Free download in PDF Immunology Objective Type Questions and Answers for competitive exams. These short objective type questions with answers are very important for Board exams as well as competitive exams. These short solved questions or quizzes are provided by Gkseries.
21
An 8-year-old male has asthma symptoms about three times per month requiring the use of an albuterol inhaler, despite adequate inhaled steroid treatment. These episodes typically occur at night. The child is not allergic to his guinea pig or dust mites, and there is no smoking in the home. He has no problems with exercise and rarely needs albuterol during the day except when he has an upper respiratory tract viral infection. His FEV1 and PEFR are both >80% predicted. Based on this history, the most likely trigger for his nighttime asthma is:
22
A 45-year-old woman with a strong family history of both allergies and glaucoma presents with frequent red eyes that sometimes itch, sometimes feel dry and sometimes water. On exam, bulbar conjunctivae are injected, palpebral conjunctiva are normal in color. Nasal mucosa is moderately swollen and pale.
Which of the following is the most likely diagnosis?
23
A 5-year-old boy lives in a smoking household and has a history of RSV bronchiolitis in infancy. He has been diagnosed with bronchitis at least once, and sometimes twice, every winter. He has sneezing and allergic salute in spring and fall. When he runs in kindergarten he often coughs but has no obvious shortness of breath. He wakes at night coughing only when he has bronchitis. He is unable to do full pulmonary functions. The historical information most suggestive of asthma in this child is:
Answer: After adrenalin, the most important medication to administer immediately is steroids
25
A 2-year-old with wheezing, persistent cough, a history of vomiting with cough, as well as hives and angioedema and increased cough after milk products comes to your office for evaluation. He drinks soy and grandma is not feeding him any milk products. He has been treated with prn albuterol nebulizer treatments with benefit in the past. On exam he has frequent congested cough, p = 112, r =26, shiners and Dennies lines. On chest exam he has transmitted upper airway rhonchi and coarse breath sounds but no wheezes or rales. Nasal exam reveals swollen pale nasal mucosa without any visible discharge. CXR shows increased bronchovascular markings without infiltrate but with hyperexpansion. What diagnostic lab information do you want to obtain?
A
CBC and diff, IgE and IgG RAST to milk and soy
B
CBC and diff, total IgE, IgG RAST to milk
C
CBC and diff, total IgE, and skin or RAST testing to milk, casein and soy
D
CBC, milk precipitins, IgE RAST to milk and casein
32
A 40-year-old male presents to the Emergency Room complaining of hives, wheezing and difficulty breathing following an insect sting. Pulse is 120 beats/min. BP is 100/56. After Epinephrine is administered and quick assessment of the patient is done, you determine that the patient is moving air adequately and is not in shock. The next medication to give the patient immediately is:
33
A 40-year-old male presents to the Emergency Room complaining of hives,wheezing and difficulty breathing following an insect sting. Pulse is 120 beats/min.BP is 100/56. Immediate therapy should include which one of the following:
