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Anatomy and Physiology 1st Edition McKinley OLoughlin Bidle Test Bank nursingtestbanks.org/nursing-test-banks/anatomy-and-physiology-1st-edition-mckinley-oloughlin-bidle-test-bank/ July 27, 2018

$80.00 $12.99 ISBN-13: 978-0077490980 ISBN-10: 0077490983 Category: Biology test bank Tag: Anatomy and Physiology 1st Edition McKinley OLoughlin Bidle Test Bank ISBN-13: 978-0077490980 ISBN-10: 0077490983

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Free nursing test banks sample: Chapter 21 Lymphatic System Multiple Choice Questions 1. Which fluid does lymph most closely resemble? A. Whole blood B. Blood plasma C. Interstitial fluid D. Intracellular fluid Bloom’s Level: 2. Understand HAPS Objective: L02.01 Compare and contrast whole blood, plasma, interstitial fluid, and lymph. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity True / False Questions 2. Lymph contains some protein. TRUE Bloom’s Level: 1. Remember HAPS Objective: L02.01 Compare and contrast whole blood, plasma, interstitial fluid, and lymph. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity 3. Lymph contains several red blood cells. FALSE Bloom’s Level: 2. Understand HAPS Objective: L02.01 Compare and contrast whole blood, plasma, interstitial fluid, and lymph. HAPS Topic: Module L02 Lymph & lymphatic vessels. 3/31


Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity Fill in the Blank Questions 4. Migration of cancerous cells through the lymphatic system to other regions of the body is called . metastasis Bloom’s Level: 2. Understand HAPS Objective: L12.02 Predict the types of problems that would occur in the body if the lymphatic and immune systems could not maintain homeostasis. HAPS Topic: Module L12 Predictions related to homeostatic imbalance, including disease states & disorders. Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity True / False Questions 5. The central nervous system contains a dense network of lymphatic capillaries. FALSE Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity Multiple Choice Questions 6. Lymphatic capillaries A. cannot be discerned structurally from cardiovascular system capillaries. B. originate as closed-ended tubes associated with blood capillary networks. C. filter lymph. D. concentrate lymph prior to passing it to larger lymphatic vessels. E. include layers of smooth muscle for peristalsis. Bloom’s Level: 2. Understand HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries.

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Section: 21.01a Topic: Lymphatic System and Immunity 7. Lymphatic capillaries originate in the: A. peripheral nervous system ganglia. B. red bone marrow. C. yellow bone marrow. D. tissue spaces between cells. E. cisterna chyli. Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity 8. A lymphatic capillary that picks up dietary lipids in the small intestine is called a(n): A. cisterna chyli. B. lacteal. C. afferent lymphatic vessel. D. trabeculum. E. efferent lymphatic vessel. Bloom’s Level: 1. Remember HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity 9. The force that drives fluid into lymphatic capillaries is: A. osmosis. B. diffusion of both water and solutes. C. endocytosis. D. exocytosis. E. hydrostatic pressure in the interstitial space. Bloom’s Level: 2. Understand HAPS Objective: L02.04 Describe the mechanisms of lymph formation & circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. 5/31


Learning Objective: 21.01.03 Explain how fluid enters lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity 10. The path that fluid takes as it enters a lymphatic capillary is through: A. pores (fenestrations) in the cells of the capillary wall. B. cell membrane leakage channels that allow diffusion. C. vesicles that move the fluid across the cell (transcytosis). D. spaces between capillary endothelial cells that are arranged as one way flaps. E. active transport protein pumps on endothelial cell membranes. Bloom’s Level: 2. Understand HAPS Objective: L02.04 Describe the mechanisms of lymph formation & circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.03 Explain how fluid enters lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity Fill in the Blank Questions 11. Structures that connect lymphatic capillary cells to surrounding tissue and prevent the capillaries from collapsing are called filaments. anchoring Bloom’s Level: 1. Remember HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity Multiple Choice Questions 12. The lymphatic system’s two main functions are to assist in: A. immunity and fluid balance. B. blood cell production and endocrine function. C. endocrine function and neural support. D. neural support and blood sugar control. E. removal of fats from the blood and inflammatory responses. Bloom’s Level: 2. Understand HAPS Objective: L01.01 Describe the major functions of the lymphatic system. HAPS Topic: Module L01 General functions of the lymphatic system. 6/31


Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity 13. Lymph is transported through a network of increasingly larger lymphatic passageways. What is the correct order of these, from smallest diameter to largest diameter? A. Capillaries – ducts – trunks – vessels B. Ducts – capillaries – vessels – trunks C. Vessels – capillaries – trunks – ducts D. Ducts – vessels – capillaries – trunks E. Capillaries – vessels – trunks – ducts Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.04 Explain the mechanisms that move lymph through lymphatic vessels, trunks, and ducts. Section: 21.01b Topic: Lymphatic System and Immunity 14. Lymphatic capillaries: A. are open at both ends. B. are smaller in diameter than blood capillaries. C. are like continuous capillaries in that they have many tight junctions. D. lack a basement membrane. E. are abundant in epithelial tissues. Bloom’s Level: 2. Understand HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity 15. Because lymphatic vessels have three tunics (intima, media, and externa) and valves, they structurally resemble: A. veins. B. arterioles. C. capillaries. D. arteries. E. All of these are correct.

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Bloom’s Level: 1. Remember HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.04 Explain the mechanisms that move lymph through lymphatic vessels, trunks, and ducts. Section: 21.01b Topic: Lymphatic System and Immunity True / False Questions 16. Like veins, lymphatic vessels rely on skeletal muscle and respiratory pumps to help propel fluid through them. TRUE Bloom’s Level: 1. Remember HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.04 Explain the mechanisms that move lymph through lymphatic vessels, trunks, and ducts. Section: 21.01b Topic: Lymphatic System and Immunity Multiple Choice Questions 17. Fluid collected in lacteals will be carried in trunks. A. bronchomediastinal B. lumbar C. intestinal D. thoracic Bloom’s Level: 3. Apply HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.05 Name the five types of lymphatic trunks and the regions of the body from which they drain lymph. Section: 21.01b Topic: Lymphatic System and Immunity True / False Questions 18. The walls of the smallest lymphatic vessels contain muscle tissue that rhythmically propels lymph through the system. FALSE 8/31


Bloom’s Level: 1. Remember HAPS Objective: L02.04 Describe the mechanisms of lymph formation & circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.04 Explain the mechanisms that move lymph through lymphatic vessels, trunks, and ducts. Section: 21.01b Topic: Lymphatic System and Immunity 19. The pulsing of arteries that are adjacent to lymphatic vessels provides a pressure on the vessels that helps them propel the lymph. TRUE Bloom’s Level: 2. Understand HAPS Objective: L02.04 Describe the mechanisms of lymph formation & circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.04 Explain the mechanisms that move lymph through lymphatic vessels, trunks, and ducts. Section: 21.01b Topic: Lymphatic System and Immunity Multiple Choice Questions 20. Of the lymphatic trunks, which ones drain lymph from deep thoracic structures? A. Jugular trunks B. Subclavian trunks C. Bronchomediastinal trunks D. Intestinal trunks E. Lumbar trunks Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.05 Name the five types of lymphatic trunks and the regions of the body from which they drain lymph. Section: 21.01b Topic: Lymphatic System and Immunity Fill in the Blank Questions 21. Lymph from the head and neck is drained by the trunks. jugular Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.05 Name the five types of lymphatic trunks and the regions of the 9/31


body from which they drain lymph. Section: 21.01b Topic: Lymphatic System and Immunity Multiple Choice Questions 22. Subclavian trunks drain lymph from the: A. deep thoracic structures. B. head and neck. C. upper limbs, breasts, and superficial thorax. D. abdominopelvic wall. Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.05 Name the five types of lymphatic trunks and the regions of the body from which they drain lymph. Section: 21.01b Topic: Lymphatic System and Immunity 23. Which of the lymphatic trunks drain into the cisterna chyli? A. Intestinal trunks B. Lumbar trunks C. Intestinal trunks and lumbar trunks D. Subclavian trunks and jugular trunks E. Bronchomediastinal trunks and intestinal trunks Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.06 Describe the regions that are drained by the right lymphatic duct and by the thoracic duct. Section: 21.01b Topic: Lymphatic System and Immunity 24. Which is not drained by the right lymphatic duct? A. Right side of abdomen B. Right side of thorax C. Right side of head and neck D. Right shoulder E. Right arm Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.06 Describe the regions that are drained by the right lymphatic duct 10/31


and by the thoracic duct. Section: 21.01b Topic: Lymphatic System and Immunity 25. The thoracic duct collects lymph from all of the following except the: A. abdomen. B. left leg. C. right arm. D. right foot. E. left shoulder. Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.06 Describe the regions that are drained by the right lymphatic duct and by the thoracic duct. Section: 21.01b Topic: Lymphatic System and Immunity 26. The thoracic duct and the right lymphatic duct empty lymph into the: A. superior vena cava. B. subclavian veins. C. inferior vena cava. D. azygos vein. E. brachiocephalic veins. Bloom’s Level: 1. Remember HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.06 Describe the regions that are drained by the right lymphatic duct and by the thoracic duct. Section: 21.01b Topic: Lymphatic System and Immunity 27. Which would be the route taken by lymph traveling from lymphatic vessels in the right leg to the bloodstream? A. Right lumbar trunk – cisterna chyli – thoracic duct – right subclavian vein B. Right lumbar trunk – cisterna chyli – thoracic duct – left subclavian vein C. Right lumbar trunk – right intestinal trunk – right lymphatic duct – right subclavian vein D. Right femoral trunk – right lumbar trunk – right lymphatic duct – superior vena cava E. Right femoral trunk – cisterna chyli – thoracic duct – left subclavian vein Bloom’s Level: 2. Understand HAPS Objective: L02.03 Describe the path of lymph circulation. HAPS Topic: Module L02 Lymph & lymphatic vessels. 11/31


Learning Objective: 21.01.05 Name the five types of lymphatic trunks and the regions of the body from which they drain lymph. Section: 21.01b Topic: Lymphatic System and Immunity True / False Questions 28. The spleen is considered a primary lymphatic structure. FALSE Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.02.01 Name the two categories of lymphatic tissue and organs, and identify components of the body that belong to each category. Section: 21.02 Topic: Lymphatic System and Immunity Multiple Choice Questions 29. Although they are not a cite of lymphocyte formation, lymphatic structures provide sites where immune responses are initiated. A. hemopoietic B. primary C. red marrow D. secondary Bloom’s Level: 2. Understand HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.02.01 Name the two categories of lymphatic tissue and organs, and identify components of the body that belong to each category. Section: 21.02 Topic: Lymphatic System and Immunity 30. The term “primary lymphatic structure” applies: A. only to red bone marrow. B. to the spleen and lymph nodes. C. to the red bone marrow and thymus. D. only to lymph nodes. E. to lymph nodes and MALT. 12/31


Bloom’s Level: 1. Remember HAPS Objective: L03.01 Describe the basic structure and cellular composition of lymphatic tissue and correlate it to the overall functions of the lymphatic system. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.02.01 Name the two categories of lymphatic tissue and organs, and identify components of the body that belong to each category. Section: 21.02 Topic: Lymphatic System and Immunity True / False Questions 31. Tonsils are secondary lymphatic structures. TRUE Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.02.01 Name the two categories of lymphatic tissue and organs, and identify components of the body that belong to each category. Section: 21.02 Topic: Lymphatic System and Immunity Multiple Choice Questions 32. Red marrow is found within: A. the large cavities contained within the shafts of long bone. B. compact bone canals. C. spaces within spongy bone. D. all osseous tissue of the appendicular skeleton. Bloom’s Level: 1. Remember Learning Objective: 21.03.01 Describe the location and general function of red bone marrow. Section: 21.03a Topic: Lymphatic System and Immunity True / False Questions 33. The ossa coxae contain red marrow. TRUE Bloom’s Level: 1. Remember Learning Objective: 21.03.01 Describe the location and general function of red bone marrow. Section: 21.03a Topic: Lymphatic System and Immunity 13/31


Multiple Choice Questions 34. Which of the following does not contain red marrow? A. Ribs B. Sternum C. Flat bones of the skull D. Vertebrae E. Long bones of digits Bloom’s Level: 1. Remember Learning Objective: 21.03.01 Describe the location and general function of red bone marrow. Section: 21.03a Topic: Lymphatic System and Immunity 35. Where do T-lymphocytes mature? A. Spleen B. White bone marrow C. Tonsils D. Thymus gland E. Thyroid gland Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.02 Identify the two major types of lymphocytes. Section: 21.03a Topic: Lymphatic System and Immunity Fill in the Blank Questions 36. The letter “T” within “T-lymphocytes” stands for the . thymusor thymus gland Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.02 Identify the two major types of lymphocytes. Section: 21.03a Topic: Lymphatic System and Immunity Multiple Choice Questions 14/31


37. B-lymphocytes are: A. antibody producing red blood cells. B. platelets that are generated in the thymus. C. white blood cells that are generated in red bone marrow. D. immune system cells that are generated in the tonsils. E. blood cells found only in people with type B blood. Bloom’s Level: 2. Understand HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.02 Identify the two major types of lymphocytes. Section: 21.03a Topic: Lymphatic System and Immunity 38. Which part of a thymic lobule contains mature lymphocytes? A. Cortex B. Medulla C. Capsule D. Trabecula Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.03 Describe the structure and general function of the thymus. Section: 21.03b Topic: Lymphatic System and Immunity 39. The thymus contains _ lobes and is located __. A. 2, anterior to the laryngeal prominence (Adam’s apple) B. 2, in the mediastinum C. 4, anterior to the laryngeal prominence (Adam’s apple) D. 4, in the mediastinum Bloom’s Level: 1. Remember HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.03 Describe the structure and general function of the thymus. Section: 21.03b Topic: Lymphatic System and Immunity 15/31


40. The thymus is at its maximum size: A. at birth. B. at puberty. C. between 30 and 50 years of age. D. in old age. Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.03 Describe the structure and general function of the thymus. Section: 21.03b Topic: Lymphatic System and Immunity Fill in the Blank Questions 41. Fibrous extensions of the connective tissue capsule that surround thymic lobes are known as septa or _. trabeculae Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.03 Describe the structure and general function of the thymus. Section: 21.03b Topic: Lymphatic System and Immunity Multiple Choice Questions 42. The thymus contains lymphatic cells as well as secretory tissue. A. muscle B. neural C. epithelial D. osseous E. areolar Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.01.03 Explain how fluid enters lymphatic capillaries. Section: 21.03b 16/31


Topic: Lymphatic System and Immunity 43. Lymphatic organs: A. contain a complete capsule of dense irregular connective tissue. B. contain an incomplete capsule of dense irregular connective tissue. C. lack a connective tissue capsule. Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 44. MALT is found in which layer of the wall of a hollow organ? A. Epithelial B. Lamina propria C. Muscularis externa D. Submucosa Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.08 Compare the locations of MALT and Peyer patches. Section: 21.04d Topic: Lymphatic System and Immunity 45. With respect to the lymphatic system, what do the letters in the acronym MALT stand for? A. Membrane-adhering lymphatic T-cells B. Mucosa-associated lymphatic tissue C. Multiple-antigen lymphocyte target D. Multiple-antibody lymphocyte test E. None of the choices is correct Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs.

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Learning Objective: 21.04.08 Compare the locations of MALT and Peyer patches. Section: 21.04d Topic: Lymphatic System and Immunity 46. Which area does not contain MALT? A. Urinary tract B. Respiratory tract C. Genital tract D. Gastrointestinal tract E. No exceptions; all choices contain MALT Bloom’s Level: 2. Understand HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.08 Compare the locations of MALT and Peyer patches. Section: 21.04d Topic: Lymphatic System and Immunity 47. Regions of MALT called Peyer patches are found in the: A. urinary bladder. B. stomach. C. vagina. D. small intestine. E. trachea. Bloom’s Level: 1. Remember HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.08 Compare the locations of MALT and Peyer patches. Section: 21.04d Topic: Lymphatic System and Immunity 48. Another name for a lymphatic follicle is a: A. lymphatic nodule. B. white pulp. C. lymph node medulla. D. thymic lobule. Bloom’s Level: 2. Understand HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the 18/31


microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.07 Describe individual lymphatic nodules. Section: 21.04d Topic: Lymphatic System and Immunity 49. Lymphatic nodules consist of: A. central arteries and monocytes. B. lymphatic cells, extracellular matrix, and an incomplete connective tissue capsule. C. crypts, trabeculae, and Reed-Sternberg cells. D. afferent vessels, efferent vessels, a cortex, and medulla. E. a hilum that is located intermediate to two lobules. Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.07 Describe individual lymphatic nodules. Section: 21.04d Topic: Lymphatic System and Immunity True / False Questions 50. The appendix contains lymphatic nodules. TRUE Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.07 Describe individual lymphatic nodules. Section: 21.04d Topic: Lymphatic System and Immunity Multiple Choice Questions 51. Tonsils have multiple invaginated outer edges called __ that help trap material. A. crypts B. trabeculae C. sinuses D. clefts E. fissures

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Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.06 Identify the main groups of tonsils and their location and function. Section: 21.04c Topic: Lymphatic System and Immunity 52. Which are not tonsils? A. Adenoids B. Palatine tonsils C. Pharyngeal tonsils D. Lingual tonsils E. Palatoglossal tonsils Bloom’s Level: 1. Remember HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.06 Identify the main groups of tonsils and their location and function. Section: 21.04c Topic: Lymphatic System and Immunity 53. The main function of tonsils is to detect and protect against infections agents that are: A. in the blood. B. in the lymph. C. ingested or inhaled. D. secreted by salivary glands. Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.06 Identify the main groups of tonsils and their location and function. Section: 21.04c Topic: Lymphatic System and Immunity 54. The pharyngeal tonsils are located: A. along the posterior margins of the tongue. B. in the posterior wall of the nasopharynx. C. at the base of the palatoglossal arches. D. in the posterolateral region of the oral cavity. 20/31


E. lateral to the uvula in the oropharynx. Bloom’s Level: 1. Remember HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.06 Identify the main groups of tonsils and their location and function. Section: 21.04c Topic: Lymphatic System and Immunity Essay Questions 55. What conditions would warrant removal of the spleen (splenectomy) or removal of the tonsils (tonsillectomy), and what prognosis or complications (if any) might result from these procedures? See the Clinical View boxes on each type of surgery. Briefly, spleens might be removed after rupture from abdominal trauma, and while this isn’t life-threatening, there may be an increase in infection risk. Tonsillectomies are performed after chronic throat infectins and do not seem to increase later risks of infection. Bloom’s Level: 3. Apply HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.06 Identify the main groups of tonsils and their location and function. Section: 21.04c Topic: Lymphatic System and Immunity Multiple Choice Questions 56. Lymph nodes may be found individually, or clustered in specific regions of the body. Which cluster of lymph nodes receives lymph from the head and neck? A. Inguinal lymph nodes B. Cervical lymph nodes C. Thoracic lymph nodes D. Axillary lymph nodes E. Abdominal lymph nodes Bloom’s Level: 1. Remember HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. 21/31


Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 57. Which is not correct regarding lymph nodes? A. They contain strands of lymphatic cells supported by medullary cords. B. They are drained by afferent lymphatic vessels. C. They contain macrophages. D. They filter lymph. E. No exceptions; all choices are correct. Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.02 Explain the function of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 58. Which is not correct regarding lymph nodes? A. They are covered by a connective tissue capsule. B. They contain a network of lymphatic sinuses. C. Each node has an outer cortex and inner medulla. D. Connective tissue bands called tendineae divide nodes. E. Lymphatic nodules produce lymphocytes. Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 59. Lymph nodes: A. filter lymph. B. contain a dense network of collagen fibers. C. serve as auxiliary exchange surfaces for respiratory gases. D. produce red blood cells. E. serve as the main recycling centers for red blood cells and their parts.

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Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.02 Explain the function of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 60. When women with breast cancer undergo surgery to remove the tumor or the entire breast, the axillary lymph nodes are often removed as well. Why? A. In removing the breast, the blood supply to the nodes is removed and they will inevitably cease to function. B. The axillary lymph nodes receive lymph from the breast and may contain cancer cells. C. The nerves that supply the axillary lymph nodes are often cut during the breast surgery. D. It is impossible to remove the breast without physically damaging the lymph nodes. E. With the removal of the breast, there is no further need for lymph drainage and filtering in that part of the body. Bloom’s Level: 3. Apply HAPS Objective: L12.02 Predict the types of problems that would occur in the body if the lymphatic and immune systems could not maintain homeostasis. HAPS Topic: Module L12 Predictions related to homeostatic imbalance, including disease states & disorders. Learning Objective: 21.04.02 Explain the function of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 61. Typically, a hilum of a lymph node contains: A. one afferent lymphatic vessel. B. one efferent lymphatic vessel. C. numerous afferent vessels. D. numerous efferent vessels. Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 23/31


True / False Questions 62. The cortex of a lymph node contains multiple lymphatic nodules. TRUE Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity Multiple Choice Questions 63. The term “swollen glands” is usually meant to refer to lymph nodes in which: A. the valves of afferent vessels are bulging. B. macrophages are clogging afferent lymphatic vessels. C. lymphocytes are proliferating in germinal centers. D. phagocytes are consuming the infected lymph nodes. E. macrophages are entering at the hilum. Bloom’s Level: 2. Understand HAPS Objective: L12.02 Predict the types of problems that would occur in the body if the lymphatic and immune systems could not maintain homeostasis. HAPS Topic: Module L12 Predictions related to homeostatic imbalance, including disease states & disorders. Learning Objective: 21.04.02 Explain the function of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 64. Which lymphatic organ contains red pulp and white pulp? A. Thymus gland and lymph nodes B. Spleen and lymph nodes C. Lymph nodes D. Spleen E. Thymus gland Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.03 Describe the spleen and its location. Section: 21.04b 24/31


Topic: Lymphatic System and Immunity 65. Which is not a function of the spleen? A. Serves as a platelet reservoir B. Filters blood C. Filters lymph D. Recycles aged erythrocytes E. Houses lymphocytes Bloom’s Level: 2. Understand HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.05 List the functions of the spleen. Section: 21.04b Topic: Lymphatic System and Immunity True / False Questions 66. One of the functions of the spleen is phagocytosis of bacteria in the blood. TRUE Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.05 List the functions of the spleen. Section: 21.04b Topic: Lymphatic System and Immunity Multiple Choice Questions 67. In which abdominal quadrant is the spleen located? A. Left upper quadrant B. Right upper quadrant C. Left lower quadrant D. Right lower quadrant E. None of these choices is correct Bloom’s Level: 1. Remember HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. 25/31


Learning Objective: 21.04.03 Describe the spleen and its location. Section: 21.04b Topic: Lymphatic System and Immunity 68. The hilum of the spleen is part of its: A. concave anteromedial border. B. concave posterolateral border. C. convex anteromedial border. D. convex posterolateral border. Bloom’s Level: 1. Remember HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.03 Describe the spleen and its location. Section: 21.04b Topic: Lymphatic System and Immunity 69. Which is not correct regarding the spleen? A. It has an outer cortex and inner medulla. B. It is divided into sections by capsular extensions called trabeculae. C. Its white pulp contains T-lymphocytes, B-lymphocytes, and macrophages. D. Its blood is supplied by the splenic artery and drained by the splenic vein. Bloom’s Level: 2. Understand HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.03 Describe the spleen and its location. Section: 21.04b Topic: Lymphatic System and Immunity 70. Within the red pulp of the spleen are enlarged capillaries called , which have a discontinuous basal lamina that allows blood cells to enter and exit easily. A. splenic cords B. trabecular vessels C. splenic vessels D. splenic sinusoids E. trabecular cords Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the 26/31


microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.04 Distinguish between white pulp and red pulp. Section: 21.04b Topic: Lymphatic System and Immunity 71. Which is not correct regarding the white pulp of the spleen? A. Its cells include T-lymphocytes, B-lymphocytes, and macrophages. B. Its cells are arranged in clusters that are circular in shape. C. It contains a central artery within it. D. It serves as a blood reservoir. Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.04 Distinguish between white pulp and red pulp. Section: 21.04b Topic: Lymphatic System and Immunity Topic: Lymphatic System and Immunity 72. This figure shows the lymphatic system. Which number indicates the inguinal lymph nodes? A. 1 B. 4 C. 5 D. 9 E. 10 Bloom’s Level: 1. Remember Figure: 21.01 HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 73. This figure shows the lymphatic system. What structure does number 8 indicate? A. Lymphatic nodule B. Thymus gland C. Cisterna chyli 27/31


D. Spleen E. Adenoid Bloom’s Level: 1. Remember Figure: 21.01 HAPS Objective: L03.02c For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the location in the body of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.03 Describe the spleen and its location. Section: 21.04b Topic: Lymphatic System and Immunity Topic: Lymphatic System and Immunity 74. This figure shows a lymph node and its components. The enlarged region indicated by number 1 is a: A. lymphatic nodule. B. lymphatic corpuscle. C. cortical sinus. D. medullary cord. E. medullary sinus. Bloom’s Level: 1. Remember Figure: 21.06 HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 75. This figure shows a lymph node and its components. To which feature does 4 refer? A. Afferent lymphatic vessel B. Efferent lymphatic vessel C. Hilum D. Trabeculae E. Lymphatic sinusoid Bloom’s Level: 1. Remember Figure: 21.06 HAPS Objective: L03.02a For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the gross anatomical features of each organ or tissue. 28/31


HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity True / False Questions 76. One of the functions of the lymphatic system is to transport fat. TRUE Bloom’s Level: 1. Remember HAPS Objective: L01.01 Describe the major functions of the lymphatic system. HAPS Topic: Module L01 General functions of the lymphatic system. Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity 77. The walls of lymphatic capillaries are only one cell thick. TRUE Bloom’s Level: 2. Understand HAPS Objective: L02.02 Compare and contrast lymphatic vessels and blood vessels in terms of structure and function. HAPS Topic: Module L02 Lymph & lymphatic vessels. Learning Objective: 21.01.02 Discuss the location and anatomic structure of lymphatic capillaries. Section: 21.01a Topic: Lymphatic System and Immunity 78. The germinal center of a lymphatic nodule contains proliferating B-lymphocytes and macrophages. TRUE Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 79. The thymus gland begins to atrophy immediately after birth. FALSE Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other

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aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.03.03 Describe the structure and general function of the thymus. Section: 21.03b Topic: Lymphatic System and Immunity 80. The spleen is essentially a giant lymph node, since it is encapsulated, has trabeculae, and filters lymph to remove antigens. FALSE Bloom’s Level: 2. Understand HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.05 List the functions of the spleen. Section: 21.04b Topic: Lymphatic System and Immunity Fill in the Blank Questions 81. Obstruction of the flow of lymph in lymphatic vessels can lead to an accumulation of interstitial fluid in the tissues. This condition is characterized by pain and swelling, and is called _. lymphedema Bloom’s Level: 1. Remember HAPS Objective: L12.02 Predict the types of problems that would occur in the body if the lymphatic and immune systems could not maintain homeostasis. HAPS Topic: Module L12 Predictions related to homeostatic imbalance, including disease states & disorders. Learning Objective: 21.01.04 Explain the mechanisms that move lymph through lymphatic vessels, trunks, and ducts. Section: 21.01b Topic: Lymphatic System and Immunity 82. A lymph nodule contains a germinal center surrounded by a region containing Tlymphocytes, dendritic cells, and macrophages; this outer region is known as a zone. mantle Bloom’s Level: 1. Remember HAPS Objective: L03.02b For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Identify and describe the microscopic anatomy of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. 30/31


Learning Objective: 21.04.01 Describe the structure of lymph nodes. Section: 21.04a Topic: Lymphatic System and Immunity 83. Old or defective erythrocytes and platelets are engulfed within the lymph organ known as the . spleen Bloom’s Level: 1. Remember HAPS Objective: L03.02d For the lymph nodes, thymus, spleen, tonsils and other aggregations of mucosae-associated lymphatic tissue (MALT): Describe the function of each organ or tissue. HAPS Topic: Module L03 Lymphatic cells, tissues, & organs. Learning Objective: 21.04.05 List the functions of the spleen. Section: 21.04b Topic: Lymphatic System and Immunity Essay Questions 84. It has been suggested that the lymphatic system evolved when animals became larger and the hydrostatic pressure in their circulatory systems rose. Explain how this suggestion is consistent with the function of the lymphatics–how does high blood pressure make lymphatic function essential? Also, what other advantages were gained by animals that developed lymphatic systems? Higher blood pressure results in more filtration at capillary beds, so much so that reabsorption by osmosis is inadequate to maintain plasma volume. Lymphatics’ role in fluid balance would be consistent with the hypothesized initial adaptation. The other main advantage of the slow flowing lymphatic system is immune surveillance against pathogenic microorganisms. Like airport security lines, the slow screening prevents harmful agents from having widespread effects. Bloom’s Level: 5. Evaluate HAPS Objective: L01.01 Describe the major functions of the lymphatic system. HAPS Topic: Module L01 General functions of the lymphatic system. Learning Objective: 21.01.01 Describe lymph and its contents. Section: 21.01a Topic: Lymphatic System and Immunity

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