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Flashcards in 2015 Deck (80)
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1

Which of the following statements regarding allergic symptoms is true?
a. They are recurrent
b. They are limited to the skin
c. They are triggered by noxious agents
d. Quality of life is not affected

A

2

Facial characteristics of an allergic person include:
a. Nasolabial fold redness
b. Infraorbital darkening
c. Malar rash
d. Acne

B or C. Most likely C

3

Which of the following patients most likely has an allergic condition?
a. A 60/M smoker with daily cough for 2 years
b. A 6/M with cough and fever for 2 weeks
c. A 16/M with cough every morning for 2 years
d. A 6month/M with cough after every breastfeeding for 2 months

C

4

The most important part of the allergic history
a. Family Medical History
b. Past Medical History
c. Environmental History
d. Review of Systems

C

5

Common allergic symptoms include the following EXCEPT
a. wheezing
b. diarrhea
c. urticaria
d. hypertension

D

6

The following can cause an allergic disease, EXCEPT:
a. Milk
b. Chlorine
c. Animal hair
d. Antibiotics

B

7

True statements about allergic diseases include the following, EXCEPT:
a. Atopy is a communicable disease
b. Allergic diseases can occur at any age
c. Atopy is inherited
d. Allergic diseases can occur without a family history of allergies

A

8

A diabetic patient, who has a..... What corticosteroid drug should he use?
a. Prednisone
b. Bethametasone
c. Dexamethasone
d. ?

A. Prednisone has mineralocorticoid activity

9

The diagnosis of an allergic disease primarily relies on:
a. A positive prick test
b. A high serum IgE level
c. A thorough history
d. A complete physical examination

C

10

The prevalence of food allergy is high among students with:
a. Asthma
b. Allergic Rhinitis
c. Atopic Dermatitis
d. Chronic Urticaria

C

11

True food allergy is present with a patient who:
a. Develops itchiness whenever he ingests a large amount of chicken
b. Develops oral swelling and itchiness every time he eats a banana
c. Has a positive skin test result to egg but can tolerate egg intake
d. Has urticaria at night after eating fish during the months of September

B

12

Which of the following is an adverse food reaction that can develop in anyone provided that a sufficient amount is ingested?
a. Scombroid fish poisoning
b. Lactose intolerance
c. Urticaria due to seafoods
d. Food aversion to milk

A

13

Which of the following discriminates between harmless food and pathogenic organisms?
a. Secretory IgA antibodies
b. Commensal gut flora
c. T-lymphocytes in the circulation
d. Gut-associated lymphoid tissue

D

14

Sensitization in oral allergy syndrome occurs through the
a. Respiratory tract
b. Gastrointestinal tract
c. Skin
d. Bloodstream

B

15

An infant who presents with vomiting, diarrhea, and dysphagia most likely has:
A. Food Protein-induced proctolitis
B. Food Protein-induced enterocolitis
C. Food Protein-induced enteropathy
D. Allergic eosinophilic esophagitis, sleep,

D

16

Which of the following treatment for allergic rhinitis causes hypotension?
a. Oxymetazoline
b. Phenylephrine
c. Ephedrine
d. Phenylpropanolamine

A

17

A 4 month old baby had vomiting, bloody diarrhea and failure to thrive. The following diagnostic approaches would be beneficial except:
a. Stool exam
b. Allergy skin test
c. Endoscopy with biopsy
d. Elimination Diet

B

18

Which of the following can be safely combined or given intravenously with epinephrine? ?
a. aminophylline
b. sodium bicarbonate
c. alkaline solutions
d. dopamine

D

19

Which of the following is true about diagnostic studies in atopic dermatitis.
a. Negative test cannot rule out atopic dermatitis.
b. Atopy patch test for immediate type 1.
c. Skin prick test for delayed type.
d. All of the above.

A

20

All of the following are TRUE, except
a. Probiotics can help change the gut flora, thus tolerance can be altered.
b. Concomitant bronchial asthma indicates poor prognosis
c. AD tends to be less aggressive in young children compared to older ones.
d. Breastfeeding may be beneficial up to 4-6 months.

C

21

Of the four-pronged approach to the management of allergy, which one is still in the experimental stage in terms of food allergy management?
a. Avoidance measures
b. Pharmacotherapy
c. Immunotherapy
d. Patient education

C

22

True about atopic dermatitis:
a. Atopic dermatitis typically begins at puberty.
b. 60% of patients with atopic dermatitis are diagnosed at 1 year old
c. Arthritis (? - medyo hazy) is a cardinal feature of chronic relapsing disease
d. Worldwide prevalence of atopic dermatitis is approximately 15%

B

23

Which of the following is considered MINOR criteria in establishing the diagnosis of atopic dermatitis:
a. Orbital darkening
b. Pruritis
c. Facial involvement in infants
d. Chronic relapsing course

A

24

True regarding the histopathology of the skin of patients with atopic dermatitis
a. Acute skin lesions are characterized by hyperplastic epidermis with hyperkeratosis and minimal spongiosis
b. Chronic lesions of AD are characterized by spongiosis or marked intercellular edema of the epidermis
c. In acute lesions, there is a marked perinuclear (? hazy) T cell infiltrate with occasional monocyte macrophages
d. In chronic lichenified AD, the numbers of mast cells and eosinophils are decreased

NA

25

True or False. Epinephrine has physiologic effects antagonistic to histamine.

TRUE

26

In diagnosing a patient with atopic dermatitis one should fulfill the following Hanifin and Rajka criteria:
a. 3 major and 3 minor criteria
b. 2 major or > 3 minor criteria
c. 1 major and > minor criteria
d. 3 major and 1 minor criteria

A

27

Atopic dermatitis occurring in adulthood is found mostly on:
a. Flexor surfaces
b. Perineal region
c. Extensor surfaces
d. Scalp area

A

28

Epinephrine is best combined with aminophylline
a. True
b. False

B

29

Minor diagnostic criteria for atopic dermatitis as described by Hanifin and Rajka include the following EXCEPT:
a. Personal history of atopy
b. Xerosis
c. Dennie-Morgan folds
d. Pityriasis alba

A

30

You have a patient with suspected history of allergic dermatitis. She has numerous tiny skin-colored to hypopigmented dry spiny papules. This is:
a. Keratosis pilaris
b. Allergic shiners
c. Lichen spinolosus
d. Ichthyosis vulgaris

C