Frage 1
Frage
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:
Antworten
-
Upper respiratory infection
-
Allergic rhinosinusitis
-
Bacterial sinus infection
-
Non allergic rhinitis with eosinophilia (NARES)
Frage 2
Frage
Unilateral nasal drainage is often associated with:
Frage 3
Frage
The treatment of choice for allergic rhinosinusitis is which of the following:
Antworten
-
Oral an:histamine
-
Intra nasal decongestant
-
Intranasal steroid
-
Oral steroid
Frage 4
Frage
In Vitro testing for allergies:
Antworten
-
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
Frage 5
Frage
Which of the following is the BEST indication for immunotherapy?
Frage 6
Frage
Patients best suited for immunotherapy are:
Frage 7
Frage
Pathophysiology of asthma includes:
Antworten
-
Interstitial fibrosis
-
Irreversible airflow obstruction
-
Decreased mucous production
-
Involvement of eosinophils
Frage 8
Frage
An asthma patient who experiences daily symptoms requiring the daily use of a short acting beta-2 agonist would be classified as:
Antworten
-
Moderate persistent
-
Mild intermediate
-
Mild persistent
-
Severe persistent
Frage 9
Frage
Which of the following is true in regard to making the diagnosis of asthma?
Antworten
-
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
Frage 10
Frage
Which of the following is true regarding oral steroid use in asthma:
Antworten
-
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
Frage 11
Frage
Which of the following medications may commonly cause a drug fever?
Antworten
-
Ibuprofen
-
Acetaminophen
-
Nitrofurantoin
-
Diphenhydramine
Frage 12
Frage
Which of the following is the best reason to try to categorize the symptoms of asthma:
Antworten
-
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
Frage 13
Frage
Which of the following increases the risk for asthma-related death:
Antworten
-
High intensity exercise program
-
Uncontrolled bipolar disorder
-
Recent asthma exacerbation treated with oral corticosteroids
-
Concurrent allergy symptoms
Frage 14
Frage
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:
Antworten
-
Intermittent
-
Mild Persistent
-
Moderate Persistent
-
Severe Persistent
Frage 15
Frage
Based on his severity classification, the next step in treatment could include:
Antworten
-
Leukotriene receptor antagonist
-
Low dose inhaled corticosteroid
-
Subcutaneous allergen immunotherapy
-
All of the above
Frage 16
Frage
Children will often outgrow a sensitivity to:
Antworten
-
Peanuts
-
Shell fish
-
Soybeans
-
Tree nuts
Frage 17
Frage
Anaphylactic reactions in adults:
Antworten
-
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
Frage 18
Frage
Which of the following is a true statement regarding food allergies:
Antworten
-
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
Frage 19
Frage
Which of the following is an IgE Mediated Clinical Disease:
Antworten
-
Celiac Disease
-
Food dependent exercise-induced anaphylaxis
-
Food protein-induced enterocolitis
-
Food induced anaphylactoid reaction
Frage 20
Frage
The preferred agent for long term control of asthma is: