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

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Allergies

Allergies

Question 1 of 20

1

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:

Select one of the following:

  • Upper respiratory infection

  • Allergic rhinosinusitis

  • Bacterial sinus infection

  • Non allergic rhinitis with eosinophilia (NARES)

Explanation

Question 2 of 20

1

Unilateral nasal drainage is often associated with:

Select one of the following:

  • Foreign body or tumor

  • Hormonal changes such as pregnancy

  • Medications

  • Non allergic rhinitis

Explanation

Question 3 of 20

1

The treatment of choice for allergic rhinosinusitis is which of the following:

Select one of the following:

  • Oral an:histamine

  • Intra nasal decongestant

  • Intranasal steroid

  • Oral steroid

Explanation

Question 4 of 20

1

In Vitro testing for allergies:

Select one of the following:

  • 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

Explanation

Question 5 of 20

1

Which of the following is the BEST indication for immunotherapy?

Select one of the following:

  • Able to avoid allergens

  • Failure of pharmacotherapy

  • More cost effective than oral medications

  • Quick relief of symptoms

Explanation

Question 6 of 20

1

Patients best suited for immunotherapy are:

Select one of the following:

  • Pregnant

  • Controlled on intranasal steroids

  • Patients with uncontrolled asthma

  • Adherent patients

Explanation

Question 7 of 20

1

Pathophysiology of asthma includes:

Select one of the following:

  • Interstitial fibrosis

  • Irreversible airflow obstruction

  • Decreased mucous production

  • Involvement of eosinophils

Explanation

Question 8 of 20

1

An asthma patient who experiences daily symptoms requiring the daily use of a short acting beta-2 agonist would be classified as:

Select one of the following:

  • Moderate persistent

  • Mild intermediate

  • Mild persistent

  • Severe persistent

Explanation

Question 9 of 20

1

Which of the following is true in regard to making the diagnosis of asthma?

Select one of the following:

  • 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

Explanation

Question 10 of 20

1

Which of the following is true regarding oral steroid use in asthma:

Select one of the following:

  • 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

Explanation

Question 11 of 20

1

Which of the following medications may commonly cause a drug fever?

Select one of the following:

  • Ibuprofen

  • Acetaminophen

  • Nitrofurantoin

  • Diphenhydramine

Explanation

Question 12 of 20

1

Which of the following is the best reason to try to categorize the symptoms of asthma:

Select one of the following:

  • 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

Explanation

Question 13 of 20

1

Which of the following increases the risk for asthma-related death:

Select one of the following:

  • High intensity exercise program

  • Uncontrolled bipolar disorder

  • Recent asthma exacerbation treated with oral corticosteroids

  • Concurrent allergy symptoms

Explanation

Question 14 of 20

1

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:

Select one of the following:

  • Intermittent

  • Mild Persistent

  • Moderate Persistent

  • Severe Persistent

Explanation

Question 15 of 20

1

Based on his severity classification, the next step in treatment could include:

Select one of the following:

  • Leukotriene receptor antagonist

  • Low dose inhaled corticosteroid

  • Subcutaneous allergen immunotherapy

  • All of the above

Explanation

Question 16 of 20

1

Children will often outgrow a sensitivity to:

Select one of the following:

  • Peanuts

  • Shell fish

  • Soybeans

  • Tree nuts

Explanation

Question 17 of 20

1

Anaphylactic reactions in adults:

Select one of the following:

  • 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

Explanation

Question 18 of 20

1

Which of the following is a true statement regarding food allergies:

Select one of the following:

  • 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

Explanation

Question 19 of 20

1

Which of the following is an IgE Mediated Clinical Disease:

Select one of the following:

  • Celiac Disease

  • Food dependent exercise-induced anaphylaxis

  • Food protein-induced enterocolitis

  • Food induced anaphylactoid reaction

Explanation

Question 20 of 20

1

The preferred agent for long term control of asthma is:

Select one of the following:

  • Inhaled long acting beta agonist

  • Oral corticosteroid

  • Leukotriene receptor antagonist

  • Inhaled corticosteroid

Explanation

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