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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

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A foreign molecule that causes a specific immune response is a(n) ________.


A) PAMP
B) marker
C) hapten
D) antibody
E) antigen

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Which of the following statements is false regarding the development of specific immunity?


A) The fourth stage of specific immunity involves the production of antibodies by B and T cells against the antigen that initiated the response.
B) The second stage in the development of specific immunity requires the antigen to be presented to the T cells on the surface of an APC.
C) During the third stage in the development of specific immunity,B and T cells are challenged by the antigen and respond by differentiating and proliferating.
D) The initiation of specific immunity involves the development of lymphocytes with the deletion of cells that would react to self molecules.

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An example of artificial passive 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.

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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 the choices are correct.

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Which immunoglobulin class(es) can fix complement?


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

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B cell-receptors are similar to T cell-receptors in that ________.


A) both receptors are similar in size
B) both receptors have a variable and a constant region
C) both receptors can be secreted in response to antigen
D) both receptors are comprised of four polypeptide chains
E) All of the choices reflect similarities between B cell- and T cell-receptors.

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Acquired specific immunity involves the response of ________.


A) skin barriers
B) B and T lymphocytes
C) lysozyme
D) mucous membranes
E) interferon

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Immunotherapy is the ________.


A) use of antitoxins
B) use of immune serum globulin
C) conferring of passive immunity
D) administering of preformed antibodies
E) All of the choices are correct.

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Small foreign molecules that are too small by themselves to elicit an immune response are termed ________.


A) epitope
B) hapten
C) antigen binding site
D) variable region
E) None of the choices are correct.

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

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Plasma cells ________.


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

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A 2-week-old infant is brought to a family practice office for a scheduled visit. The parents appear anxious, as this is their first child. They express multiple concerns to the nurse about their son's sleep patterns, feeding, and crying. The RN provides empathetic listening and education to calm their fears, and they are receptive to the teaching. When the RN discusses vaccination with the parents, they refuse to vaccinate their son because they have heard vaccines can cause autism in children. -The parents are concerned when they hear that vaccines consist of whole microbes,even if they have been inactivated.They state that they do not want whole bacteria being put into their son.What is the most appropriate response by the nurse?  


A) The bacteria is inactive,so there's no risk of it harming your son.
B) The chances of the bacteria infecting your son are very slim.
C) Currently available vaccines have do not contain whole bacteria.
D) Vaccines are refrigerated and the cold inhibits mutations.

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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

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Properties of effective antigens include all the following except ________.


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

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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.

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


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

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An RN working in a general medical-surgical unit is caring for a 57-year-old female with a bladder infection. Two weeks prior to hospitalization, the patient was experiencing slight burning upon urination. She self-treated by increasing her intake of fluids, but her symptoms continued to worsen. One week later, she developed generalized abdominal pain and a fever. She presented to the hospital when the pain became unbearable and fever reached 104°F. She was admitted to the medical-surgical unit and started on multiple IV antibiotics with concern that she could be developing a kidney infection. -Which line(s) of defense has/have been breached in this patient's case? 


A) Only the first line of defense has been breached.Her second line of defense is fighting off this infection.
B) No lines of defense have been breached.Her intact barrier system is keeping her kidneys from becoming infected.
C) The second line of defense has been breached.Her lymphocytes are now being challenged by this infection.
D) There are no lines of defense for this sort of infection.

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Destruction of lymphocytes with self specificity is called ________.


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

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Gamma-delta T cells ________.


A) are considered a bridge between nonspecific and specific immune responses
B) have T cell-receptors that target a wide range of antigens
C) can bind to,and become activated by PAMPs
D) differentiate into memory cells
E) All of the choices are true.

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