Deck 15: The Immune Response
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Deck 15: The Immune Response
1
Which factor plays a significant role in immune status?
A) age
B) sex
C) nutrition
D) all of the above
A) age
B) sex
C) nutrition
D) all of the above
D
2
Which government agency is responsible for licensing vaccines?
A) CDC
B) WHO
C) NIH
D) FDA
A) CDC
B) WHO
C) NIH
D) FDA
D
3
How many toxoids does the DPT vaccine contain?
A) one
B) two
C) three
D) none of the above
A) one
B) two
C) three
D) none of the above
B
4
Vaccination has greatly reduced the incidence of
A) pertussis.
B) diphtheria.
C) tetanus.
D) all of the above
A) pertussis.
B) diphtheria.
C) tetanus.
D) all of the above
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5
The development and testing of a candidate vaccine are routinely done in ______ phases of clinical trials.
A) 1
B) 2
C) 3
D) 4
A) 1
B) 2
C) 3
D) 4
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6
Active immunization, as compared to passive,
A) affords immediate protection.
B) is not available for infants.
C) is the procedure of choice for infants.
D) has extended memory.
A) affords immediate protection.
B) is not available for infants.
C) is the procedure of choice for infants.
D) has extended memory.
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7
Which of the following is a type of cancer involving white blood cells?
A) sarcoma
B) autoimmune diseases
C) AIDS
D) leukemia
A) sarcoma
B) autoimmune diseases
C) AIDS
D) leukemia
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8
What component of the blood contains the most antibodies?
A) gamma globulin
B) white blood cells
C) platelets
D) complement
A) gamma globulin
B) white blood cells
C) platelets
D) complement
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9
A differential count reflects
A) the ratio of red blood cell types.
B) the ratio of white blood cell types.
C) the ratio of platelet types.
D) the ratio of antibody types.
A) the ratio of red blood cell types.
B) the ratio of white blood cell types.
C) the ratio of platelet types.
D) the ratio of antibody types.
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10
What is the one cell key to controlling the immune response?
A) Cytotoxic T cells
B) antigen presenting cells
C) T helper cells
D) macrophages
A) Cytotoxic T cells
B) antigen presenting cells
C) T helper cells
D) macrophages
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11
An example of a nonspecific component of immunity is
A) complement.
B) humoral immunity.
C) cell-mediated immunity.
D) antibody immunity.
A) complement.
B) humoral immunity.
C) cell-mediated immunity.
D) antibody immunity.
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12
The Sabin vaccine contains
A) live, attenuated poliovirus.
B) inactivated poliovirus.
C) a mixture of attenuated and inactivated polioviruses.
D) no poliovirus.
A) live, attenuated poliovirus.
B) inactivated poliovirus.
C) a mixture of attenuated and inactivated polioviruses.
D) no poliovirus.
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13
Which vaccine was withdrawn shortly after its introduction?
A) Lymerix
B) RotaShield
C) Vivax
D) MMR
A) Lymerix
B) RotaShield
C) Vivax
D) MMR
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14
Which of the following techniques is used to prepare attenuated vaccine preparations?
A) heat
B) formaldehyde
C) tissue culture passage
D) all of the above
A) heat
B) formaldehyde
C) tissue culture passage
D) all of the above
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15
The recommended current immunization practice against polio in the United States is
A) 2 Sabin vaccine immunizations followed by 2 Salk vaccine immunizations.
B) 2 Salk vaccine immunizations followed by 2 Sabin vaccine immunizations.
C) Sabin, Salk, Sabin, Salk.
D) 4 Salk vaccine immunizations.
A) 2 Sabin vaccine immunizations followed by 2 Salk vaccine immunizations.
B) 2 Salk vaccine immunizations followed by 2 Sabin vaccine immunizations.
C) Sabin, Salk, Sabin, Salk.
D) 4 Salk vaccine immunizations.
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16
The first vaccine was developed by
A) Edward Jenner.
B) Louis Pasteur.
C) James Watson.
D) Salk and Sabin.
A) Edward Jenner.
B) Louis Pasteur.
C) James Watson.
D) Salk and Sabin.
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17
A function of complement results in Lysis causes
A) cell lysis cell death.
B) cell proliferation.
C) cell infection.
D) cell mutation.
A) cell lysis cell death.
B) cell proliferation.
C) cell infection.
D) cell mutation.
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18
Lymph is dependent on
A) antibodies.
B) bone marrow.
C) cilia.
D) blood.
A) antibodies.
B) bone marrow.
C) cilia.
D) blood.
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19
The myeloid lineage does NOT lead to
A) platelets.
B) red blood cells.
C) lymphocytes.
D) leukocytes.
A) platelets.
B) red blood cells.
C) lymphocytes.
D) leukocytes.
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20
Children born without a thymus gland have
A) DiGeorge syndrome.
B) AIDS.
C) Boy George syndrome.
D) no phagocytic capability.
A) DiGeorge syndrome.
B) AIDS.
C) Boy George syndrome.
D) no phagocytic capability.
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21
The term "effectiveness," a property of an ideal vaccine, is best described as
A) ability to produce a protective immune response.
B) does not produce a pronounced adverse reaction.
C) ability to be stored at room temperature.
D) being cost-effective.
A) ability to produce a protective immune response.
B) does not produce a pronounced adverse reaction.
C) ability to be stored at room temperature.
D) being cost-effective.
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22
On the basis of the recommended childhood immunization protocol, the first immunization to be given is against
A) DPT.
B) MMR.
C) hepatitis B.
D) hepatitis A.
A) DPT.
B) MMR.
C) hepatitis B.
D) hepatitis A.
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23
Which of the following is associated with the use of influenza vaccine in 1976?
A) BCG
B) DPT
C) Guillain-Barré syndrome
D) serum sickness
A) BCG
B) DPT
C) Guillain-Barré syndrome
D) serum sickness
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24
What is the first line of defense against microbial infection?
A) blood
B) skin
C) respiratory system
D) complement
A) blood
B) skin
C) respiratory system
D) complement
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25
Penetration of microbes beyond the mucous membrane lining the digestive tract is known as
A) inflammation.
B) gastritis.
C) peritonitis.
D) SCID.
A) inflammation.
B) gastritis.
C) peritonitis.
D) SCID.
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26
________________ is a nonspecific defense mechanism by which monocytes and neutrophils engulf and destroy foreign substances.
A) Phagocytosis
B) Inflammation
C) Antibody production
D) none of the above
A) Phagocytosis
B) Inflammation
C) Antibody production
D) none of the above
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27
Which category stimulates a recipient's immune system to produce antibodies and memory cells?
A) natural active immunization
B) natural passive immunization
C) passive immunization
D) artificial passive immunization
A) natural active immunization
B) natural passive immunization
C) passive immunization
D) artificial passive immunization
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28
Large protein Mmolecules that cause the production of specific antibodies are called
A) interferons.
B) immunoglobulins.
C) antigens.
D) antibodies.
A) interferons.
B) immunoglobulins.
C) antigens.
D) antibodies.
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29
Who introduced vaccination against smallpox?
A) Edward Jenner
B) Robert Krasner
C) Stanley Prusiner
D) Louis Pasteur
A) Edward Jenner
B) Robert Krasner
C) Stanley Prusiner
D) Louis Pasteur
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30
How many categories of antibodies are there?
A) 4
B) 5
C) 6
D) 10
A) 4
B) 5
C) 6
D) 10
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31
Which category of antibody is the most abundant?
A) IgA
B) IgG
C) IgD
D) IgE
A) IgA
B) IgG
C) IgD
D) IgE
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32
T-helper cells release molecules called
A) cytokines.
B) complement factors.
C) memory cells.
D) interferon.
A) cytokines.
B) complement factors.
C) memory cells.
D) interferon.
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33
Which receptor molecule(s) is distinctive for cytotoxic T cells?
A) CD2
B) CD4
C) CD8
D) CD4 and CD8
A) CD2
B) CD4
C) CD8
D) CD4 and CD8
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34
T lymphocytes are identified by surface _________ molecules
A) complement
B) Ig
C) CD
D) lysozyme
A) complement
B) Ig
C) CD
D) lysozyme
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35
Which disease is characterized by overproduction of monocytes and granular leukocytes?
A) lymphocytic leukemia
B) chronic leukemia
C) acute leukemia
D) myeloid leukemia
A) lymphocytic leukemia
B) chronic leukemia
C) acute leukemia
D) myeloid leukemia
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36
Which condition is an inherited disorder of phagocytes?
A) SCID
B) acute leukemia
C) chronic leukemia
D) chronic granulomatous disease
A) SCID
B) acute leukemia
C) chronic leukemia
D) chronic granulomatous disease
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37
Which is an example of a primary immune structure?
A) bone marrow
B) spleen
C) adenoids
D) lymph
A) bone marrow
B) spleen
C) adenoids
D) lymph
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38
Which is NOT an example of a secondary immune structure?
A) spleen
B) tonsils
C) thymus gland
D) adenoids
A) spleen
B) tonsils
C) thymus gland
D) adenoids
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39
Name the three categories of blood cells.
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40
__________________ and _________________ are examples of phagocytic cells.
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41
__________________ interferes with viral replication.
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42
What is aP in DTaP?
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43
Name the vaccine used against tuberculosis.
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44
An altered, "safe" toxin used for immunization is called (a) _________________.
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45
Which vaccine might rarely produce polio in a person, the Salk or Sabin vaccine?
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46
The availability of immunization is described as "good news" and "bad news." What is the bad news?
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47
Name a disease that is expected to be eradicated soon.
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48
__________________ is a series of blood proteins that serve as a significant defense mechanism against microbes.
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49
The function of complement is to ________ cells and enhance _______________.
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50
Immature lymphocytes leave the bone marrow and mature into T cells in the ________________.
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51
Name three secondary immune structures.
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52
In certain areas of the respiratory system, cells have hair-like projections called _____________.
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53
The concept of phagocytosis is credited to what person?
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54
Monocytes that have migrated out of the blood but retain their phagocytic capability are known as ________________________.
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55
Name the two categories of the specific immune system.
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56
Plasma cells may remain for many years as ________________ cells.
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57
What category of lymphocytes does HIV specifically attack?
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58
What does CD stand for?
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59
Which type of vaccine is used when attenuation has not been accomplished or when reversion to the virulent type is considered to be too risky?
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60
Live microbes are used in some vaccines; in order to decrease their virulence they are ________________.
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61
The smallpox vaccine was introduced by _____________________.
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62
The newer DPT vaccine is called _____________________.
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63
Immunotherapy with animal sera is hazardous because of the possible development of _____________________.
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64
Three properties are essential for a vaccine; they are safety, effectiveness, and _____________________.
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65
A once healthy person who now has a weakened immune system and suffers from repeated opportunistic infections probably has ____________________.
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66
The "active" component in tetanus antitoxin is ______________.
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67
A newborn receives maternal antibodies from its mother's milk; this is a form of natural ____________ immunization.
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68
Name the congenital condition in which individuals lack functional T and B cells and, therefore, cannot mount an effective immune response.
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69
What are the two pathways of blood cell maturation?
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70
B cells that are producing antibody molecules are known as ________________.
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71
The concept that interaction of the antigen with a specific B lymphocyte leading to expansion of this B lymphocyte during an infection is known as _____________.
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72
Name the three categories of blood cells and cite their functions.
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73
Describe the functions of cilia, phagocytosis, and lysozyme.
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74
SECRETED Antibodies combine with microbial antigens, thereby producing protective effects in several ways. List four of these mechanisms.
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75
Describe cell-mediated immunity.
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76
Many of the childhood diseases acquired early in life render a person immune to that disease for life. Explain the mechanism accounting for this.
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77
Describe three of the four types of active vaccines.
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78
List and describe three methods of active vaccine preparation.
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