NAS 162  Exam 2                                             Name _________________________

Vander Maten

 

1.  All of the following are functions of blood except

            a)  transport nutrients                             b)  defense

            c)  filter out nitrogen wastes                   d)  maintain body temperature

 

2.  Blood clotting is due to

            a)  platelets and neutrophils                    b)  fibrin and basophils

            c)  neutrophils alone                               d)  platelets and fibrin

 

3.  All of the following are non-cellular components of blood except

            a)  electrolytes                                      b)  eosinophils

            c)  albumins                                          d)  gases

 

4.  Which of the following does not lead to anemia?

            a)  blood doping                                     b)  hemorrhage

            c)  rbc breakdown                                 d)  too little iron

 

5.  Jaundice is

            a)  inability to properly degrade the nucleus of wbc

            b)  inability to properly degrade the cell membrane of wbc

            c)  inability to properly degrade the protein part of hemoglobin

            d)  inability to properly degrade the lipid part of hemoglobin

 

6.  The term for very low platelets is

            a)  cyanosis                                           b)  leukocytosis

            c)  thrombocytopenia                             d)  leukopenia

 

7.  A person with A+ blood can receive blood from these persons:

            a)  only A+ and O+       b)  A+, A-, O+, O-        c)  AB+, AB-                d)  B+, B-

 

8.  The hematocrit indicates the

            a)  amount of hemoglobin in the blood

            b)  percentage of rbc in the blood

            c)  percentage of wbc in the blood

            d)  amount of albumins in the blood

 

9.  Bilirubin normally ends up

            a)  in the pancreas, for transport to the small intestine and loss in the feces

            b)  in the spleen, for use in killing invaders

            c)  in the bile, for transport to the small intestine and loss in the feces

            d)  in the kidneys, for loss in the urine

 

10.  The usual cause of jaundice is damage to the

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

 

11.  Hypochromic anemia is caused by

            a)  too little iron                         b)  decreased production of rbc

            c)  loss of blood                                     d)  breakdown of rbc

 

12.  The most abundant leukocyte is the

            a)  lymphocyte              b)  basophil                   c)  neutrophil                 d)  monocyte

 

13.  Hemolytic disease of the newborn (Rh factor problem) is found when

            a)  the father is Rh positive and the baby is Rh negative

            b)  the father is Rh negative and the baby is Rh positive

            c)  the mother is Rh positive and the baby is Rh negative

            d)  the mother is Rh negative and the baby is Rh positive

 

14.  White blood cells that contain histamine are

            a)  eosinophils               b)  basophils                  c)  monocytes               d)  neutrophils

 

15.  How long do erythrocytes normally stay in circulation?

            a)  4 hours                    b)  4 days                      c)  4 months                  d)  4 years

 

16.  The conversion of fibrinogen to fibrin is catalyzed by

            a)  plasma                     b)  thrombin                  c)  albumin                    d)  histamine

 

17.  Biliverdin and bilirubin are

            a)  pigments that form during the breakdown of the non-iron portion of heme

            b)  compound that transport iron in the blood stream

            c)  storage molecules for iron in the liver and spleen

            d)  inactive clotting factors

 

18.  All blood cells are made in the

            a)  liver                         b)  bone marrow            c)   thymus                    d)  kidney

 

19.  How does the body adapt to high altitudes?

            a)  by making more neutrophils to attack invading bacteria

            b)  by making more platelets to make more clots

            c)  by making more erythrocytes to carry oxygen

            d)  by making more eosinophils to fight parasites

 

20.  The phagocytic cells include

            a)  monocytes and neutrophils                b)  eosinophils and basophils

            c)  neutrophils and lymphocytes              d)  monocytes and erythrocytes

 

21.  Blood flows from the superior vena cava into the

            a)  inferior vena cava                 b)  aorta            c)  left atrium          d)  right atrium

 

22.  The bicuspid valve is located between the

            a)  right ventricle and aorta                    b)  right ventricle and pulmonary trunk

            c)  right and left atria                             d)  left atrium and left ventricle

 

23.  Which actually initiates the heartbeat?

            a)  V-A node                                        b)  V-A bundle

            c)  Perkinje fibers                                  d)  S-A node

 

24.  The typical heart sounds are made by

            a)  opening of valves                              b)  vibration of chordae tendineae

            c)  bulging of the aorta                           d)  closing of the valves

 

25.  All of the following affect regulation of the heart beat except

            a)  temperature                                     b)  stretch receptors in the lungs

            b)  stretch receptors in the aorta             d)  ions

 

26.  The inside lining of the heart (inside the ventricle, for example) is the

            a)  endocardium                                                b)  myocardium

            c)  epicardium                                       d)  pericardium

 

27.  The muscle of the heart is the

            a)  endocardium                                                b)  myocardium

            c)  epicardium                                       d)  pericardium

 

28.  An abnormally slow heartbeat is called

            a)  tachycardia              b)  bradycardia              c)  flutter          d)  fibrillation

 

29.  A rapid and uncoordinated heartbeat is called

            a)  tachycardia              b)  bradycardia              c)  flutter          d)  fibrillation

 

30.  Enlargement of the heart is called

            a)  palpitaion                                         b)  angiocardiography      

            c)  cardiomegaly                                    d)  cardiac arrest

 

31.  Which statement is true?

            a)  There are twice as many rbc than wbc.   b)  There are twice as many wbc than rbc.

            c)  There are 1000 times more rbc than wbc. d)  There are 1000 times more wbc than rbc.

 

32.  A rapid heartbeat that can be felt by the patient is called

            a)  palpitation                                        b)  angiocardiography      

            c)  cardiomegaly                                    d)  cardiac arrest

 

33.  Blood flows from the right atrium into the

            a)  right ventricle                                   b)  superior vena cava

            c)  left atrium                                        d)  left ventricle

 

34.  The flow of blood is

            a)  heart to capillaries to veins to arteries to heart

            b)  heart to veins to capillaries to arteries to heart

            c)  heart to veins to arteries to capillaries to heart

            d)  heart to arteries to capillaries to veins to heart

 

35.  Arteries are characterized by all but the following

            a)  elastic          b)  thicker than veins     c)  valves          d)  more muscle than veins

 

36.  The place in the blood vessel system where the diffusion occurs is

            a)  aorta                        b)  arterioles                  c)  venules        d)  capillaries

 

37.  Blood pressure is felt in

            a)  arteries                    b)  veins                        c)  capillaries                 d)  heart

 

38.  Much of the movement in veins is due to

            a)  heartbeat                                         b)  muscle contraction

            c)  swallowing                                       d)  kidney filtration

 

39.  Lipid in the blood are combined with proteins called lipoproteins because

            a)  lipoproteins travel faster than proteins alone

            b)  lipoproteins travel more slowly than proteins alone

            c)  proteins alone are not soluble in water

            d)  lipids alone are not soluble in water

 

40.  Infalmmation of a vein with a clot is called

            a)  thrombectomy                                  b)  thrombophlebitis

            c)  phlebitis                                           d)  thrombus

 

41.  All of the following affect blood pressure except

            a)  viscosity (thickness) of blood             b)  blood volume

            c)  heart rate                                         d)  calcium level

 

42.  A weakened area in an artery is called

            a)  an aneurysm            b)  phlebitis       c)  arteriosclerosis         d)  atherosclerosis

 

43.  Varicose veins are abnormal

            a)  constrictions of deep veins                b)  dilations of deep veins

            c)  constrictions of surface veins                        d)  dilations of surface veins

 

44.  All of the following are risk factors for arteriosclerosis except

            a)  high fat diet                                      b)  smoking

            c)  low blood pressure                            d)  lack  of exercise

 

45.  Capillaries in the brain

            a)  have spaces between the cells and have no lipid coating

            b)  have spaces between the cells and have a lipid coating

            c)  have no spaces between the cells and have no lipid coating

            d)  have no spaces between the cells and have a lipid coating

 

 46.  Fluid filters out of the capillaries to the interstitial fluid.  The volume of fluid reabsorbed by capillaries

            a)  is much higher than the amount filtered out

            b)  is much lower than the amount filtered out

            c)  is almost the same as that filtered out

 

47.  A person with leukemia would show

            a)  leukocytosis             b)  leucopenia                c)  jaundice                   d)  occlusion

 

48.  Which is the path of blood in the brachial vein?

            a)  brachial – radial – ulnar – superior vena cava

            b)  brachial – axillary – subclavian – brachiocephalic – superior vena cava

            c)  brachial – subclavian – axillary – superior vena cava

            d)  brachial – brachiocephalic – subclavian – axillary – inferior vena cava

 

49.  Blood flows from the abdominal (descending) aorta into

            a)  external iliac arteries                         b)  femoral arteries

            c)  carotid artery                                               d)  common iliac arteries

 

50.  Blood in intestinal capillaries follow this route:

            a)  hepatic portal vein – liver – hepatic vein – inferior vena cava

            b)  intestinal vein – common iliac – inferior vena cava

            c)  hepatic vein – hepatic portal vein – inferior vena cava

            d)  intestinal vein – splenic vein – inferior vena cava

 

51.  Primary hypertension is hypertension which is

            a)  not attributed to any known cause      b)  due to kidney disease

            c)  caused by a stroke                            d)  caused by overeating

 

52.  The Epstein-Barr virus can cause all but the following

            a)  gangrene                                          b)  mononucleosis         

            c)  chronic fatigue syndrome                  d)  Burkitt’s lymphoma

 

53.  Streptococcus bacteria can cause all but the following

            a)  malaria        b)  endocarditis              c)  rheumatic fever        d)  childbirth fever

 

54.  The hemorrhagic fevers such as Hanta, Ebola, and yellow fever are all caused by

            a)  bacteria       b)  protozoans               c)  viruses                     d)  fungi

 

55.  Growth of bacteria in the blood is called

            a)  septicemia    b)  septsis                     c)  splenomegaly           d)  cynosis

 

56.  All of the following are non-specific defenses except

            a)  skin             b)  T-lymphocytes         c)  tears                                    d)  stomach acid

 

57.  Antibodies are

            a)  killer cells made from T-lymphocytes

            b)  killer cells made from B-lymphocytes

            c)  defense proteins made from T-lymphocytes

            d)  defense proteins made from B-lymphocytes

 

58.  T-lymphocytes mature in the

            a)  thyroid         b)  tibia                         c)  thymus                     d)  tonsils

 

59.  Lymph lacteals (lymph capillaries) have

            a)  one open end  and one closed end      b)  two open ends          c)  two closed ends                               

60.  All of the following are true about the lymph system except

            a)  It collects interstitial fluid.

            b)  It filters fluid in lymph nodes.

            c)  There is a pump that keeps the lymph moving.

            d)  There are valves in the lymph vessels.

 

61. Lymph nodes contain

            a)  mast cells and eosinophils                  b)  neutrophils and mast cells

            c)  lymphocytes and macrophages          d)  lymphocytes and neutrophils

 

62.  Wandering macrophages are the same thing as

            a)  neutrophils               b)  mast cells     c)  monocytes               d)  antibodies

 

63.  All of the following are lymph nodes except

            a)  thymus                     b)  thyroid         c)  Peyer’s patches       d)  tonsils

 

64.  A tumor of lymph tissue is called

            a)  lymphadema             b)  lymphadenectomy     c)  lymphoma    d)  lymphadenopathy

 

65.  Immunoglobulins that are attached to mast cells are called

            a)  IgA             b)  IgE              c)  IgG              d)  IgM             e)  IgD

 

66.  Antibodies in the milk that protect a  baby are

            a)  IgA             b)  IgE              c)  IgG              d)  IgM             e)  IgD

 

67.  Antibodies from the mother that protect the fetus are called

            a)  IgA             b)  IgE              c)  IgG              d)  IgM             e)  IgD

 

68.  In order for an antigen to activate a T cell, the antigen must first be

            a)  coated with antibodies                       b)  displayed on the surface of a macrophage

            c)  displayed on the surface of a B cell   d)  producing interleukins

 

69.  Getting the DPT shot is an example of

            a)  natural active immunity                     b)  natural passive immunity

            c)  artificial active immunity                   d)  artificial passive immunity

 

70.  The human immunodeficiency virus primarily infects

            a)  plasma cells             b)  TH cells        c)  TC cells                    d)  rbc

 

71.  A transplant of tissue between individuals of different families is called a(n)

            a)  autograft      b)  isograft                    c)  allograft                   d)  xenograft

 

72.  During maturation of T cells,  which lymphocytes are destroyed?

            a)  B lymphocytes                                 b)  cells which would attack self

            c)  TS lymphocytes                                d)  cells which would attack invaders

 

73.  What happens during a second or third immunologic response?

            a)  the response is slower and lower       b)  the response is slower and higher

            c)  the response is faster and lower        d)  the response is faster and higher

 

74.  The purpose of fusing a cancer cell and an antibody-making cell is to

            a)  make memory cells that live forever

            b)  make huge amounts of cytokines

            c)  make TC cells that live forever

            d)  make huge amounts of one kind of antibody

 

75.  Delayed hypersensitivity is due to

            a)  TD cells        b)  TC cells                    c)  IgA on mast cells     d)  Ig E on mast cells

 

76.  Immediate hypersensitivity is due to

            a)  TD cells        b)  TC cells                    c)  IgA on mast cells     d)  Ig E on mast cells

 

77.  An example of delayed hypersensitivity is

            a)  sneezing due to cats                          b)  reaction to bee sting

            c)  skin rash due to poison ivy                 d)  transfusion with the wrong blood

 

78.  All of the following are autoimmune diseases except

            a)  AIDS          b)  rheumatoid arthritis   c)  lupus                        d)  diabetes mellitus

 

79.  In severe combined immunodeficiency, there is

            a)  B defense but no T defense              b)  T defense but no B defense

            c)  both B and T defense                                   d)  neither T nor B defense

 

80.  Plasma cells are

            a)  B lymphocytes that make antibodies  b)  T lymphocytes that make antibodies

            c)  B lymphocytes that make interleukins d)  T lymphocytes that make interleukins

 

Each of the 80 questions is worth 1.25 points.

 

Extra credit (points indicated in parentheses):

 

81.  (1)  Before a transplant, it is best to match

            a)  cytokines                                         b)  major histocompatibility complex proteins

            c)  superantigens                                   d)  TC cells

           

82.  (1)  Which of the following types of cells usually has the longest life-span?

            a)  erythrocytes b)  neutrophils               c)  monocytes               d)  lymphocytes

 

83.  (2)  Why does atherosclerosis affect the heart?

 

 

 

 

 

 

 

84.  (3) Draw a capillary and explain how the structure is important to the function of the capillary.  Be sure to label your type of cells.