Nokea
What receptor is targeted in Grave's disease, a Type V hypersensitivity reaction?
- A. Insulin receptor
- B. Thyroid-stimulating hormone (TSH) receptor
- C. Complement receptor
- D. CD4 receptor
Correct Answer: B
Rationale: The correct answer is B: Thyroid-stimulating hormone (TSH) receptor. In Grave's disease, autoantibodies bind to and activate the TSH receptor on thyroid cells, leading to hyperthyroidism. This is a Type II hypersensitivity reaction. Insulin receptor (A) is not involved in Grave's disease. Complement receptor (C) is not the target in this condition. CD4 receptor (D) is primarily involved in T cell activation, not in Grave's disease.
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One principal function of complement is to
- A. inactivate performs
- B. mediate the release of histamine
- C. Bind antibodies attached to cell surfaces and to lyse these cells
- D. phagocytize antigens
Correct Answer: C
Rationale: The correct answer is C because complement proteins bind antibodies attached to cell surfaces and cause cell lysis, enhancing immune response. Choice A is incorrect as complement does not inactivate performs. Choice B is incorrect as complement does not mediate the release of histamine. Choice D is incorrect as phagocytosis is a function of phagocytes, not complement proteins. Therefore, the correct function of complement is to enhance immune response by binding antibodies and causing cell lysis.
Which of the following symptoms is associated with AIDS-related distal sensory polyneuropathy (DSP)?
- A. Staggering gait and muscle incoordination
- B. Abnormal sensations such as burning and numbness
- C. Delusional thinking
- D. Incontinence
Correct Answer: B
Rationale: Distal sensory polyneuropathy (DSP) in AIDS patients often presents with abnormal sensations like burning and numbness in the extremities.
The rearrangement of B cell antigen receptor genes occurs in
- A. Germinal centres
- B. Cortical areas of lymph nodes
- C. Bone marrow
- D. All secondary lymphoid organs
Correct Answer: C
Rationale: The rearrangement of B cell antigen receptor genes occurs in the bone marrow. This process involves the assembly of variable (V), diversity (D), and joining (J) gene segments to generate a diverse repertoire of B cell receptors. The bone marrow provides the necessary environment for this gene rearrangement to take place, ensuring the development of functional B cells. Germinal centers and cortical areas of lymph nodes are involved in B cell activation and differentiation, not gene rearrangement. While secondary lymphoid organs support B cell activation and immune responses, they are not specifically where the gene rearrangement occurs.
A patient identified as HIV antibody–positive 1 year ago manifests acute HIV infection but does not want to start antiretroviral therapy at this time. What is an appropriate nursing intervention for the patient at this stage of illness?
- A. Assist with end-of-life issues
- B. Provide care during acute exacerbations
- C. Provide physical care for chronic diseases
- D. Teach the patient about immune enhancement
Correct Answer: D
Rationale: Immune enhancement strategies, such as nutrition and stress reduction, can help maintain health until the patient decides to initiate ART.
Which of the following is the most severe complication among clients with allergies,regardless of type?
- A. Bronchitis
- B. Cardiac arrest
- C. Anaphylactic shock and angioneurotic edema
- D. Asthma and nasal polyps
Correct Answer: C
Rationale: Anaphylactic shock and angioneurotic edema are life-threatening allergic reactions that require immediate medical intervention.