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Seasonal Allergic Plant and Plant-related Derm Reactions​

Total questions: 25

Worksheet time: 9mins

Name
Class
Date
1.

Allergic rhinitis is an ___ mediated inflammation of nasal mucosa characterized by nasal congestion, pruritus, rhinorrhea, and sneezing.

a)

IgG

b)

IgE

c)

IgA

d)

IgM

2.

Which types of allergens are the primary etiologic agents of allergic rhinitis?

a)

Fluid

b)

Sinus

c)

Mucosal

d)

Airborne

3.

When does allergic rhinitis more commonly develop?

a)

Childhood and adolescence

b)

Adolescence and adulthood

c)

In utero and in childhood

d)

Childhood and adulthood

4.

Which is not a risk factor for allergic rhinitis?

a)

Female gender

b)

Exposure to particulate air pollution

c)

Residence in higher altitudes

d)

History of maternal smoking during childhood

5.

When does allergic rhinitis peak?

a)

2nd or 3rd decade of life

b)

3rd and 4th decade of life

c)

5th and 6th decade of life

d)

It never peaks

6.

How does pollination occur?

a)

transfer of the male gametophyte to the female gametophyte

b)

transfer of the female gametophyte to the male gametophyte

c)

Asexual transferral from a pollinated gametophyte to an unpollinated gametophyte

d)

Pollination occurs independently in each gametophyte twice every season

7.

True or false: Flowering plants (e.g., trees, grasses, weeds) are the most important allergens.

a)

True

b)

False

8.

How many phases does allergic rhinitis consist of?

a)

3: Acute, Late, Chronic

b)

2: Acute, & Late

c)

1: Delayed acute

d)

It depends

9.

Acute clinical manifestations of allergic rhinitis are caused by a___ hypersensitivity reaction.

a)

Type IV immediate

b)

Type III immediate

c)

Type II immediate

d)

Type I immediate

10.

Late inflammatory events are mediated by which cellular responses?

a)

eosinophils, basophils

b)

eosinophils

c)

CD4 T Cells

d)

eosinophils, basophils, and T lymphocytes

11.

What is defined as the genetic predisposition to develop allergen-specific immunoglobulin E (IgE) antibodies?

a)

Immunity

b)

Immunocompetence

c)

Atopy

d)

Immunoglobulization

12.

What is the first required entity for an immediate hypersensitivity?

a)

Allergen-specific mast cells

b)

Allergen-specific fighter t cells

c)

Allergen-specific memory B cells

d)

Allergen-specific IgE antibodies

13.

Mast and dendritic cells are examples of what types of cells?

a)

Antigen host cells

b)

Antigen presenting cells

c)

Antigen destroying cells

d)

Antigen replication cell

14.

Which cell is responsible for the differentiation of B lymphocytes?

a)

CD4 T Lymphocytes

b)

Plasma cells

c)

Mast cells

d)

Langerhans

15.

A plasma cell is a differentiated type of what cell?

a)

T lymphocyte

b)

Platelet

c)

B lymphocyte

d)

Dendritic cell

16.

Which is NOT a common outdoor source of fungal growth?

a)

leaves

b)

sand

c)

moist debris

d)

soil

17.

True of false: The three most important classes of allergic fungi are Zygomycetes (e.g., Rhizopus, Mucor), Basidiomycetes (e.g., rust, smut, Ganoderma), and Ascomycetes (e.g., Cladosporium, Penicillium, Aspergillus, Alternaria, Epicoccum).

a)

True

b)

False

18.

Who am I: I am a microscopic arachnid closely related to ticks and spiders. I feed on human epidermal scales and, like fungi, prefer a warm, humid environment. I am the most common indoor allergen and can cause significant perennial symptoms in sensitive individuals.

a)

Tick

b)

Noseeum

c)

Dust mite

d)

Ringworm

19.

Angioedema is caused by

a)

Subcutaneous expansion of vasculature including capillaries

b)

Physiologic increase in intravascular volume

c)

Development of subcutaneous air due to allergic reaction

d)

leakage of fluid in the deeper layers of the dermis and subcutaneous tissues.

20.

Which rash represents urticaria?

a)
b)
c)
21.

Time frame for duration of acute urticaria

a)

3 weeks

b)

6 weeks

c)

4 weeks

d)

2 week

22.

True or false: IgE-mediated type IV hypersensitivity reactions are the most common cause of acute urticaria and anaphylactic responses.

a)

True

b)

False

23.

Lesions that resemble urticaria, but are painful and leave residual bruising, may be manifestations of Lesions that resemble urticaria, but are painful and leave residual bruising, may be manifestations of ____.

a)

Vasogenic edema

b)

Urticarial vasculitis

c)

Cellulitis

d)

Abscess formation

24.

Urticaria accompanied by signs or symptoms of involvement of other organ systems (e.g., hypotension, respiratory or gastrointestinal [GI] symptoms) is consistent with ___.

a)

Panic attack symptoms

b)

Second antigen exposure

c)

Delayed urticarial reaction

d)

Anaphylaxis

25.

Which of the below does NOT place you at a higher risk of an angioedema reaction?

a)

Familial angioedema

b)

Acquired angioedema

c)

Direct contact to angioedema reaction

d)

ACE inhibitor–related angioedema