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Immunology · USMLE Step 1 · Healthcare and Nursing

USMLE Immunology: Antibody Structure and Function

Immunoglobulin structure, isotype classes, class switching, and affinity maturation concepts tested on USMLE Step 1.

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35 basic cards for USMLE Step 1 Immunology. Set 2 of 10 in USMLE Immunology. It opens with "What is the basic chain structure of an immunoglobulin monomer?" and "What are the two types of light chains found in immunoglobulins?". Study it alongside the other USMLE Step 1 sets below.

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What is the basic chain structure of an immunoglobulin monomer?
Show answerTwo identical heavy chains and two identical light chains linked by disulfide bonds
What are the two types of light chains found in immunoglobulins?
Show answerKappa and lambda
What region of the antibody determines its antigen specificity?
Show answerThe variable (V) region, located at the tips of the Fab arms
What region of the antibody mediates effector functions like complement fixation and Fc receptor binding?
Show answerThe constant (Fc) region of the heavy chain
What is the Fab fragment of an antibody?
Show answerThe antigen-binding fragment, containing the variable regions of one heavy and one light chain
What structure connects the two Fab arms to the Fc region and allows flexibility?
Show answerThe hinge region
Which immunoglobulin isotype is the first antibody produced in a primary immune response?
Show answerIgM
What is the typical structural form of secreted IgM?
Show answerA pentamer, joined by a J chain
Why is pentameric IgM particularly effective at complement fixation despite relatively low individual binding affinity?
Show answerIts multivalent structure provides high avidity, and multiple Fc regions in close proximity efficiently activate the classical complement pathway
Which immunoglobulin isotype is the most abundant in serum and provides long-term humoral immunity?
Show answerIgG
Which immunoglobulin isotype is the only one that crosses the placenta to provide passive immunity to the fetus?
Show answerIgG
Which immunoglobulin isotype is the predominant antibody in mucosal secretions such as saliva, tears, and breast milk?
Show answerIgA
What structural feature allows secretory IgA to resist degradation in mucosal secretions?
Show answerThe secretory component, added during transport across epithelial cells
What is the typical structural form of secretory IgA?
Show answerA dimer, joined by a J chain
Which immunoglobulin isotype is bound to mast cells and basophils and mediates immediate (type I) hypersensitivity?
Show answerIgE

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