Allergies

Question 1

allergy investigations?

Answer 1

RAST (serologic assays) or skin test

Challenge testing

Question 2

IgE in vitro assays, while one use these days?

Answer 2

CAP-FEIA

Kinda of ELISA

Question 3

in vitro assays advantages?

Answer 3

standardized
GPs can prescribe
more quantitative

Question 4

gold standard for allergy testing?

Answer 4

challenge tests

Question 5

what drugs can influence post natal?

Answer 5

penicillins

paracetomol

Question 6

mechanism of IgE B-cell production

Answer 6

Th2 released IL4 tend to shift B-cells to make IgE

Question 7

what’s the only good treatment for allergies?

Answer 7

immunotherapy subcut injections

Question 8

what is contraindicated to allergy immunotherapy?

Answer 8

betablockade

Question 9

future immunotherapy?

Answer 9

sublingual delivery system

Question 10

how to give immunotherapy injections?

Answer 10

always wait 30 minutes after

give antihistamine prior

Question 11

anaphylaxis presentation?

Answer 11

cardiovascular
respiratory, upper and lower
rash

Question 12

atypical anaphylaxis

Answer 12

older and young: GIT involvement without rash

Question 13

angioedema is what?

Answer 13

deep tissue swelling, esp in larynx

Question 14

angioedema need allergen to contact mouth to get larynx swelling?

Answer 14

Nope. systemic reaction

Question 15

who are most at risk of dying of anaphylaxis food allergy?

Answer 15

12-24 year olds

Question 16

insect venom anaphylaxis, which creatures?

Answer 16

jumper ants
honey bee
european wasps

Question 17

dose for adrenaline for adrenaline

Answer 17

0. 5mg of adrenaline

children: 0.01mg/kg up to 0.5mg

Question 18

mild allergic reactions

Answer 18

oral anti-histamines

Question 19

when give adrenaline? after first dose?

Answer 19

every 20 minutes : 0.5mg for adults

up to 3 doses

Question 20

treatment protocol for allergic rhinitis

Answer 20

nasal corticosteroids
antihistamines
immunotherapy

Question 21

thunderstorm asthma is what?

Answer 21

thuderstorms bring up pollens, they burst and allergens are rained down onto allergic ppl.

Question 22

what is an allergen?

Answer 22

protein that elicits an IgE response