PATHOPHYSIOLOGY
MIDTERM NEW VERSION
2025/2026 WITH ACTUAL QUESTIONS
AND WELL DEFIENED ANSWERS
ALREADY GRADED A+
Hypersensitivity: Type 1 - CORRECT ANSWER -Type 1: Allergic reaction, Mediated by IgE,
Inflammation due to mast cell degranulation
Local symptoms:
-itching
-rash
Systemic symptoms:
-wheezing
Most dangerous = anaphylactic reaction
systemic response of hypotension, severe bronchoconstriction
Main treatment: epinephrine reverses the effects
Hypersensitivity: Type 2 - CORRECT ANSWER -Type 2: Cytotoxic reaction; tissue specific (ex:
thyroid tissue)
Macrophages are the primary effectors cells involved
, Can cause tissue damage or alter function
Grave's disease (hyperthyroidism) - example of altering thyroid function, but does not
destroy thyroid tissue
Incompatible blood type- example of cell/tissue damage that occurs; severe transfusion
reaction occurs and the transfused erythrocytes are destroyed by agglutination or
complement-mediated lysis.
Type 1 Hypersensitivity VS. Type 2 Hypersensitivity - CORRECT ANSWER -Type 1
Hypersensitivity
Organ Specific
Antibody binds to the antigen on the cell surface
Type 2 Hypersensitivity
Not Organ Specific
Antibody binds to the soluble antigen outside the cell surface that was released into the
blood or body fluids, and the complex is then deposited in the tissues
Hypersensitivity: Type 3 - Examples - CORRECT ANSWER -Rheumatoid arthritis:
Antigen/antibodies are deposited in the joints
Systemic Lupus Erythematosus (SLE)- very closely related to autoimmunity-
antigen/antibodies deposit in organs that cause tissue damage
Hypersensitivity: Type 4 - CORRECT ANSWER -Delayed response
Does not involve antigen/antibody complexes like Types 1, 2 and 3
Is T-cell mediated