Autoimmune Diseases MCQs

Autoimmune Diseases MCQs

  1. As regard ANA testing in SLE cases which of the following is true?
    • Done by indirect immunofluorescence
    • It is a sensitive screening test for the disease
    • Its specificity can be improved by detection of high titers
    • All of the above ✅

  2. In cases of rheumatoid arthritis which of the following statements is false:
    • Negative RF by routine lab procedures excludes diagnosis ✅
    • RF by Rose Waaler is more specific than latex fixation test
    • RFs are antiglobulins against autologous IgG
    • None of the above

  3. Hasimoto’s disease and Graves’s disease are similar in that both:
    • Affect RBCs
    • Affect the liver
    • Are forms of cellular immunity
    • Affect the thyroid gland ✅
    • Are accompanied by histamine release

  4. Children with insulin dependent DM have:
    • Anti-IgG Fc antibodies
    • Anti-microsomal antibodies
    • Anti-parietal cells antibodies
    • Antinuclear antibodies
    • None of the above ✅

  5. An autoimmune disease characterized by the overproduction of thyroid hormones:
    • Lupus erythematosus
    • Myasthenia graves
    • DiGeorge disease
    • Grave’s disease ✅
    • Hemolytic anemia

  6. Rheumatoid arthritis is an autoimmune disorder in which the body’s immune system acts against its own:
    • Lymphocytes
    • Neutrophils
    • RBC
    • IgG ✅
    • DNA

  7. Sero-negative rheumatoid arthritis (RA) includes the following:
    • Early RA
    • Juvenile RA
    • Arthritis with certain systemic diseases
    • All of the above ✅
    • None of the above

  8. The pathogenic antibody in Grave’s disease has specific for:
    • Nuclei
    • Thyroid peroxidase
    • Thyroglobulin
    • TSH receptors ✅
    • TSH

  9. Direct immunofluorescent examination of renal biopsy shows linear deposition along the glomerular basement membrane:
    • Minimal change nephropathy
    • Membranous nephropathy
    • Membranoproliferative glomerulonephritis
    • Anti-GBM nephritis ✅
    • IgA nephropathy

  10. Which of the following is a non-organ specific autoimmune disease?
    • Myasthenia graves
    • Insulin dependent diabetes
    • Rheumatoid arthritis ✅
    • Hasimoto’s thyroiditis
    • Pernicious anemia

  11. Which of the following statements about anti-mitochondrial antibodies is false:
    • Found in patients with primary biliary cirrhosis (PBC)
    • Found in some patients of chronic active hepatitis
    • Can’t differentiate PBC from primary sclerosing cholangitis ✅
    • Accompanied by a rise in serum IgM in patients with PBC
    • None of the above

  12. Patients with SLE show the following findings:
    • Normocytic normochromic anemia
    • High ESR
    • Thrombocytopenia
    • Leucopenia
    • All of the above ✅

  13. Specificity of ANA testing by immunofluorescence can be increased by:
    • Determination of titre
    • Determination of pattern
    • Using more than one substrate
    • All of the above ✅
    • None of the above

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