Allergy

Question 1

A boy has been stung by a bee. He develops an anaphylactic reaction and becomes wheezy, light-headed and pale. What is the most appropriate immediate emergency treatment?
Question 1Select one:
a.
Systemic corticosteroids
b.
Subcutaneous adrenaline
c.
Salbutamol via a nebuliser
d.
Intramuscular adrenaline

Answer 1

IM Adrenaline

Question 2

A mother attends with a 3 month old baby who has recently been weaned from breast feeding onto cows milk formula. She has now started spilling after feeds and has developed some urticaria, which gets worse after each feed. Mother is concerned she might have developed cow’s milk allergy.
A skin prick test shows a positive reaction to cows’ milk.
What is the appropriate formula to manage this child’s issues?
Question 2Select one:
a.
Extensively hydrolysed
b.
Continue on cow’s milk
c.
Soy-based lactose-free
d.
Based on amino acids

Answer 2

Extensively hydrolysed

Question 3

A previously breast fed 5 month old infant is offered some formula by her older cousin at a party. She rapidly develops some localised swelling of her upper lip and associated urticaria on the right cheek. She is otherwise well. What is the most appropriate treatment?
Question 3Select one:
a.
Oral antihistamine
b.
Intramuscular adrenaline
c.
Intravenous steroid
d.
Topical corticosteroid

Answer 3

Oral antihistamine

Question 4

A 14 month old boy has previously had a well-documented anaphylactic reaction to cooked egg. Which vaccine is contraindicated for him?
Question 4Select one:
a.
Influenza
b.
MMR
c.
Varicella
d.
None

Answer 4

None