Allergies: More Than A Sneeze

Independent Analysis

10 Contact Hours - Course 3021

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Instructions:
Answer each of the following questions (there is only one correct answer to each question).



1. Allergy is defined as a(an)
         A. normal physiologic or biological reaction
         B. adverse physiologic or biologic reaction
         C. hypersensitivity to a substance common in most people
         D. none of the above
2. Studies of allergy must be based on the ________ process, the root of all allergic reactions.
         A. physiological
         B. psychological
         C. immunological
         D. sociological
3. An antigen is defined as a substance that
         A. causes the formation of antibodies by the body
         B. causes the formation of allergens by the body
         C. causes the formation of cholamines by the body
         D. causes the formation of vitamins by the body
4. All blood cells in the body start out from?
         A. nerve cells
         B. muscle cells
         C. tissue cells
         D. bone marrow(stem cells)
5. Which cells are responsible for "humoral immunity"?
         A. A-cells
         B. B-cells
         C. C-cells
         D. T-cells
6. Which cells are responsible for "cellular immunity"?
         A. A-cells
         B. B-cells
         C. C-cells
         D. T-cells
7. Principal immunoglobulin in milk, saliva and tears:
         A. IgA
         B. IgD
         C. IgG
         D. IgM
8. Globulin formed in almost every immune response during the early period of the reaction:
         A. IgA
         B. IgD
         C. IgG
         D. IgM
9. Principal immunoglobulin in human serum:
         A. IgA
         B. IgD
         C. IgE
         D. IgG
10. Important in the forming of reagin and ultimately, antibodies:
         A. IgA
         B. IgD
         C. IgE
         D. IgM
11. Chemical mediators released in the blood when an antibody combines with an antigen include:
         A. histamine
         B. serotonin
         C. slow-reacting substance of anaphylaxis
         D. all of the above
12. Sensitization is a _____reaction where specific antibodies develop in response to an antigen.
         A. chemical
         B. acquired
         C. physical
         D. learned
13. Receptors have a specialized reacting surface with the ability to:
         A. bind with immunoglobulin E
         B. react with certain drugs or hormones
         C. both A & B
         D. do not have any specialized ability related to allergy
14. In allergic sensitization, when chemical mediators are released in the respiratory tract, the mediators cause
         A. contraction of bronchial smooth muscle
         B. increased mucous secretion
         C. accumulation of eosinophils
         D. all of the above to occur
15. Which nonimmunologic factor(s) can cause allergic symptoms?
         A. air pollution
         B. sudden changes in temperature
         C. infection
         D. all of the above can cause allergic symptoms
16. Low concentrations of which immunoglobulins are normally present in all individuals, both on the mast cells and in serum?
         A. IgA
         B. IgD
         C. IgE
         D. IgM
17. Before a person can become allergic to a substance, what needs to occur?
         A. They must inherit the allergy from their parent(s).
         B. Exposure, in substantial amounts, over prolonged periods must occur.
         C. Two types of immunoglobulins must combine.
         D. The immune system must be fragile and unable to resist attack.
18. There are how many types of allergic reactions?
         A. four
         B. three
         C. two
         D. one
19. An example of a Type I allergic reaction would be?
         A. serum sickness
         B. hemolytic disease
         C. anaphylactic reaction-asthma
         D. contact dermatitis-poison ivy
20. Characteristics of mucous membranes of those with allergic conditions will appear:
         A. clear
         B. swollen, pale or cyanotic
         C. pink
         D. bloody drainage
21. Trigger mechanisms in tissue hyperactivity include:
         A. Irritants/meteorological
         B. Psychological/emotional factors
         C. Allergy/infection
         D. all of the above are trigger mechanisms
22. A serum eosinophil level of _____% is indicative of allergy?
         A. above 2%
         B. above 4%
         C. above 6%
         D. above 8%
23. Types of testing to confirm allergy include(s):
         A. Scratch test
         B. Intradermal skin test
         C. Challenge test
         D. all of the above can be used to determine allergy
24. Allergic rhinitis may occur
         A seasonally
         B. perennially
         C. seasonal or perennial
         D. only once a year
25. The symptoms of "hay fever" may include:
         A. itchy, watery eyes.
         B. itchy feet
         C. itchy fingers
         D. itchy skin
26. Patients with allergic rhinitis who do not receive proper attention may develop:
         A. nasal polyps
         B. bronchial asthma
         C. secondary sinus infections
         D. all of the above
27. In perennial rhinitis, animal allergies are caused by which of the following?
         A. proteins secreted by oil glands
         B. proteins in the saliva
         C. proteins in the animal's urine
         D. all are sources of major allergens
28. Newer generations of antihistamines have which characteristics?
         A. sedating, multiple side effects
         B. available OTC
         C. non-sedating, fewer side effects
         D. lower in cost
29. Generalized side effects of antihistamines and decongestants to use in client teaching include:
         A. drowsiness, nervousness, irritability
         B. postural hypotension, palpitations
         C. epigastric distress, urinary changes
         D. all of the above can be med side effects
30. _________is the only drug available that can actually prevent allergic reactions from starting.
         A. Nasacort
         B. Cromolyn Sodium
         C. Flonase
         D. Saline
31. What is the new FDA approved eye drop for treatment of allergic conjunctivitis that works up to 8 hours?
         A. Optivar
         B. Visine AC
         C. Vasocon A
         D. Clear Eyes ACR
32. Which of the following situations will have a negative effect on a patient with vasomotor rhinitis?
         A. pollen
         B. cold air
         C. dust
         D. low humidity
33. 33. The patient with atopic dermatitis (eczema) is sensitive to which elements?
         A. irritation, infection
         B. heat, scratching
         C. secondary infections
         D. All of the above
34. Characteristic clinical features of allergic contact dermatitis include:
         A. regular, symmetric lesions
         B. vesicular, bullous red streak lesions
         C. irregular, asymmetric linear lesions
         D. irregular, circular patches spread over the body
35. Rhus dermatitis (poison oak, ivy) rash clinically appears:
         A. vesicular, bullous red streaks and patches
         B. irregular, symmetric linear lesions
         C. regular, symmetric lesions
         D. irregular, asymmetric raised lesions
36. Acute stages of contact dermatitis may be treated with
         A. cool water compresses
         B. 1:20 Burow's solution compresses
         C. 1:20 rubbing alcohol compresses
         D. 1:20 Epsom salts solution compresses
37. General measures for the management of clothing dermatitis include(s)
         A. thorough washing and rinsing to remove detergent
         B. airing out items that have been dry cleaned
         C. controlling perspiration
         D. all of the above measures are helpful
38. The two metals responsible for the most contact dermatitis are:
         A. gold and silver
         B. copper and stainless steel
         C. nickel and chromium
         D. platinum and brass
39. Anaphylaxis is a systemic reaction to a foreign material with symptoms that may include
         A. generalized pruritus, profuse sweating
         B. abdominal pain, N/V, diarrhea
         C. dyspnea, cyanosis, chest pain
         D. all of the above symptoms may occur
40. In respect to patient teaching, what percent chance does a child have of developing allergies if both parents have allergies?
         A. 75-80%
         B. 55-65%
         C. 35-45%
         D. 15-25%
41. Which seasonal allergy commonly occurs during the months of August to September?
         A. grass pollen
         B. ragweed pollen
         C. dust, feathers
         D. animal dander
42. Allergies and colds have similar symptoms. Which signs will differentiate that it is probably an allergy?
         A. you have a fever
         B. mucus secretions are thick and colored
         C. sneezes occur in rapid, multiple sequence
         D. symptoms last 10 or fewer days
43. Causes of allergies, other than inhaled allergens, can include which of the following?
         A. food
         B. latex /drugs
         C. insect stings
         D. all are potential allergens to be considered
44. Which form of allergy testing measures the level of IgE in the blood?
         A. skin testing
         B. intradermal testing
         C. radioallergosorbent testing
         D. serum complete blood count (CBC)
45. The best way to avoid symptoms of nasal allergy is
         A. take your medicine
         B. prevention (avoiding exposure)
         C. never go outside
         D. over expose yourself to build up a tolerance to the allergen
46. Tips to allergy prevention include which of the following?
         A. Prohibit smoking indoors
         B. Wear a surgical mask or scarf when outside, mowing or dusting
         C. Bathe pets regularly
         D. All these will help with allergy prevention
47. Decongestant nasal sprays should not be used for more than how many days?
         A. 3-7 days
         B. 8-12 days
         C. 14-21 days
         D. There is no limitation to using decongestant nasal sprays
48. Immunotherapy (allergy shots) may take how long to begin alleviating symptoms?
         A. one to two months
         B. three to five months
         C. six to twelve months
         D. one year or more
49. Herbal treatment for children with allergies include(s)
         A. Astragalus and Echinacea
         B. Fenugreek, Thyme and Nettle
         C. Garlic and Licorice Root
         D. All are appropriate herbal treatments
50. Which vitamins are helpful during allergy season?
         A. Vitamins D & E
         B. Vitamins B5 & C
         C. Vitamins B2 & K
         D. Vitamins are of no benefit to alleviate allergy symptoms
 

© NurseCE (Allergies: More Than A Sneeze v1.0 - Feb 2008).


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