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WorksheetsPath - Allergy/Immunology
Total questions: 82
Worksheet time: 43mins
Which plasma protein system results in the formation of a clot that function to stop blood flow and traps bacteria in the site of infection?
coagulation system
complement system
kinin system
Which plasma protein system results in activation of inflammatory cells and contributes to bronchoconstriction?
complement system
coagulation system
kinin system
In the complement system, C3a functions mainly as:
membrane attack complex
recognition of antigen-antibody complexes
opsonin
chemotactic factor
Which of the following is NOT one of the cardinal signs of inflammation?
pain
heat
swelling
jaundice
Which plasma protein system results in the direct lysis of bacterial membranes by a protein complex?
coagulation system
complement system
kinin system
Which individual likely has the most functional immune system?
24 yo painter
4 month old infant
84 yo former wrestler
Which component of the complement system forms part of the membrane lysis complex?
C3b
C3a
C1
C5b
Which of the following represents the innate immune system's first line of defense ?
mucus
complement system
histamine release
formation of fibrin
Which of the following is a characteristic of system symptoms of inflammation as opposed to local symtpoms?
heat
fever
redness
Opsonization is a process by which the immune system "tags" a foreign microbe allowing macrophages to find and phagocytize it. Which of the following products of the complement system acts as an opsonin?
C3a
C3b
C5b
C1
Which of the following types of hypersensitivity produces a delayed reaction due to the development of memory T cells?
Type I
Type II
Type III
Type IV
In this type of hypersensitivity reaction specific cells or tissue are recognized as antigen and most of the damage is related to the activity of tissue macrophages.
Type I
Type II
Type III
Type IV
Which of the following types of hypersensitivity can result in skin reactions? (SELECT ALL THAT APPLY)
Type I
Type II
Type III
Type IV
Circulating complexes of soluble antigen and IgG/IgM deposit in tissue, activate complement, and initiate damage by neutrophils occurs in:
Type I
Type II
Type III
Type IV
Which of the following correctly pairs hypersensitivity type with symtoms/disease?
Type I: Graves Disease
Type II: poison ivy reaction
Type III: SLE
Type IV: allergic rhinitis
The role of histamine is most prevalent in which type of hypersensitivity reaction?
Type I
Type II
Type III
Type IV
Which type of hypersensitivity reaction is mediated by IgE?
Type I
Type II
Type III
Type IV
Which of the following immunoglobulin is predominantly found in normal body secretions?
IgM
IgE
IgG
IgA
The central lymphoid organ for B lymphocytes is the:
lymph nodes
spleen
thymus
bone marrow
Which immunoglobulin is the predominant antibody produced upon SECONDARY exposure?
IgG
IgM
IgD
IgA
At which site does clonal selection occur?
tonsils
thymus
liver
bone marrow
Which type of immunity is produced by an individual after transfusion of donor antibodies in IVIG? (IV administration of donor IgG)
passive-adaptive
active-innate
passive-innate
active-adaptive
Which of the following secrete antibodies?
helper T cells
B cells
cytotoxic T cells
plasma cells
Which of the following blood group is considered the "universal donor"?
AB
A
B
O
A disturbance in the immunologic tolerance of self-antigens is referred to as:
Alloimmunity
Allergy
Hypersensitivity
Autoimmunity
SLE is an example of:
Anaphylaxis
Immune deficiency
Transfusion reaction
Autoimmune disease
Hemolytic anemia of the newborn is most likely in which of the following scenarios?
Rh- mom; Rh+ fetus
Rh+ mom; Rh- fetus
Rh- mom; Rh- fetus
Rh+ mom; Rh+ fetus
altered immunologic response to an antigen that results in disease or damage to the host
hypersensitivity
allergy
autoimmunity
alloimmunity
immunodeficiency
an exaggerated response against/hypersensitivity to an environmental antigen
immunodeficiency
allergy
autoimmunity
alloimmunity
directed against beneficial foreign tissues (ex: transfusions, transplants)
hypersensitivity
allergy
autoimmunity
alloimmunity
immunodeficiency
immunity is insufficient to protect the host
hypersensitivity
autoimmunity
alloimmunity
immunodeficiency
Cell is destroyed by antibodies and complement [mechanism of type II reactions]
Mechanism 1
Mechanism 2
Mechanism 3
Mechanism 4
Mechanism 5
antibody causes cell destruction through phagocytosis by macrophages [mechanisms of type II reactions]
Mechanism 1
Mechanism 2
Mechanism 3
Mechanism 4
Mechanism 5
Antibody and complement attract neutrophils [mechanisms of type II reactions]
Mechanism 1
Mechanism 2
Mechanism 3
Mechanism 4
Mechanism 5
Antibody-dependent cell-mediated cytotoxicity (ADCC) [mechanisms of type II reactions]
Mechanism 1
Mechanism 2
Mechanism 3
Mechanism 4
Mechanism 5
Causes target cell to malfunction (not destroyed) [mechanisms of type II reactions]
Mechanism 1
Mechanism 2
Mechanism 3
Mechanism 4
Mechanism 5
IgE mediated
Type I
Type II
Type III
Type IV
effector cells: mast cells
Type I
Type II
Type III
Type IV
Complement is involved? No
Type I
Type II
Type III
Type IV
Rate of development? Immediate
Type I
Type II
Type III
Type IV
seasonal allergic rhinitis
Type I
Type II
Type III
Type IV
Initial Phase of Type I hypersensitivity reactions
occurs within 5-30 mins
occurs 2-8 hrs later without additional exposure
changes are vascular leakage, vasodilation, smooth muscle contraction, and granular secretion
more intense infiltration of white blood cells (can include epithelial cell damage)
Late Phase of type I hypersensitivity reactions:
occurs within 5-30 mins
occurs 2-8 hrs later without additional exposure
changes are vascular leakage, vasodilation, smooth muscle contraction, and granular secretion
more intense infiltration of white blood cells (can include epithelial cell damage)
tissue-specific
Type I
Type II
Type III
Type IV
IgG, IgM
Type I
Type II
Type III
Type IV
effector cells: macrophages and neutrophils
Type I
Type II
Type III
Type IV
Complement is involved? Frequently
Type I
Type II
Type III
Type IV
autoimmune thrombocytopenic purpura, autoimmune hemolytic anemia, graves disease
Type I
Type II
Type III
Type IV
TB skin test
Type I
Type II
Type III
Type IV
immune-complex mediated
Type I
Type II
Type III
Type IV
effector cells: only neutrophils
Type I
Type II
Type III
Type IV
SLE
Type I
Type II
Type III
Type IV
Tissue damage associated w Type III reaction is due to
C3a activation
C3b activation
lysosomal enzymes from C3b
lysosomal enzymes from C5a
lysosomal enzymes from C5b
cell-mediated
Type I
Type II
Type III
Type IV
rate of development? delayed
Type I
Type II
Type III
Type IV
No immunoglobulins
Type I
Type II
Type III
Type IV
contact sensitivity to poison ivy and metals
Type I
Type II
Type III
Type IV
atopic dermatitis
Immediate (type I)
Delayed (type IV)
contact dermatitis
Immediate (type I)
Delayed (type IV)
locally acting secreted immunoglobulins
IgG
IgA
IgM
IgD
IgE
low concentration in blood; are surface receptors on developing B lymphocytes
IgG
IgA
IgM
IgD
IgE
immunoglobulins that mediate allergic response
IgG
IgA
IgM
IgD
IgE
substance released by damaged cells that activates coagulation
tissue factor
plasmin
enzyme that degrades fibrin polymers in clots
tissue factor
plasmin
eliminate virus-infected cells
eosinophils
mast cells
natural killer cells
macrophages
neutrophils
release chemicals that initiate the inflammatory response
eosinophils
mast cells
natural killer cells
macrophages
neutrophils
type of chemical barrier
defensins
kinins
chemicals involved in the inflammatory response
defensins
kinins
antibodies and antigens [complement system]
classical pathway
lectin pathway
alternative pathway
mannose-containing bacterial carbohydrates [complement system]
classical pathway
lectin pathway
alternative pathway
gram-negative bacterial and fungal cell wall polysaccharides [complement system]
classical pathway
lectin pathway
alternative pathway
Emily, age 6, has an infected finger and has just been given an antibiotic. Her mother is very worried because the finger is red and swollen. After a nurse tells her these signs will go away as the infection and inflammation resolves, Emily's mother asks, "Isn't inflammation really bad for you?". She needs to know that inflammation does what?
creates serious delays in wound healing
causes pain and tissue destruction
promotes the spread of bacteria to the other tissue
neutralizes and destroys microorganisms
A new nurse asks, "why is fever associated with inflammation? what causes it?" choose the best response.
inflammatory chemicals called cytokines cause fever
mast cell degranulation causes fever
infection, especially bacterial infection, cause fever
macrophage chemotaxis causes fever
neonate does not develop an infection bc he has maternal antibodies that he received in breastmilk
active acquired immunity
passive acquired immunity
child does not develop an infection bc she has been immunized against it
active acquired immunity
passive acquired immunity
man does not develop an infection bc he was infected with that same microorganism previously and recovered
active acquired immunity
passive acquired immunity
woman does not develop an infection bc she was given gamma globulin after being exposed to an infected person
active acquired immunity
passive acquired immunity
child develops systemic anaphylaxis after eating peanut butter
Type I
Type II
Type III
Type IV
adult develops rejection of a transplanted heart
Type I
Type II
Type III
Type IV
adult develops rash on legs from poison ivy after hiking in shorts
Type I
Type II
Type III
Type IV
adult develops hemolysis after mismatched blood transfusion
Type I
Type II
Type III
Type IV
adolescent develops systemic anaphylaxis after being stung by a wasp
Type I
Type II
Type III
Type IV
