Hypersensitivity and Autoimmunity · USMLE Step 1

A biopsy from a patient with granulomatous inflammation shows macrophages surrounded by activated T cells. Which hypersensitivity type is implicated?

  1. Type I
  2. Type II
  3. Type III
  4. Type IV
Show answer and explanation

Correct answer: Type IV

Granulomas form due to a chronic Type IV T-cell–mediated response. This is common in TB and sarcoidosis.

Difficulty: Medium Question 10 of 20

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