1.   An organism that causes disease is a/an

            a)    antigen.    b)  toxin.    c)  pathogen.    d)  antibody.

 

      2.   Which one of the following is NOT a vector of disease?

            a)    contaminated soil    b)  rats    c)  ticks    d)  mosquitoes

 

      3.   Vessels and organs that pick up excess fluids, filter out disease-causing organisms and other waste products, and return cleansed fluid to the general circulation belong to the _______________ system.

            a)    digestive    b)  antibody    c)  lymphatic    d)  neutrophil

 

      4.   An infection that travels throughout the body is called

            a)    chronic.    b)  acute.    c)  localized.    d)  systemic.

 

      5.   Agents that cause STDs usually enter the body through

            a)    mucous membranes lining the urethra or cervix.

            b)   cuts and abrasions.

            c)    inhalation.

            d)   the bloodstream.

 

      6.   One of the best ways to break the chain of infection is to

            a)    wash your hands frequently.

            b)   use disinfectant agents when cleaning your house.

            c)    get boosters for immunizations 6 months early.

            d)   drink water only if it is fluoridated.

 

      7.   The largest organ of the body is the

            a)    liver.    b)  intestines.    c)  skin.    d)  stomach.

 

      8.   The body's first line of defense against invasion of organisms is

            a)    the skin.    b)  antibodies.    c)  white blood cells.    d)  fever.

 

      9.   Obstacles to microorganisms entering the body include

            a)    enzymes.    b)  cilia.    c)  antibodies.    d)  all of the above

 

    10.   Microscopic, hairlike structures that sweep mucus and foreign substances out of the lungs are called

            a)    cilia.    b)  phagocytic cells.    c)  macrophages.    d)  enzymes.

 

    11.   Which of the following statements does NOT explain why smokers often have a chronic daily cough?

            a)    Smoking damages ciliated cells.

            b)   Smoking damages the airways.

            c)    Smoking destroys cilia.

            d)   Smoking causes allergies in the smoker.

 

    12.   A type of white blood cell that engulfs foreign organisms and infected, damaged, or aged cells and that is particularly prevalent during the inflammatory response is a

            a)    macrophage.    b)  platelet.    c)  lymphocyte.    d)  neutrophil.

 

    13.   Macrophages

            a)    act as scavengers.                                        c)   counteract swollen lymph nodes.

            b)   trigger the immune response.                        d)   are suppressor cells.

 

    14.   White blood cells that directly destroy virus-infected and cancerous cells are _______________ cells.

            a)    helper T    b)  suppressor T    c)  natural killer    d)  B

 

    15.   White blood cells that travel in both the bloodstream and lymphatic system are

            a)    lymphocytes.    b)  erythrocytes.    c)  neutrophils.    d)  macrophages.

 

    16.   White blood cells include all of the following EXCEPT

            a)    macrophages.    b)  neutrophils.    c)  lymphocytes.    d)  erythrocytes.

 

    17.   Lymph nodes

            a)    produce enzymes in the lymph.

            b)   are where macrophages congregate and filter bacteria from the lymph.

            c)    produce antibodies and antigens.

            d)   are part of the respiratory system.

 

    18.   Swollen lymph nodes are an indication of

            a)    herpes.    b)  poor diet.    c)  hemophilia.    d)  infection.

 

    19.   Lymphocytes that stimulate other lymphocytes to increase are called _______________ cells.

            a)    suppressor T    b)  B    c)  memory    d)  helper T

 

    20.   Lymphocytes that can get rid of cells of the body that have been invaded by foreign organisms or have turned cancerous are called

            a)    killer T cells.    b)  helper T cells.    c)  suppressor T cells.    d)  phagocytes.

 

    21.   Lymphocytes that discourage the growth of other lymphocytes are called _______________ cells.

            a)    suppressor T    b)  B    c)  memory    d)  killer T

 

    22.   Lymphocytes that produce antibodies are called _______________ cells.

            a)    helper    b)  B    c)  killer    d)  suppressor

 

    23.   A marker on the surface of a foreign substance that triggers the immune response is called a/an

            a)    antibody.    b)  lymphocyte.    c)  antigen.    d)  enzyme.

 

    24.   Lymphocytes generated during an initial infection that circulate in the body for years and quickly destroy the specific antigens if they ever appear again are called _______________ cells.

            a)    killer T    b)  helper T    c)  suppressor T    d)  memory T

 

    25.   A disease in which an individual's immune system attacks his or her own body or body parts is called a/an

            a)    autoimmune disease.                                    c)   active immunity reaction.

            b)   acquired immune response.                          d)   natural immune disorder.

 

    26.   The release of histamines does NOT cause _______________ in the affected area.

            a)    redness    b)  swelling    c)  infection    d)  heat

 

    27.   During this type of immune system response the body's defense system literally eats invading pathogens.

            a)    acquired    b)  imagined    c)  natural    d)  adaptive

 

    28.   During this type of immune system response the T and B cells change after contact with the pathogen.

            a)    acquired    b)  imagined    c)  natural    d)  innate

 

    29.   In an immune response, the phase in which helper T cells receive information from macrophages about the body invasion is called

            a)    recognition of the invading pathogen.            c)   attack.

            b)   amplification of defenses.                             d)   slowdown.

 

    30.   The phase of the immune response in which helper T cells multiply rapidly and produce killer T cells is called

            a)    recognition of the invading pathogen.            c)   attack.

            b)   amplification of defenses.                             d)   slowdown.

 

    31.   Chemical messengers released by immune system cells that help amplify and coordinate the immune response are

            a)    cytokines.    b)  antibodies.    c)  antigens.    d)  histamines.

 

    32.   Which of the following are examples of two cytokines?

            a)    histamines and interleukins                           c)   interferons and gamma globulin

            b)   interleukins and interferons                           d)   gamma globulin and histamines

 

    33.   In the immune response, the phase in which killer T cells strike at foreign cells and at cells of the body that have been invaded and infected is called

            a)    recognition of the invading pathogen.            c)   attack.

            b)   amplification of defenses.                             d)   slowdown.

 

    34.   Cell-mediated immune response

            a)    is a function of killer T cells.

            b)   is a function of B cells.

            c)    stimulates the production of antibodies.

            d)   uses antibodies to recruit macrophages to help clean up.

 

    35.   Which one of the following statements is true regarding antibody-mediated immune response?

            a)    Antibodies work against infected body cells.

            b)   It is carried out by T cells.

            c)    Antibodies recruit more macrophages to help clean up the site.

            d)   Antibodies work against bacteria and viruses outside of the cell.

 

    36.   The phase of the immune system in which suppressor T cells halt the immune response and restore the body's natural balance is called

            a)    recognition of the invading pathogen.            c)   attack.

            b)   amplification of defenses.                             d)   slowdown.

 

    37.   The ability of memory lymphocytes to remember previous infections is known as _______________ immunity.

            a)    acquired    b)  active    c)  future    d)  passive

 

    38.   The period when a bacterium or virus is actively multiplying inside the body without producing symptoms of illness is called

            a)    incubation.    b)  induction.    c)  prodromal.    d)  invasion.

 

    39.   Symptoms of illness

            a)    can be caused by the immune response.

            b)   will not disappear until a person is no longer infectious.

            c)    occur during the incubation period.

            d)   must be present before a person is infectious.

 

    40.   Immunization is based on

            a)    the body's ability to remember an encounter with a specific antigen.

            b)   the body's ability to tell a harmful pathogen from a harmless one.

            c)    the introduction of an unrelated pathogen into the body to stimulate antigen production.

            d)   the introduction of helper T cells into the body.

 

    41.   A preparation of killed or weakened pathogens injected or taken orally to stimulate the body to produce antibodies is called a/an

            a)    gamma globulin.    b)  vaccine.    c)  antibody.    d)  immunoglobulin.

 

    42.   A vaccine made from weakened organisms is called a/an

            a)    killer vaccine.    b)  live, attenuated vaccine.    c)  toxoid.    d)  antigen.

 

    43.   Vaccines made from pathogens that have been killed in the laboratory yet retain their ability to stimulate the production of antibodies are used to provide protection against

            a)    measles.    b)  mumps.    c)  influenza.    d)  tetanus.

 

    44.   Vaccines confer _______________ immunity.

            a)    active    b)  passive    c)  adaptive    d)  acquired

 

    45.   A person who is exposed to a disease and who is subsequently injected with antibodies produced by others has been given _______________ immunity.

            a)    active    b)  passive    c)  adaptive    d)  acquired

 

    46.   Serum that contains a variety of antibodies and is injected to provide temporary immunity is called

            a)    plasma.    b)  gamma globulin.    c)  enzymes.    d)  antihistamines.

 

    47.   When the body recognizes as a dangerous antigen a relatively harmless substance such as dust, pollen, or animal hair and mounts an immune response, this response is called

            a)    passive immunity.    b)  active immunity.    c)  adaptive immunity.    d)  an allergy.

 

    48.   Substances that provoke allergies are known as

            a)    parasites.    b)  antigens.    c)  bacteria.    d)  allergens.

 

    49.   Which of the following is NOT considered a common allergen?

            a)    pollen    b)  viruses    c)  molds    d)  insect stings

 

    50.   The substance that causes the inflammatory response to dust or pollen is called

            a)    immunoglobulin E.    b)  histamine.    c)  gamma globulin.    d)  antigen.

 

    51.   Which of the following is an effect of histamine on the body?

            a)    ankle edema    b)  stimulated mucus production    c)  headaches    d)  sore throat

 

    52.   All of the following are general strategies for dealing with allergies EXCEPT

            a)    avoidance.    b)  denial.    c)  medication.    d)  immunotherapy.

 

    53.   Which of the following is NOT considered a pathogen?

            a)    prions    b)  bacteria    c)  dust    d)  fungi

 

    54.   Streptococcus and staphylococcus are examples of

            a)    rickettsiae.    b)  bacteria.    c)  viruses.    d)  parasites.

 

    55.   A bacterium that causes infections such as scarlet fever and impetigo is

            a)    streptococcus.    b)  staphylococcus.    c)  Legionella.    d)  spirochete.

 

    56.   A common bacterium found on the skin and capable of causing infection if it enters the body is a

            a)    streptococcus.    b)  staphylococcus.    c)  Legionella.    d)  spirochete.

 

    57.   Which of the following statements about tuberculosis is FALSE?

            a)    It is untreatable, except with rest.

            b)   It responds to a long course of antibiotic treatment.

            c)    The incidence of tuberculosis is increasing.

            d)   It is transmitted via the respiratory tract.

 

    58.   Lyme disease can cause all of the following EXCEPT

            a)    fetal damage.    b)  arthritis.    c)  seizures.    d)  impaired motor coordination.

 

    59.   Which of the following is probably LEAST effective against Lyme disease?

            a)    As soon as a tick is spotted on the body, twist to remove it.

            b)   Use an insect repellent containing DEET.

            c)    Cover your body as much as possible when walking in wooded areas.

            d)   Disinfect the bite site if you find a tick.

 

    60.   Tetanus is also known as this condition.

            a)    lockjaw    b)  heartburn    c)  gastritis    d)  meningitis

 

    61.   Organisms that can reproduce only inside living cells and are transmitted by insects are called

            a)    viruses.    b)  bacteria.    c)  parasites.    d)  rickettsiae.

 

    62.   Generally, antibiotics are useful against

            a)    influenza.    b)  colds.    c)  bacteria.    d)  viruses.

 

    63.   The smallest pathogens, which are incapable of growing or reproducing by themselves, are called

            a)    bacteria.    b)  protozoa.    c)  viruses.    d)  rickettsiae.

 

    64.   The smallest pathogens, on the borderline between living and nonliving matter, are

            a)    rickettsiae.    b)  protozoa.    c)  bacteria.    d)  viruses.

 

    65.   A disease caused by a virus is the most common form of _______________ disease.

            a)    spontaneous    b)  contagious    c)  chronic    d)  acute

 

    66.   Colds are transmitted primarily by

            a)    airborne respiratory droplets.                       c)   coughing.

            b)   hand-to-hand contact.                                 d)   sharing food or drink.

 

    67.   All of the following are childhood viral illnesses that have waned in the U.S. EXCEPT

            a)    mumps.    b)  measles.    c)  hepatitis B.    d)  rubella.

 

    68.   One of the herpes viruses associated with infectious mononucleosis is

            a)    herpes simplex type I.                                  c)   Epstein-Barr virus (EBV).

            b)   herpes simplex type II.                                d)   cytomegalovirus.

 

    69.   Viral encephalitis causes inflammation of the tissue in this organ.

            a)    kidney    b)  brain    c)  liver    d)  heart

 

    70.   The least serious form of hepatitis is hepatitis

            a)    A.    b)  B.    c)  C.    d)  D.

 

    71.   Hepatitis B is transmitted mainly by

            a)    casual contact.                                             c)   organ donation.

            b)   contaminated food.                                      d)   intimate sexual contact.

 

    72.   This virus can cause irreversible paralysis and death in some infected individuals.

            a)    herpes    b)  poliomyelitis    c)  hepatitis    d)  influenza

 

    73.   Molds, mushrooms, and yeasts belong to which classification?

            a)    protozoa    b)  spirochete    c)  fungi    d)  rickettsiae

 

    74.   A fungus that causes vaginitis and thrush is

            a)    histoplasmosis.    b)  Candida albicans.    c)  coccidioidomycosis.    d)  chlamydia.

 

    75.   Mild fungal diseases that rarely give rise to major problems include all of the following EXCEPT

            a)    athlete's foot.    b)  jock itch.    c)  histoplasmosis.    d)  ringworm.

 

    76.   Microscopic, single-celled animals that often produce recurrent attacks of disease are called

            a)    viruses.    b)  parasites.    c)  protozoa.    d)  bacteria.

 

    77.   Protozoa are associated with all of the following illnesses EXCEPT

            a)    giardiasis.    b)  amoebic dysentery.    c)  histoplasmosis.    d)  malaria.

 

    78.   The largest organisms that can enter the body to cause infection are

            a)    bacteria.    b)  parasitic worms.    c)  viruses.    d)  protozoa.

 

    79.   The infectious agents that consist only of protein are called

            a)    viruses.    b)  prions.    c)  bacteria.    d)  protozoa.

 

    80.   Prions are the cause of which of the following diseases?

            a)    rabies    b)  Creutzfeldt-Jakob    c)  syphilis    d)  toxic shock

 

    81.   Autoimmune disease results when

            a)    bacteria severely damage the immune system.

            b)   cancer creates an imbalance in the immune system.

            c)    the body erroneously recognizes its own cells as foreign.

            d)   a virus such as HIV destroys the immune system.

 

    82.   Examples of autoimmune disease include

            a)    systemic lupus erythematosus and rheumatoid arthritis.

            b)   rheumatoid arthritis and HIV.

            c)    cancer and systemic lupus erythematosus.

            d)   allergies and HIV.

 

    83.   The most effective protection against infectious and parasitic diseases is

            a)    a clean environment and a healthful lifestyle.

            b)   vaccination and a healthful lifestyle.

            c)    antibiotics and a clean environment.

            d)   immunization and proper food preparation.

 

    84.   Which of the following is NOT a guideline for strengthening the immune system?

            a)    Eat a well-balanced diet.                              c)   Wash your hands frequently.

            b)   Get adequate rest.                                       d)   Continue to exercise with mild illness.