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Immunology · USMLE Step 1

USMLE Immunology: Autoimmune Disease Mechanisms

Major autoimmune diseases matched to their characteristic autoantibody and underlying immune mechanism tested on USMLE Step 1.

35 cards · basic cards · AI-written, checked twice. Edit anything.

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Which antibody test is the most sensitive screening test for systemic lupus erythematosus (SLE)?
Antinuclear antibody (ANA)
Anti-double stranded DNA (anti-dsDNA) antibody
Systemic lupus erythematosus (SLE)
Which SLE antibody is highly specific for the disease but does not track with disease activity?
Anti-Smith (anti-Sm) antibody
Which autoantibody is characteristic of drug-induced lupus (e.g., from hydralazine or procainamide)?
Anti-histone antibody
What type of hypersensitivity reaction underlies tissue damage in SLE?
Type III hypersensitivity (immune complex mediated)
Anti-cyclic citrullinated peptide (anti-CCP) antibody
Rheumatoid arthritis
What does rheumatoid factor (RF) bind to?
The Fc portion of IgG
Which autoantibody, along with anti-La, is characteristic of Sjogren syndrome?
Anti-Ro (SSA) antibody
Which autoantibody, along with anti-Ro, is characteristic of Sjogren syndrome?
Anti-La (SSB) antibody
Anti-Scl-70 (anti-topoisomerase I) antibody
Diffuse systemic sclerosis (scleroderma)
Which antibody is associated with limited systemic sclerosis (CREST syndrome)?
Anti-centromere antibody
Which autoantibody is associated with mixed connective tissue disease?
Anti-U1 ribonucleoprotein (anti-U1 RNP) antibody
Which autoantibody is associated with polymyositis and dermatomyositis?
Anti-Jo-1 antibody
What immune mechanism links untreated group A streptococcal pharyngitis to rheumatic fever?
Molecular mimicry, antibodies against the bacterial M protein cross-react with cardiac tissue
Which autoantibody is relatively specific for dermatomyositis rather than polymyositis?
Anti-Mi-2 antibody

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