ALLERGY QUIZ FOR PROFESSIONAL

ALLERGY QUIZ

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

• http://www.worldallergy.org/professional/allergic_diseases_center/aspirin/
• http://www.worldallergy.org/educational_programs/gloria/slides/international/Module10_Rhinosinusitis.ppt
• http://www.worldallergy.org/educational_programs/world_allergy_forum/philadelphia2006/pawankar.php
• http://www.worldallergy.org/educational_programs/world_allergy_forum/sydney/kowalski.php
• http://www.worldallergy.org/educational_programs/world_allergy_forum/neworleans/bachert.php
• BSACI guidelines for the management of rhinosinusitis and nasal polyposis Clin.Exp.Allergy. 2008; Vol 38, 19-42
  Full text
• British Society for Allergy and Clinical Immunology (BSACI) Published Guidelines – List
  http://www.bsaci.org/index.php?option=com_content&task=view&id=117&Itemid=139
• Chronic Obstructive Pulmonary Disease (COPD) and Asthma: Similarities and Differences
  http://www.worldallergy.org/professional/allergic_diseases_center/copd_and_asthma/
• Allergic Asthma: Symptoms and Treatment
  http://www.worldallergy.org/professional/allergic_diseases_center/allergic_asthma/
• Food Allergy
  http://www.worldallergy.org/professional/allergic_diseases_center/foodallergy/
• Guidelines for the administration of Influenza vaccine in children with egg allergy. 2008. [PDF file]
  http://www.bsaci.org/index.php?option=com_docman&task=doc_download&gid=80
• British Society for Allergy and Clinical Immunology (BSACI) Published Guidelines – List
  http://www.bsaci.org/index.php?option=com_content&task=view&id=117&Itemid=139
• Food Allergy Online Learning Program, CME
  http://www.waolearningmodule.org/
• Food Allergy Synopsis in the Allergic Diseases Resource Center
  http://www.worldallergy.org/professional/allergic_diseases_center/foodallergy/
• Food Allergy Module in the GLORIA program
  http://www.worldallergy.org/educational_programs/gloria/international/materials.php
• Expert Interviews
  http://www.worldallergy.org/conversations/
  Peanut Allergy (Scott Sicherer)
  Early Food Allergy (Ulrich Wahn)
  Food Allergy: Past and Present (Hugh Sampson)
• Novel Approaches to Food Allergy
  Diagnosis of Food Allergy
  Bodo Niggemann
  http://www.worldallergy.org/educational_programs/world_allergy_forum/munich2005/niggemann.php
  World Allergy Forum, Munich 2005
• Food Allergy and Food Intolerance
  http://www.bsaci.org/index.php?option=com_content&task=view&id=128&Itemid=152
  British Society for Allergy & Clinical Immunology

 

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.

References

• Online resources of the World Allergy Organization

• http://www.worldallergy.org/journal_reviews/1009.php

• http://www.worldallergy.org/professional/allergic_diseases_center/foodallergy/

• http://www.worldallergy.org/professional/allergic_diseases_center/allergic_asthma/

• http://www.worldallergy.org/professional/allergic_diseases_center/allergic_march/

• http://www.worldallergy.org/educational_programs/gloria/international/materials.php
  See Allergic Emergencies, Food Allergy, Anaphylaxis

• http://www.worldallergy.org/educational_programs/world_allergy_forum/amsterdam2004/bousquet.php

• http://www.worldallergy.org/educational_programs/world_allergy_forum/munich2005/niggemann.php

• http://www.worldallergy.org/quiz/0909.php?mode=response

• From the British Society for Allergy and Clinical Immunology (BSACI)

• Guidelines for the administration of Influenza vaccine in Children with Egg allergy. 2008. N Brathwaite, M Lajeunesse, J Lucas & J Warner.

• British Society for Allergy and Clinical Immunology (BSACI) Published Guidelines – List
  http://www.bsaci.org/index.php?option=com_content&task=view&id=117&Itemid=139

• quiz question was contributed by Dr. Glenis Scadding.

 

source : WAO

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