Lymphatic System Flashcards

1
Q

B-lymphocytes

a) unlike T-lymphocytes, they can not differentiate into cells with immunological
memory

b) posses surface membrane immunoglobulins with receptor function
c) differentiate e.g. in bone marrow
d) can differentiate into plasmocytes that are able to produce antibodies

A

B,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Human leukocytes

a) a clone of leukoctes is a group of cells derived from the same mother cell
b) the antigen-presenting cells express the MHC class II molecules

c) phagocytosis is one of the mechanisms of the innate (non-specific) cellular im-
munity

d) activated macrophages produce chemotactic and pro-inflammatory cytokines

A

A,b,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Immune response – which statements are correct

a) the immunoglobulins are produced mainly by T-lymphocytes and monocytes

b) immunocompetent cells are able to develop an immune response (e.g., to reco-
gnize antigens and respond to them)

c) the granules of mast cells contain heparin and histamin
d) the humoral immune response is mediated mainly by antibodies

A

B,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lymph node – which statements are correct

a) the lymphocytes may recirculate and migrate into the nodes through the post-
capillary high-endothelial venules

b) contains no antigen-presenting cells
c) the lymph is drained from the nodes via the efferent lymph vessels

d) afferent lymph vessels bring the lymph to the marginal sinus below the fibrous
capsule

A

A,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lymph nodes

a) they have no blood vessels

b) they consist of fibrous capsules and trabecules, cortex, paracortex (inner cortex),
and medulla

c) they contain lympoid follicles and lymph sinuses
d) they are made of the red and the white pulp

A

B,c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lymph nodes

a) the reticular connective tissue contains sinuses surrounded with macrophages

b) the distribution of B- and T-lymphocytes is uniform in all compartments of the
nodes

c) the cortical sinuses are connecting the subcapsular (marginal) sinus with the
medullary sinuses

d) their stroma contains argyrophilic fibres

A

A,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lymphatic vessels

a) in the end they reach either the thoracic duct or the right lymphatic duct

b) efferent vessels of a lymph node may become the afferent vessels of the sub-
sequent node of the same node chain

c) their valves are semilunar, generally paired and composed of an extension of the
intima

d) the largest lymphatic vessels have three layers: mesothelium, tunica media, and
tunica serosa

A

A,b,c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lymphatic vessels

a) begin as dilated, blind-ended tubes
b) are lined with lymphatic endothelium
c) have no valves

d) the lymphatic capillaries are usually more permeable to large molecules than
blood vessels

A

A,b,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lymphoid follicles

a) occur e.g. in the palatine tonsil

b) the presence of pale germinal centres within the secondary folicles corresponds
with the humoral response of B-lymphocytes

c) occur e.g. in the spleen, in lymph nodes and in the thymus
d) the primary lymphoid follicles have several pale germinal centres

A

A,b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lymphoid organs

a) except the thymus, the stroma of most lymphoid organs is made of reticular
connective tissue

b) in the spleen, the stroma of the pulp is made of entodermal reticular epithelium
c) also comprise the mucosa-associated lymphoid tissue (MALT)
d) lymph nodes and red bone marrow are primary (central) lymphoid organs

A

A,c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lymphoid organs – which statements are correct

a) red splenic pulp contains pulp cords (of Billroth), blood sinusoids and macro-
phages

b) the cell-mediated immunity is normal in thymic agenesis (congenital absence of
the thymus)

c) the germinals centres of secondary lymphoid follicles contain stimulated B-
lymphocytes

d) T-lymphocytes prevail within the paracortex (inner cortex) of lymph nodes

A

A,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Microcirculation of the spleen

a) the red pulp contains venous sinusoids lined with a discontinuous endothelium
b) the central arterioles are surrounded by lymphatic sheaths
c) the trabecular arteries give rise to the central arterioles
d) the blood is drained from the red pulp into the venules of the white pulp

A

A,b,c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Microscopic diagnosis of lymphoid organs

a) the lingual tonsil is covered with the pseudostratified columnar ciliated epithe-
lium and with mucous goblet cells

b) numerous lymphoid follicles can be found adjacent to the tonsillar crypts
c) lymph sinusoids are more frequent in red splenic pulp than in white splenic pulp
d) there are no lymphoid follicles in secondary (peripheral) lymphoid organs

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

T-lymphocytes

a) differentiate within the thymus
b) can be found within the inner cortex (paracortex) of lymph nodes
c) comprise helper, supressor, and cytotoxic lymphocytes
d) are involved in the cell-mediated (cellular) immunity, e.g. by producing cytokines

A

A,b,c,d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The capsule of a lymph node

a) is covered by stratified squamous non-keratinizing epithelium
b) is made if dense collagenous connective tissue
c) is penetrated by the afferent lymph vessels
d) is made of loose collagenous connective tissue

A

B,c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The Hassal’s bodies

a) can be found in children only and they disappear in the adults
b) consists of clusters of degenerating T-lymphocytes
c) can be found within the thymic cortex
d) are eosinophilic and contain keratinizing reticular epithelial cells

A

D

17
Q

The lymph

a) is formed from interstitial fluid
b) contains neither T-lymphocytes nor macrophages
c) regional lymph nodes are nodes that drain particular region
d) receives antibodies when passing through the lymph nodes

A

A,c,d

18
Q

The mucosa-associated lymphoid tissue (MALT)

a) comprises e.g. the aggregated lymphoid follicles of the ileum (Peyer’s patches)
b) can form lymphoid follicles
c) can be found e.g. in respiratory passages
d) there is no MALT within the jejunum

A

A,b,c

19
Q

The palatine tonsil

a) it contains B-lymphocytes that produce immunoglobulins, including the IgA

b) the tonsillar crypts are frequently packed with shed epithelial cells, leukocytes,
and bacteria

c) lymphoid follicles can be found among the crypts and connective tissue septa
d) is covered with stratified squamous non-keratinizing epithelium

A

A,b,c,d

20
Q

The palatine tonsil

a) the lymphocytes can penetrate the surface epithelium of the mucosa
b) consists of mucosa heavily infiltrated with lymphocytes
c) it consists of a more basophilic cortex and a pale medullary region
d) the surface facing the oropharynx is covered by fibrous capsule

A

A,b

21
Q

The red splenic pulp

a) contains erythrocytes, granulocytes, and thrombocytes
b) contains pulp cords (of Billroth)
c) contains blood sinusoids
d) contains macrophages, lymphocytes, and plasmocytes

A

A,b,c,d

22
Q

The spleen

a) consists of a more dense cortex and a pale medulla
b) its stroma is made of reticular connective tissue
c) the medullary sinusoids are lined with continuous endothelium
d) the splenic artery directly branches into helicine arteries

A

B

23
Q

The spleen

a) there is a thick fibrous capsule below the serosa
b) the red pulp contains the pulp cords (of Billroth) and venous sinusoids

c) the red pulp consists of lymphoid follicles with central arterioles, while the white
pulp follicles are lacking the central arterioles

d) the splenic red pulp consists of lymphoid tissue, where the B- and T-lymphocytes
proliferate and mature according to specific antigenic stimuli

A

A,b

24
Q

The spleen

a) the aging erythrocytes are phagocytosed mostly in the white splenic pulp
b) the venous sinusoids drain the blood into the white pulp follicles
c) the periarteriolar sheath and the white pulp follicles contain lymphocytes
d) contributes to the fetal hematopoiesis (formation of blood components)

A

C,d

25
Q

The thymus

a) its lobules are more distinct in children, while the parenchyma is reduced in
adults

b) the stromal thymic cells contain cytokeratin intermediate filaments
c) contributes to differentiation of immunocompetent but self-tolerant T-lymphocytes
d) is not a central (primary) immune organ

A

A,b,c

26
Q

The thymus

a) is an entodermal branchiogenic organ
b) does contain medullar Hassal’s bodies
c) is separated by connective tissue septa into the red and the white pulp
d) is made of reticular connective tissue of ectodermal origin

A

A,b

27
Q

The trabecules of the spleen

a) are covered with mesothelium
b) contain blood vessels

c) are made of the same dense collagenous connective tissue as the fibrous capsule
of the spleen

d) are made of reticular connective tissue

A

B,c

28
Q

The white pulp of the spleen

a) comprises accumulated lymphocytes surrounding the central and penicillate ar-
terioles

b) the B-lymphocytes prevail within the follicles
c) contains both T- and B-lymphocytes
d) are T-lymphocytes in the periarteriolar sheath

A

A,b,c,d

29
Q

Which organs are know as primary (or central) lymphoid organs

a) red (hematopoietic) bone marrow
b) the spleen
c) lymph nodes, the thymus, mucosa-associated lymphoid tissue
d) the thymus

A

A,d

30
Q

Which statements are not correct

a) IgE has affinity to membrane receptors of heparinocytes
b) IgM molecule consists of multiple (mostly five) immunoglobulin units
c) IgA occurs on the mucosal surface and in mucosal secretions of exocrine glands
d) IgG is produced mainly by T-lymphocytes

A

D