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CHaPTEr 20  Host Defenses at Mucosal Surfaces            298.e1


              MULTIPLE-CHOICE QUESTIONS

           1.  The following are major characteristics of mucosal effector   Correct Order:
             sites:                                                  A. IgA1→IgA2→IgA2→IgA1
              A. Essentially all of the T and B cells present are of a memory    B. IgA2 →IgA1→IgA1→IgA2
               phenotype.                                            C. IgA1→IgA2→IgA1→IgA2
              B. Most of the plasma cells are producing polymeric immu-   D. IgA2→IgA1→IgA2→IgA1
               noglobulin A (pIgA).                               3.  The existence of a “common mucosal immune” system suggests
                                         +
              C. The majority of T cells are CD4  and have characteristics   that mucosal tissues are connected. This means that:
               either T-helper 1 (Th1)- or Th2-type helper cells.    A. Nerves connect distant mucosal sites.
                                                 +
              D. Significant  numbers  of  functional  CD8   cytotoxic  T    B. Immune cells freely move between mucosal sites.
               lymphocytes (CTLs) are present.                       C. Selected homing receptors and addressins control homing
              E.  All of the above.
                                                                       to selected tissues.
           2.  Two IgA subclasses occur in humans, IgA1 and IgA2. However,    D. Homing receptors and addressins play no role in homing
             their distribution in mucosal effector sites is remarkably   to effectors sites.
             different. For example:
             _____ predominates in tissues from the waist up, whereas
             _____ is prevalent in the lower gastrointestinal (GI) tract. In
             this regard, ______ predominates in the upper respiratory
             tract and nasal mucosa. On the other hand, ______ predomi-
             nates in the lower ileum and colon.
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