World's Toughest Trivia Quiz On Microbiology!

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1. Infection always leads to disease.

Explanation

The statement "Infection always leads to disease" is false. While an infection can lead to a disease in many cases, it is not always the case. There are instances where an individual may be infected with a pathogen but not develop any symptoms or illness. Additionally, some infections may only cause mild symptoms or temporary discomfort without progressing to a full-blown disease. Therefore, it is not accurate to say that infection always leads to disease.

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Worlds Toughest Trivia Quiz On Microbiology! - Quiz

How good are you when it comes to knowledge on microbiology? The quiz below is considered the toughest trivia and is designed to sieve out the best out of all the top students in the class. Do you think that you can take it up and see if you are... see moreamong the top students in the class? Well, do give it a shot and see how good you will do.
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2. When an infected person is in the incubation period, that person cannot transmit the pathogen to others.

Explanation

During the incubation period of an infection, the person may not show any symptoms but can still transmit the pathogen to others. This is because the pathogen is multiplying inside their body and can be present in their respiratory secretions or bodily fluids. Therefore, it is important to take precautions and practice good hygiene even if someone does not appear to be sick.

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3. Human B lymphocytes mature in an intestinal region called the bursa.

Explanation

The statement is false because B lymphocytes actually mature in the bone marrow, not in the intestinal region called the bursa. The bursa is only found in birds, not in humans.

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4. Only Gram-positive bacteria produce exotoxins.

Explanation

Gram-positive bacteria are not the only ones that produce exotoxins. Both Gram-positive and Gram-negative bacteria can produce exotoxins. Exotoxins are proteins secreted by bacteria that can cause damage to host cells and tissues. These toxins can be produced by various bacterial species, regardless of their Gram staining characteristics. Therefore, the statement that only Gram-positive bacteria produce exotoxins is false.

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5. An infection acquired during hospitalization is reffered to as

Explanation

The term "nosocomial" refers to an infection that is acquired while a patient is in a hospital or healthcare facility. This type of infection is often caused by bacteria or other pathogens that are present in the hospital environment. It is important to distinguish nosocomial infections from other types of infections, as they may require different treatment approaches and infection control measures.

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6. Which of the following is considered an indirect mode of transmission?

Explanation

Insect bites are considered an indirect mode of transmission because the insects act as vectors, carrying and transmitting infectious agents from one host to another. Unlike sexual intercourse, touching, or handshaking, where the transmission occurs through direct contact between individuals, insect bites involve the transfer of pathogens through the bites of infected insects. This mode of transmission is common for diseases such as malaria, dengue fever, and Lyme disease, where mosquitoes, ticks, or other insects play a role in spreading the infection.

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7. Inflammation responses are orchestrated by the immune system and are part of the body's third line of defense.

Explanation

Inflammation responses are actually part of the body's second line of defense, not the third line of defense. The third line of defense refers to the adaptive immune response, which involves the production of specific antibodies and memory cells. Inflammation, on the other hand, is a non-specific response that occurs in the early stages of infection or injury and is part of the innate immune response. Therefore, the correct answer is False.

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8. The infectious dose of most pathogens is about equal.

Explanation

The statement suggests that the infectious dose of most pathogens is equal, which means that the amount of pathogens required to cause an infection is the same for all pathogens. However, this statement is false. The infectious dose can vary greatly among different pathogens. Some pathogens may require a very small amount to cause an infection, while others may require a larger dose. Therefore, the statement is incorrect.

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9. The microorganisms that are regularly found in or on the body, yet do no apparent  harm are called

Explanation

Normal flora refers to the microorganisms that are commonly found in or on the body without causing any harm. These microorganisms can include bacteria, fungi, viruses, and other microbes. They are considered harmless and can even provide benefits to the host, such as aiding in digestion or preventing the growth of harmful bacteria. Normal flora is an essential part of the body's natural defense mechanisms and helps maintain a healthy balance within the microbiome.

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10. Eczema is an autoimmune disorder.

Explanation

Eczema is not an autoimmune disorder. It is a chronic skin condition characterized by inflammation and itching. It is believed to be caused by a combination of genetic and environmental factors, and is not related to the immune system attacking the body's own cells.

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11. A strong attachment of a microorganism to a host cell automatically leads to disease.

Explanation

A strong attachment of a microorganism to a host cell does not automatically lead to disease. While attachment is an important step in the infection process, it does not guarantee the development of disease. Other factors such as the virulence of the microorganism, the immune response of the host, and the overall health of the host also play a role in determining whether or not disease will occur.

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12. A disease-causing microorganism or virus is referred to as a(n)

Explanation

A disease-causing microorganism or virus is referred to as a pathogen because it is capable of causing disease in its host. Pathogens can include bacteria, viruses, fungi, and parasites, and they have the ability to invade and multiply within the host's body, leading to symptoms and illness.

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13. Diseases constantly present in a population are

Explanation

Endemic diseases are constantly present in a population. Unlike epidemic diseases, which spread rapidly and affect a large number of people in a short period of time, endemic diseases have a consistent presence and a relatively stable number of cases within a specific geographic area or population. These diseases are often considered "normal" or expected within a certain region or group, and may not cause significant public health concern unless they increase in frequency or severity.

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14. The science that deals with when diseases occur and how they are transmitted is called

Explanation

Epidemiology is the science that studies the occurrence, distribution, and transmission of diseases. It focuses on understanding the patterns and factors that contribute to the spread of diseases within populations. Epidemiologists investigate the causes and risk factors of diseases, as well as develop strategies for prevention and control. They analyze data, conduct studies, and use statistical methods to determine the patterns and trends of diseases. By studying epidemiology, scientists can gain insights into how diseases occur and are transmitted, which is crucial for effective public health interventions and disease control measures.

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15. Which is not a component of innate immunity?

Explanation

Innate immunity is the body's first line of defense against pathogens and does not involve the production of antibodies. Antibodies are part of the adaptive immune response, which is the second line of defense and is specific to particular pathogens. Skin, inflammation, and fever are all components of the innate immune response.

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16. The series of steps used to connect an organism to a disease are known as

Explanation

Koch's postulates are a series of steps used to establish a causal relationship between a microorganism and a disease. These postulates were developed by Robert Koch, a German physician, in the late 19th century. They provide a framework for determining whether a specific microorganism is responsible for causing a particular disease. The postulates include criteria such as isolating the microorganism from a diseased organism, culturing it in a pure culture, and then re-infecting a healthy organism with the cultured microorganism to observe the same disease symptoms. These steps help establish a cause-and-effect relationship between the microorganism and the disease.

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17. During phagocytosis, intracellular digestion begins as soon as the phagosome is formed

Explanation

During phagocytosis, intracellular digestion does not begin as soon as the phagosome is formed. After the phagosome is formed, it fuses with a lysosome to form a phagolysosome, where the digestion of the engulfed material takes place. This fusion can take some time to occur, and it is only after the fusion that intracellular digestion begins. Therefore, the statement is false.

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18. Which of the following are referred to as mononuclear phagocytes?

Explanation

Monocytes and macrophages are referred to as mononuclear phagocytes because they are a type of white blood cell that has a single nucleus and is capable of engulfing and digesting foreign particles, such as bacteria and cellular debris. They play a crucial role in the immune response by helping to eliminate pathogens and stimulate other immune cells.

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19. A person who is Rh- will have anti-Rh antibodies in their serum from early infancy.

Explanation

A person who is Rh- will not have anti-Rh antibodies in their serum from early infancy. Rh antibodies are not naturally present in the serum of Rh- individuals. They only develop these antibodies if they are exposed to Rh-positive blood, such as through a blood transfusion or during pregnancy with an Rh-positive baby.

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20. Which of the following may inhibit the activity of normal flora and allow pathogens to become established?

Explanation

Antibiotics may inhibit the activity of normal flora and allow pathogens to become established. Antibiotics are medications that are used to kill or inhibit the growth of bacteria. While they can be effective in treating bacterial infections, they can also disrupt the balance of bacteria in the body, including the normal flora that help to keep pathogens in check. This disruption can create an environment where pathogens can thrive and cause infection.

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21. Type IV hypersensitivity reactions typically peak within

Explanation

Type IV hypersensitivity reactions typically peak within 2-3 days. This type of hypersensitivity reaction involves the activation of T cells and the release of inflammatory cytokines. It is a delayed hypersensitivity reaction that occurs when sensitized T cells encounter an antigen, leading to an immune response. The peak of the reaction occurs a few days after exposure to the antigen, hence the timeframe of 2-3 days. This is in contrast to immediate hypersensitivity reactions (Type I), which occur within minutes, and Type II and Type III reactions, which occur within hours.

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22. In humans, the stem cells from which all blood cells arise are found in the

Explanation

The correct answer is bone marrow. In humans, the stem cells that give rise to all blood cells are found in the bone marrow. These stem cells have the ability to differentiate into various types of blood cells, including red blood cells, white blood cells, and platelets. The bone marrow is responsible for the production and maturation of these blood cells, which are then released into the bloodstream to perform their respective functions in the body.

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23. All blood cells originate from the

Explanation

Hematopoietic stem cells are responsible for the production of all blood cells, including erythrocytes (red blood cells), leukocytes (white blood cells), and platelets. These stem cells have the ability to differentiate into different types of blood cells, making them the source of all blood cell types in the body.

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24. The four classic signs and symptoms of inflammation include all the following except

Explanation

The four classic signs and symptoms of inflammation are redness, warmth, swelling, and pain. Chills, on the other hand, are not typically associated with inflammation. Chills are usually a response to an infection or fever, and they are characterized by shaking or shivering and feeling cold. While inflammation can sometimes be accompanied by fever, chills themselves are not considered a classic sign of inflammation.

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25. The symbiotic relationship wherein both partners benefit is termed

Explanation

Mutualism refers to a symbiotic relationship where both partners benefit. In this type of relationship, both organisms rely on each other for resources, protection, or other advantages. This can include mutualistic interactions between plants and pollinators, where the plant provides nectar or pollen as a food source, and the pollinator helps in the plant's reproduction by transferring pollen. Another example is the relationship between certain species of fish and cleaner fish, where the cleaner fish remove parasites from the larger fish, benefiting both parties.

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26. Which of the following would be considered a sign of a disease?

Explanation

A fever of 39°C is considered a sign of a disease because it indicates an abnormal increase in body temperature, which is often a response to an infection or illness. Headache, pain, and nausea can also be symptoms of a disease, but they are subjective experiences that can vary from person to person. Fever, on the other hand, is an objective measurement that can be easily measured and indicates an underlying health issue.

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27. During incubation and convalescence a person may still spread infectious organisms.

Explanation

During incubation and convalescence, a person may still spread infectious organisms. This means that even though a person may not show symptoms or feel sick, they can still carry and transmit the infectious organisms to others. This is why it is important to practice good hygiene and take necessary precautions to prevent the spread of diseases, even when someone appears to be healthy.

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28. Which of the following statements is true?

Explanation

A successful pathogen does not kill its host before it is transmitted because if the host dies before the pathogen can be transmitted to another host, the pathogen will not be able to survive and reproduce. Therefore, natural selection favors pathogens that can successfully transmit themselves to new hosts without killing their current host.

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29. An obligate intracellular pathogen may

Explanation

An obligate intracellular pathogen is a type of pathogen that can only survive and replicate inside a host cell. It is unable to survive outside of a cell and relies on the cellular machinery of the host to carry out its life cycle. This type of pathogen typically infects and causes diseases in humans and animals by invading and hijacking their cells. Therefore, the correct answer is that an obligate intracellular pathogen may only survive and grow inside a cell.

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30. High concentrations of some bacteria are necessary for successful invasion because only at high density are their virulence genes expressed.

Explanation

High concentrations of bacteria are necessary for successful invasion because at high density, the bacteria are able to express their virulence genes. Virulence genes are responsible for the production of proteins and factors that allow bacteria to infect and harm host organisms. When bacteria are present in high numbers, the chances of successful invasion and infection are increased as more virulence genes are expressed, enhancing the bacteria's ability to cause disease. Therefore, the statement is true.

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31. Which of the following is a phagocytic cell found in the human body?

Explanation

Neutrophils are a type of white blood cell that are capable of phagocytosis, which is the process of engulfing and digesting foreign particles or pathogens. They play a crucial role in the immune response by identifying and destroying harmful substances, such as bacteria and viruses, in the human body. Neutrophils are able to move towards the site of infection or inflammation and release enzymes and chemicals to eliminate the threat. Therefore, neutrophils are the phagocytic cells found in the human body.

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32. Allergic reactions mainly involve

Explanation

Mast cells are a type of white blood cell that play a key role in allergic reactions. When an allergen enters the body, mast cells release chemicals such as histamine, which cause the symptoms of an allergic reaction. These chemicals can cause inflammation, itching, and swelling. Macrophages, monocytes, and neutrophils are also involved in immune responses, but mast cells are specifically responsible for allergic reactions.

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33. Which is not a component of innate immunity?

Explanation

Innate immunity is the body's first line of defense against pathogens and does not involve the production of antibodies. Antibodies are part of the adaptive immune response, which is a separate component of the immune system.

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34. A properly functioning immune system is responsible for

Explanation

The immune system is responsible for multiple functions in the body. It acts as a surveillance system by constantly monitoring the body for any signs of infection or foreign material. It also plays a crucial role in recognizing foreign material, such as pathogens or toxins, and initiating an immune response against them. Additionally, the immune system is involved in the destruction of foreign material through various mechanisms, such as phagocytosis, antibody production, and activation of immune cells. Therefore, the correct answer is A, B, and C, as all of these statements accurately describe the functions of a properly functioning immune system.

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35. After secreting antibodies during an immune response, plasma cells then differentiate into memory cells.

Explanation

The given statement is false. After secreting antibodies during an immune response, plasma cells do not differentiate into memory cells. Instead, they eventually undergo apoptosis (cell death). Memory cells, on the other hand, are a separate type of immune cell that are formed during the immune response and remain in the body to provide long-term immunity against future infections.

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36. The lack of susceptibility to diseases of other species in humans may be due to the

Explanation

The lack of susceptibility to diseases of other species in humans may be due to the lack of receptors that are recognized by adherence factors. This means that human cells do not have the specific receptors that pathogens from other species would recognize and bind to, preventing the pathogens from infecting human cells and causing disease.

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37. The leukocyte that contains histamine is the

Explanation

Basophils are a type of leukocyte that contain histamine. Histamine is a chemical compound that is released by basophils in response to an immune response or allergic reaction. It plays a role in the inflammatory response by causing blood vessels to dilate and become more permeable, allowing other immune cells to migrate to the site of infection or injury. Basophils also release other substances, such as heparin, which helps prevent blood clotting. Therefore, the correct answer is basophil.

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38. Allergic reactions mainly involve

Explanation

Mast cells are involved in allergic reactions because they release histamine and other chemical mediators in response to allergens. This release of chemicals leads to the symptoms of an allergic reaction, such as itching, swelling, and inflammation. Mast cells are found in tissues throughout the body, particularly in areas that are exposed to the external environment, such as the skin, respiratory tract, and digestive system. When an allergen enters the body, it binds to specific antibodies on the surface of mast cells, triggering the release of histamine and other inflammatory substances. This immune response is what causes the allergic symptoms.

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39. Inanimate objects capable of transferring infectious disease agents are

Explanation

Fomites are inanimate objects that can carry and transfer infectious disease agents. These objects can become contaminated with pathogens and serve as a source of transmission to humans. Examples of fomites include doorknobs, countertops, and clothing. When a person touches a contaminated fomite and then touches their face or mouth, they can introduce the pathogen into their body and become infected. Therefore, fomites play a crucial role in the spread of infectious diseases.

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40. A transfusion reaction primarily involves

Explanation

A transfusion reaction primarily involves erythrocytes, which are red blood cells. These reactions occur when there is an immune response to the transfused blood, leading to the destruction of the donor's red blood cells by the recipient's immune system. This can result in symptoms such as fever, chills, shortness of breath, and in severe cases, organ damage or even death. It is important to match blood types and perform compatibility testing to minimize the risk of transfusion reactions.

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41. Which of the following is not a granulocyte?

Explanation

Granulocytes are a type of white blood cell that contain granules in their cytoplasm. They include neutrophils, eosinophils, and basophils. Macrophages, on the other hand, are a type of immune cell that are not classified as granulocytes. They do not contain granules in their cytoplasm and have a different function in the immune system. Therefore, the correct answer is macrophage.

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42. Which of the following is the endotoxin?

Explanation

Lipopolysaccharide is the correct answer because it is a type of endotoxin. Endotoxins are toxic substances that are part of the outer membrane of certain bacteria. Lipopolysaccharide is specifically found in the outer membrane of gram-negative bacteria and can cause a strong immune response in humans, leading to symptoms such as fever and inflammation.

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43. The immunoglobulin that is important in hypersensitivity reactions is

Explanation

IgE is the immunoglobulin that is important in hypersensitivity reactions. IgE plays a crucial role in allergic reactions by binding to allergens and triggering the release of inflammatory mediators, such as histamine, from mast cells and basophils. This leads to the symptoms associated with hypersensitivity reactions, such as itching, swelling, and inflammation. IgE is also involved in the immune response against parasitic infections.

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44. How long after initiation of a primary response do signifiant amounts of antibody appear in the blood?

Explanation

Significant amounts of antibody appear in the blood approximately 10-14 days after initiation of a primary response. This is because it takes time for the immune system to recognize and respond to an antigen, produce antibodies, and for those antibodies to reach detectable levels in the bloodstream.

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45. Attributes of an organism that promote pathogenicity are called

Explanation

Virulence factors are attributes of an organism that promote pathogenicity. These factors enable the organism to invade, colonize, and cause harm to the host. They can include mechanisms such as toxins, adhesion molecules, and evasion of the host immune system. By possessing virulence factors, the organism becomes more capable of causing disease and establishing an infection.

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46. People who carry and may spread pathogenic organisms without any overt symptoms of illness are called

Explanation

Carriers are individuals who can carry and spread pathogenic organisms without showing any signs or symptoms of illness themselves. They act as reservoirs for the pathogens and can unknowingly transmit them to others. This can contribute to the spread of infectious diseases in a population. Primary infections refer to the initial infection, secondary infections occur after the primary infection, and mutualists are organisms that have a mutually beneficial relationship with another organism.

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47. Which of the following is a phagocytic cell found in the human body?

Explanation

A neutrophil is a type of white blood cell that is capable of phagocytosis, which is the process of engulfing and destroying foreign particles, such as bacteria and cellular debris. Neutrophils are an important part of the immune system and are found in high numbers in the human body, particularly in areas of infection or inflammation. They are one of the first responders to infection and play a crucial role in the body's defense against pathogens.

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48. A __________ is an infection indigenous to animals that can, on occasion, be transmitted to humans

Explanation

Zoonosis refers to an infection that is typically found in animals but can occasionally be transmitted to humans. This term is used to describe diseases such as rabies, Lyme disease, and bird flu, which can be contracted from animals. Zoonotic infections can be transmitted through direct contact with an infected animal, through bites or scratches, or through exposure to contaminated food or water. It is important to be aware of zoonotic diseases and take necessary precautions to prevent their transmission to humans.

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49. The secondary response to an antigen is faster and bigger than the primary response.

Explanation

The secondary response to an antigen is faster and bigger than the primary response because during the primary response, the immune system is encountering the antigen for the first time and needs time to recognize and mount an effective response. However, during the secondary response, the immune system has already encountered the antigen before and has memory cells that can quickly recognize and respond to the antigen. This leads to a faster and stronger immune response, with higher levels of antibodies produced and a more efficient elimination of the antigen.

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50. A member of the normal flora that becomes an opportunist if it invades the urinary bladder is

Explanation

E. coli is a member of the normal flora in the gastrointestinal tract, including the urinary bladder. Under normal circumstances, it does not cause any harm. However, if it invades the urinary bladder, it can become an opportunistic pathogen and cause urinary tract infections.

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51. A disease is an infection that impairs the normal state of health.

Explanation

A disease is a condition that disrupts the normal functioning of the body and impairs a person's health. It can be caused by various factors such as infections, genetic disorders, or lifestyle choices. Therefore, the statement that a disease is an infection that impairs the normal state of health is true.

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52. Which is/are true about viruses?

Explanation

Viruses have the ability to suppress the production of MHC Class I protein, which is responsible for presenting antigens to cytotoxic T cells. They can also produce an MHC Class I mimic protein, which can interfere with the immune response. Additionally, viruses can prevent cell suicide, or apoptosis, which is a mechanism used by infected cells to limit viral replication. Therefore, options a, b, and c are all true statements about viruses.

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53. Following digestion of a microorganism by phagocytes, the debris is excreted by

Explanation

After phagocytes digest a microorganism, they eliminate the resulting debris through exocytosis. Exocytosis is a process in which the phagocyte releases waste materials by fusing a vesicle containing the debris with the cell membrane, thus expelling the contents outside the cell. This allows for the removal of the digested microorganism's remnants from the phagocyte's cytoplasm, maintaining cellular cleanliness and preventing the accumulation of waste.

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54. If the thymus fails to develop,

Explanation

If the thymus fails to develop, functional T cells are absent. This is because the thymus is responsible for the maturation of T cells, and without a properly developed thymus, T cells cannot mature and become functional. Additionally, if the thymus fails to develop, Di George's syndrome exists. Di George's syndrome is a genetic disorder characterized by the underdevelopment or absence of the thymus, leading to immune system abnormalities. Therefore, both options a and c are correct.

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55. Diseases that can be transmitted from one person to another are termed

Explanation

Diseases that can be transmitted from one person to another are termed "communicable". This means that the disease-causing agent can be passed from an infected individual to a healthy individual through various modes of transmission, such as direct contact, droplets, or contaminated objects. Communicable diseases can spread rapidly within a population, leading to outbreaks or epidemics if not properly controlled. Examples of communicable diseases include the common cold, influenza, tuberculosis, and sexually transmitted infections.

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56. Macrophages and dendritic cells are

Explanation

Macrophages and dendritic cells are both examples of antigen-presenting cells. These cells play a crucial role in the immune response by capturing, processing, and presenting antigens to T cells. This presentation of antigens is necessary for the activation of T cells, which then initiate an immune response against the specific antigen. Therefore, the correct answer is antigen-presenting cells.

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57. Which of the following statements about antibodies is NOT true?

Explanation

Antibodies are produced by B cells in the body and each B cell can produce a unique antibody that recognizes a specific antigen. The body is capable of producing a vast number of different antibodies, allowing it to respond to a wide range of pathogens. Therefore, the statement that the body can produce only a very limited number of different antibodies is not true.

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58. A relationship in which one partner benefits and the other is harmed is termed

Explanation

Parasitism is the correct answer because it describes a relationship where one partner benefits (the parasite) and the other is harmed (the host). In parasitism, the parasite relies on the host for resources and can cause damage or even death to the host. This type of relationship is different from commensalism, where one partner benefits and the other is unaffected, and mutualism, where both partners benefit. Independence does not describe a specific relationship between partners.

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59. A nosocomial infection is

Explanation

A nosocomial infection is an infection that is acquired during the course of hospitalization. This means that the infection is not present prior to entering the hospital but is acquired during the stay. It does not necessarily have to be a result of surgery or caused by medical personnel. It can be caused by various factors, including pathogenic bacteria.

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60. An epidemic that spreads worldwide is called a(n)

Explanation

A pandemic is an epidemic that spreads worldwide. It is a term used to describe a widespread outbreak of a disease that affects a large number of people across different countries or continents. Unlike an endemic, which is confined to a particular geographic area, a pandemic has a global impact. A syndemic refers to the aggregation of two or more concurrent epidemics that interact and exacerbate each other, while "epidemical" is not a recognized term. Therefore, the correct answer is pandemic.

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61. When an infectious disease cannot spread in a population because it lacks a significant number of susceptible hosts, the phenomenon is referred to as

Explanation

Herd immunity occurs when a large portion of a population becomes immune to a disease, either through vaccination or previous infection. This makes it difficult for the disease to spread and protects those who are unable to be vaccinated or have a weakened immune system. When a significant number of susceptible hosts are lacking, the disease cannot find enough individuals to infect and therefore cannot spread effectively. This phenomenon is known as herd immunity.

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62. Which of the following types of cells does HIV preferentially infect?

Explanation

HIV preferentially infects helper T cells. Helper T cells are a type of white blood cell that play a crucial role in the immune response by coordinating and regulating the activity of other immune cells. HIV specifically targets and infects these cells, which weakens the immune system and makes individuals more susceptible to infections and diseases.

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63. Which of the following may be considered virulence factors?

Explanation

All of the options listed - adhesins, capsules, endotoxins, and proteases - can be considered virulence factors. Adhesins help bacteria attach to host cells, capsules protect bacteria from the host immune system, endotoxins cause damage to host tissues, and proteases break down host proteins to provide nutrients for the bacteria. Therefore, all of these factors contribute to the ability of bacteria to cause disease and can be considered virulence factors.

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64. The spread of toxin via the circulation is called

Explanation

Toxemia refers to the spread of toxins through the bloodstream. It occurs when toxins produced by bacteria or other pathogens enter the bloodstream and spread throughout the body, causing systemic symptoms. This can lead to various complications and organ damage. Septicemia, bacteremia, and sepsis are related terms but specifically refer to the presence of bacteria in the bloodstream, rather than toxins. Therefore, toxemia is the correct answer as it specifically describes the spread of toxins via the circulation.

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65. The portal of entry

Explanation

The portal of entry plays a role in whether an infection will be established because different pathogens have different preferred entry points into the body. For example, respiratory pathogens typically enter through the respiratory tract, while skin pathogens enter through cuts or wounds. The portal of entry may also be the same as the portal of exit, as some pathogens can exit the body through the same route they entered. Therefore, options b, c, and d are correct because the portal of entry does have an effect on the establishment of an infection.

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66. Which type of hypersensitivity is IgE?

Explanation

IgE is associated with Type I hypersensitivity reactions. Type I hypersensitivity is an immediate allergic reaction that occurs when the immune system overreacts to a harmless substance, such as pollen or certain foods. In this type of reaction, IgE antibodies are produced in response to the allergen, leading to the release of histamine and other chemicals that cause symptoms like itching, hives, and difficulty breathing. This type of hypersensitivity is commonly seen in conditions like hay fever, asthma, and allergic reactions to insect bites or certain medications.

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67. The chemical nature of endotoxins is that of a

Explanation

Endotoxins are a type of lipopolysaccharide (LPS) that are found in the outer membrane of Gram-negative bacteria. LPS consists of a lipid component called lipid A, a core oligosaccharide, and an O antigen. This complex structure makes up the chemical nature of endotoxins. While proteins, nucleic acids, and lipids are all important components of bacteria, they do not specifically define the chemical nature of endotoxins. Therefore, the correct answer is lipopolysaccharide.

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68. The interaction of all organisms within a biological community is called a(n)

Explanation

An ecosystem refers to the interaction of all organisms within a biological community. It includes both living organisms and their physical environment, such as plants, animals, microorganisms, and their surrounding habitat. In an ecosystem, these organisms interact with each other through various relationships, such as predation, competition, and mutualism. This interaction is crucial for the overall functioning and balance of the ecosystem. Therefore, the term "ecosystem" accurately describes the concept of the interaction of all organisms within a biological community.

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69. Which of the following is true about the role normal flora play in maintaining host health?

Explanation

Normal flora refers to the microorganisms that naturally reside in and on the human body without causing harm. These microorganisms play a crucial role in maintaining host health. Firstly, they provide a surface that is incompatible for the attachment of potential invaders, making it difficult for harmful pathogens to establish themselves. Additionally, normal flora establish competition for nutrients and vitamins, limiting the resources available for potential invaders to thrive. They also produce antimicrobial substances that can directly inhibit the growth of pathogens. Lastly, normal flora stimulate the immune system, helping to strengthen the body's defenses against infections. Therefore, all of the given statements are true regarding the role of normal flora in maintaining host health.

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70. All of the following are communicable diseases except

Explanation

Tetanus is not a communicable disease because it is not spread from person to person. It is caused by a bacterial infection that enters the body through a wound or cut. The bacteria produce toxins that affect the nervous system, causing muscle stiffness and spasms. Tetanus can be prevented through vaccination and proper wound care.

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71. Normal flora

Explanation

Normal flora refers to the microorganisms that naturally inhabit our body, such as bacteria, fungi, and viruses. These organisms coexist with us without causing harm and can actually provide benefits. They protect against infection by pathogens by competing for resources and space, producing antimicrobial substances, and stimulating our immune system. Therefore, the correct answer is "a and b" as normal flora both reside on our body and protect against infection by pathogens.

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72. T cells and B cells are manufactured in the

Explanation

T cells and B cells are manufactured in the bone marrow. The bone marrow is a soft, spongy tissue found inside the bones. It is responsible for producing various types of blood cells, including T cells and B cells. T cells and B cells are important components of the immune system and play a crucial role in defending the body against infections and diseases. They are involved in recognizing and attacking foreign substances, such as bacteria and viruses, and are essential for maintaining a healthy immune response.

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73. Organisms that are found together and interact on a more or less permanent basis are in a relationship termed

Explanation

Symbiosis refers to a relationship between two organisms where they live together and interact with each other on a more or less permanent basis. This interaction can be beneficial for both organisms, or it can be beneficial for one organism and neutral for the other. Mutualism, parasitism, and commensalism are all types of symbiotic relationships, but they have specific characteristics that differentiate them from each other. Therefore, symbiosis is the correct answer as it encompasses all types of long-term interactions between organisms.

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74. Each of the following are inoculation of normal biota to a newborn except

Explanation

All of the choices mentioned in the options can potentially introduce normal biota to a newborn. The birth process through the birth canal can expose the newborn to the mother's normal biota. Bottle feeding can introduce normal biota from the formula or the environment. Breastfeeding can transfer the mother's normal biota to the newborn. Contact with hospital staff can also introduce normal biota from the staff to the newborn. Therefore, all of the choices are correct as they can all result in the inoculation of normal biota to a newborn.

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75. The cytokine produced by animal cells in response to viral infections

Explanation

Interferon is a cytokine produced by animal cells in response to viral infections. It plays a crucial role in the immune response by inhibiting viral replication and activating immune cells. Interferon helps to limit the spread of the virus and promotes the clearance of infected cells. It is an important defense mechanism against viral infections and helps to coordinate the immune response to eliminate the virus.

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76. Which of the following does S. pneumoniae use to survive in the host?

Explanation

S. pneumoniae uses capsules to survive in the host. Capsules are a protective layer that surrounds the bacteria, helping them evade the host's immune system. The capsules prevent phagocytosis, which is the process by which immune cells engulf and destroy bacteria. By having capsules, S. pneumoniae can avoid being recognized and attacked by the host's immune system, allowing them to establish an infection and continue to survive in the host.

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77. The major significance of Koch's work was that

Explanation

Koch's work was significant because it established the link between microorganisms and disease. He was able to prove that specific microorganisms were responsible for causing specific diseases, which revolutionized the understanding of infectious diseases. This discovery paved the way for the development of vaccines, antibiotics, and other treatments to combat microbial infections.

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78. Which of the following is a phagocytic cell found in the human body?

Explanation

A neutrophil is a type of white blood cell that is capable of phagocytosis, which is the process of engulfing and destroying foreign particles or pathogens. Neutrophils are an important part of the immune system and are found in the human body. They play a crucial role in fighting off infections and are one of the first responders to sites of inflammation or infection.

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79. The complex resulting from complement activity that leads to cell lysis is the

Explanation

The correct answer is "membrane attack complex." The membrane attack complex is a group of complement proteins that assemble on the surface of target cells and form a pore-like structure. This structure disrupts the integrity of the cell membrane, leading to cell lysis and destruction. The other options, prostaglandin complex, leukotriene activating complex, and histamine complex, are not directly involved in complement activity or cell lysis.

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80. T cells primarily are responsible for

Explanation

T cells are primarily responsible for cell-mediated immunity. This type of immunity involves the activation of T cells to directly attack and destroy infected cells or abnormal cells, such as cancer cells. T cells also play a role in regulating the immune response and producing cytokines that help coordinate the immune system. This is in contrast to humoral immunity, which is primarily mediated by B cells and involves the production of antibodies to target and neutralize pathogens. Anamnestic immunity refers to the immune response that occurs upon re-exposure to a previously encountered pathogen, and producing haptens refers to the process of creating small molecules that can bind to antibodies.

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81. The virulence factors of a pathogen are established by how strong or weak a patient's body defenses are at the time of infection.

Explanation

The statement is false because the virulence factors of a pathogen are determined by the pathogen itself, not the strength or weakness of a patient's body defenses. Virulence factors are specific characteristics or traits possessed by a pathogen that enable it to cause disease and overcome the host's immune system. These factors can include the ability to invade host tissues, produce toxins, evade immune responses, and replicate within host cells. The strength or weakness of a patient's body defenses may impact the severity of the infection, but it does not determine the virulence factors of the pathogen.

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82. Anaphylactic shock is an example of an __________.

Explanation

Anaphylactic shock is a severe and potentially life-threatening allergic response. It occurs when the immune system overreacts to a substance, such as a food, medication, insect sting, or latex, triggering the release of chemicals that cause a sudden drop in blood pressure and narrowing of the airways. This can lead to symptoms like difficulty breathing, hives, swelling, and dizziness. Anaphylactic shock is not an immunodeficiency disease, autoimmune disease, or acquired immunodeficiency disease, as it is primarily an exaggerated allergic response.

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83. Each of the following are physical barriers to pathogens except

Explanation

T cells are not physical barriers to pathogens. They are a type of white blood cell that plays a key role in the immune response by recognizing and destroying infected cells. Physical barriers to pathogens include unbroken skin, mucous, hairs, and tears. These barriers physically prevent pathogens from entering the body or reaching internal tissues and organs.

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84. Substances that are recognized as foriegn and provoke immune responses are called

Explanation

Antigens are substances that are recognized as foreign by the immune system and trigger an immune response. When antigens enter the body, they are recognized by specialized immune cells called B cells and T cells. These cells then produce antibodies or activate other immune responses to eliminate the antigens. Antigens can be molecules from pathogens, such as bacteria or viruses, or from non-infectious sources, such as allergens or transplanted tissues. Therefore, the correct answer is antigens.

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85. The complement pathway that is activated by mannan binding lectins is the 

Explanation

The correct answer is the lectin pathway. The lectin pathway is a part of the complement system that is activated by mannan binding lectins. Mannan binding lectins are proteins that can bind to certain carbohydrates, such as mannose, on the surface of pathogens. When these lectins bind to pathogens, they can activate the lectin pathway of the complement system, leading to the recruitment and activation of other components of the immune system to help eliminate the pathogen.

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86. A systemic, sometimes fatal reaction with airway obstruction and circulatory collapse is

Explanation

Anaphylaxis is a systemic, sometimes fatal reaction characterized by airway obstruction and circulatory collapse. It is not delayed, as it typically occurs rapidly after exposure to an allergen. It is not T cell mediated, as anaphylaxis is primarily mediated by IgE antibodies. It is not atopic, as atopy refers to a genetic predisposition to developing allergic reactions. It is not antibody-mediated, as anaphylaxis involves a complex immune response that includes the release of various mediators. Therefore, the correct answer is anaphylaxis.

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87. Diapedesis is the

Explanation

Diapedesis refers to the process of white blood cells moving from the bloodstream to the surrounding tissues. This is an important immune response mechanism that allows white blood cells to reach sites of infection or injury and initiate an immune response. The other options in the question are incorrect as they do not accurately describe diapedesis.

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88. Which of the following is one of the body's first lines of defense against infection?

Explanation

The body's first line of defense against infection includes several nonspecific obstacles such as the skin and mucous membranes. These barriers help prevent pathogens from entering the body and causing infection. The skin acts as a physical barrier, while mucous membranes produce mucus that traps pathogens and helps to flush them out of the body. This nonspecific defense mechanism is the body's initial response to protect against infection before the immune system can mount a specific immune response.

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89. Bacteria may survive phagocytosis by

Explanation

Bacteria may survive phagocytosis by preventing fusion of the lysosome with the phagosome and preventing acidification of the phagolysosome. This allows the bacteria to avoid being destroyed by the lysosomal enzymes and the acidic environment within the phagolysosome. By inhibiting these processes, the bacteria can evade the immune response and continue to replicate and cause infection.

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90. The first host response to a nonspecific tissue injury is described as

Explanation

The first host response to a nonspecific tissue injury is inflammation. When tissue is injured, the body's immune system responds by releasing chemicals that cause blood vessels to widen and become more permeable. This allows immune cells and fluid to enter the injured tissue, leading to redness, swelling, heat, and pain. Inflammation helps to remove damaged cells and debris, and promotes healing by bringing in nutrients and oxygen to the injured area.

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91. Allografts

Explanation

Allografts are grafts between non-identical members of the same species. They can include grafts between different individuals within the same species, such as organ transplants between two humans. Additionally, allografts can also include grafts between a mother and her fetus. These types of grafts are typically rejected by the recipient's immune system within 10-14 days, as they are recognized as foreign and attacked by the immune system. Therefore, the correct answer is b, c and d.

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92. The first step in the establishment of infection is that the organism must

Explanation

The correct answer is "attach to host cells." In order for an organism to establish an infection, it must first attach to host cells. This attachment allows the organism to gain access to the host's resources and begin the process of colonization and replication. Once attached, the organism can then evade the host's immune system and potentially produce toxins that further aid in the establishment of infection. However, the initial step of attachment is crucial for the organism to successfully invade and infect the host.

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93. The complement pathway that requires antibodies to be activated is the

Explanation

The classical pathway is a part of the complement system that requires antibodies to be activated. It is initiated when antibodies bind to antigens on the surface of pathogens. This binding triggers a series of enzymatic reactions that result in the activation of complement proteins, leading to the destruction of the pathogen. The classical pathway is one of the three pathways of the complement system, along with the alternative pathway and the lectin pathway.

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94. The body region where a ciliary escalator helps to sweep microbes trapped in mucus away from that body site is the

Explanation

The ciliary escalator is a mechanism in the respiratory tract that helps to sweep microbes trapped in mucus away from the body site. This mechanism consists of tiny hair-like structures called cilia that line the respiratory tract. The cilia beat in coordinated waves, moving the mucus and any trapped microbes towards the throat, where they can be either swallowed or expelled through coughing. Therefore, the correct answer is the respiratory tract.

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95. Which is mismatched?

Explanation

Coagulase is mismatched because it does not dissolve fibrin clots. Coagulase is an enzyme produced by certain bacteria, such as Staphylococcus aureus, that causes the conversion of fibrinogen into fibrin, resulting in the formation of fibrin clots. This ability to form clots helps the bacteria to evade the immune system and establish infections. Therefore, the correct match for coagulase would be "formation of fibrin clots" rather than "dissolve fibrin clots".

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96. A symptom is a(n)

Explanation

A symptom is a subjective indication of disease because it is something that the patient experiences and reports, such as pain or fatigue. It cannot be objectively measured or observed by healthcare personnel. Temperature, on the other hand, is an objective measurement that can be taken by healthcare personnel. Therefore, the correct answer is subjective indication of disease.

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97. Under normal circumstances, the microbiota of the skin is kept in check by

Explanation

The correct answer is a slightly acidic pH. The skin has a natural pH level of around 5.5, which is slightly acidic. This slightly acidic pH helps to create an environment that is unfavorable for the growth of harmful bacteria and fungi, while still allowing beneficial bacteria to thrive. It also helps to maintain the integrity of the skin barrier and prevent excessive dryness or oiliness.

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98. The most numerous WBC's that have multilobed nuclei and are very phatocytic are

Explanation

Neutrophils are the most numerous white blood cells (WBCs) that have multilobed nuclei and are very phagocytic. They play a critical role in the immune response by engulfing and destroying bacteria and other pathogens. Their multilobed nuclei allow them to squeeze through narrow spaces and reach infection sites. Neutrophils are also known for their ability to release antimicrobial substances and form neutrophil extracellular traps (NETs) to trap and kill pathogens.

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99. Why do diseases involving widespread infection usually result in a fever?

Explanation

When the body is infected with microorganisms, the immune system responds by triggering an inflammatory response. This inflammation causes the brain's temperature control center, the hypothalamus, to increase the body's temperature, resulting in a fever. This increase in temperature creates an environment that is unfavorable for the growth and survival of the microorganisms, helping the body fight off the infection. Therefore, the brain's temperature control center responds to inflammation by creating a hot environment that is detrimental to the microorganisms.

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100. Which is true about superantigens?

Explanation

Superantigens are a type of exotoxin that bind to MHC class II antigen on T cells. This binding leads to the activation of a large number of T cells, resulting in a massive release of cytokines. This excessive immune response can lead to various diseases and symptoms. Therefore, both options a and b are true about superantigens.

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101. Which is true about botox?

Explanation

Botox is a neurotoxin produced by the bacterium Clostridium botulinum, not S. aureus. It can cause botulism, a severe illness that affects the nervous system. Botox is commonly used in medical treatments to temporarily paralyze muscles and reduce muscle contractions, making it useful in treating conditions such as muscle spasms, migraines, and certain cosmetic procedures.

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102. The beauty of specific immunity is the production of __________ that provides long-lasting protection.

Explanation

Memory cells are a type of lymphocyte that are formed after an initial exposure to a pathogen. They "remember" the specific antigen and allow for a quicker and more efficient immune response upon subsequent exposure to the same pathogen. This memory response is what provides long-lasting protection against future infections. Therefore, the correct answer is memory cells.

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103. Which of the following cell types is specifically responsible for cell-mediated immunity?

Explanation

T cells are specifically responsible for cell-mediated immunity. They are a type of white blood cell that play a key role in coordinating the immune response by recognizing and killing infected cells or cancer cells. T cells also help to activate other immune cells and regulate the immune response. B cells, macrophages, neutrophils, and natural killer (NK) cells are involved in different aspects of the immune response but are not specifically responsible for cell-mediated immunity.

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104. Skin and mucous membranes

Explanation

The skin and mucous membranes act as physical barriers to infection by preventing pathogens from entering the body. They also contain antimicrobial secretions that help to kill or inhibit the growth of pathogens. Therefore, options a, c, and d are all correct explanations for the given answer.

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105. Which of the following is associated with contact dermatitis?

Explanation

Contact dermatitis is a type of skin inflammation that occurs when the skin comes into contact with certain substances. Poison ivy, latex, and the tuberculin skin test are all associated with contact dermatitis. Poison ivy contains a substance called urushiol that can cause an allergic reaction in some people, leading to contact dermatitis. Latex is a common allergen that can cause contact dermatitis in individuals who are sensitive to it. The tuberculin skin test involves injecting a small amount of tuberculin into the skin, which can cause a localized allergic reaction and result in contact dermatitis. Therefore, options a, b, and c are all associated with contact dermatitis.

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106. Which class of antibody accounts for the bulk of the circulating antibody?

Explanation

IgG is the class of antibody that accounts for the majority of the circulating antibody in the body. It is the most abundant type of antibody found in the bloodstream and plays a crucial role in immune responses against bacteria, viruses, and other pathogens. IgG antibodies are able to cross the placenta, providing passive immunity to newborns, and they also activate complement proteins to help destroy pathogens.

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107. All of the following are associated with complement fixation EXCEPT

Explanation

Complement fixation is a process in which the complement system, a part of the immune system, is activated to fight against pathogens. It involves a series of reactions that result in inflammation, cell lysis, and the formation of the membrane attack complex, which can destroy the pathogens. However, complement fixation does not directly cause fever. Fever is typically a response to infection or inflammation and is mediated by other mechanisms in the body. Therefore, fever is not associated with complement fixation.

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108. Opportunists or opportunistic pathogens

Explanation

Opportunistic pathogens are able to take advantage of special circumstances to cause disease. This means that they are typically harmless or even beneficial in normal circumstances, but when given the opportunity, such as a weakened immune system or a compromised host, they can cause infections or diseases. These pathogens are opportunistic because they exploit these special circumstances to their advantage, causing harm or illness in the host.

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109. A relationship in which one partner benefits and the other is unaffected is termed

Explanation

Commensalism is the correct answer because it refers to a relationship where one partner benefits while the other is unaffected. In commensalism, one organism benefits from the association, while the other organism is neither helped nor harmed. This type of relationship is often seen in nature, where one organism may use another organism for transportation, shelter, or food without causing any harm or benefit to the host organism.

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110. Fever

Explanation

Fever is a physiological response by the body to fight off infections. It inhibits bacterial growth by creating an unfavorable environment for bacteria to thrive. Additionally, fever speeds up the body's reactions, including the immune response, to help eliminate the infection more efficiently. Therefore, the correct answer is that fever inhibits bacterial growth and speeds up the body's reactions.

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111. Which of the following antibodies is a pentamer?

Explanation

IgM is a pentamer antibody because it is composed of five individual antibody molecules, also known as monomers, joined together. This pentameric structure allows IgM to have a high avidity for antigens, meaning it can bind to multiple antigen sites simultaneously, making it a very effective antibody in the early stages of an immune response.

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112. Typically, adhesins

Explanation

Adhesins are typically found on the pili, which are hair-like appendages on the surface of bacteria. These adhesins play a crucial role in helping bacteria attach to host cells. Adhesins are proteins that are involved in the binding process between bacteria and host cells. Therefore, the correct answer is a, b, and c, as all three statements accurately describe the characteristics and functions of adhesins.

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113. Density-dependent expression of virulence factors is called

Explanation

Quorum sensing is a mechanism used by bacteria to regulate the expression of virulence factors in a density-dependent manner. It involves the production and detection of signaling molecules called autoinducers, which accumulate as the bacterial population grows. Once a threshold concentration of autoinducers is reached, it triggers the expression of virulence factors, allowing the bacteria to coordinate their attack on the host. This mechanism ensures that the bacteria only become virulent when they have reached a certain population density, which increases their chances of successfully infecting the host.

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114. Which of the following definitions is incorrect?

Explanation

The given answer is incorrect because it defines epidemic as "a fraction of the population having a disease at a specified time". However, an epidemic is actually a sudden increase in the number of cases of a disease above what is normally expected in a population. It refers to the rapid spread of a disease to a large number of people within a short period of time.

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115. A person with O type blood

Explanation

A person with O type blood lacks the A and B antigens. This means that their blood does not have the A or B proteins on the surface of their red blood cells. As a result, they can receive blood from individuals with any blood type (A, B, AB, or O) without experiencing an immune response. Therefore, they are called a universal recipient.

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116. Transmission of an infectious disease by touching, handshaking, or kissing is considered

Explanation

Direct contact refers to the transmission of an infectious disease through physical contact with an infected person or their bodily fluids. This can occur through touching, handshaking, or kissing, as mentioned in the question. In direct contact, the disease-causing microorganisms are directly transferred from one person to another, increasing the risk of infection. This mode of transmission is common for diseases such as the common cold, flu, and certain types of skin infections.

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117. In which organism were phagocytes first reported?

Explanation

Phagocytes were first reported in starfish larvae. Phagocytes are a type of immune cell that can engulf and destroy foreign particles, such as bacteria and dead cells. The discovery of phagocytes in starfish larvae suggests that these organisms have a primitive immune system capable of defending against pathogens. This finding has important implications for understanding the evolution of immune systems in different organisms.

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118. Pyrogens are

Explanation

Pyrogens are substances that can induce fever. When pyrogens enter the body, they stimulate the release of certain chemicals called cytokines, which in turn signal the hypothalamus in the brain to raise the body's temperature. This increase in body temperature is part of the body's immune response to fight off infections or other illnesses. Pyrogens can be endogenous (produced by the body itself) or exogenous (coming from external sources such as bacteria or viruses). Overall, pyrogens play a crucial role in the body's defense mechanism against infections.

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119. A vaccination is a good example of

Explanation

Artificially acquired active immunity refers to the immunity that is developed in response to a vaccination. In this case, the individual is exposed to a weakened or inactivated form of the pathogen, which stimulates the immune system to produce antibodies and memory cells. This allows the body to recognize and mount a rapid immune response if it encounters the actual pathogen in the future. Therefore, a vaccination is a good example of artificially acquired active immunity.

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120. The affect of "good" microbes against invading microbes is called

Explanation

Microbial antagonism refers to the ability of "good" microbes to inhibit the growth or activity of invading or pathogenic microbes. This can occur through various mechanisms such as competition for resources, production of antimicrobial substances, or stimulation of the host immune response. In contrast, endogenous infection refers to an infection caused by microbes that are normally present in the body, infectious disease refers to a disease caused by the invasion and multiplication of pathogenic microbes, axenic refers to an environment or organism that is free of any microbes, and gnotobiotism refers to the study of organisms that have a known microbial composition.

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121. Which of the following is a fomite?

Explanation

A fomite is an inanimate object that can carry and transmit infectious pathogens. In this case, a hypodermic needle is a fomite because it can potentially carry and transmit pathogens if it is contaminated with infectious material.

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122. Botulism is caused by an exotoxin, therefore it could be easily prevented by

Explanation

Botulism is caused by an exotoxin produced by the bacteria Clostridium botulinum. Boiling food prior to consumption is an effective preventive measure because it helps to destroy the bacteria and the toxin. Boiling food at high temperatures kills the bacteria and denatures the toxin, making the food safe to eat. This is an important step in preventing the growth and spread of Clostridium botulinum and reducing the risk of botulism. The other options, such as administering antibiotics to patients or including antibiotics in the canning process, may not be effective in preventing botulism as it is primarily caused by the toxin rather than the bacteria itself. Preventing fecal contamination of food is also important, but boiling food is a more direct and effective measure in preventing botulism.

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123. The production of interferon will protect the host cell from a viral infection.

Explanation

The production of interferon does not protect the host cell from a viral infection. Interferon is a protein that is released by cells in response to viral infection. Its main function is to signal neighboring cells to increase their antiviral defenses. However, interferon itself does not directly protect the infected cell. Instead, it helps to limit the spread of the virus to neighboring cells.

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124. The only class of antibody that can cross the placenta is

Explanation

IgG is the only class of antibody that can cross the placenta. This allows IgG antibodies produced by the mother to pass to the fetus, providing passive immunity against certain infections. IgA, IgD, and IgE antibodies do not cross the placenta.

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125. A researcher detects interferon in a laboratory rat and concludes that __________.

Explanation

The presence of interferon in the laboratory rat indicates that the rat has, or recently had, a viral infection. Interferon is a protein that is produced by cells in response to viral infections. It helps to stimulate the immune system and inhibit the replication of viruses. Therefore, the detection of interferon suggests that the rat's immune system has been activated in response to a viral infection. The other options (cancerous cells, deficient calcium, activated complement system) do not directly relate to the presence of interferon.

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126. Which of the following compounds are mast cells specialized to secrete?

Explanation

Mast cells are specialized to secrete histamine. Histamine is a compound that is released during allergic reactions and is responsible for symptoms such as itching, swelling, and inflammation. Mast cells contain granules filled with histamine, and when triggered by an allergen, they release histamine into the surrounding tissues. This release of histamine leads to the characteristic allergic response.

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127. When you cut yourself, the damaged cells immediately release which of the following chemical alarm signals?

Explanation

When you cut yourself, the damaged cells immediately release histamine. Histamine is a chemical alarm signal that triggers a response in the body, causing blood vessels to dilate and become more permeable. This allows immune cells to quickly reach the site of injury and begin the healing process. Histamine also plays a role in the inflammatory response, causing redness, swelling, and itching at the site of the cut.

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128. Which of the following statements about exotoxins is generally NOT true?

Explanation

Exotoxins are generally composed of proteins, have specific methods of action, and are more potent than endotoxins. However, they are not required in high concentrations to be effective, meaning even small amounts can cause significant damage. Additionally, unlike endotoxins, exotoxins are destroyed by heat.

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129. The most frequently used portal of entry for pathogens is the

Explanation

The respiratory tract is the most frequently used portal of entry for pathogens because it is constantly exposed to the external environment through breathing. Pathogens can enter the body through inhalation of contaminated air, allowing them to directly access the mucous membranes of the respiratory tract. This makes it easier for pathogens to establish an infection in the respiratory system and potentially spread to other parts of the body.

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130. Macrophages arise from which of the following?

Explanation

Macrophages arise from monocytes. Monocytes are a type of white blood cell that circulate in the bloodstream. When there is an infection or inflammation in the body, monocytes migrate to the affected area and differentiate into macrophages. Macrophages play a crucial role in the immune response by engulfing and digesting foreign particles, dead cells, and debris. They also release signaling molecules to recruit other immune cells to the site of infection or inflammation.

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131. Which of the following cytokines is most antiviral in its action?

Explanation

Interferon is the most antiviral cytokine because it plays a crucial role in the body's immune response against viral infections. It helps to inhibit viral replication, activate immune cells, and enhance the body's defense mechanisms. Interleukin-1 and interleukin-2 are involved in inflammation and immune regulation, but they do not have direct antiviral effects. Lysozyme is an enzyme that has antimicrobial properties, but it is not specific to viruses and does not have a significant antiviral role.

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132. All of the following are involved in Type II hypersensitivity except

Explanation

Type II hypersensitivity involves the activation of IgG and IgM antibodies, complement proteins, and the destruction of foreign cells. However, IgE antibodies are not involved in Type II hypersensitivity. IgE antibodies are primarily associated with Type I hypersensitivity reactions, such as allergies.

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133. When an individual's immune system comes into contact with an appropriate antigenic stimulus during the course of daily activities, this is called

Explanation

Naturally acquired active immunity refers to the immune system's response to an antigen during daily activities. This means that the individual's immune system is exposed to the antigen naturally, such as through infection or exposure to a pathogen in the environment. The immune system then mounts a response by producing antibodies and memory cells to fight off the antigen. This type of immunity is long-lasting and provides protection against future encounters with the same antigen.

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134. Which white blood cells comprise 3-7% of circulating WBC's, are phagocytic and can migrate out into body tissues to differentiate into macrophages?

Explanation

Monocytes are a type of white blood cells that make up 3-7% of circulating WBC's. They are phagocytic, meaning they can engulf and destroy pathogens. Monocytes can also migrate out into body tissues and differentiate into macrophages, which are responsible for engulfing and digesting cellular debris and pathogens.

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135. Antibodies are __________.

Explanation

Antibodies are proteins that are produced by the immune system in response to the presence of foreign substances, such as bacteria or viruses. These proteins play a crucial role in the immune response by recognizing and binding to specific antigens, which helps to neutralize or eliminate the foreign substances from the body. Antibodies are made up of amino acids and have a specific structure that allows them to bind to antigens with high specificity. This enables them to mark the foreign substances for destruction by other immune cells.

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136. The number of organisms necessary to insure infection is termed the

Explanation

The term "infectious dose" refers to the number of organisms that are required to cause an infection in a host. It represents the minimum number of pathogens that need to enter the body in order to establish an infection. This can vary depending on the specific pathogen and the individual's immune system. The infectious dose is an important factor in understanding the transmission and spread of infectious diseases.

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137. Which type of infection can be caused by septicemia?

Explanation

Septicemia is a serious bloodstream infection that can spread throughout the body, leading to a systemic infection. It occurs when bacteria or other pathogens enter the bloodstream and multiply, causing symptoms such as fever, rapid breathing, and confusion. If left untreated, septicemia can lead to sepsis, a life-threatening condition. Therefore, the correct answer is systemic infection.

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138. Siderophores are bacterial proteins that compete with animal

Explanation

Transferrins are proteins found in animals that bind to iron and transport it throughout the body. Siderophores, on the other hand, are bacterial proteins that also bind to iron but with the purpose of acquiring it for bacterial growth and survival. Therefore, the correct answer suggests that siderophores compete with transferrins for iron.

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139. Endotoxins are

Explanation

Endotoxins are part of the Gram-negative cell wall. Gram-negative bacteria have a unique structure in their cell wall called lipopolysaccharide (LPS), which is also known as endotoxin. Endotoxins are released when the bacteria are destroyed or undergo cell division. They can cause a strong immune response in the host, leading to symptoms such as fever, inflammation, and shock. Gram-positive bacteria, on the other hand, do not have LPS or endotoxins in their cell wall.

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140. Autoantibodies cause tissue injury in all the following diseases except

Explanation

Autoantibodies are antibodies produced by the immune system that mistakenly target and attack the body's own tissues. In diseases such as rheumatoid arthritis, myasthenia gravis, and Graves' disease, autoantibodies play a significant role in causing tissue injury and damage. However, in the case of a tuberculin reaction, the immune response is directed against the tuberculosis bacteria, not the body's own tissues. Therefore, autoantibodies do not cause tissue injury in a tuberculin reaction.

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141. A person who has anti A and anti B serum antibodies will have blood type

Explanation

A person who has anti A and anti B serum antibodies will have blood type O. This is because blood type O does not have A or B antigens on the surface of the red blood cells, which means that the person's immune system will produce antibodies against both A and B antigens. Therefore, their blood will contain anti A and anti B serum antibodies.

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142. Symptoms of disease differ from signs of disease in that symptoms

Explanation

Symptoms of a disease refer to the subjective experiences or changes felt by the patient themselves. These can include things like pain, fatigue, or nausea. On the other hand, signs of a disease are objective observations made by a physician during a physical examination or through diagnostic tests. Signs can include things like an abnormal heart rate, a rash, or an enlarged organ. Therefore, the correct answer is that symptoms are changes felt by the patient.

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143. A needlestick is an example of which portal of entry?

Explanation

A needlestick is not an example of the paratenal route. The paratenal route refers to the entry of pathogens through the placenta from mother to fetus. A needlestick, on the other hand, is a form of percutaneous exposure where a needle pierces the skin and allows pathogens to enter the body through the skin. Therefore, the correct answer is "skin".

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144. Which of the following is NOT a characteristic of inflammation?

Explanation

Fever is not a characteristic of inflammation. Inflammation is a localized response to tissue injury or infection, characterized by redness, swelling, pain, and local heat. Fever, on the other hand, is a systemic response in which the body's temperature is elevated in response to an infection or illness. While fever can sometimes occur alongside inflammation, it is not a direct characteristic of inflammation itself.

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145. Which is the first antibody class made during the primary response to an antigen?

Explanation

During the primary response to an antigen, the first antibody class made is IgM. IgM is the first antibody produced by B cells in response to an infection or antigen exposure. It is a pentameric antibody that is effective in activating the complement system and neutralizing pathogens. IgM is typically present in the bloodstream and lymphatic system and serves as an early defense mechanism against pathogens.

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146. Tears protect the eyes by

Explanation

Tears protect the eyes by flushing out foreign particles and debris, preventing them from causing damage or irritation. Additionally, tears contain lysozyme, an enzyme that has antimicrobial properties and helps to kill bacteria on the surface of the eye. Therefore, the combination of flushing and lysozyme in tears helps to protect the eyes from potential harm.

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147. Fomites are involved in

Explanation

Fomites are objects or surfaces that can become contaminated with infectious organisms and contribute to the spread of disease. These objects or surfaces can indirectly transmit the infectious organisms to individuals who come into contact with them. Therefore, fomites are involved in indirect contacts, as they facilitate the transmission of infectious agents between individuals.

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148. The two main functions of the lymphatic system are

Explanation

The correct answer is returning tissue fluid to the circulatory system and fighting infections. The lymphatic system is responsible for collecting and returning excess tissue fluid back into the bloodstream, preventing the accumulation of fluid and maintaining fluid balance in the body. Additionally, the lymphatic system plays a crucial role in fighting infections by filtering and trapping foreign particles, pathogens, and cancer cells in the lymph nodes, where they are destroyed by immune cells. Therefore, the two main functions of the lymphatic system are returning tissue fluid to the circulatory system and fighting infections.

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149. Transient microbiota differ from normal microbiota because transient microbiota

Explanation

Transient microbiota differ from normal microbiota because they are present in the host for a relatively short time. Unlike normal microbiota, which establish a stable and long-term presence in the host, transient microbiota are temporary and typically do not colonize or persist in the host for an extended period. They may be acquired through direct contact or exposure to environmental sources, but they do not cause diseases or have a specific location on the host.

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150. Antibodies that have arisen in the blood plasma without any obvious or deliberate stimulus are called

Explanation

Antibodies that have arisen in the blood plasma without any obvious or deliberate stimulus are referred to as natural antibodies. These antibodies are produced by the immune system in response to normal exposure to antigens, such as bacteria or viruses, without the need for vaccination or deliberate immunization. Natural antibodies play a role in the innate immune response and provide immediate protection against pathogens. They are different from acquired antibodies, which are produced in response to specific antigens after vaccination or infection. Injurious and active do not accurately describe antibodies that arise without any obvious or deliberate stimulus.

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151. MHC molecules are found on each of the following cells except

Explanation

MHC molecules are found on almost all nucleated cells in the body, including leukocytes (white blood cells), eosinophils, epithelial cells, and islet of langerhans cells. However, they are not found on red blood cells, which lack a nucleus.

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152. Pathogenic microbes that cause disease in healthy people are called

Explanation

True pathogens are pathogenic microbes that have the ability to cause disease in healthy individuals. Unlike opportunistic pathogens, which typically only cause disease in individuals with weakened immune systems, true pathogens can infect and cause illness in any individual, regardless of their immune status. These pathogens have specific mechanisms that allow them to invade and multiply within the host, leading to the development of disease symptoms. Examples of true pathogens include bacteria such as Streptococcus pneumoniae, viruses such as influenza virus, and fungi such as Candida albicans.

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153. __________ carriers are shedding and transmitting pathogen while they are recovering from an infectious disease.

Explanation

Convalescent carriers are shedding and transmitting pathogens while they are recovering from an infectious disease. This means that even though they may not show symptoms of the disease, they can still spread it to others.

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154. Which lymphocytes lack specificity for antigen and are cells that attack cancer cells and virus-infected cells?

Explanation

Natural Killer (NK) cells lack specificity for antigens, meaning they do not require prior exposure to a specific antigen to initiate an immune response. They are able to recognize and directly attack cancer cells and virus-infected cells through the release of cytotoxic granules, inducing cell death. Unlike other lymphocytes, NK cells do not require activation by Helper T cells or antigen presentation by antigen-presenting cells. Therefore, NK cells are the lymphocytes that lack specificity for antigen and are responsible for attacking cancer cells and virus-infected cells.

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155. Which immunoglobulin class/es can fix complement?

Explanation

IgM and IgG are the immunoglobulin classes that can fix complement. Complement fixation is an immune response mechanism where complement proteins bind to antibodies that are attached to antigens, leading to the activation of the complement cascade. IgM and IgG are capable of binding to complement proteins, allowing for the initiation of this cascade. IgD, IgE, and IgA do not have the ability to fix complement.

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156. Which of the following cell types is specifically responsible for humoral immunity?

Explanation

B cells are specifically responsible for humoral immunity. They are a type of white blood cell that produces and secretes antibodies, which are proteins that help to neutralize pathogens and toxins in the body. B cells are activated when they encounter antigens, which are foreign substances that trigger an immune response. Once activated, B cells differentiate into plasma cells, which produce and release antibodies into the bloodstream. These antibodies then bind to antigens, marking them for destruction by other immune cells. B cells are an essential component of the adaptive immune response and play a crucial role in defending against infections.

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157. Which of the following is involved in fighting parasitic infections?

Explanation

Eosinophils are involved in fighting parasitic infections. Eosinophils are a type of white blood cell that are responsible for combating parasitic infections in the body. They release toxic substances that can kill parasites and help to regulate the immune response against these infections. Eosinophils are particularly effective against helminth parasites, such as worms, and are often found in higher numbers during parasitic infections.

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158. All of the following occur during inflammation.  What is the first step?

Explanation

During inflammation, the first step is vasodilation. This process involves the widening of blood vessels, allowing an increased flow of blood to the affected area. Vasodilation helps to deliver more oxygen, nutrients, and immune cells to the site of inflammation, promoting healing and the removal of harmful substances.

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159. Delayed type hypersensitivity primarily involves

Explanation

Delayed type hypersensitivity primarily involves T cells. This means that T cells play a key role in the immune response that occurs in delayed type hypersensitivity reactions. T cells are a type of white blood cell that are involved in cell-mediated immunity, which is the immune response that involves the activation of immune cells to directly attack and destroy pathogens. In delayed type hypersensitivity, T cells are activated and release chemicals that attract other immune cells to the site of inflammation, leading to the characteristic delayed inflammatory response.

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160. Which of the following substances does a cytotoxic T cell secrete to destroy a target cell?

Explanation

A cytotoxic T cell secretes perforin to destroy a target cell. Perforin is a protein that forms pores in the target cell's membrane, leading to cell lysis and death. This allows the cytotoxic T cell to eliminate infected or abnormal cells, such as those infected with viruses or cancer cells. Perforin is an essential component of the immune response and plays a crucial role in the body's defense against pathogens and abnormal cells.

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161. Growth of a parasitic organism in or on the host is referred to as

Explanation

Infection refers to the growth of a parasitic organism in or on the host. This term specifically describes the relationship between the parasite and the host, where the parasite benefits and the host is harmed. Infection can occur through various means, such as direct contact, ingestion, or through vectors like mosquitoes. It is a common occurrence in the field of medicine, where infections can lead to diseases and illnesses.

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162. If a disease affects only a human and not an animal, then it would be difficult to fulfill Koch's postulate number ___.

Explanation

Koch's postulate number 3 states that the pathogen isolated from the diseased individual can be grown in pure culture. If a disease affects only humans and not animals, it would be difficult to fulfill this postulate because it would be challenging to isolate and grow the pathogen in pure culture without using an animal model.

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163. Antibodies

Explanation

Antibodies are proteins that assist in destroying specific antigens. They are produced by the immune system in response to the presence of foreign substances in the body. Antibodies bind to antigens, such as bacteria or viruses, and mark them for destruction by other immune cells. This specific binding ability allows antibodies to target and neutralize particular antigens, making them effective in immune responses. Therefore, the given answer "assist in destroying particular antigens" accurately describes the function of antibodies.

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164. A commensal bacterium

Explanation

A commensal bacterium may be an opportunistic pathogen because even though it typically does not cause harm to its host, under certain conditions it can become pathogenic and cause infection or disease. This means that while it may not actively infect its host in its commensal state, it has the potential to do so if the opportunity arises.

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165. A substance that can elicit an immune response is called a(n)

Explanation

An antigen is a substance that can trigger an immune response in the body. When an antigen enters the body, it is recognized by the immune system as foreign and stimulates the production of antibodies. These antibodies then bind to the antigen, marking it for destruction by other immune cells. Antigens can be found on the surface of pathogens such as bacteria or viruses, as well as on cells from transplants or tumors. They play a crucial role in the body's defense against infections and diseases.

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166. The transfer of antibodies from breast milk to an infant is an example of __________ immunity.

Explanation

The transfer of antibodies from breast milk to an infant is an example of passive immunity. Passive immunity occurs when an individual receives pre-formed antibodies from another source, such as through breastfeeding or receiving an injection of antibodies. In this case, the infant is not actively producing the antibodies themselves, but rather acquiring them from the breast milk of their mother. This provides temporary protection against certain infections and diseases until the infant's own immune system develops fully.

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167. Which of the following kinds of protein circulates in the blood and coats the surfaces of microbes to make them more susceptible to engulfment by macrophages?

Explanation

Complement proteins are a group of proteins that circulate in the blood and coat the surfaces of microbes. This coating makes the microbes more susceptible to engulfment by macrophages, which are immune cells that engulf and destroy foreign particles. Therefore, complement proteins play an important role in the immune response by enhancing the ability of macrophages to eliminate microbes.

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168. Which of the following does NOT contribute to a pathogen's invasiveness?

Explanation

Toxins do not contribute to a pathogen's invasiveness. While cell wall, capsule, ligands, and hyaluronidase all play a role in allowing pathogens to invade host tissues and establish infection, toxins are typically produced by pathogens to cause damage to host cells or tissues, but they do not directly contribute to the pathogen's ability to invade.

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169. Which of the following is involved in specific resistance (immunity)?

Explanation

Lymphocytes are involved in specific resistance or immunity. They are a type of white blood cell that plays a crucial role in the body's immune response. Lymphocytes are responsible for recognizing and attacking specific pathogens or foreign substances in the body. They can produce antibodies to neutralize harmful substances or directly destroy infected cells. This specific immune response allows the body to target and eliminate specific threats, providing long-term protection against future infections.

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170. Which of the following are antigen-presenting cells?

Explanation

Dendritic cells are antigen-presenting cells because they are specialized immune cells that capture, process, and present antigens to activate T cells. T cells are not antigen-presenting cells themselves but are activated by the presentation of antigens by dendritic cells. Erythrocytes and basophils are not antigen-presenting cells and do not play a role in the immune response.

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171. The leukocyte responsible for adaptive immunity is the

Explanation

Lymphocytes are a type of leukocyte that are responsible for adaptive immunity. They play a crucial role in recognizing and targeting specific pathogens or foreign substances in the body. This is achieved through the production of antibodies and the activation of other immune cells. Lymphocytes include B cells, which produce antibodies, and T cells, which directly attack infected cells. Monocytes, eosinophils, and neutrophils are other types of leukocytes, but they are not primarily responsible for adaptive immunity.

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172. The major categories of hypersensitivities that typically involve a B-cell immunoglobulin response is/are

Explanation

The major categories of hypersensitivities that typically involve a B-cell immunoglobulin response are Type I, Type II, and Type III. Type I hypersensitivity involves the production of IgE antibodies by B-cells, which then bind to mast cells and basophils, leading to the release of inflammatory mediators. Type II hypersensitivity involves the production of IgG or IgM antibodies by B-cells, which bind to antigens on cells and activate complement, leading to cell destruction. Type III hypersensitivity involves the formation of immune complexes between antigens and IgG antibodies produced by B-cells, leading to tissue damage. Type IV hypersensitivity does not involve B-cell immunoglobulin response, as it is mediated by T-cells.

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173. Which of the following is not an event of phagocytosis?

Explanation

Phagocytosis is the process by which cells engulf and ingest foreign particles or pathogens. Diapedesis, chemotaxis, phagolysosome formation, and ingestion are all events that occur during phagocytosis. However, diapedesis is not directly related to phagocytosis. Diapedesis refers to the process by which white blood cells squeeze through the walls of blood vessels and enter surrounding tissues.

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174. Which of the following is not a method of adhesion?

Explanation

Cilia is not a method of adhesion because it is actually involved in movement, rather than adhesion. Cilia are small, hair-like structures found on the surface of certain cells, such as those in the respiratory tract. They beat in coordinated waves to move substances, such as mucus, along the surface of the cell. Adhesion, on the other hand, refers to the ability of a substance or structure to stick to another surface. Examples of methods of adhesion include fibriae, surface proteins, adhesive slime or capsules, and specialized receptors.

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175. The immunoglobulin/s found on the surface of B cells is/are

Explanation

B cells are a type of white blood cell that play a crucial role in the adaptive immune response. They are responsible for producing and secreting antibodies, also known as immunoglobulins. The immunoglobulins found on the surface of B cells are IgM and IgD. IgM is the first antibody produced during an initial immune response, while IgD functions as a receptor on the B cell surface. Both IgM and IgD play important roles in recognizing and binding to antigens, initiating an immune response.

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176. Which type of immune response is always disadvantageous to a person?

Explanation

An autoimmune response occurs when the immune system mistakenly attacks the body's own healthy cells and tissues. This can lead to chronic inflammation and damage to organs and tissues. It is always disadvantageous because it can cause a variety of autoimmune diseases, such as rheumatoid arthritis, lupus, and multiple sclerosis, which can significantly impact a person's health and quality of life.

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177. Which of the following diseases is NOT thought to be an autoimmune disease?

Explanation

Cancer of the bone marrow is not thought to be an autoimmune disease because it is caused by the uncontrolled growth of abnormal cells in the bone marrow, rather than an immune system malfunction. Autoimmune diseases occur when the immune system mistakenly attacks healthy cells and tissues. Systemic lupus erythematosus, multiple sclerosis, insulin-dependent diabetes, and rheumatoid arthritis are all examples of autoimmune diseases.

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178. Which of the following is NOT an activity of antibodies?

Explanation

Antibodies do not directly perform phagocytosis of invaders. Phagocytosis is the process by which immune cells engulf and digest pathogens. Antibodies, on the other hand, bind to antigens on the surface of pathogens, marking them for destruction by other immune cells or neutralizing their harmful effects.

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179. Which of the following members of the normal flora inhibits the growth of bacteria by production of fatty acids from lipids?

Explanation

Staphylococcus epidermidis and Propionibacterium species are members of the normal flora that inhibit the growth of bacteria by producing fatty acids from lipids.

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180. Avirulent organisms are

Explanation

Avirulent organisms are unable to cause disease. This means that they do not have the ability to infect and harm the host. They may still be present in the environment or in the host's body, but they do not cause any symptoms or harm to the host. This is in contrast to pathogenic organisms, which have the ability to cause disease. Avirulent organisms may be harmless or may have lost their ability to cause disease through genetic changes or other factors.

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181. Interferons function to make cells

Explanation

Interferons are proteins that are produced by cells in response to viral infection. They play a crucial role in the body's immune response by making cells resistant to viral replication. This means that when a cell is exposed to a virus, interferons help to prevent the virus from replicating and spreading within the cell. By doing so, interferons help to limit the spread of the virus and protect neighboring cells from becoming infected. Therefore, the correct answer is "resistant to viral replication."

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182. Which of the following exhibits the highest phagocytic activity?

Explanation

Neutrophils exhibit the highest phagocytic activity. Phagocytosis is the process by which cells engulf and digest foreign particles or pathogens. Neutrophils are a type of white blood cell that are highly specialized in phagocytosis. They have numerous receptors on their surface that allow them to recognize and bind to foreign particles. Neutrophils also produce a variety of enzymes and antimicrobial substances that help in the destruction of engulfed particles. This high phagocytic activity makes neutrophils an important component of the immune response against infections.

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183. Nonspecific resistance is

Explanation

Nonspecific resistance refers to the body's defenses against any kind of pathogen, regardless of its specific nature. This includes physical barriers such as the skin and mucous membranes, as well as immune responses such as inflammation and the release of antimicrobial substances. These defenses are not specific to a particular pathogen and are the body's first line of defense against infection.

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184. Bacteria have siderophores to capture iron; humans counter this by

Explanation

Bacteria have siderophores to capture iron, which is essential for their survival and growth. Transferrins are proteins produced by humans as a defense mechanism against bacterial iron acquisition. Transferrins bind to iron and prevent bacteria from using it, thus limiting their ability to thrive. This is a way for humans to counteract the bacterial strategy of capturing iron using siderophores.

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185. The cell type responsible for Type II hypersensitivity is the

Explanation

B cells are responsible for Type II hypersensitivity reactions. These reactions occur when antibodies produced by B cells bind to antigens on the surface of cells or tissues, leading to destruction of those cells through various mechanisms such as complement activation or antibody-dependent cell-mediated cytotoxicity. Mast cells, macrophages, platelets, and neutrophils are involved in other types of immune responses but not specifically in Type II hypersensitivity.

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186. Delayed type hypersensitivity primarily involves

Explanation

Delayed type hypersensitivity primarily involves T cells. T cells are a type of white blood cell that play a key role in the immune response. In delayed type hypersensitivity, T cells recognize and respond to specific antigens, leading to an inflammatory reaction that occurs several hours or days after exposure to the antigen. This type of hypersensitivity is characterized by the recruitment of other immune cells, such as macrophages, which further contribute to the immune response.

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187. The "voices" of a cell are

Explanation

Cytokines are signaling molecules that are released by cells in the immune system. They play a crucial role in cell communication and coordination of immune responses. Cytokines act as the "voices" of a cell by transmitting signals to other cells, influencing their behavior and regulating various immune processes. This includes promoting inflammation, activating immune cells, and regulating the immune response. Therefore, cytokines are the correct answer as they function as the communication system within the immune system.

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188. The humoral immune response involves the manufacture and use of 

Explanation

The correct answer is antibodies. The humoral immune response is a specific immune response that involves the production and use of antibodies. Antibodies are proteins produced by B cells in response to the presence of antigens. They bind to antigens and help to neutralize or eliminate them from the body. Antibodies can also activate other components of the immune system, such as complement proteins, to destroy antigens. T cells and lymphokines are involved in the cell-mediated immune response, while antigens are the substances that trigger an immune response.

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189. The leukocyte responsible for adaptive immunity is the

Explanation

Lymphocytes are a type of leukocyte that are responsible for adaptive immunity. They play a crucial role in recognizing and targeting specific pathogens or foreign substances in the body. Lymphocytes include B cells, which produce antibodies to neutralize pathogens, and T cells, which directly attack infected cells. This adaptive immune response is highly specific and can "remember" previous encounters with pathogens, providing long-term immunity. Monocytes, eosinophils, and neutrophils are other types of leukocytes, but they are primarily involved in innate immunity rather than adaptive immunity.

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190. The transfer of antibodies in colostrum is a good example of

Explanation

The transfer of antibodies in colostrum refers to the antibodies that are passed from a mother to her newborn through breast milk. This is an example of naturally acquired passive immunity because the newborn is acquiring pre-formed antibodies from the mother, providing immediate protection against certain diseases.

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191. The initial, brief period of early, general symptoms such as fatigue and muscle aches is the

Explanation

The prodromal period refers to the initial, brief period of early, general symptoms such as fatigue and muscle aches. This period occurs before the specific symptoms of a particular illness or disease start to manifest. During this time, individuals may experience non-specific symptoms that may be indicative of an impending illness, allowing for early detection and intervention.

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192. The resident microbial population of the human fetus is

Explanation

The correct answer is zero because the human fetus is sterile, meaning it does not have any resident microbial population. Microbes start colonizing the human body shortly after birth, during and after delivery. Before birth, the fetus is protected from exposure to microbes by the amniotic sac and the placenta. Therefore, there is no microbial population present in the fetus.

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193. Which of the following is/are true about endotoxins?

Explanation

Lipid A is the toxic portion of the molecule in endotoxins. This means that it is responsible for the toxic effects associated with endotoxin exposure. The other statements in the question are not true about endotoxins. The toxic effects of endotoxins do not depend on the bacteria from which they came, and the O antigens are not the same for all bacteria. Additionally, while endotoxins can stimulate an immune response, the statement that lipid A is immunogenic is not true.

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194. In Gram-negative bacteria, many of the genes required for pathogenicity are

Explanation

In Gram-negative bacteria, many of the genes required for pathogenicity are located close together on chromosomes in regions called pathogenicity islands. This arrangement allows for the coordinated regulation and expression of these genes, which are involved in the bacteria's ability to cause disease. The genes within these pathogenicity islands can be horizontally transferred between bacteria, contributing to the spread of virulence traits. This clustering of pathogenicity genes in specific regions on the chromosome helps facilitate their efficient transfer and expression, enhancing the bacteria's pathogenic potential.

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195. Which process involves a more rapid synthesis and greatly increased titer of antibody when the immune system is subsequently exposed to the same antigen?

Explanation

The correct answer is Amnamnestic response. The amnamnestic response, also known as the secondary immune response, occurs when the immune system is re-exposed to the same antigen. This process involves a more rapid synthesis and greatly increased titer of antibody production compared to the primary immune response. It is a memory response where the immune system recognizes the antigen from a previous encounter and mounts a quicker and stronger immune response to eliminate the antigen more efficiently.

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196. What is a primary immune response?

Explanation

A primary immune response refers to the immune response that occurs when lymphocytes are exposed to a specific antigen for the first time. This initial exposure activates the lymphocytes, leading to the production of antibodies and other immune responses to fight against the antigen. This response is crucial in establishing immunological memory and providing protection against future exposures to the same antigen.

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197. Nosocomial infections involve all the following except:

Explanation

Nosocomial infections, also known as healthcare-associated infections, can be transmitted by various means, not just by medical personnel. These infections can also be acquired from contaminated surfaces, equipment, or even from other patients. Therefore, the statement "Are only transmitted by medical personnel" is incorrect.

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198. The basic function of T cells is to identify and destroy invaders in our __________.

Explanation

T cells, a type of white blood cell, play a crucial role in the immune system by identifying and destroying foreign invaders, such as viruses and bacteria, in our body. They are responsible for recognizing specific antigens on the surface of these invaders and initiating an immune response to eliminate them. Therefore, the correct answer is "cells" as T cells primarily target and eliminate invaders within cells.

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199. What kinds of cells wander the interstitial fluid eating whatever bacteria and virus-infected cells they encounter and recognize?

Explanation

Macrophages are a type of leukocyte, or white blood cell, that have the ability to move through the interstitial fluid and consume bacteria and virus-infected cells. They are part of the body's immune system and play a crucial role in recognizing and eliminating pathogens. Monocytes are another type of leukocyte that can differentiate into macrophages. Natural killer (NK) cells are a different type of immune cell that primarily target and destroy virus-infected cells and tumor cells. Interferons are signaling proteins that are released by cells in response to viral infections and help to inhibit the spread of the virus to other cells.

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200. All of the following are types of exotoxins EXCEPT

Explanation

Lipid A is not a type of exotoxin. Exotoxins are proteins released by certain bacteria that can cause damage to host cells. Lipid A, on the other hand, is a component of the outer membrane of Gram-negative bacteria and is responsible for the toxic effects of endotoxins, not exotoxins. Therefore, Lipid A is not included in the types of exotoxins.

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Infection always leads to disease.
When an infected person is in the incubation period, that person...
Human B lymphocytes mature in an intestinal region called the bursa.
Only Gram-positive bacteria produce exotoxins.
An infection acquired during hospitalization is reffered to as
Which of the following is considered an indirect mode of transmission?
Inflammation responses are orchestrated by the immune system and are...
The infectious dose of most pathogens is about equal.
The microorganisms that are regularly found in or on the body, yet do...
Eczema is an autoimmune disorder.
A strong attachment of a microorganism to a host cell automatically...
A disease-causing microorganism or virus is referred to as a(n)
Diseases constantly present in a population are
The science that deals with when diseases occur and how they are...
Which is not a component of innate immunity?
The series of steps used to connect an organism to a disease are known...
During phagocytosis, intracellular digestion begins as soon as the...
Which of the following are referred to as mononuclear phagocytes?
A person who is Rh- will have anti-Rh antibodies in their serum from...
Which of the following may inhibit the activity of normal flora and...
Type IV hypersensitivity reactions typically peak within
In humans, the stem cells from which all blood cells arise are found...
All blood cells originate from the
The four classic signs and symptoms of inflammation include all the...
The symbiotic relationship wherein both partners benefit is termed
Which of the following would be considered a sign of a disease?
During incubation and convalescence a person may still spread...
Which of the following statements is true?
An obligate intracellular pathogen may
High concentrations of some bacteria are necessary for successful...
Which of the following is a phagocytic cell found in the human body?
Allergic reactions mainly involve
Which is not a component of innate immunity?
A properly functioning immune system is responsible for
After secreting antibodies during an immune response, plasma cells...
The lack of susceptibility to diseases of other species in humans may...
The leukocyte that contains histamine is the
Allergic reactions mainly involve
Inanimate objects capable of transferring infectious disease agents...
A transfusion reaction primarily involves
Which of the following is not a granulocyte?
Which of the following is the endotoxin?
The immunoglobulin that is important in hypersensitivity reactions is
How long after initiation of a primary response do signifiant amounts...
Attributes of an organism that promote pathogenicity are called
People who carry and may spread pathogenic organisms without any overt...
Which of the following is a phagocytic cell found in the human body?
A __________ is an infection indigenous to animals that can, on...
The secondary response to an antigen is faster and bigger than the...
A member of the normal flora that becomes an opportunist if it invades...
A disease is an infection that impairs the normal state of health.
Which is/are true about viruses?
Following digestion of a microorganism by phagocytes, the debris is...
If the thymus fails to develop,
Diseases that can be transmitted from one person to another are termed
Macrophages and dendritic cells are
Which of the following statements about antibodies is NOT true?
A relationship in which one partner benefits and the other is harmed...
A nosocomial infection is
An epidemic that spreads worldwide is called a(n)
When an infectious disease cannot spread in a population because it...
Which of the following types of cells does HIV preferentially infect?
Which of the following may be considered virulence factors?
The spread of toxin via the circulation is called
The portal of entry
Which type of hypersensitivity is IgE?
The chemical nature of endotoxins is that of a
The interaction of all organisms within a biological community is...
Which of the following is true about the role normal flora play in...
All of the following are communicable diseases except
Normal flora
T cells and B cells are manufactured in the
Organisms that are found together and interact on a more or less...
Each of the following are inoculation of normal biota to a newborn...
The cytokine produced by animal cells in response to viral infections
Which of the following does S. pneumoniae use to survive in the host?
The major significance of Koch's work was that
Which of the following is a phagocytic cell found in the human body?
The complex resulting from complement activity that leads to cell...
T cells primarily are responsible for
The virulence factors of a pathogen are established by how strong or...
Anaphylactic shock is an example of an __________.
Each of the following are physical barriers to pathogens except
Substances that are recognized as foriegn and provoke immune responses...
The complement pathway that is activated by mannan binding lectins is...
A systemic, sometimes fatal reaction with airway obstruction and...
Diapedesis is the
Which of the following is one of the body's first lines of defense...
Bacteria may survive phagocytosis by
The first host response to a nonspecific tissue injury is described as
Allografts
The first step in the establishment of infection is that the organism...
The complement pathway that requires antibodies to be activated is the
The body region where a ciliary escalator helps to sweep microbes...
Which is mismatched?
A symptom is a(n)
Under normal circumstances, the microbiota of the skin is kept in...
The most numerous WBC's that have multilobed nuclei and are very...
Why do diseases involving widespread infection usually result in a...
Which is true about superantigens?
Which is true about botox?
The beauty of specific immunity is the production of __________ that...
Which of the following cell types is specifically responsible for...
Skin and mucous membranes
Which of the following is associated with contact dermatitis?
Which class of antibody accounts for the bulk of the circulating...
All of the following are associated with complement fixation EXCEPT
Opportunists or opportunistic pathogens
A relationship in which one partner benefits and the other is...
Fever
Which of the following antibodies is a pentamer?
Typically, adhesins
Density-dependent expression of virulence factors is called
Which of the following definitions is incorrect?
A person with O type blood
Transmission of an infectious disease by touching, handshaking, or...
In which organism were phagocytes first reported?
Pyrogens are
A vaccination is a good example of
The affect of "good" microbes against invading microbes is...
Which of the following is a fomite?
Botulism is caused by an exotoxin, therefore it could be easily...
The production of interferon will protect the host cell from a viral...
The only class of antibody that can cross the placenta is
A researcher detects interferon in a laboratory rat and concludes that...
Which of the following compounds are mast cells specialized to...
When you cut yourself, the damaged cells immediately release which of...
Which of the following statements about exotoxins is generally NOT...
The most frequently used portal of entry for pathogens is the
Macrophages arise from which of the following?
Which of the following cytokines is most antiviral in its action?
All of the following are involved in Type II hypersensitivity except
When an individual's immune system comes into contact with an...
Which white blood cells comprise 3-7% of circulating WBC's, are...
Antibodies are __________.
The number of organisms necessary to insure infection is termed the
Which type of infection can be caused by septicemia?
Siderophores are bacterial proteins that compete with animal
Endotoxins are
Autoantibodies cause tissue injury in all the following diseases...
A person who has anti A and anti B serum antibodies will have blood...
Symptoms of disease differ from signs of disease in that symptoms
A needlestick is an example of which portal of entry?
Which of the following is NOT a characteristic of inflammation?
Which is the first antibody class made during the primary response to...
Tears protect the eyes by
Fomites are involved in
The two main functions of the lymphatic system are
Transient microbiota differ from normal microbiota because transient...
Antibodies that have arisen in the blood plasma without any obvious or...
MHC molecules are found on each of the following cells except
Pathogenic microbes that cause disease in healthy people are called
__________ carriers are shedding and transmitting pathogen while they...
Which lymphocytes lack specificity for antigen and are cells that...
Which immunoglobulin class/es can fix complement?
Which of the following cell types is specifically responsible for...
Which of the following is involved in fighting parasitic infections?
All of the following occur during inflammation.  What is the...
Delayed type hypersensitivity primarily involves
Which of the following substances does a cytotoxic T cell secrete to...
Growth of a parasitic organism in or on the host is referred to as
If a disease affects only a human and not an animal, then it would be...
Antibodies
A commensal bacterium
A substance that can elicit an immune response is called a(n)
The transfer of antibodies from breast milk to an infant is an example...
Which of the following kinds of protein circulates in the blood and...
Which of the following does NOT contribute to a pathogen's...
Which of the following is involved in specific resistance (immunity)?
Which of the following are antigen-presenting cells?
The leukocyte responsible for adaptive immunity is the
The major categories of hypersensitivities that typically involve a...
Which of the following is not an event of phagocytosis?
Which of the following is not a method of adhesion?
The immunoglobulin/s found on the surface of B cells is/are
Which type of immune response is always disadvantageous to a person?
Which of the following diseases is NOT thought to be an autoimmune...
Which of the following is NOT an activity of antibodies?
Which of the following members of the normal flora inhibits the growth...
Avirulent organisms are
Interferons function to make cells
Which of the following exhibits the highest phagocytic activity?
Nonspecific resistance is
Bacteria have siderophores to capture iron; humans counter this by
The cell type responsible for Type II hypersensitivity is the
Delayed type hypersensitivity primarily involves
The "voices" of a cell are
The humoral immune response involves the manufacture and use of 
The leukocyte responsible for adaptive immunity is the
The transfer of antibodies in colostrum is a good example of
The initial, brief period of early, general symptoms such as fatigue...
The resident microbial population of the human fetus is
Which of the following is/are true about endotoxins?
In Gram-negative bacteria, many of the genes required for...
Which process involves a more rapid synthesis and greatly increased...
What is a primary immune response?
Nosocomial infections involve all the following except:
The basic function of T cells is to identify and destroy invaders in...
What kinds of cells wander the interstitial fluid eating whatever...
All of the following are types of exotoxins EXCEPT
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