Free Immunology MCQs with Answers

90 Immunology MCQs from Microbiology, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

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  • A. Less sensitive less specific
  • B. More sensitive, more specific
  • C. Less sensitive, more specific
  • D. More sensitive, less specific

Explanation: ELISA is generally more sensitive but less specific than Western blot, making it useful for screening but more prone to false-positive…

Correct answer: More sensitive, less specific
  • A. Helper T lymphocytes
  • B. Natural killer cells
  • C. Plasma cells
  • D. Macrophages

Explanation: HIV progressively damages CD4 helper T lymphocytes, which coordinate both cellular and humoral immune responses.

Correct answer: Helper T lymphocytes
  • A. 2:1
  • B. 1:2
  • C. 3:1
  • D. 1:3

Explanation: In healthy adults, CD4 helper T cells usually outnumber CD8 cytotoxic T cells, giving a CD4:CD8 ratio of about 2:1.

Correct answer: 2:1
  • A. 500
  • B. 200
  • C. 1000
  • D. 300

Explanation: A normal adult CD4 count is broadly about 500 to 1500 cells per microlitre, with approximately 1000 as a commonly cited average.

Correct answer: 1000
  • A. Allo
  • B. ISO
  • C. Xeno
  • D. Auto

Explanation: A kidney transferred between two genetically different members of the same species is an allograft, also called an allogeneic graft.

Correct answer: Allo
  • A. Adjuvant
  • B. Proteins
  • C. Polysaccharides
  • D. Lipids

Explanation: Proteins are the most potent immunogens because they contain complex structures that stimulate both antibody production and T-cell…

Correct answer: Proteins
  • A. Anaphylaxis
  • B. Arthus reaction
  • C. Serum sickness
  • D. Contact dermatitis

Explanation: In serum sickness, one large antigen dose can provide the initial sensitisation and later produce immune-complex disease as antibody…

Correct answer: Serum sickness
  • A. Severe reaction following the injection of protein solution in a sensitized individual
  • B. Severe reaction following primary injection of Protein solutions
  • C. State of immunity developed by repeated injections of any foreign substance
  • D. Severe reaction resulting from sensitivity to common allergens

Explanation: Anaphylaxis is a severe, usually immediate systemic reaction that occurs when a previously sensitised person is re-exposed to an antigen…

Correct answer: Severe reaction following the injection of protein solution in a sensitized individual
  • A. NK Cells
  • B. Cytotoxic T cells
  • C. B cells
  • D. Memory B cells

Explanation: Natural killer cells are innate lymphocytes that destroy virus-infected cells without prior antigen-specific sensitisation.

Correct answer: NK Cells
  • A. IL-1
  • B. IL-6
  • C. IL-8
  • D. TNF

Explanation: IL-8, also called CXCL8, is a chemokine that attracts neutrophils to sites of infection and inflammation.

Correct answer: IL-8
  • A. Active
  • B. Passive
  • C. Herd
  • D. Local

Explanation: The negative phase is classically described in active immunisation, when pre-existing antibody may temporarily fall or neutralise the…

Correct answer: Active
  • A. Atopy
  • B. Anaphylaxis
  • C. Arthus phenomenon
  • D. Serum sickness

Explanation: The Arthus phenomenon is a local immune-complex reaction in a previously sensitised animal, causing oedema, haemorrhage and necrosis at…

Correct answer: Arthus phenomenon
  • A. Anaphylaxis
  • B. Delayed hypersensitivity
  • C. Immune complex mediated
  • D. Cytotoxic / cytolytic type

Explanation: Type II hypersensitivity is antibody-mediated cytotoxicity, in which IgG or IgM binds antigens on cell surfaces and activates complement…

Correct answer: Cytotoxic / cytolytic type
  • A. CD7+ Pro-T-Cells
  • B. CD5+ Pre-T-Cells
  • C. CD8+ Pro-T-Cells
  • D. CD8+ Pre-T-Cells

Explanation: CD7 is the earliest reliable T-lineage marker and appears on pro-T cells before the later CD4 or CD8 stages.

Correct answer: CD7+ Pro-T-Cells
  • A. IgE
  • B. IgM
  • C. IgA
  • D. IgG

Explanation: IgE does not normally activate the complement system, unlike IgM and most IgG, which are important classical-pathway antibodies.

Correct answer: IgE
  • A. IgG
  • B. IgA
  • C. IgD
  • D. IgE

Explanation: IgE is the reaginic antibody responsible for immediate hypersensitivity and binds to mast cells and basophils.

Correct answer: IgE
  • A. IgG
  • B. IgA
  • C. IgM
  • D. IgE

Explanation: Secondary immune responses are dominated by IgG produced rapidly by memory B cells, making them stronger and longer-lasting than primary…

Correct answer: IgG
  • A. Secretory piece
  • B. H chain
  • C. L chain
  • D. J piece

Explanation: The immunoglobulin heavy chain has a molecular weight of about 50,000 to 75,000 daltons, whereas a light chain is approximately 25,000…

Correct answer: H chain
  • A. B cells
  • B. T cells
  • C. Monocytes
  • D. Macrophage

Explanation: Helper cells are CD4-positive T cells and killer cells are cytotoxic CD8-positive T cells, so both belong to the T-cell population.

Correct answer: T cells
  • A. Macrolin
  • B. Heat
  • C. Bovine serum
  • D. Phytohaemagglutinin

Explanation: Phytohaemagglutinin is a plant lectin that acts as a polyclonal T-cell mitogen, causing T-cell activation and multiplication.

Correct answer: Phytohaemagglutinin

Immunology MCQs: common questions

Are these Immunology MCQs free?

Yes. All Immunology MCQs from Microbiology are free on TestUstad, with unlimited attempts and no account needed. Nothing on this page is a sample or a trial.

How many Immunology MCQs are on this page?

There are 90 Immunology MCQs in the Microbiology bank, shown 20 to a page with the correct answer and an explanation on each.

Does every Immunology MCQ have an explanation?

Yes. Each Immunology question shows the correct option and a written explanation of why it is correct, so a wrong answer teaches you something rather than just being marked wrong.

Can I take a timed Immunology test?

Yes. The practice button on this page starts a free Immunology test drawn from the Microbiology bank. It marks each answer instantly, gives you a score at the end, and can be retaken as many times as you like.