Chapter 10: Alterations in Immune Function

Chapter 10: Alterations in Immune Function

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. Dramatic hypotension sometimes accompanies type I hypersensitivity reactions, because
a. massive histamine release from mast cells leads to vasodilation.
b. toxins released into the blood interfere with cardiac function.
c. anaphylaxis results in large volume losses secondary to sweating.
d. hypoxia due to bronchoconstriction impairs cardiac function.
ANS: A
Hypotension can occur in type I hypersensitivity due to massive histamine release leading to vasodilation. Toxins are not released
during type I hypersensitivity reactions. Sweating occurs as a reaction to shock from severe hypotension; the hypotension occurs
first and is due to histamine release. Hypoxia occurs in anaphylaxis due to shock from severe hypotension; the hypotension occurs
first and is due to histamine release.
REF: Pgs. 199-200
2. Which disorder is associated with a type III hypersensitivity mechanism of injury?
a. Systemic lupus erythematosus
b. Graves disease
c. Erythroblastosis fetalis
d. Seasonal allergic rhinitis
ANS: A
Systemic lupus erythematosus is a type III hypersensitivity disorder. Type III hypersensitivity is characterized by antigen-antibody
complex deposition into tissues, with consequent activation of complement and a subsequent self-sustaining inflammatory reaction.
Graves disease and erythroblastosis fetalis are type II hypersensitivity reactions. Seasonal allergic rhinitis is a typeI hypersensitivity
reaction.
REF: Pgs. 204-206
3. A child with a history of recent strep throat infection develops glomerulonephritis. This is most likely a type _____ hypersensitivity
reaction.
a. I
b. II
c. III
d. IV
ANS: C
Immune complex glomerulonephritis (an inflammatory renal disorder) is an example of a type III hypersensitivity reaction. The
circulating immune complex is then deposited in the glomerular capillary wall and mesangium. Glomerulonephritis secondary to
strep throat is not a type I, II, or IV sensitivity reaction.
REF: Pg. 206
4. RhoGAM (an Rh antibody) would be appropriate in an Rh-_____ woman with an _____ Rh-_____ antibody titer carrying an
Rh-_____ fetus.
a. negative; positive; positive
b. positive; negative; negative
c. negative; negative; positive
d. negative; negative; negative
ANS: C
If a woman is Rh-negative, RhoGAM is administered for prevention of Rh-positive antibodies. Erythroblastosis fetalis develops
during pregnancy when an Rh-negative mother is sensitized to her fetus’s Rh-positive red cell group antigens because of exposure
during her current or a previous pregnancy. RhoGAM contains antibodies against Rh antigens on fetal blood cells and is given to
the mother to destroy fetal cells that may be present in her circulation before her immune system becomes activated and begins to
produce anti-Rh antibodies. RhoGAM is not effective if the mother already has a positive antibody titer for fetal Rh antigens. An
Rh-positive woman with negative Rh antibody titer carrying Rh-negative fetus does not require RhoGAM because the mother is
Rh-positive and the fetus is Rh-negative.
REF: Pg. 203
5. Which disorder is considered a primary immunodeficiency disease?
a. HIV/AIDS
b. Malnutrition immunodeficiency
c. Cancer immunodeficiency
d. Radiation immunodeficiency
ANS: A
HIV/AIDS is a primary immunodeficiency disease involving destruction of T helper cells. Malnutrition immunodeficiency is a
secondary immunodeficiency disorder and leads to T-cell destruction and dysfunction. Cancer immunodeficiency is a secondary
immunodeficiency disorder caused by the destruction of rapidly proliferating cells from chemotherapeutic agents. Radiation
immunodeficiency is a secondary immunodeficiency disorder caused by the destruction of rapidly proliferating cells fromthe
effects of radiation.