TEST BANK FOR
Xv Xv
Immunology and Serology in Laboratory Medicine, 7th Edition by Mary Louise Turgeon
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
Chapter 1-27
Xv
,Chapter 01: Highlights of the Innate and Adaptive Immune Systems
Xv Xv Xv Xv Xv Xv Xv Xv Xv
MULTIPLE CHOICE Xv
1. The ―father‖ of immunology is generally considered to be
Xv Xv Xv Xv Xv Xv Xv Xv
a. Koch.
b. Pasteur.
c. Gram.
d. Salk.
ANS: X v B
Louis Pasteur is generally considered to be the ―father of immunology.‖
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
2. An early form of immunization was practiced by the
Xv Xv Xv Xv Xv Xv Xv Xv
a. Romans.
b. Greeks.
c. Chinese.
d. Native Americans. Xv
ANS: X v C
Beginning about 1000 AD, the Chinese practiced a form of immunization by inhaling drie
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
d powders derived from the crusts of smallpox lesions.
Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
3. A Xv specific function of the immune system is to
Xv Xv Xv Xv Xv Xv Xv
a. recognize self from nonself. Xv Xv Xv
b. defend the body against nonself.
Xv Xv Xv Xv
c. amplify specific functions. Xv Xv
d. Both A and B. Xv Xv Xv
ANS: X v D
The function of the immune system is to recognize self from nonself and defend the body
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
against nonself. Such a system is necessary for survival. The immune system also has n
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
onspecific effector mechanisms that usually amplify the specific functions. Nonspecific co
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
mponents of the immune system include mononuclear phagocytes, polymorphonuclear leu
Xv Xv Xv Xv Xv Xv Xv Xv Xv
kocytes, and soluble factors (e.g., complement).
Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
4. An undesirable consequence of immunity is
Xv Xv Xv Xv Xv
a. natural resistance. Xv
b. acquired resistance to infectious diseases.
Xv Xv Xv Xv
, c. an autoimmune disorder.
Xv Xv
d. recovery from infectious disease. Xv Xv Xv
ANS: X v C
The desirable consequences of immunity include natural resistance, recovery, and acquired
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
resistance to infectious diseases. A deficiency or dysfunction of the immune system can c
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ause many disorders. Undesirable consequences of immunity include allergy, rejection of
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
a transplanted organ, or an autoimmune disorder.
Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
5. The immune system has various distinctive characteristics except;
Xv Xv Xv Xv Xv Xv Xv
a. specificity.
b. memory.
c. mobility.
d. noncooperation among different cells. Xv Xv Xv
ANS: X v D
The immune system is composed of a large, complex set of widely distributed elements,
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
with the distinctive characteristics of specificity, memory, mobility, replicability, and coop
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
eration among different cells or cellular products. Specificity and memory are characteristi
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
cs of lymphocytes in the immune system. Nonspecific elements of the immune system de
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
monstrate mobility. In addition, specific and nonspecific cellular components of the immu
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ne system can replicate. Cooperation is required for optimal functioning, and interaction i
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
nvolves specific cellular elements, cell products, and nonlymphoid elements.
Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
6. Hematopoiesis occurs in the yolk sac during the Xv Xv Xv Xv Xv Xv Xv
a. immediate hours after conception Xv Xv Xv
b. second month of gestation. Xv Xv Xv
c. second trimester of gestation. Xv Xv Xv
d. periods of severe anemia in children. Xv Xv Xv Xv Xv
ANS: X v A
The sites of blood cell development, or hematopoiesis, follow a definite sequence in the e
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
mbryo and fetus. Hematopoiesis occurs in the yolk sac during the second month of gestati
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
on.
DIF: Cognitive Level: II Xv Xv
7. The sequence of blood cell development in the embryo and fetus is
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
a. yolk sac, liver-spleen, bone marrow.
Xv Xv Xv Xv
b. yolk sac, bone marrow, liver/spleen.
Xv Xv Xv Xv
c. liver-spleen, yolk sac, bone marrow. Xv Xv Xv Xv
d. bone marrow, liver-spleen, yolk sac.
Xv Xv Xv Xv
ANS: X v A
, The first blood cells are primitive red blood cells (erythroblasts; RBCs) formed in the isl
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ets of the yolk sac during the first 2 to 8 weeks of life. Gradually, the liver and spleen
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
replace the yolk sac as the sites of blood cell development. By the second month of ges
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
tation, the liver becomes the major site of hematopoiesis, and granular types of leukocyt
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
es have made their initial appearance. The liver and spleen predominate from about 2 to
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv X
v5 months of fetal life. In the fourth month of gestation, bone marrow begins to produce
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
blood cells. After the fifth fetal month, bone marrow begins to assume its ultimate role
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
as the primary site of hematopoiesis.
Xv Xv Xv Xv Xv
DIF: Cognitive Level: II Xv Xv
8. The primary function of mature neutrophils is
Xv Xv Xv Xv Xv Xv
a. to reduce inflammation.
Xv Xv
b. to lyse parasites in the circulatory system.
Xv Xv Xv Xv Xv Xv
c. antigen recognition. Xv
d. phagocytosis.
ANS: X v D
Various phagocytic cells continually circulate throughout the blood, lymph, gastrointestina
Xv Xv Xv Xv Xv Xv Xv Xv Xv
l system, and respiratory tract. When trauma occurs, the neutrophils arrive at the site of i
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
njury and can be found in the initial exudate in less than 1 hour. Monocytes are slower i
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
n moving to the inflammatory site. Macrophages resident in the tissues of the body are al
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ready in place to deal with an intruding agent. Additional macrophages from the bone mar
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
row and other tissues can be released in severe infections.
Xv Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: II Xv Xv
9. Primary granules, or azurophilic granules, in neutrophils contain
Xv Xv Xv Xv Xv Xv Xv
a. lysozyme.
b. myeloperoxidase.
c. lactoferrin.
d. Both A and B. Xv Xv Xv
ANS: X v D
Granules in the phagocyte cytosol contain degradatory enzymes of three types
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
1. Primary, or azurophilic, granules containing enzymes (e.g., lysozy
Xv Xv Xv Xv Xv Xv Xv
me, myeloperoxidase) Xv
2. Secondary, or specific, granules containing substances such as lactoferrin.Xv Xv Xv Xv Xv Xv Xv Xv
3. Tertiary granules containing substances such as caspases Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
10. The origin of a condition when eosinophils are increased in the circulating blood is asso
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ciated with: Xv
a. fungus
b. parasitic amoeba Xv
c. allergic reactions Xv
d. bacteria
ANS: X v C
Xv Xv
Immunology and Serology in Laboratory Medicine, 7th Edition by Mary Louise Turgeon
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
Chapter 1-27
Xv
,Chapter 01: Highlights of the Innate and Adaptive Immune Systems
Xv Xv Xv Xv Xv Xv Xv Xv Xv
MULTIPLE CHOICE Xv
1. The ―father‖ of immunology is generally considered to be
Xv Xv Xv Xv Xv Xv Xv Xv
a. Koch.
b. Pasteur.
c. Gram.
d. Salk.
ANS: X v B
Louis Pasteur is generally considered to be the ―father of immunology.‖
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
2. An early form of immunization was practiced by the
Xv Xv Xv Xv Xv Xv Xv Xv
a. Romans.
b. Greeks.
c. Chinese.
d. Native Americans. Xv
ANS: X v C
Beginning about 1000 AD, the Chinese practiced a form of immunization by inhaling drie
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
d powders derived from the crusts of smallpox lesions.
Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
3. A Xv specific function of the immune system is to
Xv Xv Xv Xv Xv Xv Xv
a. recognize self from nonself. Xv Xv Xv
b. defend the body against nonself.
Xv Xv Xv Xv
c. amplify specific functions. Xv Xv
d. Both A and B. Xv Xv Xv
ANS: X v D
The function of the immune system is to recognize self from nonself and defend the body
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
against nonself. Such a system is necessary for survival. The immune system also has n
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
onspecific effector mechanisms that usually amplify the specific functions. Nonspecific co
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
mponents of the immune system include mononuclear phagocytes, polymorphonuclear leu
Xv Xv Xv Xv Xv Xv Xv Xv Xv
kocytes, and soluble factors (e.g., complement).
Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
4. An undesirable consequence of immunity is
Xv Xv Xv Xv Xv
a. natural resistance. Xv
b. acquired resistance to infectious diseases.
Xv Xv Xv Xv
, c. an autoimmune disorder.
Xv Xv
d. recovery from infectious disease. Xv Xv Xv
ANS: X v C
The desirable consequences of immunity include natural resistance, recovery, and acquired
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
resistance to infectious diseases. A deficiency or dysfunction of the immune system can c
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ause many disorders. Undesirable consequences of immunity include allergy, rejection of
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
a transplanted organ, or an autoimmune disorder.
Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
5. The immune system has various distinctive characteristics except;
Xv Xv Xv Xv Xv Xv Xv
a. specificity.
b. memory.
c. mobility.
d. noncooperation among different cells. Xv Xv Xv
ANS: X v D
The immune system is composed of a large, complex set of widely distributed elements,
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
with the distinctive characteristics of specificity, memory, mobility, replicability, and coop
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
eration among different cells or cellular products. Specificity and memory are characteristi
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
cs of lymphocytes in the immune system. Nonspecific elements of the immune system de
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
monstrate mobility. In addition, specific and nonspecific cellular components of the immu
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ne system can replicate. Cooperation is required for optimal functioning, and interaction i
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
nvolves specific cellular elements, cell products, and nonlymphoid elements.
Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
6. Hematopoiesis occurs in the yolk sac during the Xv Xv Xv Xv Xv Xv Xv
a. immediate hours after conception Xv Xv Xv
b. second month of gestation. Xv Xv Xv
c. second trimester of gestation. Xv Xv Xv
d. periods of severe anemia in children. Xv Xv Xv Xv Xv
ANS: X v A
The sites of blood cell development, or hematopoiesis, follow a definite sequence in the e
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
mbryo and fetus. Hematopoiesis occurs in the yolk sac during the second month of gestati
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
on.
DIF: Cognitive Level: II Xv Xv
7. The sequence of blood cell development in the embryo and fetus is
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
a. yolk sac, liver-spleen, bone marrow.
Xv Xv Xv Xv
b. yolk sac, bone marrow, liver/spleen.
Xv Xv Xv Xv
c. liver-spleen, yolk sac, bone marrow. Xv Xv Xv Xv
d. bone marrow, liver-spleen, yolk sac.
Xv Xv Xv Xv
ANS: X v A
, The first blood cells are primitive red blood cells (erythroblasts; RBCs) formed in the isl
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ets of the yolk sac during the first 2 to 8 weeks of life. Gradually, the liver and spleen
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
replace the yolk sac as the sites of blood cell development. By the second month of ges
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
tation, the liver becomes the major site of hematopoiesis, and granular types of leukocyt
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
es have made their initial appearance. The liver and spleen predominate from about 2 to
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv X
v5 months of fetal life. In the fourth month of gestation, bone marrow begins to produce
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
blood cells. After the fifth fetal month, bone marrow begins to assume its ultimate role
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
as the primary site of hematopoiesis.
Xv Xv Xv Xv Xv
DIF: Cognitive Level: II Xv Xv
8. The primary function of mature neutrophils is
Xv Xv Xv Xv Xv Xv
a. to reduce inflammation.
Xv Xv
b. to lyse parasites in the circulatory system.
Xv Xv Xv Xv Xv Xv
c. antigen recognition. Xv
d. phagocytosis.
ANS: X v D
Various phagocytic cells continually circulate throughout the blood, lymph, gastrointestina
Xv Xv Xv Xv Xv Xv Xv Xv Xv
l system, and respiratory tract. When trauma occurs, the neutrophils arrive at the site of i
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
njury and can be found in the initial exudate in less than 1 hour. Monocytes are slower i
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
n moving to the inflammatory site. Macrophages resident in the tissues of the body are al
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ready in place to deal with an intruding agent. Additional macrophages from the bone mar
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
row and other tissues can be released in severe infections.
Xv Xv Xv Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: II Xv Xv
9. Primary granules, or azurophilic granules, in neutrophils contain
Xv Xv Xv Xv Xv Xv Xv
a. lysozyme.
b. myeloperoxidase.
c. lactoferrin.
d. Both A and B. Xv Xv Xv
ANS: X v D
Granules in the phagocyte cytosol contain degradatory enzymes of three types
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
1. Primary, or azurophilic, granules containing enzymes (e.g., lysozy
Xv Xv Xv Xv Xv Xv Xv
me, myeloperoxidase) Xv
2. Secondary, or specific, granules containing substances such as lactoferrin.Xv Xv Xv Xv Xv Xv Xv Xv
3. Tertiary granules containing substances such as caspases Xv Xv Xv Xv Xv Xv
DIF: Cognitive Level: I Xv Xv
10. The origin of a condition when eosinophils are increased in the circulating blood is asso
Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv Xv
ciated with: Xv
a. fungus
b. parasitic amoeba Xv
c. allergic reactions Xv
d. bacteria
ANS: X v C