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Worksheets

Unit Student Learning Outcomes

Total questions: 96

Worksheet time: 48mins

Name
Class
Date
1.

Identify primary and accessory structures and functions of the lymphatic system.

a)

Primary structures include lymph nodes and spleen; accessory structures include tonsils and thymus. Functions include fluid balance, immune response, and absorption of fats.

b)

Primary structures include heart and lungs; accessory structures include kidneys and liver. Functions include oxygen transport and waste removal.

c)

Primary structures include bones and muscles; accessory structures include skin and hair. Functions include movement and protection.

d)

Primary structures include pancreas and gallbladder; accessory structures include stomach and intestines. Functions include digestion and hormone regulation.

2.

Cell mediated and antibody mediated immunity pathways differ in their mechanisms and roles. Which of the following best describes this difference?

a)

Cell mediated immunity involves T cells targeting infected cells, while antibody mediated immunity involves B cells producing antibodies against pathogens.

b)

Cell mediated immunity involves B cells producing antibodies, while antibody mediated immunity involves T cells attacking infected cells.

c)

Both pathways only involve the production of antibodies.

d)

Both pathways only involve the activation of macrophages.

3.

Summarize the active and passive arms of innate and adaptive immunity (CLSO 1, 2, 3, 4).

a)

Active immunity involves the body's own immune response, while passive immunity involves receiving antibodies from another source; both can be innate or adaptive.

b)

Active immunity is only present in adaptive immunity, while passive immunity is only present in innate immunity.

c)

Passive immunity requires vaccination, while active immunity does not.

d)

Innate immunity is always passive, and adaptive immunity is always active.

4.

What does the immune system protect us from?

a)

Bacteria, viruses, and cancer cells

b)

Only bacteria

c)

Only viruses

d)

Only cancer cells

5.

The lymphatic system helps with both ______ and fluid balance.

a)

defense

b)

digestion

c)

respiration

d)

movement

6.

What is lymph?

a)

A) A type of cell

b)

B) Fluid that drains from tissues and returns to the blood

c)

C) A type of organ

d)

D) A protein

7.

Which of the following is a function of lymph nodes?

a)

Carry fluid

b)

Filter the lymph to remove harmful substances

c)

Create immune cells

d)

Store fat

8.

Lymphatic vessels carry fluid (lymph) and help ______ harmful substances.

a)

remove

b)

produce

c)

ignore

d)

spread

9.

Which lymphoid organs help create or filter immune cells?

a)

Heart and lungs

b)

Thymus and spleen

c)

Kidneys and liver

d)

Pancreas and stomach

10.

What is the fluid called when blood plasma leaks out of capillaries into tissue spaces?

a)

Lymph

b)

Interstitial fluid (IF)

c)

Plasma

d)

Serum

11.

Most interstitial fluid (IF) goes back into capillaries, but some stays behind. What happens to the leftover IF?

a)

It becomes plasma

b)

It enters lymphatic capillaries and is called lymph

c)

It evaporates

d)

It becomes serum

12.

Fill in the blank: Lymph helps _______ swelling and supports fluid balance.

a)

prevent

b)

increase

c)

cause

d)

ignore

13.

Arrange the following in the correct sequence of fluid transformation: Blood → _______ → Lymph

a)

Interstitial fluid

b)

Plasma

c)

Serum

d)

Urine

14.

Lymph supports fluid balance in the body.

a)

True

b)

False

15.

Which college is credited in the image for the information on the formation of lymph?

a)

Harvard College

b)

Galen College of Nursing

c)

Oxford College

d)

Yale College

16.

Lymphatic capillaries are thin and porous. What does this allow to enter?

a)

Large molecules (like proteins)

b)

Red blood cells

c)

Oxygen molecules

d)

Platelets

17.

Lymph flows in one direction only.

a)

True

b)

False

18.

What keeps lymph moving forward and prevents backflow?

a)

Valves

b)

Arteries

c)

Capillaries

d)

Muscles

19.

Lymph drains into which two main ducts?

a)

Right lymphatic duct and Thoracic duct

b)

Superior vena cava and Subclavian vein

c)

Jugular vein and Brachiocephalic vein

d)

Left lymphatic duct and Inferior vena cava

20.

Which duct drains lymph from the right upper body?

a)

Thoracic duct

b)

Right lymphatic duct

c)

Left subclavian vein

d)

Superior vena cava

21.

The thoracic duct drains lymph from which side of the body?

a)

Right side

b)

Left side and most of the body

c)

Only the head

d)

Only the arms

22.

Lymphatic nodes are located in clusters along ________ vessels.

a)

lymphatic

b)

arterial

c)

venous

d)

capillary

23.

What type of structure are lymphatic nodes?

a)

Solid organs

b)

Hollow capsules

c)

Dense tissues

d)

Fluid sacs

24.

What is the function of lymphatic nodes regarding bacteria and abnormal cells?

a)

They produce bacteria

b)

They filter bacteria and abnormal cells and prevent the spread of infection

c)

They store bacteria

d)

They destroy healthy cells

25.

Lymphatic nodes may become enlarged when an infection is present.

a)

True

b)

False

26.

Lymphatic nodes may serve as a pathway for cancer to spread.

a)

True

b)

False

27.

Identify the structure labeled 'Lymph node' in the diagram.

a)

The green, bean-shaped structure in the diagram is the lymph node.

b)

The long, tubular structure in the diagram is the lymph node.

c)

The circular, red structure in the diagram is the lymph node.

d)

The yellow, star-shaped structure in the diagram is the lymph node.

28.

What is the function of afferent lymphatic vessels in lymph nodes?

a)

Carry lymph out of the node

b)

Carry lymph into the node

c)

Trap debris

d)

Destroy pathogens

29.

Lymph flows slowly through ______ in the cortex and medulla.

a)

sinuses

b)

arterioles

c)

capillaries

d)

ducts

30.

What is the function of efferent lymphatic vessels?

a)

Carry filtered lymph out of the node

b)

Carry lymph into the node

c)

Trap debris

d)

Filter breast lymph

31.

Fewer efferent than afferent vessels slows flow for better ______.

a)

filtration

b)

absorption

c)

diffusion

d)

secretion

32.

Which process involves reticular fibers trapping debris in lymph node filtration?

a)

Mechanical

b)

Biological

c)

Chemical

d)

Physical

33.

Which process involves immune cells destroying pathogens (phagocytosis) in lymph node filtration?

a)

Mechanical

b)

Biological

c)

Chemical

d)

Physical

34.

Swollen nodes are a sign of ______ activity (e.g., infection).

a)

immune

b)

digestive

c)

respiratory

d)

muscular

35.

Axillary nodes filter breast lymph and are critical in cancer spread (metastasis).

a)

True

b)

False

36.

Label the following parts on the lymph node diagram: efferent lymphatic vessel, afferent lymphatic vessel, sinus, nodule (lymphoid tissue), valve, lymph flow.

a)

Efferent lymphatic vessel, afferent lymphatic vessel, sinus, nodule (lymphoid tissue), valve, lymph flow (as labeled in the diagram).

b)

Efferent lymphatic vessel, afferent lymphatic vessel, cortex, medulla, artery, vein.

c)

Sinus, nodule (lymphoid tissue), afferent lymphatic vessel, efferent lymphatic vessel, capsule, trabeculae.

d)

Valve, lymph flow, cortex, medulla, afferent lymphatic vessel, efferent lymphatic vessel.

37.

What is the function of the tonsils?

a)

Stop germs from getting through the throat.

b)

Help in digestion of food.

c)

Produce insulin in the body.

d)

Filter blood in the kidneys.

38.

What is the function of the spleen?

a)

Filters blood, destroys old red blood cells.

b)

Produces insulin for glucose regulation.

c)

Stores bile for fat digestion.

d)

Absorbs nutrients from food.

39.

What is the function of the thymus?

a)

Helps develop T-cells, which fight infection.

b)

Produces insulin for blood sugar regulation.

c)

Stores bile produced by the liver.

d)

Filters waste from the blood.

40.

What is the function of lymph nodes?

a)

Found in groups; filter harmful substances and swell when fighting infections.

b)

Produce insulin to regulate blood sugar levels.

c)

Store red blood cells for emergencies.

d)

Transport oxygen directly to tissues.

41.

What is the primary function of tonsils as described in the slide?

a)

Help with digestion

b)

Act as immune guards with white blood cells

c)

Produce saliva

d)

Aid in speech

42.

Tonsils help to detect and fight infections early.

a)

True

b)

False

43.

Why is tonsil removal (tonsillectomy) performed?

a)

Done when tonsils are chronically infected or if breathing is affected.

b)

To improve eyesight.

c)

To treat broken bones.

d)

To reduce hair loss.

44.

Filtering bacteria and viruses near the mouth is especially important in which group?

a)

Adults

b)

Children

c)

Elderly

d)

Teenagers

45.

Which organ is the largest lymphoid organ located in the LUQ (upper left abdomen)?

a)

Liver

b)

Spleen

c)

Pancreas

d)

Gallbladder

46.

The spleen filters blood by removing bacteria, debris, and worn-out red blood cells.

a)

True

b)

False

47.

What type of cells does the spleen store for tissue repair and blood emergencies?

a)

Monocytes

b)

Erythrocytes

c)

Neutrophils

d)

Lymphocytes

48.

How much blood can the spleen hold up to?

a)

100 mL

b)

250 mL

c)

500 mL

d)

1000 mL

49.

If the spleen is damaged, it may be removed in a procedure called ________.

a)

splenectomy

b)

appendectomy

c)

nephrectomy

d)

gastrectomy

50.

You can live without a spleen because other organs take over its functions.

a)

True

b)

False

51.

Where is the thymus gland located?

a)

Mediastinum

b)

Abdomen

c)

Brain

d)

Pelvis

52.

What key role does the thymus gland play in the body?

a)

A) Digestion

b)

B) Early immune system development

c)

C) Respiration

d)

D) Excretion

53.

The thymus gland is largest at puberty and then shrinks with age.

a)

True

b)

False

54.

The thymus gland is the site of ______ maturation.

a)

T-Lymphocyte

b)

B-Lymphocyte

c)

Erythrocyte

d)

Platelet

55.

What happens to the thymus gland after puberty?

a)

It grows larger

b)

It shrinks

c)

It stays the same size

d)

It disappears completely

56.

What does the thymus gland produce to support T cells?

a)

Insulin

b)

Thymosins

c)

Adrenaline

d)

Melatonin

57.

Refer to the diagram labeled 'Anatomy of the Thymus Gland'. Which organ is located directly below the thymus gland?

a)

Heart

b)

Liver

c)

Lung

d)

Stomach

58.

Tonsils & Mucous Membranes: ________ line of defense, trapping pathogens.

a)

First

b)

Second

c)

Third

d)

Fourth

59.

Lymph Nodes & Vessels: ________ and filter harmful invaders.

a)

Transport

b)

Store

c)

Digest

d)

Produce

60.

Thymus: Helps develop immune cells (________ cells).

a)

T

b)

B

c)

NK

d)

M

61.

Spleen: Filters blood and removes ________ materials.

a)

unwanted

b)

nutritious

c)

essential

d)

valuable

62.

Bone Marrow: Produces immune cells like ________ blood cells.

a)

white

b)

red

c)

blue

d)

yellow

63.

Skin: Acts as a ________ barrier to prevent pathogens from entering.

a)

physical

b)

chemical

c)

thermal

d)

electrical

64.

Fill in the blank: The ________ system consists of all the cells and tissues that protect against foreign organisms or any cells different from our own normal cells.

a)

immune

b)

digestive

c)

respiratory

d)

nervous

65.

What does the immune system do to germs?

a)

Fights off germs

b)

Feeds germs

c)

Ignores germs

d)

Creates germs

66.

What does the immune system identify as invaders?

a)

Bacteria and viruses

b)

Water and oxygen

c)

Nutrients and vitamins

d)

Red blood cells

67.

What does the immune system create to help fight infections?

a)

Antibodies

b)

Enzymes

c)

Hormones

d)

Platelets

68.

What does the immune system remember to help protect the body in the future?

a)

Past infections

b)

Current medications

c)

Daily diet

d)

Physical exercise

69.

What type of cells does the immune system destroy?

a)

Infected cells

b)

Healthy cells

c)

Muscle cells

d)

Nerve cells

70.

What does the immune system clean up in the body?

a)

Dead cells

b)

Sugar molecules

c)

Oxygen

d)

Water

71.

What serious disease does the immune system help fight?

a)

Cancer

b)

Common cold

c)

Headache

d)

Sprain

72.

What does 'innate' immunity mean?

a)

Immunity acquired after exposure

b)

Immunity you are born with

c)

Immunity from vaccines

d)

Immunity from medication

73.

Innate immunity is also called ________ immunity.

a)

nonspecific

b)

adaptive

c)

acquired

d)

passive

74.

Which of the following is NOT an example of an innate defense?

a)

A) Skin and mucous membranes

b)

B) Tears and mucus

c)

C) Phagocytosis

d)

D) Antibody production

75.

Skin and mucous membranes act as physical barriers, stopping bacteria, viruses, and harmful chemicals from entering the body.

a)

True

b)

False

76.

What is the function of tears in innate immunity?

a)

They produce antibodies

b)

They wash away irritants from eyes

c)

They trap dust in the lungs

d)

They digest bacteria

77.

White blood cells such as neutrophils and macrophages perform ________, which means they 'swallow and digest' invading bacteria and damaged cells.

a)

phagocytosis

b)

osmosis

c)

diffusion

d)

exocytosis

78.

What triggers the inflammatory response as part of innate immunity?

a)

A) Tissue damage or infection

b)

B) Allergies

c)

C) Dehydration

d)

D) High blood pressure

79.

Which chemical signals are released during the inflammatory response?

a)

Hormones

b)

Cytokines

c)

Enzymes

d)

Neurotransmitters

80.

The process of attracting white blood cells (WBCs) to the area of injury is called _______.

a)

chemotaxis

b)

phagocytosis

c)

osmosis

d)

apoptosis

81.

Which of the following are classic signs of inflammation?

a)

A) Heat, redness, swelling, pain

b)

B) Itching, dryness, rash, fever

c)

C) Numbness, tingling, bruising, bleeding

d)

D) Cough, sneezing, headache, fatigue

82.

Fever may occur during systemic inflammation.

a)

True

b)

False

83.

Plasma enzymes like _______ support the inflammatory response.

a)

complement

b)

amylase

c)

lipase

d)

pepsin

84.

The inflammatory response helps WBCs and healing proteins reach _______.

a)

Healthy tissue

b)

Damaged tissue

c)

Bone marrow

d)

Blood vessels

85.

Which of the following is the final line of defense in the immune system?

a)

Innate Immunity

b)

Adaptive Immunity

c)

Passive Immunity

d)

Artificial Immunity

86.

Adaptive immunity targets a particular pathogen.

a)

True

b)

False

87.

Fill in the blank: Adaptive immunity has ________ memory, which means a stronger, faster response next time.

a)

immune

b)

passive

c)

innate

d)

temporary

88.

Which type of immunity is slower than innate immunity but long-lasting?

a)

Adaptive Immunity

b)

Passive Immunity

c)

Artificial Immunity

d)

Innate Immunity

89.

Which type of adaptive immunity provides immediate but temporary protection?

a)

Natural Active Immunity

b)

Natural Passive Immunity

c)

Artificial Active Immunity

d)

Artificial Passive Immunity

90.

Fill in the blank: Artificial passive immunity provides quick but ________ protection.

a)

short-term

b)

long-lasting

c)

permanent

d)

delayed

91.

Receiving a vaccine is an example of which type of adaptive immunity?

a)

Natural Active Immunity

b)

Natural Passive Immunity

c)

Artificial Active Immunity

d)

Artificial Passive Immunity

92.

Lymphocytes are the most numerous immune cells in the body.

a)

True

b)

False

93.

Which of the following is NOT a main type of lymphocyte?

a)

NK cell

b)

B cell

c)

T cell

d)

Red blood cell

94.

Fill in the blank: NK cells are part of the ______ immunity.

a)

innate

b)

adaptive

c)

passive

d)

acquired

95.

Fill in the blank: B cells and T cells are part of the ______ immunity.

a)

adaptive

b)

innate

c)

passive

d)

natural

96.

Which type of immunity do NK cells belong to?

a)

Adaptive Immunity

b)

Innate Immunity

c)

Passive Immunity

d)

Acquired Immunity