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History of Organ Transplant

Total questions: 95

Worksheet time: 48mins

Name
Class
Date
1.

In December 1954, where was the first successful living-related kidney transplant performed?

a)

Brigham Hospital in Boston

b)

Johns Hopkins Hospital in Baltimore

c)

Mayo Clinic in Rochester

d)

Cleveland Clinic in Ohio

2.

In what year was the first kidney transplant from a deceased donor performed?

a)

1962

b)

1950

c)

1975

d)

1980

3.

Which university performed the first lung transplant in 1963?

a)

University of Mississippi

b)

Stanford University

c)

Johns Hopkins University

d)

Harvard University

4.

The first liver transplant was performed in 1967 at which university?

a)

University of Colorado

b)

Harvard University

c)

Stanford University

d)

Johns Hopkins University

5.

Where was the first heart transplant performed in 1967?

a)

Cape Town, South Africa

b)

London, England

c)

New York, USA

d)

Paris, France

6.

In 1968, the first US heart transplant was performed at which hospital?

a)

Stanford University Hospital, California

b)

Johns Hopkins Hospital, Maryland

c)

Mayo Clinic, Minnesota

d)

Cleveland Clinic, Ohio

7.

What act was established in 1968 to regulate anatomical gifts?

a)

Uniform Anatomical Gift Act

b)

Health Insurance Portability and Accountability Act

c)

National Organ Transplant Act

d)

Patient Self-Determination Act

8.

Which medicine became the most successful anti-rejection drug in 1983?

a)

Cyclosporine

b)

Aspirin

c)

Penicillin

d)

Metformin

9.

By 1984, what fraction of all heart transplants survived more than 5 years?

a)

2/3

b)

1/2

c)

1/3

d)

3/4

10.

What act was passed in 1984 to regulate organ transplants in the US?

a)

National Organ Transplant Act (NOTA)

b)

Health Insurance Portability and Accountability Act (HIPAA)

c)

Affordable Care Act (ACA)

d)

Patient Protection Act

11.

Where was the first small intestine transplant into a child performed in 1989?

a)

Paris, France

b)

London, England

c)

New York, USA

d)

Tokyo, Japan

12.

Immune system specifically ________ and eliminates foreign agents thereby protecting the host against infection.

a)

recognizes

b)

ignores

c)

produces

d)

destroys

13.

What does the immune system do to protect the host against infection?

a)

Ignores foreign agents

b)

Recognizes and eliminates foreign agents

c)

Causes self-attack

d)

None of the above

14.

It was once believed that it was impossible for the immune system to attack itself.

a)

True

b)

False

15.

Malfunctions of the immune system do occur and may cause serious disease.

a)

True

b)

False

16.

What percentage of the population in the United States is affected by autoimmune diseases as a group?

a)

1-2%

b)

3-4%

c)

5-8%

d)

10-12%

17.

Autoimmune diseases are the ______ most common category of disease in industrialized countries.

a)

3rd

b)

1st

c)

5th

d)

7th

18.

The immune system is made up of which of the following?

a)

Organs

b)

Tissues

c)

Cells

d)

Molecules

e)

All of the above

19.

Which of the following is NOT a function of the immune system?

a)

Identify combat

b)

Mount attack

c)

Eliminate pathogen

d)

Cause disease

e)

Remember

20.

Chronic autoimmune diseases usually require ______ care.

a)

life-long

b)

short-term

c)

occasional

d)

temporary

21.

Innate immunity is a ______ defensive system.

a)

Pre-determined

b)

Acquired

c)

Weak

d)

Temporary

22.

Which of the following are part of innate immunity?

a)

Granulocytes

b)

Dendritic cells

c)

All of the above

d)

Monocytes

e)

Macrophages

23.

What type of cells originate in bone marrow from hematopoietic stem cells?

a)

B-lymphocytes and T-lymphocytes

b)

Erythrocytes and platelets

c)

Neurons and glial cells

d)

Epithelial cells and fibroblasts

24.

Which of the following best describes adaptive immunity?

a)

Non-specific and general response

b)

Highly specific and tailored response

c)

Only present in plants

d)

Only involves red blood cells

25.

Based on the diagram, which cell is responsible for the humoral response?

a)

B cell

b)

T cell

c)

Red blood cell

d)

Platelet

26.

Fill in the blank: The cell-mediated immune response is primarily carried out by ________ and their subtypes.

a)

T-lymphocytes

b)

B-lymphocytes

c)

Macrophages

d)

Erythrocytes

27.

Which part of the immune system is labeled as 'Thymus' in the diagram?

a)

Thymus

b)

Spleen

c)

Lymph node

d)

Bone marrow

28.

Which part of the immune system is responsible for producing blood cells and is labeled in the leg area in the diagram?

a)

Bone Marrow

b)

Lymph Nodes

c)

Spleen

d)

Thymus

29.

Which part of the immune system is shown as a group of small red dots in the neck and armpit area in the diagram?

a)

Lymph Nodes

b)

Red Blood Cells

c)

Alveoli

d)

Nephrons

30.

Which part of the immune system is labeled near the mouth and nose area in the diagram?

a)

Mucous Membranes

b)

Lymph Nodes

c)

Bone Marrow

d)

Spleen

31.

Which part of the immune system is labeled on the outer surface of the body in the diagram?

a)

Skin

b)

Liver

c)

Heart

d)

Lungs

32.

Which part of the immune system is labeled near the throat area in the diagram?

a)

Tonsils

b)

Spleen

c)

Appendix

d)

Thymus

33.

Which part of the immune system is labeled on the left side of the abdomen in the diagram?

a)

Spleen

b)

Liver

c)

Thymus

d)

Appendix

34.

Which part of the immune system is shown as vessels running throughout the body in the diagram?

a)

Lymphatic Vessels

b)

Red Blood Cells

c)

Alveoli

d)

Nephrons

35.

What type of defense is responsible for acting against specific pathogens or changed body cells?

a)

Adaptive defense

b)

Innate defense

c)

Physical barrier

d)

Chemical barrier

36.

Which cells are responsible for defense in the blood?

a)

B lymphocytes

b)

Red blood cells

c)

Platelets

d)

Adipocytes

37.

Which cells are responsible for defense in the tissue?

a)

T lymphocytes

b)

Adipocytes

c)

Erythrocytes

d)

Chondrocytes

38.

What are the substances that kill bacteria as part of the innate immune system?

a)

Bacteria-killing substances

b)

Red blood cells

c)

Platelets

d)

Hormones

39.

What provides protection on the outside of the body as part of the innate immune system?

a)

The skin

b)

The liver

c)

The heart

d)

The lungs

40.

What provides protection on the inside of the body as part of the innate immune system?

a)

All mucous membranes

b)

Red blood cells

c)

Sweat glands

d)

Hair follicles

41.

What is the first attack in the tissue as part of the innate immune system?

a)

Scavenger cells

b)

B cells

c)

Plasma cells

d)

Helper T cells

42.

Fill in the blank: In innate immunity, the lag phase is ______, response is immediate. In adaptive immunity, the lag phase is ______, response takes at least a few days.

a)

absent; present

b)

present; absent

c)

short; long

d)

long; short

43.

Which type of immunity has high specificity, with the response directed only to the agents that initiated it?

a)

Innate immunity

b)

Adaptive immunity

44.

Fill in the blank: In innate immunity, diversity is ______, hence limited specificity. In adaptive immunity, diversity is ______, resulting in a wide range of antigen receptors.

a)

limited; extensive

b)

extensive; limited

c)

absent; present

d)

constant; variable

45.

Which type of immunity has memory, where subsequent exposures to the same agent induce amplified responses?

a)

Innate immunity

b)

Adaptive immunity

46.

Fill in the blank: In innate immunity, self/non-self discrimination is present, and the reaction is against ______. In adaptive immunity, self/non-self discrimination is present, and the reaction is against ______.

a)

foreign; foreign

b)

self; self

c)

foreign; self

d)

self; foreign

47.

Which of the following is a component of innate immunity (rapid response)?

a)

B cell

b)

Macrophage

c)

Antibodies

d)

CD4+ T cell

48.

Which of the following is a component of adaptive immunity (slow response)?

a)

Neutrophil

b)

Complement protein

c)

B cell

d)

Mast cell

49.

Fill in the blank: ________ are responsible for producing antibodies in the adaptive immune system.

a)

B cells

b)

T cells

c)

Macrophages

d)

Neutrophils

50.

Which cell type is classified as a granulocyte in the innate immune system?

a)

Neutrophil

b)

Lymphocyte

c)

Monocyte

d)

Erythrocyte

51.

Natural killer cells are part of both innate and adaptive immunity.

a)

True

b)

False

52.

Which of the following is a physical or physiological barrier against pathogens?

a)

Neutrophils

b)

Skin

c)

T helper cells

d)

Plasma cells

53.

Which cell is part of innate immunity?

a)

Naïve B cells

b)

Basophils

c)

Plasma cells

d)

T helper cells

54.

Which of the following is NOT a component of adaptive immunity?

a)

Cytotoxic T cells

b)

Dendritic cells

c)

Naïve B cells

d)

Plasma cells

55.

Fill in the blank: ________ is a physical barrier that helps protect the body from pathogens.

a)

Skin

b)

Liver

c)

Heart

d)

Lungs

56.

Which of the following is a function of mucous membranes in immunity?

a)

Producing antibodies

b)

Acting as a physical barrier

c)

Destroying infected cells

d)

Activating T cells

57.

Natural Killer Cells are part of adaptive immunity.

a)

True

b)

False

58.

Which cell type is responsible for producing antibodies?

a)

Plasma cells

b)

Neutrophils

c)

Mast cells

d)

Basophils

59.

Fill in the blank: ________ are part of the body's innate immunity and help destroy pathogens by engulfing them.

a)

Macrophages

b)

Erythrocytes

c)

Platelets

d)

Neurons

60.

Which of the following is NOT a physical or physiological barrier?

a)

pH

b)

Cilia

c)

Eosinophils

d)

Body Temperature

61.

Fill in the blank: Chemotactic agents ______ immune cells to site.

a)

attract

b)

repel

c)

destroy

d)

ignore

62.

Which of the following is a <10kDa signal protein secreted by immune cells?

a)

Cytokines

b)

Chemokines

c)

Antibodies

d)

C-reactive protein

63.

Fill in the blank: ______ regulate and coordinate immune response.

a)

Cytokines

b)

Enzymes

c)

Hormones

d)

Neurotransmitters

64.

C-reactive protein (CRP) binds to bacteria as tags along with which complement fragment?

a)

C1q

b)

C3b

c)

C5a

d)

C4b

65.

Antibodies (Ab) are also known as ______.

a)

immunoglobulins

b)

antigens

c)

hormones

d)

enzymes

66.

How many classes of antibodies are mentioned in the image?

a)

3

b)

4

c)

5

d)

6

67.

Which class of antibody is the most abundant?

a)

IgA

b)

IgM

c)

IgG

d)

IgE

68.

Which chemokine receptor binds to CXCL1, 2, 3, 5, 6, 7, 8?

a)

CXCR1

b)

CXCR2

c)

CCR1

d)

CXCR3

69.

Which cells are associated with the chemokine receptor CCR5?

a)

CD8+ cells, Macrophages, DC, Th9, Th17, TEM, TRM, NK

b)

Th9, Tregs, TH1, pDCs, Activated CD4 T, NK, TFH, NKT, CD8TCM, TEM

c)

Th17, Th22, IgA+ plasma cells, DC, pCD, gut homing T

d)

Neutrophils, Macrophages, MDSCs, Monocytes, Basophils, CD8T cells

70.

Fill in the blank: The chemokine receptor CXCR4 is associated with most T cells, Neutrophils, Macrophages, Monocytes, MDSCs, Tregs, B cells, and ________.

a)

plasma cells

b)

erythrocytes

c)

osteoclasts

d)

hepatocytes

71.

Which chemokine binds to the receptor CCR7?

a)

CCL19, 21

b)

CCL20

c)

CCL17, 22

d)

CXCL12

72.

Which chemokine receptor is associated with Macrophages only?

a)

CXCR1

b)

CXCR2

c)

CX3CR1

d)

CCR1

73.

According to the diagram, which cell is responsible for producing antibodies?

a)

B Cell

b)

Plasma Cell

c)

T-helper Cell

d)

Macrophage

74.

Fill in the blank: The cell that gives rise to all other blood cells in the diagram is the _________.

a)

Hematopoietic Stem Cell

b)

Erythrocyte

c)

Lymphocyte

d)

Megakaryocyte

75.

Which cytokine is associated with the induction of fever according to the diagram?

a)

IL1B

b)

IL10

c)

TGF-β

d)

IL4

76.

T-helper cells are involved in the clonal expansion of T cells according to the diagram.

a)

True

b)

False

77.

Which two cell types are shown to contribute directly to the inflammatory response in the diagram?

a)

Endothelial Cells and Fibroblasts

b)

B Cells and Plasma Cells

c)

Mast Cells and Eosinophils

d)

NK Cells and Neutrophils

78.

Which T-cell effector subgroup is associated with the recruitment of neutrophils?

a)

Th1

b)

Th2

c)

Th9

d)

Th17

e)

Cytotoxic T lymphocyte

79.

Fill in the blank: The main cytokines produced by Th1 cells are _______ and _______.

a)

Interleukin-2 and Interferon-γ

b)

Interleukin-4 and Interleukin-10

c)

Tumor necrosis factor-α and Interleukin-5

d)

Interleukin-17 and Interleukin-22

80.

Which T-cell effector subgroup produces Interleukin-5 and Interleukin-13?

a)

Th1

b)

Th2

c)

Th9

d)

Th17

e)

Cytotoxic T lymphocyte

81.

Fill in the blank: Cytotoxic T lymphocytes are characterized by the expression of _______ and _______ transcription factors.

a)

T-bet and Eomes

b)

GATA3 and RORγt

c)

PU.1 and IRF4

d)

Bcl6 and Blimp-1

82.

Which T-cell effector subgroup is responsible for cytotoxicity against virally infected cells?

a)

Th1

b)

Th2

c)

Th9

d)

Th17

e)

Cytotoxic T lymphocyte

83.

According to the diagram, what happens to a cell membrane after tissue injury, ischemia, or inflammation?

a)

It remains unchanged

b)

It becomes damaged, oxygen deprived, or apoptotic

c)

It immediately repairs itself

d)

It becomes more permeable

84.

What is the effect of high CRP concentrations on damaged or apoptotic cells according to the diagram?

a)

Cell revitalizes and repairs membrane

b)

Activation of complement and phagocytosis

c)

No effect

d)

Cell becomes healthy

85.

Fill in the blank: At low CRP concentrations, C1q cannot bind to the cell membrane, and the cell ________ and repairs its membrane.

a)

revitalizes

b)

shrinks

c)

divides

d)

dies

86.

Which molecule is responsible for marking the damaged cell for macrophage destruction in the presence of high CRP concentrations?

a)

IL-6

b)

C1q

c)

sPLA2 IIa

d)

LPC

87.

What is the role of IL-6 in the process depicted in the diagram?

a)

Induction of CRP synthesis

b)

Inhibition of antibody production

c)

Suppression of T cell activation

d)

Promotion of erythrocyte destruction

88.

What is the presence of autoantibodies (ANAs) or T lymphocytes reactive with?

a)

Host antigens

b)

Bacterial toxins

c)

Viral RNA

d)

Dietary proteins

89.

Any disease that results from an aberrant immune response is called ________.

a)

autoimmunity

b)

immunodeficiency

c)

allergy

d)

infection

90.

Failure of the immune system can stem from:

a)

Functional defects in any one of immune cells

b)

Overproduction of antibodies

c)

Lack of exposure to antigens

d)

None of the above

91.

Diagnosis of immune system dysfunction is by nature of symptoms of illness or detection of ________ (ANAs).

a)

autoantibodies

b)

antigens

c)

hormones

d)

enzymes

92.

Treatments for immune system dysfunction include ________ and prednisone.

a)

immunosuppressants

b)

antibiotics

c)

antihistamines

d)

analgesics

93.

Which of the following is NOT a failure of the immune system listed in the notes?

a)

A) Failure to recognize invaders as foreign

b)

B) Failure to distinguish self from non-self

c)

C) Overproduction of red blood cells

d)

D) Failure to control populations of effective, non-effective or deleterious cells

94.

What does ANA stand for in the context of immune system diagnosis?

a)

Antinuclear antibodies

b)

Anti-neutrophil antigens

c)

Autoimmune nucleic acids

d)

Antibody neutralization assay

95.

Allergy is characterized by excessive production of IgE in response to harmless common antigens by mast cells and basophils and their overactivation. Is this considered an autoimmune disorder?

a)

No, allergy is not considered an autoimmune disorder.

b)

Yes, allergy is an autoimmune disorder.

c)

Allergy is both an autoimmune and immunodeficiency disorder.

d)

Allergy is a type of genetic disorder.