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Which of the following class of antibody is primarily found in external secretions?


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

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

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A fetus is protected by maternal antibodies that cross the placenta. You explain to Ellie that the fetus


A) is protected by both maternal IgG and maternal IgM, because these can easily cross the placenta.
B) is protected by maternal IgM but not by maternal IgG, because IgM can cross the placenta but IgG cannot because it is a pentamer.
C) will make large amounts of its own IgG and IgM immediately if the mother contracts some type of pathogen.
D) is protected by maternal IgG but not by maternal IgM-IgG can cross the placenta but IgM cannot because it is a pentamer.
E) will make its own IgG if the mother contracts any type of pathogen; it cannot make IgM because this is a pentamer.

F) A) and B)
G) B) and D)

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T cell receptors are identical to antibodies.

A) True
B) False

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Which of the following do not induce a strong immune response?


A) Lipids
B) Proteins
C) Polysaccharides
D) Simple sugars
E) Lipids AND simple sugars.

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

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The chains of an antibody molecule are bonded to one another by


A) disulfide bonds.
B) hydrogen bonds.
C) ionic bonds.
D) oxygen bonds.
E) ligases.

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

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Which of the following antibodies is a dimer?


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

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

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T cells mature in the


A) bone marrow.
B) thymus.
C) Peyer's patches.
D) nervous tissue.
E) tonsils.

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

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What is a naive lymphocyte?


A) A lymphocyte that has an antigen receptor but has not yet encountered the antigen recognized by the receptor.
B) A lymphocyte that has encountered the antigen recognized by its receptor but has not yet made antibodies.
C) A lymphocyte that has encountered the antigen recognized by its receptor but has not yet made antibodies and cytokines.
D) A lymphocyte that has encountered the antigen recognized by its receptor but has not yet undergone apoptosis.
E) A lymphocyte that has not yet encountered the antigen recognized by its receptor but is making antibodies.

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

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You describe for your patient the sequence of events that occurs when a B cell is activated. Please select the correct order of statements. 1) TH cells recognize the presented antigen-MHC complex on the B cell and bind to it. 2) B cell receptor binds to an antigen and the antigen is internalized by endocytosis. 3) The bound TH delivers cytokines to the B cell that initiate the process of clonal expansion of that particular B cell. 4) The antigen is degraded and peptide fragments are expressed at the B cell membrane with MHC class II molecules.


A) 1, 2, 3, 4
B) 4, 3, 1, 2
C) 1, 3, 2, 4
D) 2, 3, 1, 4
E) 2, 4, 1, 3

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

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Which of the following is/are secondary lymphoid organ(s) ?


A) Thymus AND spleen
B) Spleen AND lymph nodes
C) Lymph nodes AND bone marrow
D) Spleen AND bone marrow
E) Thymus AND bone marrow

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

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A term synonymous with antibody is


A) antigen.
B) immunoglobulin.
C) epitope.
D) determinant.
E) immunotope.

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

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Cytotoxic T cells primarily are responsible for


A) humoral immunity.
B) cell-mediated immunity.
C) anamnestic immunity.
D) producing haptens.
E) producing antibodies.

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

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Antigens interact with antibodies at


A) the outer end of each arm of the Y.
B) the junction of heavy and light chains.
C) different regions depending on the class of antibody.
D) the bottom stem of the heavy chain of the Y.
E) the disulfide bridges of the antibody molecule.

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

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Antigens may be processed for presentation by


A) macrophages AND erythrocytes.
B) dendritic cells AND erythrocytes.
C) erythrocytes, macrophages, AND dendritic cells.
D) T cytotoxic cells, B cells, AND dendritic cells.
E) macrophages, B cells, AND dendritic cells.

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

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Your friend asks you how her B cells "know" when to make antibodies. You tell her that B cells must become activated, and that she has another type of cell that assists in this. These are the


A) TH cells that bind to the B cell and release cytokines that activate that B cell.
B) TC cells that bind to the B cell and release cytokines that activate that B cell.
C) TH cells that bind to the B cell and release cytokines that activate that T cell.
D) TC cells that bind to the B cell and release cytokines that activate that T cell.
E) TH cells that present the antigen to the B cell, leading to activation of that B cell.

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

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How is the central portion of a T cell receptor complex functionally analogous to the center of the B cell receptor complex?


A) It has two protein chains, just like a B-cell receptor.
B) Both receptors bind epitopes (small amino acid sections of antigen molecules) .
C) Both bind structures directly on the surface of microbes.
D) Both can be secreted from lymphocytes to bind to pathogens under certain situations.
E) Both have two heavy chains and two light chains.

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

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T-independent antigens


A) include polysaccharides.
B) require the involvement of T cells.
C) interact with MHCI molecules.
D) are usually proteins.
E) include polysaccharides AND require the involvement of T cells.

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

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Which of the following is not typical of an antigen?


A) Protein
B) Foreign
C) Low molecular weight
D) Polysaccharide
E) Low molecular weight AND protein

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

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You inform your patient that the human body has several mechanisms of defense: innate immunity, which is routine protection present at birth, and adaptive immunity, which is a more specific response that develops after birth. You tell your patient that her adaptive immune response uses two basic strategies for eliminating foreign material: humoral immunity, which involves ________ and cell-mediated immunity, which involves ________.


A) T lymphocytes; B lymphocytes
B) B lymphocytes; T lymphocytes
C) T lymphocytes; NK cells
D) B cells; neutrophils
E) neutrophils; macrophages

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

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Which of the following does NOT form a memory population after activation and differentiation?


A) B cells.
B) T cytotoxic cells.
C) T helper cells.
D) Macrophages.
E) These all form memory cells.

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

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