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NURS 5315 Test 2 Elselvier QUESTIONs/ANSWERS AND EXPLANATIONS LATEST UPDATE A+

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Chapter 7 Innate Immunity Questions 1. 1.ID: 80 Which of the following is an example of a physical barrier? A. Antibacterial fatty acids B. Lysozymes in tears C. Epithelial cells Correct Epithelial cells form tight junctions that are a physical barrier to entry for organisms. Sebaceous glands in the skin secrete antibacterial and antifungal fatty acids. Earwax and lysozymes in tears are examples of biochemical secretions that trap potential disease-causing microorganisms. D. Earwax Awarded 0.0 points out of 1.0 possible points. 2. 2.ID: 74 Which statement is true regarding the inflammatory response? A. Inflammatory response is the third line of defense. B. Inflammatory response relies on cellular components only C. Inflammatory response generates a nonspecific response. Correct The inflammatory response is the second line of defense. It occurs at the site of tissue injury and generates a nonspecific response that involves cellular and chemical components. The inflammatory response occurs in tissues with a blood supply (vascularized). D. Inflammatory response occurs in nonvascular tissue. Awarded 0.0 points out of 1.0 possible points. 3. 3.ID: 92 Which complement factor is considered an anaphylatoxin? A. C3a Correct C3a, C5a, and C4a are anaphylatoxins. They can induce the rapid degranulation of mast cells and the release of histamine. B. C1 C. C7 D. C9 Awarded 1.0 points out of 1.0 possible points. 4. 4.ID: 98 Which receptor is expressed on macrophages and facilitates recognition and phagocytosis of bacterial pathogens? A. Complement receptors B. Scavenger receptors Correct The scavenger receptors are primarily expressed on macrophages and facilitate recognition and phagocytosis of bacterial pathogens. Complement receptors recognize a variety of fragments produced through activation of the complement system. Toll-like receptors are expressed on the surface of cells, including epithelial, mast, neutrophils, macrophages, dendritic cells, and lymphocytes. They recognize pathogen-associated molecular patterns or stressed host cells. Pattern recognition receptors recognize patterns of infectious molecules. These receptors are found on cells involved in innate resistance. C. Toll-like receptors D. Pattern recognition receptors Awarded 0.0 points out of 1.0 possible points. 5. 5.ID: 90 Which statement regarding mast cells is true? A. Histamine causes vasoconstriction. B. Mast cells are found only in blood vessels. C. Snake bites, bee venoms, and toxins may cause activation. Correct A number of things cause the activation of mast cells, including physical injury, chemical agents (including toxins, bee venom, and snake bites), immunologic means, and activation of an inflammatory response. Histamine is released from mast cells and causes vasodilation. Mast cells are found in loose connective tissue close to blood vessels. Mast cells are involved in initiating many allergic reactions. D. Mast cells are not involved in allergic reactions. Awarded 1.0 points out of 1.0 possible points. 6. 6.ID: 94 Which term describes an acidic sulfur-containing lipid that produces effects similar to histamine? A. Leukotriene Correct Leukotrienes act similar to histamine and cause smooth muscle contraction, increased vascular permeability, and chemotaxis. Prostaglandins cause increased vascular permeability, chemotaxis, and pain. Adhesion molecules increase the stickiness between cells. Phagocyte cells ingest and dispose of foreign material. B. Prostaglandin C. Adhesion molecule D. Phagocyte Awarded 0.0 points out of 1.0 possible points. 7. 7.ID: 76 Which statement is true regarding neutrophils? A. Neutrophils are agranular. B. Neutrophils are the predominant phagocytes of early inflammation. Correct Neutrophils are the predominant phagocytes of early inflammation. They arrive before lymphocytes and macrophages. Monocytes are the largest blood cells and are granular. C. Neutrophils are the largest blood cells. D. Neutrophils enter the site of injury after lymphocytes and

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Chapter 7 Innate Immunity Questions
I I I I



1. 1.ID: I 18662104380
Which I of Ithe Ifollowing I is I an I example I of I a I physical I barrier?
A. Antibacterial Ifatty Iacids
B. Lysozymes Iin Itears
C. Epithelial I cells I Correct
Epithelial Icells Iform Itight Ijunctions Ithat Iare Ia Iphysical Ibarrier Ito Ientry Ifor Iorganisms.
ISebaceous I glands I in I the I skin I secrete I antibacterial I and I antifungal I fatty I acids. I Earwax

Iand Ilysozymes Iin Itears Iare Iexamples Iof Ibiochemical Isecretions Ithat Itrap Ipotential


Idisease-causing Imicroorganisms.

D. Earwax
Awarded I 0.0 Ipoints Iout I of I1.0 Ipossible Ipoints.
2. 2.ID: I 18662104374
Which I statement I is I true I regarding I the I inflammatory I response?
A. Inflammatory Iresponse Iis Ithe Ithird Iline Iof Idefense.
B. Inflammatory I response I relies I on I cellular I components I only
C. Inflammatory I response I generates I a I nonspecific I response. I CorrectIThe
Iinflammatory Iresponse Iis I the Isecond Iline Iof Idefense. IIt Ioccurs Iat Ithe Isite Iof Itissue

I injury Iand I generates I a I nonspecific Iresponse I that I involves I cellular I and Ichemical


I components. I The I inflammatory I response I occurs I in I tissues I with I a I blood Isupply

I(vascularized).


D. Inflammatory I response I occurs I in I nonvascular
I tissue.IAwarded I0.0 Ipoints Iout Iof I1.0 Ipossible Ipoints.

3. 3.ID: I 18662104392
Which I complement I factor I is I considered I an I anaphylatoxin?
A. C3a I Correct
C3a, I C5a, I and I C4a I are I anaphylatoxins. I They I can I induce I the I rapid I degranulation I of
Imast Icells Iand Ithe Irelease Iof Ihistamine.


B. C1
C. C7
D. C9
Awarded I 1.0 Ipoints Iout I of I1.0 Ipossible Ipoints.
4. 4.ID: I 18662104398
Which Ireceptor Iis Iexpressed Ion Imacrophages Iand Ifacilitates Irecognition IandIphagocytosis
Iof Ibacterial Ipathogens?


A. Complement I receptors
B. Scavenger Ireceptors ICorrect
The I scavenger I receptors I are I primarily I expressed I on I macrophages I and I facilitate
Irecognition I and I phagocytosis I of I bacterial I pathogens. I Complement I receptors

Irecognize I a I variety I of Ifragments I produced I through I activation I of I the I complement


Isystem. IToll-like Ireceptors Iare Iexpressed Ion Ithe Isurface Iof Icells, Iincluding Iepithelial,

Imast, I neutrophils, I macrophages, I dendritic I cells, Iand I lymphocytes. I They Irecognize

, pathogen-associated I molecular I patterns I or Istressed I host I cells. IPattern I recognition
Ireceptors I recognize I patterns I of Iinfectious Imolecules. I These I receptors I are Ifound Ion

Icells Iinvolved Iin Iinnate Iresistance.


C. Toll-like Ireceptors
D. Pattern Irecognition Ireceptors
IAwarded I0.0 Ipoints Iout Iof I1.0 Ipossible Ipoints.


5. 5.ID: I 18662104390
Which I statement I regarding I mast I cells I is I true?
A. Histamine I causes I vasoconstriction.
B. Mast I cells I are I found I only I in I blood I vessels.
C. Snake I bites, I bee I venoms, I and I toxins I may I cause I activation. I Correct IA Inumber Iof
Ithings Icause Ithe Iactivation I of Imast Icells, Iincluding Iphysical Iinjury, Ichemical I agents

I (including I toxins, I bee I venom, I and I snake I bites), I immunologic Imeans, I and


I activation I of I an I inflammatory I response. I Histamine I is I released I from I mastIcells I and

I causes I vasodilation. I Mast I cells I are I found I in I loose I connective I tissue I close I toIblood

Ivessels. IMast Icells Iare Iinvolved Iin Iinitiating Imany Iallergic Ireactions.

D. Mast Icells Iare Inot Iinvolved Iin Iallergic Ireactions.
IAwarded I1.0 Ipoints Iout Iof I1.0 Ipossible Ipoints.


6. 6.ID: I 18662104394
Which Iterm Idescribes Ian Iacidic Isulfur-containing Ilipid Ithat Iproduces Ieffects Isimilar Ito
Ihistamine?


A. Leukotriene ICorrect
Leukotrienes Iact I similar I to I histamine I and Icause Ismooth I muscle I contraction,
Iincreased I vascular I permeability, I and I chemotaxis. I Prostaglandins I cause I increased


Ivascular I permeability, I chemotaxis, I and I pain. IAdhesion I molecules I increase I the

Istickiness I between I cells. I Phagocyte I cells I ingest I and I dispose I of I foreign I material.

B. Prostaglandin
C. Adhesion I molecule
D. Phagocyte
Awarded I 0.0 Ipoints Iout I of I1.0 Ipossible Ipoints.
7. 7.ID: I 18662104376
Which I statement I is I true I regarding I neutrophils?
A. Neutrophils Iare Iagranular.
B. Neutrophils I are I the I predominant I phagocytes I of I earlyIinflammation.
I Correct
Neutrophils Iare I the Ipredominant Iphagocytes Iof Iearly Iinflammation. IThey Iarrive
Ibefore I lymphocytes I and I macrophages. I Monocytes I are I the I largest I blood I cells I and


I areIgranular.


C. Neutrophils Iare Ithe Ilargest Iblood Icells.
D. Neutrophils Ienter Ithe Isite Iof Iinjury Iafter Ilymphocytes IandImacrophages.
Awarded I 1.0 Ipoints Iout I of I1.0 Ipossible Ipoints.
8. 8.ID: I 18662104700

, What Ibiochemical Imessenger Iis Iproduced Iby Imacrophages Iand Ilymphocytes IinIresponse
Ito Ia Ibacterial Ipathogen?


A. Interleukins ICorrect
Interleukins I are I biochemical I messengers Iproduced I by I macrophages I and
Ilymphocytes I in Iresponse Ito Ia Ibacterial Ipathogen. IInterferons Iprimarily Iprotect


Iagainst I viral I infections. I Chemokines I induce I leukocyte I chemotaxis. I Tumor I necrosis

Ifactor, Iproduced Iby Imacrophages I and I lymphocytes, Iinduces I a I multitude I of


Iproinflammatory Ieffects Iincluding Ithe Ienhancement Iof Iendothelial Icell Iadhesion.


B. Interferons
C. Chemokines
D. Tumor Inecrosis Ifactor
IAwarded I 0.0 Ipoints I out I of I1.0 I possible Ipoints.


9. 9.ID: I 18662104384
Chronic I inflammation I is I characterized I by I a(an)
A. lack I of I giant I cells.
B. absence I of I exudate.
C. dense I infiltrate I of I lymphocytes I and I macrophages. I Correct IChronic
I inflammation I is I characterized I by I a Idense I infiltrate I of I lymphocytes I and

Imacrophages. IGiant Icells Iare Imultinucleated Icells Ithat Iare Iformed I by Ifused


macrophages Iduring Igranuloma Iformation. IChronic Iinflammation Ioften Iresults Iin Ipus
Iformation, Ipurulent Idischarge, Iand Iincomplete Iwound Ihealing. IChronic Iinflammation

Iof Iany Icause Ilasts Ilonger Ithan I2 Iweeks.


D. inflammation Ithat Ilasts Iless Ithan I2 Iweeks.
IAwarded I0.0 Ipoints Iout Iof I1.0 Ipossible Ipoints.


10. 10.ID: I 18662104386
Which I are I not I natural I barriers?
A. Physical
B. Resistance ICorrect
Resistance I is I a I means I by Iwhich I the I body I may Iavoid I being I infected, I but I it Iis I not I a
Inatural Ibarrier. IThe Inatural Ibarriers Iinclude Iphysical, Ibiochemical, Iand Imechanical,Ias


Iwell Ias Iinflammation Iat Ithe Ibody’s Isurfaces.


C. Biochemical
D. Mechanical
Awarded I 1.0 Ipoints Iout I of I1.0 Ipossible Ipoints.
11. 11.ID: I 18662104388
Which I characteristics I are I observable I of Ivascular I injury I and I inflammation? I (Select I all
Ithat Iapply.)


A. Redness I Correct
B. Coolness I to I the I touch
C. Warmth I to I the I touch I Correct
D. Increased Iswelling ICorrect
E. Pain ICorrect

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