Lymphatic System Overview

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Questions and Answers

What is lymphatic tissue primarily composed of?

  • Masses of adipose cells
  • Masses of muscle cells
  • Masses of epithelial cells
  • Masses of lymphocytes (correct)

Which of the following is NOT classified as a lymphatic organ?

  • Thymus
  • Kidney (correct)
  • Lymph nodes
  • Spleen

What is the main function of the thoracic duct?

  • To drain lymph from the entire body (correct)
  • To drain lymph from the lower left quadrant of the body
  • To drain lymph from the upper right section of the body
  • To drain lymph specifically from the brain

What type of connective tissue comprises lymphatic tissue?

<p>Reticular connective tissue (C)</p> Signup and view all the answers

What forms when lymphatic vessels coalesce?

<p>Lymphatic ducts (D)</p> Signup and view all the answers

What is the primary function of lymphatic vessels?

<p>To transport lymph and drain excess interstitial fluid (A)</p> Signup and view all the answers

How much fluid typically leaves arterial capillaries per day?

<p>20 liters (C)</p> Signup and view all the answers

What role do lymphocytes play in the lymphatic system?

<p>They help initiate an immune response against diseases. (D)</p> Signup and view all the answers

Where does lymph return to the bloodstream?

<p>At the venous angle of subclavian and internal jugular veins (D)</p> Signup and view all the answers

What is lymph similar to in composition?

<p>Blood plasma (D)</p> Signup and view all the answers

What process involves the lymphatic system absorbing dietary lipids?

<p>Gastrointestinal absorption (D)</p> Signup and view all the answers

What is a defining feature of lymphatic fluid?

<p>It is a colorless fluid. (A)</p> Signup and view all the answers

Which of the following is NOT a function of the lymphatic system?

<p>Transporting oxygen to tissues (B)</p> Signup and view all the answers

What is the primary function of lymphocyte recirculation?

<p>To allow lymphocytes to recognize and target specific antigens (B)</p> Signup and view all the answers

Which type of lymphocyte primarily recirculates through peripheral lymphoid organs?

<p>Naïve lymphocytes (B)</p> Signup and view all the answers

How do lymphocytes typically enter lymph nodes from the blood?

<p>Through specialized endothelial cells in postcapillary venules (C)</p> Signup and view all the answers

What is the significance of high endothelial venules (HEVs) in lymphocyte migration?

<p>They are lined by cuboidal epithelium which facilitates lymphocyte adhesion. (D)</p> Signup and view all the answers

What role do homing receptors and addressins play in lymphocyte recirculation?

<p>They facilitate the adhesion and migration of lymphocytes to specific tissues. (B)</p> Signup and view all the answers

Which statement accurately describes the lymphocyte entry mechanisms into lymph nodes?

<p>Most lymphocytes enter lymph nodes via blood vessels. (B)</p> Signup and view all the answers

What type of lymphocyte is primarily responsible for initiating the adaptive immune response?

<p>Naïve lymphocytes (B)</p> Signup and view all the answers

What is a significant difference between the recirculation of naïve lymphocytes and effector lymphocytes?

<p>Effector lymphocytes migrate to peripheral tissues, while naïve lymphocytes recirculate through lymphoid organs. (D)</p> Signup and view all the answers

What is the correct location of the cisterna chyli?

<p>Anterior to the bodies of L1 and L2 (B)</p> Signup and view all the answers

Which structure is primarily responsible for draining lymph from the upper right quadrant of the body?

<p>Right lymphatic duct (B)</p> Signup and view all the answers

Which of the following organs are classified as primary lymphatic organs?

<p>Bone marrow and thymus gland (A)</p> Signup and view all the answers

Which of the following structures does NOT contribute to the formation of the cisterna chyli?

<p>Left bronchomediastinal trunk (C)</p> Signup and view all the answers

What is the primary function of secondary lymphatic organs?

<p>Activation of lymphocytes upon encountering pathogens (D)</p> Signup and view all the answers

Where does the right lymphatic duct empty lymph?

<p>At the junction of the right internal jugular vein and right subclavian vein (B)</p> Signup and view all the answers

Which part of the body drains through the left bronchomediastinal trunk?

<p>Left lung and left half of the heart (A)</p> Signup and view all the answers

What distinguishes encapsulated lymphatic organs from non-encapsulated ones?

<p>Encapsulated organs have a fibrous capsule, non-encapsulated do not (C)</p> Signup and view all the answers

What is the primary function of macrophages and dendritic cells in lymph nodes?

<p>Trap antigens and present them on their surfaces (A)</p> Signup and view all the answers

Which type of lymphoid nodule contains a germinal center?

<p>Secondary lymphoid nodule (C)</p> Signup and view all the answers

Where are the majority of B-cells located within a lymph node?

<p>Outer cortex (D)</p> Signup and view all the answers

What is the role of the trabeculae in lymph nodes?

<p>Create partitions within the lymph nodes (A)</p> Signup and view all the answers

What type of cells primarily occupy the inner cortex (paracortex) of a lymph node?

<p>T-cells (A)</p> Signup and view all the answers

What causes B cells in lymphatic follicles to migrate to the center of the follicle?

<p>Activation by antigens and T-helper cells (C)</p> Signup and view all the answers

What structure allows arteries and nerves to enter and veins to exit a lymph node?

<p>Hilum (D)</p> Signup and view all the answers

Which of the following best describes the lymph node stroma?

<p>Reticular tissue of cells and fibers (B)</p> Signup and view all the answers

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Study Notes

Lymphatic System Overview

  • Comprises lymphatic fluid, vessels, tissue, and organs aiding in fluid balance, immune response, and lipid transport.
  • Lymph is a colorless fluid similar to blood plasma, which circulates in lymphatic vessels.

Fluid Balance Function

  • Approximately 20 liters of fluid leaves arterial capillaries daily, but only 17 liters returns to venous capillaries.
  • Lymphatic vessels drain excess interstitial fluid as lymph back into the bloodstream, specifically at the venous angles.

Lymphatic Ducts

  • Thoracic Duct:

    • Larger duct; drains lymph from most of the body, originates in the abdomen as the cisterna chyli.
    • Empties into the left venous angle (junction of left internal jugular and left subclavian veins).
  • Right Lymphatic Duct:

    • Formed by right jugular and right subclavian trunks.
    • Drains lymph from the upper right quadrant, including the right head, neck, thorax, and upper limb.
    • Empties into the right venous angle (junction of right internal jugular and right subclavian veins).

Lymphatic Organs

  • Primary Organs:

    • Bone marrow and thymus; sites for lymphocyte production and maturation.
  • Secondary Organs:

    • Include lymph nodes, spleen, and diffuse lymphatic tissue; sites for pathogen encounter and lymphocyte activation.

Structure of Lymph Nodes

  • Kidney-shaped, up to 3 cm in length, approximately 600 lymph nodes present in the body.
  • Covering consists of dense connective tissue with internal partitions formed by trabeculae.
  • Contains outer cortex (B-cells), inner cortex (T-cells), and medulla (plasma cells).

Lymphocyte Activation

  • B cells differentiate into plasma cells within the lymph node's medullary cords upon stimulation.
  • Specific cells include macrophages, dendritic cells, and reticular cells, which trap and present antigens.

Types of Lymphoid Nodules

  • Primary lymphoid nodules lack a germinal center and contain B lymphocytes.
  • Secondary lymphoid nodules have a germinal center that forms in response to antigen exposure, facilitating memory cell and plasma cell generation.

Lymphocyte Recirculation

  • Critical for adaptive immune response, allowing lymphocytes to search for specific antigens throughout the body.
  • Regulated by adhesion molecules (homing receptors) on lymphocytes and addressins on endothelial cells, particularly in high endothelial venules (HEVs).
  • Naïve lymphocytes primarily enter lymph nodes via HEVs, while effector lymphocytes migrate to infection sites in peripheral tissues.

Lymphocyte Entry Pathways

  • Lymphocytes can enter lymph nodes through afferent lymphatics or from blood capillaries via HEVs in the paracortex.
  • Approximately 90% of lymphocytes enter lymph nodes via blood vessels; about 10% enter through lymphatic vessels.

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