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1 |  |  Allergy is an exaggerated immune response that is manifested by what reaction? |
|  | A) | Immunopathology |
|  | B) | Hypersensitivity |
|  | C) | Inflammation |
|  | D) | Fever |
|  | E) | Autoimmunity |
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2 |  |  Which of the categories of hypersensitivities involves a T-cell response? |
|  | A) | Type I |
|  | B) | Type II |
|  | C) | Type III |
|  | D) | Type IV |
|  | E) | Types I-IV |
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3 |  |  Which category of hypersensitivities is IgE-mediated? |
|  | A) | Type I |
|  | B) | Type II |
|  | C) | Type III |
|  | D) | Type IV |
|  | E) | Types II and III |
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4 |  |  What type of allergens are the most allergenic? |
|  | A) | Carbohydrates |
|  | B) | Proteins |
|  | C) | Nucleic acids |
|  | D) | Fats |
|  | E) | Haptens |
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5 |  |  What sets the stage for the reactions that occur upon repeated exposure to the same allergen in a type I hypersensitivity reaction? |
|  | A) | The release of the allergenic particles into the tissue fluids and lymphatics |
|  | B) | Recognition of the allergen by B and T cells |
|  | C) | Proliferation and differentiation of B cells into plasma cells |
|  | D) | Secretion of IgE by plasma cells |
|  | E) | Binding of IgE to mast cells and basophils |
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6 |  |  Mast cells have important roles in the development of allergies. This is due to all but which of the following reasons. |
|  | A) | Their tendency to degranulate |
|  | B) | Their cytoplasmic granules that contain physiologically active chemicals |
|  | C) | Their ubiquitous location in tissues |
|  | D) | Their ability to produce IgE |
|  | E) | Their capacity to bind IgE during sensitization |
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7 |  |  What is the most abundant and fastest acting cytokine released by mast cells? |
|  | A) | Serotonin |
|  | B) | Histamine |
|  | C) | Bradykinin |
|  | D) | Leukotriene |
|  | E) | Platelet-activating factor |
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8 |  |  What differs between atopy and anaphylaxis? |
|  | A) | The allergen that triggers the response |
|  | B) | The site of the reaction |
|  | C) | The concentrations of the chemical mediators released |
|  | D) | The organ systems targeted by the chemical mediators |
|  | E) | The types of chemical mediators released |
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9 |  |  What is injected into patients undergoing allergic desensitization? |
|  | A) | IgG antibodies |
|  | B) | IgE antibodies |
|  | C) | Monoclonal antibodies against IgE |
|  | D) | Corticosteroids |
|  | E) | Pure allergen to which the patient is allergic |
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10 |  |  A person with type A blood has what type of ABO antibodies in their plasma? |
|  | A) | Anti-O |
|  | B) | Anti-A |
|  | C) | Anti-B |
|  | D) | Anti-A and Anti-B |
|  | E) | Neither Anti-A nor Anti-B |
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11 |  |  Why are people with type O blood known as universal donors? |
|  | A) | Because antibodies against A and B antigens are not present in their plasma. |
|  | B) | Because their plasma contains antibodies against both A and B antigens. |
|  | C) | Because A and B antigens are present on their red blood cells. |
|  | D) | Because neither A nor B antigens are present on their red blood cells. |
|  | E) | Because type O blood is the most common blood type in the United States. |
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12 |  |  The maternal antibodies that cross the placenta and lead to the development of erythroblastosis fetalis are of what class? |
|  | A) | IgM |
|  | B) | IgA |
|  | C) | IgD |
|  | D) | IgG |
|  | E) | IgE |
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13 |  |  In what manner does a type III hypersensitivity reaction differ from a type II hypersensitivity reaction? |
|  | A) | The antigens involved in a type III reaction are not bound to a cell's surface, while those involved in a type II reaction are bound to the surface. |
|  | B) | Type III is an immediate hypersensitivity, while type II is a delayed hypersensitivity reaction. |
|  | C) | Type III hypersensitivities involve IgE, while type II hypersensitivities involve IgG and IgM. |
|  | D) | Type III hypersensitivities are T-cell mediated, while type II hypersensitivities are B-cell mediated. |
|  | E) | Type III hypersensitivities involve complement, while type II hypersensitivities do not. |
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14 |  |  All but which of the following statements characterizes an Arthus reaction? |
|  | A) | It is a systemic reaction. |
|  | B) | It depends on the formation of IgG, IgM, or IgA antibodies. |
|  | C) | The onset of symptoms is delayed. |
|  | D) | Large doses of antigen are required for its initiation. |
|  | E) | It is a localized reaction. |
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15 |  |  Which theory on the origination of autoimmune diseases states that type I diabetes is triggered by a viral infection? |
|  | A) | Theory of immune deficiency |
|  | B) | Molecular mimicry |
|  | C) | Clonal selection theory |
|  | D) | Sequestered antigen theory |
|  | E) | Type III hypersensitivity |
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16 |  |  Which of the following is not an autoimmune disease? |
|  | A) | SLE |
|  | B) | Type I diabetes |
|  | C) | Serum sickness |
|  | D) | Rheumatoid arthritis |
|  | E) | Multiple sclerosis |
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17 |  |  A positive tuberculin skin test is an example of what type of hypersensitivity reaction? |
|  | A) | Type I |
|  | B) | Type II |
|  | C) | Type III |
|  | D) | Type IV |
|  | E) | Types II and III |
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18 |  |  What cells initially recognize grafted foreign tissue and begin the process of rejection? |
|  | A) | Helper T cells |
|  | B) | B cells |
|  | C) | Macrophages |
|  | D) | Stem cells |
|  | E) | Cytotoxic T cells |
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19 |  |  When a person consents to be an organ donor upon his/her death, what is the most likely procedure that will be performed with the donated organs? |
|  | A) | Xenograft |
|  | B) | Allograft |
|  | C) | Isograft |
|  | D) | Autograft |
|  | E) | Malograft |
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20 |  |  Which of the listed immunodeficiencies is typically more devastating? |
|  | A) | Phagocytic defects |
|  | B) | Complement defects |
|  | C) | Granulocyte defects |
|  | D) | B cell defects |
|  | E) | T cell defects |
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21 |  |  Although not yet a reality, scientists hope to use what procedure to treat both X-linked and ADA types of SCID? |
|  | A) | Passive immunotherapy |
|  | B) | Gene therapy |
|  | C) | Desensitization |
|  | D) | Bone marrow transplant |
|  | E) | Chemotherapy |
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22 |  |  What are cancers that arise from embryonic connective tissue known as? |
|  | A) | Sarcomas |
|  | B) | Benign |
|  | C) | Malignant |
|  | D) | Neoplasias |
|  | E) | Carcinomas |
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23 |  |  Human papillomavirus inserts its genome into a host chromosome, which disrupts usual cellular growth controls. This virus is strongly implicated in the development of what? |
|  | A) | T-cell leukemia |
|  | B) | Burkitt lymphoma |
|  | C) | Nasopharyngeal carcinoma |
|  | D) | Liver cancer |
|  | E) | Cervical cancer |
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24 |  |  What is the name of the cellular chemical that controls phases of mitosis and cell growth? |
|  | A) | Cyclosporine |
|  | B) | Interleukin-2 |
|  | C) | Cyclin |
|  | D) | Prostaglandin D1 |
|  | E) | GTP |
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25 |  |  The primary types of cells that operate in surveillance and destruction of tumor cells are cytotoxic T cells, NK cells, and what other cell type? |
|  | A) | Macrophages |
|  | B) | Dendritic cells |
|  | C) | Neutrophils |
|  | D) | Eosinophils |
|  | E) | Monocytes |
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