Types of Hyper-sensitivity
Clinical Manifest-ations
Treatment
Medica-tions
Case Studies
100

This type of hypersensitivity reaction involves IgE-mediated immune responses and is characterized by rapid onset allergic reactions such as hives and anaphylaxis

 What is Type I hypersensitivity?

100

Patients with anaphylaxis may present with these two hallmark symptoms, which are indicative of severe allergic reactions.

What are hives and angioedema?

100

This medication is the first-line treatment for anaphylaxis and is administered intramuscularly in the anterolateral thigh.

What is epinephrine?

100

Epinephrine, the first-line treatment for anaphylaxis, may cause this side effect characterized by palpitations, tremors, and increased heart rate.

What is tachycardia?

100

A 30-year-old male presents to the emergency department with generalized urticaria, angioedema, and shortness of breath shortly after eating a seafood dish. What type of hypersensitivity reaction is most likely occurring in this patient, and what is the immediate treatment?

What is Type I hypersensitivity? Immediate treatment: Administer epinephrine intramuscularly.

200

Type II hypersensitivity reactions are mediated by these antibodies, which bind to antigens on the surface of host cells and cause cell destruction.

What are IgG and IgM antibodies?

200

This skin manifestation is commonly seen in Type IV hypersensitivity reactions and is characterized by erythema, papules, and vesicles at the site of contact with an allergen.

 What is contact dermatitis?

200

Corticosteroids are often used in the treatment of hypersensitivity reactions to reduce inflammation and suppress the immune response. Give an example of a corticosteroid medication commonly used in this context.

What is prednisone?)

200

Nonsteroidal anti-inflammatory drugs (NSAIDs), often prescribed for systemic symptoms of serum sickness, may cause this side effect characterized by gastrointestinal irritation.

What is gastrointestinal bleeding or gastritis?

200

A 25-year-old male presents with bullous lesions and erosions on the skin, along with mucosal involvement, following exposure to a new detergent. What type of hypersensitivity reaction is likely responsible for these findings, and what is the appropriate management?

What is Type IV hypersensitivity? Management: Remove the offending agent, administer topical corticosteroids, and provide supportive care.

300

Type III hypersensitivity reactions occur when immune complexes deposit in tissues, leading to inflammation and tissue damage. This process is known as this type of reaction.

What is immune complex-mediated hypersensitivity

300

Anaphylaxis can result in cardiovascular collapse due to vasodilation and increased vascular permeability, leading to this specific clinical manifestation.

What is hypotension?

300

Antihistamines such as diphenhydramine are used to relieve symptoms such as itching and hives in hypersensitivity reactions. What is the mechanism of action of antihistamines?

What is blocking the effects of histamine at H1 receptors?)

300

Diphenhydramine, often administered as adjunctive therapy for anaphylaxis, may cause this side effect characterized by urinary retention, blurred vision, and constipation.

What is anticholinergic effects?

300

This patient experiences skin redness, itching, and swelling following contact with nickel-containing jewelry. What type of hypersensitivity reaction is likely responsible, and how can the patient prevent future episodes?

 Who is a person with Type IV hypersensitivity? Prevention: What is avoiding contact with nickel-containing items and opting for hypoallergenic alternatives?

400

Type IV hypersensitivity reactions involve this type of immune response, which is mediated by T cells and delayed in onset.

 What is cell-mediated immunity?

400

Type I hypersensitivity reactions may cause this respiratory symptom due to bronchoconstriction and airway inflammation.

What is wheezing?

400

Bronchodilators such as albuterol are indicated in the treatment of anaphylaxis to relieve this specific symptom associated with severe allergic reactions

What is bronchospasm?

400

Nonsteroidal anti-inflammatory drugs (NSAIDs), used to alleviate symptoms of serum sickness, may cause this side effect characterized by renal impairment, fluid retention, and hypertension.

What is nephrotoxicity

400

Following exposure to poison oak, this individual develops a pruritic, vesicular rash on the arms and legs. What type of hypersensitivity reaction is occurring, and what measures can provide relief from symptoms?

Who is a person experiencing Type IV hypersensitivity? Relief measures: What is washing the affected area with soap and water, applying cool compresses, and using over-the-counter corticosteroids?

500

This type of hypersensitivity reaction involves the formation of antibodies against self-antigens, leading to tissue destruction and autoimmune diseases such as systemic lupus erythematosus.

What is Type III hypersensitivity?

500

A healthcare worker receives a PPD test as part of routine employee health screening. The nurse measures the induration at the injection site and records it as 5 mm in diameter. What interpretation should the nurse provide for this PPD test result?

 What is a negative PPD test result, indicating no significant exposure to Mycobacterium tuberculosis?

500

Patients prescribed an epinephrine auto-injector for severe allergic reactions should be instructed to administer the medication into this specific area and seek immediate medical attention afterward.

 What is the lateral thigh?

500

Corticosteroids, commonly used to manage inflammation in hypersensitivity reactions, may lead to this metabolic side effect, which can manifest as increased thirst, frequent urination, and fatigue.

 What is hyperglycemia?

500

After exposure to a certain plant pollen, this individual experiences sneezing, nasal congestion, and itchy eyes. What type of hypersensitivity reaction is suspected, and what measures can provide relief from allergic rhinitis symptoms?

Who is a person exhibiting Type I hypersensitivity? Relief measures: What is avoiding outdoor activities during peak pollen times, using air purifiers, and taking antihistamines or nasal corticosteroids?