HY USMLE Q #858 – Immuno

A 9-year-old boy is brought to the pediatrician for a follow-up appointment. Skeletal analysis shows lytic lesions of the skull and ribs. Molecular analysis shows cells that are positive for CD1a. An electron micrograph of a Birbeck granule is shown. The cell type that is hyper-proliferative in this patient’s condition is most likely to have which of the following salient functions?

  Antibody production
  Osteogenesis
  Presentation of antigen on MHC-I to CD8+ T cells
  Presentation of antigen on MHC-II to CD4+ T cells
  Respiratory burst