Posted by: Indonesian Children | December 7, 2009



  1. A patient with severe asthma has nasal polyposis that recurs rapidly after surgery. Which of the following tests would you perform? a, Full blood count, including eosinophils  ;   b. ESR (Erythrocyte sedimentation rate) ,   c. Skin prick tests, including aspergillus ;   d,  Aspirin challenge ,   e, All of the above
  2. Which of the following statements about the influenza vaccine are true?  a, It is usually manufactured in eggs. ;  b, It may contain egg albumin. ;   c, It can cause anaphylaxis in patients with severe egg allergy.   d, An alternative production method for it uses mammalian cells from dogs. ,   e,   Statements (a) and (b) are true.    f,  All of the above are true.
  3. A 30 year-old female from the United Kingdom reports immediate lip and mouth irritation on eating a hazelnut. Which of the following might aid diagnosis?  a, A history of rhinitis in Spring? ;   b,  Skin prick testing with a commercial extract of hazelnut? ;  c,  Skin prick testing to birch pollen? ;   d, Prick to prick testing with hazelnut? ;  e, Options b and c ;  f, All of the above
  4. Which of the following vaccines are contra-indicated in patients anaphylactic to egg?  a, Tetanus ; b, Pertussis (whooping cough) ; c, Measles mumps and rubella (MMR) and d, Yellow fever



The Right Answer Quiz

  1. e. All of the above. Possible underlying diagnoses are Churg-Strauss syndrome, allergic fungal sinusitis and aspirin exacerbated respiratory disease.
  2. f. All of the above are true.
  3. f. All of the above.The patient is likely to be primarily sensitized to birch with cross reactivity to a heat labile component, called profilin, which is present in many fruits and vegetables. The commercial test may be negative because the profilin is destroyed during manufacture; the prick to prick test with fresh nut should be positive.



References of Answer Quiz


2. Which of the following vaccines are contra-indicated in patients anaphylactic to egg?

  1. Tetanus
  2. Pertussis (whooping cough)
  3. Measles mumps and rubella (MMR)
  4. Yellow fever

 The correct answer is d – Yellow fever.



source : WAO

Provided by


PHONE : (021) 70081995 – 5703646



Clinical and Editor in Chief :

dr Widodo Judarwanto


Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider. 

Copyright © 2009, Children Allergy Clinic Information Education Network. All rights reserved.


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s


%d bloggers like this: