Ch22-Lymphatics

1. Drain excess intersitial fluid, transplant dietary lipids, carries out immune responses, are functions of what system? A. Cardiovascular system B. Digestive system C. Respiratory system D. Lymphatic system E. All of these

2. True or False. The spleen is a primary lymphatic organ.

3. Large groups of lymph nodes are usually present near... A. the scalp B. groin C. tongue D. mammary glands E. Both B and D

4. Name the two types of mature T cells that exit the Thymus. A. Helper T cells B. Cytotoxic T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. CD4 T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. CD8 T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">E. All of these

<span style="display: block; font-family: 'Times New Roman',Times,serif;">5. True or False. Antibody mediated immunity works against pathogens that are in body fluids outside of cells.

<span style="display: block; font-family: 'Times New Roman',Times,serif;">6. TRUE or FALSE. Afferent lymphatic vessels carry lymph TOWARD a lymphatic organ

<span style="display: block; font-family: 'Times New Roman',Times,serif;">7. Psychoneuroimmunology is the name of the field of study that deals with communication pathways between the immune, nervous and what other system? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. digestive <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. endocrine <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. respiratory <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. circulatory

<span style="display: block; font-family: 'Times New Roman',Times,serif;">8. Which Lymphocyte remains in the lymphatic tissue and recognizes original invading antigens, even years after the first encounter? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Memory T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Cytotoxic T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Helper T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Memory B cells

<span style="display: block; font-family: 'Times New Roman',Times,serif;">9. Which promotes the proliferation of helper T cells? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Granulysin <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Interleukin-1 <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Interleukin-2 <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Perforin

<span style="display: block; font-family: 'Times New Roman',Times,serif;">10. The three main responses of the Lymphatic system are all but which of the following? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Fluid absorption <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Fluid recirculation <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Immunological protection <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Elimination of toxins <span style="display: block; font-family: 'Times New Roman',Times,serif;">e. Absorption of dietary fats

<span style="display: block; font-family: 'Times New Roman',Times,serif;">11. If first line of defense is skin and mucous membranes, so what is the second line of defense. <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. adaptive immunity <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. immune system <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. fever <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. internal defenses

<span style="display: block; font-family: 'Times New Roman',Times,serif;">12. A painless nontender enlargement of one or more lymph nodes, most commonly in the neck, chest and axilla. <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. hodgins disease <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. autoimmune disease <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. human immunodeficiency virus (HIV) <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. swollen glands

<span style="display: block; font-family: 'Times New Roman',Times,serif;">13. Development of autoimmune disease because you lack reactivity to peptide fragments from your own proteins. <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. positve selection <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. self tolerance <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. negative selection <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. self recognition

<span style="display: block; font-family: 'Times New Roman',Times,serif;">14. The three stages of inflammation are. <span style="display: block; font-family: 'Times New Roman',Times,serif;">1. vasodilation of increased permeability of blood vessels. <span style="display: block; font-family: 'Times New Roman',Times,serif;">2. phagocyte emigration <span style="display: block; font-family: 'Times New Roman',Times,serif;">3. tissue repair <span style="display: block; font-family: 'Times New Roman',Times,serif;">4. collection of dead cells and fluid called pus <span style="display: block; font-family: 'Times New Roman',Times,serif;">5. neutrophils begins to squeeze through the wall of blood vessel to reach damaged area ( <span style="display: block; font-family: 'Times New Roman',Times,serif;">a) 3,4,5 <span style="display: block; font-family: 'Times New Roman',Times,serif;">(b) 2,5 <span style="display: block; font-family: 'Times New Roman',Times,serif;">(c) 1,3,5 <span style="display: block; font-family: 'Times New Roman',Times,serif;">(d) 1,2,4

<span style="display: block; font-family: 'Times New Roman',Times,serif;">15. Functioning part of a lymph node has 2 parts superficial cortex and a deep medulla. <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. lymphatic nodules <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. parenchyma <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. lymphatic vessels <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. medulla

<span style="display: block; font-family: 'Times New Roman',Times,serif;">16. With innate immunity <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. antibodies may be produced <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. each time the body is exposed to a substance the response is the same <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. specificity is involved <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. The body may become immune to a disease

<span style="display: block; font-family: 'Times New Roman',Times,serif;">17. A protein that interferes with virus production, and is produced by most cells in response to a viral infection <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. sebum <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. complement <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. interferon <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. lysozyme

<span style="display: block; font-family: 'Times New Roman',Times,serif;">18. Which of the following does not promote inflammation? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. complement <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. interferon <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. histamine <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. prostaglandins

<span style="display: block; font-family: 'Times New Roman',Times,serif;">19. T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. are processed in the thymus <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. produce antibodies when activated <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. are responsible for antibody mediated immunity <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. originate in the spleen

<span style="display: block; font-family: 'Times New Roman',Times,serif;">20. As the result of a bee sting, John had a severe reaction and nearly died. This reaction was caused by <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. T cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. B cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. natural killer cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. neutrophils

<span style="display: block; font-family: 'Times New Roman',Times,serif;">21. A young man went to a doctor's appointment, complaning about his upper right side of his body was hurting. Which duct is causing this? <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. left lymphatic duct <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. left lumbar <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. right lymphatic duct <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. right lumbar

<span style="display: block; font-family: 'Times New Roman',Times,serif;">22. True or False . <span style="display: block; font-family: 'Times New Roman',Times,serif;">Primary lympathic organs are usually lymph nodes, spleen, and lymphatic nodules.

<span style="display: block; font-family: 'Times New Roman',Times,serif;">23. A young lady went to the doctors because she had genital warts. The doctor gave her some injections to get rid of the genital warts. What is the therapy he used? <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. Interferon therapy <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. complement therapy <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. iron binding therapy <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. thrombocidin therapy

<span style="display: block; font-family: 'Times New Roman',Times,serif;">24. A young child went to the hospital with 106.7 fever. He was very cold and shivering. What type of fever did the child have? <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. hypopyrexia <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. hyperpyrexia <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. normal fever <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. low fever

<span style="display: block; font-family: 'Times New Roman',Times,serif;">25. True or False . <span style="display: block; font-family: 'Times New Roman',Times,serif;">Negative Selection ensures T-cells can recognize the MHC on your own cells as self recognition.

<span style="display: block; font-family: 'Times New Roman',Times,serif;">26. In secondary lymphatic organs & tissues sites where most immune responses occur in all EXCEPT: <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Lymph nodes <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Thyroid glands <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Spleen <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Lymphatic nodules

<span style="display: block; font-family: 'Times New Roman',Times,serif;">27. Monocytes- mononuclear, _; clean up- crew phagocytic specialists <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Granulocyte <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Agranulocyte <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Special team <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Infantry

<span style="display: block; font-family: 'Times New Roman',Times,serif;">27. First line of defense mucous membranes, skin, reflexes, fluids and chemical. <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Cellular <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Interferons <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. External barriers <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Internal barriers

<span style="display: block; font-family: 'Times New Roman',Times,serif;">28. Iron binding proteins inhibit bacteria by reducing available iron (transferring,ferritin,hemoglobin.) <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. TRUE <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. FALSE

<span style="display: block; font-family: 'Times New Roman',Times,serif;">29. Stages of phagocytosis: <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Adherence, ingestion, digestion, killing, chemotaxis <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Killing, ingestion, digestion, killing, chemotaxis <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Chemotaxis, adherence,ingestion, digestion, killing <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Ingestion, digestion,adherence, killing, chemotaxis,

<span style="display: block; font-family: 'Times New Roman',Times,serif;">30. The spleen is part of which functional group of the lymphatic system? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Primary Lymphatic Organs <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Secondary Lymphatic Organs <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Neither this organ is part of the cardiovascular system <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Antimicrobial Group

<span style="display: block; font-family: 'Times New Roman',Times,serif;">31. The Lymphatic vessels are located near our veins. If the muscles are damaged, veins will struggle to return blood to the heart. Will lymph vessels struggle to collect lymph. <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. True <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. False

<span style="display: block; font-family: 'Times New Roman',Times,serif;">32. Acidophilus, a bacteria, got through Pacia’s skin and mucous membranes, which are her first line of defense. Now the bacteria are going through the second line of defense. Which antimicrobial substance will attack this bacteria? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Antimicrobial proteins <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Complement System <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Interferons <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Iron- Binding Proteins

<span style="display: block; font-family: 'Times New Roman',Times,serif;">33. Where is the thymus located? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Next to the duodenum <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Right under the diaphragm <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. Between the aorta and the sternum <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. Next to the urinary bladder

<span style="display: block; font-family: 'Times New Roman',Times,serif;">34. One of the functions of the lymphatic system is to transport lipids and lipid soluble vitamins. Specifically, which vitamins are transported by the lymphatic system? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a. Zinc, Iron, and Calcium <span style="display: block; font-family: 'Times New Roman',Times,serif;">b. Vitamins A, D, E, K <span style="display: block; font-family: 'Times New Roman',Times,serif;">c. The Vitamin B complex ( B6, B12, thiamin, and niacin ) <span style="display: block; font-family: 'Times New Roman',Times,serif;">d. None because lipid soluble vitamins can’t be absorbed

<span style="display: block; font-family: 'Times New Roman',Times,serif;">35) The principal lymph trunk drains into two ducts: the left lymphatic duct and the right lymphatic duct. Which of the below statements is TRUE pertaining to these two ducts? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a) The left lymphatic duct drains only the upper left side of the body. <span style="display: block; font-family: 'Times New Roman',Times,serif;">b) The left lymphatic duct is the main collecting duct of the lymph system. <span style="display: block; font-family: 'Times New Roman',Times,serif;">c) The right lymphatic duct drains only the upper right side of the body <span style="display: block; font-family: 'Times New Roman',Times,serif;">d) The right lymphatic duct is the main collecting duct of the lymphatic system. <span style="display: block; font-family: 'Times New Roman',Times,serif;">e) Both b & c

<span style="display: block; font-family: 'Times New Roman',Times,serif;">36) List the classes of immunoglobins in order from most to least prevalent in the body: <span style="display: block; font-family: 'Times New Roman',Times,serif;">a)IgA,IgE,IgD,IgM,IgG <span style="display: block; font-family: 'Times New Roman',Times,serif;">b)IgG,IgA,IgM,IgD,IgE <span style="display: block; font-family: 'Times New Roman',Times,serif;">c)IgM,IgG,IgA,IgD,IgE <span style="display: block; font-family: 'Times New Roman',Times,serif;">d)IgD,IgM,IgG,IgA,IgE <span style="display: block; font-family: 'Times New Roman',Times,serif;">e)IgE,IgD,IgM,IgG,IgA

<span style="display: block; font-family: 'Times New Roman',Times,serif;">37)Which of the following characteristics of inflammation is NOT a result of an increased blood flow to injured tissue? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a)Pain <span style="display: block; font-family: 'Times New Roman',Times,serif;">b)Edema <span style="display: block; font-family: 'Times New Roman',Times,serif;">c)Redness <span style="display: block; font-family: 'Times New Roman',Times,serif;">d)Heat

<span style="display: block; font-family: 'Times New Roman',Times,serif;">38) A patient enters the doctors office with symptoms of inflammation and fever. Which of the following would not be an expected medication to be administered for his/her symptoms? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a) Hydrocortisone <span style="display: block; font-family: 'Times New Roman',Times,serif;">b )RhoGAM <span style="display: block; font-family: 'Times New Roman',Times,serif;">c) Prednisone <span style="display: block; font-family: 'Times New Roman',Times,serif;">d) Asprin

<span style="display: block; font-family: 'Times New Roman',Times,serif;">39) Which of the below is not considered to be a mechanism of Nonspecific (Innate) Immunity? <span style="display: block; font-family: 'Times New Roman',Times,serif;">a) Mucous Membranes <span style="display: block; font-family: 'Times New Roman',Times,serif;">b) NK Cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">c) Cytotoxic T- Cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">d) Skin

<span style="display: block; font-family: 'Times New Roman',Times,serif;">40. Non specific innate immunity... <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. Is a defense you are born with <span style="display: block; font-family: 'Times New Roman',Times,serif;">B.Consists of the skin, mucous membranes, and Natural killer cells <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. Is an acquired defense that targets specific invaders <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. Has a slow response time <span style="display: block; font-family: 'Times New Roman',Times,serif;">E. Both A and B are correct

<span style="display: block; font-family: 'Times New Roman',Times,serif;">41. MHC II can ONLY be found on the surface of antigen presenting cells. <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. True <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. False

<span style="display: block; font-family: 'Times New Roman',Times,serif;">42. During migration to an infected area, enlarge and develop into actively phagocytic  once they reach the infected area. <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. Phagocytes, Neutrophils <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. Neutrophils, Macrophages <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. Monocytes, Macrophages <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. Neutrophils, Monocytes

<span style="display: block; font-family: 'Times New Roman',Times,serif;">43. Bob went to the doctor because he developed a large abscess on his neck. What type of cells could be found in the white pus the doctor was draining? <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. Eosinophils <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. Neutrophils <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. Monocytes <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. Both B and C are correct <span style="display: block; font-family: 'Times New Roman',Times,serif;">E. All of the above

<span style="display: block; font-family: 'Times New Roman',Times,serif;">44. Which of the following immunoglobulins is found mainly in sweat, tears, saliva, mucus breast milk, and gastrointestinal secretions? <span style="display: block; font-family: 'Times New Roman',Times,serif;">A. IgA <span style="display: block; font-family: 'Times New Roman',Times,serif;">B. IgG <span style="display: block; font-family: 'Times New Roman',Times,serif;">C. IgM <span style="display: block; font-family: 'Times New Roman',Times,serif;">D. IgE

45. Which of the following is not a function of the red pulp within the spleen? a) hemopoiesis during fetal life b) production of red blood cells c) macrophage removal of dead/defective RBC’s, WBC’s and platelets d) platelet storage

46. We are born with more than 2 tonsils. a) true b) false

47. Which organ of the lymphatic system shrinks as you get older? a) spleen b) lymph nodes c) thymus gland d) pancreas

48. List the antibodies in order from the ones we have most of to the ones we have the least of. a) IgG, IgA, IgM, IgD, IgE b) IgA, IgD, IgG, IgE, IgM c) IgE, IgA, IgD, IgM, IgG d) IgM, IgD, IgG, IgA, IgE

49. Which of the following types of antimicrobial substances is a normally inactive protein in plasma and cell membranes that enhance cytosis, phagocytosis and inflammation? a) antimicrobial proteins b) interferons c) iron binding proteins d) complement system

50. Which is the largest mass of lymphatic tissue? a) Thymus b) Spleen c) Tonsils d) All of the above

51. At any given time most T cells are inactive. True or false?

52. Which part of a antigen triggers a response? a) Memory T cell b) Epitope c) MHC-1 d) All of the above

53. Which of the following cellular processes are similar to human cell a) Bacteria b) Viruses c) Fungi d) A and C

54. _ __is the last stage of phagocytosis__ __a) Killing__ __b) Digestion__ __c) Ingestion__ __d) Adherance__

__55. During the stages of Phagocytosis what takes place:__ __A. chemotaxis, indigestion, adherance, digestion, killing__ __B. indigestion, chemotaxis, adherance, digestion, killing__ __C. chemotaxis, adherance, indigestion, digestion, killing__ __D. chemotaxis, adherance, digestion, indigestion, killing__

__56. Which part of the brain is responsible for "resetting" the temperatureof the body during infection/inflammation?__ __A. medulla oblongato__ __B. pons__ __C. hypothalamus__ __D. pituitary gland__

__57. Because most T cells are inactive; T cells will only be activated if which two things happen?__ __A. bind to specific foreign antigen and costimulation occur.__ __B. proliferate and bind to specific foreign antigen.__ __C. clone and proliferate.__ __D. none of the above.__

__58. When is an HIV person considered to have AIDS?__ __A. when the helper T cells >= 200cells/ml__ __B. when the helper T cells <= 200cells/ml__ __C. when you develop opportunistic infections__ __D. when you have had HIV for ten years__ __E. both B and C__

__59. Which ally cells is the first on the scene in response to defense?__ __A. Basophil__ __B. Eosinophil__ __C. Neutrophils__ __D. Monocytes__

60. If a person __, this inhibits growth of some microbes and intensifies the antiviral effects of interferons__ __A) is coughing__ __B) works in a hospital__ __C) has a fever__ __D) falls down__ __E) all are correct__

__61. All cells display MHC I molecules except:__ __A. red blood cells__ __B. white blood cells__ __C) platelets__ __D) all of the above__

__62. 13 year old Robin had a bad case of pimples. She couldn’t stop herself from wanting to pick at the pimples but one of them would not bust. If pus cannot drain out an inflamed region the result is ___ __A) an ulcer__ __B) an abscess__ __C) her age__ __D) an infection__ __E) none of the above__

__63. Which part of the body system does B cells, T cells, and antibodies protect from attack by harmful invaders and foreign cells?__ __A. Endocrine system__ __B. Respiratory system__ __C. Urinary system__ __D. Skeletal system__ __E. All body systems__

__64. PNI has no association with the communication pathways that link the nervous system. TRUE OR FALSE__

65. True or false with age an stress an person immunity is lowed causing more of chance for colds.

66. T cells maturation is done with the thymus true of false

67. Lymphatic vessels are form lymph capillaries True or False

68. True or False the first line of defense consists of mucous membranes and skin.

69. True or false the lymph nodes and lymphatic nodules are these secondary lymphatic organs.

70. True or False: Innate Immunity is specific immunity you are born with, and Adaptive Immunity is non-specific immunity that you acquire during span of life and it adapts to invaders.

71. What is a function of the Lymphatic System?

a. Drains excess Interstitial Fluid

b. Transports Lipid Soluble Vitamins A, B, D, K

c. Initiates specific responses for specific pathogens

d. A & B

e. A & C

72. CD4 is a co-receptor protein that is presented on _ and CD8 is a co-receptor protein that is presented on_.

a. Helper cells / Cytotoxic cells

b. Cytotoxic cells / Helper cells

c.MHC 1

d. MHC2

e. Epitope

73. Which co-receptor does the AIDS virus attack?

a. CD8

b. CD4

c. both A & B

74. True or False: T cells must pass 2 tests, Positive Selection known as self-tolerance, and Negative Selection known as self-recognition. __75. Which is not a function of the lymphatic system?__ __a. drains excess interstial fluid__ __b. transports dietary lipids__ __c. transports nutrients__ __d. carries out immune responses__

__75. this trunk drains lymph from the stomach, intestines, pancreas, apleen, and part of the liver.__ __a. lumbar trunk__ __b. abdominal trunk__ __c. subclavian trunk__ __d. intestinal trunk__

__76. The sites where the stem cells divide and become immunocompetent.__ __a. primary lymphatic organs__ __b. secondary lymphatic organs__ __c. medulla__ __d. spleen__

__77. thymic macrophages help clear out the debris od dead and dying cells where do surviving T cells go after this process?__ __a. interstial fluid__ __b. medulla__ __c. lobules__ __d. cortex__

__78. Lymphatic vessels develop from lymph sacs that arise from developing veins, which are derived from what?__ __a. mesenchymal cells__ __b. endoderm__ __c. mesoderm__ __d. mesonephric cells__

__79. What are the main functions of the lymphatic system?__ __a. drains excess interstitial fluid__ __b. transports dietary lipids from the gastrointestinal tract to the blood__ __c. protects against invasion through immune responses__ __d. all of the above__

__80. All lymph returns to the blood stream through the__ __ ducts: a. right b. left c. both a&b d. none of the above

81. Which is produced by basophils and mast cells and also functions in adherence of phagocytes to pathogens? a. histamine b. kinins c. Leukotrienes d. complement

82. Chemical factors such as sebum, lysozyme, and gastric juice are part of second line defense. a. true b. false

83. Mucous membranes from first line defense inhibit the entrance of microbes. a. true b. false

<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">1. 84.A patient was rescued after being lost in the woods. After 2 days in the hospital a rash appears from poison ivy exposure. What type of reaction is this? <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">a. Type I (anaphylactic) <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">b. Type II (cytotoxic) <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">c. Type III (immune complex) <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">d. Type IV (cell mediated) <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">2. 85.A college consults a psychoneuroimmunologist when more and more students are becoming ill. What does the administration suspect as a cause? <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">a. flu virus <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">c. plague <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">d. mold in the vending machines <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">86. A geriatrician works in a retirement home. Why does she encourage her elderly patients to get an annual flu shot? <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> a. T cell production decreases with age. <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> b. B cell production decreases with age. <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> c. T cells become less responsive to antigens <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">87. Before an organ transplant histocompatability testing is conducted. They are looking for similar… <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> a. hapten <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> **b**. MHC antigens <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> c. tumor antigens <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> d. pseudopods <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">88. A patient with a ruptured spleen depends on the following to take over some of the spleen’s functions… <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> a. pancreas <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> b. red bone marrow <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> c. liver <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> d. the other spleen
 * <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">b **<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">. stress
 * <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> d. **<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">all of the above
 * <span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"> e **<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">. both b and c

<span style="display: block; font-family: 'Times New Roman',Times,serif;">Answers <span style="display: block; font-family: 'Times New Roman',Times,serif;">1. D. lymphatic system <span style="display: block; font-family: 'Times New Roman',Times,serif;">2.False- red bone marrow,thymus <span style="display: block; font-family: 'Times New Roman',Times,serif;">3.E. both the groin and mammary glands are where large groups of lymph nodes can be found <span style="display: block; font-family: 'Times New Roman',Times,serif;">4. E. all of these T cells exit the Thymus <span style="display: block; font-family: 'Times New Roman',Times,serif;">5. True <span style="display: block; font-family: 'Times New Roman',Times,serif;">6. TRUE <span style="display: block; font-family: 'Times New Roman',Times,serif;">7. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">8. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">9. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">10. D <span style="display: block; font-family: 'Times New Roman',Times,serif;">11. d <span style="display: block; font-family: 'Times New Roman',Times,serif;">12. a <span style="display: block; font-family: 'Times New Roman',Times,serif;">13. b <span style="display: block; font-family: 'Times New Roman',Times,serif;">14. c <span style="display: block; font-family: 'Times New Roman',Times,serif;">15. b <span style="display: block; font-family: 'Times New Roman',Times,serif;">16. d <span style="display: block; font-family: 'Times New Roman',Times,serif;">17. c <span style="display: block; font-family: 'Times New Roman',Times,serif;">18. b <span style="display: block; font-family: 'Times New Roman',Times,serif;">19. a <span style="display: block; font-family: 'Times New Roman',Times,serif;">20. b <span style="display: block; font-family: 'Times New Roman',Times,serif;">21. C <span style="display: block; font-family: 'Times New Roman',Times,serif;">22. False <span style="display: block; font-family: 'Times New Roman',Times,serif;">23. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">24. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">30. b <span style="display: block; font-family: 'Times New Roman',Times,serif;">31. a <span style="display: block; font-family: 'Times New Roman',Times,serif;">32. d <span style="display: block; font-family: 'Times New Roman',Times,serif;">33. c <span style="display: block; font-family: 'Times New Roman',Times,serif;">34. b <span style="display: block; font-family: 'Times New Roman',Times,serif;">35. E <span style="display: block; font-family: 'Times New Roman',Times,serif;">36. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">37. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">38. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">39. C <span style="display: block; font-family: 'Times New Roman',Times,serif;">40. E <span style="display: block; font-family: 'Times New Roman',Times,serif;">41. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">42. C <span style="display: block; font-family: 'Times New Roman',Times,serif;">43. D <span style="display: block; font-family: 'Times New Roman',Times,serif;">44. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">45. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">46. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">47. C <span style="display: block; font-family: 'Times New Roman',Times,serif;">48. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">49. D <span style="display: block; font-family: 'Times New Roman',Times,serif;">50.B <span style="display: block; font-family: 'Times New Roman',Times,serif;">51. True <span style="display: block; font-family: 'Times New Roman',Times,serif;">52. B <span style="display: block; font-family: 'Times New Roman',Times,serif;">53. C. <span style="display: block; font-family: 'Times New Roman',Times,serif;">54. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">55. C <span style="display: block; font-family: 'Times New Roman',Times,serif;">56. C <span style="display: block; font-family: 'Times New Roman',Times,serif;">57. A <span style="display: block; font-family: 'Times New Roman',Times,serif;">58. E <span style="display: block; font-family: 'Times New Roman',Times,serif;">59. C <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 60.c <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 61.A  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 62.B  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 63.E  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 64. FALSE <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 65. T <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 66.T  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 67.T  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 68T  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 69T  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 70. False <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 71. E <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 72. A <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 73. B <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 74. False <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 75.c  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 76. d <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 77. a <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 78. b <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 79. d <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 80. c <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 81. c <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 82. b <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 83.a  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 84.d  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 85.b  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 86.d  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 87.b  <span style="display: block; font-family: 'Times New Roman',Times,serif;"> 88.e