Allergies

Question 1

Effector for Type I

Answer 1

IgE

Question 2

Allergy type: Anaphylaxis

Answer 2

Type I

Question 3

Allergy Type: Allergic rhinitis

Answer 3

Type I

Question 4

Allergy Type: Allergic asthma

Answer 4

Type I

Question 5

Allergy Type: Urticaria

Answer 5

Type I

Question 6

Allergy Type: Immune hemolytic anemia

Answer 6

Type II

Question 7

Allergy Type: Rh hemolytic anemia

Answer 7

Type II

Question 8

Allergy Type: Goodpasture syndrome

Answer 8

Type II

Question 9

Allergy Type: Serum sickness

Answer 9

Type III

Question 10

Allergy Type: Post-streptococcal glomerulonephritis

Answer 10

Type III

Question 11

Allergy Type: Contact dermatitis

Answer 11

Type IV

Question 12

Allergy Type: Tuberculin skin test reactions

Answer 12

Type IV

Question 13

Effector for Type IV?

Answer 13

Lymphocytes

Question 14

Effector for: Type III

Answer 14

Antigen w/ anti-body (complex)

Question 15

Effectof for: Type II

Answer 15

IgG & IgM

Question 16

How many phases are in Type I? What do they mean?

Answer 16

• Immediate (classic): Histamine, etc.
• Late phase: prostaglandins, leukotrienes, etc.

Question 17

If you see facial grimacing and twitching what is your presumptive Dx?

Answer 17

Allergic rhinitis

Due to itching

Question 18

Allergic shiners are characteristic of what Dx?

Answer 18

Allergic rhinitis

Question 19

Dennie’s lines can be characteristic for what Dx?

Answer 19

• Allergic rhinitis
• Eczema

Question 20

Allergic salute is seen in children with?

Answer 20

Allergic rhinitis

Nasal itching; can acquire a transient nasal crease along front of nose

Question 21

What type of blood dyscrasia may you not in a patient with allergic rhinitis?

Answer 21

Eosinophilia

Question 22

What is allergic cobblestoning?

Answer 22

• Happens to conjunctivae in patients with chronic allergic conjunctivitis
• Grandular appearance due to edema and hyperplasia of papillae

Question 23

What is the most common type of urticaria?

Answer 23

Dermographism (writing on skin w/ fingernail or object)

trauma induced

Question 24

How do you Tx hypotension?

Answer 24

• Trendelenburg position (head 30°)
• NS 20 mL/kg IV push
• EPI 0.1 mL/kg (1:10,000) IV over 2-5 mins
• Dopamine: 5-20 mcg/kg/min

Question 25

What is the initial management of anaphylaxis?

Answer 25

• ABCs + 100% O2
• EPI 0.01 mL/kg SC (max: 0.5 mL) q 15 mins PRN
• Albuterol
• H1RA (e.g., diphenhydramine) 1-2 mg/kg IM/IV/PO (max: 50 mg) (consider H2RA)
• Medrol 2 mg/kg IV bolus then 2 mg/kg/day IV/IM divided q 6 hrs (or) prednisone
• Epi-Pen (> 30 kg) or Epi-Pen Jr (< 30 kg)