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TEST BANK for The Immune System 5th Edition by Peter Parham. (Complete Chapters 1-17) |Updated & Complete A+ CHAPTER 1: ELEMENTS OF THE IMMUNE SYSTEM AND THEIR ROLES IN DEFENSE 1–1 The last cases of smallpox were reported in the . c. 1970s 1–2 The first line of defense against microorganism...

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TEST BANK for The Immune System 5th Edition by Peter Parham.
CHAPTER 1: ELEMENTS OF THE IMMUNE SYSTEM AND THEIR ROLES IN DEFENSE


1–1 The last cases of smallpox were reported in the .

c. 1970s

1–2 The first line of defense against microorganisms that infect the body is referred to as .;

b. innate immunity

1–3 Which of the following pairs is mismatched?;

a. innate immunity: highly specialized defenses

1–4 All of the following are examples of chemical barriers of innate immunity except .;

b. normal microbiota

1–5 When effector lymphocytes secrete , an inflammatory response ensues.

e. cytokines.

1–6 The thin layer of cells that makes up the interior lining of the blood vessels is called the .

c. endothelium.

1–7 Identify the incorrect statement regarding hematopoiesis.

e. Leukocytes, but not erythrocytes, must go through hematopoiesis in order to develop.

1–8 The progenitors of macrophages are .

c. monocytes

1–9 act as cellular messengers by delivering degraded pathogens to lymphoid organs.

b. Dendritic cells

1–10 Another name for a large granular lymphocyte is a .

d. natural killer cell


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TEST BANK for The Immune System 5th Edition by Peter Parham.
1–11 Effector cells that secrete antibodies are known as .

e. plasma cells

1–12 Spherical regions in lymph nodes containing areas that are packed densely with proliferating B cells are

called .

b. germinal centers

1–13 The is (are) the lymphoid organ(s) that filter(s) the blood.

a. spleen

1–14 cells persist long after an individual has been vaccinated.

c. Memory

1–15 During an infection, are mobilized in large numbers from the bone marrow.

d. neutrophils

1–16 In most cases, adaptive immune responses rely on the initial activation of in secondary lymphoid

tissue:

b. T cells

1–17 All of the following statements are characteristic of secondary immune responses except .

a. Secondary immune responses are activated when primary immune responses fail to completely eradicate
an
infection.




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TEST BANK for The Immune System 5th Edition by Peter Parham.
1–18 Identify the four classes of pathogens that provoke immune responses in our bodies and give an example

of each.

The four classes of pathogen are bacteria, viruses, fungi, and parasites (protozoa and worms).

1–19 A bacterium that causes a common disease in a population that has been previously exposed to it is

called .

d. endemic

1–20

A. Name the parts of the body where epithelia act as barriers to infection.

B. Describe the three main ways in which epithelia carry out this barrier function, giving details of the

mechanisms employed.

A. Skin; mucosal epithelium of the gastrointestinal tract; mucosal epithelium of the respiratory tract; mucosal

epithelium of the urinogenital tract.

B. (i) Mechanical (physical) barriers. Tight junctions between the epithelial cells prevent the penetration of

pathogens between the cells to underlying tissues. In addition, there is a flow of air and fluid over epithelial

surfaces, which oxygenates and flushes the surface, preventing anaerobic bacterial growth and transient

adhesion. On ciliated epithelial surfaces, such as those of the respiratory tract, the formation of a layer of

mucus that is kept in continual movement by the beating cilia inhibits colonization and invasion by

microorganisms. (ii) Chemical barriers. The epithelium produces a variety of chemical substances that interfere

with the adherence of microorganisms to epithelium and with their replication. The skin produces fatty acids

in sebaceous glands, which helps to create an acid environment inhibitory to the growth of many bacteria.

Lysozyme, an enzyme that inhibits cell-wall formation in bacteria, is secreted in tears, saliva, and sweat. The

stomach produces strong hydrochloric acid, creating a highly acidic and formidable environment, which when


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TEST BANK for The Immune System 5th Edition by Peter Parham.
combined with the stomach enzyme pepsin (an acid protease) poses one of the most inhospitable

environments for microbial growth in our bodies. Defensins are antimicrobial peptides secreted by all the

protective epithelia. (iii) Microbiological barriers. A microbiota of non-pathogenic commensal microorganisms

colonizes many epithelial surfaces and provides an additional barrier to infection. They compete with

pathogenic microbes for space and nutrients, and sometimes produce antibacterial proteins that further

inhibit attachment to epithelium. For example, Escherichia coli in the large intestine produce colicins, which

prevent colonization by other bacteria.




1–21 An example of an antimicrobial peptide that protects epithelial surfaces from pathogens is .

b. defensin

1–22 How can antibiotics upset the barrier function of intestinal epithelia? Give a specific example.

Antibiotics attack the microbiological barriers of intestinal epithelia. The normal microbiota sensitive to the

antibiotics are killed off and the intestine can then be recolonized and overgrown by microorganisms that in

normal circumstances are present in very small numbers and thus do not cause a problem. An example is a

condition called pseudomembranous colitis caused by the overgrowth of Clostridium difficile. A membrane-like

substance is produced in the large intestine, causing an obstruction that can block intestinal flow and usually

requires surgical removal.

1–23 Describe the characteristics commonly associated with inflammation and what causes them.

The hallmarks of inflammation are heat, redness, pain, and swelling (edema). These are caused by a

combination of vasodilation (causing redness and heat), increased vascular permeability and the consequent

infiltration of fluid and leukocytes from the blood into the infected site (causing swelling, and also pain as a

result of the increased pressure on local nerve endings).

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