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Hole's Human Anatomy & Physiology, 9/e

David Shier, Washtenaw Community College
Ricki Lewis, The University at Albany
Jackie Butler, Grayson County Community College

Lymphatic System and Immunity

Multiple Choice Quiz

Please answer all questions


1	The walls of lymphatic vessels are similar to those of cardiovascular _____________.
		A)	arteries
		B)	veins
		C)	capillaries
		D)	distributing arteries


2	The lymphatic trunk that drains the upper limb is the _______________.
		A)	bronchomediastinal trunk
		B)	intestinal trunk
		C)	subclavian trunk
		D)	jugular trunk


3	Lymphatic capillaries are able to receive cellular debris and foreign particles because ________________.
		A)	of the structure of their flaplike valves
		B)	the fluid pressure is so great it forces this material into the capillaries
		C)	lymphatic and cardiovascular capillaries are designed to receive this material
		D)	of amoeboid motion of the foreign particles


4	Which of these is not a function of lymph nodes?
		A)	house lymphocytes and macrophages
		B)	filter lymph
		C)	produce red blood cells
		D)	produce lymphocytes


5	What is the role of the thymus in protecting the body against disease?
		A)	It houses decaying lymphocytes, recycling the nutrients within them.
		B)	It is the site of maturation of T lymphocytes and the production of thymosin.
		C)	It is the site of production and maturation of B lymphocytes.
		D)	Macrophages and monocytes are produced here and migrate to other tissues of the body.


6	Select the statement that is true about the spleen.
		A)	The spleen filters the lymph much the same way the lymph nodes filter the blood.
		B)	The spleen harbors eosinophils waiting for parasites to attack the body.
		C)	The spleen is the major site of red and white blood cell production in the adult.
		D)	The spleen filters the blood much the same way the lymph nodes filter the lymph.


7	Which of these is not a nonspecific defense against disease.
		A)	species resistance
		B)	phagocytosis
		C)	interferon
		D)	hair color and texture


8	Why do tissues swell during inflammation?
		A)	Tissues swell during inflammation because of the volume of bacteria present in the wound.
		B)	Tissues swell during inflammation because of the number of blood cells attacking the bacteria.
		C)	Tissues swell during inflammation because the increased permeability of capillaries causes fluids to accumulate in the area.
		D)	Tissues swell during inflammation only because of pus accumulation.


9	Where are B lymphocytes believed to mature in adult humans?
		A)	Bursa of Fabricus
		B)	bone marrow
		C)	compact bone
		D)	liver


10	What traits characterize antigens?
		A)	Antigens may be proteins, polysaccharides, glycolipids, or glycoproteins that stimulate an immune response.
		B)	Antigens come only from foreign microorganisms.
		C)	Antigens are immunoglobulins the body produces in response to exposure to foreign organisms.
		D)	Antigens are proteins that stimulate an immune response.


11	Which of the following molecules is not generally produced by T cells and macrophages?
		A)	growth-inhibiting factors
		B)	cytokines
		C)	colony-stimulating factors
		D)	tissue thromboplastin


12	How are B cells activated?
		A)	A B cell is activated when it encounters an antigen that matches its B cell receptors and receives cytokines from helper T cells.
		B)	B cells are activated when they encounter their twin T cell component.
		C)	B cells are activated when red blood cells release cytokines.
		D)	B cells are activated when their matching antibodies attach to their surfaces and macrophages release cytokines.


13	Which type of immunoglobulin molecule is passed on to nursing infants in breast milk?
		A)	IgG
		B)	IgM
		C)	IgA
		D)	IgE


14	Antibodies interact with antigens in all of these ways except _______________.
		A)	opsonization
		B)	attracting macrophages to the area (chemotaxis)
		C)	releasing interferon
		D)	agglutination


15	Vaccines generally confer what type of immunity?
		A)	artificially acquired passive immunity
		B)	artificially acquired active immunity
		C)	naturally acquired passive immunity
		D)	naturally acquired active immunity


16	Which of these would not be found in lymph fluid?
		A)	proteins
		B)	sodium ions
		C)	neutrophils
		D)	erythrocytes


17	Which area is not drained by the thoracic duct?
		A)	right leg
		B)	left leg
		C)	right arm
		D)	left arm


18	The thoracic duct empties directly into the _____ vein.
		A)	right subclavian
		B)	left subclavian
		C)	right axillary
		D)	brachiocephalic


19	Which of these does not belong with the others?
		A)	thymus
		B)	lymph node
		C)	sinus
		D)	nodule


20	Where would Peyer's patches be found?
		A)	colon
		B)	small intestine
		C)	liver
		D)	throat


21	Which lymph nodes could not be palpated with the fingers?
		A)	axillary
		B)	inguinal
		C)	cervical
		D)	mesenteric


22	Which lymphatic area is larger in a child than an adult?
		A)	spleen
		B)	axillary lymph node
		C)	thymus
		D)	thoracic duct


23	Which is not a property of the red pulp within the spleen?
		A)	produces lymphocytes
		B)	has erythrocytes
		C)	has macrophages
		D)	produces erythrocytes


24	Which of these is not a non-specific defense mechanism?
		A)	bacteria
		B)	stomach pH
		C)	antibodies
		D)	skin sebaceous glands


25	The most numerous and main cell in the inflammatory response is the _____.
		A)	macrophage
		B)	neutrophil
		C)	monocyte
		D)	basophil


26	Substances called the _____ are capable of directly inhibiting DNA synthesis.
		A)	antibodies
		B)	interferons
		C)	complement system
		D)	histamines

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