A&p II Blood/Lymph & Immune Multiple Choice

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Questions and Answers
  • 1. 

    Which of the following is not a function of the blood?

    • A.

      Transportation of gases, nutrients, and wastes

    • B.

      Regulation of body pH

    • C.

      Secretion of hormones

    • D.

      Protection against disease

    • E.

      Aid in maintaining fluid homeostasis in cells

    Correct Answer
    C. Secretion of hormones
    Explanation
    The blood performs several important functions in the body, including transportation of gases, nutrients, and wastes, regulation of body pH, protection against disease, and aid in maintaining fluid homeostasis in cells. However, the secretion of hormones is not a function of the blood. Hormones are typically produced and secreted by endocrine glands, such as the pituitary gland, thyroid gland, and adrenal glands. These hormones are then released into the bloodstream to be transported to target cells or organs where they exert their effects.

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  • 2. 

    Most of the plasma proteins are synthesized in the

    • A.

      Liver

    • B.

      Spleen

    • C.

      Bone marrow

    • D.

      Kidneys

    • E.

      White blood cells

    Correct Answer
    A. Liver
    Explanation
    The liver is responsible for synthesizing most of the plasma proteins. This organ plays a vital role in protein metabolism and is capable of producing a wide range of proteins, including albumin, globulins, and clotting factors. The liver's ability to synthesize these proteins is crucial for maintaining the balance of fluids in the body, transporting substances, and supporting the immune system. Other organs mentioned, such as the spleen, bone marrow, kidneys, and white blood cells, are not primarily involved in the synthesis of plasma proteins.

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  • 3. 

    Which of the following molecules is correctly matched with its description?

    • A.

      Transferrin: stores iron ions in the liver

    • B.

      Ferritin: transports iron ions in the bloodstream

    • C.

      Biliverdin: pigment derived from heme that is released by the liver into bile

    • D.

      Urobilinogen: end product of bacterial conversion of bilirubin in the large intestine

    • E.

      Stercoblin: yellow pigment excreted in urine

    Correct Answer
    C. Biliverdin: pigment derived from heme that is released by the liver into bile
    Explanation
    Biliverdin is a pigment that is derived from heme, a component of hemoglobin. It is released by the liver into bile, which is then excreted into the digestive system. This description accurately matches the molecule biliverdin.

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  • 4. 

    Increased numbers of _______________ may occur in allergic reactions, parasitic infections, and some autoimmune diseases.

    • A.

      Neutrophils

    • B.

      Eosinophils

    • C.

      Macrophages

    • D.

      Monocytes

    • E.

      Lymphocytes

    Correct Answer
    B. Eosinophils
    Explanation
    Eosinophils are a type of white blood cell that play a role in the immune response against parasites and in allergic reactions. They are responsible for releasing toxic substances that help to kill parasites and regulate inflammation. An increased number of eosinophils can be seen in allergic reactions, parasitic infections, and some autoimmune diseases as they are recruited to the site of inflammation to combat the foreign invaders or to modulate the immune response.

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  • 5. 

    After testing your blood in the lab, you found that your red cells agglutinated with both anti-A and anti-B antisera.  This means that you

    • A.

      Have A and B antigens on your RBC AND have anti-A and anti-B antibodies in your plasma

    • B.

      All of the above

    • C.

      Have A and B antigens on your RBC

    • D.

      Have anti-A and anti-B antibodies in your plasma

    • E.

      Are AB positive

    Correct Answer
    A. Have A and B antigens on your RBC AND have anti-A and anti-B antibodies in your plasma
    Explanation
    If your red blood cells agglutinate with both anti-A and anti-B antisera, it means that you have both A and B antigens on your red blood cells (RBCs) and you also have both anti-A and anti-B antibodies in your plasma. This is characteristic of individuals with blood type AB. Therefore, the correct statement is that you have both antigens on your RBCs and both antibodies in your plasma.

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  • 6. 

    Which of the following is the function of the lymphatic system

    • A.

      Carry out immune responses

    • B.

      Drain excess interstitial fluid

    • C.

      Transport dietary lipids

    • D.

      Carry out immune responses AND drain excess interstitial fluid

    • E.

      Carry out immune responses AND drain excess interstitial fluid AND transport dietary lipids

    Correct Answer
    E. Carry out immune responses AND drain excess interstitial fluid AND transport dietary lipids
    Explanation
    The lymphatic system carries out immune responses by producing and transporting lymphocytes, which are white blood cells that help fight off infections and diseases. It also drains excess interstitial fluid, which is the fluid that surrounds the cells in our body, and helps maintain fluid balance. Additionally, the lymphatic system is responsible for transporting dietary lipids, such as fats and fat-soluble vitamins, from the digestive system to the bloodstream. Therefore, the correct answer is "carry out immune responses AND drain excess interstitial fluid AND transport dietary lipids."

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  • 7. 

    Which of the following is considered a primary lymphoid organ?

    • A.

      Lymph node

    • B.

      Spleen

    • C.

      Bone marrow

    • D.

      Lymp node AND spleen

    • E.

      Lymph node AND spleen AND bone marrow

    Correct Answer
    C. Bone marrow
    Explanation
    The bone marrow is considered a primary lymphoid organ because it is responsible for the production and maturation of lymphocytes, which are a type of white blood cell involved in the immune response. Lymph nodes and the spleen are considered secondary lymphoid organs, as they are involved in the activation and proliferation of lymphocytes, but they do not produce or mature lymphocytes like the bone marrow does.

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  • 8. 

    ____________________ are actively phagocytic cells.

    • A.

      Macrophages

    • B.

      Neutrophils

    • C.

      Lymphocytes

    • D.

      Macrophages AND neutrophils

    • E.

      Macrophages AND neutrophils AND lymphocytes

    Correct Answer
    D. Macrophages AND neutrophils
    Explanation
    Macrophages and neutrophils are both actively phagocytic cells. Phagocytosis is the process by which cells engulf and digest foreign particles, such as bacteria and debris. Macrophages are large, specialized cells that are able to engulf and destroy pathogens. Neutrophils, on the other hand, are a type of white blood cell that are typically the first responders to sites of infection or inflammation. They are highly mobile and can quickly migrate to the site of infection, where they engulf and destroy pathogens. Therefore, both macrophages and neutrophils are actively involved in the process of phagocytosis.

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  • 9. 

    All of the following signs and symptoms of inflammation are matched correctly with a cause EXCEPT:

    • A.

      Heat: increased metabolic activity in damaged tissues

    • B.

      Redness: increased blood flow as the result of vasodilation

    • C.

      Pain: kinins and prostaglandins

    • D.

      Swelling: decreased capillary permeability

    • E.

      All are correct

    Correct Answer
    D. Swelling: decreased capillary permeability
    Explanation
    Swelling is not caused by decreased capillary permeability. Inflammation typically leads to increased capillary permeability, allowing fluid and immune cells to move from the blood vessels into the surrounding tissues, resulting in swelling.

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  • 10. 

    Titanium, a metal, is now being used frequently in human joint replacement.  In terms of an immune response to titanium, you would expect

    • A.

      An innate immune response

    • B.

      An adaptive immune response because titanium is foreign to the body

    • C.

      An adaptive immune response because titanium will attach to proteins which will act as a hapten

    • D.

      No immune response because titanium is not part of any of the microbes to which the immune system usually responds

    • E.

      No immune response because titanium is a metal rather than a large complex organic molecule

    Correct Answer
    E. No immune response because titanium is a metal rather than a large complex organic molecule
    Explanation
    Titanium is a metal and not a large complex organic molecule. The immune system typically responds to large complex organic molecules, such as proteins, that are associated with foreign substances. Since titanium is not part of any microbes and is not a large complex organic molecule, it is unlikely to trigger an immune response. Therefore, the correct answer is that there would be no immune response to titanium.

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  • 11. 

    The first signal required for activation of a T cell is

    • A.

      Expression of a T cell receptor

    • B.

      Binding of antigen to TCR

    • C.

      Binding of antigen to self-MHC

    • D.

      Costimulation through protein/protein interaction between the T cell and antigen-presenting cell

    • E.

      Interaction with a cytokine such as interleukin 2

    Correct Answer
    B. Binding of antigen to TCR
    Explanation
    The correct answer is "binding of antigen to TCR". This is because the T cell receptor (TCR) is responsible for recognizing specific antigens. When an antigen binds to the TCR, it triggers a signaling cascade that leads to T cell activation. This activation is the first step in the immune response, allowing the T cell to differentiate and carry out its effector functions. The other options mentioned, such as expression of TCR, binding of antigen to self-MHC, costimulation, and interaction with cytokines, are also important for T cell activation but are not the initial signal required.

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  • 12. 

    Although Class II MHC molecules are found primarily on antigen-presenting cells and activated T cells, Class I MHC molecules are found on nucleated cells in the body.  This allows the immune system to recognize pathogens but to ignore innocuous substances because

    • A.

      Most microbes infect body cells other than antigen-presenting cells

    • B.

      Requiring APC and Class II MHC for presentation insures that T cells only respond to properly presented exogenous antigens

    • C.

      B cells must have T cell help in order to respond to antigens

    • D.

      A and B are correct

    • E.

      None of the above are correct

    Correct Answer
    D. A and B are correct
    Explanation
    Class II MHC molecules are primarily found on antigen-presenting cells and activated T cells, while Class I MHC molecules are found on nucleated cells in the body. This distribution allows the immune system to recognize pathogens but ignore innocuous substances because most microbes infect body cells other than antigen-presenting cells. Requiring antigen-presenting cells and Class II MHC for presentation ensures that T cells only respond to properly presented exogenous antigens. Therefore, both options A and B are correct.

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  • 13. 

    Antibodies may

    • A.

      Neutralize an antigen

    • B.

      Agglutinate or precipitate antigen

    • C.

      Activate complement

    • D.

      Enhance phagocytosis

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    Antibodies have the ability to neutralize an antigen, meaning they can render the antigen harmless by binding to it and preventing it from causing harm. They can also agglutinate or precipitate antigens, which involves clumping them together or causing them to form insoluble complexes. Antibodies can activate complement, a series of proteins that promote inflammation and destruction of pathogens. Additionally, antibodies can enhance phagocytosis, the process by which immune cells engulf and destroy pathogens. Therefore, the correct answer is "all of the above" because antibodies can perform all of these functions.

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  • 14. 

    Your beach vacation was not all that you had hoped for- not only do you have sunburn, but you also ate some contaminated shellfish and have developed a hepatitis A infection.  Your physician injects you with gamma globulin which contains antibodies to hepatitis A.  This is an example of

    • A.

      Naturally acquired active immunity

    • B.

      Naturally acquired passive immunity

    • C.

      Artificially acquired active immunity

    • D.

      Artificially acquired passive immunity

    • E.

      Innate immunity

    Correct Answer
    D. Artificially acquired passive immunity
    Explanation
    The scenario describes a situation where the individual has developed a hepatitis A infection and is being treated with gamma globulin, which contains antibodies to hepatitis A. This treatment is an example of artificially acquired passive immunity because the individual is receiving pre-formed antibodies from an external source (gamma globulin) to fight against the infection. This type of immunity is temporary and does not involve the individual's own immune system producing the antibodies.

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  • 15. 

    A helper T cell can only bind ot another cell that has

    • A.

      MHC II proteins

    • B.

      An epitope

    • C.

      An antigen-binding site

    • D.

      A complement-binding site

    • E.

      A CD4 protein

    Correct Answer
    A. MHC II proteins
    Explanation
    Helper T cells are a type of immune cell that play a crucial role in coordinating the immune response. They recognize antigens displayed on the surface of other cells through their T cell receptors. MHC II proteins are responsible for presenting antigens to helper T cells. When a helper T cell encounters a cell displaying antigens bound to MHC II proteins, it can bind to it and initiate an immune response. Therefore, the presence of MHC II proteins is necessary for helper T cells to interact with other cells and carry out their functions.

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  • 16. 

    Which of the following would not cause an increase in erythropoietin?

    • A.

      Anemia

    • B.

      High altitude

    • C.

      Hemorrhage

    • D.

      Donating blood to a blood bank

    • E.

      Polycythemia

    Correct Answer
    E. Polycythemia
    Explanation
    Polycythemia is a condition characterized by an excessive increase in red blood cell production. In this condition, the body already has an excess of red blood cells, so there is no need for further stimulation of erythropoietin production. Erythropoietin is a hormone that stimulates the production of red blood cells in the bone marrow. Therefore, polycythemia would not cause an increase in erythropoietin levels as the body is already producing an excessive amount of red blood cells.

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  • 17. 

    Antigen-presenting cells which present both antigen and costimulatory signals to helper T cells include

    • A.

      Macrophages

    • B.

      B cells

    • C.

      Dendritic cells

    • D.

      All of the above

    • E.

      None of the above

    Correct Answer
    D. All of the above
    Explanation
    Antigen-presenting cells are responsible for presenting antigens to helper T cells and activating an immune response. Macrophages, B cells, and dendritic cells are all examples of antigen-presenting cells. They can present both antigens and costimulatory signals to helper T cells, which is crucial for the activation and differentiation of T cells. Therefore, the correct answer is "all of the above."

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  • 18. 

    The __________________ forms the single largest mass of lymphatic tissue in the body and is comprised of red and white pulp.

    • A.

      Red bone marrow

    • B.

      Lymph nodes

    • C.

      Mucosa-associated lymphatic tissues

    • D.

      Spleen

    • E.

      Thymus

    Correct Answer
    D. Spleen
    Explanation
    The spleen forms the single largest mass of lymphatic tissue in the body and is comprised of red and white pulp. The red pulp is responsible for filtering and removing old or damaged red blood cells, while the white pulp contains immune cells that help fight infections. The spleen also plays a role in storing and releasing red blood cells and platelets, as well as producing antibodies. Overall, the spleen is an important organ in the immune system and helps maintain overall health and well-being.

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  • 19. 

    __________________________ are glycoproteins that mark the surface of all body cells except for RBCs and are part of the self/nonself recognition system.

    • A.

      Exogenous antigens

    • B.

      Interferons

    • C.

      MHC proteins

    • D.

      ABO antigens

    • E.

      Complement proteins

    Correct Answer
    C. MHC proteins
    Explanation
    MHC proteins, also known as major histocompatibility complex proteins, are glycoproteins that are present on the surface of almost all body cells except for red blood cells. These proteins play a crucial role in the immune system by presenting antigens to T cells, which helps in distinguishing between self and non-self cells. By marking the body's own cells, MHC proteins aid in the recognition and elimination of foreign or infected cells by the immune system.

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  • 20. 

    CD4 (helper) T cells acquire immunocompetence in the

    • A.

      Bone marrow

    • B.

      Thymus

    • C.

      Lymph nodes

    • D.

      Spleen

    • E.

      Peripheral blood

    Correct Answer
    C. Lymph nodes
    Explanation
    CD4 (helper) T cells acquire immunocompetence in the lymph nodes. The lymph nodes are small, bean-shaped organs found throughout the body that play a crucial role in the immune system. They contain specialized immune cells, including CD4 T cells, that help to coordinate immune responses. In the lymph nodes, CD4 T cells undergo a process called positive selection, where they interact with other immune cells and antigens to ensure they can recognize and respond to foreign invaders. This process is essential for the development of a functional immune system.

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  • Current Version
  • Feb 19, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 08, 2011
    Quiz Created by
    Ktdelilah
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