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 (C)</p> Signup and view all the answers

Which publication focuses on chronic nonallergic rhinitis?

<p>American Family Physician (C)</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 (A)</p> Signup and view all the answers

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

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

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

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

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

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

What condition is most commonly associated with atrophic rhinitis?

<p>Hypothyroidism (B)</p> Signup and view all the answers

What is atopy defined as in the text?

<p>Genetic predisposition to developing allergic conditions (A)</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 (A)</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 (C)</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% (C)</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 (C)</p> Signup and view all the answers

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

<p>Allergic rhinitis (D)</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. (A)</p> Signup and view all the answers

Which publication distinguishes between allergic and nonallergic rhinitis?

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

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

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

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

<p>Enlarged tonsils (C)</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 (C)</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 (C)</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 (C)</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 (A)</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> (C)</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 (B)</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 (B)</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 (C)</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 (B)</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 (B)</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 (D)</p> Signup and view all the answers

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

<p>Viral rhinitis (B)</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 (A)</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 (D)</p> Signup and view all the answers

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

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

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

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

Which of the following statements about nasal polyps is true?

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

Unilateral nasal polyps should raise concerns for what condition?

<p>Malignancy (D)</p> Signup and view all the answers

What is the most common nature of nasal polyps?

<p>Benign (B)</p> Signup and view all the answers

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

<p>Bilateral (D)</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 (A)</p> Signup and view all the answers

What is a key characteristic of bilateral nasal polyps?

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

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

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

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

<p>Tendency to regress spontaneously (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

<p>Smooth surface appearance (D)</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 (C)</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 (A)</p> Signup and view all the answers

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

<p>Malignancy (A)</p> Signup and view all the answers

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

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

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

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

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

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

Why are nasal polyps generally considered benign growths?

<p>Non-invasive nature (D)</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 (B)</p> Signup and view all the answers

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

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

Why might unilateral nasal polyps raise concerns?

<p>Because they can be indicative of underlying malignancy (C)</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 (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Predominantly inflammatory (C)</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 (A)</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 (D)</p> Signup and view all the answers

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

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

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

<p>Intranasal corticosteroids (C)</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 (B)</p> Signup and view all the answers

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

<p>Pet dander (D)</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 (C)</p> Signup and view all the answers

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