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How does the stomach provide a line of defense against pathogens?

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It is high...

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Why are viruses generally not considered to be living things?


A) They don't respire.
B) They have no metabolism.
C) They can't reproduce on their own.
D) They can't move on their own.
E) They don't have their own DNA.

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

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The digestive tract, reproductive tract, and respiratory tract all have a similar strategy for keeping pathogens out of the body. What is that strategy?


A) They all expel contaminated material.
B) They all are somewhat acidic.
C) They all have antimicrobial materials in them.
D) They all have mucous membranes which trap pathogens.
E) They are all mostly closed to the environment.

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

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John Snow was a doctor in London in the mid-1800s. What did he discover about cholera?


A) It was highly contagious.
B) It was caused by bacteria.
C) It was nearly always fatal
D) It was caused by contaminated water.
E) Outbreaks were especially common in downtown London.

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

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Babies acquire antibodies from their mothers before they are born and in the earliest breast milk. What type of immunity is this?

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What do antibodies do?


A) Each identifies one specific antigen from a foreign invader and attacks and kills the invader.
B) Each identifies one specific antigen from a foreign invader and binds to it so that cell can't reproduce.
C) Each identifies one specific antigen from a foreign invader and then triggers an inflammatory response.
D) They coat the surface of specific foreign invaders, making it easer for macrophages to eat them.
E) They recruit T cells from the thymus to attack and kill invaders identified by a specific antigen.

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

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If you came into contact with Vibrio, what defense do you have to keep it from even getting to your intestines?


A) Your skin is an effective barrier against bacteria you come in contact with.
B) Antimicrobial enzymes in saliva
C) Acid in the stomach
D) Mucous membranes in the digestive and respiratory tract
E) All of the above

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

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Why is cholera now rare in the developed world?

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There are chemical signals that call on non-infected cells to help fight a virus. Which are they?


A) Macrophages
B) Natural killer cells
C) Interferons
D) Complement proteins
E) B cells

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

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Why is it actually fairly difficult to get a urinary tract infection?


A) Generally, the flowing urine keeps the tract free of bacteria.
B) Urine contains antimicrobial enzymes.
C) Urine is slightly acidic.
D) There are few bacteria which are capable of attaching to the tract wall.
E) The "good" bacteria in urine keeps any pathogens at bay.

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

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A

Why are monoclonal antibodies so useful?


A) They're easy to produce for any infection, so doctors can use them like medicines, and they only go after diseased cells.
B) They allow for a consistent supply of antibodies that target specific infections, so patients don't have to wait for just their own antibodies to build up, and they only go after diseased cells.
C) They are easy to produce and can target even cancer cells, but there are side effects on par with chemotherapy.
D) They're easy to produce for any infection, so doctors can use them like medicines, and they only go after diseased cells, but they don't last long so they constantly have to be remade.
E) They might be useful once they are approved for use in humans. So far the side effects are unknown.

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

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What do helper T cells do?


A) Detect foreign invaders
B) Enhance B-cell responses
C) Alert other T cells that there is an infection
D) Increase the response of cytotoxic T cells
E) All of the above

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

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E

Why aren't antibiotics necessarily the solution to pathogen infections?


A) There aren't antibiotics that can kill every pathogen.
B) Pathogens can become resistant to antibiotics over time.
C) If you kill off an infection with antibiotics rather than allowing an immune system to do it, there will be no memory cells to prevent future infections.
D) Not everyone can take antibiotics.
E) All of the above

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

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What do B cells do when they identify a pathogen?


A) Kill it
B) Engulf and eat it
C) Engage helper T cells to fight the infection
D) Produce antigens to bind to the pathogen and memory cells to guard against future infection.
E) Produce antibodies to bind to the pathogen and memory cells to guard against future infection.

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

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Robert Koch discovered the pathogen that causes cholera. How?


A) He was looking for the bacteria that causes anthrax, and he happened to see another kind and was able to use it to infect mice with cholera.
B) He was visiting India and a doctor there told him about it.
C) He found it in the feces of cholera patients.
D) He examined the soil on farms in Ireland.
E) He became infected himself and found the bacteria in his blood.

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

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There is antibody-mediated and cell-mediated specific immunity. Which type of cells are primarily involved in the antibody-mediated immune response?


A) T cells
B) Macrophages
C) B cells
D) Antigens
E) Complement proteins

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

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How are antibodies other your own used to help fight an infection?


A) They are engineered in the lab to behave like your own antibodies and can be used instead.
B) They are isolated from someone else and used as a supplement to the patient's own immune system.
C) They can be injected and will function like memory cells, preventing future infections.
D) They are concentrated from animals who have been infected with a particular disease and used to supplement a sick person's immune system response.
E) All of the above

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

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B

How did two graduate students discover that the bursa of Fabricus (BF) is what produces the cells necessary for antibody-mediated immunity in chickens?


A) The BF was removed from chickens for another study, and when those chickens were injected with bacteria, it turned out they produced no antibodies which meant they were producing no B cells.
B) The BF was removed from chickens for another study and when they were injected with bacteria, it turned out they produced no antibodies which meant they were producing no T cells.
C) They observed that the BF grew rapidly in the weeks after chicks hatched, which would be just when an immune system would be developing.
D) They noticed that chicks without a thymus had no cell-mediated immunity.
E) Some of the chicks without a BF died when injected with bacteria, suggesting they had no effective immune system.

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

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Babies are always at high risk of infection because they lack any sort of specific immune response in their first year. True or false?


A) True. The specific immune system has to be exposed to a few things to develop, and this takes some time.
B) False. Babies acquire antibodies from their mother in the womb and also from the earliest breast milk.
C) True. The thymus does not mature to produce functional T cells for about the first year.
D) False. Babies have a fully functional specific immune system from birth and can fight of disease as well as an adult.
E) True. Babies put so much energy into growth in their first year that their immune system simply doesn't have the energy to function for a year or so.

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

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These locate and kill microbes by engulfing and eating them. Which is it?


A) Macrophages
B) Natural killer cells
C) Interferons
D) Complement proteins
E) B cells

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

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