Allergy/immunology

Question 1

Timing for live and inactivated vaccines for transplant patients

Answer 1

Attempt to give inactivated 2 weeks prior and live 4 weeks prior to transplant.
After transplant and on meds, wait 6 months for inactivated.
Don’t give live unless have to such as local outbreak of mmr

Question 2

Physical exam findings of allergic rhinitis

Answer 2

pale bluish-purple nasal mucosa, boggy nasal turbinates, clear nasal secretions, and cobblestoning of the posterior pharyngeal wall

Question 3

Classification of mild intermittent asthma

Answer 3

Symptoms < 2 d/wk
Nighttime awakening <2 d/mo
Albuterol use < 2d/wk
No limitations 
Systemic steroids 0-1/year
Lung function FEV1>80%
FEV1/FVC > 85%

Question 4

Classification of mild persistent asthma

Answer 4

Symptoms >2 d/wk
Nighttime awakening 3-4 d/mo
Albuterol use > 2d/wk
Mild limitations 
Systemic steroids >2/year
Lung function FEV1>= 80%
FEV1/FVC > 80%

Question 5

Classification of moderate persistent asthma

Answer 5

Symptoms daily
Nighttime awakening >1/wk
Albuterol use daily
Moderate limitations 
Systemic steroids >2/year
Lung function FEV1 65-80%
FEV1/FVC  75-80%

Question 6

Classification of severe persistent asthma

Answer 6

Symptoms multiple times a day
Nighttime awakening often 7/wk
Albuterol use multiple times daily
Extremely limited
Systemic steroids >2/year
Lung function FEV1<60%
FEV1/FVC <75%