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MCQ – 83194

Question

A pregnant woman in first trimester has four fold rise in IgG against toxoplasmosis. it indicates ‑

A. Protective antibodies
B.

Acute infection

C.

Chronic infection

D.

None of the above

Show Answer

Correct Answer » B

Explanation

  • Toxoplasmosis is caused by the protozoan Toxoplasma gondii.
  • During pregnancy, primary maternal infection, especially in the first trimester, is associated with the highest risk of severe fetal disease.
  • A fourfold rise in IgG antibody titer between acute and convalescent serum samples is evidence of recent (acute) infection.

Explanation of the Correct Answer

Option B: Acute (recent) Toxoplasma gondii infection

  • Correct.
  • A fourfold or greater rise in IgG antibody titer on paired sera confirms recent active infection.
  • Acute infection during pregnancy requires prompt evaluation and treatment to reduce the risk of congenital toxoplasmosis.

Why Other Options are Incorrect

Option A: Protective antibodies

  • Presence of stable IgG antibodies without a significant rise indicates previous exposure and immunity.
  • A fourfold rise indicates active infection rather than simple immunity.

Option C: Chronic infection

  • Chronic infection is characterized by persistent IgG positivity with stable titers.
  • There is no significant rise in antibody levels.
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