Allergy CMS 250
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Questions and Answers

Which publication discusses the public health impacts of aeroallergens in Canada?

  • Allergy Asthma Clinical Immunology
  • American Family Physician
  • Fitzpatrick's Dermatology
  • International Journal of Environmental Research and Public Health (correct)
  • In which publication can information about nasal polyps be found?

  • The Color Atlas and Synopsis of Family Medicine (correct)
  • American Family Physician
  • Fitzpatrick's Dermatology
  • International Journal of Environmental Research and Public Health
  • Which medical condition is discussed in the publication authored by Small, Keith, and Kim?

  • Chronic Nonallergic Rhinitis (correct)
  • Atopic Dermatitis
  • Asthma
  • Urticaria
  • Where can information about Urticaria be found?

    <p>No specific publication mentioned</p> Signup and view all the answers

    Which publication focuses on chronic nonallergic rhinitis?

    <p>American Family Physician</p> Signup and view all the answers

    Which subtype of rhinitis is most likely to be caused by an acute viral infection?

    <p>Nonallergic rhinitis</p> Signup and view all the answers

    What is the most common cause of nonallergic rhinitis according to the text?

    <p>Acute viral infection</p> Signup and view all the answers

    Which type of rhinitis is characterized by symptoms triggered by specific allergens?

    <p>Allergic rhinitis</p> Signup and view all the answers

    Which type of rhinitis is associated with hormonal changes, such as during pregnancy?

    <p>Vasomotor rhinitis</p> Signup and view all the answers

    What condition is most commonly associated with atrophic rhinitis?

    <p>Hypothyroidism</p> Signup and view all the answers

    What is atopy defined as in the text?

    <p>Genetic predisposition to developing allergic conditions</p> Signup and view all the answers

    Which of the following conditions is part of the Atopic Triad mentioned in the text?

    <p>Allergic Rhinitis</p> Signup and view all the answers

    How does atopy potentially develop into hypersensitivity reactions according to the text?

    <p>Leading to urticaria and anaphylaxis</p> Signup and view all the answers

    What percentage of Canadians with asthma also suffer from allergic rhinitis or sinusitis according to the text?

    <p>80%</p> Signup and view all the answers

    In asthma, what is considered an intrinsic feature of the airways independent of associated inflammation?

    <p>Hyperreactivity of the airways</p> Signup and view all the answers

    Which of the following conditions is a systematic review mentioned in the text?

    <p>Allergic rhinitis</p> Signup and view all the answers

    In the text, which reference discusses the prevalence of rhinitis in adults worldwide?

    <p>Savouré, M. et al.</p> Signup and view all the answers

    Which publication distinguishes between allergic and nonallergic rhinitis?

    <p>Quillen, D.M. &amp; Feller, D.B.</p> Signup and view all the answers

    Which medical book should be referred to for information on 'Current Diagnosis & Treatment Otolaryngology—Head and Neck Surgery'?

    <p>McGraw Hill; 2020</p> Signup and view all the answers

    Which study provides insights into the triad of current asthma, rhinitis, and eczema among adults?

    <p>Pullerits, T. et al.</p> Signup and view all the answers

    What is the purpose of tapping the maxillary teeth with a tongue depressor during a physical exam for sinuses?

    <p>To look for evidence of sensitivity</p> Signup and view all the answers

    In children, which physical findings are common indicators of allergic rhinitis?

    <p>Allergic shiners and nasal salute</p> Signup and view all the answers

    What is inversely associated with allergic rhinitis during a physical exam?

    <p>Enlarged tonsils</p> Signup and view all the answers

    During a physical exam for allergic rhinitis, what might enlarged tonsils indicate?

    <p>A bacterial cause of rhinitis</p> Signup and view all the answers

    What is the significance of giant papillae and a cobblestone appearance in the tarsal conjunctiva in vernal conjunctivitis?

    <p>Pathognomonic for vernal conjunctivitis</p> Signup and view all the answers

    What is the correct book title for information on Allergic Rhinitis by Kendrick, J. in 2022?

    <p>eCPS chapter on Allergic Rhinitis</p> Signup and view all the answers

    Which McGraw Hill publication provides information on Asthma by Israel E. in 2022?

    <p>Harrison's Principles of Internal Medicine, 21e</p> Signup and view all the answers

    Where can one access information on Allergic Rhinitis according to DynaMed?

    <p><a href="https://www-dynamed-com.ccnm.idm.oclc.org/condition/allergic-rhinitis">https://www-dynamed-com.ccnm.idm.oclc.org/condition/allergic-rhinitis</a></p> Signup and view all the answers

    In which publication can information on Disorders of the Immune System by Kishiyama, J.L., Chang, J.J., & Donovan, S.M. be found?

    <p>Pathophysiology of Disease: An Introduction to Clinical Medicine, 8e</p> Signup and view all the answers

    Where can one find information on Respiratory Problems according to South-Paul JE, Matheny SC, Lewis EL.?

    <p><a href="https://accessmedicine-mhmedical-com.ccnm.idm.oclc.org/content.aspx?bookid=2934">https://accessmedicine-mhmedical-com.ccnm.idm.oclc.org/content.aspx?bookid=2934</a> &amp;sectionid=247400317</p> Signup and view all the answers

    Which type of testing is safe, specific, cost-effective, and does not require trained technicians?

    <p>In-vitro serum IgE testing</p> Signup and view all the answers

    What is the main reason behind the main symptoms of allergic rhinitis such as itching, nasal congestion, runny nose, and sneezing?

    <p>Inflammatory cells releasing chemical mediators</p> Signup and view all the answers

    Which type of testing is recommended for children 3 years and older according to evidence-based recommendations for allergy testing?

    <p>Percutaneous skin testing</p> Signup and view all the answers

    Why is percutaneous skin testing recommended for children 3 years and older?

    <p>It is safe and specific</p> Signup and view all the answers

    Which type of rhinitis can be secondary to ⍺-agonist withdrawal?

    <p>Viral rhinitis</p> Signup and view all the answers

    Which type of allergy testing is appropriate at any age according to evidence-based recommendations?

    <p>RAST testing</p> Signup and view all the answers

    What type of testing should be performed only when needed to change therapy or clarify a diagnosis according to recommendations?

    <p>In-vitro serum IgE testing</p> Signup and view all the answers

    Which type of blood testing is now equivalent to skin testing in efficacy?

    <p>RAST testing</p> Signup and view all the answers

    What is the approximate incidence of nasal polyps in the general population?

    <p>4%</p> Signup and view all the answers

    Which of the following statements about nasal polyps is true?

    <p>They are usually benign</p> Signup and view all the answers

    Unilateral nasal polyps should raise concerns for what condition?

    <p>Malignancy</p> Signup and view all the answers

    What is the most common nature of nasal polyps?

    <p>Benign</p> Signup and view all the answers

    What is the usual characteristic of nasal polyps in terms of laterality?

    <p>Bilateral</p> Signup and view all the answers

    Which of the following is a common concern associated with unilateral nasal polyps?

    <p>Higher chance of malignant transformation</p> Signup and view all the answers

    What is a key characteristic of bilateral nasal polyps?

    <p>Typically benign and non-neoplastic</p> Signup and view all the answers

    In the context of nasal polyps, what does chronic inflammation typically indicate?

    <p>Higher probability of spontaneous regression</p> Signup and view all the answers

    What is the incidence rate of nasal polyps in the general population?

    <p>~5%</p> Signup and view all the answers

    Which of the following best describes the benign nature of nasal polyps?

    <p>Tendency to regress spontaneously</p> Signup and view all the answers

    What is a characteristic feature of bilateral nasal polyps that differentiates them from unilateral nasal polyps?

    <p>Involvement of both middle meatuses</p> Signup and view all the answers

    Which of the following is a reason why nasal polyps are more common in individuals with chronic inflammation?

    <p>Increased vascular permeability</p> Signup and view all the answers

    What aspect of nasal polyps contributes to their generally benign nature?

    <p>Smooth surface appearance</p> Signup and view all the answers

    Why are unilateral nasal polyps of particular concern compared to bilateral nasal polyps?

    <p>Higher likelihood of being malignant</p> Signup and view all the answers

    What factor contributes to the lower incidence of nasal polyps in the general population?

    <p>Presence of normal breathing patterns</p> Signup and view all the answers

    What is a common concern when unilateral nasal polyps are present?

    <p>Malignancy</p> Signup and view all the answers

    Which condition is most likely to manifest with bilateral nasal polyps?

    <p>Cystic fibrosis</p> Signup and view all the answers

    What is the incidence of bilateral nasal polyps in the general population?

    <p>1-2%</p> Signup and view all the answers

    Which characteristic best describes the chronic inflammatory nature of nasal polyps?

    <p>Steroid-responsive</p> Signup and view all the answers

    Why are nasal polyps generally considered benign growths?

    <p>Non-invasive nature</p> Signup and view all the answers

    What is a key characteristic of bilateral nasal polyps according to the text?

    <p>They are frequently associated with nonallergic rhinitis</p> Signup and view all the answers

    In the U.S., what percentage of rhinitis cases does nonallergic rhinitis represent?

    <p>At least 23%</p> Signup and view all the answers

    Why might unilateral nasal polyps raise concerns?

    <p>Because they can be indicative of underlying malignancy</p> Signup and view all the answers

    What is a common characteristic of chronic inflammation associated with rhinitis?

    <p>It can lead to the formation of nasal polyps over time</p> Signup and view all the answers

    What is the benign nature of most nasal polyps discussed in the text?

    <p>They are typically noncancerous growths with no malignant potential</p> Signup and view all the answers

    Which of the following is a characteristic that raises concerns for unilateral nasal polyps?

    <p>Unilateral in nature</p> Signup and view all the answers

    What is the approximate incidence of bilateral nasal polyps in the adult population?

    <p>15%</p> Signup and view all the answers

    Which of the following is a key feature of chronic inflammation related to nasal polyps?

    <p>Formation of nasal crusts</p> Signup and view all the answers

    What distinguishes the benign nature of nasal polyps compared to other nasal conditions?

    <p>Predominantly inflammatory</p> Signup and view all the answers

    In the context of nasal polyps, what is a significant concern if they are found unilaterally?

    <p>Higher likelihood of being malignant</p> Signup and view all the answers

    Which factor showed a 40% lower risk in subjects who had lived on a farm during their first year of life?

    <p>Early pet exposure</p> Signup and view all the answers

    What symptom is most likely to be associated with chronic acute rhinitis?

    <p>Postnasal drip</p> Signup and view all the answers

    What does the presence of anaphylactic reactions following insect stings indicate about the patient?

    <p>They are likely to be atopic</p> Signup and view all the answers

    Which medication is least likely to lead to symptoms of rhinitis?

    <p>Intranasal corticosteroids</p> Signup and view all the answers

    What characteristic suggests that chronic symptoms with seasonal variations are likely due to seasonal allergic rhinitis?

    <p>Seasonal variations</p> Signup and view all the answers

    Which environmental factor is most likely to contribute to year-round 'perennial rhinitis'?

    <p>Pet dander</p> Signup and view all the answers

    What is the most likely cause of allergic rhinitis in older children and adolescents?

    <p>Pollens and spores</p> Signup and view all the answers

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