Allergy Flashcards

1
Q

what is the simplified pathology of type I hypersensitivity

A

IgE mediated

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2
Q

what is the simplified pathology of type II hypersensitivity

A

direct cell killing

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3
Q

what mediates type II hypersensitivity reactions

A

IgM or IgG auto-antibodies

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4
Q

what is the simplified pathology of type III hypersensitivity

A

immune complex mediated

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5
Q

what is the simplified pathology of type IV hypersensitivity

A

cell mediated

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6
Q

what is the main cell involved in type IV hypersensitivity

A

Th1 lymphocytes

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7
Q

what type of hypersensitivity is a food allergy

A

type I

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8
Q

what type of hypersensitivity is Grave’s disease

A

type II

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9
Q

what type of hypersensitivity is sarcoidosis

A

type IV

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10
Q

what type of hypersensitivity is a blood transfusion reaction

A

type II

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11
Q

what type of hypersensitivity is rhinitis

A

type I

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12
Q

what type of hypersensitivity is pemphigus

A

type II

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13
Q

what type of hypersensitivity is contact dermatitis

A

type IV

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14
Q

what type of hypersensitivity is SLE

A

type III

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15
Q

what type of hypersensitivity is asthma

A

type I

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16
Q

what type of hypersensitivity is rheumatoid arthritis

17
Q

what type of hypersensitivity is pemphigus

18
Q

what type of hypersensitivity is TB

19
Q

what test is used to diagnose type I hypersensitivity

A

skin prick test

20
Q

what test is used to diagnose type IV hypersensitivty

A

patch test

21
Q

which interleukins are involved in type I hypersensitivity

A

IL4, IL5, IL13

22
Q

what is important in a history for differentiating type I and IV hypersensitivity

A

type I has immediate onset and type IV has delayed onset

23
Q

what test can be performed during suspected anaphylaxis to confirm type I hypersensitivity

A

serum tryptase

24
Q

what is the management of type I hypersensitivity if the patient is struggling to breath

A

adrenaline 300mg adult, 150mg child

25
what is the management of hypersensitivity if the patient isn't struggling to breath
antihistamine e.g. chloramphenamine. PO prednisolone if it doesn't settle 30minutes later
26
what should be give instead of milk to a baby with a cows milk allergy
extensively hydrolysed infant formula