Immunity and Hypersensitivity

Immunity and Hypersensitivity ( 5 Questions)

A nurse is caring for a client who has a positive tuberculin skin test. The nurse understands that this test is an example of what type of hypersensitivity? (Select all that apply.)


Correct Answer: ["D","E"]

Choice A reason: Type I hypersensitivity is not involved in tuberculin skin test, as it does not involve IgE antibodies or mast cells.

Choice B reason: Type II hypersensitivity is not involved in tuberculin skin test, as it does not involve IgG or IgM antibodies or target cells.

Choice C reason: Type III hypersensitivity is not involved in tuberculin skin test, as it does not involve immune complexes or complement activation.

Choice D reason: Type IV hypersensitivity is involved in tuberculin skin test, as it involves the activation of helper T cells that recognize the mycobacterial antigens injected into the skin and release cytokines that recruit macrophages and other inflammatory cells. This leads to a delayed and indurated reaction at the site of injection.

Choice E reason: Type V hypersensitivity is also involved in tuberculin skin test, as it involves the activation of cytotoxic T cells that recognize the mycobacterial antigens presented by MHC class I molecules on infected cells and destroy them by releasing perforin and granzymes. This leads to a cell-mediated reaction at the site of infection.




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