front 1 Which of the following is a part of the second line of defense against microorganisms? A. keratin B. cilia C. gastric juice D. phagocytes | back 1 D. Phagocytes |
front 2
Low-grade fever is an effective defense for short periods of
time because it | back 2 C. increases temperature, which slows the growth of bacteria. |
front 3 ________ are released by activated T cells and macrophages to mobilize immune cells and attract other leukocytes into the area. A. Cytokines B. Perforins C. Interleukin 1 proteins D. Interleukin 2 proteins | back 3 A. Cytokines |
front 4
The antibodies produced in allergic reactions
| back 4 C. belong to the immunoglobulin E group. |
front 5
The formation of lymph increases as a result of
| back 5 B. increasing hydrostatic pressure in tissue fluid. |
front 6
An antigen is ______, whereas an antibody is ______.
| back 6 A. a foreign substance such as a protein or a polysaccharide to which lymphocytes respond; a globular protein that reacts with an antigen to eliminate the antigen |
front 7 Select the correct statement about lymph transport. A. Under normal conditions, lymph vessels are very high-pressure conduits. B. Lymph transport is faster than that occurring in veins. C. Lymph transport is only necessary when illness causes tissue swelling. D. Lymph transport depends on the movement of adjacent tissues, such as skeletal muscles. | back 7 D) Lymph transport depends on the movement of adjacent tissues, such as skeletal muscles. |
front 8 The redness and heat of an inflamed area are due to a local hyperemia caused by ________. A. vasodilation B. vasoconstriction C. phagocyte mobilization D. production of complement and interferon | back 8 A. vasodilation |
front 9 When the lymphatic structures are blocked due to tumors, the result is ________. A. shrinkage of tissues distal to the blockage due to inadequate delivery of lymph B. severe localized edema distal to the blockage C. increased pressure in the lymphatics proximal to the blockage D. abnormally high lymph drainage from the distal region | back 9 B. severe localized edema distal to the blockage |
front 10
Following a primary immune response, the cells that give rise
to memory cells are | back 10 C. both B cells and T cells. |
front 11
Innate defenses are | back 11 A. fast and non specific. |
front 12
Henry has a cut on his thigh that becomes infected. The
lymph nodes in his __________ enlarge. | back 12 c) inguinal region |
front 13 Antibodies that act against a particular foreign substance are released by ________. A.T lymphocytes B.plasma cells C.lymph nodes D.medullary cords | back 13 B)plasma cells |
front 14 The lymph nodes of the axillary region receive lymph mainly from the A. scalp and face. B. upper limb and mammary gland. C. thoracic viscera. D. abdominal viscera. E. brain. | back 14 B)upper limb and mammary gland |
front 15 T lymphocytes are responsible for A. programming macrophages. B. producing antibodies. C. cell-mediated immunity. D. humoral immunity. E. producing collectins | back 15 C)cell mediated immunity |
front 16 In the cellular immune response A. B cells produce antibodies directly against antigens. B. T cells produce antibodies directly against antigens. C. T cells attach directly to antigens and destroy them. D. T cells attack healthy body cells. E. T cells activate macrophages. | back 16 C. T cells attach directly to antigens and destroy them. |
front 17 Marsha gets a splinter in her finger. What is her body's response to any microbe that might try to enter her body as a result of the splinter breaking the skin? A. innate defense. B. adaptive defense. C. specific defense. D. cytotoxic T cell response. E. antibody response. | back 17 A) innate defense |
front 18 Which of the following is not a function of the lymphatic system? A.draining excess interstitial fluid B.carrying out immune responses C.transporting dietary fats D.transporting respiratory gases | back 18 D)transporting respiratory gases |
front 19 In clonal selection of B cells, which substance is responsible for determining which cells will eventually become cloned? A.antigen B. interferon C.antibody D.complement | back 19 A)antigen |
front 20 The two collecting ducts that drain the lymphatic trunks are the A. thoracic duct and right lymphatic duct. B. lumbar duct and left lymphatic duct. C. intestinal duct and left intercostal duct. D. bronchomediastinal duct and subclavian duct. E. none of the above. | back 20 A)thorasic duct and right lymphatic duc |
front 21 Stephanie has her cancerous right breast removed, and the surgeon also removes lymph nodes in the axillary region, to prevent spread of the cancer. As a result, Stephanie's right arm A. loses its blood supply. B. receives too much blood and swells. C. becomes edematous. D. loses tissue fluid. E. becomes paralyzed | back 21 C)becomes edematous |
front 22 Clonal selection of B cells ________. A.occurs during fetal development B.results in the formation of plasma cells C.cannot occur in the presence of antigens D.only occurs in the secondary immune response | back 22 B) results in the formation of plasma cells |
front 23 T lymphocytes mature in the thymus in response to A. cytokines. B. antibodies. C. interferon. D. thymosins. E. thymonucleins. | back 23 d thymosins |
front 24 The only T cells that can directly attack and kill other cells are the ________. A.regulatory cells B.helper cells C.cytotoxic cells D.plasma cells | back 24 c- cytotoxic |
front 25 Which of the following is characteristic of antibodies? A.carbohydrate structure B.composed of heavy and light polypeptide chains C.three binding sites per antibody monomer D.incapable of being transferred from one person to another | back 25 b) composed of heavy and light peptide chains |
front 26 List the functions of the lymphatic vessels. | back 26 Returns interstitial fluid and leaked plasma proteins back to the blood Once interstitial fluid enters lymphatics, it is called lymph Together with lymphoid organs and tissues, provide the structural basis of the immune system |
front 27 Describe the structure and distribution of lymphatic vessels. | back 27 1.A network of lymphatic vessels (lymphatics) One-way valves & Thinner walls than those of veins 2.Lymph 3.Lymph nodes |
front 28
Three layers: Lymph | back 28
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front 29 Lymph vessels (lymphatics) include | back 29
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front 30 Lymph is delivered into one of two large ducts | back 30 Right lymphatic duct drains the right upper arm and the right side of the head and thorax Thoracic duct arises from the cisterna chyli and drains the rest of the body Empties into venous circulation at the junction of the internal jugular and subclavian veins on its own side of the body |
front 31 Capillary blood pressure filters water and small molecules from the plasma.The resulting fluid has: | back 31
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front 32 Lymph Formation | back 32 Filtration from the plasma normally exceeds re-absorption, leading to the net formation of tissue fluid This increases the tissue fluid hydrostatic pressure within interstitial spaces forcing fluid into lymphatic capillaries forming lymph This process prevents accumulation of excess tissue fluid or edema |
front 33 Lymphatic vessels play a role in____________? | back 33
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front 34 Hydrostatic pressure of tissue fluid drives the lymph into the lymphatic capillaries. Muscle activity largely influences the movement of lymph through the lymphatic vessels via _____? | back 34
|
front 35 Lymph Nodes | back 35
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front 36 Lymph nodes are found in groups or chains along the paths of the larger lymphatic vessels throughout the body, including the: | back 36
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front 37 Lymph nodes have two primary functions | back 37 Filter potentially harmful particles from the lymph Act with immune surveillance provided by macrophages and lymphocytes Along with the red bone marrow, the lymph nodes are centers for lymphocyte production |
front 38 T cells and B cells protect against antigens? | back 38 Anything the body perceives as foreign: Bacteria and their toxins; viruses & Mismatched RBCs or cancer cells T-Manage the immune response & Attack and destroy foreign cells(troops) thymus (thymazine) B-Produce plasma cells, which secrete antibodies |
front 39 Macrophages phagocytize foreign substances and help activate | back 39 T cells- T helper cells most critical for the immune system T cells - cytotoxic attack |
front 40 Largest lymphnode | back 40 Spleen- left upper quadrant |
front 41 Smallest Lympyh | back 41 Tonsils |
front 42 born with skin mucous membrane | back 42 Innate |
front 43 natural killers - virus and cancer | back 43 NK cell |
front 44 mass histamine's | back 44 MASS |
front 45 cells capture antigens and deliver them to lymph nodes | back 45 Dendritic |
front 46 cells produce stroma that supports other cells in lymphoid organs | back 46 Reticular |
front 47 Which gland? Replaced by fat and connective tissue in the elderly Small in an adult (Larger in infancy and during puberty) Site of T lymphocyte (or T cell) production Secretes protein hormones called thymosins | back 47 Thymus |
front 48 which is the Largest lymph organ? The largest lymphatic organ @ upper left abdominal quadrant Has sinuses filled with blood Contains two tissue types: White pulp (lymphocytes) Red pulp (red blood cells, lymphocytes and macrophages) | back 48 Spleen |
front 49 First responder | back 49 Neutrophil |
front 50 ***Simplest lymphoid organs**** Form a ring of lymphatic tissue around the pharynx
| back 50 Tonsils |
front 51 The body can prevent entry of pathogens or destroy them with defense mechanisms such as | back 51 Innate defenses : Phagocytes NK cells Inflammation Antimicrobial proteins Fever Surface barriers Mucous membranes Skin
Adaptive defenses: Humoral immunity
|
front 52 Surface barriers Skin, mucous membranes, and their secretions | back 52
–Mucosae provide similar mechanical barriers |
front 53 What is Necessary if microorganisms invade deeper tissues? | back 53
|
front 54 Natural Killer (NK) Cells | back 54
|
front 55
| back 55 Inflammation |
front 56 1.Redness- Erythromin 2.Heat- Calor 3.Swelling- edema 4.Pain- dolor 5. Impairment of function | back 56 Cardinal signs of acute inflammation |
front 57 removes foreign particles from the lymph
| back 57 Phagocytosis |
front 58
| back 58 Events of phagocytosis |
front 59 A ______ begins when a viral or bacterial infection stimulates lymphocytes to proliferate, producing cells that secrete a substance called interleukin-1 (IL-1) | back 59 fever |
front 60
| back 60 Adaptive (Specific) Defenses or Immunity |
front 61
| back 61 Antigens |
front 62
| back 62 Antibodies |
front 63 first antibody released FIRST TO FIGHT INFECTION Potent agglutinating agent Readily fixes and activates complement | back 63 IgM |
front 64 in mucus and other secretions Helps prevent entry of pathogens MUCUS | back 64 IgA (Secretions) |
front 65 Monomer attached to the surface of B cells Functions as a B cell receptor FOUND ON B | back 65 IgD |
front 66 Monomer; 75–85% of antibodies in plasma From secondary and late primary responses Crosses the placental barrier GIRL -PLACENTAL/IMMUNITY TO FETUS | back 66 IgG (GIRL) |
front 67 Active in some allergies and parasitic infections Causes mast cells and basophils to release histamine ALLERGY | back 67 IgE |
front 68
| back 68 B Cells and the Humoral Immune Response |
front 69
| back 69 Occurs when B cells encounter antigens and produce specific antibodies against them : Two types ? |
front 70 Spare us the symptoms of the primary response Provide antigenic determinants that are immunogenic and reactive Target only one type of helper T cell, so fail to fully establish cellular immunological memory | back 70 Active Humoral Immunity : Vaccines |
front 71 B cells are not challenged by antigens Immunological memory does not occur | back 71 Passive Humoral Immunity |
front 72 1.Naturally acquired—antibodies delivered to a fetus via the placenta or to infant through milk 2.Artificially acquired—injection of serum, such as gamma globulin Protection is immediate but ends when antibodies naturally degrade in the body | back 72 Passive Humoral Immunity (2 types) |
front 73
| back 73 T Cells and the Cellular Immune Response |
front 74 Major types of T cells CD4 cells become helper T cells (TH) when activated CD8 cells become cytotoxic T cells (TC) that destroy cells harboring foreign antigens Other types of T cells Regulatory T cells (TREG) Memory T cells | back 74 Cell-Mediated Immune Response |
front 75 Occurs on the first exposure to a specific antigen Lag period: three to six days Peak levels of plasma antibody are reached in 10 days Antibody levels then decline | back 75 Primary immune response |
front 76 Occurs on re-exposure to the same antigen(SECONDARY) Sensitized memory cells respond within hours Antibody levels peak in two to three days at much higher levels Antibodies bind with greater affinity Antibody level can remain high for weeks to months | back 76 Secondary immune response |
front 77 Immune responses to a perceived (otherwise harmless) threat Causes tissue damage Different types are distinguished by Their time course Whether antibodies or T cells are involved Antibodies cause immediate and subacute hypersensitivities T cells cause delayed hypersensitivity | back 77 Hypersensitivities |
front 78
Symptoms include hives, hay fever, asthma, eczema, gastric disturbances, and anaphylactic shock
| back 78 Type I allergic reaction |
front 79
| back 79 Type 2 allergic reactions |
front 80
| back 80 Type 3 allergic reactions |
front 81
| back 81 Type 4 allergic reactions |
front 82
Constriction of bronchioles Sudden vasodilation and fluid loss from the bloodstream Hypotensive shock and death
| back 82 Anaphylactic Shock (type 1) |
front 83
Antibodies bind to antigens on specific body cells, stimulating phagocytosis and complement-mediated lysis of the cellular antigens Example: mismatched blood transfusion reaction | back 83 Subacute Hypersensitivities (type 2 ) |
front 84 Antigens are widely distributed through the body or blood Insoluble antigen-antibody complexes form Complexes cannot be cleared from a particular area of the body Intense inflammation, local cell lysis, and death may result Example: systemic lupus erythematosus (SLE) | back 84 Immune complex (type III) hypersensitivity: Subacute Hypersensitivities |
front 85
| back 85 Delayed Hypersensitivities (Type IV) |
front 86 1) Initial B cell contact with allergen 2)Plasma cell secretes antibodies 3)Antibodies attach to mast cell 4)Subsequent contact with allergen 5)Mast cell releases allergy mediators 6)Histamine and other chemicals 7) Allergic reaction | back 86 Steps to an allergic reaction |
front 87
| back 87 Explain the ways in which H.I.V attacks a cell and infects tissue |
front 88 IMMUNOGLOBULIN | back 88 Y |
front 89 DIFFERENCE BETWEEN: AFFERENT / EFFERENT | back 89 AFFERENT: LYMPH ENTERS LYMPH NODE EFFERENT: LYMPH LEAVES LYMPH NODE |
front 90 LARGEST CLUSTER OF LYMPH GLANDS | back 90 INGUINAL |
front 91 LYMPH LEAVING RIGHT SIDE OF HEAD | back 91 RIGHT LYMPHATIC DUCT |
front 92 IMMUNE GLAND OVER AORTIC ARCH | back 92 THYMUS - BIGGER ON A CHILD |
front 93 CELLS THAT ARE SMALL IN NUMBER BUT ARE NEEDED TO KILL VIRUS OR CANCER | back 93 NATURAL KILLER CELLS |
front 94 INVOLVED IN PASSIVE IMMUNITY | back 94 IGG |
front 95 CHRONIC INFECTION; WHICH WHITE BLOOD CELL? | back 95 MACROPHAGES |
front 96 WHAT STOPS VIRAL REPLICATION | back 96 INTERFERONS |
front 97 MOST CRITICAL CELL IN THE IMMUNE SYSTEM | back 97 T CELL- T HELPER CELL *** NO T - HELPER CELLS = AIDS W/ A COUNT LESS THAN 300 |
front 98 WHICH CELLS ATTACK VIA CYTOTOXIC ? | back 98 T CELLS |
front 99
4 TYPES OF LEUKEMIA (ESSAY) | back 99 Acute myeloid leukemia (AML); is a FAST -growing form of cancer of the blood and bone marrow. Chronic myeloid leukemia (CML) (SLOW GROWING )form of cancer that affects the bone marrow and blood
Acute lymphocytic
leukemia (ALL) blood cancer that results when abnormal
white blood cells (leukemia cells) accumulate in the bone
marrow.
Chronic lymphocytic
leukemia (CLL) too many abnormal lymphocytes grow, crowding
out normal blood cells and making it difficult for the body to fight
infection. |
front 100 1) viral genome and reverse transcriptase enter the cell 2) DNA copy synthesized by reverse transcriptase , this is the site of action of AZT and other reverse transcriptase inhibitors 3) RNA degraded; second DNA strand synthesized 4) DNA circularize (unintegrated provirus) or intergrase functions to incorporate DNA into host cell genome(integrated provirus), this is the site of action of antiretrovial drugs under development 5) With host cell activation, viral DNA is transcribed, yielding messenger RNAs and viral genome RNA 6) Viral RNAs are translated, yielding viral enzymes(including protease) and structural proteins, this is the site of action of protease inhibitor 7)in HIV replication. Viral membrane proteins are transported to host cell membrane 8) in HIV replication. Final viral assembly and budding takes place | back 100 STEPS OF HIV : ESSAY |
front 101 LEUKOPENIA VS. LEUKOCYTOSIS | back 101
Leukopenia ( WBC DOWN) is a decrease in the number of
circulating white blood cells (leukocytes) in the blood. As the
principal function of white cells is to combat infection, a decrease
in the number of these cells can place patients at increased risk for
infection EXAMPLE= FLU |
front 102 CLONES REPLICATING ANTIBODIES BC OF ORIGINAL B CELL EXPOSURE TO A NEW ANTIGEN | back 102 PLASMA |
front 103 ATTRACT ALL WBC BC OF CHEMICAL MEDIATORS | back 103 CHEMOTAXIS |
front 104 TIGHT SPACE | back 104 MARGINIZATION |
front 105 EDEMA AND SWELLING | back 105 SEROUS FLUID |
front 106 Where does the lymphatic duct drain into? | back 106 RIGHT SUBCLAVIAN VEIN |
front 107 Where lymphoid stem cells : production of pre-T cells and natural killer cells (NK lymphocytes), production and maturation of B lymphocytes (B cells)? | back 107 RED BONE MARROW |
front 108 What are the primary lymphatic organs? | back 108 RED BONE MARROW AND THYMUS GLAND |
front 109 reticular fibers that trap microbes and abnormal cells. Microbes and abnormal cells ( phagocytized by dendrite cells and macrophages.) | back 109 STROMA |
front 110 What are the Chemical Barriers of the Innate Resistance? | back 110 Lysozymes, Sebum,& Gastric Juice |
front 111 What is Specificity | back 111 response of immune system tailored to one particular antigen |
front 112 What is Memory | back 112 vigorous, speedy response to subsequent exposure to the same antigen |
front 113 What is MHC (Major Histocompatibility Complex)molecules? | back 113 Self-antigens on cell membranes, unique to each person |
front 114 What cell remains for years after initial infection? | back 114 MEMORY T CELLS |
front 115 This stimulates immunological memory to an artificially- introduced, non-pathogenic antigen or to a weakened or killed pathogen | back 115 VACCINATION |
front 116 Having a normally functioning immune system | back 116 Immunocompetent |
front 117 Immediate response to antigen (within minutes) due to IgE antibodies and basophils (release histamine) | back 117 Anaphylaxis |
front 118 Is lymph more similar to blood plasma or to interstitial fluid? Why? | back 118 interstitial fluid because the protein contents of lymph is low |
front 119 What type of cells are Antigen presenting cells, and where in the body are they found? | back 119 Epitopes are small immunogenic parts of a larger antigen; hapten are small molecules that become immunogenic only when they attach to a body protein. |
front 120 What are some examples of endogenous antigens? | back 120 Endogenous antigens include viral proteins, toxins from intracellular bacteria, and abnormal proteins synthesized by a cancerous cell. |
front 121 The Enlarged Terminus of the thoracic duct that receives lymph from the digestive viscera ? ( digestive / large) | back 121 Cisterns Chyli |
front 122 Rapidly dividing B cells a.k.a. globular masses | back 122 Germinal center |
front 123 Arterial : Heart via duct via trunk via node via collecting duct w valve to the lymph capillary( DTNC) Venous : capillary via collection duct w valve via node via trunk via duct to heart( CNTD) | back 123 Lymph via blood flow arterial vs venous |
front 124 Interlockin growth factor tumor nucrosis (TNF) | back 124 TNF |
front 125 Internal jugular and subclavical | back 125 All veins lead to _______? |
front 126 What is the back flow of lymph? | back 126 LYMPHNODEM |
front 127 First lymphnode to detect cancer at the lymph system (surrounded by a fibrous capsule ) | back 127 SENTINAL NODE |
front 128 ARTERIAL / ICS -> GAP-> AFFERENT -> LYMPH ->NODE -> EFFERENT-> VESSEL -> TRUNK -> COLLECTING DUCT | back 128 FLOW OF LYMPH |
front 129 INTESTINAL Back of throat Upper back- throat Below diaphragm Between lungs | back 129 Ileum peyerspatches Lingual tonsil Palatine tonsil Spleen Thymus |
front 130 What are some examples of endogenous antigens? | back 130 Viral proteins Toxins @ intracellular level Abnormal proteins synthesized by a cancerous cell Ie: virus/ICB/Cancer |
front 131 3 important characteristics of the immune response are its:________ __________&_________ | back 131 Memory Specificity Ability to differentiate self/non self Autoimmune: is a defect in the bodies ability to do this |
front 132 B cell clone- memory b or antibody making plasma Gamma goblin - plasma proteins /5 classes of immunoglobulin B cell =blood/bone -->>>humoral immunity T = cytotoxic (virus) Helper-activate Suppressor-inhibit immune response | back 132 Antibodies |
front 133 All lymphoid tissue except ____________ & _____________ contain both b/t cell dependent region | back 133 Thymus and bone marrow |
front 134 What is the white area of the spleen ? | back 134 Lymphocytes suspended @ reticular fibers (white pulp) Clustered around central arteries |
front 135 Reticular tissue and macrophages Red pulp @ spleen Venous sinuses | back 135 Splendid cords |
front 136 ______are released by activated T cells & macrophages to mobilize immune cells and attract other leukocytes not the area . | back 136 Cytokines |
front 137 B cell contact w/ allergen Plasma secretes antibodies Antibodies-->>> mast cells Contact w/ allergen Mast cells -->>> MEDIATORS HISTAMINE & CHEMICALS ALLERGIC REACTION | back 137 Steps to an allergic reaction |