Which of the following provides a first line of defense against pathogens? |
B. intact skin and mucous membranes |
Which of the following is NOT a characteristic of Natural Killer (NK) cells? |
D. NK cells recognize abnormal or cancer cells by a specific antigen on their cell membrane. |
Which of the following innate internal defenses work by interfering with viral replication? |
B. interferons |
How do phagocytes recognize foreign cells or bacteria? |
The phagocytes recognize molecules on pathogens not normally found on body cells. |
Which of the innate defense mechanisms can lyse bacteria and mark cells for phagocytosis? |
complement proteins |
Which of the following can act as opsonins on bacteria, thus enhancing phagocytosis? |
A. antibodies and complement proteins |
With what does our immune system coat pathogens to facilitate their capture and accelerate phagocytosis? |
opsonins |
What protein can be released by infected cells to help protect cells that have not yet been infected? |
interferon |
How do interferons protect against viral infection in healthy cells? |
Interferons block viral reproduction in healthy cells through the production of antiviral proteins. |
Which of the following phases involves white blood cells leaving capillaries? |
diapedesis |
Which of the following is an effect of complement activation? |
B. opsonization |
Which class of tissue graft is the LEAST likely to be accepted by a patient’s body? |
A. xenograft |
what is/are the most specific internal defense against disease? |
T cells |
Which antimicrobial protein triggers inflammation? |
histamine |
Which of the following are NOT correctly matched? |
C. immediate hypersensitivity: allergic contact dermatitis |
What types of antigen do T cells NOT recognize? |
D. self-antigens |
Which of the following statements does NOT describe the adaptive immune response? |
B. It occurs immediately after the body is challenged by foreign material. |
Which cells engulf antigens and present fragments of them on their own surfaces for recognition? |
dendritic cells |
The antivenom used to treat venomous snake bites is an antibody produced in an animal such as a horse. Suppose these antibodies are injected into a patient who has been bitten by a venomous snake–how would you classify the resulting humoral immunity? |
passive immunity, artificially acquired |
Which of the following best illustrates artificially acquired active humoral immunity? |
A. vaccines |
what occurs when antibodies block specific sites on viruses or bacterial exotoxins? |
neutralization |
Which mechanism(s) of antibody action result(s) in cell lysis? |
complement fixation and activation |
T cells achieve self-tolerance in the __________. |
thymus |
Which of the following are antigen-presenting cells (APC)? |
A. B cells |
Vaccines provide what type of immunity? |
artificial active |
Why are children given vaccinations? |
so that they will develop antibodies against various diseases |
Class II MHC proteins are found on which cell type |
antigen-presenting cells |
Which class of MHC proteins presents exogenous antigens? |
class II MHC proteins |
Class I MHC proteins are recognized by which of the following cell types (that are destined to become T cells)? |
CD8 |
Which types of cells display protein fragments produced by the cancer within them? |
all nucleated cells |
Which major class of lymphocytes become cytotoxic T cells? |
CD8 cells |
What type of T cell can directly attack and kill other cells, such as virus-infected cells? |
cytotoxic T (TC) cells |
Which of the following are NOT appropriately matched? |
B. helper T cells: destroy infected cells |
Which lymphocytes act as the bridge between the cellular and humoral responses? |
helper T cells |
Tears and mucus membranes would be a part of which defense system? |
innate external defenses |
Phagocytotic cells such as macrophages identify a variety of enemies by recognizing markers unique to pathogens. They would be classified as which type of defense system? |
innate internal defesnes |
What cells make antibodies? |
plasma B cells |
What is the name of the unique area (specific region) that a lymphocyte recognizes and binds to? |
an antigenic determinant |
What type of immunity can be transferred by bodily fluids from one person to another, thus conferring immunity to the recipient? |
humoral immunity |
If a virus attacks a cell, which type of immunity would be activated? |
cell-mediated immunity (cellular immunity) |
Cancer cells would be attacked by which cells? |
cytotoxic T cells |
Which of the following is NOT a chemical barrier that helps prevent infections? |
D. the pH of the blood |
First line of defense. |
intact skin and mucous membranes |
second line of defense |
inflammatory response |
third line of defense |
immune response |
innate defense system |
inflammatory response and skin and mucous membranes |
adaptive defense system |
immune response |
What type of immune system cell performs the most phagocytosis in the body? |
macrophages |
Four (or five) cardinal signs indicate inflammation. What specific sign of inflammation is the result of exudate in the tissue spaces? |
edema (swelling) |
Which of the following is NOT one of the effects produced by the release of inflammatory chemicals? |
C. vasoconstriction |
When do neutrophils enter the blood from the red bone marrow in response to leukocytosis-inducing factors? |
during leukocytosis |
What is/are the specific target(s) of interferons? |
the membrane receptors on healthy cells |
true or false; Discharge is one of the cardinal signs of inflammation. |
false |
Which type of chemical induces fever? |
pyrogens |
A physician orders Tylenol for a temperature greater than 101 degrees F. The patient’s temperature is 100.4 F. What is the rationale for not medicating a fever of 100.4 F? |
A mild or moderate fever is an adaptive response that seems to benefit the body. Bacteria need large amounts of zinc and iron to multiply. During fever, the liver and spleen sequester iron and zinc that bacteria need to multiply. |
When the white blood cell count is depressed, the classic signs of infection such as redness, local heat, and swelling are not manifested. In this case, should the nurse avoid administering aspirin? |
Yes, aspirin should be avoided because aspirin would disguise a fever that would indicate infection. |
An advantage of innate immunity is ________. |
its barriers that prevent pathogens from entering into the body |
All of the following are true of the classical pathway of complement activation except one. Select the one answer that does not describe the classical pathway of complement activation. |
A. It activates T-helper cells by presenting antigen to them. |
Inflammation ________. |
brings more leukocytes to the site of infection |
Membrane attack complex (MAC) kills by ________. |
disrupting the selectively permeability of a bacteria’s plasma membrane |
During inflammation fluids will passively diffuse out of blood vessels into the nearby, infected tissues. This implies all of the following except ________. |
D. B-lymphocytes will differentiate to become plasma cells |
Which of the following is not a function of the inflammatory response? |
D. replaces injured tissues with connective tissue |
The redness and heat of an inflamed area are due to a local hyperemia caused by ________. |
vasodilation |
Which of the following is not a role of activated complement? |
B. prevention of immediate hypersensitivity reactions |
Interferons ________. |
interfere with viral replication within cells |
Cancer cells and virus-infected body cells can be killed before activation of adaptive immunity by ________. |
natural killer cells |
Complement proteins and antibodies coat a microorganism and provide binding sites, enabling macrophages and neutrophils to phagocytize the organism. This phenomenon is termed ________. |
opsonization |
Innate immune system defenses include ________. |
phagocytosis |
Fever ________. |
production is regulated by chemicals that reset the body’s thermostat to a higher setting |
Natural killer (NK) cells ________. |
can kill cancer cells before the adaptive immune system is activated |
What is the role of interferon in defense against disease? |
protects cells that have not yet been infected by viruses |
true or false; Virus infected cells secrete interferons to "warn" other cells of the presence of virus and deny entry to them. |
false |
true or false; Dendritic cells and macrophages kill by ingestion and destruction of particulate matter in a process called phagocytosis. |
true |
true or false; Soluble proteins secreted by plasma cells are called antibodies. |
true |
true or false; Fever is often a beneficial immune response because it can speed the activities of leucocytes. |
true |
Which leukocytes are sometimes referred to as "housekeeping" phagocytes because of their role in clearing (cleaning up) cell debris? |
macrophages |
What is the most important reason you should not try draining an abscess by pressing on it? |
may spread infection to deeper tissue |
true or false; Haptens have immunogenicity but not reactivity. |
false |
Kills cancer cells and virus infected body cells |
cytotoxic T cell |
Forms antibody producing cells |
B cell |
Absence results in no immune response |
helper T cell |
Slows or stops the immune response |
regulatory T cell |
Enables quick and efficient response to secondary exposure to antigen |
memory cell |
Choose the best description of an antigen. |
C. a particle that triggers the adaptive immunity |
Which of the following best describes the qualities of most antigens? |
D. macromolecules that are foreign to the host |
Small molecules that bind with self-proteins to produce antigenic substances are called ________. |
haptens |
Which of the statements below does not describe antigens? |
C. Antigens only come from microbes. |
Which of the following is characteristic of complete antigens? |
B. reactivity with an antibody |
true or false; Some immunocompetent cells will never encounter an antigen to which they can bind and therefore will never be called to service in our lifetime. |
true |
How does a lymphocyte exhibit immunocompetence? |
by being able to recognize their one specific antigen |
Proliferation of lymphocytes occurs immediately after __________. |
activation |
Which of the following statements is a false or incorrect statement? |
D. After becoming immunocompetent, the naive T cells and B cells are exported to the bone marrow where the encounters with antigens occur. |
true or false; The nucleotide sequence within the genes that produce B cell receptor and antibodies are reshuffled by a process called somatic recombination. This produces the huge variability in antibody types. |
true |
Which of the following should produce naturally acquired, active immunity? |
A. recovering from he chicken pox |
Which of the following statements regarding the primary versus the secondary immune response is true? |
A. A primary response results when naive lymphocytes are activated, while a secondary response is a result of activating memory cells. |
A vaccine is effective because ________. |
the secondary response of the adaptive immunity is faster and more efficient the primary response |
A flu vaccine is needed seasonally to be effective but a polio vaccine is only needed once. The best explanation of this is ________. |
the flu has several strains that change seasonally |
Vaccines work by ________. |
priming the adaptive immunity with a relatively harmless primary exposure |
Which of the following is associated with passive immunity? |
C. passage of IgG antibodies from a pregnant mother to her fetus |
In clonal selection of B cells, which substance is responsible for determining which cells will eventually become cloned? |
antigen |
Select the correct statement about active and passive immunity. |
C. Active and passive humoral immunity are both mechanisms of adaptive immunity that use antibodies. |
Clonal selection of B cells ________. |
results in the formation of plasma cells |
The primary immune response ________. |
has a lag period while B cells proliferate and differentiate into plasma cells |
Antibody functions include all of the following except ________. |
B. cross-linking cell-bound antigens on red blood cells when blood types are properly matched |
true or false; Cytotoxic T cells and NK cells kill by secretion of proteins. The first called perforin which forms complexes that penetrate the cell membrane and allows the passage of the apoptosis inducing protein granzyme to enter the targeted cell. |
true |
true or false; Antibodies mostly act against extracellular targets in body fluids and are therefore considered part of the humoral branch of adaptive immunity. |
true |
Where does most exogenous antigen presentation take place? |
in lymphoid tissue and organs |
Which of the following activate CD8 cells? |
C. antigen fragments on class I MHC proteins |
Which of these mechanisms do cytotoxic T (TC) cells use to destroy a target–that is, deliver a lethal hit? |
B. perforation of the membrane |
Which type of T cell will recognize antigens associated with an organ transplant? |
cytotoxic T (TC) cells |
What occurs if a T cell binds to an antigen and the T cell does NOT receive a co-stimulatory signal? |
B. The T cell enters a state of anergy. |
An advantage to adaptive immunity is ________. |
its memory cells that provide quicker, larger and more efficient immune response upon second exposure to an antigen |
B-lymphocytes are categorized as part of the adaptive branch of the immune system for all of the following reason but one. Which of the following is not one of the reasons B-lymphocytes are considered part of the adaptive immunity? |
A. They are a first line of defense that can begin killing pathogens immediately. |
Overlap in the innate and adaptive immune system is seen in all of the following examples but one. Which of the following examples does not illustrate the overlap of innate and adaptive immune responses? |
D. NK cells causing apoptosis of an abnormal host cell, lacking MHC proteins. |
Which of the following is not a type of T cell? |
B. antigenic |
Which of the following statements regarding NK cells is a false or incorrect statement? |
D. NK cells are a type of neutrophil. |
Regulatory T cells ________. |
may function in preventing autoimmune reactions |
T-cell activation requires ________. |
antigen binding and co-stimulation |
Which of the following statements is incorrect or false? |
C. Class II MHC molecules appear only on the surface of antigen-presenting cells, thymic cells, and T cells that have been activated by exposure to antigens. |
Immunocompetence ________. |
is the ability of individual cells to recognize a specific antigen by binding to it |
Cytotoxic T cells ________. |
can directly attack and kill other cells of the body |
Helper T cells ________. |
function in the adaptive immune system activation |
Which cells has the largest role and most widespread effect on immunity? |
helper T cell |
true or false; Viral infection will provoke cell mediated immunity but will not activate a humoral response. |
false |
A 36-year-old man enters the hospital in an extremely debilitated condition. He has purple-brown skin lesions (a symptom of Kaposi’s sarcoma) and a persistent cough. A physical examination reveals swollen lymph nodes, and laboratory tests find a very low lymphocyte count. Information taken during the personal history reveals that he has multiple sex partners with whom he frequently engages in unprotected sex. What is likely to be the man’s problem and what is his prognosis? |
He is probably suffering from AIDS. His outlook is poor once the disease has progressed to this advanced stage. There is no cure, and drug therapy has had limited short-term success. |
Allergens differ from antigens because ________. |
allergens produce an abnormally large immune response to what is an otherwise harmless particle |
true or false; Anaphylactic shock is a rare but severe allergic response that may occur if the allergen enters the blood stream. |
true |
true or false; In a case of immediate hypersensitivity the immune system responds with an allergic response on the first exposure to the allergen. |
false |
true or false; Subacute hypersensitivities are categorically less harmful than acute (immediate) hypersensitivities. |
false |
What is the role of helper T cells in the adaptive immune response? |
Helper T cells activate B cells and cytotoxic T lymphocytes to kill infected host cells. |
What is meant by the clonal expansion of a B cell? |
An activated B cell divides into cells that give rise to memory B cells and plasma cells. |
The student who caught the cold caused by this specific Rhinovirus was exposed to the exact same Rhinovirus 18 months later. What component of the immune system will protect her from getting the same cold again? |
memory B cells |
Correctly order the steps involved cellular immunity: |
2,4,1,3 |
Which of the following is NOT a step used by cytotoxic T cells to kill infected host cells? |
A. Recognition of infected host cell using its CD4 glycoprotein |
Place the following steps of phagocytosis in the order that they occur: |
2,1,4,3,5 |
Which pair of molecules do NOT directly interact with one another? |
B. BCR and TCR |
Which of the following is NOT a step that ultimately leads to antibody production? |
B. Activation of cytotoxic T cells by helper T cells |
A person who has AIDS contracts rare and often life-threatening infections because their helper T cell count is so low. Which of the following components of the immune response still respond to antigen despite the low helper T cell count? |
Clonal selection of B cells |
Which of the following statements is true? |
A. Adaptive defenses include both humoral and cellular immunity. |
The most dangerous type of skin cancer is __________. |
melanoma |
true or false; In the presence of sunlight, Vitamin D precursors are produced. This is important for the transport of sodium in our intestines. Is this statement true or false? |
false |
Which of the following is a metabolic function of skin? |
B. synthesis of a vitamin D precursor |
ture or false; Channel-mediated diffusion is a form of active transport. |
false |
Which of the following would be a sign of a melanoma? |
B. asymmetry |
Why is it necessary for glucose to be pumped into the cell rather than diffusing in? |
Glucose may have to be moved against a concentration gradient. |
The skin is permeable to organic solvents, such as acetone or turpentine, because they ________. |
can dissolve the lipid bilayers of epidermal and dermal cell plasma membranes |
The skin is NOT a __________ barrier. |
metabolic |
During cold weather, blood vessels located in the dermis undergo vasoconstriction restricting blood flow into the skin. This produces additional body heat by routing blood to what effector organ? |
skeletal muscle |
Which of the following inflammatory chemicals is/are released by mast cells? |
C.histamine |
What characterizes the diapedesis phase of phagocyte mobilization? |
D. Neutrophils flatten to squeeze between the endothelial cells of the capillary walls. |
A primary active transport process is one in which __________. |
molecules move through transport proteins that have been activated by ATP |
Some transport processes use transport proteins in the plasma membrane, but do not require ATP. This type of transport is known as _____. |
facilitated diffusion |
The majority of water molecules moving across plasma membranes by osmosis do so via a process that is most similar to ____. |
facilitated diffusion |
The sodium-potassium pump uses ATP to move sodium and potassium ions across the plasma membrane. This statement describes _____. |
primary active transport |
A vesicle fuses with the plasma membrane and releases its contents to the extracellular fluid. This statement describes _____. |
exocytosis |
What part of the antibody’s structure determines its class? |
constant (C) region |
What characterizes the chemotaxis phase of phagocyte mobilization? |
Neutrophils and other WBCs migrate up the gradient of chemotactic agents to the site of injury. |
What type of cell is the precursor to the helper T cell? |
CD4 cell |
Health workers working with diphtheria commonly receive a serum with antibodies against the pathogen. What type of immunity would this be? |
passive artificial immunity |
Activated CD8 cells become __________. |
cytotoxic T cells |
Binding of an eosinophil to an antibody-coated parasitic worm involves binding of the antibody’s stem region to a(n) ______. |
plasma membrane protein on the eosinophil’s surface |
In certain classes of antibody, the monomeric versions join to form dimers. What portions of the molecules adhere to each other to form these dimers? |
the stem regions |
Treatment of an abscess often requires that it be surgically drained because ______. |
the wall of the abscess prevents neutrophils from entering the pus and attacking the pathogens |
Which of the following is NOT a role of connective tissue? |
D. absorption |
Which of the following are properly matched? |
D. IgG: most abundant antibody |
A class I MHC protein presents an antigen. What type of cell is likely presenting and to what type of cell would it be presented? |
Any nucleated cell would be presented to a CD8 cell. |
Connective tissues are made of different combinations of ground substance and fibers. As you compare slides of connective tissues, which would most likely be the strongest type of connective tissue based on the composition of ground substance and fibers? |
connective tissues high in collagen fibers |
What class of antibody acts to clump red blood cells because of a transfusion of mismatched blood? |
immunoglobulin M (IgM) |
Which of the following chemicals do NOT directly trigger inflammation? |
A. antibodies |
How many sites on this antibody molecule have potential to bind to a non-self molecule? |
2 |
__________ are water-soluble, complex glycoproteins that are secreted by goblet cells. |
Mucins |
Which cells secrete histamines that trigger inflammatory pathways? |
mast cells |
Adaptive defenses require us to use what molecules that can identify whether a cell is a self or nonself cell? |
antibodies |
Which property is most consistent in the majority of connective tissues? |
greater amount of extracellular matrix compared to cellular content |
Plasma cell neoplasms are disorders in which abnormal plasma (myeloma) cells form tumors in bone or soft tissues. These altered cells may produce a large quantity of M protein, an immunoglobulin fragment with no protective qualities. What effect would M protein have upon blood? |
increased viscosity |
In connective tissue, the role of elastic fibers is to __________. |
provide flexibility |
What is the purpose of the energy extracted from ATP in this figure? |
to generate a sodium concentration gradient |
You observe a uniform tissue under a microscope. There is no lumen. The material looks densely packed, but you do not observe many nuclei. It appears that there are strands of fibers running in parallel directions. What type of tissue are you looking at? |
connective tissue |
Which tissue is correctly paired with its primary cell type? |
C. bone; osteoblast |
Why are adipose tissue, blood, and bone all considered to be connective tissues? |
They have a common origin: mesenchyme. |
What is the value for the net filtration pressure (NFP) at the arteriolar end of the capillary? |
10 mm Hg (NFP) = (HPc + OPif) – (HPif + OPc). |
The Na+−K+ pump binds ATP when the pump is in its _______ state |
dephosphorylated |
he Na+−K+ pump binds _____ when the pump is in its dephosphorylated state. |
Na+ |
The Na+−K+ pump can bind ATP only after the pump |
releases phosphate |
The Na+−K+ pump transports _____ from the extracellular fluid to the cytoplasm. |
K+ |
true or false; Bulk flow at capillaries is driven by osmotic pressure gradients. |
false |
Assume a person is experiencing a hemorrhage and the HPc has dropped to 23 mm Hg at the arteriole end of the capillary. Calculate net filtration pressure (NFP) at the arteriole end of the capillary. |
-2 mm Hg Net filtration pressure (NFP) for the arteriole end of the capillary = (HPc + OPif) – (HPif + OPc) = (23 + 1) – (0 + 26). |
Which statement describes the origin of lymph fluid? |
D. Lymph is excess fluid formed from plasma that accumulates in the tissues as interstitial fluid. |
A muscle that is being regularly contracted during exercise will attract blood flow by dilating arterioles. Which of these factors would contribute to the effect? |
B. increased levels of carbon dioxide |
Which lymphoid organ(s) appear(s) before the others? |
thymus |
Which of the following lymphoid tissues/organs do(es) NOT contain reticular connective tissue? |
B. thymus |
Which lymphoid organ(s) serve(s) as the site where B lymphocytes become immunocompetent B cells? |
red bone marrow |
Which of the following is NOT a secondary lymph organ? |
A. thymus |
The __________ tonsils are also called the adenoids. |
pharyngeal |
Assume you have a U-tube with a semipermeable membrane separating the solutions on either side. Predict what will occur to the water level if large, nondiffusible solutes are added only to the left arm of the tube. |
B. The water level on the left side of the U-tube will rise. |
Assume you have a U-tube with a semipermeable capillary membrane made of simple squamous epithelium separating the solutions on either side. Blood will be on the left side of the tube, and watery extracellular fluid (ECF) will be on the right side of the tube. Predict what will occur to the water levels by hydrostatic pressure, the pressure of watery fluid pushing on a boundary. |
C. A pump pushing down on the left arm of the U-tube containing blood will increase ECF fluid levels on the right side. |
In the capillaries, hydrostatic pressure (HP) is exerted by __________. |
blood pressure |
The net hydrostatic pressure (HP) is the hydrostatic pressure in the __________ minus hydrostatic pressure in the __________. |
capillary; interstitial fluid |
Which of the following would reflect the typical net hydrostatic pressure (HP) at the arterial end of the capillary? |
34 mm Hg |
The colloid osmotic pressure in the capillary is caused by __________. |
proteins in blood |
Which net pressure draws fluid into the capillary? |
net osmotic pressure |
Reabsorption of fluid into the capillary takes place at the arterial end or venous end of the capillary? |
venous |
Which of the following is NOT a capillary transport mechanism? |
C. bulk flow |
What pressure is responsible for reabsorption and for pulling fluids into the venous end of capillaries? |
osmotic pressure in capillary (OPc) |
Which of the following is NOT a functional characteristic of leukocytes? |
A. leukocytosis |
Which type of leukocyte is responsible for antibody production? |
lymphocytes |
Which leukocyte might you expect to find in higher quantities in a person experiencing allergies? |
eosinphil |
Abnormally low levels of erythrocytes caused by excessive bleeding is called______. |
hemorrhagic anemia |
Which of the following leukocyte is NOT correctly matched with its function? |
A. eosinophil: bacterial macrophage |
Which granulated leukocyte is most likely to be active during a bacterial infection? |
neutrophils |
BIO 211- AF21
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