Allergy and Immunology

Question 0

1 year old boy, who has been having recurrent infections in the last 12 months with H. influenza, S. pneumonia, (at isa pa na di ko maalala)

a. T cell defect
b. B cell defect
c. Phagocytic defect
d. Complement defect

Answer 0

b. B cell defect
* Nelson’s 18th: See table 121-3: common pathogens involved in B cell defects include Strep, Staph, Haemophilus, Campylobacter

Question 1

Boy developed swelling and itchiness of his eyes after being exposed to a lovebird. Treated with oral antihistamines with initial relief. However, symptoms recurred, this time not relieved by oral antihistamines. What is the next thing to do:

a. Topical Steroids and oral antihistamines
b. Systemic steroids
c. Topical steroids only
d. (can’t remember)

Answer 1

c. Topical steroids only

ARIA protocol

Question 2

What is indicated to relieve the nasal congestion for patients with persistent allergic rhinitis?

a. topical corticosteroid
b. leukotriene modifier
c. mast cell stabilizer
d. H1 antagonist

Answer 2

a. topical corticosteroid

* ARIA

Question 3

Oral histamine antagonist for severe allergic rhinitis is best indicated for the following symptoms, except:

a. nasal itchiness
b. nasal congestion
c. rhinorrhea
d. sneezing

Answer 3

b. nasal congestion

* ARIA

Question 4

41. Most common well-defined immunodeficiency disorder

Answer 4

Ig A Deficiency p.691

Question 5

75. A px with rhinorrhea, nasal obstruction, periorbital edema
    a. allergic rhinitis
    b. foreign body
    c. sinusitis

Answer 5

a. allergic rhinitis p.759