Pathology EMQ template.

Name: George Thornton             

Theme: Allergy

                    

OPTION LIST

 

A	Acute anaphylaxis	I	Fillagrin gene defect
B	Acute asthma	J	Hayfever
C	Anxiety disorder	K	Serum tryptase
D	0.5mg adrenaline (1:10000) IM	L	Systemic mastocytosis
E	0.5mg adrenaline (1:1000) IV	M	RAST  antibody test
F	0.5mg adrenaline (1:1000) IM	N	Skin prick test
G	C1 inhibitor deficiency	O
H	Chlorpheniramine 10mg IV	P

 

 

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 22 year old man presents to A&E short of breath, lip swelling and a diffuse urticarial rash. His blood pressure is 95/65. A history from his wife confirmed peanut allergy.

 

 

2. The patient above is given 100% oxygen. As the first and most important initial management he is given a drug.

 

 

3. A 19 year old girl presents to her GP of complaining of itching of the eyes, eye watering and rhinorrhoea that occurs annually during the summer

 

 

4. The most sensitive and specific test for the assessment of allergy

 

 

5. A 25 year old man presents to her GP with diarrhoea, abdominal pain         and hand swelling. She has recently had some dental work. The patient comments that he has had these symptoms recurrently throughout his life.

 

 

 

ANSWERS

1. A

2. F

3. J

4. N

5. G