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One plasma cell will secrete antibodies of various classes but the antibodies will all have the same specificity.

A) True
B) False

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After secreting antibodies during an immune response,plasma cells then differentiate into memory cells.

A) True
B) False

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T-cell response to T-cell-dependent antigens requires ________.


A) typically a protein antigen
B) binding of T-cell to a class II MHC receptor on a macrophage
C) binding of T-cell to a site on the antigen
D) interleukin-1 activating the T helper cell
E) All of the choices are correct.

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

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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. -What kind of immunity will be conferred to the infant through vaccination? 


A) Active natural immunity
B) Passive natural immunity
C) Passive artificial immunity
D) Active artificial immunity

E) None of the above
F) All of the above

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Which process involves antibodies coating microorganisms in order to facilitate phagocytosis?


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

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

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The structural and functional differences that distinguish immunoglobulin isotypes are due to variations associated with their Fc fragments.

A) True
B) False

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Herd immunity involves ________.


A) maintaining a certain level of immunized individuals in a society to prevent a pathogen from circulating through the population
B) keeping bovine diseases to a minimum so they do not spread to the human population
C) encouraging individuals to work and live in close proximity to each other to prevent spread of a disease outside of a population
D) maintaining a 100% vaccination rate among farm workers to prevent the spread of zoonotic diseases

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

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What type of cells secrete antibodies?


A) B cells
B) Cytotoxic T cells
C) Plasma cells
D) Helper T cells
E) Antigen-presenting cells

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

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Which process involves a more rapid synthesis and greatly increased titer of antibody when the immune system is subsequently exposed to the same antigen?


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

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

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A 6-year-old male is brought to his pediatrician's office with chickenpox. He has had symptoms for one week, and his mother is concerned about the patient's 8-year-old sister because she had a long, painful chickenpox infection 2 years prior. Of note, the patient was not vaccinated against chickenpox because his parents did not think it was a serious enough virus to warrant the pain of the injection. -Which form of acquired immunity is the patient developing by having this infection?  


A) Active natural immunity
B) Passive natural immunity
C) Active artificial immunity
D) Passive artificial immunity

E) None of the above
F) B) and C)

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An example of natural 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.

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

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The monomer subunit of immunoglobulin molecules has all the following except ________.


A) two identical heavy polypeptide chains
B) two identical light polypeptide chains
C) disulfide bonds between polypeptide chains
D) four antigen binding sites
E) a variable and constant region on each polypeptide chain

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

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Lymphocytes ________.


A) possess MHC antigens for recognizing self
B) have membrane receptors that recognize foreign antigens
C) gain tolerance to self by destruction of lymphocytes that could react against self
D) develop into clones of B and T cells with extreme variations of specificity
E) All of the choices are correct.

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

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Which process involves antibodies cross-linking cells or particles into large aggregates?


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

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

Correct Answer

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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. -Following education from the RN,the parents decide to have their son vaccinated.Which of the following is the most important part of the family history to elicit?  


A) Incidence of autism
B) Food or drug allergies
C) Dairy sensitivity
D) Acute illness during pregnancy

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

Correct Answer

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What process provides many B cells and T cells that are activated against specific antigens?


A) Antigen expression
B) Antibody production
C) Clonal expansion
D) Antigen presentation
E) Opsonization

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

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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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Live,attenuated vaccines ________.


A) include the Sabin polio vaccine
B) include the measles,mumps,rubella vaccine (MMR)
C) contain viable microbes that can multiply in the person
D) require smaller doses and fewer boosters compared to inactivated vaccines
E) All of the choices are correct.

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

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To exhibit high immunogenicity,an antigen would preferably________.


A) originate in another organism
B) be large in size
C) have chemical complexity
D) have cell surface markers not recognized as self
E) All of the choices are features of a good antigen.

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

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Gamma-delta T cells differ from other T cells in that ________.


A) they can be directly activated by PAMPs,whereas other T cells have to be presented with the antigen in conjunction with an MHC molecule on an antigen-presenting cell
B) they do not have T cell-receptors to bind to antigens
C) they do not produce memory cells,unlike the T helper and T cytotoxic cells
D) they can react against cancer cells,whereas the other T cells can only target bacteria and viral-infected cells

E) All of the above
F) None of the above

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