IT AAAAI

Question 1

Factor H deficiency

Answer 1

AHUS

Question 2

Cholinergic urticaria triggers

Answer 2

exercise, passive body warming and emotional stress

Exercise induced anaphylaxis is not triggered by passive body warming or stress only by EXERCISE

Question 3

H1 receptor

Answer 3

Coronary vasoconstrictio

Question 4

H2

Answer 4

Coronar vasodilatio, inotropic, chronotropic

Question 5

Latex proteins in spina bifida

Answer 5

Hev b1 and hev b3

Question 6

Latex in health care workers

Answer 6

Hev b 5, hev b6 and hev b7

Question 7

GOLD staging for COPD

Answer 7

COPD has progressive airflow limitation characterized by FEV1/FVC < 70%. Spirometry is essential for COPD staging. Global Initiative for Obstructive Lung Disease (GOLD) criteria are used for staging purposes as follows:

GOLD 0 – Normal spirometry, just symptoms = at risk
GOLD 1 – FEV1 >80% predicted = mild
GOLD 2 – 50% to < 80% predicted FEV1= moderate
GOLD 3 – 30% to <50% predicted FEV1 = severe
GOLD 4 – FEV1 < 30% predicted, or FEV1 < 50% normal with chronic respiratory failure
present = very severe

Treatment for COPD includes short and long acting anticholinergics, which improve symptoms and airflow while decreasing hyperinflation in COPD. Long acting beta-agonists can be used as isolated agents for COPD. Smoking cessation is critical and returns rate of loss of lung function almost to normal. Supplemental oxygen decreases mortality.

Question 8

Most common organ affected by hypereosinophilia

Answer 8

Dermatologic 47%

Pulmonary 25%
GI 14%
Cardiac 5%
Neurologic 4%