CH12Lymphatics PRACTICE – Flashcards

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A lymph capillary is indicated by letter
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D
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A lymph node is indicated by letter
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B
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The lymph duct is indicated by letter
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A
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Blood capillaries are idicated by letter
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E
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The spleen is indicated by letter
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C
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The tonsils are indicated by letter
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A
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The thymus gland is indicated by letter
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B
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The Peyer's Patches are indicated by letter
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D
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The lymphoid organ that destroys worn-out blood cells is indicated by letter
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C
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The lymphoid tissues that trap and remove bacteria that enter the throat are indicated by letter
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A
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Lymph fluid and some plasma proteins originate (escape) from the _________
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Blood plasma
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Excess accumulations of fluid, which impair the exchange of materials within the tissues, is called ________
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Edema
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The two large ducts in the thoracic region that drain lymph are called the _________
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Right lymphatic duct; thoracic duct
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The three regions of the body that contain large collections of lymph nodes are the ______
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inguinal, cervical, axiallary
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The role of the _________ in the lymphatic system is to remove worn-out blood cells and return some of the products of the liver
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spleen
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Peyer's Patches and the tonsils are part of the collection of small lymphoid tissues that protect the upper respiratory and digestive tracts from infection and are referred to as ___________
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MALT or mucous-associated lymphatic tissue
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Harmful or disease-causing microorganisms from which nonspecific defenses protect the body are called _____
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Pathogens
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List of four most common indicators of acute inflammation
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redness, heat, swelling, and pain
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The third line of defense involves the adaptive response mediated by ________
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Lymphocytes
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The binding of complement proteins to certain sugar or proteins on a foreign cell's surface is called _______
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complement fixation
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Chemical secreted by white blood cells and macrophages called _______ help to increase the body's present temperature to promote a fever.
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pyrogens
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Cells studded with protein molecules found on our own cells that do not trigger an immune response within us (but may within others) are called ________
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self-antigens or autoantigens
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Troublesome small molecules or incomplete antigens that may mount an attack that is harmful rather than protective are called ______
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haptens or incomplete antigens
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Most B cell clone members become _________ cells
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plasma
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The major ole of ________cells is to engulf antigens and present pieces of them to the cells that will deal with those fragments.
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antigen-presenting
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Active immunity to tetanus, whooping cough, and polio can be artificially acquired when we receive _______
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vaccines
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The five major immunoglobulin classes are ______
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IgM, IgA, IgD, IgG, IgE
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The region of the antibody that varies from antibody to antibody is called the ______ region
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variable or V
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Large antigen-antibody complexes can become insoluble and settle out of solution, a reaction called _________.
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precipitation
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Killer T cells, which kill virus-invaded body cells, are also called __________.
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cytotoxic cells
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Antigens that produce abnormally vigorous immune responses whereby the immune system causes tissue damage as it fights off a perceived threat that would otherwise be harmless are called________
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allergens or hypersensitivities
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Systemic (bodywide) acute allergic response caused by allergens that directly enter that blood, as with certain bee stings or spider bits, is called ________
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anaphylactic shock
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AIDS cripples the immune system by interfering with the activity of the cells called ________
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helper T cells
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A tropical disease that results when parasitic worms clog the lymphatic vessels is called ________
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elephantiasis
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Lymph is largely composed of water that has escaped from: a)cytosol b)cerebrospinal fluid c)saliva d)tears e)blood
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E)blood
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Lymph in the right leg regions rejoins blood flow in the: a)inferior vena cava b)femoral veins c)subcalvian veins d)axillary veins e)common iliac veins
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C)subcalvian veins
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Lymph from the left arm returns to the heart through the: a)inferior vena cava b)thoracic duct c)right lymphatic duct d)left subclavian artery e)aorta
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B)thoracic duct
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Which one of the following is not a mechanism that aids lymph return: a)milking action of skeletal muscles b)pressure changes within the thorax c)the pumping action of the heart d)smooth muscle contractions within the lymphatic vessels e)presence of valves within the larger lymph vessels
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B)pressure changes within the thorax
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What structure carries lymph into a lymph node: a)trabeculae b)afferent lymphatic vessel c)follicles d)efferent lymphatic vessel e)germinal center
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C)follicles
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Which lymphatic organ's major job is to destroy worn out red blood cells and return some of the products to the liver: a)tonsils b)spleen c)thymus gland d)tonsils e)Peyer's Patches
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B)spleen
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Which lymphoid tissues trap and remove bacteria in the throat: a)axillary lymph nodes b)cervical lymph nodes c)tonsils d)Peyer's Patches e)thymus gland
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C)tonsils
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The thymus gland is most active during: a)infancy b)adolescence c)middle age d)old age e)the entire lifetime
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B)adolescence
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The lymph organ that programs T cells and functions at peak levels only during youth is the: a)thymus b)spleen c)appendix d)tonsils e)Peyer's Patches
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A)thymus
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The lymph tissues found within the walls of the small intestine are called: a)tonsils b)appendix c)Peyer's Patches d)thymus tissues e)intestinal nodes
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C)Peyer's Patches
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Where are the tonsils located: a)throat b)beneath sternum overlying heart c)armpits, groin, and neck d)small intestine e)left side of abdominopelvic cavity
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A)throat
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Mucousa Associated lymphatic Tissue (MALT) includes: a)spleen b)thymus gland c)tonsils only d)tonsils, the appnedix, and Peyer's Patches
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d)tonsils, the appnedix, and Peyer's Patches
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) The body's first line of defense against the invasion of disease-causing microorganisms is: A) phagocytes B) natural killer cells C) skin and mucous membranes D) inflammatory response E) fever
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C) skin and mucous membranes
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The adaptive (specific) defense system: A) is an innate defense B) issues an attack specific to particular foreign substances C) includes the skin and mucous membranes D) is the body's first line of defense against invading pathogens E) provides mechanical barriers to the body
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B) issues an attack specific to particular foreign substances
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Which one of the following is not one of the nonspecific body defenses: A) intact skin B) antibody production C) the inflammatory response D) fever E) natural killer cells
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B) antibody production
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The process by which neutrophils are squeezed through the capillary walls during the inflammatory process is called: A) agglutination B) chemotaxis C) diapedesis D) coagulation E) antibody production
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C) diapedesis
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Which one of the following is NOT one of the four most common indicators of the inflammatory response: A) redness B) heat C) swelling D) fever E) pain
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D) fever
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The migration of phagocytes and white blood cells to an inflamed area along a chemical gradient is called: A) diapedesis B) chemotaxis C) immunity D) perforins E) complement fixation
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B) chemotaxis
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The inflammatory process begins with release of chemicals, which do all of the following EXCEPT: A) dilate blood vessels B) attract phagocytes to the area C) stimulate release of lysozyme D) cause capillaries to become leaky E) activate pain receptors
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C) stimulate release of lysozyme
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Membrane attack complexes (MAC) form holes in attacked cells causing them to burst; this is a result of: A) interferon B) complement fixation C) natural killer cells D) keratin E) phagocytes
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B) complement fixation
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The body's temperature-regulating "thermostat" that can be reset upward in response to pyrogens is located in the: A) hypothalamus B) thalamus C) pineal gland D) cerebellum E) medulla oblongata
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A) hypothalamus
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Fever has the effect of doing all of the following EXCEPT: A) denaturing (scrambling) proteins B) stimulating the liver and spleen to gather up iron and zinc C) increasing metabolic rate of tissue cells D) stimulating complement fixation E) speeding up repair processes
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D) stimulating complement fixation
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The study of immunity is called: A) histology B) anatomy C) pathology D) immunology E) microbiology
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D) immunology
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Which of the following substances is NOT typically perceived as an antigen: A) pollen grains B) bacteria C) self-antigens D) fungi E) virus particles
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C) self-antigens
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Humoral immunity is provided by: A) pyrogens B) skin and mucous membranes C) interferon D) antibodies E) complement fixation
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D) antibodies
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Regardless of whether it matures into a B cell or a T cell, a lymphocyte that is capable of responding to a specific antigen by binding to it is said to be: A) clonal B) incompetent C) immune D) immunocompetent E) complemented
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D) immunocompetent
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The specific foreign substances that an individual's immune system has the ability to recognize and resist is determined by: A) individual exposure to the specific foreign substance B) individual genetic makeup C) the total number of lymphocytes present at a given time D) the total number of macrophages at a given time E) the total number of self-antigens at a given time
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B) individual genetic makeup
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Lymphocytes are trained to be self-tolerant of: A) fungi B) foreign blood cells C) body's own cells D) viruses E) bacteria
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C) body's own cells
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B cells develop immunocompetence in the: A) thymus gland B) bone marrow C) spleen D) thyroid gland E) lymph nodes
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B) bone marrow
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The specific type of acquired immunity that a fetus obtains from maternal antibodies that cross the placenta is called: A) naturally acquired active immunity B) naturally acquired passive immunity C) artificially acquired active immunity D) artificially acquired passive immunity E) artificially acquired natural immunity
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B) naturally acquired passive immunity
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What specific type of acquired immunity do vaccines provide: A) naturally acquired active immunity B) naturally acquired passive immunity C) artificially acquired active immunity D) artificially acquired passive immunity E) naturally acquired artificial immunity
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C) artificially acquired active immunity
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Vaccines are NOT for: A) pneumonia B) tetanus C) measles D) snake bites E) polio
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D) snake bites
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Immune sera are used for all of the following EXCEPT: A) tuberculosis B) rabies C) snake bites D) botulism E) tetanus
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A) tuberculosis
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Which portion of the antibody's structure determines its antibody class: A) variable region B) heavy chain C) constant region D) disulfide bonds E) light chain
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C) constant region
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Which one of the following is NOT true of the constant (C) regions of antibodies: A) they are the same or nearly the same B) they form the "stem" of an antibody C) they determine the specific type of antibody class formed D) they form an antigen-binding site E) they determine how an antibody class will carry out its immune role
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D) they form an antigen-binding site
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Which one of the following is NOT one of the antibody classes: A) IgA B) IgB C) IgD D) IgG E) IgE
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B) IgB
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IgA: A) is mainly found in mucus and secretions such as tears and saliva B) is passed from mother to fetus during pregnancy C) is the most abundant antibody in blood plasma D) can fix complement E) is involved in allergies
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A) is mainly found in mucus and secretions such as tears and saliva
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Which one of the following is NOT a method by which antibodies inactivate antigens: A) agglutination B) chemotaxis C) complement fixation D) neutralization E) precipitation
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B) chemotaxis
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The specific antibody class that has the ability to cross the placental barrier and provide immunity to the fetus is: A) IgM B) IgA C) IgD D) IgG E) IgE
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D) IgG
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The process by which antibodies bind to specific sites on bacterial exotoxins (toxic chemicals secreted by bacteria) to block their harmful effects is called: A) agglutination B) chemotaxis C) complement fixation D) neutralization E) precipitation
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D) neutralization
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Antigen presentation is essential for the activation and clonal selection of: A) T cells B) B cells C) plasma cell D) antigen-presenting cells E) antibodies
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A) T cells
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An isograft is a tissue graft donated by: A) an unrelated person B) a parent C) a different animal species D) the same person E) an identical twin
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E) an identical twin
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Which one of the following is NOT a type of immunosuppressive therapy given after surgery to prevent rejection of a graft: A) corticosteroids B) radiation C) antiproliferative drugs D) gamma globulin E) immunosuppressive drugs
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D) gamma globulin
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Which of the following is often used to treat allergies: A) corticosteroids B) antihistamines C) blood transfusions D) bone marrow transplants E) immunosuppressor drugs
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B) antihistamines
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Allergic contact dermatitis following skin contact with poison ivy would normally lead to: A) immediate hypersensitivity B) acute hypersensitivity C) delayed hypersensitivity D) anaphylactic shock E) immunodeficiency
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C) delayed hypersensitivity
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The relatively common autoimmune disease in which the thyroid gland produces excessive amounts of thyroxine is called: A) multiple sclerosis B) Graves' disease C) myasthenia gravis D) glomerulonephritis E) systemic lupus erythematosis
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B) Graves' disease
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Which one of the following is NOT an autoimmune disease: A) AIDS B) multiple sclerosis C) Graves' disease D) type I diabetes mellitus E) rheumatoid arthritis
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A) AIDS
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True or False The lymphatic vessels and cardiovascular veins are similar in that they operate under low pressure and some larger ones have valves.
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TRUE
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True or False Lymph flows in one direction only: toward the heart.
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TRUE
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True or False The lymph nodes filter bacteria, viruses, and tumor cells from blood on its way back to the heart.
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FALSE
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True or False Lymph nodes have more efferent vessels draining the node than afferent vessels bringing fluid into the node
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FALSE
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True or False The most important function of the thymus gland is to destroy worn-out red blood cells and return some of the products to the liver.
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FALSE
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True or False Natural killers are unique phagocytic defense cells that can kill cancer cells and virus-infected body cells well before the immune system is activated.
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FALSE
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True or False Injured cells release chemicals such as histamine and kinins that dilate vessels, attract phagocytes and activate pain receptors.
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TRUE
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True or False The final disposal of cell debris as inflammation subsides is performed by neutrophils.
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FALSE
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True or False The nonspecific defense by which complement proteins attach to sugars or proteins on the surface of foreign cells is called complement fixation.
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TRUE
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True or False Chemicals secreted by white blood cells and macrophages exposed to foreign substances that can increase body temperature are called pyrogens.
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TRUE
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True or False The study of immunity and the immune system is called endocrinology.
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FALSE
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True or False Like all blood cells, lymphocytes originate from hemocytoblasts contained within red bone marrow.
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TRUE
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True or False Macrophages arise from monoctyes formed within the bone marrow.
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TRUE
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True or False Vaccines provide naturally acquired active immunity to diseases such as pneumonia, diphtheria, and measles.
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FALSE
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True or False Artificially acquired passive immunity is conferred when one receives immune serum for poisonous snake bites.
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TRUE
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True or False Antibodies are also referred to as immunoglobulins.
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TRUE
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True or False There are three major immunoglobulin classes: IgM, IgA, and IgD.
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FALSE
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True or False The antibody a mother passes to her fetus is IgM.
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FALSE
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True or False The process that occurs when antibodies clump foreign cells is called agglutination.
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TRUE
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True or False Memory cells are descendants of an activated B or T cell.
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TRUE
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True or False Antigen presentation is essential for the activation of clonal selection of T cells.
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TRUE
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True or False Tissue grafts harvested from an unrelated person are called xenografts.
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FALSE
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True or False Allografts are tissue grafts taken from an unrelated person.
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TRUE
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True or False Allergies, or hypersensitivities, are normal immune responses.
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FALSE
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True or False Anaphylactic shock, an acute systemic allergic response, causes vasodilation and difficulty breathing.
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TRUE
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True or False As people age, they become more resistant to the development of autoimmune and immunodeficiency diseases.
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FALSE
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Located on the left side of the abdominal cavity A) Peyer's patches B) tonsils C) thymus gland D) spleen
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D) spleen
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Trap and remove bacteria and pathogens entering the throat A) Peyer's patches B) tonsils C) thymus gland D) spleen
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B) tonsils
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Located overlying the heart A) Peyer's patches B) tonsils C) thymus gland D) spleen
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C) thymus gland
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Filters and cleanses the blood of bacteria, viruses, and other debris A) Peyer's patches B) tonsils C) thymus gland D) spleen
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D) spleen
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) Located in the wall of the small intestines A) Peyer's patches B) tonsils C) thymus gland D) spleen
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A) Peyer's patches
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Located in the pharynx (throat) A) Peyer's patches B) tonsils C) thymus gland D) spleen
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B) tonsils
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Any substance capable of provoking an immune response A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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M) antigen
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Small proteins that bind with receptors on healthy cells to promote protein synthesis and prevent viruses from binding A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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I) interferon
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Chemicals secreted by white blood cells and macrophages to raise the body's temperature A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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C) pyrogens
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Chemical released by natural killer cells to cause cell lysis A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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E) perforins
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Harmful or disease-causing microorganisms A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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J) pathogens
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Proteins secreted by activated B cells in response to an antigen A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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K) antibodies
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Sticky substance in the respiratory and digestive passageways that trap microorganisms A) mucus B) phagocytes C) pyrogens D) membrane attack complex E) perforins F) histamine G) agglutinogens H) allergens I) interferon J) pathogens K) antibodies L) saliva M) antigen N) antibody
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A) mucus
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Believed to be cell surface receptor of immunocompetent B cell A) IgE B) IgA C) IgD D) IgM E) IgG
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C) IgD
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First immunoglobulin class released to plasma by plasma cells during primary response A) IgE B) IgA C) IgD D) IgM E) IgG
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D) IgM
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Main antibody of primary and secondary responses A) IgE B) IgA C) IgD D) IgM E) IgG
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E) IgG
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Bathes and protects mucosal surfaces from attachment of pathogens A) IgE B) IgA C) IgD D) IgM E) IgG
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B) IgA
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Triggers the release of histamine A) IgE B) IgA C) IgD D) IgM E) IgG
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A) IgE
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Potent agglutinating agent A) IgE B) IgA C) IgD D) IgM E) IgG
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D) IgM
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Crosses placenta and provides passive immunity to fetus A) IgE B) IgA C) IgD D) IgM E) IgG
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E) IgG
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Explain the origin and pathway of lymph.
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Lymph fluid arises from blood plasma that has been forced out of the capillary beds by osmotic and hydrostatic pressures. The fluid left behind is called interstitial fluid. The interstitial fluid is then picked up by lymph capillaries, after which it is called lymph. Lymph is routed up the lymphatic vessels until it is finally returned to the venous system through either the right lymphatic duct or the thoracic duct.
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Describe how the lymphatic and cardiovascular systems are similar in structure and function.
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Structurally, lymphatic vessels and the veins of the cardiovascular system are both thin-walled and operate under low-pressure. Some of the larger vessels in each system have valves. Functionally, both systems return fluids back to the heart. The lymphatic system is assisted by the same techniques as the cardiovascular system to return lymph (and venous blood) back to the heart: milking action of skeletal muscles, pressure changes in the thorax during breathing, and smooth muscles in the walls of the vessels.
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How do the innate and adaptive immune systems differ in their responses to foreign substances? Explain.
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The innate immune system is the system we have when we're born. This system includes the skin and mucous membranes, the inflammatory response, and proteins already present in our cells. This system is the first one to come into contact with a foreign substance and thus is always prepared to defend the body. Therefore, we think of the innate system as the nonspecific body defense and the first line of defense to protection from invaders. The adaptive immune system is the second line of defense which defends us from specific invaders. This system consists of molecules like pyrogens and immune cells such as lymphocytes and macrophages. This system differs from the innate system since it must be exposed to the invader before it can form a response.
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Identify the four most common indicators and major symptoms of an acute inflammatory response and explain their origins.
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The four most common indicators of the inflammatory response are redness, heat, swelling, and pain. Redness and heat are a result of dilation of blood vessels that increase blood flow to the injured area. Swelling occurs when increased permeability of the capillaries allows plasma to leak from the bloodstream into the tissue spaces. The excess fluid, or edema, triggers the activation of pain receptors in the area, accounting for the pain associated with an injury.
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List and describe the cells and chemicals the body uses as its second line of defense.
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1. Phagocytes, such as neutrophils or macrophages, engulf foreign particles. These cells are in nearly every body organ and confront pathogens that make it through the surface membrane barriers. 2. Natural killer cells, found in blood and lymph, are lymphocytes. They can lyse and kill cancer cells and virus-infected body cells. 3. The inflammatory response is a nonspecific response that occurs when body tissues are injured.
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Describe the four major types of transplant grafts.
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Autografts are tissue grafts transplanted from one site to another within the same person. Isografts are tissue grafts harvested from a genetically identical person (identical twin). Allografts are tissue grafts harvested from an unrelated person. Xenografts are tissue grafts harvested from different animal species.
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Explain two current ideas that attempt to explain why self-tolerance breaks down in autoimmune disorders.
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One idea is that self-proteins appear within the circulation that were not previously exposed to the immune system, thus initiating an immune response. These "hidden" antigens are found in sperm cells, the eye lens, and thyroid proteins. Another idea suggests that antibodies produced against foreign antigens cross-react with self-antigens such as when streptococcal bacteria cross-react with heart antigens causing rheumatic fever.
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