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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) All of the above
G) None of the above

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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) adjuvant
B) booster
C) antibodies to toxin
D) gamma globulin
E) "Trojan horse" recombinant vaccine

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

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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) Your choice is fine,your children will never become infected since this is actually the basis of herd immunity.
B) 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.
C) Your choice is fine,maybe you will change your mind when your child goes to college.
D) This is not a smart choice.You could face potential arrest for not vaccinating your child per the regulations of the US government.

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

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Which of the following is not a target for TC cells?


A) bacteria
B) virus-infected cells
C) cancer cells
D) human transplanted liver
E) pig transplanted heart

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

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Autoimmune disorders are characterized by immune destruction of self tissues.The underlying basis of these disorders is:


A) oversecretion of antibodies from memory B cells
B) lack of immune tolerance
C) lack of an anamnestic response
D) overproduction of complement

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

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

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High titers of specific antibodies are characteristic of


A) specific immune globulin (SIG) .
B) gamma globulin.
C) immune serum globulin (ISG) .
D) attenuated vaccines.
E) toxoids.

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

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What type of cells secrete antibodies?


A) memory B cells
B) cytotoxic T cells
C) plasma cells
D) helper T cells
E) antigen-presenting cells

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

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Antigens that elicit allergic reactions are called


A) superantigens.
B) heterophilic antigens.
C) allergens.
D) autoantigens.

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

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The major histocompatibility complex is


A) a set of glycoproteins,called MHC antigens,found on all body cells.
B) a set of genes that code for MHC glycoproteins.
C) found on the third chromosome.
D) located in the thymus gland.
E) All of the choices are correct.

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

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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.

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

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The embryonic yolk sac,the liver,and the bone marrow are sites where


A) immune responses to antigen occur.
B) stem cells give rise to immature lymphocytes.
C) antigen is filtered from the blood.
D) antigen is filtered from tissue fluid.
E) T lymphocytes complete maturation.

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

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The hinge region of an antibody has a hypervariable amino acid region where the antigenic determinant fits.

A) True
B) False

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

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

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


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

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

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Edward Jenner's work involved


A) inoculation of dried pus from smallpox pustules into a person to stimulate immunity.
B) development of passive immunotherapy.
C) development of an immunization to protect people against cowpox.
D) immunization using a related,less pathogenic organism to give protection against a more pathogenic one.

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

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

A) True
B) False

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All nucleated cells contain


A) class I MHC.
B) class II MHC.
C) secretory antibodies.
D) IgE receptors.
E) IgD receptors.

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

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Properties of effective antigens include all of the following except


A) foreign to the immune system.
B) molecular complexity.
C) large molecules with a minimum molecular weight of 1,000.
D) large polymers made up of repeating subunits.
E) cells or large,complex molecules.

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

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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) IgD
B) IgE
C) IgG
D) IgM

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

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