NMS Q&A Family Medicine

SECTION XIIAllergieschapter 36Atopic, Food, andContact AllergiesExamination questions : Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 Which of the following is a correct statement regardingmontelukast (Singulair)?(A) The drug is applicable to acute attacks ofasthma.(B) It may be used as monotherapy for the treatmentof exercise-induced asthma.(C) Rescue medication is contraindicated when apatient is on montelukast maintenance.(D) It is indicated for prevention and maintenancetherapy in asthma.(E) It is indicated in status asthmaticus.2 Each of the following defines Type I (ImmunoglobulinE (IgE)-mediated) allergic response except forwhich one?(A) Immune hemolytic anemia(B) Allergic asthma(C) Atopic dermatitis(D) Allergic gastroenteropathy(E) Anaphylaxis3 A 30-year-old woman develops wheezing, throattightness, and urticaria 2 minutes after being stungby a yellowjacket. Her pulse is 104. Her respiratoryrate is 30 and her blood pressure is 110/70. Sheappears to be in significant distress. There is diffuseexpiratory wheezing. Which of the following bestdescribes the pathophysiology of her situation?(A) Circulating antigens reacting with tissue-basedantigen, producing inflammatory injury(B) Deposition of circulating immune complexesinto the tissues, where they produce inflammatoryinjury(C) IgG response to injected antigen(D) Mast cell granule release in response tomembrane-bound IgE that is cross-linkingwith a specific allergen(E) A so-called late-phase reaction producedthrough inflammation4 Regarding the patient in Question 3, which of the followingtherapeutic measures is the best clinicalresponse?(A) Epinephrine, 1:100, injected subcutaneously(B) Epinephrine, 1:100, injected intravenously221