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Lymphatic System
Practice Questions
Which of the following are lymphoid organs
or tissues?
 Spleen
 Tonsils
 Thymus
 Thyroid
Which of the following are lymphoid organs
or tissues?
 Spleen
 Tonsils
 Thymus
 Thyroid
What is the role of the lymphatic system?
 Filter and cleanse venous blood before it returns to the heart
 Collect, filter, and return fluid that has diffused into tissues back into the bloodstream
 Produce and store cells of the immune systems
What is the role of the lymphatic system?
 Filter and cleanse venous blood before it returns to the heart
 Collect, filter, and return fluid that has diffused into tissues back into the bloodstream
 Produce and store cells of the immune systems
What are the components of the lymphatic
system?
 Lymphatic vessels
 Lymph fluid
 Lymph nodes
 Lymphoid organs/tissues
 All of these
What are the components of the lymphatic
system?
 Lymphatic vessels
 Lymph fluid
 Lymph nodes
 Lymphoid organs/tissues
 All of these
Once fluid enters the lymphatic vessels, it is
called:
 Interstitial fluid
 Extracellular fluid
 Plasma
 Lymph
Once fluid enters the lymphatic vessels, it is
called:
 Interstitial fluid
 Extracellular fluid
 Plasma
 Lymph
The lymphatic vessels form a ____ way
system, blood flows ______.
 Two way, to and from the heart
 One way, to the spleen
 Two way, to and from the spleen
 One way, to the heart
The lymphatic vessels form a ____ way
system, blood flows ______.
 Two way, to and from the heart
 One way, to the spleen
 Two way, to and from the spleen
 One way, to the heart
Lymphatic capillaries are found in what type
of tissue?
 Epithelial tissue
 Muscle
 Loose connective tissue
 Reticular connective tissue
Lymphatic capillaries are found in what type
of tissue?
 Epithelial tissue
 Muscle
 Loose connective tissue
 Reticular connective tissue
What adaptations make lymphatic capillaries
highly permeable?
 Adjacent cells overlap to form valves
 Collagen filaments anchoring the lymphatic capillaries prevent capillary collapse when hydrostatic
pressure rises in the interstitial space
 When fluid pressure in the interstitial space exceeds hydrostatic pressure in the lymphatic
capillary, the valves open
 All of these are true
What adaptations make lymphatic capillaries
highly permeable?
 Adjacent cells overlap to form valves
 Collagen filaments anchoring the lymphatic capillaries prevent capillary collapse when hydrostatic
pressure rises in the interstitial space
 When fluid pressure in the interstitial space exceeds hydrostatic pressure in the lymphatic
capillary, the valves open
 All of these are true
Lacteals are lymphatic capillaries found in the
___, and named for______:
 Breast, the fact that they drain left over breast milk for recycling
 Small intestine, the white, fatty fluid called chyle that transports milk proteins to the blood
 Small intestine, the fact that they ferry dairy proteins to the venous blood
 Small intestine, the white, fatty fluid called chyle that transports fat to the bloodstream
Lacteals are lymphatic capillaries found in the
___, and named for______:
 Breast, the fact that they drain left over breast milk for recycling
 Small intestine, the white, fatty fluid called chyle that transports milk proteins to the blood
 Small intestine, the fact that they ferry dairy proteins to the venous blood
 Small intestine, the white, fatty fluid called chyle that transports fat to the bloodstream
Lymphatic vessels in the skin travel along
with ____, while lymphatic vessels in the trunk
and viscera travel with_____.
 Arteries, veins
 Veins, arteries
Lymphatic vessels in the skin travel along
with ____, while lymphatic vessels in the trunk
and viscera travel with_____.
 Arteries, veins
 Veins, arteries
What are the major lymphatic trunks?
 Lumbar
 Bronchomediastinal
 Subclavian
 Brachial
 Jugular
 Intestinal
 Inguinal
What are the major lymphatic trunks?
 Lumbar
 Bronchomediastinal
 Subclavian
 Brachial
 Jugular
 Intestinal
 Inguinal
The right lymphatic duct drains lymph from:
 The right arm, and right side of the head and thorax
 The right side of the body
 The right side of the abdomen and the right leg
 The right side of the thorax and abdomen
The right lymphatic duct drains lymph from:
 The right arm, and right side of the head and thorax
 The right side of the body
 The right side of the abdomen and the right leg
 The right side of the thorax and abdomen
The thoracic duct drains lymph from:
 The thoracic cavity
 The thoracic cavity and the abdomen
 The thoracic cavity, head, and neck
 The left side of the head, thorax and left arm
 The entire abdomen, both legs, the left side of the thorax and head, and the left arm
The thoracic duct drains lymph from:
 The thoracic cavity
 The thoracic cavity and the abdomen
 The thoracic cavity, head, and neck
 The left side of the head, thorax and left arm
 The entire abdomen, both legs, the left side of the thorax and head, and the left arm
Where do the lymphatic ducts empty into
the venous circulation?
 At the cisterna chyli (on their respective side of the body)
 At the junction of the internal jugular vein and the subclavian vein on their respective side of the
body
 At the junction of the coronary sinus and the right atrium
Where do the lymphatic ducts empty into
the venous circulation?
 At the cisterna chyli (on their respective side of the body)
 At the junction of the internal jugular vein and the subclavian vein on their respective side of the
body
 At the junction of the coronary sinus and the right atrium
Lymphatic vessels also return leaked proteins
to the bloodstream.
 True
 False
Lymphatic vessels also return leaked proteins
to the bloodstream.
 True
 False
What promotes movement of lymph through
lymphatic vessels?
 The “milking” action of skeletal muscles
 Changes in thoracic pressure during ventilation
 Pulsations of nearby arteries
 Peristalsis of smooth muscle in the tunica of lymphatic vessels
 All of these
What promotes movement of lymph through
lymphatic vessels?
 The “milking” action of skeletal muscles
 Changes in thoracic pressure during ventilation
 Pulsations of nearby arteries
 Peristalsis of smooth muscle in the tunica of lymphatic vessels
 All of these
The activated form of these cells manages
the adaptive immune response, and some
destroy infected cells:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
The activated form of these cells manages
the adaptive immune response, and some
destroy infected cells:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These cells secrete antibodies into the blood
to mark antigens for destruction:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These cells secrete antibodies into the blood
to mark antigens for destruction:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These cells help to activate T cells and
phagocytize pathogens:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These cells help to activate T cells and
phagocytize pathogens:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These lymphocytes, formed in the bone
marrow, give rise to plasma cells:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These lymphocytes , formed in the bone
marrow, give rise to plasma cells:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These spiny cells capture antigens and bring
them to the lymph nodes:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These spiny cells capture antigens and bring
them to the lymph nodes:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These cells produce the stroma of the
lymphoid organs:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
These cells produce the stroma of the
lymphoid organs:
 B-Cells
 Macrophages
 T-Cells
 Reticular cells
 Dendritic cells
 Plasma cells
This loose connective tissue predominates in
all lymphoid organs except the thymus:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
This loose connective tissue predominates in
all lymphoid organs except the thymus:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
These are tightly packed spherical bodies of
lymphoid cells and reticular fibers:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
These are tightly packed spherical bodies of
lymphoid cells and reticular fibers:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
This loose arrangement of lymphoid cells
and reticular fibers is found in every body
organ:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
This loose arrangement of lymphoid cells
and reticular fibers is found in every body
organ:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
These clusters of proliferating B cells can be
found in lymph nodes and in the intestinal
wall:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
These clusters of proliferating B cells can be
found in lymph nodes and in the intestinal
wall:
 Reticular connective tissue
 Diffuse lymphoid tissue
 Lymphoid nodules/follicles
 Germinal centers
The primary lymphoid organs, where B and T
cells mature:
 Red bone marrow
 Lymph nodes
 Thymus
 Spleen
 Tonsils, Peyer’s Patches, Appendix (MALT)
The primary lymphoid organs, where B and T
cells mature:
 Red bone marrow
 Lymph nodes
 Thymus
 Spleen
 Tonsils, Peyer’s Patches, Appendix (MALT)
The secondary lymphoid organs, where
mature lymphocytes encounter antigens and
get activated:
 Red bone marrow
 Lymph nodes
 Thymus
 Spleen
 Tonsils, Peyer’s Patches, Appendix (MALT)
The secondary lymphoid organs, where
mature lymphocytes encounter antigens and
get activated:
 Red bone marrow
 Lymph nodes
 Thymus
 Spleen
 Tonsils, Peyer’s Patches, Appendix (MALT)
Which of the following statements about
lymph nodes are correct?
 Lymph is filtered in the nodes by macrophages destroying pathogens and debris.
 Lymph nodes are located in areas where pathogens are likely to enter the body, such as the
mouth and intestines
 Lymph nodes are clustered around the entrances to the torso to protect the viscera
 Large clusters of lymph nodes are found where vessels converge to form trunks, in the cervical,
inguinal, and axillary regions
Which of the following statements about
lymph nodes are correct?
 Lymph is filtered in the nodes by macrophages destroying pathogens and debris.
 Lymph nodes are located in areas where pathogens are likely to enter the body, such as the
mouth and intestines
 Lymph nodes are clustered around the entrances to the torso to protect the viscera
 Large clusters of lymph nodes are found where vessels converge to form trunks, in the cervical,
inguinal, and axillary regions
This dense fibrous tissue surrounds the
lymph node:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
This dense fibrous tissue surrounds the
lymph node:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
The efferent vessels carry lymph away from
the node at this indentation on the concave
side:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
The efferent vessels carry lymph away from
the node at this indentation on the concave
side:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
In this tissue dendritic cells form a stroma for
proliferating B cells and for T cells in transit:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
In this tissue dendritic cells form a stroma for
proliferating B cells and for T cells in transit:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
These extensions of connective tissue divide
the node into internal compartments:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
These extensions of connective tissue divide
the node into internal compartments:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
This tissue contains sinuses and networks of
reticular fibers hosting large numbers of
macrophages:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
This tissue contains sinuses and networks of
reticular fibers hosting large numbers of
macrophages:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
These are extensions of lymphocyte rich
cortical lymphoid tissue penetrating deeper
into the node:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
These are extensions of lymphocyte rich
cortical lymphoid tissue penetrating deeper
into the node:
 Capsule
 Trebeculae
 Cortex
 Medulla
 Medullary cords
 Hilum
These bring lymph fluid to the node:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
These bring lymph fluid to the node:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
This is a large, baglike sinus just deep to the
capsule:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
This is a large, baglike sinus just deep to the
capsule:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
These vessels drain lymph away from the
nodes:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
These vessels drain lymph away from the
nodes:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
These deep sinuses are the final filtering
location before lymph exits at the hilum:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
These deep sinuses are the final filtering
location before lymph exits at the hilum:
 Afferent lymphatic vessels
 Subscapular sinus
 Medullary sinus
 Efferent lymphatic vessels
Why are there fewer efferent vessels than
afferent vessels at each lymph node?
 Most of the lymph drains out of the nodes via the medullary sinus, so only some has to leave
through the efferent vessels
 Fluid is absorbed by the tissue of the lymph nodes, and only the excess fluid leaves via the
efferent vessels
 Nodal sinuses are the site of lymph reabsorption into the bloodstream, so only fluid that cannot
be absorbed is drained by the efferent vessels
 To slow the flow of lymphatic fluid, allowing time for filtration in the node
Why are there fewer efferent vessels than
afferent vessels at each lymph node?
 Most of the lymph drains out of the nodes via the medullary sinus, so only some has to leave
through the efferent vessels
 Fluid is absorbed by the tissue of the lymph nodes, and only the excess fluid leaves via the
efferent vessels
 Nodal sinuses are the site of lymph reabsorption into the bloodstream, so only fluid that cannot
be absorbed is drained by the efferent vessels
 To slow the flow of lymphatic fluid, allowing time for filtration in the node
What does MALT stand for?
 Mammary associated lymphoid tissue
 Mammalian adaptive lymphoid tissue
 Mucosa associated lymphoid tissue
 Medullary adrenal lymphoid tissue
What does MALT stand for?
 Mammary associated lymphoid tissue
 Mammalian adaptive lymphoid tissue
 Mucosa associated lymphoid tissue
 Medullary adrenal lymphoid tissue
What is the largest lymphoid organ?
 Thymus
 Spleen
 Liver
 Peyer’s patches
What is the largest lymphoid organ?
 Thymus
 Spleen
 Liver
 Peyer’s patches
Which of the following are functions of the
spleen?
 The spleen provides a site for lymphocytes to reproduce and mount an immune response
 The spleen extracts damaged and defective blood cells and platelets
 Macrophages in the spleen phagocytose debris in the bloodstream
 The spleen stores platelets and monocytes for release as needed
 The spleen recycles the components of red blood cells and stores iron from heme
Which of the following are functions of the
spleen?
 The spleen provides a site for lymphocytes to reproduce and mount an immune response
 The spleen extracts damaged and defective blood cells and platelets
 Macrophages in the spleen phagocytose debris in the bloodstream
 The spleen stores platelets and monocytes for release as needed
 The spleen recycles the components of red blood cells and stores iron from heme
This is composed of lymphocytes on reticular
fibers, and is where immune functions are
carried out:
 Red Pulp
 White Pulp
This is composed of lymphocytes on reticular
fibers, and is where immune functions are
carried out:
 Red Pulp
 White Pulp
This tissue is the location where macrophages destroy
erythrocytes marked for destruction, it consists of
connective tissue cords and blood filled sinuses:
 Red Pulp
 White Pulp
This tissue is the location where macrophages destroy
erythrocytes marked for destruction, it consists of
connective tissue cords and blood filled sinuses:
 Red Pulp
 White Pulp
These paired tonsils, the largest and most
often infected, are located on either side at
the back of the oral cavity:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
These paired tonsils, the largest and most
often infected, are located on either side at
the back of the oral cavity:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
Also called the adenoids, this is located in
the posterior wall of the nasopharynx::
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
Also called the adenoids, this is located in
the posterior wall of the nasopharynx::
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
This is the collection of lymphoid follicles at
the base of the tongue:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
This is the collection of lymphoid follicles at
the base of the tongue:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
These are invaginations of the epithelium
covering the tonsils, which trap bacteria and
debris:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
These are invaginations of the epithelium
covering the tonsils, which trap bacteria and
debris:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
These tiny structures surround the
pharyngeal openings of the auditory tubes:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
These tiny structures surround the
pharyngeal openings of the auditory tubes:
 Palatine tonsils
 Lingual tonsil
 Pharyngeal tonsil
 Tubal tonsil
 Tonsillar crypts
The ____ is/are located in the wall of the
small intestines, and the _____ is/are an
offshoot of the large intestines.
 Appendix, Peyer’s patches
 Peyer’s patches, appendix
The ____ is/are located in the wall of the
small intestines, and the _____ is/are an
offshoot of the large intestines.
 Appendix, Peyer’s patches
 Peyer’s patches, appendix
Which of the following statements about the
thymus are true?
 The thymus produces immunocompetent cells at a declining rate as we age
 The blood-thymus barrier keeps antigens out of the thymus
 The stroma of the thymus is composed of epithelial cells rather than reticular fibers
 Thymic corpuscles are keratinized epithelial cells involved in the development of regulatory T
cells, which prevent autoimmune responses
 The thymus is directly involved in fighting antigens during childhood, although this role declines
with age
Which of the following statements about the
thymus are true?
 The thymus produces immunocompetent cells at a declining rate as we age
 The blood-thymus barrier keeps antigens out of the thymus
 The stroma of the thymus is composed of epithelial cells rather than reticular fibers
 Thymic corpuscles are keratinized epithelial cells involved in the development of regulatory T
cells, which prevent autoimmune responses
 The thymus is directly involved in fighting antigens during childhood, although this role declines
with age

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Lymphatic System

  • 2. Which of the following are lymphoid organs or tissues?  Spleen  Tonsils  Thymus  Thyroid
  • 3. Which of the following are lymphoid organs or tissues?  Spleen  Tonsils  Thymus  Thyroid
  • 4. What is the role of the lymphatic system?  Filter and cleanse venous blood before it returns to the heart  Collect, filter, and return fluid that has diffused into tissues back into the bloodstream  Produce and store cells of the immune systems
  • 5. What is the role of the lymphatic system?  Filter and cleanse venous blood before it returns to the heart  Collect, filter, and return fluid that has diffused into tissues back into the bloodstream  Produce and store cells of the immune systems
  • 6. What are the components of the lymphatic system?  Lymphatic vessels  Lymph fluid  Lymph nodes  Lymphoid organs/tissues  All of these
  • 7. What are the components of the lymphatic system?  Lymphatic vessels  Lymph fluid  Lymph nodes  Lymphoid organs/tissues  All of these
  • 8. Once fluid enters the lymphatic vessels, it is called:  Interstitial fluid  Extracellular fluid  Plasma  Lymph
  • 9. Once fluid enters the lymphatic vessels, it is called:  Interstitial fluid  Extracellular fluid  Plasma  Lymph
  • 10. The lymphatic vessels form a ____ way system, blood flows ______.  Two way, to and from the heart  One way, to the spleen  Two way, to and from the spleen  One way, to the heart
  • 11. The lymphatic vessels form a ____ way system, blood flows ______.  Two way, to and from the heart  One way, to the spleen  Two way, to and from the spleen  One way, to the heart
  • 12. Lymphatic capillaries are found in what type of tissue?  Epithelial tissue  Muscle  Loose connective tissue  Reticular connective tissue
  • 13. Lymphatic capillaries are found in what type of tissue?  Epithelial tissue  Muscle  Loose connective tissue  Reticular connective tissue
  • 14. What adaptations make lymphatic capillaries highly permeable?  Adjacent cells overlap to form valves  Collagen filaments anchoring the lymphatic capillaries prevent capillary collapse when hydrostatic pressure rises in the interstitial space  When fluid pressure in the interstitial space exceeds hydrostatic pressure in the lymphatic capillary, the valves open  All of these are true
  • 15. What adaptations make lymphatic capillaries highly permeable?  Adjacent cells overlap to form valves  Collagen filaments anchoring the lymphatic capillaries prevent capillary collapse when hydrostatic pressure rises in the interstitial space  When fluid pressure in the interstitial space exceeds hydrostatic pressure in the lymphatic capillary, the valves open  All of these are true
  • 16. Lacteals are lymphatic capillaries found in the ___, and named for______:  Breast, the fact that they drain left over breast milk for recycling  Small intestine, the white, fatty fluid called chyle that transports milk proteins to the blood  Small intestine, the fact that they ferry dairy proteins to the venous blood  Small intestine, the white, fatty fluid called chyle that transports fat to the bloodstream
  • 17. Lacteals are lymphatic capillaries found in the ___, and named for______:  Breast, the fact that they drain left over breast milk for recycling  Small intestine, the white, fatty fluid called chyle that transports milk proteins to the blood  Small intestine, the fact that they ferry dairy proteins to the venous blood  Small intestine, the white, fatty fluid called chyle that transports fat to the bloodstream
  • 18. Lymphatic vessels in the skin travel along with ____, while lymphatic vessels in the trunk and viscera travel with_____.  Arteries, veins  Veins, arteries
  • 19. Lymphatic vessels in the skin travel along with ____, while lymphatic vessels in the trunk and viscera travel with_____.  Arteries, veins  Veins, arteries
  • 20. What are the major lymphatic trunks?  Lumbar  Bronchomediastinal  Subclavian  Brachial  Jugular  Intestinal  Inguinal
  • 21. What are the major lymphatic trunks?  Lumbar  Bronchomediastinal  Subclavian  Brachial  Jugular  Intestinal  Inguinal
  • 22. The right lymphatic duct drains lymph from:  The right arm, and right side of the head and thorax  The right side of the body  The right side of the abdomen and the right leg  The right side of the thorax and abdomen
  • 23. The right lymphatic duct drains lymph from:  The right arm, and right side of the head and thorax  The right side of the body  The right side of the abdomen and the right leg  The right side of the thorax and abdomen
  • 24. The thoracic duct drains lymph from:  The thoracic cavity  The thoracic cavity and the abdomen  The thoracic cavity, head, and neck  The left side of the head, thorax and left arm  The entire abdomen, both legs, the left side of the thorax and head, and the left arm
  • 25. The thoracic duct drains lymph from:  The thoracic cavity  The thoracic cavity and the abdomen  The thoracic cavity, head, and neck  The left side of the head, thorax and left arm  The entire abdomen, both legs, the left side of the thorax and head, and the left arm
  • 26. Where do the lymphatic ducts empty into the venous circulation?  At the cisterna chyli (on their respective side of the body)  At the junction of the internal jugular vein and the subclavian vein on their respective side of the body  At the junction of the coronary sinus and the right atrium
  • 27. Where do the lymphatic ducts empty into the venous circulation?  At the cisterna chyli (on their respective side of the body)  At the junction of the internal jugular vein and the subclavian vein on their respective side of the body  At the junction of the coronary sinus and the right atrium
  • 28. Lymphatic vessels also return leaked proteins to the bloodstream.  True  False
  • 29. Lymphatic vessels also return leaked proteins to the bloodstream.  True  False
  • 30. What promotes movement of lymph through lymphatic vessels?  The “milking” action of skeletal muscles  Changes in thoracic pressure during ventilation  Pulsations of nearby arteries  Peristalsis of smooth muscle in the tunica of lymphatic vessels  All of these
  • 31. What promotes movement of lymph through lymphatic vessels?  The “milking” action of skeletal muscles  Changes in thoracic pressure during ventilation  Pulsations of nearby arteries  Peristalsis of smooth muscle in the tunica of lymphatic vessels  All of these
  • 32. The activated form of these cells manages the adaptive immune response, and some destroy infected cells:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 33. The activated form of these cells manages the adaptive immune response, and some destroy infected cells:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 34. These cells secrete antibodies into the blood to mark antigens for destruction:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 35. These cells secrete antibodies into the blood to mark antigens for destruction:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 36. These cells help to activate T cells and phagocytize pathogens:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 37. These cells help to activate T cells and phagocytize pathogens:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 38. These lymphocytes, formed in the bone marrow, give rise to plasma cells:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 39. These lymphocytes , formed in the bone marrow, give rise to plasma cells:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 40. These spiny cells capture antigens and bring them to the lymph nodes:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 41. These spiny cells capture antigens and bring them to the lymph nodes:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 42. These cells produce the stroma of the lymphoid organs:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 43. These cells produce the stroma of the lymphoid organs:  B-Cells  Macrophages  T-Cells  Reticular cells  Dendritic cells  Plasma cells
  • 44. This loose connective tissue predominates in all lymphoid organs except the thymus:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 45. This loose connective tissue predominates in all lymphoid organs except the thymus:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 46. These are tightly packed spherical bodies of lymphoid cells and reticular fibers:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 47. These are tightly packed spherical bodies of lymphoid cells and reticular fibers:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 48. This loose arrangement of lymphoid cells and reticular fibers is found in every body organ:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 49. This loose arrangement of lymphoid cells and reticular fibers is found in every body organ:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 50. These clusters of proliferating B cells can be found in lymph nodes and in the intestinal wall:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 51. These clusters of proliferating B cells can be found in lymph nodes and in the intestinal wall:  Reticular connective tissue  Diffuse lymphoid tissue  Lymphoid nodules/follicles  Germinal centers
  • 52. The primary lymphoid organs, where B and T cells mature:  Red bone marrow  Lymph nodes  Thymus  Spleen  Tonsils, Peyer’s Patches, Appendix (MALT)
  • 53. The primary lymphoid organs, where B and T cells mature:  Red bone marrow  Lymph nodes  Thymus  Spleen  Tonsils, Peyer’s Patches, Appendix (MALT)
  • 54. The secondary lymphoid organs, where mature lymphocytes encounter antigens and get activated:  Red bone marrow  Lymph nodes  Thymus  Spleen  Tonsils, Peyer’s Patches, Appendix (MALT)
  • 55. The secondary lymphoid organs, where mature lymphocytes encounter antigens and get activated:  Red bone marrow  Lymph nodes  Thymus  Spleen  Tonsils, Peyer’s Patches, Appendix (MALT)
  • 56. Which of the following statements about lymph nodes are correct?  Lymph is filtered in the nodes by macrophages destroying pathogens and debris.  Lymph nodes are located in areas where pathogens are likely to enter the body, such as the mouth and intestines  Lymph nodes are clustered around the entrances to the torso to protect the viscera  Large clusters of lymph nodes are found where vessels converge to form trunks, in the cervical, inguinal, and axillary regions
  • 57. Which of the following statements about lymph nodes are correct?  Lymph is filtered in the nodes by macrophages destroying pathogens and debris.  Lymph nodes are located in areas where pathogens are likely to enter the body, such as the mouth and intestines  Lymph nodes are clustered around the entrances to the torso to protect the viscera  Large clusters of lymph nodes are found where vessels converge to form trunks, in the cervical, inguinal, and axillary regions
  • 58. This dense fibrous tissue surrounds the lymph node:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 59. This dense fibrous tissue surrounds the lymph node:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 60. The efferent vessels carry lymph away from the node at this indentation on the concave side:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 61. The efferent vessels carry lymph away from the node at this indentation on the concave side:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 62. In this tissue dendritic cells form a stroma for proliferating B cells and for T cells in transit:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 63. In this tissue dendritic cells form a stroma for proliferating B cells and for T cells in transit:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 64. These extensions of connective tissue divide the node into internal compartments:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 65. These extensions of connective tissue divide the node into internal compartments:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 66. This tissue contains sinuses and networks of reticular fibers hosting large numbers of macrophages:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 67. This tissue contains sinuses and networks of reticular fibers hosting large numbers of macrophages:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 68. These are extensions of lymphocyte rich cortical lymphoid tissue penetrating deeper into the node:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 69. These are extensions of lymphocyte rich cortical lymphoid tissue penetrating deeper into the node:  Capsule  Trebeculae  Cortex  Medulla  Medullary cords  Hilum
  • 70. These bring lymph fluid to the node:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 71. These bring lymph fluid to the node:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 72. This is a large, baglike sinus just deep to the capsule:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 73. This is a large, baglike sinus just deep to the capsule:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 74. These vessels drain lymph away from the nodes:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 75. These vessels drain lymph away from the nodes:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 76. These deep sinuses are the final filtering location before lymph exits at the hilum:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 77. These deep sinuses are the final filtering location before lymph exits at the hilum:  Afferent lymphatic vessels  Subscapular sinus  Medullary sinus  Efferent lymphatic vessels
  • 78. Why are there fewer efferent vessels than afferent vessels at each lymph node?  Most of the lymph drains out of the nodes via the medullary sinus, so only some has to leave through the efferent vessels  Fluid is absorbed by the tissue of the lymph nodes, and only the excess fluid leaves via the efferent vessels  Nodal sinuses are the site of lymph reabsorption into the bloodstream, so only fluid that cannot be absorbed is drained by the efferent vessels  To slow the flow of lymphatic fluid, allowing time for filtration in the node
  • 79. Why are there fewer efferent vessels than afferent vessels at each lymph node?  Most of the lymph drains out of the nodes via the medullary sinus, so only some has to leave through the efferent vessels  Fluid is absorbed by the tissue of the lymph nodes, and only the excess fluid leaves via the efferent vessels  Nodal sinuses are the site of lymph reabsorption into the bloodstream, so only fluid that cannot be absorbed is drained by the efferent vessels  To slow the flow of lymphatic fluid, allowing time for filtration in the node
  • 80. What does MALT stand for?  Mammary associated lymphoid tissue  Mammalian adaptive lymphoid tissue  Mucosa associated lymphoid tissue  Medullary adrenal lymphoid tissue
  • 81. What does MALT stand for?  Mammary associated lymphoid tissue  Mammalian adaptive lymphoid tissue  Mucosa associated lymphoid tissue  Medullary adrenal lymphoid tissue
  • 82. What is the largest lymphoid organ?  Thymus  Spleen  Liver  Peyer’s patches
  • 83. What is the largest lymphoid organ?  Thymus  Spleen  Liver  Peyer’s patches
  • 84. Which of the following are functions of the spleen?  The spleen provides a site for lymphocytes to reproduce and mount an immune response  The spleen extracts damaged and defective blood cells and platelets  Macrophages in the spleen phagocytose debris in the bloodstream  The spleen stores platelets and monocytes for release as needed  The spleen recycles the components of red blood cells and stores iron from heme
  • 85. Which of the following are functions of the spleen?  The spleen provides a site for lymphocytes to reproduce and mount an immune response  The spleen extracts damaged and defective blood cells and platelets  Macrophages in the spleen phagocytose debris in the bloodstream  The spleen stores platelets and monocytes for release as needed  The spleen recycles the components of red blood cells and stores iron from heme
  • 86. This is composed of lymphocytes on reticular fibers, and is where immune functions are carried out:  Red Pulp  White Pulp
  • 87. This is composed of lymphocytes on reticular fibers, and is where immune functions are carried out:  Red Pulp  White Pulp
  • 88. This tissue is the location where macrophages destroy erythrocytes marked for destruction, it consists of connective tissue cords and blood filled sinuses:  Red Pulp  White Pulp
  • 89. This tissue is the location where macrophages destroy erythrocytes marked for destruction, it consists of connective tissue cords and blood filled sinuses:  Red Pulp  White Pulp
  • 90. These paired tonsils, the largest and most often infected, are located on either side at the back of the oral cavity:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 91. These paired tonsils, the largest and most often infected, are located on either side at the back of the oral cavity:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 92. Also called the adenoids, this is located in the posterior wall of the nasopharynx::  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 93. Also called the adenoids, this is located in the posterior wall of the nasopharynx::  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 94. This is the collection of lymphoid follicles at the base of the tongue:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 95. This is the collection of lymphoid follicles at the base of the tongue:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 96. These are invaginations of the epithelium covering the tonsils, which trap bacteria and debris:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 97. These are invaginations of the epithelium covering the tonsils, which trap bacteria and debris:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 98. These tiny structures surround the pharyngeal openings of the auditory tubes:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 99. These tiny structures surround the pharyngeal openings of the auditory tubes:  Palatine tonsils  Lingual tonsil  Pharyngeal tonsil  Tubal tonsil  Tonsillar crypts
  • 100. The ____ is/are located in the wall of the small intestines, and the _____ is/are an offshoot of the large intestines.  Appendix, Peyer’s patches  Peyer’s patches, appendix
  • 101. The ____ is/are located in the wall of the small intestines, and the _____ is/are an offshoot of the large intestines.  Appendix, Peyer’s patches  Peyer’s patches, appendix
  • 102. Which of the following statements about the thymus are true?  The thymus produces immunocompetent cells at a declining rate as we age  The blood-thymus barrier keeps antigens out of the thymus  The stroma of the thymus is composed of epithelial cells rather than reticular fibers  Thymic corpuscles are keratinized epithelial cells involved in the development of regulatory T cells, which prevent autoimmune responses  The thymus is directly involved in fighting antigens during childhood, although this role declines with age
  • 103. Which of the following statements about the thymus are true?  The thymus produces immunocompetent cells at a declining rate as we age  The blood-thymus barrier keeps antigens out of the thymus  The stroma of the thymus is composed of epithelial cells rather than reticular fibers  Thymic corpuscles are keratinized epithelial cells involved in the development of regulatory T cells, which prevent autoimmune responses  The thymus is directly involved in fighting antigens during childhood, although this role declines with age