Deck 7: Adaptive Immunity

Question 1

A macrophage was isolated and analyzed for major histocompatibility complex. Which of the following would be expected?

A) MHC I only
B) MHC II only
C) MHC I and II
D) Neither MHC I nor MHC II

Answer 1

MHC I and II

Question 2

A 6-year-old female is diagnosed with a bacterial infection of the respiratory system. Which of the following will most likely try to fight the antigen?

A) Antibodies
B) Cytotoxic T cells
C) Self-antigens
D) Helper T cells

Answer 2

Antibodies

Question 3

A patient has done research on monoclonal antibodies on the Internet. Which statement indicates a correct understanding? Pure monoclonal antibodies are produced by:

A) T lymphocytes.
B) bone marrow.
C) laboratories.
D) fetuses.

Answer 3

laboratories.

Question 4

A 25-year-old female has sexual relations with her boyfriend. Later she is told that the boyfriend is infected with Neisseria gonorrhoeae. Testing reveals that she does not have the disease. How is it possible that she did not contract the disease?

A) Antibodies covered sites of attachment on the micro-organisms.
B) She was vaccinated against it.
C) Platelets provided protection.
D) IgE was released.

Question 5

A 23-year-old pregnant female visits her primary care provider for her final prenatal checkup. The primary care provider determines that the fetus has developed an infection in utero. Which of the following would be increased in the fetus at birth?

A) IgG
B) IgA
C) IgM
D) IgD

Question 6

Which portion of the antibody is responsible for most of the biological functions of antibodies?

A) Heavy chain
B) Variable region
C) Fc portion
D) Epitope

Question 7

An experiment is designed to determine specific cell types involved in cell-mediated immune response. The experimenter is interested in finding cells that attack cells that have specific antigens. Which cells should be isolated?

A) Lymphokine-producing cells
B) T-cytotoxic cells
C) Helper T cells
D) Macrophages

Question 8

A 5-month-old child is admitted to the hospital with recurring respiratory infections. What is a possible cause of this condition?

A) Hypergammaglobulinemia
B) Increased maternal IgG
C) Immune insufficiency
D) Decreased maternal antibody breakdown, resulting in hyposensitivity

Question 9

A patient has a disease state that results from the secretion of toxins by bacteria. Which medical diagnosis might the nurse see documented on the chart?

A) Malaria
B) Tetanus
C) Smallpox
D) Hepatitis

Question 10

While planning care for an older adult patient, the nurse remembers that increased age is associated with which of the following? (Select all that apply.)

A) Increased T-cell function
B) Decreased immune function
C) Increased production of antibodies
D) Decreased numbers of circulating immune complexes
E) Decreased ability to fight infection

Question 11

Which following patient will develop active immunity?

A) The patient who has natural exposure to an antigen
B) The patient who receives preformed antibodies or T cells from a donor
C) The patient who has T cells that transform to B cells
D) The patient that receives immunoglobulin

Question 12

The predominant antibody of a typical primary immune response is:

A) IgG.
B) IgM.
C) IgA.
D) IgE.

Question 13

A 10-year-old male is stung by a bee while playing in the yard. He experiences a severe allergic reaction and has to go to the ER. The nurse providing care realizes that this reaction is the result of:

A) toxoids.
B) IgA.
C) IgE.
D) IgM.

Question 14

A nurse is caring for a patient with a severe pulmonary infection. While planning care, which immunoglobulin will the nurse remember as the most important component of pulmonary secretions?

A) IgA
B) IgB
C) IgP
D) IgM

Question 15

Which of the following is responsible for initiating clonal selection?

A) T cells
B) B cells
C) Antigens
D) Lymphocytes

Question 16

The direct effects of antibodies include: (Select all that apply.)

A) neutralization.
B) agglutination.
C) precipitation.
D) phagocytosis.
E) division.

Question 17

Which of the following is considered a secondary lymph organ?

A) The spleen
B) Bone
C) Antibody
D) The liver

Question 18

What is the most abundant class of antibody found in serum?

A) IgG
B) IgM
C) IgA
D) IgE

Question 19

A 20-year-old female is applying for nursing school and is required to be tested for immunity against several illnesses. Testing that looks at which of the following would be the best to determine immunity?

A) Culture and sensitivity
B) Agglutination
C) Precipitation
D) Titre