UW3 (01 Allergy)

Question 1

Influenza Vaccine

Start age / why

Answer 1

Age > 6m

Prevent future illness

Question 2

Allergic rhinitis

Treatment? 3
Avovid? 2

Answer 2

1. Avoid exposure
2. Intranasal steroid
3. IN H2 blocker / IN Cromolyn
4. Oral steroids
5. Nasal decongestant

Question 3

Anaphylaxis

1. Initial management? 2
2. If no or minimal response to initial management?
3. Biphasic reaction prevention?
4. supportive medications? 2

Answer 3

Epinephrine IM&raquo_space; SC
Position = Supine (vomit) + Elevate LE

IVF

steroids

B2 agonist
Anti Histamine

Question 4

Transfusion reaction
1h + fever, chill, flank pain
(reaction type?)

Answer 4

Acute hemolytic

Question 5

Transfusion retraction
1h + AKI + Hb > 25 + Hematuria
(reaction type? + additional test?)

Answer 5

Acute hemolytic

Direct Coomb + (DIC)

Question 6

Transfusion reaction

6hrs (5 types)

Answer 6

Febrile non-hemolytic
TACO
TRALI
TTBI
Urtricaria

Question 7

Transfusion reaction

2-10d (type?)

Answer 7

Delayed hemolytic

Question 8

RBC treatment

Irradiation indication? 3

Answer 8

BM transplant
Immunodefiencey
Donation by family

Question 9

RBC treatment

LeukoReduction indication? 4

Answer 9

Chronic transfusion
CMV risk (AIDS / Transplant)
Transplant recipient
Prior febrile non hemolytic reaction

Question 10

RBC treatment

Wash indication 3

Answer 10

IgA deficiency
Comp deficient autoimmune hemolytic anemia
Persistent TF reaction

Question 11

RBC treatment

Rapid mass transfusion (why)

Answer 11

Warming

Prevent hypothermia

Question 12

Whole blood transfusion

Increases risk for?

Answer 12

Febrile reaction

Question 13

ACE mechanism

ACE-I (common side effects)

Answer 13

Bradykinin ↑
Angioedema / Cough
No itch/urtricaria

Question 14

IgG ↓
Recurrent Sinopulmonary disease / infection
GI infection
(immune disease?)

Answer 14

Common variable immunedeficiency

Question 15

DTaP vaccine

2 Contraindication? what causes it?
2 Future management

Answer 15

Anaphylaxis
Post vaccine encephalopathy < 7 days

Due to pertussis component

No more pertussis vaccine
Continue Td

Question 16

Tetanus indication

1. Clean / Minor & 3+ vaccine < 10y
2. Clean / Minor & 3+ vaccine > 10y
3. Clean / Minor & Unknown / <3 vaccine
4. Severe / Dirty & 3+ vaccine < 5y
5. Severe / Dirty & 3+ vaccine > 5y
6. Severe / Dirty & Unknown / <3 vaccine

Answer 16

1. No treatment
2. Toxoid Vaccine
3. Toxoid Vaccine
4. No treatment
5. Toxoid Vaccine
6. Toxoid vaccine + IVIG

Question 17

HPV vaccine
Female age group (upto)?
Male age group (upto?
ImmunoComp age group?
When to avoid?

Initial dose (age group)
2nd dose (timing)

Answer 17

Age 11-26 (upto 45)
Age 11-21 (upto 26 @ homosexual)
Age 11-26
Pregnancy

Age 11-12
6-12m afterwards

Question 18

HPV

Genital warts HPV Type?
Cancer HPV type? Cancers? 5

Answer 18

Type 6/11

Type 16/18
Cervical
Vulvular
Vaginal
Penile
Anal

Question 19

MMR vaccine

Common side effects? 3
ContraIndications? 3

Answer 19

Fever
Rash
Lymphadenopathy

Anaphylaxis @ prior MMR / Neomycin / Gelatin
ImmunoDeficiency (CD4 < 200 / Leukemia)
Pregnancy

Question 20

Post vaccine fever

Prevented by anti-pyretics?

Answer 20

No

Question 21

Asthma

Most common cause

Answer 21

House dust mite

Question 22

CNS lymphoma

Due to compilation of what disease? 1
Associated disease? 1
Good prognosis indication 2

Answer 22

HIV complication
EBV association

HARRT treatment + ↑ CD4