What is the system made of of cells and biochemicals inside of specialized lymphatic vessels?
cardiac system
respiratory system
lymphatic system
integumentary system
The lymphatic system
transports excess fluid away from interstitial spaces
functions to defend the body against pathogens
clears sinus cavities
A & B
Lymphatic capillaries
have a similar structure to blood capillaries
have closed ends
extends into interstitial spaces
contains fluid inside the capillaries known as lymph
all of the above
Lymphatic vessels are ________ than veins
thinner
thicker
Lymphatic vessels also have _________ ______ to prevent back flow
pulmonary valve
bicuspid valves
tricuspid valves
semilunar valves
Lymphatic veins lead to
heart
lungs
lymph nodes
brain
After lymphatic vessels leave the lymph nodes, they go to ________ ________
carotid artery
lymphatic trunks
pancreatic duct
medulla oblangata
Lymphatic trunks are named for
the area they drain
where they are located in the body
where they are most prominent
Lymphatic ducts drain into two collecting ducts known as
inferior and superior lymphatic ducts
major and minor lymphatic ducts
thoracic duct and right lymphatic duct
right and left lymphatic ducts
The thoracic duct is ____________ and ___________ than the right lymphatic duct
shorter and smaller
larger and longer
narrower and longer
thicker and smaller
The thoracic duct drains
lower body regions, left upper limb, left side of the head and neck
right side of the head and neck, right upper limb, and right thorax
right side of body
left side of body
The right lymphatic duct drains
the right side of the head and neck, right upper limb, and right thorax
lower body regions, left upper limb, left side of head and neck
Lymph is a ___________ __________ that has entered a lymphatic capillary
plasma membrane
interstitial fluid
tissue fluid
mucous membrane
__________ ________ forms when water and small molecules are pushed from the plasma in blood capillaries
lymphatic fluid
plasma membranes
Tissue fluid is the same _____________ as plasma, just without the plasma proteins
viscosity
thickness
composition
weight
What causes the reabsorption of most of the tissue fluid back into blood capillaries?
Osmosis
Diffusion
Filtration
Plasma colloid osmotic pressure
What is the substance that does not get reabsorbed into blood capillaries?
plasma proteins
white blood cells
The increase in what caused by increasing tissue fluid pushes the fluid into the lymphatic capillaries?
colloid osmotic pressure
hyrdostatic pressure
osmosis
diffusion
Consequently, the increase in hydrostatic pressure caused by increasing tissue fluid into the lymphatic capillaries produces?
plasma
mucous
lymph
erythrocytes
Lymph formation from tissue fluid prevents _________ (aka edema)?
accumulation
clotting
gas exchange
Lymph function includes
absorption of dietary fat
returns small proteins filtered in blood capillaries back to the blood
transports foreign particles (bacteria and viruses) to lymph nodes
Lymphatic capillaries have a flap-like valve that opens when pressure outside is greater than pressure inside and closes during the opposite. What is responsible for this?
holes in capillaries
epithelial cells overlapping (but not attached to one another)
slits in capillaries
The epithelial cells of the lymphatic capillaries are attached to connective tissue through filaments. This helps maintain
rigidity
elasticity
lumen of capillary
Lymph vessels work by
muscle activity that causes the bulk to flow
pressure changes in the abdominal and thoracic cavity
contraction of lymphatic walls in larger vessels
Lymph flow is greatest during:
rest
heightened emotions
physical exercise
infection
Lymph nodes include
lymphatic vessels
hilum, afferent and efferent vessels
none of the above
What is responsible for extending into the node and dividing the node into compartments
hilum
afferent vessels
efferent vessels
capsule of connective tissue
Lymph ________ flow where lymph can flow
sinuses
capillaries
vessels
__________ ________ are the functional units of the node
lymphatic capillaries
lymphatic nodules
What is found in groups or chains along the paths of large lymph vessels?
lymphatic tissue
Places for _____ _____ includes the cervical region, axillary region, supratroclear region, inguinal region, pelvic cavity, abdominal cavity, and thoracic cavity.
The two primary functions of lymph nodes are:
filter potentially harmful particles and monitor body fluids
drain infectious agents and maintain body temperature
maintain homeostasis and regulate hormones
none of these
Lymph nodes are the site of _________ production
macrophage
lymphocyte
erythrocyte
leukocyte
What "lives" in lymph nodes and engulfs and destroys foreign substances, damaged cells, and cellular debris
What lymphatic organ shrinks in size after puberty?
thymus
spleen
liver
kidney
In the thymus, what is replaces lymphatic tissue as one becomes elderly?
adipose and elastic tissues
elastic and connective tissues
adipose and connective tissues
fibrous and connective tissues
The thymus houses _______ that develop into bone marrow. These are __________ and _________.
thymocytes; lymphocytes and thymosins
leukocytes; thymocytes and thymosins
thymocytes; lymphocytes and leukocytes
lymphocytes ; thymocytes and thymosins
The ______ is the largest lymphatic organ
The spleen resembles a lymph node, as it contains _____ and _____
afferent and efferent vessels
hilum and lobules
macrophages and lymphocytes
lymphatic vessels and capillaries
Spaces in the spleen are filled with ______ as opposed to _______
blood; lymph
mucous; blood
lymph; blood
blood; mucous
The two types of tissue in the lobules are
Red pulp and white pulp
green pulp and yellow pulp
blue pulp and red pulp
yellow pulp and red pulp
White pulp of the spleen looks like ______ and contains _______
rods; macrophages
rectangles; leukocytes
islands; lymphocytes
squares; thymocytes
Red pulp of the spleen fills the remaining spaces of the lobules and is filled with ____________, __________, ___________
red blood cells, white blood cells, macrophages
red blood cells, lymphocytes, macrophages
lymphocytes, macrophages, thymosins
macrophages, thymosins, thymocytes
Blood capillaries in red pulp are ________, and ____________ may pass through.
impermeable; nothing
permeable; white blood cells
permeable; red blood cells
permeable; lymph
____________ and _____________ of the spleen work to keep the blood clean of particles, bacteria, and viruses.
red pulp and white pulp
thymosins and thymocytes
B-cells and T-cells
Essentially the spleen is responsible for:
lymph node regulation
filtration and monitoring of the blood
homeostasis
movement
The human body must defend against bacterial, viral, fungal, and parasitic infections. In order to do this, the body must
prevent entry
destroy pathogens after they enter the body
create acid to kill organisms
A and B
The two types of responses for destroying pathogens are
fast and slow
high and low risk
innate and adaptive
common and uncommon
______ are responses that act the same way for every pathogen.
innate (nonspecific)
adaptive (specific)
immediate
gradual
________ are responses that act a particular way for a specific pathogen
innate (non-specific)
Species resistance, mechanical barriers, chemical barriers, natural killer cells, inflammation, phagocytosis, and fever are examples of
innate response
adaptive response
immediate response
gradual response
Specialized lymphocytes recognizing non-self antigens, B-cells, and T-cells are examples of
innate defense
adaptive defense
immediate defense
gradual defense
As far as innate defenses, one species is not affected by the disease of another because the cells of the unaffected species have:
too many receptors for the pathogen
non-compatibility
no receptors for pathogen, incorrect temperature or chemical environment
Skin, mucous membranes of respiratory tract, tears, sweat, urine, and saliva make up the "________________" and are _______ _________.
second line of defense; adaptive defenses
first line of defense; innate responses
mechanisms of defense; superficial defenders
Enzymatic, accumulation of salt from perspiration, and interferons are also part of _________ _________, are known as chemical barriers (or the ___________________).
adaptive defense; second line defenses
innate defense; first line defense
innate defense; second line defense
___________ are hormone like peptides released by lymphocytes and fibroblasts in response to viral infections. They stimulate cells to synthesize proteins that block the replication of a variety of viruses and stimulate phagocytosis.
Enzymatic
phagocytes
macrophages
interferons
The ________ ______ is a group of proteins in plasma and other body fluids that react with pathogens and begin a biochemical cascade.
Complement System
Enzymatic proteins
Interferon groups
plasma clots
Complement contains to pathways known as
main and side pathways
enzymatic and interferon pathways
classical and alternative pathways
superior and inferior pathways
Complement activation stimulates
inflammation
attracts phagocytes
enhances phagocytosis
The pathway that causes protein to bind to the antibody attached to the specific antigen is
enzymatic pathway
alternative pathway
classical pathway
superior pathway
This pathways occurs in the absence of antibodies in response to foreign antigens - binding does not have to happen
interferon pathway
Natural killer cells derive from a small population of
lymphocytes
complements
The lymphocytes in natural killer cells are different than the lymphocytes that provide
innate immunity
adaptive immunity
Natural killer cells secrete ______ that destroys the cell membrane of infective cells
enzymes
perforins
serum
Natural killer cells secrete chemicals that increase ____________
temperature
blood flow
heart rate
Histamine released localized redness, swelling, heat, and pain can be defined as
injury
disease
What accumulates at the site of inflammation?
red blood cells
What is responsible for "walling off" the inflamed area?
fibroblasts
tissue fluids
Fibroblasts "wall off" inflammation to
maintain blood flow
phagocytize pathogen
isolate the pathogen
What removes foreign particles from lymph?
fever
phagocytosis
natural killer cells
fibrinogen turns into fibrin, which starts the ___________ process
inflammatory
enzymatic
Fever causes the liver to hold onto ________, which in turn starves the pathogen - especially in __________.
sodium; viruses
iron; bacteria
calcium; pathogens
phosphate; viruses
Viral/bacterial infections stimulate lymphocytes to proliferate and produce ________, which is responsible for a fever.
interleukin 1
interleukin 2
Fever causes __________ cells to attack pathogens more rigorously.
natural killer
phagocytic
Adaptive immunity is the ____ line of defense.
1
2
3
4
The resistance to specific pathogens or their toxins/metabolic products is known as
susceptibility
immunity
resistance
_________ allow the body to recognize it's "self" v "non-self"
pathogens
antigens
Anything that illicits an immune response, but is NOT an pathogen itself is known as
antibody
antigen
lymphatic cell
Proteins, polysaccharides, glycoproteins, and glycolipids can all be
antibodies
_____________ and _________ recognize "self" v "non-self" antigens and carry out the adaptive immune response
antigens and pathogens
leukocytes and red blood cells
lymphocytes and macrophages
B and T cells
Lymphocytes originate in
red bone marrow
medulla oblongata
About half of lymphocytes reach the thymus, where they become
thymoisins
thymocytes
Thymocytes different into _____ cells and make up 70-80% of circulating lymphocytes
B
T
C
D
____ cells are found in lymph nodes, thoracic duct, and white pulp of the spleen
E
The lymphocytes that remain in the red bone marrow differentiate into __ lymphocytes (or cells)
__ cells are found in the lymph nodes, spleen, bone marrow, and intestinal lining, and make up 20-30% of circulating lymphocytes
B and T cells originate from a single cell forming a _____ of cells
division
clone
separation
Members of a variety of B or T cells share _________ receptors that only respond to a specific antigen
chemical
pathogen
___ cells must be activated before it can respond to an antigen because they interact directly with infected cells
The activation of T cells must occur via an _________ -__________ cell. These include: macrophages, B-cells, and several others
pathogen-activating
antigen-activating
clotting-activating
plasma-activating
Macrophage engulfs cell, lysosome digests bacteria, bacterial antigens leave lysosome and move to the surface of a macrophage are all results of
B cell activation
D cell activation
T cell activation
____ cell activation is displayed near major histacompatability complex (MHC) or human leukocyte antigens (HLA)
What is it called when activated T cells can interact directly with the antigen presenting cell?
T cell activation response
cellular immune response
cell-mediated immunity
B & C
____ cells make and secrete cytokines which enhance cellular responses to antigens, as well as secrete toxins to kill antigen-bearing target cells (growth inhibiting factors against target cells)
A
F
_________ cells becomes activated when its antigen receptor combines with the displayed foreign antigen; also stimulates B cells through cytokines to produce antibodies
cytotoxic T cells
Helper T cells
activated T cells
unactivated T cells
The CD4 helper T cell is the target of
herpes
HIV
influenza
syphallis
Helper T cells produce
B cells
Cytotoxic T cells recognize
self-antigens
non-self antigens on virally infected and cancer cells
__________ (interluekin 2) from an activated helper T cell activate the cytotoxic T cell and helps it to proliferate
Cytokines
Plasmids
Cytotoxic T cells bind to antigen bearing cells to produce
plasmids
What cells help for future immune protection
helper T cells
memory T cells
Memory T cells derive from
Natural Killer Cells
Cytotoxic T cells
CD8 T cells are responsible for messenger T cells. After cellular division, one daughter cell becomes a ____________ and the other becomes a _______
macrophage, lymphocyte
cytotoxic T cell; memory T cell
natural killer cell; helper T cell
________ cells do NOT respond to the original exposure
Memory T cells
Which cell divides and differentiates upon subsequent exposure to the same antigen?
Memory T Cells
_____ cells become activated when antigen interacts with surface receptors
R
If a B cell becomes activated when an antigen interacts with surface receptors, it results in ______ of the clone; needs helper T cell
proliferation
multiplication
Clones of B cells differentiate into
helper B cells and cytotoxic B cells
memory B cells and plasma cells
Plasma cells are the cells that produce
clotting factors
enzyme
Another word for antibodies is
immunoglobulins
humoral agents
Immunoglobulins/antibodies can combine with the antigen on the pathogen and act against it, this is known as
reflex response
pathogenic response
antigenic response
humoral response
A single B cell can make a _______ response
single
multiple
duplicate
triple
Different antigens on the surface of pathogens illicit a response from different B cells; this is known as a ________ (many) response
triadic
polyhedral
polyclonal
Antibody molecules are made of ________ and ______ chains
small and large
light and dark
dark and heavy
heavy and light
The light chains of antibodies have fewer
peptide chains
amino acids
sucrose chains
lipids
Antibodies have a ___ shape
X
H
O
Y
Variable regions of have and light chains allow for specificity to different
Antibodies react to antigens by
Directly attacking antigens
activating complement
stimulating inflammation
Agglutination, precipitation, and neutralization are responsible in a
direct attack
activating of complement
Agglutination causes antigens to ____, making them easier to find
dissolve
clump
phagocytize
lysis
Precipitation causes antigens to become insoluble in
water
blood
When an antibody attaches to toxic portions of antigen and eliminates the effect, it is called
destruction
death
neutralization
Activation of complement is most important under _____ conditions
dyer
normal
abnormal
_________________ occurs when IgG or IgM antibodies combine with antigens and expose a portion of the constant region; this leads to the initiation of compliment proteins
activation of complement
Opsonization, chemotaxis, agglutination, lysis, and neutralization are effects of
initiation of complement
IgE promotes
IgE is found on
mast cells
lymphatic cells
T cells
Complexing with an antigen causes the release of ______ and other biochemicals (which causes vasodilation)
epinephrine
norepinephrine
histamines
Inflammation can be so intense that it damages
cells
tissues
blood vessels
The primary immune response first occurs when B and T cells
Plasma cells release the antibodies ______ then _____ into the lymph in a primary immune response
IgE then IgM
IgM then IgE
IgG then IgM
IgM then IgG
The primary immune response lasts
hours
days
minutes
weeks
In a primary immune response, some B cells become
helper cells
memory cells
cytotoxic cells
The secondary immune response is
faster and stronger
slower and weaker
more dangerous
no different
In a secondary response, if the memory cells encounter an identical antigen, they can rapidly (a day or two) produce ____ to combat it
IgM
IgG
IgE
IgJ
Why do follicular dendritic cells in the lymph nodes slowly release viral antigens after initial infection?
to weaken immune system further
to kill any left over pathogens
to keep immune system in check; strong.
When does naturally acquired active immunity develop?
before exposure to antigen
after primary immune response to exposure of live pathogen
after secondary immune response to exposure of live pathogen
after exposure to dead pathogen
An example of artificially acquired active immunity are
cultures
vaccinations
fruits
Antigens that stimulate primary immune response but does not produce symptoms of that disease are known as
medicines
antigenic factors
pathogenic factors
bacteria or viruses that have been killed or weakened, toxoids, and single glycoproteins from a pathogen's surface can be used to make
steroids
Artificially acquired passive immunity can be achieved by
taking vitamins
injection of antibodies or antitoxins
medicine
Artificially acquired passive immunity is _________ _____ and _________ is possible
long term; immunity
short term; immunity
long term; re-infection
short term; reinfection
IgG molecules that move from mother to baby through fetal blood supply and breast milk are considered to be
artificially acquired passive immunity
naturally acquired passive immunity
neither
Allergic reactions are very similar to a ________ response
immune
Both allergic reactions and immune responses are due to
sensitizing of macrophages
sensitizing of lymphocytes
Allergic reactions are response to _____________ substances
non-harmful
harmful
pathogenic
carcinogenic
Allergic reactions may
damage tissues
kill brain cells
cause blood clotting
raise hormone levels
Hypersensitivity reactions are also known as
immune responses
allergic reactions
skin conditions
Allergic reactions are triggered by antigens called
allergens
Immediate-reaction allergy (type I), antibody-dependent cytotoxic reactions (type II), immune complex reactions (type III), and delayed-reaction allergy (type IV) are all
allergic categories
Immediate-Reaction allergies (type I) is known as
cytotoxic allergies
anaphylactic allergies
antigen allergies
Type I allergic reaction occurs _________ after contact with the allergen
months
Inherited tendency is to ____________ produce IgE in response to particular antigens
over
under
not
B cells, mast cells, IgE, and allergy mediators (histamine, prostaglandin D2, and leukotrines) are all part of
anaphylaxes
mechanism of allergy
cytotoxic reactions
What cells must be sensitive to the allergen before you can become allergic?
mast
luekocytes
Because B cells must be sensitive to the allergen before you can become allergic, that means
the first exposure will not cause an allergic reaction
exposures after the initial exposure will cause an allergic reaction
The severe form of Type I allergy is known as
immune response
allergic reaction
anaphylactic shock
Sense of apprehension then body itching and breaking out in hives, vomiting and diarrhea, and difficulty breathing due to face, tongue, and larynx swelling is a result of
One can treat anaphylactic shock by
emergency tracheotomies
both
Corneas, kidneys, lungs, pancreas, bone marrow, liver, heart, skin are all organs that can be
removed
transplanted
susceptible to anaphylaxis
After an organ transplant, there is a risk of the _____ attacking the _______
host; organ
organ; host
Tissue rejection resembles the immune response to
hormones
The speed and severity of a tissue rejection reaction depends on the amount of similarity between recipient and donor's ______ complexes
TRH
MHC
mast cell
histamine
When the body fails to be able to differentiate between "self" and "non-self" is called
dissociative disorder
identity crisis
antibody complex
autoimmunity
Autoimmunity produces
autoantibodies
Autoimmunity results in the _____ cells attacking the body's tissues and organs
An example of autoimmune diseases are
rheumatoid arthritis
diabetes type I