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Questions and Answers
In Type I hypersensitivity reactions, which class of antibody binds to basophils and mast cells, leading to degranulation upon antigen exposure?
In Type I hypersensitivity reactions, which class of antibody binds to basophils and mast cells, leading to degranulation upon antigen exposure?
- IgG
- IgA
- IgM
- IgE (correct)
What is the typical time frame for the appearance of clinical signs in a Type II cytotoxic hypersensitivity reaction?
What is the typical time frame for the appearance of clinical signs in a Type II cytotoxic hypersensitivity reaction?
- 4 to 10 days
- 24 to 48 hours
- 5 to 12 hours (correct)
- 2 to 30 minutes
Which type of hypersensitivity reaction involves the formation of immune complexes that deposit in tissues, leading to inflammation and damage?
Which type of hypersensitivity reaction involves the formation of immune complexes that deposit in tissues, leading to inflammation and damage?
- Type IV
- Type II
- Type I
- Type III (correct)
In a Type IV hypersensitivity reaction, which cells are activated by antigens, leading to the destruction of antigenic cells?
In a Type IV hypersensitivity reaction, which cells are activated by antigens, leading to the destruction of antigenic cells?
Which of the following is an example of a localized Type I hypersensitivity reaction?
Which of the following is an example of a localized Type I hypersensitivity reaction?
Which type of hypersensitivity reaction is primarily mediated by antibodies IgG or IgM binding to antigens on cell surfaces?
Which type of hypersensitivity reaction is primarily mediated by antibodies IgG or IgM binding to antigens on cell surfaces?
Which of the following reactions is characteristic of a Type III hypersensitivity response?
Which of the following reactions is characteristic of a Type III hypersensitivity response?
What is the typical time frame for the appearance of clinical signs in a Type IV "delayed" hypersensitivity reaction?
What is the typical time frame for the appearance of clinical signs in a Type IV "delayed" hypersensitivity reaction?
Which of the following is an example of a Type IV hypersensitivity reaction?
Which of the following is an example of a Type IV hypersensitivity reaction?
Which mechanism primarily mediates the direct tissue damage seen in Type II hypersensitivity reactions?
Which mechanism primarily mediates the direct tissue damage seen in Type II hypersensitivity reactions?
Why are Type III hypersensitivity reactions considered a systemic process?
Why are Type III hypersensitivity reactions considered a systemic process?
How does prior exposure to an antigen influence the development of a hypersensitivity reaction?
How does prior exposure to an antigen influence the development of a hypersensitivity reaction?
In the context of allergic reactions, what is the relationship between "hypersensitivity" and "allergy?"
In the context of allergic reactions, what is the relationship between "hypersensitivity" and "allergy?"
What role do basophils and mast cells play in Type I hypersensitivity reactions?
What role do basophils and mast cells play in Type I hypersensitivity reactions?
Why do clinical signs in Type III hypersensitivity reactions take several hours to days to appear?
Why do clinical signs in Type III hypersensitivity reactions take several hours to days to appear?
What is the role of Td (T-delayed hypersensitivity) cells in Type IV hypersensitivity reactions?
What is the role of Td (T-delayed hypersensitivity) cells in Type IV hypersensitivity reactions?
In the context of Type I hypersensitivity, what is the difference between a systemic and a localized anaphylactic reaction?
In the context of Type I hypersensitivity, what is the difference between a systemic and a localized anaphylactic reaction?
How do antibodies IgG or IgM contribute to the cytotoxic effects observed in Type II hypersensitivity?
How do antibodies IgG or IgM contribute to the cytotoxic effects observed in Type II hypersensitivity?
In Type III hypersensitivity, why are the joints, skin, kidneys, lungs, and brain the most commonly affected sites?
In Type III hypersensitivity, why are the joints, skin, kidneys, lungs, and brain the most commonly affected sites?
What underlying condition must be present for a hypersensitivity reaction to occur in an individual?
What underlying condition must be present for a hypersensitivity reaction to occur in an individual?
How does the chronic exposure to an antigen affect the onset of clinical signs in Type III hypersensitivity?
How does the chronic exposure to an antigen affect the onset of clinical signs in Type III hypersensitivity?
In which type of hypersensitivity reaction do antibodies bind to antigens circulating in the plasma?
In which type of hypersensitivity reaction do antibodies bind to antigens circulating in the plasma?
What is the underlying mechanism of tissue injury in Type IV hypersensitivity reactions?
What is the underlying mechanism of tissue injury in Type IV hypersensitivity reactions?
A patient experiences difficulty breathing, wheezing, and hives shortly after being exposed to an allergen. Which type of hypersensitivity reaction is most likely responsible for these symptoms?
A patient experiences difficulty breathing, wheezing, and hives shortly after being exposed to an allergen. Which type of hypersensitivity reaction is most likely responsible for these symptoms?
A patient with a history of blood transfusions experiences a hemolytic reaction characterized by fever, chills, and back pain. Which type of hypersensitivity reaction is most likely the cause?
A patient with a history of blood transfusions experiences a hemolytic reaction characterized by fever, chills, and back pain. Which type of hypersensitivity reaction is most likely the cause?
A patient presents with glomerulonephritis, characterized by inflammation of the kidney's filtering units. This condition is most likely associated with which type of hypersensitivity reaction?
A patient presents with glomerulonephritis, characterized by inflammation of the kidney's filtering units. This condition is most likely associated with which type of hypersensitivity reaction?
A patient develops a skin rash with blisters and itching several days after coming into contact with poison ivy. Which type of hypersensitivity reaction is most likely responsible?
A patient develops a skin rash with blisters and itching several days after coming into contact with poison ivy. Which type of hypersensitivity reaction is most likely responsible?
In a Type I hypersensitivity reaction, what is the sequence of events that leads to the release of histamine and other mediators?
In a Type I hypersensitivity reaction, what is the sequence of events that leads to the release of histamine and other mediators?
For a patient with a known allergy to latex, which type of hypersensitivity reaction would most likely be triggered by exposure to latex gloves?
For a patient with a known allergy to latex, which type of hypersensitivity reaction would most likely be triggered by exposure to latex gloves?
In Type II hypersensitivity reactions, how does complement activation contribute to cellular destruction?
In Type II hypersensitivity reactions, how does complement activation contribute to cellular destruction?
In the context of Type III hypersensitivity, what is the mechanism by which immune complex deposition leads to tissue damage?
In the context of Type III hypersensitivity, what is the mechanism by which immune complex deposition leads to tissue damage?
What is the primary role of T cytotoxic cells in Type IV hypersensitivity reactions?
What is the primary role of T cytotoxic cells in Type IV hypersensitivity reactions?
A delayed-type hypersensitivity reaction involves the interaction of antigens with which cells, which leads to the release of cytokines (such as interferon-gamma) to initiate inflammation around the antigens in the tissue?
A delayed-type hypersensitivity reaction involves the interaction of antigens with which cells, which leads to the release of cytokines (such as interferon-gamma) to initiate inflammation around the antigens in the tissue?
In Type III hypersensitivity reactions, immune complexes are most likely deposited in tissues because:
In Type III hypersensitivity reactions, immune complexes are most likely deposited in tissues because:
In Type II hypersensitivity reactions, the IgM or IgG antibodies attach to surface antigens on cells, leading to all of the following EXCEPT:
In Type II hypersensitivity reactions, the IgM or IgG antibodies attach to surface antigens on cells, leading to all of the following EXCEPT:
Localized swelling, hives, asthma and hay fever are all examples of what type of reaction?
Localized swelling, hives, asthma and hay fever are all examples of what type of reaction?
In Type III hypersensitivity reactions, what immunological event triggers the damaging inflammation observed in affected tissues?
In Type III hypersensitivity reactions, what immunological event triggers the damaging inflammation observed in affected tissues?
Why do Type II hypersensitivity reactions lead to the destruction of antigenic cells?
Why do Type II hypersensitivity reactions lead to the destruction of antigenic cells?
How does the mechanism of Type IV hypersensitivity differ from Type I hypersensitivity?
How does the mechanism of Type IV hypersensitivity differ from Type I hypersensitivity?
If a patient who is chronically exposed to an antigen experiences a Type III hypersensitivity reaction, how might the timeline of clinical sign presentation differ compared to a first-time exposure?
If a patient who is chronically exposed to an antigen experiences a Type III hypersensitivity reaction, how might the timeline of clinical sign presentation differ compared to a first-time exposure?
What is the primary mechanism by which anaphylactic shock, a systemic Type I hypersensitivity reaction, endangers a patient's life so rapidly?
What is the primary mechanism by which anaphylactic shock, a systemic Type I hypersensitivity reaction, endangers a patient's life so rapidly?
Flashcards
Hypersensitivity
Hypersensitivity
An antigenic response beyond what is considered normal; essentially synonymous with allergy.
Allergic Responses
Allergic Responses
Immune responses that occur in individuals who have been previously exposed to an antigen.
Type I Hypersensitivity
Type I Hypersensitivity
Clinical signs appear within 2 to 30 minutes. Involves antigens combining with IgE antibodies on basophils/mast cells, leading to histamine release.
Systemic Anaphylaxis
Systemic Anaphylaxis
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Localized Anaphylaxis
Localized Anaphylaxis
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Type II Hypersensitivity
Type II Hypersensitivity
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Type III Hypersensitivity
Type III Hypersensitivity
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Type IV Hypersensitivity
Type IV Hypersensitivity
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Contact Dermatitis
Contact Dermatitis
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Study Notes
- Hypersensitivity is an antigenic response beyond what is considered normal
- Allergy is essentially synonymous with hypersensitivity
- Allergic responses occur in individuals sensitized by previous exposure to an antigen
- When a previously sensitized individual is exposed to the same antigen again, the immune system reacts detrimentally
- There are four primary types of hypersensitivities: Type I, Type II, Type III, and Type IV
Type I - Anaphylactic Quick Response
- Clinical signs appear in two to 30 minutes
- Certain antigens combine with previously formed antibodies (IgE) on the surface of basophils/mast cells
- Degranulation of basophils/mast cells leads to a massive release of histamine and other mediators
- Anaphylaxis can be systemic, causing anaphylactic shock
- Anaphylaxis can be localized, causing asthma, hay fever, urticaria, swelling, and hives
Type II - Cytotoxic
- Clinical signs may appear in 5 to 12 hours and are variable depending on the organ affected
- Antibodies (IgG or IgM) bind to antigens on the cell surface
- Under the influence of complement, antigenic cells are destroyed
- Examples include transfusion reactions, Rh reactions, drug reactions, and immune-mediated hemolytic anemia
Type III - Immune Complex
- Clinical signs appear in 4 to 10 days
- Chronic exposure to the antigen can shorten the time to a few hours
- Antigens circulating in plasma and antibodies (usually IgG) form complexes
- Complexes deposit in the endothelium and result in damaging inflammation
- Most commonly affected sites include joints, skin, kidneys, lungs, and the brain
- Glomerulonephritis and rheumatoid arthritis are examples
Type IV – Cell-Mediated (Delayed Hypersensitivity)
- Clinical signs appear in 24 to 48 hours
- Antigens activate TD (T-delayed hypersensitivity) cells
- TD cells influence TC (T-cytotoxic) cells to destroy the antigenic cell
- Contact dermatitis can occur with poison ivy, jewelry, cosmetics, latex, and dogs/plastic bowls
- TB tests and transplant rejections are examples of Type IV hypersensitivity
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