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Which of the following is not a property of B cells?


A) They produce plasma cells and memory cells.
B) They have receptors called immunoglobulins.
C) They mature in the bone marrow.
D) They require antigen presented with MHC proteins.
E) There are low numbers circulating in the blood.

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Destruction of lymphocytes with self-specificity is called ______.


A) proliferation.
B) differentiation.
C) clonal selection.
D) clonal deletion.
E) hypersensitivity.

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Lymphocytes


A) possess MHC antigens for recognizing self.
B) have membrane receptors that recognize foreign antigens.
C) gain tolerance to self by destruction of lymphocytes that could react against self.
D) develop into clones of B and T cells with extreme variations of specificity.
E) All of the choices are correct.

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Which of the following do not serve as antigen presenting cells?


A) Dendritic cells
B) Basophils
C) Macrophages
D) B lymphocytes

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Antigen presenting cells


A) include dendritic cells.
B) include macrophages.
C) engulf and modify antigen to be more immunogenic.
D) hold and present processed antigen on their cell membrane surface.
E) All of the choices are correct.

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The most significant cells in graft rejection are


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

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Not all phagocytic cells are antigen-presenting cells.B cells, macrophages, and dendritic cells differ from neutrophils in that they synthesize ______ .


A) CD8 receptors
B) MHC-II receptors
C) MHC-I receptors
D) interleukin-2
E) CD4 receptors

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The structural and functional differences that distinguish immunoglobulin isotypes are due to variations associated with their Fc fragments.

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T cell response to T-dependent antigens requires


A) typically a protein antigen.
B) binding of the T cell to a class II MHC receptor on a macrophage.
C) binding of the T cell to a site on the antigen.
D) interleukin-1 activating the T helper cell.
E) All of the choices are correct.

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The immunoglobulin/s found on the surface of B cells is/are


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

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Class II MHC genes code for


A) certain secreted complement components.
B) self receptors recognized by T lymphocytes.
C) all HLA antigens.
D) receptors located primarily on macrophages and B cells.
E) All of the choices are correct.

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An example of artificial active immunity would be


A) chickenpox vaccine triggering extended immunity to chickenpox.
B) a fetus acquiring maternal IgG to the chickenpox virus across the placenta.
C) giving a person immune serum globulins to chickenpox virus after exposure to the disease.
D) chickenpox infection, followed by lifelong immunity.

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What type of cells secrete antibodies?


A) Antigen-presenting cells
B) Cytotoxic T cells
C) Helper T cells
D) Plasma cells
E) Memory B cells

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The adaptive immune system is complex, but it can be summarized in four consecutive stages: i) lymphocyte encounter with an immunogen, ii) development of lymphocyte specificity against that immunogen, iii) 2nd encounter with the immunogen, and iv) development of memory cells.

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The region of each antibody molecule where amino acid composition is highly diversified from one clone of B lymphocytes to another is the ______ region.


A) joining
B) variable
C) constant
D) hinge
E) light

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


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

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You do not really want to get your 3 children vaccinated. Your view is why do it when others around you will get the vaccine and end up protecting you and your children. Which is an accurate statement that your physician may provide to you in response to your challenge to vaccination?


A) This is not a smart choice. If enough people choose not to get vaccinated, the susceptible population grows to a large size, breaking the protective effect of herd immunity.
B) Your choice is fine; your children will never become infected since this is actually the basis of herd immunity.
C) This is not a smart choice. You could face potential arrest for not vaccinating your child per the regulations of the U.S. government.
D) Your choice is fine; maybe you will change your mind when your child goes to college.

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Killed or inactivated vaccines are prepared by


A) treatment with formalin, heat, or radiation.
B) removal of virulence genes from the microbe.
C) passage of the pathogen through unnatural hosts or tissue culture.
D) long-term subculturing of the microbe.

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Which of the following is a special binding substance that enhances immunogenicity and prolongs antigen retention at the injection site?


A) "Trojan horse" recombinant vaccine
B) Booster
C) Gamma globulin
D) Antibodies to toxin
E) Adjuvant

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Which process involves a more rapid synthesis and greatly increased titer of antibody when the immune system is subsequently exposed to the same antigen?


A) Opsonization
B) Anamnestic response
C) Neutralization
D) Complement fixation
E) Agglutination

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