KROK 1 2008 – Question 66 · KROK (Medicine) · Microbiology, Virology, and Immunology

48 hours after tuberculine test (Mantoux test) a child had a papule 10 mm in diameter on the spot of tuberculine injection. What hypersensitivity mechanism underlies these changes?

  1. A. Cellular cytotoxicity
  2. B. Granulomatosis
  3. C. Immunocomplex cytotoxicity
  4. D. Antibody-dependent cytotoxicity
  5. E. Anaphylaxy
Hint

Pay attention to the time course: a papule at 48 hours is a delayed reaction. Compare this with how quickly antibody-mediated and IgE-mediated reactions appear, then decide which listed mechanism fits a slow reaction.

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