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The resident microbiota have no role in defense against pathogen invasion.

A) True
B) False

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The first and second lines of defense against microbial invasion are part of


A) adaptive immunity.
B) microbial antagonism.
C) innate immunity.
D) species resistance.
E) both species resistance and adaptive immunity.

F) C) and D)
G) All of the above

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Which of the following statements concerning the alternative complement system is TRUE?


A) Its activation is independent of antibodies.
B) It is not useful in the early stages of fungal infection.
C) It plays a very significant role in the elimination of parasitic helminths.
D) It works best on Gram-positive bacteria.
E) It is more efficient than the classical pathway.

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

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A

Some pathogens produce toxins, which function as (histamines/prostaglandins/pyrogens) to cause fever.

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Which of the following contributes to protecting the eyes from microbial invasion?


A) A mucus layer traps and removes microbes.
B) Tears contain lysozyme and salt and mechanically flush particles from the eyes.
C) Tears and mucus combine to trap microbes and remove them.
D) Tears mechanically flush particles from the eyes.
E) Tears contain lysozyme and salt.

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

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The normal microbiota compete with pathogens in a variety of ways to protect the body, creating a situation known as microbial (antagonism/competition/resistance).

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Healthy cells produce in response to interferons.


A) antiviral proteins
B) antimicrobial peptides
C) MACs
D) NOD
E) TLRs

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

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Which of the following is the BEST definition of ʺmicrobial antagonismʺ?


A) the presence of resident bacteria on the surface of the body and in cavities that connect to the surface
B) the presence of normal microbiota that protect the body by competing with pathogens in a variety of ways to prevent pathogens from invading the body
C) the presence of normal microbiota that can become pathogens under certain conditions
D) the presence of pathogens on the surface of the skin, which will invade the body through abrasions
E) the ability of microbiota to mutate into pathogens

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

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Which of the following iron-binding proteins is NOT part of the bodyʹs iron storage and transport system?


A) transferrin
B) lactoferrin
C) gastroferritin
D) siderophores
E) ferritin

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

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In addition to phagocytosis, neutrophils can kill bacteria by producing


A) hypochlorite.
B) histamines.
C) interferons.
D) nitric oxide.
E) both hypochlorite and nitric oxide.

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

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Phagocytes are brought to a site of infection by


A) bradykinin gradients.
B) detection of NOD proteins.
C) fluid flow out of capillaries.
D) detection of chemokines and complement factor gradients.
E) gradients of interferons.

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

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D

Which of the following is the key difference in the roles of the classical and alternative pathways of the complement system?


A) the formation of MACs
B) triggering inflammation
C) the effectiveness in killing Gram-negative bacteria
D) production of chemotactic factors
E) the range of microbe types that can be targeted

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

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The process known as (complement/inflammation/phagocytosis) brings a variety of physical, chemical, and cellular factors together to fight invading microorganisms.

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  Examine the WBC count and differential data in the table. What type of disease is indicated by this set of data? Examine the WBC count and differential data in the table. What type of disease is indicated by this set of data?

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The overall elevation of WBC indicates an infection. The elevated lymphocyte proportion along with the slightly low neutrophil count is consistent with viral infections.

Which of the following substances stimulates the phagocytic activity of phagocytes?


A) leukotrienes
B) gamma interferons
C) beta interferons
D) alpha interferons
E) antiviral proteins

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

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Cells of the second line of defense that poison virus-infected cells are lymphocytes known as NK (natural killer) cells.

A) True
B) False

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The oily substance that lowers the pH of the skinʹs surface to about pH 5 and is inhibitory to many bacteria is (sebum/sweat/serum).

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The redness and heat of acute inflammation are caused in part by the production of (bradykinin/platelets/fibrinogen) during the formation of blood clots.

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Which of the following statements regarding phagocyte recognition of pathogens is TRUE?


A) Lectins on the surface of microbes are bound by chemokine receptors.
B) NOD proteins on the surface of microbes are detected by TLRs.
C) TLRs in the phagocyte cytoplasmic membrane bind surface structures of microbes.
D) MACs on the surface of microbes are detected by NOD proteins.
E) TLRs on the surface of microbes trigger the accumulation of opsonins.

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

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The various phagocytic cells of the second line of defense target specific microbes by their unique structures.

A) True
B) False

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