CH 21 LECTURE

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Which leukocytes are sometimes referred to as "housekeeping" phagocytes because of their role in clearing (cleaning up) cell debris?
Which leukocytes are sometimes referred to as "housekeeping" phagocytes because of their role in clearing (cleaning up) cell debris?
megakaryocytes
basophils
lymphocytes
macrophages

Macrophages

What is the most important reason you should not try draining an abscess by pressing on it?
What is the most important reason you should not try draining an abscess by pressing on it?
may spread infection to deeper tissue
releases large amounts of pus/debris
too painful a process to perform
may result in a permanent scar

may spread infection to a deeper tissue

Which of the following inflammatory chemicals is/are released by mast cells?

histamine
kinins
complement
prostaglandins

histamine **Histamine is one of the products produced by mast cells to moderate inflammation. It is also released by basophils, which are similar to mast cells but reside in the blood.

When do neutrophils enter the blood from the red bone marrow in response to leukocytosis-inducing factors?

during diapedesis
during margination
during leukocytosis
during chemotaxis

during leukocytosis **During leukocytosis, neutrophils enter the blood from the red bone marrow in response to leukocytosis-inducing factors from damaged cells. Chemotaxis does involve neutrophils but not in response to leukocytosis-inducing factors.

What characterizes the chemotaxis phase of phagocyte mobilization?

Neutrophils and other WBCs migrate up the gradient of chemotactic agents to the site of injury.
Neutrophils cling to the inner walls of capillaries and postcapillary venules.
Neutrophils actively ingest bacteria.
Neutrophils flatten to squeeze between the endothelial cells of the capillary walls.

neutrophils and other WBCs migrate up the gradient of chemotactic agents to the site of injury **Phagocytes move up concentration gradients of attractive chemicals (chemotactic agents) released from damaged tissue and inflammatory cells. This is not an example of chemotaxis.

What characterizes the diapedesis phase of phagocyte mobilization?

Neutrophils flatten to squeeze between the endothelial cells of the capillary walls.
chemotaxis
leukocytosis
margination

Neutrophils flatten to squeeze between the endothelial cells of the capillary walls **The flattening of neutrophils and subsequent movement through the vessel wall is in response to cell adhesion molecules on endothelial cells. Chemotaxis does involve neutrophils but is not part of the diapedesis phase of phagocyte mobilization.

What protein can be released by infected cells to help protect cells that have not yet been infected?

interferon
pyrogens
complement
opsonins

interferon **Interferon is a small protein that can stimulate nearby healthy cells to defend themselves against viral infection. Complement refers to a group of at least 20 plasma proteins. Activated complement unleashes inflammatory chemicals that amplify the inflammatory process and lyses and kills certain bacteria.

Which type of chemical induces fever?

complement
pyrogens
interferon
antibodies

pyrogens **Pyrogens induce a change in the body’s set point for temperature regulation. Antibodies are used to detect antigens on cell surfaces.

Which cells secrete histamines that trigger inflammatory pathways?

macrophages
neutrophils
NK cells
mast cells

mast cells **Mast cells have granules that contain histamines.

Discharge is one of the cardinal signs of inflammation.

True
False

false **Redness, pain, heat, and swelling are the cardinal signs of inflammation.

Which of the following is an effect of complement activation?

T cell activation
tissue repair
fever
opsonization

opsonization **Complement proteins stimulate inflammation, serve as opsonins to aid in the phagocytosis of targeted antigens, and facilitate cytolysis. Fever is not an effect of complement activation. Fever is activated by chemicals called pyrogens.

Which antimicrobial protein triggers inflammation?

interferon
histamine
pyrogen
complement

histamine **Histamine is a potent inflammatory chemical released by mast cells. Pyrogens are chemicals released by leukocytes and macrophages exposed to foreign substances in the body. The chemicals act on neurons in the hypothalamus, which raise the body’s temperature above normal and cause fever.

Haptens have immunogenicity but not reactivity.

True
False

false **Haptens have reactivity but not immunogenicity.

Which of the areas seen the figure must be occupied by T lymphocytes, at least for a while, but is NOT required for the production of B lymphocytes?

the thymus
the bone marrow
lymph nodes
the general circulation

the thymus **The thymus and the hormone thymosin are required for the maturation of T lymphocytes.

How does a lymphocyte exhibit immunocompetence?

by being relatively unresponsive to self-antigens so that they do not attack the body’s own cells
by recognizing self-antigen
by being able to recognize their one specific antigen
by rapidly proliferating to form an army of cells exactly like themselves and bearing the same antigen-specific receptors

by being able to recognize their one specific antigen **All lymphocytes must be able to recognize their own antigen in order to be effective. This ability is called immunocompetence.

Proliferation of lymphocytes occurs immediately after
entering the circulation
seeding of secondary lymphoid organs
activation
release from the bone marrow

activation **Activation after the binding of an antigen leads to proliferation and differentiation. Lymphocytes do not begin to proliferate immediately after their release from the bone marrow.

Which of the following cells engulf antigens and present fragments of them on their own surfaces for recognition?

NK cells
T lymphocytes
dendritic cells
plasma cells

plasma **Dendritic cells are antigen-presenting cells that engulf antigens and then present fragments of them to their own surfaces, where T cells can recognize them. Plasma cells do not engulf cells by phagocytosis. They produce antibodies to specific antigens.

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
active immunity, artificially acquired
active immunity, naturally acquired
passive immunity, naturally acquired

passive immunity, artificially acquired **The immunity to venom (usually short lived–the protection ends once the antibodies are naturally degraded by the body) is passive because the patient did not produce the antibodies, and it is artificially acquired since it was injected during a medical process.

Which of the following should produce naturally acquired, active immunity?

injections of antibody produced by a goat
recovering from the chicken pox
drinking breast milk
getting a flu vaccine

recovering from the chicken pox **Exposure to an antigen provides naturally acquired active immunity.

Which of the following best illustrates artificially acquired active humoral immunity?

antibodies received in breast milk
infection
antivenoms
vaccines

vaccines **Vaccines induce the patient to produce antibodies, so the resulting immunity is active, but it is artificially acquired since it was injected during a medical process.

What part of the antibody’s structure determines its class?

constant (C) region
heavy (H) chain
light (L) chain
variable (V) region

constant (C) region **The constant region, which includes parts of each heavy and light chain, is identical to other molecules in its class but differ between classes.

How many sites on this antibody molecule have potential to bind to a non-self molecule?

1
2
3
4

2 **Each antigen-binding site has potential to attach to a non-self molecule.

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
the hinge regions
variable regions of the heavy chain
variable regions of the light chain

the stem regions **The stem region of one monomer will bond to the stem region of another that is turned at a 180 degree angle.

Which of the following occurs when antibodies block specific sites on viruses or bacterial exotoxins?

agglutination
complement fixation and activation
neutralization
precipitation

neutralization **The binding of antibody can neutralize the action of viral binding, bacterial toxin release, and other harmful activities of antigen-bearing agents.

What class of antibody acts to clump red blood cells because of a transfusion of mismatched blood?

immunoglobulin A (IgA)
immunoglobulin D (IgD)
immunoglobulin G (IgG)
immunoglobulin M (IgM)

immunoglobulin M (igM) **IgM is the only antibody that forms a pentamer; it is found in circulating plasma. It is responsible for the negative reaction to an incompatible ABO blood type during a transfusion.

Which mechanism(s) of antibody action result(s) in cell lysis?

agglutination
neutralization
complement fixation and activation
precipitation

complement fixation and activation **Complement has the potential to bind antigen by itself (alternative pathway), but it may require an antibody to bind to the antigen first (classical pathway).

Which of the following are properly matched?
IgE: primary antibody of the secondary immune response
IgG: most abundant antibody
IgM: secreted in tears
IgA: primary antibody during primary immune response

IgG: most abundant antibody **IgG is the most abundant class of antibodies in plasma. Additionally, IgG is the only class of antibodies that normally crosses the placenta to protect the baby in utero.

Vaccines provide what type of immunity?
natural active
artificial active
artificial passive
natural passive

artificial active **Artificial immunity is achieved by man-made mechanisms (i.e., immunization). Artificial active immunity is a situation in which the individual made the antibodies after being immunized with an attenuated or dead pathogen.

Which nonspecific defense triggers antibody production?
complement activation
phagocytosis
inflammation
cell-mediated immunity

phagocytosis **Pathogens or cell debris are engulfed by phagocytes. These pathogens are processed and presented to B cells, which can produce antibodies against specific pathogens.

Which of the following statements does NOT describe the adaptive immune response?
It is specific.
It has memory.
It occurs immediately after the body is challenged by foreign material.
It is systemic.

It occurs immediately after the body is challenged by foreign material. The adaptive immune response does not occur immediately upon the body’s exposure to foreign material. It takes time for the body to mount an adaptive immune response and particularly longer upon a first exposure to the foreign material.

Activated CD8 cells become __________.
NK cells
helper T cells
cytotoxic T cells
B cells

cytotoxic T cells Activated CD8 cells become cytotoxic T cells.

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

Inflammation ________.
is caused by viral activity to enhance the spread of the disease
is caused by bacterial activity to enhance the spread of disease
slows the healing process with swelling that can impair bodily function
brings more leukocytes to the sight of infection

brings more leukocytes to the sight of infection

Which of the following is not a function of the inflammatory response?
prevents the spread of the injurious agent to nearby tissue
disposes of cellular debris and pathogens
replaces injured tissues with connective tissue
sets the stage for repair processes

replaces injured tissues with connective tissue

The redness and heat of an inflamed area are due to a local hyperemia caused by ________.
vasoconstriction
complement production
phagocyte mobilization
vasodilation

vasodilation

Which of the following is not a role of activated complement?
enhancement of inflammation
insertion of MAC and cell lysis
opsonization
prevention of immediate hypersensitivity reactions

prevention of immediate hypersensitivity reactions

Complement proteins and antibodies coat a microorganism and provide binding sites, enabling macrophages and neutrophils to phagocytize the organism. This phenomenon is termed ________.
diapedesis
agglutination
opsonization
chemotaxis

opsonization

Innate immune system defenses include ________.
phagocytosis
T cells
B cells
plasma cells

phagocytosis

Fever ________.
production is regulated by chemicals that reset the body’s thermostat to a higher setting
causes the liver to release large amounts of iron, which seems to inhibit bacterial replication
is a higher-than-normal body temperature that is always dangerous
decreases the metabolic rate of the body to conserve energy

production is regulated by chemicals that reset the body’s thermostat to a higher setting

Natural killer (NK) cells ________.
are cells of the adaptive immune system
are also called cytotoxic T cells
are a type of phagocyte
can kill cancer cells before the immune system is activated

can kill cancer cell before the immune system is activated

Dendritic cells and macrophages kill by ingestion and destruction of particulate matter in a process called phagocytosis.
True
False

True

The respiratory burst produced by activated macrophages releases free radicals which are effective at killing pathogens.
True
False

True

The directional movement of cells in response to chemicals is called chemotaxis.
True
False

True

Which of the following is characteristic of complete antigens?
reactivity with an antibody
inhibit production of antibodies
contain many repeating chemical units
small molecules

reactivity with an antibody

B lymphocytes develop immunocompetence in the ________.
spleen
bone marrow
lymph nodes
thymus

bone marrow

First to peak during a primary immune response:

IgM

Involved in allergies:

IgE

Along with IgM, this is a B cell receptor:

IgD

Main antibody of both primary and secondary immune response:

IgG

Protects mucosal barriers

IgA

In clonal selection of B cells, which substance is responsible for determining which cells will eventually become cloned?
antigen
complement
antibody
interferon

antigen

Which immunoglobulin class is attached to the external surface of B cells and acts as an antigen receptor of the B cell?
IgG
IgE
IgM
IgA
IgD

IgD

Monoclonal antibodies are used in clinical laboratory diagnosis because they bind to many antigenic determinates.
True
False

False

What types of antigen do T cells NOT recognize?
cancer antigens
processed fragments of protein antigens displayed on surfaces of body cells
bacterial antigens
self-antigens

self-antigens **T cells do not recognize self-antigens.

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