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Immunology: inflammation FINISHED

Total questions: 106

Worksheet time: 3585secs

Name
Class
Date
1.

Inflammatory response is a ____ immune defense mechanism that is initiated by injury of infection in vascularized tissue

a)

specific, adaptive

b)

nonspecific, innate

2.

Inflammatory response develops ___ after an injury.

a)

quickly

b)

slowly

3.

The inflammatory response is only always protective.

a)

True

b)

False

4.

Rapid response to an injurious agent that serves to deliver leukocytes and plasma proteins to the site of injury.

a)

Actue inflammation

b)

chronic inflammation

5.

What is the suffix for inflammation?

a)

-itis

b)

-ectomy

c)

-emesis

6.

What are the 3 major components of acute inflammation?

a)

altered vascular caliber

b)

structural changes in microvasculature

c)

emigration of leukocytes from microcirculation

7.

Increased or restricted blood flow is which of the 3 parts of acute inflammation?

a)

altered vascular caliber

b)

structural changes in microvasculature

c)

emigration of leukocytes from microvasculature

8.

Part of acute inflammation that allows plasma proteins and leukocytes to leave the circulation.

a)

altered vascular caliber

b)

structural changes in the microvasculature

c)

emigration of leukocytes from microcirculation

9.

Emigration of leukocytes from the microcirculation, accumulation in the focus of the injury and their activation to elminate the agent is part of the major components of acute inflammation.

a)

True

b)

False

10.

Select the functions of inflammation.

a)

deliver defensive materials to the site

b)

limit effects by confining the pathogen and its products

c)

repair and replace tissue that is damaged

11.

The inflammatory response consists of ____

a)

vascular reactions only

b)

cellular reactions only

c)

both vascular and cellular reactions

12.

Select the cardinal signs of inflammation.

a)

redness

b)

swelling

c)

heat

d)

pain

e)

loss of function

13.

"Rubor"

a)

redness

b)

heat

c)

pain

d)

swelling

14.

"tumor"

a)

redness

b)

heat

c)

pain

d)

swelling

15.

"calor"

a)

redness

b)

heat

c)

pain

d)

loss of function

16.

"dolor"

a)

heat

b)

pain

c)

redness

d)

swelling

17.

Put in order the steps of acute inflammation

a)

inflammatory stimulus

b)

inflammatory mediators

c)

vascular response

d)

leukocyte migration/phagocyte function (then increased next)

e)

inflammatory repair

1)
2)
3)
4)
5)
18.

The six steps of acute inflammation take place ___

a)

locally (at the site of damage)

b)

systemically (body-wide)

19.

What best summarizes step one of the inflammatory response?

a)

tissue damage

b)

PRRs recognize PAMPs and DAMPs

c)

release of chemokines

20.

PAMPs and DAMPs from the inflammatory stimulus are recognized by PRRs is part of which step of acute inflammation?

a)

step 1

b)

step 2

c)

step 3

d)

step 4

21.

Activated macrophages release inflammatory mediators to trigger the AIR.

a)

Step 1

b)

Step 2

c)

step3

d)

step 4

22.

What kind of cells recognize PAMPs and DAMPs?

a)

T cells

b)

B cells

c)

sentinel cells

23.

Which of the following are "sentinel cells"?

a)

macrophage

b)

T cell

c)

DC

d)

B cell

24.

What mediates the trigger for activated macrophages to release inflammatory mediators to trigger the AIR?

a)

IL 12

b)

IL8

c)

IL6

25.

The release of inflammatory mediators by macrophages is cytokine mediated.

a)

True

b)

False

26.

What cytokines increase vascular permeability?

a)

IL 8

b)

IL 1

c)

IL 6

d)

TNF

27.

Which cytokine triggers the acute phase 2 response?

a)

IL 1

b)

IL 6

c)

IL 8

28.

Released to draw neutrophils to the site of infected or damaged area.

a)

cytokines

b)

chemokines

29.

Less ordered form of cell death that leads to the release of cellular contents.

a)

apoptosis

b)

necrosis

30.

When cells are stimulated by mechanical, chemical, or physical stimuli, arachidonic acid is rapidly converted into ____ and _____

a)

TNF and IL 1

b)

leukotrienes and prostaglandins

c)

leukocytes and neutrophils

31.

NSAIDS will inhibit the production of which one?

a)

leukotrienes

b)

prostaglandins

32.

Released by mast cells/basophils, platelets and increases capillary permeability

a)

serotonin

b)

histamine

c)

kinnins/bradykinin

33.

Released by platelets and cause vasoconstriction.

a)

serotonin

b)

histamine

c)

kinins/bradykinins

d)

leukotrienes

34.

Which of the following will NOT produce vascular permeability?

a)

Serotonin

b)

Kinins/bradykinins

c)

prostaglandins

d)

histamine

e)

leukotrienes

35.

Which of the following will vasodialate AND induce pain?

a)

kinins/bradykinins

b)

prostaglandins

c)

leukotrienes

d)

histamine

36.

What is the vascular response to inflammation?

a)

blood vessels dilate

b)

increased capillary permeability

c)

adhesion molecules expressed on endothelial cells

d)

decreases swelling and redness

37.

Vascular response to inflammation is triggered by

a)

chemicals released by damaged cells

b)

not this

38.

Inflammatory mediator release causes vascular changes and increased fluid leakage.

a)

fever

b)

edema

c)

pain

39.

Ultrafiltrate of plasma, low protein content, result of hydrostatic or osmotic imbalance.

a)

transudate

b)

exudate

40.

Result of inflammation, increased leukocytes, increased vascular permeability, high protein content

a)

transudate

b)

exudate

41.

Result of inflammation

a)

transudate

b)

exudate

42.

Result of hydrostatic or osmotic imbalance

a)

transudate

b)

exudate

43.

High protein content

a)

transudate

b)

exudate

44.

low protein content

a)

transudate

b)

exudate

45.

Transudate and exudate leads to edema.

a)

True

b)

False

46.

In edema, Leakage is restricted to venules of 20-60 mm in diameter.

a)

True

b)

False

47.

Leakage for edema is caused by endothelial gaps.

a)

True

b)

False

48.

Edema is usually and ___ and transient response.

a)

slow

b)

immediate

49.

Gaps in venules occur due to shortening and contraction of individual endothelial cells.

a)

True

b)

False

50.

Loss of protein from plasma will lead to REDUCED osmotic pressure in the ____

a)

vasculature

b)

interstitium

51.

Loss of protein in plasma leads to INCREASED osmotic pressure in the ____

a)

vasculature

b)

interstitium

52.

A critical function of the vascular inflammatory response is to

a)

deliver leukocytes to site of injury

b)

not this

53.

First inflammatory cells recruited to the site of inflammation

a)

macrophages

b)

T cells

c)

neutrophils

d)

B cells

54.

Extravasation of leukocytes is a coordinated even of ____

a)

rolling adhesion

b)

tight binding

c)

diapedesis

d)

migration

55.

During leukocyte migration, blood flow ____

a)

slows

b)

speeds up

56.

MAcrophages release ____ to facilitate movement through the basement membrane.

a)

PAMPs

b)

MMPs

c)

DAMPs

57.

In order for leukocytes to leave the vessel lumen, endothelial cells need to be activated which upregulates ______.

a)

adhesion molecules

b)

not this

58.

Adhesion molecules on endothelial cells interact with complementary adhesion molecules on leukocytes.

a)

True

b)

False

59.

Upregulation of adhesion molecules on endothelial cells is induced by ___, ___, and ____.

a)

TNF-a

b)

IL 1

c)

histamine

d)

IL 8

60.

TNF-a, IL-1, and histamine to upregulate adhesion molecules is produced by ____

a)

neutrophils

b)

macrophages

61.

What are the 4 families of adhesion molecules involved in leukocyte migration?

a)

selectins

b)

mucin-like glycoproteins

c)

immunoglobulin-like molecules

d)

integrins

62.

What are the weaker affinity interactions that are needed for rolling adhesion?

a)

selectins

b)

immunoglobulin-like molecules

c)

integrins

d)

mucin-like glycoproteins

63.

Higher affinity interactions that are needed for tight binding?

a)

selectin

b)

immunoglobulin-like molecules

c)

integrins

d)

mucin-like glycoproteins

64.

What is the stronger high affinity interaction?

a)

Immunoglobulin like molecules

b)

integrins

65.

Which is the weakest weaker affinity interactions?

a)

selectin

b)

mucin-like glycoproteins

66.

sialyated lewis X and Heparin sulfate

a)

selectins

b)

mucin-like glycoproteins

c)

immunoglobulin

d)

integrins

67.

ICAM-intercellular adhesion molecule and VCAM-vascular adhesion molecule

a)

selectin

b)

mucin-like glycoproteins

c)

immunoglobulin like molecules

d)

integrins

68.

LFA-1 and VLA-4

a)

selectin

b)

mucin-like glycoproteins

c)

immunoglobulin like molecules

d)

integrins

69.

Put the steps of leukocyte migration in order

a)

rolling adhesion

b)

tight binding

c)

diapedesis

d)

migration

1)
2)
3)
4)
70.

During rolling adhesion, ____ and ____ mediate the interact between leukocytes and the endothelium.

a)

glycoproteins

b)

selectins

c)

immunoglobulin-like molecules

d)

integrins

71.

Sialyated-Lewis X binds with

a)

E/P selectins

b)

Heparin sulfate

72.

L-selectin

a)

E/P selectin

b)

Heparin sulfate

73.

Brings the leukocyte closer to the endothelial lining

a)

margination

b)

not this

74.

Bringing the leukocyte closer to the endothelial lining is which part of leukocyte migration?

a)

rolling adhesion

b)

tight binding

c)

diapedesis

d)

migration

75.

Endothelial cells are activated by cytokines and inflammatory mediators during which part of leukocyte migration?

a)

rolling adhesion

b)

tight binding

c)

diapedesis

d)

migration

76.

What gets secreted by activated endothelial cells during inflammation?

a)

cytokines

b)

chemokines

77.

Chemokines bind to receptors on leukocytes and increase integrin expression during which part of leukocyte migration?

a)

rolling adhesion

b)

tight binding

c)

diapedesis

d)

migration

78.

cell adhesion molecules expressed on leukocytes that bind to ICAM or VCAM on endothelial cells

a)

selectins

b)

integrins

79.

In tight adhesion, LFA-1 binds to ___

a)

ICAM

b)

VCAM

80.

In tight adhesions, VLA-4 binds to ___

a)

ICAM

b)

VCAM

81.

Which cytokines upregulate ICAM on endothelial cells?

a)

IL-1

b)

TNF-a

c)

IL-6

d)

IL-8

82.

Strong adhesion that arrests the leukocyte.

a)

rolling adhesion

b)

tight binding

c)

diapedesis

d)

migration

83.

when the leukocyte migrates through endothelial junctions

a)

margiination

b)

diapedesis

84.

Which cytokine serves as a chemoattractant for neutrophils?

a)

IL-1

b)

IL-6

c)

IL-8

d)

TNF-a

85.

break up basement membrane collagen so the neutrophils can move through the tissue

a)

PAMPs

b)

DAMPs

c)

MMPs

d)

ICAM

86.

What releases MMPs?

a)

neutrophils

b)

macrophages

c)

endothelial cells

87.

Which is an EXOGENOUS stimuli that can act as a chemoattractant for leuocytes?

a)

bacterial product

b)

anaphylatoxins

c)

leukotrienes

d)

chemokines

88.

Which is an ENDOGENOUS stimulil that can act as a chemoattractant for leukotrienes?

a)

bacterial products

b)

anaphylatoxins

c)

leukotrienes

d)

chemokines

89.

C5a, C3a, and C4a are all ____

a)

anaphylatoxins

b)

leukotrienes

c)

chemokines

90.

IL8 is a ___

a)

anaphylatoxin

b)

leukotriene

c)

chemokine

91.

differentiate into macrophages in the tissue

a)

monocyte

b)

neutrophil

c)

mast cell

92.

release cytokines and chemokines and increase their phagocytic activity

a)

monocytes

b)

macrophages

c)

neutrophils

d)

mast cells

93.

Release granules that contain antimicrobial oxygen radicals

a)

macrophages

b)
Neutrophils
c)

mast cells

94.

Release histamines, leukotrienes, and cytokines

a)

macrophages

b)

neutrophils

c)

mast cells

d)

Eosinophils

95.

Release granules that act as cytotoxic proteins

a)

neutrophils

b)

eosinophils

96.

Which leukocyte shows up to the injured tissue first?

a)

monocytes

b)

lymphocytes

c)

neutrophils

97.

Kills pathogens through oxygen radicals

a)

neutorphils

b)

eosinophils

98.

Forms pus upon death

a)

macrophages

b)

neutrophils

c)

eosinophils

99.

What facilitates attachment of a pathogen to a macrophage?

a)

pathogen coating

b)

not this

100.

Macrophages can only phagocytize dead neutrophils and NOT the pathogen itself.

a)

True

b)

False

101.

complement proteins and antibodies that coat a pathogen and help macrophages phagcytize them.

a)

opsonins

b)

integrins

102.

Select all of the ways acute inflammation is terminated.

a)

eradication of the pathogen or injury

b)

neutrophils dying off

c)

short lived mediators

d)

anti-inflammatory cytokines

103.

which of the following are ANTI-INFLAMMATORY cytokines?

a)

IL-1

b)

IL-10

c)

TNF-a

d)

TGF-B

e)

IL-6

104.

Which of the following are PRO-INFLAMMATORY cytokines?

a)

IL-1

b)

IL-10

c)

TNF-a

d)

TGF-B

e)

IL-6

105.

During acute inflammation resolution, macrophages release growth factors that repair the collagen that was degraded by MMPs.

a)

True

b)

False

106.

What is the term when connective tissue replaces damaged tissue?

a)

necrosis

b)

fibrosis