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The molecular fragment on an antigen molecule that a lymphocyte recognizes and responds to is called a(n)


A) epitope.
B) hapten.
C) antigen binding site.
D) variable region.
E) None of the choices is correct.

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

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The hinge region of an antibody has a hypervariable amino acid region where the antigenic determinant fits.

A) True
B) False

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Antigens that elicit allergic reactions are called


A) superantigens.
B) heterophilic antigens.
C) allergens.
D) autoantigens.
E) None of the choices is correct.

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

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C

Lymphocyte maturation involves


A) hormonal signals that initiate development.
B) B cells maturing in bone marrow sites.
C) T cells maturing in the thymus.
D) release of mature lymphocytes to begin migration to various lymphoid organs.
E) All of the choices are correct.

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

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E

Small foreign molecules that are too small by themselves to elicit an immune response are termed


A) epitope.
B) hapten.
C) antigen binding site.
D) variable region.
E) None of the choices is correct.

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

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Which of the following is not a property of B cells?


A) produce plasma cells and memory cells
B) low numbers circulating in the blood
C) require antigen presented with MHC proteins
D) receptors called immunoglobins
E) mature in the bone marrow

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

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The region of each antibody molecule where amino acid composition is highly varied from one clone of B lymphocytes to another is the


A) variable region.
B) joining region.
C) constant region.
D) light region.
E) hinge region.

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

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Which immunoglobulin class/es can fix complement?


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

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

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What type of cells secrete antibodies?


A) B cells
B) cytotoxic T cells
C) plasma cells
D) helper T cells
E) antigen-presenting cells

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

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. The Smith family has brought their 2-week-old son into your family practice office for his 2-week checkup. He is their first son, and they are very anxious. They have already expressed multiple concerns to you concerning sleep, feeding, and crying, but their concerns have been about things that are typical for a newborn. You try your best to calm their fears, and they are receptive for the most part. However, when it comes time to discuss vaccination with them, they refuse to vaccinate their son because they report they have heard vaccines can cause autism in children. -What kind of immunity will be conferred to the Smith's son through vaccination?


A) active natural
B) passive natural
C) passive artificial

D) A) and B)
E) B) and C)

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The immunoglobulin class that has an Fc region that binds to receptors on basophils and mast cells is


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

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

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Marie is a 57-year-old female who is on your general medical-surgical unit with a bladder infection. Two weeks ago, she was having slight burning upon urination. She self-treated with an increased intake of cranberry juice, but did not see any improvement. In fact, her symptoms got worse. Last week, she developed generalized abdominal pain and a mid-grade fever. She did not come into the hospital until the pain was unbearable and she had a fever of 104F. She was admitted to your unit and started on multiple IV antibiotics. The doctors say that she could be developing a kidney infection. -What is the proper order of steps for B-cell activation?


A) binding,processing/presentation,cooperation/recognition,activation,differentiation,expansion
B) processing/presentation,activation,differentiation,cooperation/recognition,binding,expansion
C) activation,expansion,differentiation,processing/presentation,cooperation/recognition,binding
D) binding,cooperation/recognition,processing/presentation,differentiation,activation,expansion

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

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The secondary response to an antigen is faster and bigger than the primary response.

A) True
B) False

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High titers of specific antibodies are components of


A) specific immune globulin (SIG) .
B) gamma globulin.
C) immune serum globulin (ISG) .
D) attenuated vaccines.
E) toxoids.

F) None of the above
G) B) and E)

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A

An example of artificial active immunity would be


A) chickenpox infection followed by lifelong immunity.
B) chickenpox vaccine which triggers extended immunity to chickenpox.
C) giving a person immune serum globulins to chickenpox virus after exposure to the disease.
D) a fetus acquiring maternal IgG to the chickenpox virus across the placenta.
E) None of the choices is correct.

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

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One plasma cell will secrete antibodies of various classes but the antibodies will all have the same specificity.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. The Smith family has brought their 2-week-old son into your family practice office for his 2-week checkup. He is their first son, and they are very anxious. They have already expressed multiple concerns to you concerning sleep, feeding, and crying, but their concerns have been about things that are typical for a newborn. You try your best to calm their fears, and they are receptive for the most part. However, when it comes time to discuss vaccination with them, they refuse to vaccinate their son because they report they have heard vaccines can cause autism in children. -The morning after the Smith's son is vaccinated,Mrs.Smith calls you at the office to report that their son has now developed a low-grade fever.She is afraid that he is developing meningitis from one of the vaccines,because he is also fussy.What is a proper response?


A) "I understand you are frightened.However,site pain and low fever are common side effects.You can help minimize both with Tylenol."
B) "I'm very sorry I didn't listen to your concerns earlier.Bring your son to the closest ER for evaluation immediately."
C) "You sound upset.Please remember how harmless I told you vaccines were.How can you be sure he has a fever?"
D) "This fever and fussiness are probably from an unrelated illness,and it's just a coincidence he just received vaccinations."

E) None of the above
F) B) and C)

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The major histocompatability complex is


A) glycoproteins,called MHC antigens,found on all body cells.
B) a set of genes that code for MHC glycoproteins.
C) found on the third chromosome.
D) located in the thymus gland.
E) All of the choices are correct.

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

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Antibodies directed to alloantigen from one organism often cross-react with an alloantigen from another organism.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Joseph is a 6-year-old male presenting to your pediatric office with chickenpox. He has had his infection for about 1 week, and his mom is concerned about Joseph’s 8-year-old sister, Judith, because she had a long, painful infection of chickenpox 2 years before. Of note, Joseph was not vaccinated against chickenpox when he was younger, because his mom did not think it was that serious of a virus, and she wanted to spare him the extra injection. -Which form of immunity is Joseph developing by having this infection?


A) active natural
B) passive natural
C) active artificial
D) passive artificial

E) A) and C)
F) None of the above

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