Allergies

Descrição

Doctorate Medicine (FM Board Review) Quiz sobre Allergies, criado por Vien Doan em 22-02-2016.
Vien Doan
Quiz por Vien Doan, atualizado more than 1 year ago
Vien Doan
Criado por Vien Doan quase 9 anos atrás
25
1

Resumo de Recurso

Questão 1

Questão
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:
Responda
  • Upper respiratory infection
  • Allergic rhinosinusitis
  • Bacterial sinus infection
  • Non allergic rhinitis with eosinophilia (NARES)

Questão 2

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

Questão 3

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

Questão 4

Questão
In Vitro testing for allergies:
Responda
  • 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

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

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

Questão 9

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

Questão 10

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

Questão 11

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

Questão 12

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

Questão 13

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

Questão 14

Questão
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:
Responda
  • Intermittent
  • Mild Persistent
  • Moderate Persistent
  • Severe Persistent

Questão 15

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

Questão 16

Questão
Children will often outgrow a sensitivity to:
Responda
  • Peanuts
  • Shell fish
  • Soybeans
  • Tree nuts

Questão 17

Questão
Anaphylactic reactions in adults:
Responda
  • 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

Questão 18

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

Questão 19

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

Questão 20

Questão
The preferred agent for long term control of asthma is:
Responda
  • Inhaled long acting beta agonist
  • Oral corticosteroid
  • Leukotriene receptor antagonist
  • Inhaled corticosteroid

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