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Immunology · USMLE Step 1

USMLE Immunology High-Yield Rapid Review

A condensed rapid review pass over the highest yield innate and adaptive immunology facts for final week review.

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

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The dominant leukocyte recruited during the first 24 to 48 hours of acute inflammation is the ____.
neutrophil
What is the main phagocytic cell that also presents antigen to T cells during a chronic immune response?
Macrophage
How does a natural killer (NK) cell recognize a virus-infected or tumor cell as a target?
It detects the absence (downregulation) of MHC class I on the cell surface (missing self)
What triggers activation of the classical complement pathway?
Antibody (IgG or IgM) bound to antigen
What triggers activation of the alternative complement pathway?
Direct contact with a microbial cell surface, without antibody
What molecule triggers the lectin complement pathway?
Mannose-binding lectin binding to mannose residues on a microbial surface
Which complement protein acts as the major opsonin, coating pathogens for phagocytosis?
C3b
Which complement protein is the most potent chemoattractant for neutrophils and also acts as an anaphylatoxin?
C5a
The complement proteins C5b through C9 assemble into the ____, which lyses target cells, especially gram-negative bacteria.
membrane attack complex
What family of innate immune receptors recognizes conserved pathogen-associated molecular patterns (PAMPs)?
Toll-like receptors (TLRs)
What cytokines are released by virus-infected cells to induce an antiviral state in neighboring uninfected cells?
Type I interferons (IFN-alpha and IFN-beta)
What triggers mast cells to degranulate and release histamine in an allergic reaction?
Cross-linking of surface-bound IgE by antigen
CD4
Co-receptor on helper T cells that binds MHC class II
CD8
Co-receptor on cytotoxic T cells that binds MHC class I
Which cells express MHC class I molecules?
Nearly all nucleated cells

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