Atopy and Allergens Quiz

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Questions and Answers

What is the characteristic feature of atopic individuals in terms of eosinophils and IgE levels?

  • Absence of eosinophils and total levels of IgE
  • Lower numbers of eosinophils and total levels of IgE
  • Higher numbers of eosinophils and total levels of IgE (correct)
  • Normal numbers of eosinophils and total levels of IgE

What are the conditions that favor the production of IgE antibodies according to the text?

  • Immune system challenged by large quantities of antigen and basophils producing IL-4
  • Immune system suppressed with allergen exposure
  • Immune system challenged by small quantities of antigen and basophils producing IL-4 (correct)
  • Immune system overloaded with antigens and basophils producing IL-2

What triggers class switching to IgE in activated, antigen-specific B cells?

  • TH2 T cells secreting IL-4 and other cytokines (correct)
  • TH1 T cells secreting IL-4 and other cytokines
  • TH17 T cells secreting IL-4
  • TH2 T cells secreting IFN-gamma

What type of substances drive type I hypersensitivity responses according to the text?

<p>Proteins or chemicals that chemically modify human proteins (A)</p> Signup and view all the answers

What is the characteristic feature of a late-phase reaction following mast cell activation by an allergen?

<p>Widespread swelling at the injection site (C)</p> Signup and view all the answers

Which type of hypersensitivity reaction is triggered by chemokines, cytokines, and leukotrienes synthesized by mast cells?

<p>Type III (D)</p> Signup and view all the answers

What is the primary role of regulatory T cells (Tregs) in non-allergic individuals exposed to environmental antigens that drive type I responses?

<p>Inhibiting Th2 cell responses against allergens (A)</p> Signup and view all the answers

In individuals with a predisposition towards allergies, what immune responses are driven by environmental antigens?

<p>Th2 responses (D)</p> Signup and view all the answers

What is the primary trigger for allergic asthma?

<p>Inhaled allergens activating mast cells in the lower airways (C)</p> Signup and view all the answers

Which type of hypersensitivity response is characterized by raised, itchy swellings on the skin?

<p>Type I (Immediate) (D)</p> Signup and view all the answers

What is the hallmark feature of chronic asthma?

<p>Total occlusion of airways by mucus plugs (D)</p> Signup and view all the answers

Which condition results from prolonged allergic responses in the skin characterized by chronic inflammation and itching skin rash?

<p>Eczema (atopic dermatitis) (D)</p> Signup and view all the answers

Which receptor antagonism is responsible for the sedation caused by antihistamines?

<p>Muscarinic receptors (C)</p> Signup and view all the answers

What is a potential adverse effect of antihistamines in children, as mentioned in the text?

<p>Hallucinations (A)</p> Signup and view all the answers

Which generation of antihistamines is more likely to cause CNS penetration due to their ability to cross the blood-brain barrier?

<p>1st generation (C)</p> Signup and view all the answers

What symptom relief is specifically mentioned as an additional use of diphenhydramine?

<p>Motion sickness (A)</p> Signup and view all the answers

Compared to 1st generation antihistamines, what is a distinguishing feature of 2nd generation antihistamines?

<p>Less likely to cross the blood brain barrier (D)</p> Signup and view all the answers

What is the primary reason for loratadine and cetirizine to have less sedation and adverse effects compared to diphenhydramine?

<p>They exhibit minimal metabolism by the liver (C)</p> Signup and view all the answers

Which antihistamine is excreted primarily in the feces, inhibits absorption with fruit juices, and has minimal hepatic metabolism?

<p>Fexofenadine (A)</p> Signup and view all the answers

Why does levocetirizine have a high bioavailability compared to fexofenadine?

<p>It does not undergo significant hepatic metabolism (A)</p> Signup and view all the answers

Which antihistamine has the highest bioavailability and is distributed in all tissues including the CNS?

<p>Cetirizine (D)</p> Signup and view all the answers

What is the primary difference in the metabolism of loratadine compared to cetirizine and fexofenadine?

<p>Metabolized via CYP2D6 and 3A4 to active metabolite (B)</p> Signup and view all the answers

Which receptor is blocked by some antihistamine drugs causing dry mouth and constipation?

<p>Muscarinic (A)</p> Signup and view all the answers

Which of the following antihistamines is most likely to cross the blood-brain barrier?

<p>Diphenhydramine (A)</p> Signup and view all the answers

What is a significant difference in mechanism of action between fexofenadine and diphenhydramine?

<p>Fexofenadine is a selective H1 receptor antagonist, while diphenhydramine is non-selective. (D)</p> Signup and view all the answers

Which antihistamine is least likely to interact adversely with fruit juices?

<p>Fexofenadine (B)</p> Signup and view all the answers

In anaphylaxis treatment with epinephrine, which antihistamine may be used as an adjunctive therapy?

<p>Fexofenadine (B)</p> Signup and view all the answers

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