Pathology EMQ template.

Name:

Candidate number:

Theme: Allergy

 

OPTION LIST

 

A	Challenge test	I	Specific IgM
B	Double blinded oral food challenge	J	epipen
C	IV Adrenaline 500ug	K	Anti-histamines
D	IM Adrenaline 500ug	L	Serum amylase at 1,3 & 24 hrs
E	IM Adrenaline 250ug	M	Serum tryptase at 1,3 & 24hrs
F	CRP	N	cyclosporin
G	Specific IgE (RAST)	O	Inhaled bronchodilators
H	Skin prick test	P	IV hydrocortisone

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 65 year female is having an elective right hip replacement. Following the administration of the anaesthetic agent, she becomes hypotensive and develops a rash. After having stabilised the patient, what single investigation would help confirm anaphylaxis.

 

 

2. This investigation is more sensitive and specific than blood tests in allergy testing, but is of limited use in patients with extensive eczema and dermatographism.

 

 

3. A medical student presents to her GP, after having self diagnosed an allergy to sea food. On further questioning she describes, she develops an itchy red rash, and feels nauseous after eating sushi. What is the gold standard test for diagnosing a food allergy.

 

 

4. Useful investigation in patients with a history of anaphylaxis, or are unable to stop taking anti-histamines

 

 

5. A 50 year gentlemen is being treated on the wards for a chest infection. After the nurse administered his antibiotic, he rapidly developed shortness of breath, itching, and lip swelling. What is the acute management in this clinical situation.

 

 

 

ANSWERS

1. M

2. H

3. B

4. G

5. D