4608054
Pregunta 1
Pregunta
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:
Respuesta
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Upper respiratory infection
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Allergic rhinosinusitis
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Bacterial sinus infection
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Non allergic rhinitis with eosinophilia (NARES)
Pregunta 2
Pregunta
Unilateral nasal drainage is often associated with:
Respuesta
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Foreign body or tumor
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Hormonal changes such as pregnancy
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Medications
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Non allergic rhinitis
Pregunta 3
Pregunta
The treatment of choice for allergic rhinosinusitis is which of the following:
Respuesta
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Oral an:histamine
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Intra nasal decongestant
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Intranasal steroid
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Oral steroid
Pregunta 4
Pregunta
In Vitro testing for allergies:
Respuesta
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Can only be used in select patients
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Is less expensive than in vivo testing
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Is more sensitive than in vivo testing
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Tests for allergen-specific IgE
Pregunta 5
Pregunta
Which of the following is the BEST indication for immunotherapy?
Respuesta
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Able to avoid allergens
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Failure of pharmacotherapy
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More cost effective than oral medications
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Quick relief of symptoms
Pregunta 6
Pregunta
Patients best suited for immunotherapy are:
Respuesta
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Pregnant
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Controlled on intranasal steroids
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Patients with uncontrolled asthma
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Adherent patients
Pregunta 7
Pregunta
Pathophysiology of asthma includes:
Respuesta
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Interstitial fibrosis
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Irreversible airflow obstruction
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Decreased mucous production
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Involvement of eosinophils
Pregunta 8
Pregunta
An asthma patient who experiences daily symptoms requiring the daily use of a short acting beta-2 agonist would be classified as:
Respuesta
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Moderate persistent
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Mild intermediate
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Mild persistent
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Severe persistent
Pregunta 9
Pregunta
Which of the following is true in regard to making the diagnosis of asthma?
Respuesta
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A reduction in the FEV1 and normal FEV1/FVC with an increase >12% after inhalation of a short acting bronchodilator
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A reduction of FEV1 and FEV1/FVC with an increase >12% after inhalation of a short acting bronchodilator
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A reduction of FEV1 and FEV1/FVC with an increase of >20% after inhalation of a short acting bronchodilator
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Spirometry testing is not recommended
Pregunta 10
Pregunta
Which of the following is true regarding oral steroid use in asthma:
Respuesta
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It is commonly used as a rescue medication for quick relief in asthmatics
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Should never be used except by a specialist
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Should never be used for long term treatment of asthma
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May be first line medication for severe persistent asthma
Pregunta 11
Pregunta
Which of the following medications may commonly cause a drug fever?
Respuesta
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Ibuprofen
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Acetaminophen
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Nitrofurantoin
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Diphenhydramine
Pregunta 12
Pregunta
Which of the following is the best reason to try to categorize the symptoms of asthma:
Respuesta
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Assists in determining treatment
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Establishes the diagnosis of asthma
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Classifies those patients that will have to be referred to the pulmonologist
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None of the above
Pregunta 13
Pregunta
Which of the following increases the risk for asthma-related death:
Respuesta
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High intensity exercise program
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Uncontrolled bipolar disorder
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Recent asthma exacerbation treated with oral corticosteroids
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Concurrent allergy symptoms
Pregunta 14
Pregunta
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:
Respuesta
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Intermittent
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Mild Persistent
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Moderate Persistent
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Severe Persistent
Pregunta 15
Pregunta
Based on his severity classification, the next step in treatment could include:
Respuesta
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Leukotriene receptor antagonist
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Low dose inhaled corticosteroid
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Subcutaneous allergen immunotherapy
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All of the above
Pregunta 16
Pregunta
Children will often outgrow a sensitivity to:
Respuesta
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Peanuts
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Shell fish
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Soybeans
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Tree nuts
Pregunta 17
Pregunta
Anaphylactic reactions in adults:
Respuesta
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Are usually treated in an inpatient setting with vasopressors, antihistamines, and corticosteroids
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Should be followed by skin testing for allergies within 2 weeks
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Are usually IgG mediated reactions
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Are uncommonly caused by food products
Pregunta 18
Pregunta
Which of the following is a true statement regarding food allergies:
Respuesta
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Food allergies are more common in adults than children
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Asthma is the most common manifestation of food allergies
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Cooked foods are less likely than raw foods to cause a contact allergy reaction
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Peanuts are the most common cause of food dependent exercise-induced anaphylaxis
Pregunta 19
Pregunta
Which of the following is an IgE Mediated Clinical Disease:
Respuesta
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Celiac Disease
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Food dependent exercise-induced anaphylaxis
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Food protein-induced enterocolitis
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Food induced anaphylactoid reaction
Pregunta 20
Pregunta
The preferred agent for long term control of asthma is:
Respuesta
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Inhaled long acting beta agonist
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Oral corticosteroid
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Leukotriene receptor antagonist
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Inhaled corticosteroid
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