MSRA: Allergy + Anaphylaxis

Question 1

Which type of allergy testing is used for contact dermatitis?

Answer 1

Skin patch testing

Question 2

In anaphylaxis, when can the Adrenaline be repeated?

Answer 2

After 5 minutes if symptoms persist

Question 3

Following emergency treatment of anaphylaxis, how long should patients be observed for?

Answer 3

6-12 hours

Question 4

What dose of Adrenaline for anaphylaxis is given to someone >12 years old?

Answer 4

500mcg (0.5ml) 1 in 1000

Question 5

What dose of Adrenaline for anaphylaxis is given to someone 6-12 years?

Answer 5

300mcg (0.3ml) 1 in 1000

Question 6

What dose of Adrenaline for anaphylaxis is given to someone aged 6 months to 6 years?

Answer 6

150mcg (0.15ml) 1 in 1000

Question 7

What is skin prick allergy testing used to detect?

Answer 7

Food allergies
Pollen allergy

Question 8

How soon can the results of skin prick testing be read?

Answer 8

Can be interpreted after 15 minutes

Question 9

What is the most appopriate allergy testing method for possible triggers to anaphylaxis?

Answer 9

RAST

Question 10

How soon can the results of skin patch testing be read?

Answer 10

Interpreted after 48 hours

Question 11

What is meant by refractory anaphylaxis, and what is the treatment?

Answer 11

No improvement in breathing or circulatory symptoms despite 2 doses of IM adrenaline.

Next step = adrenaline infusion