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</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</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</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</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</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</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)</p> Signup and view all the answers

    What is the hallmark feature of chronic asthma?

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

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

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

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

    <p>Hallucinations</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</p> Signup and view all the answers

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

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

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

    <p>Cetirizine</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</p> Signup and view all the answers

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

    <p>Muscarinic</p> Signup and view all the answers

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

    <p>Diphenhydramine</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.</p> Signup and view all the answers

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

    <p>Fexofenadine</p> Signup and view all the answers

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

    <p>Fexofenadine</p> Signup and view all the answers

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