**Core Concept**
The underlying principle being tested is the immunological response to organ transplantation, specifically **hyperacute rejection**. This type of rejection occurs almost immediately after transplantation and is mediated by pre-existing antibodies against the graft. **Hyperacute rejection** is most commonly associated with transplantation of organs that have a high degree of immunogenicity.
**Why the Correct Answer is Right**
The correct answer is associated with hyperacute rejection due to the presence of pre-formed antibodies against the graft, which activates the complement system and leads to rapid destruction of the transplanted organ. This type of rejection is often seen in organs with a high degree of **antigenicity**, such as the kidney. The **renal transplant** is particularly susceptible to hyperacute rejection due to the high expression of **HLA antigens** on the surface of renal cells.
**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect because, while liver transplantation can be associated with rejection, it is less commonly associated with hyperacute rejection compared to other organs.
**Option B:** Incorrect as heart transplantation, although it can experience rejection, is not the most common organ associated with hyperacute rejection.
**Option C:** Incorrect because lung transplantation, similar to heart and liver, can have rejection issues but is not the most commonly associated with hyperacute rejection.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that **ABO blood group incompatibility** and **pre-existing antibodies** against **HLA antigens** are major risk factors for hyperacute rejection, particularly in renal transplantation.
**Correct Answer:** D. Kidney
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