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BIOL 2250 – Microbiology for Health Sciences                                                     Spring 2010
Instructor: Renee McFarlane                                                                      Exam 3
NAME _________________________________________


Mark your answers on BOTH the scantron sheet and on the test.

The test is worth 100 points. The multiple-choice will be worth 80 points and the true/false questions are worth
a total of 20 points.

Please report any typos or numbering errors.

Finally, if a question is not clear, ASK for clarification. If you are confused about how to mark the
answers on your scantron sheet ASK! Credit will not be given for unasked questions.

    1. Which of the following results in long-term             4. Compared with nonspecific defenses, specific
        immunity?                                                 defenses
           a. the passage of maternal antibodies to                   a. do not distinguish between one threat
               her developing fetus                                       and another
           b. the inflammatory response to a splinter                 b. are always present at birth
           c. the administration of serum obtained                    c. protect against threats on an
               from people immune to rabies                               individual basis
           d. the administration of the chicken pox                   d. deny entrance of pathogens to the body
               vaccine
           e. the passage of maternal antibodies to            5. Which of the following is not part of the body’s
               her nursing infant                                 nonspecific defense system?
                                                                     a. inflammation
    2. Which of the following best describes the                     b. phagocytosis by neutrophils
       difference in the way B cells and cytotoxic T                 c. phagocytosis by macrophages
       cells respond to invaders?                                    d. antibodies
           a. B cells kills viruses directly; cytotoxic
                T cells kills virus-infected cells.
           b. B cells secrete antibodies against a
                virus; cytotoxic T cells kill virus-
                infected cells.
           c. B cells accomplish cell-mediated
                immunity; cytotoxic T cells accomplish
                humoral immunity.                              6. The process by which neutrophils squeeze
           d. B cells respond the first time the                  through capillary walls in response to
                invader is present; cytotoxic T cells             inflammatory signals is called
                respond subsequent times.                              a. emigration
                                                                       b. chemotaxis
                                                                       c. margination
                                                                       d. opsonization
    3. Inflammation
          a. aids in temporary repair at an injury site        7. Which antibody class can fix complement?
          b. slows the spread of pathogens                             a. IgA
          c. facilitates permanent repair                              b. IgD
          d. All of the above                                          c. IgE
          e. None of the above                                         d. IgF
                                                                       e. IgM


                                                          1
BIOL 2250 – Microbiology for Health Sciences                                                        Spring 2010
Instructor: Renee McFarlane                                                                         Exam 3
                                                                14. Contains histamines that trigger allergy
    8. Which antibody class is abundant in body                     symptoms C
        secretions?
            a. IgA                                              15. A phagocytic white blood cell A
            b. IgD
            c. IgE                                              16. Cytopathic effects are changes in the host cells
            d. IgG                                                  due to
            e. IgM                                                      a. viral infections.
                                                                        b. protozoan and helminthic infections.
    9. Septic shock due to gram-positive bacteria is                    c. fungal infections.
       caused by                                                        d. bacterial infections.
           a. A-B toxins.                                               e. All of the above.
           b. Lipid A.
           c. membrane-disrupting toxins.                       17. A needlestick is an example of which portal of
           d. superantigens.                                        entry?
                                                                        a. Skin
    10. Injectable drugs are tested for endotoxins by:                  b. Parenteral route
            a. The Limulus amoebocyte lysate test.                      c. Mucous membranes
            b. counting the viable bacteria.                            d. Gastrointestinal
            c. filtering out the cells.
            d. looking for turbidity.                           18. The mechanism by which gram-negative
            e. None of the above.                                   bacteria can cross the blood-brain barrier.
                                                                        a. Producing fimbriae
    11. Which of the following choices show the order                   b. Inducing endocytosis
        in which white blood cells migrate to infected                  c. Producing toxins
        tissues?                                                        d. Inducing TNF
             a. Macrophages - monocytes                                 e. All of the above
             b. Lymphocytes - macrophages
             c. Neutrophils - macrophages                       19. Which of the following does not cause
             d. Neutrophils - monocytes                             vasodilation?
             e. Macrophages - neutrophils                               a. Kinins
                                                                        b. Prostaglandins
                                                                        c. Lysozymes
                                                                        d. Histamine



For questions 12-15, match the letters to the appropriate
description.                                                    20. Which of the following is involved in resistance
                                                                    to parasitic helminths?
      A.   Neutrophil                                                   a. Basophil
      B.   B cell                                                       b. Eosinophil
      C.   Mast cell                                                    c. Lymphocyte
      D.   Helper T cell                                                d. Monocyte
      E.   Memory B cell                                                e. Neutrophil

    12. Carries out humoral immunity B                          21. Type of immunity resulting from the transfer of
                                                                    antibodies from one individual to a susceptible
                                                                    individual by means of injection.
    13. Cell most commonly infected by HIV D
                                                                        a. Innate immunity



                                                            2
BIOL 2250 – Microbiology for Health Sciences                                                   Spring 2010
Instructor: Renee McFarlane                                                                    Exam 3
           b.   Naturally acquired active immunity                  d. the variable regions of the heavy and
           c.   Naturally acquired passive immunity                    light chains
           d.   Artificially acquired active immunity               e. All of the above
           e.   Artificially acquired passive
                immunity

   22. The best definition of an antibody is
          a. a serum protein.
          b. a protein that inactivates or kills an
              antigen.
          c. a protein made in response to an
              antigen that can combine with that
              antigen.
          d. an enzyme.
          e. None of the above

   23. Which of the following causes pores in target
       cells?
           a. Antigen                                       28. In the figure, the arrow at time d indicates
           b. Hapten                                                 a. the time of exposure to the same antigen
           c. IL-1                                                       at time a.
           d. IL-2                                                   b. the secondary response.
           e. Perforin                                               c. the primary response.
                                                                     d. exposure to a new antigen.
   24. Cell death caused by perforin is caused by
           a. CD8 cells                                     29. IL-2, produced by TH cells,
           b. TH cells                                               a. activate macrophages.
           c. B cells                                                b. stimulates TH cell maturation.
           d. TC cells                                               c. causes phagocytosis.
                                                                     d. activates antigen-presenting cells.
   25. Which subunit of the exotoxin is the binding
       portion of the molecule?
           a. A
           b. B
           c. C
           d. D
           e. E

   26. Type of immunity resulting from vaccination.
          a. Innate immunity                                30. Most Gram-negative bacteria have a
          b. Naturally acquired active immunity                 lipopolysaccharide (LPS) which is found in the
          c. Naturally acquired passive immunity                    a. plasma membrane.
          d. Artificially acquired active immunity                  b. cell wall.
          e. Artificially acquired passive immunity                 c. inner membrane.
                                                                    d. outer membrane.
   27. The specificity of an antibody is due to                     e. periplasmic space.
          a. the heavy chains
          b. the light chains                               31. The definition of lysogeny is
          c. the constant regions of the heavy and                 a. phage DNA is incorporated into the
              light chains                                              host cell DNA.



                                                        3
BIOL 2250 – Microbiology for Health Sciences                                                      Spring 2010
Instructor: Renee McFarlane                                                                       Exam 3
            b. lysis of the host cell due to a phage.                   c. enterotoxins.
            c. the period during replication when                       d. neurotoxins.
                virions are not present.                                e. nephrotoxins.
            d. when the burst time takes an unusually
                long time.                                       36. The best definition of cell mediated immunity
                                                                     is:
     32. Which of the following is not a membrane-                       a. immunity involving macrophages.
         disrupting toxin?                                               b. immunity involving stem cells.
            a. A-B toxin                                                 c. immunity involving the lymphatic
            b. Hemolysin                                                    system.
            c. Leukocidins                                               d. immunity involving T cells.
            d. Streptolysin O                                            e. immunity involving platelets.
            e. Streptolysin S
                                                                37. The process by which microorganisms attach
Use this figure to answer questions 33-34.                          themselves to cells is
                                                                        a. infection.
                                                                        b. contamination.
                                                                        c. disease.
                                                                        d. adhesion.

                                                                38. The nature of bacterial capsules
                                                                       a. causes widespread blood clotting.
                                                                       b. allows phagocytes to readily engulf
                                                                           these bacteria.
                                                                       c. affects the virulence of these bacteria.
                                                                       d. has no effect on the virulence of
                                                                           bacteria.
                                                                       e. All of the above

    33. Which areas are different for all IgM antibodies?       39. Which of the following is not an effect of
           a. a and b                                               complement activation?
           b. a and c                                                  a. Interference with viral replication
           c. b and c                                                  b. Bacterial cell lysis
           d. c and d                                                  c. Opsonization
           e. a and d                                                  d. Increased phagocytic activity
                                                                       e. Increased blood vessel permeability




    34. What can attach to a host cell?                         40. Several inherited deficiencies in the complement
          a. a and c                                                system occurs in humans. Which of the
          b. b and c                                                following would be the most severe?
          c. b                                                          a. Deficiency of C3
          d. d                                                          b. Deficiency of C5
          e. e                                                          c. Deficiency of C6
                                                                        d. Deficiency of C7
    35. Cytotoxins having a specific toxic action upon                  e. Deficiency of C8
        cells/tissues of the liver are
            a. hepatotoxins.
            b. cardiotoxins.


                                                            4
BIOL 2250 – Microbiology for Health Sciences                                                    Spring 2010
Instructor: Renee McFarlane                                                                     Exam 3


TRUE OR FALSE - The following questions can be answered either true or false. Write your answer on the
scantron as follows: TRUE = A      FALSE = B

   41. Wandering macrophages experience margination. A


   42. Lymphocytes are large agranulocytes. B


   43. The hypothalamus of the brain controls body temperature. A


   44. Apoptosis is the term used to describe cellular suicide. A


   45. Interferon is produced by viruses. B


   46. Exotoxins are composed of proteins. A


   47. Histamine increases permeability of capillaries so that leukocytes can more readily reach the infection
       site. A


   48. C3a causes opsonization. B


   49. Like B cells, T cells originate from stem cells in bone marrow. A


   50. In a process called clonal deletion, lymphocytes that destroy host tissues are destroyed. A




                                                        5

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  • 1. BIOL 2250 – Microbiology for Health Sciences Spring 2010 Instructor: Renee McFarlane Exam 3 NAME _________________________________________ Mark your answers on BOTH the scantron sheet and on the test. The test is worth 100 points. The multiple-choice will be worth 80 points and the true/false questions are worth a total of 20 points. Please report any typos or numbering errors. Finally, if a question is not clear, ASK for clarification. If you are confused about how to mark the answers on your scantron sheet ASK! Credit will not be given for unasked questions. 1. Which of the following results in long-term 4. Compared with nonspecific defenses, specific immunity? defenses a. the passage of maternal antibodies to a. do not distinguish between one threat her developing fetus and another b. the inflammatory response to a splinter b. are always present at birth c. the administration of serum obtained c. protect against threats on an from people immune to rabies individual basis d. the administration of the chicken pox d. deny entrance of pathogens to the body vaccine e. the passage of maternal antibodies to 5. Which of the following is not part of the body’s her nursing infant nonspecific defense system? a. inflammation 2. Which of the following best describes the b. phagocytosis by neutrophils difference in the way B cells and cytotoxic T c. phagocytosis by macrophages cells respond to invaders? d. antibodies a. B cells kills viruses directly; cytotoxic T cells kills virus-infected cells. b. B cells secrete antibodies against a virus; cytotoxic T cells kill virus- infected cells. c. B cells accomplish cell-mediated immunity; cytotoxic T cells accomplish humoral immunity. 6. The process by which neutrophils squeeze d. B cells respond the first time the through capillary walls in response to invader is present; cytotoxic T cells inflammatory signals is called respond subsequent times. a. emigration b. chemotaxis c. margination d. opsonization 3. Inflammation a. aids in temporary repair at an injury site 7. Which antibody class can fix complement? b. slows the spread of pathogens a. IgA c. facilitates permanent repair b. IgD d. All of the above c. IgE e. None of the above d. IgF e. IgM 1
  • 2. BIOL 2250 – Microbiology for Health Sciences Spring 2010 Instructor: Renee McFarlane Exam 3 14. Contains histamines that trigger allergy 8. Which antibody class is abundant in body symptoms C secretions? a. IgA 15. A phagocytic white blood cell A b. IgD c. IgE 16. Cytopathic effects are changes in the host cells d. IgG due to e. IgM a. viral infections. b. protozoan and helminthic infections. 9. Septic shock due to gram-positive bacteria is c. fungal infections. caused by d. bacterial infections. a. A-B toxins. e. All of the above. b. Lipid A. c. membrane-disrupting toxins. 17. A needlestick is an example of which portal of d. superantigens. entry? a. Skin 10. Injectable drugs are tested for endotoxins by: b. Parenteral route a. The Limulus amoebocyte lysate test. c. Mucous membranes b. counting the viable bacteria. d. Gastrointestinal c. filtering out the cells. d. looking for turbidity. 18. The mechanism by which gram-negative e. None of the above. bacteria can cross the blood-brain barrier. a. Producing fimbriae 11. Which of the following choices show the order b. Inducing endocytosis in which white blood cells migrate to infected c. Producing toxins tissues? d. Inducing TNF a. Macrophages - monocytes e. All of the above b. Lymphocytes - macrophages c. Neutrophils - macrophages 19. Which of the following does not cause d. Neutrophils - monocytes vasodilation? e. Macrophages - neutrophils a. Kinins b. Prostaglandins c. Lysozymes d. Histamine For questions 12-15, match the letters to the appropriate description. 20. Which of the following is involved in resistance to parasitic helminths? A. Neutrophil a. Basophil B. B cell b. Eosinophil C. Mast cell c. Lymphocyte D. Helper T cell d. Monocyte E. Memory B cell e. Neutrophil 12. Carries out humoral immunity B 21. Type of immunity resulting from the transfer of antibodies from one individual to a susceptible individual by means of injection. 13. Cell most commonly infected by HIV D a. Innate immunity 2
  • 3. BIOL 2250 – Microbiology for Health Sciences Spring 2010 Instructor: Renee McFarlane Exam 3 b. Naturally acquired active immunity d. the variable regions of the heavy and c. Naturally acquired passive immunity light chains d. Artificially acquired active immunity e. All of the above e. Artificially acquired passive immunity 22. The best definition of an antibody is a. a serum protein. b. a protein that inactivates or kills an antigen. c. a protein made in response to an antigen that can combine with that antigen. d. an enzyme. e. None of the above 23. Which of the following causes pores in target cells? a. Antigen 28. In the figure, the arrow at time d indicates b. Hapten a. the time of exposure to the same antigen c. IL-1 at time a. d. IL-2 b. the secondary response. e. Perforin c. the primary response. d. exposure to a new antigen. 24. Cell death caused by perforin is caused by a. CD8 cells 29. IL-2, produced by TH cells, b. TH cells a. activate macrophages. c. B cells b. stimulates TH cell maturation. d. TC cells c. causes phagocytosis. d. activates antigen-presenting cells. 25. Which subunit of the exotoxin is the binding portion of the molecule? a. A b. B c. C d. D e. E 26. Type of immunity resulting from vaccination. a. Innate immunity 30. Most Gram-negative bacteria have a b. Naturally acquired active immunity lipopolysaccharide (LPS) which is found in the c. Naturally acquired passive immunity a. plasma membrane. d. Artificially acquired active immunity b. cell wall. e. Artificially acquired passive immunity c. inner membrane. d. outer membrane. 27. The specificity of an antibody is due to e. periplasmic space. a. the heavy chains b. the light chains 31. The definition of lysogeny is c. the constant regions of the heavy and a. phage DNA is incorporated into the light chains host cell DNA. 3
  • 4. BIOL 2250 – Microbiology for Health Sciences Spring 2010 Instructor: Renee McFarlane Exam 3 b. lysis of the host cell due to a phage. c. enterotoxins. c. the period during replication when d. neurotoxins. virions are not present. e. nephrotoxins. d. when the burst time takes an unusually long time. 36. The best definition of cell mediated immunity is: 32. Which of the following is not a membrane- a. immunity involving macrophages. disrupting toxin? b. immunity involving stem cells. a. A-B toxin c. immunity involving the lymphatic b. Hemolysin system. c. Leukocidins d. immunity involving T cells. d. Streptolysin O e. immunity involving platelets. e. Streptolysin S 37. The process by which microorganisms attach Use this figure to answer questions 33-34. themselves to cells is a. infection. b. contamination. c. disease. d. adhesion. 38. The nature of bacterial capsules a. causes widespread blood clotting. b. allows phagocytes to readily engulf these bacteria. c. affects the virulence of these bacteria. d. has no effect on the virulence of bacteria. e. All of the above 33. Which areas are different for all IgM antibodies? 39. Which of the following is not an effect of a. a and b complement activation? b. a and c a. Interference with viral replication c. b and c b. Bacterial cell lysis d. c and d c. Opsonization e. a and d d. Increased phagocytic activity e. Increased blood vessel permeability 34. What can attach to a host cell? 40. Several inherited deficiencies in the complement a. a and c system occurs in humans. Which of the b. b and c following would be the most severe? c. b a. Deficiency of C3 d. d b. Deficiency of C5 e. e c. Deficiency of C6 d. Deficiency of C7 35. Cytotoxins having a specific toxic action upon e. Deficiency of C8 cells/tissues of the liver are a. hepatotoxins. b. cardiotoxins. 4
  • 5. BIOL 2250 – Microbiology for Health Sciences Spring 2010 Instructor: Renee McFarlane Exam 3 TRUE OR FALSE - The following questions can be answered either true or false. Write your answer on the scantron as follows: TRUE = A FALSE = B 41. Wandering macrophages experience margination. A 42. Lymphocytes are large agranulocytes. B 43. The hypothalamus of the brain controls body temperature. A 44. Apoptosis is the term used to describe cellular suicide. A 45. Interferon is produced by viruses. B 46. Exotoxins are composed of proteins. A 47. Histamine increases permeability of capillaries so that leukocytes can more readily reach the infection site. A 48. C3a causes opsonization. B 49. Like B cells, T cells originate from stem cells in bone marrow. A 50. In a process called clonal deletion, lymphocytes that destroy host tissues are destroyed. A 5