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Which event occurs with the sensitizing dose of allergen?


A) Degranulation
B) Binding of allergen to adjacent IgE binding sites on mast cells and basophils
C) Binding of IgE by the Fc region to mast cells and basophils
D) Histamine acting on smooth muscle
E) Prostaglandins causing vasodilation and increased vascular permeability

F) None of the above
G) A) and C)

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In systemic lupus erythematosis (called lupus) , complexes of antibody and antigen form, and these immune complexes insert themselves into small blood vessels, joints, heart, and kidney, causing damage to the organ tissue.The course of the disease is unpredictable, with periods of illness alternating with remissions.How is lupus, a type III autoimmune disease, similar to the tuberculin reaction, a type IV hypersensitivity reaction?


A) Both lupus and the tuberculin reaction utilize IgE in their mechanisms.
B) Both lupus and the tuberculin reaction are immediate hypersensitivities, occurring within a few hours.
C) Both lupus and the tuberculin reaction involve large amounts of antibody production.
D) The mechanism of both lupus and the tuberculin reaction involve large amounts of inflammatory chemicals released into tissue.

E) A) and B)
F) B) and C)

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The leukocyte histamine-release test (LHRT) measures the amount of histamine released from the patient's mast cells and eosinophils when exposed to a specific allergen.

A) True
B) False

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You have dermatitis triggered by a particular material in your socks.Your feet are covered with a really itchy rash, which has developed blisters over the last day or so.You had first worn them 2 to 3 days ago, and you did not launder them after buying them at the store.Finding some antihistamine medication in your bathroom cabinet, you decide to take it to relieve the itching rash.Which statement is true?


A) The anti-histamine will have no effect because once a type I hypersensitivity kicks in, it will last for a few days.
B) The rash will go away because the antihistamine neutralizes the histamine chemicals coming from mast cells in your skin.
C) The anti-histamine will have no effect on the rash because histamine is not the chemical mediator in this hypersensitivity.
D) The antihistamine will make the rash worse because it reacts with chemicals release by the lymphocytes in your skin, exacerbating the situation.

E) B) and D)
F) C) and D)

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The initial encounter with an allergen is called the _____ dose.


A) sensitizing
B) provocative
C) allergic
D) hypersensitivity
E) desensitizing

F) B) and D)
G) A) and D)

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Severe combined immunodeficiencies (SCIDs) are due to


A) autoantibodies.
B) failure of B-cell development and maturity.
C) congenital absence or immaturity of the thymus gland.
D) delayed hypersensitivity.
E) a genetic defect in the development of both T cells and B cells.

F) B) and E)
G) A) and E)

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Before a type II hypersensitivity can proceed, three immune components must be in place: complement, IgG, and IgM.

A) True
B) False

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The chemical mediator that causes prolonged bronchospasm, vascular permeability, and mucus secretion of asthmatic patients is ______.


A) histamine
B) leukotriene
C) platelet-activating factor
D) serotonin
E) prostaglandin

F) B) and D)
G) None of the above

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Large quantities of antibodies that react to the second entry of antigen and lead to formation of antigen-antibody complexes occurs in


A) hemolytic disease of the newborn.
B) anaphylaxis.
C) serum sickness.
D) delayed hypersensitivity.

E) A) and D)
F) B) and D)

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The allergen in poison ivy plants is an oil called urushiol.

A) True
B) False

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Food allergies include gastrointestinal symptoms and often hives.

A) True
B) False

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Eczema is an autoimmune disorder.

A) True
B) False

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False

Transfusion of the wrong blood type can cause


A) recipient antibody activation of the complement cascade to attack the RBCs.
B) fever and anemia.
C) systemic shock and kidney failure.
D) massive hemolysis of the donor RBCs.
E) All of the choices are correct.

F) C) and E)
G) A) and E)

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The serum of a person with blood type A and Rh- will have the ability to make which of the following antibodies?


A) Anti-B
B) Anti-A
C) Anti-A, anti-B, and anti-Rh
D) Anti-A and anti-Rh
E) Anti-B and anti-Rh

F) C) and D)
G) A) and B)

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E

Many men make antibodies to sperm, resulting in destruction of sperm to the point of sterility.What would be the likely origin of this autoimmune disease?


A) T helper cells erroneously identify sperm cells as foreign invaders, triggering the T cytotoxic cells to start killing sperm.
B) Since sperm are not made until after puberty, the immune system cannot scan the antigens on the sperm for immune tolerance. After sperm are made and the immune system sees them, they are recognized as foreign.
C) Antigens on sperm cells are similar to antigens on a variety of bacteria like Streptococcus. After a strep throat caused by Streptococcus, the immune system produces antibodies to streptococcal antigens, which then cross react with sperm antigens and destroy them.
D) These antibodies are produced as a result of mutations in T lymphocytes, causing them to make large amounts of antibody.

E) A) and B)
F) A) and C)

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Which type/s of hypersensitivities is IgG is involved with?


A) Anaphylaxis
B) Antibody-mediated
C) Immune complex-mediated
D) Both anaphylaxis and antibody-mediated.
E) Both antibody-mediated and immune complex-mediated.

F) A) and E)
G) A) and B)

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Predict why insect stings and medication injections more often provoke anaphylactic shock, as compared to other allergens found in food or in air.


A) The allergens go directly into the blood in large amounts, compared to allergens entering the digestive tract or respiratory tract.
B) Chemicals from insects cause a combination of antibody types to be produced, resulting in much larger amounts of total antibody.
C) Histamine is overproduced as a result of injected chemicals.
D) Chemicals injected as medications cause problems in immune response, resulting in a reduced immune coverage.

E) None of the above
F) A) and B)

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Serum sickness and the Arthus reaction are both type III hypersensitivities, but they differ in that


A) serum sickness is a systemic reaction to an injected therapy, whereas the Arthus reaction remains localized to the injection site.
B) serum sickness is an infection in the blood serum, whereas the Arthus reaction is a swelling in the joints.
C) serum sickness is vomiting and diarrhea in response to animal serum, whereas the Arthus reaction causes arthritis.
D) serum sickness is a localized reaction to an injected therapy, whereas the Arthus reaction is systemic.

E) B) and C)
F) A) and C)

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Immunopathology is defined as


A) the study of immunodeficiencies.
B) the study of AIDS.
C) the study of autoimmune diseases.
D) the study of immune imbalance, whether hyper- or hypoactivity.

E) A) and D)
F) None of the above

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D

During graft rejection, cytotoxic T cells of the recipient recognize and respond to foreign class I MHC receptors on the grafted cells.

A) True
B) False

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