B CHLA-C DHLA-D EHLA-DP28抗体抗原反应体系中如抗原量过多将产生(CE)A免疫复合增多B前带反应C后带反应D 假阳性 E假阴性29间接血凝试验常用的红细胞为(AD)A绵羊红细胞B.家兔红细胞C.小鼠红细胞D人“0”型红细胞E人“A、B”型红细胞30目前比较公认的可作为系统性红斑狼疮标志的自身抗体是(AE)A抗 Sm 抗体B抗 RNP 抗体C抗 SSA 抗体D抗 SSB抗体E抗 dsDNA 抗体31下列哪些属于T 淋巴细胞介导的细胞免疫现象?(ABDE)A对胞内寄生微生物的抗感染作用B抗肿瘤作用C调理作用D移植物抗宿主反应E._迟发型超敏反应精品资料-欢迎下载-欢迎下载 名师归纳-第 4 页，共 12 页 -文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 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ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4三、B 型题32AIgG BIgM CIgA DIgD EIgE(1)个体发育过程中最早合成和分泌的抗体是(B)(2)介导 I 型超敏反应，往正常人血清中含量最少的抗体是(E)(3)再次免疫应答的主要抗体，也是唯一能通过胎盘的抗体是(A)(4)可以替代途径激活补体，并参与粘膜局部免疫的抗体是(C)33AT 细胞BB 细胞CNK 细胞DK 细胞ELAK 细胞F树突状细胞(DC)(1)产生抗体依赖性细胞介导细胞毒作用的细胞主要是(D)(2)不需抗体参与即可杀伤靶细胞的细胞是(C)(3)胸腺依赖淋巴细胞是指(A)(4)具有产生抗体、分泌细胞因子参与免疫调节的细胞是(B)(5)常被称为专职性抗原递呈细胞的是(F)34A免疫印迹法BELISA(夹心法)C直接凝集试验DELISA(间接法)E免疫荧光技术(1)可溶性抗原定量测定常用的方法是(B)(2)抗原定性或定位常用的方法是(E)(3)测定 HIV 抗体确诊 HIV 感染常用的方法是(A)(4)血型鉴定常用的方法是(C)精品资料-欢迎下载-欢迎下载 名师归纳-第 5 页，共 12 页 -文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 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ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4四、分析题(A3A4 型题)35 男，45 岁，骨盆骨折住院。x 线检查发现多部位溶骨性病变。实验室检查：骨髓浆细胞占25，血沉 50mm60min，血红蛋白为80gL，尿本周蛋白阳性，血清蛋白电泳呈现M 蛋白，血清免疫球蛋白含量IgG8gL、IgA l 2g L、lgM02gL。(1)该患者最可能的临床诊断是(C)A一过性单克隆丙种球蛋白病B持续性多克隆丙种球蛋白病C多发性骨髓瘤D冷球蛋白血症E原发性巨球蛋白血症(2)如进一步对该患者进行分型，则应为(B)AIgG 型BIgA 型CIgD 型DIgE 型E非分泌型(3)目前最常用的鉴定M 蛋白类型的方法为(A)A免疫固定电泳B免疫扩散CELlSA D比浊法E对流电泳(4)除何者外，下列均为该患者目前可选用的治疗方法(E)A.化疗B.使用干扰素C.造血干细胞移植D.控制并发症E.使用免疫增强剂精品资料-欢迎下载-欢迎下载 名师归纳-第 6 页，共 12 页 -文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 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ZX5S1C10J1T4医学免疫学模拟试题A1 型题 以下每一考题下面有A、B、C、D、E 5 个备选答案，请从中选一个最佳答案，并在答题卡将相应题号的相应字母所属方框涂黑。1T 细胞分化成熟的场所是BA骨髓B胸腺C腔上囊D淋巴结E脾2人类 T 细胞不具备的受体是CA.E 受体 B.IgG Fc 受体 C.C3b 受体 D.DHA 受体 E.IL2 受体3关于 IgA 下述哪项是正确的EA二聚体 IgA 结合抗原的亲合力，高于单体IgABIgA1 主要存在于血清中CsIgA 是膜局部免疫的最重要因素DsIgA 具有免疫排除功能E以上均正确4与类风湿因子有关的Ig 是 CAIgG BIgA CIgM DIgD E.IgE5惟一能通过胎盘的Ig 是 AAIgG BIgA CIgM DIgD EIgE6决定 Ig 的类和亚类的部位是DAVL 十 VH BVL 十 CL C铰链区DDH ECL7体液补体抑制因子是DAC1q BIgG1 CIL2 DH 因子EB 因子精品资料-欢迎下载-欢迎下载 名师归纳-第 7 页，共 12 页 -文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 ZX5S1C10J1T4文档编码:CE9M3R5N5G9 HS8T2Y3Y1P3 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