Chapter 17 allergies etc. Flashcards
The initial work on anaphylaxis was done by
A. Watson and Crick.
B. Pasteur.
C. Fleming.
D. Richet and Portier.
D. Richet and Portier.
If the immune system responds inadequately to antigenic stimulation, this is termed
A. hypersensitivity.
B. autoimmunity.
C. cell-mediated immunity.
D. immunodeficiency.
D. immunodeficiency.
The immunoglobulin associated with Type I hypersensitivity is
A. IgG.
B. IgA.
C. IgM.
D. IgE.
E. IgD.
D. IgE.
IgE molecules involved in hypersensitivity reactions have become attached to
A. neutrophils.
B. mast cells.
C. B cells.
D. macrophages.
E. mast cells AND B cells.
B. mast cells.
To produce an allergic reaction in Type I hypersensitivity, the antigen
A. must bind to mast cells.
B. must bind to free IgE molecules.
C. must bind to IgE on mast cells.
D. must crosslink two IgE molecules on mast cells.
D. must crosslink two IgE molecules on mast cells.
During a Type I hypersensitivity reaction, the mast cells
A. become phagocytic.
B. release IgE antibodies.
C. degranulate.
D. immediately release histamine.
E. degranulate AND immediately release histamine.
E. degranulate AND immediately release histamine.
Urticaria is characterized by
A. living in Utica.
B. wheal and flare.
C. asthma.
D. inflammation.
B. wheal and flare.
Generalized anaphylaxis is generally characterized by
A. wheal and flare.
B. inflammation.
C. shock.
D. rash.
C. shock.
Most cases of generalized anaphylaxis are a result of
A. fire ant stings.
B. aspirin.
C. bananas.
D. peanuts, bee stings or penicillin injections.
D. peanuts, bee stings or penicillin injections.
Desensitization
A. stimulates an increase in IgG.
B. reduces the number of mast cells.
C. increases the number of basophil cells.
D. is a treatment for hypersensitivity reactions.
E. stimulates an increase in IgG AND is a treatment for hypersensitivity reactions.
E. stimulates an increase in IgG AND is a treatment for hypersensitivity reactions.
The hypersensitivity treatment that stimulates an increase of IgG and T suppressor cells and a decrease in IgE is known as
A. desensitization.
B. immunity.
C. sensitization.
D. exposure.
E. anaphylaxis.
A. desensitization.
Recombinant human monoclonal antibody (rhuMAb)
A. appears promising as a treatment for asthma.
B. decreases the levels of IgG.
C. uses an engineered form of an IgG molecule.
D. promotes crosslinking between IgE molecules on the mast cells.
E. appears promising as a treatment for asthma AND uses an engineered form of an IgG molecule.
E. appears promising as a treatment for asthma AND uses an engineered form of an IgG molecule.
The type of hypersensitivity expressed with the lysing of red blood cells is
A. Type I.
B. Type II.
C. Type III.
D. Type IV.
E. Type V.
B. Type II.
A transfusion reaction primarily involves
A. leukocytes.
B. phagocytes.
C. platelets.
D. erythrocytes.
D. erythrocytes.
The natural antibodies in serum that react with A or B polysaccharide antigens are mostly of the class
A. IgG.
B. IgE.
C. IgM.
D. IgD.
E. IgA.
C. IgM.
Anti-A and anti-B antibodies
A. are considered natural antibodies.
B. are present at birth.
C. are typically IgM.
D. easily cross the placenta.
E. are considered natural antibodies AND are typically IgM.
E. are considered natural antibodies AND are typically IgM.
Regarding a mismatch of either the Rh antigen or the AB antigen, both
A. result in destruction of red blood cells.
B. utilize complement to destroy red blood cells.
C. utilize antibody-dependent cellular cytotoxicity to destroy the red blood cells.
D. result in destruction of only leukocytes.
A. result in destruction of red blood cells.
Antibodies that have arisen in the blood plasma without any obvious or deliberate stimulus are called
A. natural.
B. acquired.
C. injurious.
D. active.
A. natural.
Hemolytic disease of the newborn
A. may not manifest itself fully until after birth.
B. is due to the action of IgM.
C. is due to the action of IgE.
D. is a Type I hypersensitivity reaction.
E. may not manifest itself fully until after birth AND is due to the action of IgE.
A. may not manifest itself fully until after birth.
The cell type responsible for Type II hypersensitivity is the
A. mast cell.
B. B cell.
C. macrophage.
D. platelet.
E. neutrophils.
B. B cell.
Immune complexes
A. consist of antigen-antibody bound together.
B. are usually cleared rapidly from the body.
C. bind to Fc receptors on cells.
D. are involved in Type III hypersensitivity reactions.
E. All of the choices are correct.
E. All of the choices are correct.
Localized injury or death of tissue resulting from repeated injections of an antigen into a person with high levels of circulating specific antibody is known as
A. farmer’s lung.
B. German measles.
C. serum sickness.
D. an Arthus reaction.
D. an Arthus reaction.
Arthus reactions and serum sickness are examples of _________ hypersensitivity.
A. type I
B. type II
C. type III
D. type IV
E. type V
C. type III
Which of the following disease states is not among those caused by immune complexes?
A. farmer’s lung
B. serum sickness
C. hay fever
D. glomerulonephritis
C. hay fever
Delayed hypersensitivity is also known as ___________ hypersensitivity.
A. type I
B. type II
C. type III
D. type IV
E. type V
D. type IV
Delayed type hypersensitivity primarily involves
A. erythrocytes.
B. B cells.
C. T cells.
D. mast cells.
C. T cells.
Type IV hypersensitivity reactions typically peak within
A. minutes.
B. hours.
C. 12 hours.
D. 2-3 days.
D. 2-3 days.
Which of the following is associated with contact dermatitis?
A. poison ivy
B. latex
C. tuberculin skin test
D. hay fever
E. poison ivy, latex AND tuberculin skin test
E. poison ivy, latex AND tuberculin skin test
The redness and induration found after a tuberculin skin test involve the action of
A. sensitized T cells.
B. IgE.
C. complement.
D. basophil cells.
A. sensitized T cells.
Patch tests are used to detect
A. hives.
B. serum sickness.
C. immune complexes.
D. contact hypersensitivity.
D. contact hypersensitivity.
Which of the following have been an effective immunosuppressant for use in transplantation?
A. amphotericin B and cyclosporin A
B. FK506 and cephalosporin
C. cyclosporin A and tacrolimus
D. cephalosporin and amphotericin B
E. FK506 and amphotericin B
C. cyclosporin A and tacrolimus
Graft-versus-host disease is primarily a
A. Type I reaction.
B. Type II reaction.
C. Type III reaction.
D. Type IV reaction.
E. Type V reaction.
D. Type IV reaction.
The tissue antigens most involved in graft rejection involve
A. Rh.
B. ABO.
C. MHC.
D. MLB.
C. MHC.
Killing of graft cells occurs through a complex series of mechanisms including
A. sensitized T cytotoxic cells.
B. NK cells.
C. erythrocytic cells.
D. basophilic cells.
E. sensitized T cytotoxic cells AND NK cells.
E. sensitized T cytotoxic cells AND NK cells.
Cyclosporin A
A. is a relatively general immunosuppressive agent.
B. suppresses T cell proliferation.
C. activates macrophages.
D. stimulates antibody production.
E. is a relatively general immunosuppressive agent AND suppresses T cell proliferation.
B. suppresses T cell proliferation.
Immunosuppressive drugs
A. are only needed during the first week after transplantation.
B. are only needed for the first year after transplantation.
C. are needed indefinitely after transplantation.
D. are needed for transplants between identical twins.
E. are needed indefinitely after transplantation AND are needed for transplants between identical twins.
C. are needed indefinitely after transplantation.