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What process generates many B cells and T cells that are activated against specific antigens?


A) Antigen presentation
B) Antigen expression
C) Antibody production
D) Clonal expansion
E) Opsonization

F) All of the above
G) D) and E)

Correct Answer

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Cell surface markers involved in immune reactions _______.


A) are the result of genetic expression
B) function in recognition of self molecules
C) receive and transmit chemical messages among other cells of the system
D) aid in cellular development
E) All of these choices are correct.

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

Correct Answer

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Plasma cells _______.


A) secrete antibodies
B) directly destroy target cells
C) suppress immune reactions
D) activate B cells and other T cells
E) function in allergic reactions

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

Correct Answer

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


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

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

Correct Answer

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Which process involves antibodies coating microorganisms in order to facilitate phagocytosis?


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

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

Correct Answer

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E

Which lymphocytes lack specificity for antigen and attack cancer cells and virus-infected cells?


A) Suppressor T cells
B) Natural killer (NK) cells
C) Cytotoxic T cells
D) Delayed hypersensitivity T cells
E) Helper T cells

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

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Activation of B cells can occur when antigen binds to B cell surface immunoglobulin receptors.

A) True
B) False

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Fluzone is a brand name for a very commonly given in?uenza vaccine. The vaccine is prepared by ?rst harvesting ?u viruses in chicken embryos and then breaking apart virus particles into protein subunits, thereby inactivating the virus. Your friend refuses to get the vaccine. Which of these statements is the only valid reason for her not to get the ?u vaccine?


A) She is allergic to eggs.
B) She could catch the ?u from the inactivated vaccine.
C) She could pass the virus onto her baby, causing the child to become autistic.
D) She could die from the vaccine.

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

Correct Answer

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Antitoxins _______.


A) contain modified bacterial exotoxin molecules
B) contain select antigenic components of a pathogen rather than whole cells or viruses
C) are always genetically engineered
D) utilize DNA strands that will produce the antigen
E) confer passive immunity

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

Correct Answer

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The histocompatibility complex proteins function in _______.


A) B cell maturation
B) antibody proliferation
C) T cell maturation
D) recognition of self

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

Correct Answer

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A patient enters your clinic with a suspected helminthic infection. In support of this diagnosis, you suspect elevated levels of which antibody in the patient's serum?


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

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

Correct Answer

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Each _____ fragment of an antibody molecule contains the variable regions of a heavy and light chain that folds into a groove for one epitope.


A) hinge
B) FAb
C) variable
D) terminal
E) Fc

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

Correct Answer

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B

All of the following are characteristics of IgM except _______.


A) it has 10 antigen binding sites
B) it is a dimer
C) it can serve as a B-cell receptor
D) it is the first class synthesized by a plasma cell
E) it contains a central J chain

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

Correct Answer

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In order for B cells to produce antibodies and cytotoxic T cells to attack infected host cells, they must first _______.


A) undergo maturation, encounter their specific antigen target, and then become activated through cytokines
B) recognize self markers, develop specificity for the markers, and then produce clones
C) be activated by interleukins, encounter an antigen, and then develop specificity toward it
D) encounter an antigen, develop specificity for that antigen, and then remember the antigen

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

Correct Answer

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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 speci?city against that immunogen, iii) 2nd encounter with the immunogen, and iv) development of memory cells.

A) True
B) False

Correct Answer

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Live, attenuated vaccines _______.


A) include the Sabin polio vaccine
B) include the measles, mumps, rubella vaccine (MMR)
C) contain viable microbes that can multiply in the person
D) require smaller doses and fewer boosters compared to inactivated vaccines
E) All of these choices are correct.

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

Correct Answer

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Which process involves antibodies covering surface receptors on a virus or toxin molecule, thereby disrupting their activity?


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

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

Correct Answer

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

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

Correct Answer

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


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

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

Correct Answer

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All of the following statements reflect the qualities of a safe and effective vaccine, except _______.


A) it should have a long shelf-life, be cheap to produce, and easy to administer
B) it should confer both humoral and cell-mediated immunity
C) efficacy must be maintained by booster shots every five years
D) the injected material should be antigenic, but not pathogenic

E) None of the above
F) C) and D)

Correct Answer

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C

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