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Management of Patients with Allergic Disorders

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Questions

Question 1

Which immunoglobulin class is found in the respiratory and intestinal mucosa and is responsible for triggering mast cells to release chemical mediators in an allergic disorder?

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Question 2

What is the term for the genetic tendency to develop allergic diseases such as allergic rhinitis, asthma, and atopic dermatitis?

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Question 3

What is the peak effect time for histamine after an antigen interaction during an allergic response?

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Question 4

Compared to histamine, how much more powerful are leukotrienes in triggering bronchospasm?

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Question 5

What is the typical onset time for a Type IV, or delayed-type, hypersensitivity reaction after allergen exposure?

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Question 6

Which type of lymphocyte is designed to produce one specific antibody and, upon encountering a specific antigen, stimulates the production of plasma cells?

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Question 7

What is the primary role of mast cells in an IgE-mediated immediate hypersensitivity reaction?

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Question 8

Which of the following are all classified as primary chemical mediators released during an immediate hypersensitivity reaction?

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Question 9

According to Table 24.2, what is a common source of allergens that provokes allergic rhinitis in the early spring?

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Question 10

On average, how many workdays per year do patients with chronic rhinitis miss due to their condition?

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Question 11

What is the primary chemical mediator responsible for the vasodilation and enhanced capillary permeability that leads to tissue edema and congestion in allergic rhinitis?

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Question 12

In which patient population are antihistamines specifically contraindicated, according to the chapter?

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Question 13

How long might it take for intranasal corticosteroids to take full effect in treating allergic rhinitis?

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Question 14

For how long must patients be monitored after receiving a subcutaneous immunotherapy injection due to the risk of severe reactions like anaphylaxis?

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Question 15

Which of the following are all considered primary symptoms of allergic rhinitis?

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Question 16

Contact dermatitis, caused by exposure to substances like soaps or solvents, is an example of which type of hypersensitivity reaction?

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Question 17

What is the term for the typical progression of allergic diseases that often begins with atopic dermatitis in early life and may lead to asthma and allergic rhinitis later?

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Question 18

In the context of clinical manifestations of contact dermatitis, what is a vesicle?

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Question 19

A loss-of-function mutation in the gene for which protein is considered a key factor in the pathophysiology of atopic dermatitis?

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Question 20

Dermatitis medicamentosa, a skin condition resulting from drug reactions, is classified as which type of hypersensitivity disorder?

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Question 21

What is the standard procedure for applying patches during an allergy patch test?

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Question 22

For a diagnosis of chronic urticaria to be made, for how long must the condition persist?

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Question 23

In addition to the face, hands, and feet, where else does angioedema typically occur?

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Question 24

A malar rash, which is an erythematous flat or raised rash across the bridge of the nose and cheeks, is assessed during which part of the physical examination for urticaria?

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Question 25

What is the primary pathophysiology of histamine-mediated angioedema?

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Question 26

How many foods have been reported to cause allergic reactions?

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Question 27

Which two food allergens are identified as causing the most severe reactions?

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Question 28

What is the process called when allergen-specific IgE, produced by plasma cells after initial exposure to a food allergen, binds to the surface of mast cells and basophils?

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Question 29

At least how many children in the United States have reported food allergies?

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Question 30

What is the primary management strategy for a patient diagnosed with a food allergy?

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Question 31

The natural protein used to create latex is derived from the sap of which tree?

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Question 32

Latex allergy is classified as which type of immediate hypersensitivity reaction?

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Question 33

Which of the following foods are reported to have cross-reactions with latex allergies?

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Question 34

What is the onset time for allergic contact dermatitis resulting from chemicals used in latex manufacturing?

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Question 35

In infants, what is responsible for 73 percent of anaphylactic cases?

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Question 36

In the general American population, what is the fatality rate of anaphylaxis?

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Question 37

What are the clinical manifestations of a mild anaphylactic reaction?

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Question 38

What is another term used for a severe anaphylactic reaction?

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Question 39

After an anaphylactic reaction, the enzyme tryptase can be elevated in the blood for how long?

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Question 40

What is the correct dilution of epinephrine for subcutaneous injection during an anaphylactic reaction?

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Question 41

After experiencing anaphylaxis and receiving epinephrine, for how long should a patient be monitored in an emergency room for rebound or delayed reactions?

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Question 42

According to the text, what is the key difference between irritant contact dermatitis and allergic contact dermatitis related to latex?

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Question 43

What is the purpose of an eosinophil chemotactic factor of anaphylaxis?

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Question 44

Which of the following describes the mechanism of action for second-generation H1 receptor antagonists like Zyrtec (cetirizine)?

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Question 45

What is the primary purpose of a skin test in diagnosing an allergy?

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Question 46

In a Type II hypersensitivity reaction, which two immunoglobulins are primarily involved in facilitating cytotoxic-mediated responses?

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Question 47

What is the primary role of a T cell in the immune response?

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Question 48

During an assessment for urticaria, the nurse checks for lymphadenopathy. This involves assessing which system?

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Question 49

How long does a reaction of allergic contact dermatitis to latex chemicals generally take to resolve?

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Question 50

Which statement best describes the primary goal of immunotherapy for allergies?

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