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Immuno, FTW Ya Know

Total questions: 10

Worksheet time: 50mins

Name
Class
Date
1.

A 30-year-old Caucasian female anatomist lives in the U.S. She has annual rhinorrhea, and nasal and ocular pruritus early every fall. She also owns a rabbit named Burke and a tea cup pig named Hare. Which is the most likely cause of her symptoms?

a)

Tree Pollen

b)

Grass Pollen

c)

Rabbit Dander

d)

Dust Mites

e)

Ragweed Pollen

2.

What is the first-line diagnostic test to confirm asthma?

a)

Methacholine Challenge Test

b)

Peak Expiratory Flow Rate

c)

Serum IgE

d)

FEV1 before/after giving inhaled beta-agonist

e)

Chest Radiograph

3.

A 31-year-old Argentinian male footballer with a history of growth hormone deficiency is benched due to uncontrolled asthma. He has daily exacerbations requiring low-dose inhaled corticosteroids and nocturnal symptoms weekly. What therapy will you add?

a)

Anticholinergic Agent

b)

Long-acting Beta-agonist

c)

Scheduled Short-acting Beta-agonist

d)

Theophylline

e)

Cromolyn

4.

A 35-year-old Archeologist presents after an unplanned trip to India, searching for the stones of Sankara. He has had allergic rhinitis, complete with nasal pruritus and sneezing, every autumn since childhood in Arizona. He takes 10 mg loratadine daily without relief. Which of the following treatments would you suggest to avoid him hanging up his hat and whip for good?

a)

Oral pseudoephedrine

b)

Immunotherapy

c)

Daily Ipratroprium nasal spray

d)

Daily fluticasone nasal spray

e)

The color murple

5.

While in Clinic, Thor busts into the office as a walk-in and asks, "for a friend", what you recommend as a first-line treatment for acute bacterial rhinosinusitis? Assemble an answer.

a)

Ammoxicillin

b)

Cefdinir

c)

Amoxicillin-Clavulanate

d)

Azithromycin

e)

TMP-SMX

6.

The 12th U.S. President time-travels to to establish care at the continuity clinic and presents with 3-months of nasal congestion, anosmia, ageusia, and worsening asthma. On examination your find is a small left nasal polyp. Next step?

a)

Nasal Polyp Biopsy

b)

IgG levels

c)

Allergy Skin Testing

d)

Water's radiographs of the sinuses

e)

CT sinuses

7.

Hiking in Nicaragua, you find Dutch setting traps for an unseen foe. He has congestion, maxillary tenderness--but no pharyngitis, you toss him the Ammoxicillin-Clavulanate you carry for just such times. A week later he has urticaria, fever, and arthralgia. Why?

a)

Delayed Type Hypersensitivity

b)

Rheumatic Fever

c)

Serum Sickness

d)

Bacterial Endocarditis

e)

The dart toxin of Conus purpurascens

8.

Radiology calls to tell you Wolverine is a no go for MRI. They recommend CT W/Contrast but he has a confirmed allergy with wheezing/flushing/pruritus. What is the most appropriate choice?

a)

0.9% saline 2 hours before CT and for 6 hours after CT

b)

1 L NaHCO3 immediately before scan

c)

Sensitivity test with small dose of contrast

d)

1200 mg N-acetlycysteine BID for two days, starting before the scan

e)

Prednisone, diphenhydramine before CT with nonionic low-Osm contrast

9.

Doug Ross, wandering the halls of Cook County, realizes the key to saving his patient is physiology. He remembers all of the following are required for Helper T-Cell activation except...

a)

Cluster of Differentiation-IV

b)

CD-28/B-7

c)

LFA-1/ICAM-1

d)

Major Histocompatibility Complex I/CD-3

e)

Antigen Epitopes

10.

You just completed your lecture after winning the Noble Prize for Physiology. You turn and ask the crowd for any questions, and a senior member of the Swedish Congress asks how your world-changing drug is different than Omalizumab. You start replying by stating that the direct effect of Omalizumab is to block...

a)

IL-5

b)

Histamine

c)

Leukotriene B

d)

Immunoglobulin E

e)

Mast Cells