Allergies

Vien Doan
Quiz by Vien Doan, updated more than 1 year ago
Vien Doan
Created by Vien Doan almost 5 years ago
12
1

Description

Doctorate Medicine (FM Board Review) Quiz on Allergies, created by Vien Doan on 02/22/2016.
Tags

Resource summary

Question 1

Question
A 28 year old female presents with a 2 week history of nasal congestion and drainage. Associated symptoms include some eye itching without redness. She most likely has:
Answer
  • Upper respiratory infection
  • Allergic rhinosinusitis
  • Bacterial sinus infection
  • Non allergic rhinitis with eosinophilia (NARES)

Question 2

Question
Unilateral nasal drainage is often associated with:
Answer
  • Foreign body or tumor
  • Hormonal changes such as pregnancy
  • Medications
  • Non allergic rhinitis

Question 3

Question
The treatment of choice for allergic rhinosinusitis is which of the following:
Answer
  • Oral an:histamine
  • Intra nasal decongestant
  • Intranasal steroid
  • Oral steroid

Question 4

Question
In Vitro testing for allergies:
Answer
  • Can only be used in select patients
  • Is less expensive than in vivo testing
  • Is more sensitive than in vivo testing
  • Tests for allergen-specific IgE

Question 5

Question
Which of the following is the BEST indication for immunotherapy?
Answer
  • Able to avoid allergens
  • Failure of pharmacotherapy
  • More cost effective than oral medications
  • Quick relief of symptoms

Question 6

Question
Patients best suited for immunotherapy are:
Answer
  • Pregnant
  • Controlled on intranasal steroids
  • Patients with uncontrolled asthma
  • Adherent patients

Question 7

Question
Pathophysiology of asthma includes:
Answer
  • Interstitial fibrosis
  • Irreversible airflow obstruction
  • Decreased mucous production
  • Involvement of eosinophils

Question 8

Question
An asthma patient who experiences daily symptoms requiring the daily use of a short acting beta-2 agonist would be classified as:
Answer
  • Moderate persistent
  • Mild intermediate
  • Mild persistent
  • Severe persistent

Question 9

Question
Which of the following is true in regard to making the diagnosis of asthma?
Answer
  • A reduction in the FEV1 and normal FEV1/FVC with an increase >12% after inhalation of a short acting bronchodilator
  • A reduction of FEV1 and FEV1/FVC with an increase >12% after inhalation of a short acting bronchodilator
  • A reduction of FEV1 and FEV1/FVC with an increase of >20% after inhalation of a short acting bronchodilator
  • Spirometry testing is not recommended

Question 10

Question
Which of the following is true regarding oral steroid use in asthma:
Answer
  • It is commonly used as a rescue medication for quick relief in asthmatics
  • Should never be used except by a specialist
  • Should never be used for long term treatment of asthma
  • May be first line medication for severe persistent asthma

Question 11

Question
Which of the following medications may commonly cause a drug fever?
Answer
  • Ibuprofen
  • Acetaminophen
  • Nitrofurantoin
  • Diphenhydramine

Question 12

Question
Which of the following is the best reason to try to categorize the symptoms of asthma:
Answer
  • Assists in determining treatment
  • Establishes the diagnosis of asthma
  • Classifies those patients that will have to be referred to the pulmonologist
  • None of the above

Question 13

Question
Which of the following increases the risk for asthma-related death:
Answer
  • High intensity exercise program
  • Uncontrolled bipolar disorder
  • Recent asthma exacerbation treated with oral corticosteroids
  • Concurrent allergy symptoms

Question 14

Question
Ben is a 6 year old boy with asthma. In the past 6 months he has awakened once/week with nighttime coughing attacks and has needed oral corticosteroids to control exacerbations twice. Ben’s parents note that he has used his rescue inhaler 3-4 times per week during the same time period. Ben’s current severity classification is:
Answer
  • Intermittent
  • Mild Persistent
  • Moderate Persistent
  • Severe Persistent

Question 15

Question
Based on his severity classification, the next step in treatment could include:
Answer
  • Leukotriene receptor antagonist
  • Low dose inhaled corticosteroid
  • Subcutaneous allergen immunotherapy
  • All of the above

Question 16

Question
Children will often outgrow a sensitivity to:
Answer
  • Peanuts
  • Shell fish
  • Soybeans
  • Tree nuts

Question 17

Question
Anaphylactic reactions in adults:
Answer
  • Are usually treated in an inpatient setting with vasopressors, antihistamines, and corticosteroids
  • Should be followed by skin testing for allergies within 2 weeks
  • Are usually IgG mediated reactions
  • Are uncommonly caused by food products

Question 18

Question
Which of the following is a true statement regarding food allergies:
Answer
  • Food allergies are more common in adults than children
  • Asthma is the most common manifestation of food allergies
  • Cooked foods are less likely than raw foods to cause a contact allergy reaction
  • Peanuts are the most common cause of food dependent exercise-induced anaphylaxis

Question 19

Question
Which of the following is an IgE Mediated Clinical Disease:
Answer
  • Celiac Disease
  • Food dependent exercise-induced anaphylaxis
  • Food protein-induced enterocolitis
  • Food induced anaphylactoid reaction

Question 20

Question
The preferred agent for long term control of asthma is:
Answer
  • Inhaled long acting beta agonist
  • Oral corticosteroid
  • Leukotriene receptor antagonist
  • Inhaled corticosteroid
Show full summary Hide full summary

Similar

Epidemiology
Danielle Richardson
History of Medicine: Ancient Ideas
James McConnell
Epithelial tissue
Morgan Morgan
4. The Skeletal System - bones of the skull
t.whittingham
Neuro anatomy
James Murdoch
The Endocrine System
DrABC
Medical Terminology
khachoe_pema
Diabetes - pathophysiology
Morgan Morgan
Respiratory anatomy
James Murdoch
Neuro system
James Murdoch