Exam Prep Chapter.27 The Lymphatic And Immune Systems - Medical Assisting Procedures 6e | Test Bank by Kathryn Booth by Kathryn Booth. DOCX document preview.

Exam Prep Chapter.27 The Lymphatic And Immune Systems

Chapter 27

The Lymphatic and Immune Systems

 


Multiple Choice Questions
 

1.

In which way does an individual develop a naturally acquired active immunity?  
 

A. 

When antibodies from the mother cross the placenta to the fetus

B. 

When antibodies from the fetus cross the placenta to the mother

C. 

From immunization with antibodies to a disease-causing organism

D. 

From exposure to organisms that cause a disease

E. 

From administration of a vaccine with killed or weakened organisms

 

2.

The medical provider has explained to Cherise that she has an abscess in her spleen and the spleen will need to be removed. When the medical assistant who is educating Cherise on the procedure asks if she has any questions, she asks if the spleen removal will cause a health problem. What is the best response to her question?  
 

A. 

"There is no effect. It is done all the time."

B. 

"You may have frequent headaches."

C. 

"The liver will take over most of the spleen's functions."

D. 

"What makes you ask that?"

E. 

"You will no longer be able to eat certain foods."

 

3.

Which of these nonspecific body defenses utilizes enzymes in body fluids to destroy pathogens?  
 

A. 

Chemical barriers

B. 

Mechanical barriers

C. 

Inflammation

D. 

Phagocytosis

E. 

Species resistance

 

4.

The nonspecific body defense in which neutrophils and monocytes can leave the bloodstream to attack pathogens in other tissues is ____.  
 

A. 

a chemical barrier

B. 

a mechanical barrier

C. 

inflammation

D. 

phagocytosis

E. 

species resistance

 

5.

Interferon in the blood acts as which type of nonspecific body defense?  
 

A. 

Chemical barrier

B. 

Mechanical barrier

C. 

Fever

D. 

Inflammation

E. 

Phagocytosis

 

6.

Which of the following results occurs in response to an injury?  
 

A. 

Chemical barrier

B. 

Mechanical barrier

C. 

Fever

D. 

Species resistance

E. 

Inflammation

 

7.

Which nonspecific defense activates cells in the body to attack pathogens?  
 

A. 

A chemical barrier

B. 

Fever

C. 

Inflammation

D. 

Phagocytosis

E. 

A mechanical barrier

 

8.

Mucous membranes and skin are examples of which type of nonspecific body defense?  
 

A. 

Chemical barriers

B. 

Mechanical barriers

C. 

Fever

D. 

Inflammation

E. 

Phagocytosis

 

9.

In which nonspecific body defense do blood vessels dilate, bringing more blood to the area, which in turn brings phagocytic white blood cells to the area to attack the pathogen, proteins to replace injured tissues, and clotting factors to stop any bleeding?  
 

A. 

Mechanical barriers

B. 

Fever

C. 

Inflammation

D. 

Phagocytosis

E. 

Chemical barriers

 

10.

Most lymphocytes in the blood are ____.  
 

A. 

T cells

B. 

antibodies

C. 

cytokines

D. 

B cells

E. 

natural killer (NK) cells

 

11.

Which of these become plasma cells in response to an antigen and make antibodies against the specific antigen?  
 

A. 

Macrophages and lymphocytes

B. 

T cells

C. 

B cells

D. 

Natural killer (NK) cells

E. 

Monocytes

 

12.

What are the major WBCs involved in specific defenses?  
 

A. 

Macrophages and lymphocytes

B. 

T cells

C. 

Cytokines

D. 

B cells

E. 

Haptens

 

13.

Which of the following bind to antigens on cells and attack them directly?  
 

A. 

T cells

B. 

Cytokines

C. 

B cells

D. 

Natural killer (NK) cells

E. 

Haptens

 

14.

Which of the following produce memory cells that trigger a strong response to future exposures to the same antigen?  
 

A. 

Macrophages and lymphocytes

B. 

T cells

C. 

B cells

D. 

Natural killer (NK) cells

E. 

Complements

 

15.

Which of the following increase B cell production and stimulate red bone marrow to produce more WBCs?  
 

A. 

Macrophages and lymphocytes

B. 

T cells

C. 

Monokines

D. 

Natural killer (NK) cells

E. 

Memory cells

 

16.

Which of the following secrete lymphokines?  
 

A. 

Macrophages and lymphocytes

B. 

T cells

C. 

Cytokines

D. 

Natural killer (NK) cells

E. 

Monokines

 

17.

Which of the following cells mainly target cancer cells?  
 

A. 

Macrophages and lymphocytes

B. 

T cells

C. 

B cells

D. 

Monokines

E. 

Natural killer (NK) cells

 

18.

Which of the following is unique to an individual, is present on every cell in that person's body, and activates T cells?  
 

A. 

Major histocompatibility complex (MHC)

B. 

Cytokines

C. 

B cells

D. 

Natural killer (NK) cells

E. 

Complements

 

19.

Which of the following secrete chemicals that produce holes in the membranes of harmful cells but do not have to recognize a specific antigen to start destroying pathogens?  
 

A. 

Major histocompatibility complex (MHC)

B. 

Cytokines

C. 

B cells

D. 

Natural killer (NK) cells

E. 

T cells

 

20.

Which of the following activated T cells is active against viruses and protects the body against cancer?  
 

A. 

Cytotoxic

B. 

Helper

C. 

Memory

D. 

NK

E. 

Macrophage

 

21.

Which type of activated T cells prevents a person from having the same disease twice?  
 

A. 

Cytotoxic

B. 

Helper

C. 

Memory

D. 

NK

E. 

Macrophage

 

22.

Which activated T cells increase phagocytosis and antibody formation?  
 

A. 

Cytotoxic

B. 

Helper

C. 

Memory

D. 

NK

E. 

Macrophage

 

23.

Which of the following is the immunoglobulin that primarily binds to antigens on food, bacteria, or incompatible blood cells?  
 

A. 

IgG

B. 

IgA

C. 

IgM

D. 

IgE

E. 

IgD

 

24.

Which type of immunoglobulin recognizes bacteria, viruses, and toxins?  
 

A. 

IgG

B. 

IgA

C. 

IgM

D. 

IgE

E. 

IgD

 

25.

Which of these antibodies is found in secretions of the body and prevents pathogens from entering the body?  
 

A. 

IgG

B. 

IgA

C. 

IgM

D. 

IgE

E. 

IgD

 

26.

Which immunoglobulin triggers an allergic reaction?  
 

A. 

IgG

B. 

IgA

C. 

IgM

D. 

IgE

E. 

IgD

 

27.

Which immunoglobulin is thought to control the activity of B cells?  
 

A. 

IgG

B. 

IgA

C. 

IgM

D. 

IgE

E. 

IgD

 

28.

Which of the following does not describe a secondary immune response?  
 

A. 

It is a very rapid response.

B. 

It causes memory cells to develop.

C. 

It is carried out by memory cells.

D. 

It requires re-exposure to an antigen.

E. 

It prevents a person from developing a disease from the antigen.

 

29.

Which of the following describes a primary immune response?  
 

A. 

It is a very rapid response.

B. 

It is carried out by memory cells.

C. 

It takes several weeks.

D. 

It requires re-exposure to an antigen.

E. 

It prevents a person from developing a disease from the antigen.

 

30.

Which of the following types of immunity crosses the placenta and passes through the breast milk?  
 

A. 

Naturally acquired active

B. 

Artificially acquired active

C. 

Naturally acquired passive

D. 

Artificially acquired passive

E. 

Species resistance

 

31.

Which type of immunity results from exposure to an antigen?  
 

A. 

Naturally acquired active

B. 

Artificially acquired active

C. 

Naturally acquired passive

D. 

Artificially acquired passive

E. 

Species resistance

 

32.

Which type of immunity requires injection with an antibody?  
 

A. 

Naturally acquired active

B. 

Artificially acquired passive

C. 

Naturally acquired passive

D. 

Artificially acquired active

E. 

Species resistance

 

33.

Which type of immunity results simply from being human, as opposed to being a cow or plant?  
 

A. 

Naturally acquired active

B. 

Artificially acquired passive

C. 

Naturally acquired passive

D. 

Artificially acquired active

E. 

Species resistance

 

34.

Which type of immunity results from having an infectious disease?  
 

A. 

Naturally acquired active

B. 

Artificially acquired passive

C. 

Naturally acquired passive

D. 

Artificially acquired active

E. 

Species resistance

 

35.

Which type of immunity results from a vaccine?  
 

A. 

Naturally acquired active

B. 

Artificially acquired active

C. 

Naturally acquired passive

D. 

Artificially acquired passive

E. 

Species resistance

 

36.

Allergies can be treated effectively by which of the following over-the-counter medications?  
 

A. 

Anti-emetics

B. 

Anti-inflammatories

C. 

Pain relievers

D. 

Antihistamines

E. 

Analgesics

 

37.

Which of the following is an excessive immune response that involves IgE antibodies?  
 

A. 

Allergy

B. 

Mononucleosis

C. 

Anaphylaxis

D. 

Lymphedema

E. 

Chronic fatigue syndrome

 

38.

Which of the following causes a rapid drop in blood pressure and is a life-threatening event?  
 

A. 

Allergy

B. 

Mononucleosis

C. 

Anaphylaxis

D. 

Mononucleosis

E. 

AIDS

 

39.

Which of these is used to rescue a person experiencing anaphylaxis?  
 

A. 

Anti-inflammatory

B. 

Allergen

C. 

Analgesic

D. 

Epinephrine

E. 

Anti-emetic

 

40.

Which of the following identifies how far cancer cells have spread?  
 

A. 

Chemotherapy

B. 

Radiation

C. 

Biopsy

D. 

Staging

E. 

Immune therapy

 

41.

Elisa has just been diagnosed with stage II breast cancer. The practitioner has explained what this means, but Elisa is upset and confused. She asks the medical assistant if her cancer is serious. Which of the following is the best response to her question?  
 

A. 

"No, breast cancer is not serious until it reaches stage IV."

B. 

"Breast cancer is 100% treatable."

C. 

"All cancers are potentially serious, but your cancer has not spread beyond the breast."

D. 

"No, in stage II, the cancer cells are localized in a few cell layers and are easily treatable."

E. 

"It is serious because in stage II, the cancer cells have spread to other organs."

 

42.

Any factor that causes the formation of cancer is a(n) ____.  
 

A. 

carcinogen

B. 

allergen

C. 

irritant

D. 

antigen

E. 

antibody

 

43.

Which of the following are not signs or symptoms of systemic lupus erythematosus?  
 

A. 

Numbness of fingers and toes

B. 

Tender lymph nodes in the neck

C. 

"Butterfly" rash

D. 

Renal failure

E. 

Headaches

 

44.

Which of the following are signs or symptoms of chronic fatigue syndrome?  
 

A. 

Numbness of fingers and toes and weight loss

B. 

Hair loss and renal failure

C. 

"Butterfly" rash and fever

D. 

Tender lymph nodes and joint pain

E. 

Runny nose and coughing

 

45.

Which of the following actions causes lymph to flow through the lymphatic vessels?  
 

A. 

Gravity

B. 

The force of the heart’s pumping

C. 

The contraction of the muscles in vessel walls

D. 

The squeezing action of the skeletal muscles

E. 

Filtration

 

46.

If lymph cannot be pushed through the vessels, ____.  
 

A. 

blood pressure rises immediately

B. 

the kidneys excrete it

C. 

edema develops

D. 

the arteries and veins take over that function

E. 

the lymph is reabsorbed into the blood

 

47.

Which of the following describes the spleen?  
 

A. 

It is located in the thorax, above the heart.

B. 

It removes aged RBCs from circulation.

C. 

It decreases in size as a person ages.

D. 

It produces T-lymphocytes.

E. 

It produces thymosin.

 

48.

Which of the following describes the thymus?  
 

A. 

It decreases in size as a person ages.

B. 

It removes aged RBCs from circulation.

C. 

It is the largest lymphatic organ.

D. 

It is filled with blood and macrophages.

E. 

If it is removed, the liver takes over its functions.

 

49.

Ted came to the office feeling weak and has had significant weight loss recently. His blood tests show that his T-cell count is 178, his temperature is 102.4, and his blood pressure is 100/62. Based on his signs and symptoms, the practitioner might perform further tests to rule out ______.  
 

A. 

systemic lupus erythematosus.

B. 

chronic fatigue syndrome.

C. 

lymphedema.

D. 

AIDS.

E. 

mononucleosis.

 

50.

Sherry is a 17-year-old patient who arrives at the office complaining of fever, headache, frequent cough, and being tired all the time. She is concerned because her boyfriend has similar symptoms and was recently diagnosed with mononucleosis. Which of the following precautions should you take while you are working with Sherry?  
 

A. 

None, because mononucleosis is only spread by kissing

B. 

Wear a mask while you are in the exam room

C. 

Use full PPE, including a gown, gloves, and mask

D. 

Put on gloves before checking her blood pressure

E. 

Ask Sherry not to cough while you are in the room

 

 


Fill in the Blank Questions
 

51.

Large phagocytic cells that produce monokines and digest pathogens in the lymph are called ________.  
 
________________________________________

 

52.

The most active phagocytes in the blood are neutrophils and ________.  
 
________________________________________

 

53.

White blood cells called ________ engulf and destroy pathogens and unwanted debris in the body.
Delete this space  
 
________________________________________

 

54.

In a(n) ________ disease, the body begins to attack its own antigens.  
 
________________________________________

 

55.

When normal cells create growths, the growths are called ________, meaning they are not cancerous.  
 
________________________________________

 

56.

Major proteins in serum that attack pathogens and can also attract macrophages to pathogens and stimulate inflammation are called ________.  
 
________________________________________

 

57.

Some foreign substances in the body are too small to start an immune response by themselves, so they join to proteins in the blood, where they are able to trigger an immune response. These substances are called ________.  
 
________________________________________

 

58.

Fluids in the body are called ________.  
 
________________________________________

 

59.

The body's mechanisms to protect itself against pathogens in general are called nonspecific defenses or ________ immunity  
 
________________________________________

 

60.

________, which is contained in blood, acts as a chemical barrier and blocks viruses from infecting cells.  
 
________________________________________

 

61.

The fluid that exists between cells, called _______ fluid, is destined to become lymph.  
 
________________________________________

 

62.

The blockage of lymphatic vessels that drain excess fluids from the body causes ________.  
 
________________________________________

 

63.

T cells respond to antigens by secreting cytokines called ________, which increase T cell production and directly kill cells that have antigens.  
 
________________________________________

 

64.

In tears, ________ act as a chemical barrier and destroy pathogens on the surface of the eye.  
 
________________________________________

 

65.

Cytokines known as ________ assist in regulation of the immune response by increasing B cell production and stimulating red bone marrow to produce more white blood cells.  
 
________________________________________

 

66.

A highly contagious viral infection spread through the saliva of the infected person and frequently affects teenagers is ________.  
 
________________________________________

 

67.

The nonspecific body defense mechanism, in which monocytes leave the bloodstream and become macrophages to attack pathogens in other tissues, is called _________.  
 
________________________________________

 

68.

A substance that triggers an allergic response is called a(n) ________.  
 
________________________________________

 

69.

When an area of the body becomes injured or infected with a pathogen, ________ can result, causing blood vessels in the injured area to dilate and become leaky.  
 
________________________________________

 

70.

A(n) ________ is the presence of a pathogen in or on the body.  
 
________________________________________

 

71.

A foreign substance in the body is called a(n) ________.  
 
________________________________________

 

72.

A(n) ________ is a disease-causing agent such as a bacterium, virus, toxin, fungus, or protozoan.  
 
________________________________________

 

73.

A life-threatening condition caused by an allergy in which vessels dilate so quickly that blood pressure drops too quickly for organs to adjust is called ________.  
 
________________________________________

 

74.

Lymphocytes known as ________ cells primarily target cancer cells, killing these harmful cells on contact by secreting chemicals that produce holes in the membranes, causing them to burst.  
 
________________________________________

 

75.

The cells of the lymphatic system produce proteins known as ________, which assist in immune response regulation. Two types of these proteins are monokines and lymphokines.  
 
________________________________________

 

 


Multiple Choice Questions
 

76.

Which disorder is an immune reaction linked to eating gluten that triggers a reaction causing the body to attack the small intestinal mucosa?  
 

A. 

Mononucleosis

B. 

Lymphedema

C. 

Lupus

D. 

Chronic fatigue syndrome

E. 

Celiac

 

77.

Masses of lymphoid tissue not surrounded by a capsule that are distributed in the connective tissue of mucosa are known as _______.  
 

A. 

lymphocytes

B. 

macrophages

C. 

lymph nodes

D. 

thymus

E. 

spleen

 

 


Fill in the Blank Questions
 

78.

_______ are three sets of lymphoid tissue that include pharyngeal, palatine, and lingual.  
 
________________________________________

 

Document Information

Document Type:
DOCX
Chapter Number:
27
Created Date:
Aug 21, 2025
Chapter Name:
Chapter 27 The Lymphatic And Immune Systems
Author:
Kathryn Booth

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