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
biologic 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 resources 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
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
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