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WorksheetsLymphatics and Immunity Quiz
Total questions: 53
Worksheet time: 27mins
Lymphocytes that produce antibodies:
plasma cells
NK cells
memory T-cells
supressor B cells
The return of proteins to the blood from the interstitial spaces is an essential function of the lymphatic system, without which....
our muscles would atrophy
we would swell like a pumpkin
we would sleep too long
we would die within about 24 hours
Which of the following statements is true?
Edema caused by hypertension is an example of dynamic edema.
Lymph fluid is returned to the cardiovascular flow at the jugular veins.
All lymphatic vessels have one-way valves.
Cytotoxic T-cells release cell-signaling molecules called cytokines to activate NK cells.
A chronic skin disease with itchy, scaly plaques on the trunk, elbows, and knees.
Rheumatoid arthritis
Psoriasis
Angiodema
Anaphylaxis
Localized, temporary swelling with soft tissue injury:
traumatic edema
secondary lymphedema
dynamic edema
primary lymphedema
What is the function of primary lymphoid tissues?
site of B-cell maturation
production of lymphocytes
primary sites of immune responses
production of antibodies
Which of the following is an inflammatory condition occurring at several joints, includes a skin rash and high risk of renal failure.
Ankylosing spondylitis
Lupus
Scleroderma
Rheumatoid Arthritis
What is another term for antibody?
interferon
antigen
allergen
immunoglobulin
An autoimmune condition characterized by inflammation and degeneration of myelin sheaths in the CNS.
Rheumatoid arthritis
Angiodema
Anaphylaxis
Multiple sclerosis
Which of the lymphatic vessels do NOT have one-way valves?
Collecting trunks and ducts
Initial vessels
Lymphangia
Primary vessels
What type of lymphocytes are the ones primarily responsible for the cell-mediated immune response?
Phagocytes
T-cells
B-cells
Monocytes
Chemical barriers of the body include the pH of the skin and:
chemotaxis
aldosterone release
acidity of gastric juices
peptide secretion
In psychoneuroimmunology, the group of short-chain amino acids that communicate and stimulate cells by binding with receptors on the plasma membrane are collectively referred to as:
Ligands
Immunoglobulins
Cytokines
Amino acids
What is the name of the lymphovenous junction where fluid is returned to the cardiovascular system?
Watershed
Terminus
Lymphotome
Cisterna chyli
Similar to plasma, lymph fluid is mostly made up of what two substances?
proteins and antibiotics
Fats and hormones
Cellular debris and water
water and electrolytes
What type of edema is associated with a sprain-strain injury, or a contusion?
Primary lymphedema
Traumatic edema
Dynamic edema
Secondary lymphedema
What happens in the process of lymphoma?
normal white blood cells become overactive immune cells
lymph nodes fill with nonfunctioning white blood cells
lymph nodes fill with debris and become congested
neutrophils become non-phagocytic
Which deep duct drains lymph from the upper left quadrant and entire lower half of the body?
Collecting vessels
Left anastomosis
Thoracic duct via the cisterna chyli
Right lymphatic duct
Your client is a 73-year-old man who has recently been diagnosed with non-Hodgkin lymphoma. His prognosis is unclear, but so far, the disease is not responding well to treatment. What is a reasonable suggestion for what massage therapy might bring to his experience?
Massage therapy has been shown to improve the uptake of chemotherapeutic drugs, leading to smaller doses for shorter periods of time
Massage therapy is not a good choice for this client, whose life expectancy may depend on limiting the potential circulation of cancer cells
Massage therapy is not a good choice for this client, whose life expectancy may depend on limiting the potential circulation of cancer cells
Massage therapy has been seen to help with anxiety, depression, and pain due to cancer; it won't cure the disease, but it can make living with it a little easier
Which of these is an example of artificially acquired active immunity?
receiving injections of immunoglobulins
vaccinations
transmission of antibodies from mother to child
being exposed to a disease in childhood
Where are lymphocytes initially produced?
spleen
thymus
red bone marrow
lymph nodes
Which of the following are important processes of the general immune defense of inflammation?
activation of B-cells and T-cells
chemotaxis of phagocytes and NK cells
Vasodilation and margination
cytolysis of infected cells by phagocytes
What is the catchment for lymph from the anterior leg and the anterior and posterior thigh?
inguinal
cisterna chyli
perineal
popliteal
Which of these is an example of artificially acquired passive immunity?
transmission of antibodies from mother to child
receiving injections of immunoglobulins
being exposed to a disease in childhood
vaccinations
Which of the following are considered the two primary internal forces for creating and maintaining lymph flow?
arterial pulse and angion contraction
siphon effect and autonomic angion contraction
respiratory and skeletal pumps
soft tissue stretch and release
An acute allergic reaction causing rapid swelling of a localized area (such as the lower lip).
Angiodema
Anaphylaxis
Rheumatoid arthritis
Psoriasis
What is the most common sign of lymphoma?
Painful enlargement of lymph nodes
Painful enlargement of lymph nodes
Increased appetite
Painless enlargment of lymph nodes
Pyschoneuroimmunology studies the links between the immune system and which other body systems?
digestive, respiratory and endocrine, immune
cardiovascular, respiratory, immune and nervous
nervous, lymphatic, immune and cardiovascular
digestive, endocrine, immune and nervous
Why is it important for all manual therapists to fully understand the lymphatic system's fluid return process?
So we can take the next step and specialize in this form of manual therapy
We are the only health care professionals that can help people remove edema.
We cannot fully reduce pain or increase ROM without understanding the lymphatic system's contribution to these problems.
We need to be able to recognize different forms of edema and know the indications and contraindications for manual therapy
Mucosal associated lymphoid tissue (MALT) includes the tonsils and:
thymus
red bone marrow
spleen
Peyers patches
What happens to antigens when antibodies attach to them?
the antigens become susceptible to phagocytosis
the antigen nucleus is automatically ruptured
the antibody is reproduced later by activity of Memory T cells
they are expelled from the body by ciliary action
What amount of total capillary filtrate is reabsorbed into the lymphatic capillaries?
100% or 15 liters per day
50% or 5 liters per day
90% or 10 liters per day
10% or 3 liters per day
A group of lymphatic vessels that drain lymph from a specific region of the body into a specific catchment are:
angion
lymphotomes
collecting trunks
lymphangia
Ankylosing spondylitis usually begins as pain and stiffness in the low back. From there the disease progresses to affect....
higher levels of the spine
hips, knees and ankles
organs of the pelvis
the neck and jaw
A dysfunction in the lymphatic system that results in swelling of a body area is called:
edema
traumatic edema
lymphedema
dynamic edema
What is the purpose of one-way valves in veins and lymphangia?
create extra resistance to fluid flow to mediate blood pressure
increase force of propulsion of fluid through the vessels
prevent backflow of fluid and divide the vessels into shorter segments
provide extra surface area in the vessel for nutrient and by-product exchange
Which statement summarizes the key functional distinction between lymphatic and cardiovascular systems?
Both systems move fluid, but only the cardiovascular system has its own network of vessels.
Cardiovascular is fluid delivery and return, and lymphatic is return only.
Cardiovascular moves blood and lymph, while the lymphatic moves lymph only.
Lymphatic system is a closed system, the cardiovascular is open.
How does the structure of a lymph node help the lymphatic system carry out its immune function?
absorbency provides better removal of microbes
rapidly moving lymph flow to prevent edema
slowing lymph flow through the nodes for better processing
Phagocytes in nodes contain antibodies
An immune response that is neither stimulated by, nor directed toward, any single type of pathogen is called....
Cell-mediated immune response
Humoral immunity
General immune response
Non-specific or innate defenses
Corrosive enzymes released by inflammed synovial membrane damages cartilage, bone, tendons and ligaments:
Multiple sclerosis
Rheumatoid arthritis
Anaphylaxis
Angiodema
Acute, severe systemic reaction leading to sudden drop in blood pressure and accumulation of fluids, and difficulty breathing.
Scleroderma
Rheumatoid arthritis
Angiodema
Anaphylaxis
Which of these cells is the largest in the blood?
T-lymphocytes
Plasma cells
Cytotoxic T-cells
Monocytes
Causes joint deformity such as medial deviation of metacarpophalangeal joints:
Anaphylaxis
Psoriasis
Angiodema
Rheumatoid arthritis
What is an allergic reaction?
A sign of immune system derangement and the risk of potentially dangerous secondary diseases
An immune sytem attack against mucous membranes
An immune reaction against a stimulus that is not inherently hazardous
An immune system reaction that begins normally and then spirals out of control
The fastest route for lymph from the lower leg to the inguinal catchment is via the:
anterior leg lymphotomes
superficial nodes in the inguinal catchment
posterior thigh lymphotomes
popliteal catchment
Which of these antimicrobial proteins prevents bacterial proliferation by binding with iron in cells so it is not available to the microbe?
complements
interferons
transferrins
interleukins
Which of the following are the PRIMARY PHAGOCTYES of the body?
T-Lymphocytes and Neutrophils
Monocytes and Macrophages
Neutrophils and Monocytes
B-lymphocytes and Monocytes
Which of the following are important processes of inflammation, a general immune defense?
vasodilation and phagocytosis
cytolysis and margination
vasoconstriction and chemotaxis of NK cells
activation of B and T cells
What is the function of antimicrobial proteins?
specific immune enzyme that creates cytolysis of microbes
activates killer and helper T cells
maturation of T-cells in the thymus
first line of internal nonspecific defense
Which structural feature of a lymph node is most imporant for its filtration function?
Multiple projections extending from the capsule
Several afferent vessels and few efferent vessels
Thin fibrous capsule on the outside of the node
1-2 cm in size
Swelling related to hypertension and obesity is called:
secondary lymphedema
dynamic edema
primay lymphedema
traumatic edema
Memory T-cells function in the same way as memory B-cells. In what way is that?
They have memory for all antigens.
They remember antigens because antigen-presenting cells mark their DNA.
They have memory for a specific antigen.
None of the above
What is the etiology ankylosis spondylitis?
attack of myelin in patchy sections of the CNS
autoimmune attack on synovial joints
autoimmune attack on synovial joints
begins as inflammaton at the sacroiliac joints then moves up the spine.
