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This study guide covers disorders in immunity, focusing on key terms like immunopathology, atopy, and anaphylaxis. It explores hypersensitivity reactions, autoimmune diseases, and immunodeficiencies. The guide includes questions and answers to help understand the differences between hypersensitivity and autoimmune diseases, the role of immunoglobulins, and the physiological processes involved in allergic reactions and anaphylaxis. It also covers blood groups, transfusions, and hemolytic disease of the newborn, providing a comprehensive overview of immune system disorders and their clinical implications. Useful for students studying immunology or related fields, offering a structured approach to understanding complex concepts and mechanisms. It also includes multiple choice questions and analysis questions.
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cells. Contact between the antigen and the appropriate T cell stimulates the T cell to proliferate and become sensitized. With subsequent exposure to the antigen, sensitized T cells release lymphokines, and a delayed hypersensitivity occurs. c. How might this person be desensitized to poison oak? Small repeated doses of the antigen are believed to cause the production of IgG (blocking) antibodies.
5. Why does an ANA (antinuclear antibody) test diagnose lupus? Lupus patients have antibodies directed at their own DNA. 6. Why do the majority of autoimmune diseases selectively affect women? What is the role of thymic selection? In autoimmune diseases, autoantibody-producing B cells activate via receptors encoded on X chromosomes that are more abundant in women. T cells distinguish self from nonself while passing through the thymus. Thymic selection eliminates the T cells that will target host cells, making it unlikely that the remaining T cells will attack their own tissue. 7. Summarize the causes of immunodeficiencies. What is the effect of an immunodeficiency? Natural Inherited Viral infections, most notably HIV Artificial Induced by immunosupression drugs Result: Increased susceptibility to various infections depending on the type of immune deficiency. 8. In what ways do tumor cells differ antigenically from normal cells? Explain how tumor cells may be destroyed by the immune system. Tumor cells have tumor-specific antigens. CTL cells may react with tumorspecific antigens, initiating lysis of the tumor cells. 9. If tumor cells can be destroyed by the immune system, how does cancer develop? What does immunotherapy involve? Some malignant cells can escape the immune system by antigen modulation or immunological enhancement. Immunotherapy might trigger immunological enhancement. The body’s defense against cancer is cellmediated and not humoral. Transfer of lymphocytes could cause graft-versus-host disease. 10. NAME IT In this neurological disease, T cells and macrophages attack the myelin sheath of nerves. Multiple sclerosis Multiple Choice 1. Desensitization to prevent an allergic response can be accomplished by injecting small, repeated doses of a. IgE antibodies. b. the antigen (allergen). c. histamine. d. IgG antibodies. e. antihistamine. 2. What does pluripotent mean? a. ability of a single cell to develop into an embryonic or adult
stem cell b. ability of a stem cell to develop into many different cell types c. a cell without MHC I and MHC II antigens d. ability of a single stem cell to heal different types of diseases e. ability of an adult cell to become a stem cell
3. In rheumatoid arthritis, IgM, IgG, and complement are deposited in the joints. This is an example of a. immune complex autoimmunity. b. cytotoxic autoimmunity. c. cell-mediated autoimmunity. d. immunosuppression. e. acquired immunodeficiency. 4. Which of the following is a possible outcome of an HIV infection? a. Virions may remain latent. b. There may be persistent yeast infections. c. Infection may initially be asymptomatic. d. The disease does not progress to AIDS. e. all of the above 5. Immunodeficiency can be a result of all of the following except a. HIV infection. b. cyclosporine. c. DiGeorge syndrome. d. Hodgkin’s disease. e. autoimmune diseases. 6. Which antibodies will be in the serum of a person with blood type B, Rh+? a. anti-A, anti-B, anti-Rh b. anti-A, anti-Rh c. anti-A d. anti-B, anti-Rh e. anti-B Use the following choices to match the type of hypersensitivity to the examples in questions 7 through 10. a. type I hypersensitivity b. type II hypersensitivity c. type III hypersensitivity d. type IV hypersensitivity e. all of the above 7. Localized anaphylaxis. type I hypersensitivity 8. Allergic contact dermatitis. type IV hypersensitivity 9. Due to immune complexes. type III hypersensitivity 10. Reaction to an incompatible blood transfusion. type II hypersensitivity
1. When and how does our immune system discriminate between self and nonself antigens? 2. The first preparations used for artificially acquired passive immunity were antibodies in horse serum. A complication that