Copy and Edit

Allergies

Description

Doctorate Medicine (FM Board Review) Quiz on Allergies, created by Vien Doan on 22/02/2016.
Vien Doan
Quiz by Vien Doan, updated more than 1 year ago
Vien Doan
Created by Vien Doan over 8 years ago
24
1
0

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

Want to create your own Quizzes for free with GoConqr? Learn more.

Similar

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