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Which form of acquired immunity is the patient developing by having this infection?


A) Active natural immunity
B) Passive natural immunity
C) Active artificial immunity
D) Passive artificial immunity

E) B) and C)
F) A) and D)

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During which response to the antigen do we display a latent period of no secretory antibody synthesis?


A) Primary
B) Secondary
C) Tertiary
D) Quaternary
E) Memory response

F) A) and E)
G) B) and E)

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After secreting antibodies during an immune response, plasma cells then differentiate into memory cells.

A) True
B) False

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The immunoglobulins found on the surface of B cells are ________.


A) IgM only
B) IgG only
C) IgD only
D) IgM and IgD
E) IgD and IgE

F) B) and C)
G) A) and D)

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When the patient's mother expresses concern about his sister being reinfected with chickenpox, what is the most appropriate response?


A) Your concerns are valid, but his sister developed an active natural immunity to chickenpox because she has already been infected.
B) Your concerns are valid and there is a high likelihood that his sister will become infected again. We should probably administer the vaccine.
C) Your concerns are valid and there is no way to protect his sister from becoming reinfected except to keep her at least 15 feet from your son at all times.
D) Your concerns are valid and if his sister is reinfected, her symptoms will be less severe than her initial chickenpox infection.

E) A) and D)
F) A) and C)

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An example of natural active immunity would be ________.


A) chickenpox infection followed by lifelong immunity
B) chickenpox vaccine, which triggers extended immunity to chickenpox
C) giving a person immune serum globulins to chickenpox virus after exposure to the disease
D) a fetus acquiring maternal IgG to the chickenpox virus across the placenta
E) None of the choices are correct.

F) D) and E)
G) B) and E)

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Which of the following explanations correctly represents how this patient could have been protected from chickenpox infection?


A) He would not have been infected if he were breastfed as a baby because he would have passive natural immunity.
B) He would not have been infected if his mother had gamma globulin administered during pregnancy because he would have passive artificial immunity.
C) He could have been protected from infection if he received active artificial immunity through the form of a vaccine.
D) He may have a primary immunodeficiency disease because healthy humans are not typically infected with chickenpox.

E) None of the above
F) A) and B)

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Which statement is true regarding lymphocyte specificity?


A) Genetic rearrangement in the DNA that codes for antigen receptors results in up to 10 trillion permutations in the variable regions of B- and T lymphocyte-receptors.
B) There is a different gene for every possible antigen that a lymphocyte may encounter.
C) B lymphocytes have specificity for a large number of different antigens, however T lymphocytes can recognize only 500 antigens corresponding to the number of gene segments that code for the antigen receptors.
D) B- and T cell-receptors are identical and both recognize up to 500 antigens corresponding to the gene segments that code for the antigen receptor variable regions.

E) B) and C)
F) All of the above

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Lymphocyte maturation involves ________.


A) hormonal signals that initiate development
B) B cells maturing in bone marrow sites
C) T cells maturing in the thymus
D) release of mature lymphocytes to begin migration to various lymphoid organs
E) All of the choices are correct.

F) C) and E)
G) B) and C)

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The most significant cells in graft rejection are ________.


A) helper T cells
B) suppressor T cells
C) cytotoxic T cells
D) delayed hypersensitivity T cells
E) natural killer (NK) cells

F) A) and E)
G) A) and D)

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MHC molecules are found on each of the following cells except ________.


A) leukocytes
B) eosinophils
C) epithelial cells
D) red blood cells
E) islet of Langerhans cells

F) A) and C)
G) B) and E)

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The immunoglobulin class that has a dimer form found in mucus, saliva, colostrum, and other body secretions is ________.


A) IgA
B) IgD
C) IgE
D) IgG
E) IgM

F) A) and B)
G) B) and C)

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A naive B lymphocyte has receptors bound to its surface that ________.


A) are all specific for the same antigen
B) have a variable region that is different to the variable regions of B cell-receptors embedded in other naive B lymphocytes
C) is one of up to 10 trillion possible protein configurations due to genetic rearrangement
D) will have the same variable region as the antibodies that will be secreted following a challenge by the corresponding antigen
E) All of the choices are true statements concerning B lymphocyte-receptors.

F) A) and B)
G) A) and C)

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The importance of clonal deletion is that ________.


A) lymphocytes with receptors that recognize self markers are eliminated to preserve immune tolerance
B) worn-out lymphocytes are destroyed to make way for new cells
C) lymphocytes that have been activated during antigen exposure are then removed when the individual recovers
D) clones of cells that have the same receptor are deleted to avoid redundancy

E) C) and D)
F) B) and C)

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The secondary response to an antigen is faster and bigger than the primary response.

A) True
B) False

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Antibodies directed to alloantigen from one organism often cross-react with an alloantigen from another organism.

A) True
B) False

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Antibody molecules circulate in lymph, blood, and tissue fluids.

A) True
B) False

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An example of artificial active immunity would be ________.


A) chickenpox infection followed by lifelong immunity
B) chickenpox vaccine which triggers extended immunity to chickenpox
C) giving a person immune serum globulins to chickenpox virus after exposure to the disease
D) a fetus acquiring maternal IgG to the chickenpox virus across the placenta
E) None of the choices are correct.

F) B) and E)
G) C) and D)

Correct Answer

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The monomer subunit of immunoglobulin molecules has all the following except ________.


A) two identical heavy polypeptide chains
B) two identical light polypeptide chains
C) disulfide bonds between polypeptide chains
D) four antigen binding sites
E) a variable and constant region on each polypeptide chain

F) All of the above
G) A) and C)

Correct Answer

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The immunoglobulin class that has an Fc region that binds to receptors on basophils and mast cells is ________.


A) IgA
B) IgD
C) IgE
D) IgG
E) IgM

F) C) and D)
G) A) and E)

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