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Chapter 9: Alterations in Immunity and Inflammation

Pathophysiology The Biologic Basis for Disease in Adults and Children, 7th Edition by Kathryn L.

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Chapter 9: Alterations in Immunity and Inflammation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Hypersensitivity is best defined as a(an):
a. Disturbance in the immunologic tolerance of self-antigens
b. Immunologic reaction of one person to the tissue of another person
c. Altered immunologic response to an antigen that results in disease
d. Undetectable immune response in the presence of antigens

 

 

ANS:  C

Hypersensitivity is an altered immunologic response to an antigen that results in disease or damage to the host. The other options are not accurate definitions of hypersensitivity.

 

PTS:   1                    REF:   Page 262

 

  1. A hypersensitivity reaction that produces an allergic response is called:
a. Hemolytic shock c. Necrotizing vasculitis
b. Anaphylaxis d. Systemic erythematosus

 

 

ANS:  B

Examples of systemic anaphylaxis are allergic reactions to beestings, peanuts, and fish. The other options are not accurate examples of hypersensitivity.

 

PTS:   1                    REF:   Page 263

 

  1. The common hay fever allergy is expressed through a reaction that is mediated by which class of immunoglobulins?
a. IgE c. IgM
b. IgG d. T cells

 

 

ANS:  A

Type I reactions are mediated by antigen-specific IgE and the products of tissue mast cells (see Figure 9-1). The most common allergies (e.g., pollen allergies) are type I reactions. In addition, most type I reactions occur against environmental antigens and are therefore allergic. The other options do not accurately identify the mediation factor related to hay fever.

 

PTS:   1                    REF:   Page 263 | Table 9-1

 

  1. Which type of antibody is involved in type I hypersensitivity reaction?
a. IgA c. IgG
b. IgE d. IgM

 

 

ANS:  B

Type I reactions are only mediated by antigen-specific IgE and the products of tissue mast cells (see Figure 9-1).

 

PTS:   1                    REF:   Page 263

 

  1. Blood transfusion reactions are an example of:
a. Autoimmunity c. Homoimmunity
b. Alloimmunity d. Hypersensitivity

 

 

ANS:  B

Only alloimmunity (also termed isoimmunity) occurs when the immune system of one individual produces an immunologic reaction against tissues of another individual.

 

PTS:   1                    REF:   Page 262

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