Chapter 16

The nurse gives primigravida (first pregnancy) client an injection of RhoGAM during twenty-eighth week of her pregnancy. Why was the nurse required to take this action? a. The mother was Rh-negative while the father was Rh-positive b. The mother was Rh-positive while the father was Rh-negative c. The mother was O-negative while the father was Ab-positive d. Both the mother and father were Rh-positive

a. The mother was Rh-negative while the father was Rh-positive

A positive tuberculin skin test is an example of a. a delayed-type allergy b. autoimmunity c. acute contact dermatitis d. eczema

a. a delayed-type allergy

How is the immune system involved in development of cancer? a. failure in immune surveillance b. mutation in cytotoxic T cells c. autoantibody formation d. overreaction to environmental chemicals

a. failure in immune surveillance

An example of a type III immune complex disease is a. serum sickness b. contact dermatitis c. graft rejection d. atopy

a. serum sickness

The nurse recognizes which of the following as a type of III hypersensitivity? a. contact dermatitis after an encounter with poison sumac b. Arthus reaction c. an allergic reaction to shellfish d. hemolytic disease of the newborn

b. Arthus reaction

Theoretically, type ______ blood can be donated to all persons because it lacks _______. a. AB, antibodies b. O, antigens c. AB, antigens d. O, antibodies

b. O, antigens

Which of these immunopathologies could be treated with a stem cell transplant? a. arthus reaction b. SCID c. anaphylaxis d. a and b only e. b and c only

b. SCID

Production of IgE and degranulation of mast cells are involved in a. contact dermatitis b. anaphylaxis c. Arthus reaction d. both a and b

b. anaphylaxis

Contact dermatitis can be caused by a. pollen grains b. chemical absorbed by the skin c. microbes d. proteins found in foods

b. chemical absorbed by the skin

The direct, immediate cause of allergic symptoms is the action of a. the allergen directly on smooth muscle b. the allergen on B lymphocytes c. allergic mediators released from mast cells and basophils d. IgE on smooth muscle

c. allergic mediators released from mast cells and basophils

The contact with allergen that results in symptoms is called the a. sensitizing dose b. degranulation dose c. provocative dose d. desensitizing dose

c. provocative dose

Production of autoantibodies may be due to a. emergence of forbidden clones of B cells b. production of antibodies against sequestered tissues c. infection-induced change in receptors d. All of these are possible

d. All of these are possible

Which disease would be most similar to AIDS in its pathology? a. X-linked agammaglobulinemia b. SCID c. ADA deficiency d. DiGeorge syndrome

d. DiGeorge syndrome

Rheumatoid arthritis is an _______ that affects the ________. a. immunodeficiency disease, muscles b. autoimmune disease, nerves c. allergy, cartilage d. autoimmune disease, joints

d. autoimmune disease, joints

B cells are responsible for which conditions? a. asthma b. anaphylaxis c. tuberculin reactions d. both a and b

d. both a and b

Type II hypersensitivities are due to a. IgE reacting with mast cells b. activation of cytotoxic T cells c. IgG-allergen complexes that clog epithelial tissues d. complement-induced lysis of cells in the presence of antibodies

d. complement-induced lysis of cells in the presence of antibodies

Pollen is which type of allergen? a. contactant b. ingestant b. injectant d. inhalant

d. inhalant

Which hypersensitivities are T-cell mediated? a. type I b. type II c. type III d. type IV

d. type IV