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Chapter 59. Immunology and Allergy

Which is not thought to be involved in the allergy response?

A. IL 4

B. IL 5

C. TH2 cells

D. TH1 cells

A 56-year-old woman with hypertension and occasional shortness of breath is considering beginning SCIT. Which is an absolute contraindication to this course of treatment?

A. Uncontrolled asthma

B. Enalapril

C. Trouble with transportation

D. Concurrent food allergies

Which is considered first-line therapy for allergic rhinitis?

A. Montelukast

B. Omalizumab

C. Azelastine

D. Fluticasone

A patient who has been receiving SCIT for the last year came in for a shot an hour ago from a new vial, was observed for 30 minutes, and is now calling in from home. The patient is complaining of nausea, diarrhea, and shortness of breath. What should you tell the patient to do immediately?

A. Drive to the emergency room

B. Take Benadryl

C. Use epinephrine autoinjector

D. Drink plenty of fluids

Which is false about using nasal saline for allergic rhinitis?

A. Nasal saline used in conjunction with intranasal corticosteroids is superior to intranasal corticosteroids as monotherapy.

B. Hypertonic saline irrigations have been shown to be more beneficial for symptom control in children than isotonic saline.

C. Nasal saline is not recommended for use in the treatment of allergic rhinitis.

D. Isotonic saline may work by improving mucociliary clearance.

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