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NU545 CHAPTER 9 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS LATEST UPDATE

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NU545 CHAPTER 9 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS LATEST UPDATE Allergy: Is an exaggerated response against an environmental antigen. Autoimmunity: Is a misdirected response against the host's own cells. Alloimmunity: Is directed against beneficial foreign tissues (e.g., t...

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  • October 10, 2024
  • 17
  • 2024/2025
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NU545 CHAPTER 9 EXAM QUESTIONS AND ANSWERS

WITH COMPLETE SOLUTIONS LATEST UPDATE


Allergy:


Is an exaggerated response against

an environmental antigen.


Autoimmunity:


Is a misdirected response against the host's own cells.


Alloimmunity:


Is directed against beneficial foreign tissues (e.g., transfusions, transplants)


Hypersensitivity reactions:


An altered immunologic response to an antigen that results in disease or damage to the host.


Sensitization:


Adequate amount of antibodies or T cells is available to cause noticeable reaction on reexposure to

antigen.


Immediate hypersensitivity reaction:


- Reaction that occurs within minutes to a few hours

- Anaphylaxis: systemic or cutaneous


Delayed hypersensitivity reaction:

,- Reaction that takes several hours to appear

- Maximum severity occurs days after reexposure to the antigen


Hypersensitivity reactions: Characterized by the immune mechanism - Type I


IgE-mediated


Hypersensitivity reactions: Characterized by the immune mechanism - Type II


Tissue-specific reactions


Hypersensitivity reactions: Characterized by the immune mechanism - Type III


Immune-complex mediated


Hypersensitivity reactions: Characterized by the immune mechanism - Type IV


- Cell mediated

- Delayed


Type I: IgE-Mediated Hypersensitivity Reactions


Against environmental antigens (allergens).


IgE binds to:


crystalline fragment (Fc) receptors on the surface of mast cells; cross linking causes the release of

histamine from mast cell degranulation.

- H1 and H2 receptors

- Increases chemotactic activity


Cytotropic antibodies bind to:


the cell surface and reagins are antibodies that can bind to skin.

, Type I: IgE-Mediated Hypersensitivity Reactions: Manifestations from H1


- Bronchial constriction

- Edema

- Vasodilation


Type I: IgE-Mediated Hypersensitivity Reactions: Manifestations from H2


- Increases gastric secretions.

- Decreases the release of histamine from mast cells and basophils.


Type II: Tissue-Specific Hypersensitivity Reactions


Specific cell or tissue (tissue-specific antigens) is the target of an immune response.


Type II: Tissue-Specific Hypersensitivity Reactions: Five mechanisms


- Cell is destroyed by antibodies and complement.

- Cell destruction occurs through phagocytosis.

- Neutrophils release granules.

- Antibody-dependent cell-mediated cytotoxicity is present.

- Causes target cell malfunction.


Type III: Immune Complex-Mediated Hypersensitivity Reactions


- Complexes are formed in the circulation and deposited later in vessel walls or extravascular tissues.

- Is not organ specific.


Type III: Immune Complex-Mediated Hypersensitivity Reactions: Damage results from


Damage results from complement activation and neutrophil lysosomal enzymes.


Type III: Immune Complex-Mediated Hypersensitivity Reactions: Immune complex clearance

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