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Chapter 22: (Study guide and SB q&a)

Total questions: 108

Worksheet time: 55mins

Name
Class
Date
1.

Differentiate the two types of immunity. Categorize them as specific or non-specific, whether they have memory, and their type of response to subsequent exposure to antigen.

Which of the following best describes innate (nonspecific) immunity?

a)

A. Highly specific; remembers prior exposures

b)

B. Nonspecific; attacks all pathogens the same way

c)

C. Activated by vaccines only

d)

D. Develops only after infection

2.

Differentiate the two types of immunity. Categorize them as specific or non-specific, whether they have memory, and their type of response to subsequent exposure to antigen.

Does innate immunity have memory?

a)

A. Yes

b)

B. No

3.

Differentiate the two types of immunity. Categorize them as specific or non-specific, whether they have memory, and their type of response to subsequent exposure to antigen.

How does innate immunity respond to repeat exposure?

a)

A. Response becomes faster each time

b)

B. Same response each time

c)

C. Slower each time

d)

D. Only works once

4.

Differentiate the two types of immunity. Categorize them as specific or non-specific, whether they have memory, and their type of response to subsequent exposure to antigen.

Which of the following is an example of innate immunity?

a)

A. B cells

b)

B. T cells

c)

C. Skin, mucus, macrophages, natural killer cells

d)

D. Antibodies

5.

Differentiate the two types of immunity. Categorize them as specific or non-specific, whether they have memory, and their type of response to subsequent exposure to antigen.

Which of the following best describes adaptive (specific) immunity?

a)

A. Attacks all pathogens the same

b)

B. Has no memory

c)

C. Highly specific; targets particular antigens and remembers them

d)

D. Works only at physical barriers

6.

Differentiate the two types of immunity. Categorize them as specific or non-specific, whether they have memory, and their type of response to subsequent exposure to antigen.

Which cells are examples of adaptive immunity?

a)

A. B cells and T cells

b)

B. Skin and mucus

c)

C. Neutrophils and NK cells

d)

D. Complement proteins

7.

Identify the 4 general categories of components of innate (nonspecific) immunity.

a)

A. Physical and chemical barriers, cells, chemical mediators, inflammatory response

b)

B. B cells, T cells, cytokines, antibodies

c)

C. Skin, spleen, thymus, bone marrow

d)

D. Antigens, enzymes, blood, tissues

8.

Describe the first line of defense.

Which structures act as physical barriers in the first line of defense?

a)

A. Skin, mucus membranes, cilia in the respiratory tract

b)

B. Spleen and thymus

c)

C. Antibodies

d)

D. Cytokines

9.

Describe the first line of defense.

Which are examples of chemical barriers in the first line of defense?

a)

A. Saliva, sweat, stomach acid, lysozyme enzymes

b)

B. Cytotoxic T cells and interferons

c)

C. B cells and antibodies

d)

D. Complement proteins

10.

Describe the first line of defense.

What is the main action of the first line of defense?

a)

A. Kill infected cells

b)

B. Prevent pathogens from entering the body

c)

C. Produce antibodies

d)

D. Promote fever

11.

Describe in general how the cells of the innate immune system work compared to those of the specific immune system.

a)

A. Innate cells respond quickly and non-specifically; adaptive cells respond slower but are specific and form memory

b)

B. Both respond at the same speed

c)

C. Adaptive cells act first and nonspecifically

d)

D. Innate cells are slower but more specific

12.

Describe the effects of complement and interferon.

What is the function of the complement system?

a)

A. Chemical barrier that prevents entry

b)

B. Group of plasma proteins that destroy pathogens and enhance immunity

c)

C. Cells that release histamine

d)

D. Hormone that regulates temperature

13.

Describe the effects of complement and interferon.

Which is NOT an effect of complement?

a)

A. Forming membrane attack complexes

b)

B. Enhancing phagocytosis (opsonization)

c)

C. Stimulating inflammation

d)

D. Producing antibodies directly

14.

Describe the effects of complement and interferon.

What is the function of interferons?

a)

A. Trigger fever

b)

B. Warn neighboring cells to produce antiviral proteins

c)

C. Stimulate red blood cell production

d)

D. Promote inflammation

15.

Identify the cells of the innate immune system and the general functions for each.

Function: Phagocytize bacteria; first responders

a)

Neutrophils

b)

Macrophages

c)

Dendritic cells

d)

NK cells

16.

Identify the cells of the innate immune system and the general functions for each.

Function: Large phagocytes; present antigens to adaptive cells

a)

Eosinophils

b)

Macrophages

c)

Dendritic cells

d)

NK cells

17.

Identify the cells of the innate immune system and the general functions for each.

Function: Capture antigens; activate adaptive immunity

a)

Eosinophils

b)

Basophils & Mast cells

c)

Dendritic cells

d)

NK cells

18.

Identify the cells of the innate immune system and the general functions for each.

Function: Destroy virus-infected or abnormal cells

a)

Eosinophils

b)

Basophils & Mast cells

c)

Dendritic cells

d)

NK cells

19.

Identify the cells of the innate immune system and the general functions for each.

Function: Fight parasites; moderate allergies

a)

Eosinophils

b)

Basophils & Mast cells

c)

Dendritic cells

d)

NK cells

20.

Identify the cells of the innate immune system and the general functions for each.

Function: Release histamine → inflammation

a)

Eosinophils

b)

Basophils & Mast cells

c)

Dendritic cells

d)

NK cells

21.

Identify the cells of the innate immune system and the general functions for each.

Which cell is the first responder to bacterial infection?

a)

A. Neutrophil

b)

B. Macrophage

c)

C. NK cell

d)

D. B cell

22.

Identify the cells of the innate immune system and the general functions for each.

Which cells release histamine to trigger inflammation?

a)

A. Basophils and mast cells

b)

B. Macrophages

c)

C. NK cells

d)

D. Eosinophils

23.

Describe inflammation.

What are the signs of inflammation?

a)

A. Redness, heat, swelling, pain, sometimes loss of function

b)

B. Pale skin, fatigue, low body temperature

c)

C. High blood pressure and fever

d)

D. Cold skin and chills

24.

Describe inflammation.

What are the functions of inflammation?

a)

A. Brings immune cells to the site, removes pathogens and damaged tissue, begins repair

b)

B. Cools the affected area

c)

C. Prevents oxygen flow

d)

D. Reduces circulation

25.

Describe the role of fever, its stimulus, benefits of low-grade fever, and danger of high-grade fever.

What causes fever?

a)

A. Pyrogens acting on the hypothalamus to raise body temperature

b)

B. Complement proteins

c)

C. Antibodies binding to viruses

d)

D. NK cell activity

26.

Describe the role of fever, its stimulus, benefits of low-grade fever, and danger of high-grade fever.

What are the benefits of a low-grade fever?

a)

A. Slows metabolism

b)

B. Speeds up immune response and metabolism

c)

C. Destroys antibodies

d)

D. Prevents inflammation

27.

Describe the role of fever, its stimulus, benefits of low-grade fever, and danger of high-grade fever.

Why is a high-grade fever dangerous?

a)

A. Causes tissue and protein damage

b)

B. Strengthens immune cells

c)

C. Prevents pathogen destruction

d)

D. Lowers body temperature too much

28.

Define and describe antigens (include foreign vs. self-antigens).

What is an antigen?

a)

A. A molecule that triggers an immune response

b)

B. A type of antibody

c)

C. A blood protein

d)

D. A cytokine

29.

Define and describe antigens (include foreign vs. self-antigens).

What are foreign antigens?

a)

A. Normal self molecules

b)

B. Found on pathogens or toxins, recognized as “not self”

c)

C. Produced by red blood cells

d)

D. Found only on antibodies

30.

Define and describe antigens (include foreign vs. self-antigens).

What are self-antigens?

a)

A. Found on pathogens

b)

B. Molecules on our own cells; ignored by immune system unless autoimmune disorder occurs

c)

C. Produced by macrophages

d)

D. Same as antibodies

31.

Identify the 2 types of T-lymphocytes and the CD marker of each.

a)

A. Helper T cells (CD4+): coordinate immune response

b)

B. Cytotoxic T cells (CD8+): kill infected or abnormal cells

c)

C. Both A and B

32.

Describe positive selection. This ensures T-cells are able to ____________.

a)

A. Recognize and bind MHC molecules

b)

B. Attack self-antigens

c)

C. Avoid binding MHC molecules

d)

D. Produce antibodies

33.

Describe negative selection. This ensures T-cells are unable to ____________.

a)

A. Recognize MHC

b)

B. Bind strongly to self-antigens

c)

C. Attack pathogens

d)

D. Leave the thymus

34.

Identify the antigen-presenting cells (APCs), which cells they present to, and MHC expression.

Which are the main antigen-presenting cells?

a)

A. Dendritic cells, macrophages, B cells

b)

B. NK cells and neutrophils

c)

C. RBCs and platelets

d)

D. T cells and eosinophils

35.

Identify the antigen-presenting cells (APCs), which cells they present to, and MHC expression.

Which MHC type is found on all nucleated cells?

a)

A. MHC I

b)

B. MHC II

c)

C. Both

d)

D. Neither

36.

Identify the antigen-presenting cells (APCs), which cells they present to, and MHC expression.

Which MHC type is found only on antigen-presenting cells?

a)

A. MHC I

b)

B. MHC II

c)

C. Both

d)

D. Neither

37.

Identify the types of cells that express MHC I and MHC II and the type of antigen they present.

MHC I molecules present:

a)

A. Intracellular (viral or tumor) antigens

b)

B. Extracellular antigens

c)

C. Antibodies

d)

D. Hormones

38.

Identify the types of cells that express MHC I and MHC II and the type of antigen they present.

MHC II molecules present:

a)

A. Intracellular antigens

b)

B. Phagocytized (foreign) antigens

c)

C. Cytokines

d)

D. Antibodies

39.

Describe helper T-cell activation.

a)

A. APC presents antigen on MHC II to a CD4+ helper T cell → helper T cell releases cytokines to activate B cells, cytotoxic T cells, and macrophages.

b)

B. Helper T cells attack directly without MHC recognition.

c)

C. APC uses MHC I only.

d)

D. Cytokines are not involved.

40.

Describe cytotoxic T-cell activation.

a)

A. MHC I presents antigen to CD8+ cytotoxic T cell; helper T cells release cytokines to fully activate it → targets intracellular antigens.

b)

B. MHC II presents antigen to CD4+ cell.

c)

C. Activation occurs without helper T cells.

d)

D. Targets only extracellular bacteria.

41.

Describe how cytotoxic T cells destroy other cells.

a)

A. Release perforin and granzymes to induce apoptosis in target cells.

b)

B. Engulf bacteria directly.

c)

C. Produce antibodies.

d)

D. Neutralize toxins.

42.

Describe B-cell activation.

a)

A. B cell binds antigen → helper T cell confirms → cytokines activate B cell → forms plasma and memory cells; targets extracellular antigens.

b)

B. B cell activates without helper T cells.

c)

C. B cells destroy infected cells directly.

d)

D. Produces only cytokines.

43.

Describe the basic function of T-helper cells.

a)

A. Activate B and cytotoxic T cells, release cytokines, coordinate immune response.

b)

B. Destroy infected cells directly.

c)

C. Produce antibodies.

d)

D. Absorb fats.

44.

Identify the basic actions of antibodies.

Which is NOT a basic action of antibodies?

a)

A. Neutralization

b)

B. Agglutination

c)

C. Complement activation

d)

D. Cytokine secretion

45.

Identify the basic actions of antibodies.

Which antibody action makes soluble antigens fall out of solution?

a)

A. Precipitation

b)

B. Agglutination

c)

C. Opsonization

d)

D. Neutralization

46.

Describe and be able to apply the 4 methods of acquiring immunity.

Description: From infection; body makes antibodies &

Example: Recovering from chickenpox

a)

Active Natural

b)

Active Artificial

c)

Passive Natural

d)

Passive Artificial

47.

Describe and be able to apply the 4 methods of acquiring immunity.

Description: From vaccination &

Example: Flu shot

a)

Active Natural

b)

Active Artificial

c)

Passive Natural

d)

Passive Artificial

48.

Describe and be able to apply the 4 methods of acquiring immunity.

Description: From mother (placenta or milk) &

Example: Maternal antibodies

a)

Active Natural

b)

Active Artificial

c)

Passive Natural

d)

Passive Artificial

49.

Describe and be able to apply the 4 methods of acquiring immunity.

Description: From injection of antibodies &

Example: Rabies antiserum, antivenom

a)

Active Natural

b)

Active Artificial

c)

Passive Natural

d)

Passive Artificial

50.

Describe and be able to apply the 4 methods of acquiring immunity.

Which type of immunity results from a vaccine?

a)

A. Active artificial

b)

B. Active natural

c)

C. Passive natural

d)

D. Passive artificial

51.

Describe and be able to apply the 4 methods of acquiring immunity.

Which type of immunity is temporary and comes from the mother?

a)

A. Active artificial

b)

B. Passive natural

c)

C. Active natural

d)

D. Passive artificial

52.

Describe and be able to apply the 4 methods of acquiring immunity.

Which type of immunity results from an injection of antibodies?

a)

A. Passive artificial

b)

B. Active artificial

c)

C. Passive natural

d)

D. Active natural

53.
  1. Select all that apply Identify the five major categories of infectious agents. Multiple select question.

a)
  1. multicellular parasites

b)
  • Viruses

c)
  1. fungi

d)
  1. bacteria

e)
  1. protozoans

54.
  1. Multiple Choice Question Choose the location of leukocyte formation. Multiple choice question.

a)
  1. thymus gland

b)
  1. red bone marrow

c)
  1. yellow bone marrow

d)
  1. thyroid gland

e)
  1. trachea

55.
  1. Multiple Choice Question Which is not an example of an antigen?

a)
  1. plasma

b)
  1. cell wall of fungi

c)
  1. bacterial toxins

56.
  1. Multiple Choice Question Identify the immune cell that is part of innate immunity.

a)
  1. T cell

b)
  1. plasma cell

c)
  1. B cell

d)
  1. natural killer cell

57.
  1. Multiple Choice Question Innate immunity is Blank______.

a)
  1. specific

b)
  1. nonspecific

58.
  1. The five major categories of infectious agents include bacteria, protozoans, multicellular parasites, viruses, and ____

a)

fungi

b)

Toxins

59.
  1. Hair-like extensions of plasma membranes that in the respiratory system, function to sweep mucus upward so that it can be expectorated or swallowed are ____

a)

cilia

b)

fungi

60.
  1. Multiple Choice Question Natural killer cells are a type of Blank______. Multiple choice question.

a)
  1. lymphocyte

b)
  1. granulocyte

c)
  1. monocyte

61.
  1. Multiple Choice Question Vesicles with infectious agents that formed during phagocytosis merge with Blank______.

a)
  1. mitochondria

b)
  1. ribosomes

c)
  1. lysosomes

62.
  1.  Multiple Choice Question Antigens are usually a Blank______.

a)
  1. small polysaccharide or lipid

b)
  1. protein or large polysaccharide

c)
  1. nucleic acid or protein

d)
  1. lipid

63.

Multiple Choice Question Examples of antimicrobial proteins of the innate immune system are Blank______.

a)
  1. B cells

b)

interferons and complement

c)

T cells

d)

antibodies

64.
  1. Multiple Choice Question Natural killer cells provide Blank______ immunity.

a)
  1. specific

b)
  1. nonspecific

65.
  1. Multiple Choice Question During inflammation, more fluid immune cells, and proteins Blank______ the capillaries.

a)
  1. leave

b)
  1. enter

66.
  1. Multiple Choice Question Skin and mucous membranes provide what type of immunity?

a)
  1. innate immunity

b)
  1. specific immunity

67.
  1. An abnormal elevation of core body temperature is called ____.

a)

fever

b)

Allergy

68.
  1. Multiple Choice Question Identify the name for the hairs in the nose that trap microbes.

a)
  1. cilia

b)
  1. sebum

c)
  1. normal flora

d)
  1. vibrissae

69.
  1. Multiple Choice Question T-lymphocytes are a part of Blank______ immunity. Multiple choice question.

a)
  1. cellular

b)
  1. humoral

70.
  1. Multiple Choice Question Phagocytic cells Blank______.

a)
  1. engulf unwanted infectious

b)
  1. agents produce viruses

c)
  1. produce antibodies

71.
  1. Multiple Choice Question CD8 cells are also called Blank______.

a)
  1. helper T-cells

b)
  1. cytotoxic T-cells

c)
  1. complement deactivaters

d)
  1. antibodies

72.
  1. Multiple Choice Question Interferons and complement are categories of Blank______.

a)
  1. digestive enzymes

b)
  1. antimicrobial proteins

c)
  1. antibodies

73.
  1. Select all that apply Identify all the antigen-presenting cells. Multiple select question.

a)
  1. macrophages

b)
  1. dendritic cells

c)
  1. hepatic cells

d)
  1. B-lymphocytes

74.
  1. Multiple Choice Question Which occurs during inflammation?

a)
  1. vasoconstriction

b)
  1. vasodilation

75.
  1. Fill in the Blank Question Fill in the blank question. T-lymphocytes mature in the ___.

a)

thymus

b)

Lymph nodes

76.
  1. Multiple Choice Question Pyrexia is the presence of Blank______. Multiple choice question.

a)
  1. pus

b)
  1. a fever

c)
  1. chills

d)
  1. inflammation

77.
  1. Multiple Choice Question T-lymphocytes that can bind with thymic epithelial cells that have MHC molecules have passed a test called Blank______.

a)
  1. negative selection

b)
  1. positive selection

78.
  1. Fill in the Blank Question Fill in the blank question. Antibody-mediated immunity is also called ____ immunity.

a)

humoral

b)

cellular

79.
  1. Multiple Choice Question Where are foreign antigens found in the blood usually taken?

a)
  1. spleen

b)
  1. lymph node

c)
  1. tonsils

80.
  1. Multiple Choice Question Helper T-lymphocytes are also referred to as Blank______.

a)
  1. CD8 cells

b)
  1. CD6 cells

c)
  1. CD4 cells

d)
  1. CD2 cells

81.

True or false: the events of activation of a T helper cell in correct order. 

a)

true

b)

false

82.
  1. Multiple Choice Question Antigen presentation is the display of an antigen on a cell's Blank______.

a)
  1. nucleus

b)
  1. ribosomes

c)
  1. plasma membrane

d)
  1. nucleolus

83.

true or false: are the events in correct order?

a)

true

b)

false

84.
  1. T-lymphocytes originate in the ____ bone marrow.

a)

red

b)

yellow

85.

match the effector response with the correct cell type

effector response: destroys infected cells via apoptosis

a)

cytotoxic T cell

b)

plasma cell

c)

helper T cell

86.

match the effector response with the correct cell type

effector response: produces antibodies

a)

cytotoxic T cell

b)

plasma cell

c)

helper T cell

87.

match the effector response with the correct cell type

effector response: releases interleukins and cytokines to stimulate other cells

a)

cytotoxic T cell

b)

plasma cell

c)

helper T cell

88.
  1. Multiple Choice Question Positive selection tests to see if the Blank______ of a T-lymphocyte can recognize and bind to an MHC molecule.

a)
  1. BAR

b)
  1. BCR

c)
  1. TCR

d)
  1. TAR

89.
  1.  Multiple Select Question Select all that apply Activated helper T cells are required to activate which two of the following?

a)
  1. NK cells

b)
  1. cytotoxic T cells

c)
  1. antigen presenting cells

d)
  1. B cells

90.
  1.  Multiple Choice Question Lymphocytes usually first encounter their foreign antigen in Blank______.

a)
  1. the red pulp of the spleen

b)
  1. the bone marrow

c)
  1. a secondary lymphatic structure

d)
  1. the thymus

91.
  1. Multiple Choice Question Antibodies are Blank______.

a)
  1. immunogens

b)
  1. antigens

c)
  1. lymphocytes

d)
  1. immunoglobulins

92.
  1. Multiple Choice Question A helper T cell is first stimulated by binding to antigen presented on an Blank______.

a)
  1. MHC class I molecule presented by an infected cell

b)
  1. MHC class II molecule presented by an APC

c)
  1. MHC class II molecule presented by an infected cell

d)
  1. MHC class I molecule presented by an APC

93.
  1. Multiple Choice Question An antibody monomer is made of Blank______.

a)
  1. two heavy chains and two light chains

b)
  1. two heavy chains and one light chain

c)
  1. one heavy chain and one light chain

d)
  1. one heavy chain and two light chains

94.
  1.  Multiple Choice Question A B cell is first stimulated by Blank______.

a)
  1. Antigens outside of cells

b)

Antigens presented on an MHC class I molecule of an infected cell

c)

C. Antigens presented on an MHC class II molecule of an APC

d)

D. Antigen presented on an MHC class I molecule of an APC

95.
  1. Multiple Choice Question An antibody covers the region of a virus used to bind to a host cell. This is an example of Blank______.

a)
  1. precipitation

b)
  1. neutralization

c)
  1. complement

d)
  1. fixation

e)
  1. agglutination

96.
  1.  Multiple Choice Question The various ways that activated lymphocytes combat an antigen are collectively referred to as the Blank______ response.

a)
  1. receptor

b)
  1. antigen

c)
  1. effector

d)
  1. recirculation

97.
  1. Multiple Choice Question When antibodies cross link viral particles, they become insoluble, or Blank______, and drop out of body fluids.

a)
  1. precipitated

b)
  1. agglutinated

c)
  1. opsonized

d)
  1. neutralized

98.
  1. Select all that apply Activated helper T cells release which two of the following to stimulate other immune cells? Multiple select question.

a)
  1. membrane attack complexes

b)
  1. perforins

c)
  1. interleukins

d)
  1. granzymes

e)
  1. cytokines

99.
  1.  Multiple Choice Question Which antibody region is responsible for stimulating NK cells?

a)
  1. antigen binding site

b)
  1. Fc

c)
  1. hinge

d)
  1. variable

100.
  1. Multiple Choice Question Antibodies Blank______. tag pathogens for destruction by other cells lyse infected cells with perforins destroy pathogens directly produce granzymes that puncture bacterial cell membranes

a)

Tag pathogens for destruction by other cells

b)

Lyse infected cells with perforins

c)

Destroy pathogens directly

d)

Produce granzymes that puncture bacterial cell membranes

101.
  1. Multiple Choice Question The first exposure to an antigen is called the Blank______.

a)

A. Anamnestic response

b)

B. Antigen challenge

c)

C. Memory response

102.
  1.  Y-shaped immunoglobulin molecule is made of four polypeptide chains and referred to as a(n) ____  monomer.

a)

antibody

b)

polymer

103.
  1. Multiple Choice Question The type of immunity that lasts longer is Blank______ immunity. Multiple choice question.

a)
  1. active

b)
  1. passive

104.
  1. Multiple Choice Question When antibodies completely cover the surface of a virus so it can no longer infect a cell, it is said to be Blank______.

a)
  1. opsonized

b)
  1. agglutinated

c)
  1. neutralized

d)
  1. precipitated

105.
  1. Multiple Choice Question Which region of an antibody helps activate complement?

a)
  1. precipitation

b)
  1. variable

c)
  1. Fc

106.
  1. Multiple Choice Question The process of antibodies coating a bacterium, making it easier for macrophages to engulf it, is called Blank______.

a)
  1. fragmentation

b)
  1. respiration

c)
  1. opsonization

d)
  1. precipitation

107.
  1. Multiple Choice Question The secondary response of immunologic memory is often called the memory response or Blank______ response.

a)
  1. integrated

b)
  1. immunologic

c)
  1. anamnestic

d)
  1. anaphylactic

108.
  1. Multiple Select Question Select all that apply Identify all the true statements regarding active immunity.

a)
  1. Active immunity includes the development of memory cells

b)
  1. Active immunity may result from the transfer of breast milk from mother to child.

c)
  1. Active immunity may result from direct exposure to an antigen.