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Immune system cells differentiate between self and foreign cells by their ________.


A) cell walls
B) biota
C) markers
D) skin
E) cell processes

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Diapedesis is the ________.


A) loss of blood due to hemorrhaging
B) production of only red blood cells
C) production of white blood cells, red blood cells, and platelets
D) plugging of broken vessels to stop bleeding
E) migration of white blood cells from the blood out to the tissues

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During inflammation, a high neutrophil count is a common sign of bacterial infection.

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The patient's mother expresses concern about her daughter's fevers. She states that the fevers are a sign that her child is unable to fight this infection. What is a proper response to these concerns?


A) It is impossible to determine exactly why she is having these fevers. Doctors call this a fever of unknown origin.
B) Fevers are a natural response by the body to help fight infection.
C) These fevers are very dangerous, and you have strong reason for concern.
D) High fever could be a sign of a tumor of the hypothalamus.

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Nonspecific chemical defenses include ________.


A) lysozyme
B) lactic acid and electrolytes of sweat
C) skin's acidic pH and fatty acids
D) stomach hydrochloric acid
E) All of the choices are correct.

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The patient states, "There has to be a way for me to reduce this swelling. There is no way this can be good for me because it is so uncomfortable." Which of the following statements by the nurse is not an appropriate response?


A) Swelling helps trap foreign microbes to prevent them from getting into your main circulation.
B) Inflammation is a sign that your immune system is fighting the effects of your skin barrier being broken.
C) The influx of fluid into the area is helping to dilute toxins.
D) Swelling is a result of your bones responding to the influx of calcium-fighting toxins.

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The chemical found in tears and saliva that hydrolyzes the peptidoglycan in certain bacterial cell walls is ________.


A) lactic acid
B) hydrochloric acid
C) lysozyme
D) histamine
E) bile

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Each of the following is involved in the migration of white blood cells except ________.


A) chemotaxis
B) diapedesis
C) motility
D) vasodilation
E) phagocytosis

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The nurse examines the child and finds that the lymph nodes along of her neck are warm, tender, and slightly enlarged. Her other lymph nodes are nonpalpable or small, nontender, rubbery, and less than 2 mm in size. What is the most accurate interpretation of this finding?


A) This is a normal examination of the posterior cervical chain lymph nodes.
B) This examination is consistent with a systemic infection.
C) This examination is consistent with a localized infection.
D) This examination is definitive for an oncologic diagnosis.

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The circulating substances that affect the hypothalamus and initiate fever are ________.


A) complement
B) interferons
C) leukotrines
D) pyrogens
E) lysozymes

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What is the most likely cause of the patient's swollen tonsils?


A) Her intense cough caused rupture of the tonsils, and swelling is part of the normal wound-healing process.
B) Tonsils consist of lymphatic tissue, and became swollen by filtering out microbes and their toxic products.
C) She is dehydrated from poor fluid intake, so the tonsils are retaining fluid.
D) Tonsils are sensitive to stimulation, so they became swollen from her constant coughing.

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The membrane attack stage of the complement cascade involves ________.


A) initiation of the cascade
B) production of inflammatory cytokines
C) a ring-shaped protein that digests holes in bacterial cell membranes and virus envelopes
D) cleaving of C3 to yield C3a and C3b
E) C1q binding to surface receptors on a membrane

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What is the natural progression of healing for this wound?


A) Injury, vascular reactions, secondary injury, scar formation
B) Injury, edema/pus formation, vascular reactions, scar formation
C) Injury, edema/pus formation, scar formation, exudative leaking
D) Injury, vascular reactions, edema/pus formation, scar formation

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