Final answer:
Type II hypersensitivity reactions involve the binding of antibodies to self-antigens or exogenous cell-surface molecules. In autoimmune hemolytic anemia, the immune system attacks red blood cells, leading to complement-mediated lysis and activation of the complement cascade, resulting in symptoms like fatigue, jaundice, and dark urine.
Step-by-step explanation:
Type II hypersensitivity reactions involve the binding of antibodies, specifically IgG and IgM, to self-antigens or exogenous cell-surface molecules. In the case of autoimmune hemolytic anemia, the immune system of Tom, the 45-year-old man, is attacking his own red blood cells. This occurs when antibodies bind to antigens associated with blood typing found on the red blood cells, leading to complement-mediated lysis of the red blood cells and activation of the complement cascade. This results in symptoms such as fatigue, jaundice, and dark urine.