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A patient experiences a sudden, severe allergic reaction after being stung by a bee. Symptoms include widespread hives, swelling of the face and throat, difficulty breathing, and a rapid drop in blood pressure. Which type of immune response is this patient exhibiting?

  1. AAutoimmune response
  2. BType I hypersensitivity (anaphylaxis)
  3. CCell-mediated immunity
  4. DDelayed-type hypersensitivity
Show answer & explanation

Correct answer: B. Type I hypersensitivity (anaphylaxis)

The described symptoms—hives, swelling, difficulty breathing, and a drop in blood pressure—are characteristic of anaphylaxis, which is a severe, systemic Type I hypersensitivity reaction. This response is mediated by IgE antibodies and histamine release.

Why the other options are wrong

  • A. An autoimmune response occurs when the immune system mistakenly attacks the body's own tissues, not an external allergen.
  • C. Cell-mediated immunity involves T cells and is responsible for fighting intracellular pathogens and cancer, not immediate allergic reactions.
  • D. Delayed-type hypersensitivity (Type IV) reactions are T-cell mediated and develop 24-72 hours after antigen exposure, such as in contact dermatitis.

Type I Hypersensitivity (Anaphylaxis)

A rapid and severe allergic reaction mediated by IgE antibodies, leading to the release of histamine and other inflammatory mediators, causing symptoms like swelling, hives, bronchoconstriction, and hypotension.

  • Mediated by IgE antibodies.
  • Involves mast cells and basophils.
  • Can be life-threatening.
  • Common triggers include insect stings, foods, medications.

Memory trick: ACID: Anaphylactic, Cytotoxic, Immune complex, Delayed.

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