Multiple Choice Questions (MCQ)

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Category: Medicine--->Allergy and Immunology
Page: 2

Question 6# Print Question

A 16-year-old woman develops weakness, wheezing, and shortness of breath 5 minutes after receiving intramuscular ceftriaxone for gonorrhea. She is on no other medications. On examination, she is anxious and in respiratory distress. BP is 80/50, HR is 142, and RR is 40. She has large hives on her chest, and her tongue is edematous. She has both wheezing and stridor.

Which of the following is most important immediate treatment? 

A. Intramuscular or intravenous epinephrine 0.3 mg STAT
B. Intravenous epinephrine 1 mg IV push
C. Intravenous methylprednisolone 100 mg and diphenhydramine 50 mg
D. Intravenous normal saline 1 L over 20 minutes
E. Intravenous dopamine titrated to a mean arterial pressure of 60 mm

Question 7# Print Question

A 32-year-old woman complains of severe seasonal allergies. Every year from April through July she is miserable with sneezing, nasal congestion, and watery itchy eyes. Antihistamines, nasal corticosteroids, nasal saline washes, oral montelukast, and attempts to avoid potential antigens have proven unsuccessful. She requests referral to an allergist for “allergy shots.”

What advice should you give her about immunotherapy (hyposensitization) for her allergic symptoms? 

A. Immunotherapy is useful is asthma but not in allergic rhinitis
B. Immunotherapy is used in allergic rhinitis because there is no risk
C. The beneficial effect of immunotherapy goes away as soon as the shots are discontinued
D. Immunotherapy against respiratory organisms can decrease the incidence of bacterial sinusitis
E. Immunotherapy requires the identification of specific antigen by dermal or serum testing

Question 8# Print Question

A 55-year-old farmer develops recurrent cough, dyspnea, fever, and myalgia several hours after entering his barn. He has had similar reactions several times previously, especially when he feeds hay to his cattle.

Which of the following statements is true? 

A. The presence of fever and myalgia indicates that this is an infectious process
B. Immediate-type IgE hypersensitivity is involved in the pathogenesis of his illness
C. The causative agents are often thermophilic actinomycete antigens
D. Demonstrating precipitable antibodies to the offending antigen confirms the diagnosis of hypersensitivity pneumonitis
E. Chronic lung disease does not occur in this setting

Question 9# Print Question

A 35-year-old woman is concerned that she may be allergic to certain foods. She gets a rash several hours after eating small amounts of peanuts. In evaluating the possibility of food allergies,

which of the following is correct? 

A. At least 30% of the adult population is allergic to some food substance
B. Symptoms usually occur hours after ingestion of the food substance
C. The foods most likely to cause allergic reactions include egg, milk, seafood, nuts, and soybeans
D. The organ systems most frequently involved in allergic reactions to foods in adults are the respiratory and cardiovascular systems
E. Immunotherapy is of proven benefit for food allergies

Question 10# Print Question

A 32-year-old woman with a history of migraine headaches on prophylactic propranolol experiences a severe anaphylactic reaction following a sting from a yellow jacket. She is treated successfully with parenteral epinephrine and is dismissed from the hospital.

What is the best recommendation for prevention of recurrent hospitalizations? 

A. Pursue desensitization injections against Hymenoptera species
B. Discontinue beta-blockers
C. Avoid exposure to bees as well as wasps
D. Carry an epinephrine self-injector (Epi-pen) with her during outdoor activities
E. Take loratadine 10 mg daily

Category: Medicine--->Allergy and Immunology
Page: 2 of 3