🏥 USMLE Exam Prep

A patient develops a rash and blistering 48-72 hours after exposure to poison ivy. This delayed-type hypersensitivity reaction is primarily mediated by which of the following immune cells?

A IgE antibodies
B Neutrophils
C Cytotoxic T lymphocytes
D Plasma cells

✓ Correct Answer: Option C

Delayed-type hypersensitivity (Type IV) reactions, such as contact dermatitis from poison ivy, are primarily cell-mediated, involving T lymphocytes (specifically CD4+ helper T cells and CD8+ cytotoxic T cells) and macrophages, not antibodies or neutrophils.

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