Lymphatic System Flashcards - Chapter 21
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Questions and Answers

Lymphatic vessels recover about______ of the fluid filtered by capillaries.

  • 25%
  • 50%
  • 15% (correct)
  • 85%
  • 5%
  • Lymph is similar to blood plasma, but very low in _____

  • carbon dioxide
  • sodium and potassium
  • metabolic
  • protein (correct)
  • electrolytes
  • Special lymphatic vessels called lacteals absorb dietary _____ that are not absorbed by the blood capillaries.

  • vitamins
  • lipids (correct)
  • amino acids
  • water
  • glucose
  • The _______ tonsils are the largest, and their surgical removal (tonsillectomy) used to be one of the most common surgical procedures performed in children.

    <p>palatine</p> Signup and view all the answers

    All these forces help lymph to flow except _____

    <p>the lymphatic node pump</p> Signup and view all the answers

    ______ are the largest of the lymphatic vessels and they empty into the _______.

    <p>lymphatic trunks; subclavian veins</p> Signup and view all the answers

    Immune surveillance is a process in which _____ nonspecifically detect and destroy foreign cells and diseased host cells.

    <p>natural killer (NK) cells</p> Signup and view all the answers

    This organ shows a remarkable degree of degeneration (involution) with age.

    <p>thymus</p> Signup and view all the answers

    This is the only lymphatic organ with afferent lymphatic vessels.

    <p>lymph node</p> Signup and view all the answers

    Removal of the ______ will be the most harmful of all for a one-year-old child.

    <p>thymus</p> Signup and view all the answers

    All these belong to the second line of defense except _____

    <p>the gastric juices</p> Signup and view all the answers

    ________ are found especially in the mucous membrane standing guard against parasites and allergens.

    <p>eosinophils</p> Signup and view all the answers

    ______ employ a 'respiratory burst' to produce bactericidal chemicals such as hydrogen peroxide (H2O2) and hypochlorite (HCLO).

    <p>neutrophils</p> Signup and view all the answers

    Complement fixation can lead to any of the following effects except _____

    <p>endogenous pyrexia</p> Signup and view all the answers

    _______ are secreted by cells infected with viruses, alerting neighboring cells and protecting them from becoming infected.

    <p>interferons</p> Signup and view all the answers

    A pyrogen is a substance that causes _____

    <p>fever</p> Signup and view all the answers

    This is the first of a series of neutrophil behaviors in inflammation.

    <p>margination</p> Signup and view all the answers

    _______ is not a cardinal sign characteristic of inflammation.

    <p>impaired use</p> Signup and view all the answers

    Basophils of the blood help to get defensive leukocytes to the site quickly by releasing an anticoagulant called _____ and a vasodilator called ______.

    <p>heparin; histamine</p> Signup and view all the answers

    All these cellular agents participate in inflammation except _____

    <p>cytotoxic T cells</p> Signup and view all the answers

    These are a group of proteolytic enzymes secreted by natural killer (NK) cells.

    <p>granzymes</p> Signup and view all the answers

    Complement C3b protein coats bacteria and stimulates phagocytosis by _____ in a process called ______.

    <p>neutrophils and macrophages; opsonization</p> Signup and view all the answers

    _______ are antimicrobial proteins.

    <p>interferons</p> Signup and view all the answers

    One characteristic of the immune response is specificity. This means that _____

    <p>immunity is directed against a particular pathogen</p> Signup and view all the answers

    Vaccination stimulates _____

    <p>artificial active immunity</p> Signup and view all the answers

    Cellular (cell-mediated) immunity is effective against _____

    <p>cancer cells</p> Signup and view all the answers

    A(n) ______________ is the region of the molecule that is recognized by antibodies.

    <p>epitope</p> Signup and view all the answers

    T cells achieve immunocompetence in _____

    <p>the thymus</p> Signup and view all the answers

    T cells undergo positive selection in the thymus, which means _____

    <p>they multiply and form clones of identical T cells</p> Signup and view all the answers

    The serum used for emergency treatment of snakebites stimulates _____

    <p>artificial passive immunity</p> Signup and view all the answers

    The majority of T cells of the naive lymphocyte pool wait for the encounter with foreign antigens in _____

    <p>the lymphatic tissues</p> Signup and view all the answers

    All of the following can act as antigen-presenting cells except _____

    <p>T cells</p> Signup and view all the answers

    Helper T (TH) cells recognize antigens when they are bound to a(n) _____

    <p>major histocompatibility complex (MHC) protein</p> Signup and view all the answers

    Antigen-presenting cells usually display processed antigens to T cells in _____

    <p>lymph nodes</p> Signup and view all the answers

    Helper T (TH) cells do not _____

    <p>secrete fever-producing chemicals</p> Signup and view all the answers

    _____________________ participate in both nonspecific resistance and immune response.

    <p>Helper T (TH) cells</p> Signup and view all the answers

    Cytotoxic T (TC) cells are like natural killer (NK) cells because they both _____

    <p>secrete granzymes and perforin</p> Signup and view all the answers

    Memory T cells can live up to _____

    <p>decades</p> Signup and view all the answers

    Antibodies do not _____

    <p>differentiate into memory antibodies, which upon reexposure to the same pathogen would mount a quicker attack</p> Signup and view all the answers

    This is the correct sequence of events in the humoral immune response.

    <p>antigen recognition → antigen presentation → clonal selection → differentiation → attack</p> Signup and view all the answers

    Each immunoglobulin (Ig) has ______________ antigen-bonding site(s).

    <p>two</p> Signup and view all the answers

    _________________ constitutes about 80% of circulating antibodies in plasma.

    <p>IgG</p> Signup and view all the answers

    This is the class of immunoglobulin that provides passive immunity to the newborn.

    <p>IgA</p> Signup and view all the answers

    Before B cells secrete antibodies they differentiate into _____

    <p>plasma cells</p> Signup and view all the answers

    The human immunodeficiency virus (HIV) targets mainly _____

    <p>helper T cells</p> Signup and view all the answers

    Most common allergies are the result of _____

    <p>type I (acute) hypersensitivity</p> Signup and view all the answers

    Beta cell destruction that causes type 1 diabetes mellitus is a(n) _____

    <p>type IV (delayed) hypersensitivity</p> Signup and view all the answers

    A person who is HIV-positive and has a helper T (TH) cells count lower than ____________ has AIDS.

    <p>200 cells/μL</p> Signup and view all the answers

    Autoimmune diseases are disorders in which the immune system fails to distinguish ____________ from foreign ones.

    <p>self-antigens</p> Signup and view all the answers

    Study Notes

    Lymphatic System and Immune Response

    • Lymphatic vessels recover approximately 15% of the fluid filtered by capillaries.
    • Lymph, similar to blood plasma, is notably low in protein.
    • Lacteals are specialized lymphatic vessels that absorb dietary lipids not taken up by blood capillaries.
    • Palatine tonsils are the largest tonsils; tonsillectomy was commonly performed in children.
    • Lymph flow is aided by rhythmic contractions of lymphatic vessels, the thoracic pump, skeletal muscle pump, and arterial pulsations, but not by the lymphatic node pump.
    • Collecting ducts are the largest lymphatic vessels, draining into the subclavian veins.

    Immune Cells and Functions

    • Natural killer (NK) cells are responsible for immune surveillance, detecting and destroying foreign and diseased cells.
    • The thymus undergoes significant degeneration with age and is crucial for T cell development.
    • Lymph nodes are the only lymphatic organs with afferent lymphatic vessels.
    • Removal of the thymus could be highly detrimental to young children.

    Defense Mechanisms

    • The second line of defense in the immune system includes macrophages, natural killer cells, inflammation, and the interferon/complement system, but gastric juices are not part of this line.
    • Eosinophils are particularly associated with the defense against parasites and allergens.
    • Neutrophils utilize a "respiratory burst" to create bactericidal chemicals such as hydrogen peroxide.

    Inflammation and Cardinal Signs

    • Complement fixation enhances inflammation, opsonization, bacterial phagocytosis, and cytolysis, but does not cause endogenous pyrexia (fever).
    • Pyrogens are substances that induce fever in the body.
    • The initial behavior of neutrophils during inflammation is margination, while redness is not considered a cardinal sign of inflammation.
    • Basophils aid in inflammatory responses by releasing heparin (anticoagulant) and histamine (vasodilator).

    Antigen Presentation and Immunity

    • Antigen-presenting cells (APCs) include reticular cells, dendritic cells, macrophages, and B cells, but not T cells.
    • Helper T (TH) cells identify antigens bound to major histocompatibility complex (MHC) proteins, facilitating immune responses.
    • Vaccination triggers artificial active immunity, while serum treatments for snakebites confer artificial passive immunity.
    • Memory T cells can persist for decades, enhancing future immune responses.

    Antibodies and Immunoglobulins

    • Each immunoglobulin (Ig) has two antigen-binding sites; IgG constitutes about 80% of circulating antibodies.
    • IgA provides passive immunity to newborns, while plasma cells are derived from B cells before antibody secretion.
    • Antibodies function to neutralize pathogens and facilitate phagocytosis, without differentiating into memory antibodies upon re-exposure.

    Common Immune Disorders

    • Most allergies stem from type I (acute) hypersensitivity reactions.
    • Type IV (delayed) hypersensitivity includes conditions like type 1 diabetes where the immune system targets the body's own cells.
    • An individual becomes classified as having AIDS when helper T cell counts drop below 200 cells/μL, indicating severe immune system compromise.
    • Autoimmune diseases arise from the immune system's failure to recognize self-antigens.

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