A kidney transplant recipient stops immunosuppressive therapy three years after his surgery. Shortly after stopping therapy, he demonstrated clinical manifestations of kidney failure. Which type of reaction does this represent?
Cushing's syndrome
Hypersensitivity reaction Type I
Chronic graft versus host rejection
Acute host versus graft rejection
The Correct Answer is D
A. Cushing's Syndrome: This is a condition caused by prolonged exposure to high levels of cortisol, a hormone produced by the adrenal glands. It is not related to kidney transplant or immunosuppressive therapy.
B. Hypersensitivity Reaction Type I: Also known as an immediate hypersensitivity reaction or an allergy, this type of reaction involves the immune system's exaggerated response to an allergen. Symptoms can range from mild to severe and occur quickly after exposure to the allergen. While allergies can cause various symptoms, they do not specifically represent rejection of a transplanted organ.
C. Chronic Graft Versus Host Rejection: This term is commonly associated with bone marrow or stem cell transplants. It occurs when immune cells from the donated tissue recognize the recipient's body as foreign and attack various organs or tissues. This process typically happens over a more extended period and is not directly related to the scenario described.
D. Acute Host Versus Graft Rejection: This occurs when the recipient's immune system recognizes the transplanted organ as foreign and launches an immune response against it. It can happen shortly after transplantation if the recipient's immune system is not adequately suppressed. In this case, stopping immunosuppressive therapy can trigger acute rejection, leading to the failure of the transplanted organ.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Viral Latency: Some viruses, like herpesviruses, can enter a latent phase where they hide in host cells, making it challenging for the immune system to detect and target them.
B. Host Defense Failure: This term encompasses situations where the host's defense mechanisms, including physical barriers and immune responses, are not effective in preventing or controlling infection. For example, pathogens may develop mechanisms to evade detection by the immune system.
C. Immunosuppression: Pathogens can actively suppress the host's immune response. They may produce molecules or proteins that inhibit the immune system's ability to mount an effective defense.
D. Immunodeficiency: Individuals with immunodeficiency disorders have weakened immune systems, which can be congenital (genetic) or acquired. This weakness makes them more susceptible to infections.
Correct Answer is B
Explanation
A. Bactericidal and bacteriostatic are used interchangeably.
This statement is incorrect. Bactericidal and bacteriostatic have distinct meanings in pharmacology and microbiology. Bactericidal means the drug kills bacteria, whereas bacteriostatic means the drug inhibits the growth of bacteria without killing them.
B. Bactericidal drugs are directly lethal to bacteria, and bacteriostatic drugs work to slow bacterial growth but do not cause cell death.
This statement is correct. Bactericidal drugs directly kill bacteria, leading to their death. Bacteriostatic drugs inhibit the growth of bacteria without causing their immediate death. Both types of drugs play different roles in the treatment of bacterial infections.
C. Bacteriostatic drugs are directly lethal to bacteria, and bactericidal drugs work to slow bacterial growth but do not cause cell death.
This statement is incorrect. It confuses the roles of bactericidal and bacteriostatic drugs. Bactericidal drugs directly kill bacteria, while bacteriostatic drugs inhibit bacterial growth without immediate cell death.
D. A bactericidal drug can cause death to the host, whereas a bacteriostatic drug only affects bacteria.
This statement is incorrect. Both bactericidal and bacteriostatic drugs primarily affect bacteria, not the host. The difference lies in how they affect bacteria: bactericidal drugs kill bacteria directly, and bacteriostatic drugs inhibit their growth.
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