week 6 quiz Flashcards
A 4-year-old child presents with symptoms of rhinitis and asthma. The parents are concerned about possible allergies and are seeking testing to identify potential allergens. Based on the evidence-based recommendations from a large literature review on allergy testing in children, which of the following would be the most appropriate initial approach to allergy testing for this child?
Question 1 Answer
a.
Perform percutaneous skin testing, considering the child’s age and symptoms.
b.
Avoid all allergy testing until the child reaches the age of 5
c.
Base testing decisions on the child’s clinical history and only test to change therapy or clarify a diagnosis
d.
Conduct a RAST test only, as it is the only appropriate test for children under 5.
c.
Base testing decisions on the child’s clinical history and only test to change therapy or clarify a diagnosis
A 10-year-old child presents to the clinic with a 6-month history of chronic mouth breathing, snoring, and occasional difficulty in concentrating at school. The child’s parents also report frequent headaches and episodes of fatigue. On examination, you note a high-arched palate and dental overbite.
Which of the following is most likely comorbid with this child’s condition?
Question 2 Answer
a.
Asthma
b.
Obsessive-compulsive disorder
c.
Gastroesophageal reflux disease
d.
Chronic obstructive pulmonary disease
a.
Asthma
A patient presents with perennial nasal congestion associated with temperature changes. Their naturopathic doctor is considering both allergic rhinitis and vasomotor rhinitis as differentials.
What assessments would be most helpful to perform in order to confirm vasomotor rhinitis.
Question 3 Answer
a.
Nasolaryngoscopy, intra-dermal skin testing, nasal lavage or scraping
b.
Percutaneous skin test, nasal provocation testing, biopsy or blown secretions
c.
Nasal provocation testing, nasolaryngoscopy, serum IgE
d.
Serum IgE, skin testing or radioallergosorbent testing (RAST), and nasal cytology
d.
Serum IgE, skin testing or radioallergosorbent testing (RAST), and nasal cytology
A 28-year-old patient presents to your clinic with a two-month history of nasal congestion, sneezing, and occasional itchy eyes. These symptoms are persistent throughout the year and are not associated with a viral illness or specific occupational exposure. The patient is seeking advice on whether to undergo allergy testing.
What is the next best step in the management of this patient’s condition?
Question 4 Answer
a.
Obtain a thorough history and physical examination to exclude sinusitis
b.
Advise the patient on environmental modifications without further assessment
c.
Advise the patient to seek allergy skin testing
d.
Recommend a trial of nasal spray and oral antihistamines and reassess after two weeks
a.
Obtain a thorough history and physical examination to exclude sinusitis
A 28-year-old patient presents with a four-day history of nasal congestion, sneezing, and a mild sore throat. Initially, the symptoms were mild, but the patient now reports worsening facial pain, a sensation of nasal blockage, and a low-grade fever. There is no significant past medical history.
Considering the common causes and progression of acute rhinitis, which of the following is the most likely current development in this patient’s condition?
Question 5 Answer
a.
Progression indicating immediate computed tomography to confirm sinusitis
b.
Allergic rhinitis exacerbation requiring specific allergen avoidance
c.
Progression to a typical course of viral upper respiratory infection (URI)
d.
Development of bacterial superinfection leading to rhinosinusitis
d.
Development of bacterial superinfection leading to rhinosinusitis
