Day 4 Int Med (4 course) Emergencies in allergology (acute generalized urticaria / Quincke's edema, anaphylactic shock)

Додано: 23 березня 2021
Предмет:
Тест виконано: 33 рази
15 запитань
Запитання 1

A 18 year-old atopic man with recurrent urticaria and collapse during or shortly after physical activity correlates the symptoms to the consumption of pizza with tomatoes, cheese, ham and mushrooms (button mushrooms). Usually he tolerates pizzas of the same brand without any symptoms. Which is the most likely diagnosis for this patient?


варіанти відповідей

Allergy to tomato

Food-dependant exercise-induced anaphylaxis

Allergy to lupine flour

Allergy to pork-albumin

Mushroom allergy

Запитання 2

A 19-years old boy is looking for you help as he suffers from urticaria since more than a years. He reports that the wheals and flares are persisting long. Marking the lesions with a pen, in fact the wheals do not move within 24 hours. The most likely diagnosis in this patient is


варіанти відповідей

Cold urticaria

Delayed pressure urticari

Urticarial vasculitis

Contact urticaria

Cholinergic urticaria

Запитання 3

A 22 year old woman was referred to the clinic with a history of three episodes of lip swellings for the last year. There is no obvious trigger for her swellings. The swellings lasted for 2-4 days. She was not on any regular medications apart from oral combined contraceptive for the last year. Her mother had recurrent angioedema since puberty. On examination, she had normal concentration and normal functional activity of C1 inhibitor (C1-INH). Allergy screening tests were not revealing any IgEmediated sensitization. Which is the probable diagnosis in this patient?



варіанти відповідей

Drug allergy to oral contraceptives

Idiopathic angioedema

Hereditary angiodema type III

Oral allergy syndrome

Exercise induced urticaria/anaphylaxis 

Запитання 4

A 29 years old female patient is stung by an unknown insect and reacts with asthma and urticaria. Allergolgoic work up reveals both, intradermal tests and specific IGE against honey bee and wasp strongly positive. What is/are the main cause(s) of in vitro double-positivity to honeybee and vespula venoms (specific IgE to both honeybee and Vespula venoms)?


варіанти відповідей

True double sensitization

Cross-reactivity between venom hyaluronidases

Cross-reactivity through glycoprotein carbohydrates (CCDs)

Cross-reactivity to mellitin

Запитання 5

What is the most common cause of chronic hives?


варіанти відповідей

Food allergies

No identifiable trigger

Medications

Lotions

Pets

Запитання 6

What medications are usually used as the first choice for treatment of hives?


варіанти відповідей

Steroid injections

Allergy shots (immunotherapy)

Antihistamines

Topical creams

Anti-inflammatory medications like ibuprofen

Запитання 7

What can individuals with chronic hives expect?

варіанти відповідей

Symptoms to get better on their own in months to years

Risk for anaphylaxis

Use of topical steroids for treatment

Controlling symptoms by following a limited diet

Treatment with allergy shots

Запитання 8

Symptoms of anaphylaxis can occur:

 

варіанти відповідей

 Shortly after coming in contact with an allergen

Hours after coming in contact with an allergen

 Either of the above

Запитання 9

An anaphylactic reaction can be as simple as developing a rash after exposure to an allergen.

 

варіанти відповідей

True

 False

Запитання 10

Anaphylaxis can occur from eating common foods such as milk, eggs or shellfish.

варіанти відповідей

 True

 False

Запитання 11

Which of these are not likely to cause anaphylaxis:

 

варіанти відповідей

Medications

 Pollen

 Latex

 Exercise

 Stinging Insect

Запитання 12

If you had a mild allergic reaction to an allergen in the past, then you are not at risk for a life-threatening reaction in the future.

варіанти відповідей

 True

 False

Запитання 13

Epinephrine should be given early in symptoms of anaphylaxis.

 

варіанти відповідей

 True

False

Запитання 14

Epinephrine should be injected into the:

 

варіанти відповідей

 Arm

 Thigh

Buttocks

Запитання 15

Antihistamines and corticosteroids are good substitutes for epinephrine in treating anaphylaxis.

 

варіанти відповідей

 True

False

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