Chapter 20: Lymphatic System; 21: Immune System

What is the term that refers to the level of antibodies in your blood? A. T cell count. B. Hematocrit. C. Titer. D. White blood cell count

C. Titer.

B cell and T cell activity is most related to which of the following? A. AMI and CMI. B. Endocytosis and Phagocytosis. C. Specific and Nonspecific. D. Interferons and Complement Protein.

A. AMI and CMI.

A person has a severe streptococcal pharyngitis (Sore Throat). He is most likely to develop... A. Painful Cervical Lymph Nodes B. Enlarged Inguinal Lymph Nodes C. Hypertrophied Thymus Gland D. Cervical Lymphoma

A. Painful Cervical Lymph Nodes

Ige, IgA, IgM, and IgG are... A. Antigens. B. Complement Proteins. C. Interferons D. Antibodies.

D. Antibodies.

B and T cells are... A. Antibodies. B. Lymph Nodes. C. Tonsils. D. Lymphocytes.

D. Lymphocytes.

Agglutination is the consequence of... A. Antigen-antibody interaction. B. The binding of IgG antibodies to mast cells. C. The effect of histamine on the smooth muscle of the lungs and blood vessels. D. Activation of blood coagulation factors.

A. Antigen-antibody interaction.

What of the following are most associated with plasma cells and antibodies? A. B Cells. B. Neutrophils. C. Eosinphils. D. T Cells.

A. B Cells.

Which of the following protective proteins swarm(s) the surface of a pathogen, punching holes in the membrane and enhancing phagocytosis? A. Complement. B. Albumin. C. IgG. D. Interferons.

A. Complement.

Phagocytosis... A. Does not require a specific antigen. B. Is a function only of the T cell. C. Is mediated through antibodies. D. Is a form of specific immunity.

A. Does not require a specific antigen.

Which of the following is true of Kupffer cells? A. Fixed macrophages. B. Secrete thymosins. C. Located in the thymus gland. D. Destroy plasma cells.

A. Fixed macrophages.

If you have a high measles antibody titer, you... A. Have been exposed to the measles virus. B. Must have had measles as a child. C. Currently have symptoms of measles. D. Are contagious and should avoid contact with others for 5 days.

A. Have been exposed to the measles virus.

HIV (Human Immunodeficiency Virus) produces severe impairment of the immune system by attacking which cells? A. Helper T cells. B. Suppressor T cells. C. Plasma Cells. D. Platelets.

A. Helper T cells.

The plasma cells are least related to... A. Interferons. B. IgG, IgA, IgM, and IgE. C. Antibodies. D. B Lymphocytes.

A. Interferons.

A lacteal is located within the... A. Intestinal Villus B. Tonsil C. Adenoid D. Thymus Gland

A. Intestinal Villus

Thymosin... A. Is a hormone. B. Plays no known role. C. Is secreted by all lymph nodes. D. Is the fluid within the lymph nodes.

A. Is a hormone.

Which of the following is true about nonspecific immunity? A. It includes processes such as inflammation, phagocytosis, and fever. B. The response is to a specific antigen such as the chickenpox virus. C. It is achieved through either cell-mediated immunity or antibody-mediated immunity. D. It is protects the body primarily thought he actions of the B and T lymphocytes.

A. It includes processes such as inflammation, phagocytosis, and fever.

Which of the following is least characteristic of the pharyngeal tonsils? A. Most commonly removed by tonsillectomy. B. Protect body from infection. C. Lymphoid organs. D. Called adenoids.

A. Most commonly removed by tonsillectomy.

Which of the following indicates why you will not get chickenpox as an adult if you were infected as a child. A. Naturally acquired active immunity. B. Naturally acquired passive immunity. C. Artificially acquired passive immunity. D. Artificially acquired active immunity.

A. Naturally acquired active immunity.

Which of the following is not a step in T-cell activation? A. Production of antibody-secreting plasma cells. B. Production of helper T cells. C. Secretion of lymphokines that activate B cells. D. Antigen presentation.

A. Production of antibody-secreting plasma cells.

What is the name of the toxin that has been altered so that it is harmless yet still antigenic? A. Toxoid. B. Antibody. C. Vaccine. D. Gamma Globulin.

A. Toxoid.

Which of the following describes the effects of phagoytosis? A. Activation of B and T cells. B. Ingestion and destruction of pathogens and other foreign substances. C. Correction of hypoxemia by delivery to oxygen-starved tissues. D. Release of histamine, a natural antimicrobial agent.

B, Ingestion and destruction of pathogens and other foreign substances.

If proteins are allowed to accumulate in the interstitial space, they will... A. Block or clog the capillary pores. B. "Hold water" and cause edema. C. Act as antigens and cause and allergic reaction. D. Dehydrate the tissue space.

B. "Hold water" and cause edema.

Which of the following is true of the B cell? A. Called a Kupffer cell when fixed within the hepatic sinusoids. B. Activated in response to a specific antigen. C. Engages in cell-mediated combat. D. All of the above are true.

B. Activated in response to a specific antigen.

Red pulp and white pulp... A. Secrete red and white blood cells in the adult. B. Compose splenic tissue. C. Are only found in the fetal liver. D. Synthesize clotting factors.

B. Compose splenic tissue.

Lymph node dissection is most likely to cause... A. Hypoxemia. B. Edema. C. Thrombosis. D. Ischemia.

B. Edema.

The kupffer cells are fixed macrophages within the walls of hepatic sinusoids and... A. Produce antibodies in response to the antigens within the portal blood coming from the organs of digestion. B. Engage in phagocytosis of pathogens in the blood coming from the organs of digestion. C. Are the same as natural killer cells. D. Are the origin of the B and T cells.

B. Engage in phagocytosis of pathogens in the blood coming from the organs of digestion.

Which of the following is the treatment of choice for an anaphylactic reaction? A. Histamine. B. Epinephrine and steroid. C. A bronchoconstricting agent. D. Gama globulin.

B. Epinephrine and steroid.

With which of the following is MALT least associated? A. Mucosa. B. Erythropoiesis. C. Phagocytosis. D. Immune Function.

B. Erythropoiesis.

A febrile seizure is a seizure that... A. Is caused by intense shivering B. Is caused by a fever C. Causes a fever D. Is treated with antibiotics

B. Is caused by a fever

The lymphatic circulation... A. Accompanies the aorta and its branches. B. Is most closely associated with the venous side of the circulation. C. Is concerned with the transport of oxygen. D. Plays a vital role in hemostasis.

B. Is most closely associated with the venous side of the circulation.

The spleen, thymus gland, tonsils, and lymph nodes are... A. Confined to the thoracic cavity. B. Lymphoid organs. C. Primarily concerned with hematopoiesis. D. Concerned only with phagocytosis.

B. Lymphoid Organs.

The thoracic duct... A. Functions like a heart that pumps lymph throughout the body. B. Receives lymph from large lymphatic vessels that drain the left side of the body. C. Is a collection of lymph nodes. D. Filters lymph into the subclavian veins.

B. Receives lymph from large lymphatic vessels that drain the left side of the body.

The spleen... A. Is located RUQ. B. Removes worn-out blood cells from circulation. C. Secretes splenic hormones that control the entire lymphoid system. D. Is avascular.

B. Removes worn-out blood cells from circulation.

The plasma cells... A. Are part of the T cell clone. B. Secrete antibodies. C. Are considered nonspecific immunity. D. Are the same as memory B cells.

B. Secrete antibodies.

Which of the following is most associated with a low plasma level of antibodies? A. The "booster" response. B. The primary response. C. Anaphylaxis. D. An autoimmune response.

B. The primary response.

Which of the following best describes the lymphatic capillaries? A. They closely follow the path of the aorta. B. They have large pores and follow venous pathways. C. They are found only in the spleen. D. They are found only in lymph nodes.

B. They have large pores and follow venous pathways.

An overly active spleen may prematurely remove platelets from the circulation, thereby predisposing a person to... A. Granulocytopenia and Infection. B. Thrombocytopenia and Bleeding. C. Arteriorlar Vasospasm and Hypertension. D. Hyperbilirubinemia and Jaundice.

B. Thrombocytopenia and Bleeding.

Lymphatic capillaries... A. Transport protein-free interstitial fluid. B. Are close to and parallel to distribution of arterioles. C. Absorb tissue fluid and transport it toward the heart. D. Are composed of smooth muscle and determine SVR (Systemic Vascular Resistance).

C. Absorb tissue fluid and transport it toward the heart.

Complement and interferons... A. Activate T cells. B. Are antibodies secreted by plasma cells. C. Are protective proteins that enhance the immune response to infection. D. Include histamine and leukotrienes that cause anaphylaxis.

C. Are protective proteins that enhance the immune response to infection.

Elephantiasis is... A. Causes by the destruction of valves within the lymphatic vessels. B. CO=HR x SV x Pulse Pressure. C. Edema formation in response to impaired lymphatic drainage. D. Caused by the removal of the spleen.

C. Edema formation in response to impaired lymphatic drainage.

Lymph is... A. Red, like blood. B. Pumped by the left heart into the systemic circulation. C. Formed from tissue fluid. D. Formed when fluid is filtered across the subclavian veins into the tissue space.

C. Formed from tissue fluid.

Because antibodies are carried by the blood, this type of immunity is also called... A. Cell-Medicated Immunity. B. Autoimmunity. C. Humoral Immunity. D. Immunotolerance.

C. Humoral Immunity.

Why does lymph contain protein? A. Protein is synthesized by the lymph nodes. B. The cells that line the lymphatic vessels synthesize protein. C. Protein leaks out of the capillaries into the tissue spaces and is absorbed into the lymphatic capillaries. D. Adenoids transport plasma protein into the lymphatic vessels.

C. Protein leaks out of the capillaries into the tissue spaces and is absorbed into the lymphatic capillaries.

A severe anaphylactic reaction causes death by... A. Renal Failure. B. Bleeding. C. Respiratory Obstruction. D. Infection.

C. Respiratory Obstruction

This organ engages in erythropoiesis in the fetus, produces lymphocytes in the adult. and stores platelets... A. Adenoids. B. Tonsils. C. Spleen. D. Liver.

C. Spleen.

Which of the following are classified as killer, helper, suppressor, and memory? A. Antibodies. B. Granulocytes. C. T Cells. D. Vaccines.

C. T Cells.

Leukocytosis is generally an indication... A. That the infection is out of control. B. Of an autoimmune disease. C. That the neutrophils and monocytes are engaging in phagocytosis. D. Of immunotolerance.

C. That the neutrophils and monocytes are engaging in phagocytosis.

What happens if the lymphatic vessels and nodes are removed from the right axillary region? A. The patient will experience anginal pain. B. The right arm will become gangrenous from lack of oxygen. C. The right arm will become edematous. D. All lymph will drain directly into the superior vena cava.

C. The right arm will become edematous.

Which of the following is least associated with tonsils? A. Lymphoid Tissue. B. Palatine, pharyngeal, and lingual. C. Thrombopoiesis. D. Lymph node-like.

C. Thrombopoiesis.

Which of the following is true about lymph? it is... A. Filtered by the lymphatic capillaries into the interstitim. B. Synthesized and stored within the lymph nodes. C. Secreted by the subclavian veins into the large lymphatic ducts. D. Absorbed by lymphatic capillaries from the interstitium.

D. Absorbed by lymphatic capillaries from the interstitium.

Plasma cells... A. Refer to T cells. B. Are the same as NK cells. C. Secrete interferons. D. Are B-cell clones.

D. Are B-cell clones.

What is the similarities between the thoracic duct and the right lymphatic duct? Both... A. Drain lymph exclusively from the lower extremities. B. Empty their lymph into the left subclavian vein. C. Are lymphatic capillaries associated exclusively with the cerebral circulation. D. Are large lymphatic ducts that collect lymph from smaller lymphatic vessels.

D. Are lymphatic ducts that collect lymph from smaller lymphatic vessels.

An antigen-antibody interaction... A. Is called Phagocytosis. B. Is prevented by antibiotics. C. Is called Anaphylaxis. D. Causes agglutination.

D. Causes agglutination

Which group is incorrect? A. Specific immunity: B Cells, T Cells. B. Mechanical Barriers: Skin, Mucous Membrane. C. First line of defense: Skin, mucous membrane, tears, sneezing. D. Chemical Barriers: Tears, saliva, stomach acid, B cells, T cells.

D. Chemical Barriers: Tears, saliva, stomach acid, B cells, T cells.

A vaccine... A. Is a gamma globulin. B. Contains Antibodies. C. Is the same as an antitoxin. D. Conveys active immunity.

D. Conveys active immunity.

A person has an infection and his phagocytes respond appropriately by releasing pyrogens, thereby resetting the body's thermostat. What happens next? A. His body temperature declines. B. He forms pus around the hypothalamus. C. He sweats and his blood vessels dilate, thereby losing heat. D. He shivers, thereby producing heat.

D. He shivers, thereby producing heat.

Which of the following words are least characteristic of phagocytes? A. Motile and fixed. B. Diapedesis and chemotaxis. C. Neutrophils, monocytes, and macrophages. D. IgG, IgA, IgM, and IgE.

D. IgG, IgA, IgM, IgE.

Where does lymph originally come from? A. Spleen. B. Thoracic duct. C. Lymph Nodes. D. Interstitial Spaces.

D. Interstitial Spaces.

Which cell engages in cell-to-cell combat? A. Erythrocyte. B. B Cell. C. Platelet. D. T Cell.

D. T Cell.

What is the primary concern regarding the care of a person experiencing an anaphylactic reaction? A. The development of hives. B. Intense itching and discomfort. C. The development of febrile seizures. D. The inability to breathe.

D. The inability to breathe.

What is the effect of a massive release of histamine? A. Thrombosis. B. Jaundice. C. Anemia. D. Wheezing and hypotension.

D. Wheezing and hypotension.