What is the significance of isotype switching in B cells?

Correct Answer: C

Rationale: Isotype switching in B cells involves changing the constant region to produce different antibody isotypes, such as IgG, IgA, or IgE. This is important for diversifying the functions of antibodies without altering antigen specificity. It allows for different effector functions, such as opsonization, neutralization, or complement activation. This process does not eliminate antigen-specific B cells, as it maintains the immunological memory. Isotype switching does not directly affect antibody affinity for antigens, which is primarily determined by somatic hypermutation and affinity maturation. It is not limited to producing IgM only, as B cells can switch to other isotypes based on the cytokine microenvironment.

Correct Answer: B

Rationale: The correct answer is B because sensitization in contact hypersensitivity requires T cell presentation of a hapten-modified antigen. This process activates T cells, leading to immune response. Antigen-antibody complex formation (A) is more related to immune responses in humoral immunity. Mast cell degranulation (C) is associated with allergic reactions, not contact hypersensitivity. Cytokine suppression (D) would hinder, not promote, the immune response needed for sensitization in contact hypersensitivity.

Correct Answer: B

Rationale: The correct answer is B: Pulmonary hemorrhage and glomerulonephritis. Goodpasture's syndrome is an autoimmune disease characterized by the presence of anti-glomerular basement membrane antibodies, leading to damage in the kidneys (glomerulonephritis) and lungs (pulmonary hemorrhage). Granuloma formation (A), contact dermatitis (C), and bronchoconstriction and vasodilation (D) are not characteristic features of Goodpasture's syndrome. Granulomas are more commonly seen in conditions like sarcoidosis, contact dermatitis is an inflammatory skin condition, and bronchoconstriction and vasodilation are features of allergic reactions or asthma, not typically seen in Goodpasture's syndrome.

Correct Answer: C

Rationale: Granulomatous hypersensitivity is characterized by the formation of granulomas in response to persistent antigen exposure. Systemic lupus erythematosus (SLE) is an autoimmune disease involving immune complex deposition and inflammation, not granuloma formation. Crohn's disease, sarcoidosis, and tuberculosis are commonly associated with granulomatous hypersensitivity due to their chronic inflammatory nature and granuloma formation in affected tissues. SLE does not typically present with granulomas, making it the correct answer.

Correct Answer: C

Rationale: Step 1: Lyme disease is rarely fatal if treated promptly. Step 2: Choice C states that Lyme disease is usually fatal if not treated successfully, which is incorrect. Step 3: Therefore, this statement indicates a need for review as it spreads misinformation. Step 4: Choices A, B, and D are accurate and align with the information provided in the educational program. Step 5: In summary, the need to review the material is highlighted by the inaccurate statement in choice C, as the other choices provide correct information on Lyme disease.