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Microbiology · Immunology: complement deficiency
Sample itemRecurrent invasive infections with Neisseria species should prompt evaluation for deficiency of which complement components?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. C5 through C9
Terminal complement components form the membrane attack complex, which is particularly important for killing Neisseria. C5-C9 deficiency predisposes to recurrent meningococcal and gonococcal infection.
Option by option
A. C1 esterase inhibitor
C1 esterase inhibitor deficiency causes hereditary angioedema.
B. C3 only
C3 deficiency causes broad susceptibility to encapsulated bacteria, not the classic isolated Neisseria pattern.
C. Mannose-binding lectin only
Mannose-binding lectin deficiency has a less specific, usually milder pattern.
D. C5 through C9 (correct)
Correct. Terminal-pathway deficiency impairs membrane attack complex formation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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