Microbiology and Immunology

Hypersensitivity and Autoimmunity Practice Questions

20 free Hypersensitivity and Autoimmunity practice questions for the USMLE Step 1, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Hypersensitivity and Autoimmunity questions

20 questions
  1. Q1. A patient develops hives, bronchospasm, and hypotension minutes after eating peanuts. Which hypersensitivity reaction is this?
  2. Q2. A newborn develops hemolytic disease of the newborn due to maternal anti-Rh antibodies. Which hypersensitivity mechanism is responsible?
  3. Q3. A patient with systemic lupus erythematosus develops glomerulonephritis due to circulating immune complexes. This reflects which hypersensitivity type?
  4. Q4. A patient undergoes a PPD skin test. After 48 hours, a firm erythematous induration appears. Which hypersensitivity type is this?
  5. Q5. A patient develops hemolytic anemia after receiving penicillin. The drug binds to RBCs, forming a target for antibodies. Which mechanism is involved?
  6. Q6. A patient experiences serum sickness after receiving antivenom. What causes this reaction?
  7. Q7. Contact dermatitis due to poison ivy exposure is caused by which immune mechanism?
  8. Q8. Graves disease involves autoantibodies that stimulate the TSH receptor. Which hypersensitivity type is this?
  9. Q9. A patient with myasthenia gravis produces antibodies that block acetylcholine receptors. Which hypersensitivity classification fits this?
  10. Q10. A biopsy from a patient with granulomatous inflammation shows macrophages surrounded by activated T cells. Which hypersensitivity type is implicated?
  11. Q11. A man develops a rash 10 days after starting a new antibiotic. Immune complex deposition is suspected. Which test helps confirm Type III hypersensitivity?
  12. Q12. A patient with Hashimoto thyroiditis produces anti-thyroid peroxidase antibodies. What type of immune process underlies this?
  13. Q13. A blood transfusion reaction involving fever, hypotension, and hemoglobinuria is caused by which mechanism?
  14. Q14. A patient with rheumatoid arthritis has circulating rheumatoid factor. What does this factor bind?
  15. Q15. Patients with multiple sclerosis develop demyelination due to autoimmunity. What is the primary mechanism?
  16. Q16. A patient develops hematuria following a streptococcal infection. Immune complex deposition in glomeruli is seen. What disease is most likely?
  17. Q17. A patient shows blistering skin lesions in which antibodies target desmoglein. What is the mechanism?
  18. Q18. A patient develops urticaria after receiving radiocontrast dye. Which mediator is primarily released during this reaction?
  19. Q19. A patient with celiac disease develops intestinal damage due to T-cell activation against gluten peptides. Which hypersensitivity type is this?
  20. Q20. A patient with Goodpasture syndrome produces autoantibodies attacking basement membranes. What type of hypersensitivity reaction is involved?