CMN 568 EVALUATION EXAMS SET QUESTIONS AND
ANSWERS SURE A+
✔✔opthalmia neonatorum - ✔✔- conjunctivitis of the newborn
- chlamydia common cause
- ppx erythro when born
- bacterial or viral
✔✔keratoconjunctivitis - ✔✔- inflammation of the cornea and conjunctiva
- dry eye
- more common in older patients and females
✔✔Allergic Rhinoconjunctivitis - ✔✔more common in boys in childhood
✔✔intermittent AR - ✔✔<4 days/week or <4 weeks at a time
✔✔Persistent AR - ✔✔>4 days a week for >4 weeks
✔✔Mild AR - ✔✔no interference with sleep, daily activities, work, or school function and
attendance, and no troublesome symptoms
✔✔moderate to severe AR - ✔✔symptoms impair sleep, impair daily activities or are
troublesome
✔✔allergic salute - ✔✔- constant upward rubbing of the nose with the palm of the hand
- creating crease in nose
- common s/s of AR
✔✔other s/s of AR:
1. nasal turbinates
2. intraorbital cyanosis
3. increased pharyngeal lymphoid tissue - ✔✔1. pale, blue swollen dimpling in nares
2. allergic shiners
3. cobblestoning
✔✔inhalent allergies - ✔✔skin testing to ID specific IgE allergy is best for what type of
allergy?
✔✔first line med for moderate to severe AR - ✔✔intranasal corticosteroids
✔✔antihistamines - ✔✔- med for AR that controls itching, sneezing, rhinorrhea
- first gen is sedating
- second gen not sedating
, ✔✔Fexofenadine - ✔✔- Allegra
- antihistamine
- OK for 6 mo +
✔✔Cetirizine - ✔✔- Zyrtec
- antihistamine
- ok for 6 mo +
✔✔Loratadine - ✔✔- Claritin
- antihistamine
- OK for 2 yo +
✔✔Mast Cell Stabilizers - ✔✔- cromolyn sodium
- ipratropium (Atrovent)
- opthalamic cromolyn
✔✔PO decongestants - ✔✔- Pseudoephedrine (Sudafed)
- Phenylephrine (Sudafed PE)
- kids are NOT rec to use these to tx AR
✔✔Montelukast - ✔✔- leukotriene receptor antagonist
- Singular
- used for perennial AR in 6 mo + and seasonal in 2 yo +
✔✔antibiotic - ✔✔most frequent cause of allergic reaction
✔✔Type 1 hypersensitivity reaction - ✔✔-IgE mediated
-Ex: Asthma, allergic rhinitis, atopic dermatitis, anaphylactic shock, urticaria,
angioedema
✔✔Type 2 hypersensitivity reaction - ✔✔cytotoxic (drug-induced hemolytic anemia or
thrombocytopenia)
✔✔Type 3 hypersensitivity reaction - ✔✔Immune complex
(serum sickness, SLE)
✔✔Type 4 hypersensitivity reaction - ✔✔T-cell dependent like contact dermatitis, TB,
Leprosy, GVHD
✔✔Aromatic AEDs - ✔✔- what type of AEDs has the most common hypersensitivity rx
- common cause of DRESS in kids (drug rash with eosinophilia and sys s/s)
✔✔serum typtase - ✔✔if anaphylaxis is suspected, what lab should you get within 2h?
ANSWERS SURE A+
✔✔opthalmia neonatorum - ✔✔- conjunctivitis of the newborn
- chlamydia common cause
- ppx erythro when born
- bacterial or viral
✔✔keratoconjunctivitis - ✔✔- inflammation of the cornea and conjunctiva
- dry eye
- more common in older patients and females
✔✔Allergic Rhinoconjunctivitis - ✔✔more common in boys in childhood
✔✔intermittent AR - ✔✔<4 days/week or <4 weeks at a time
✔✔Persistent AR - ✔✔>4 days a week for >4 weeks
✔✔Mild AR - ✔✔no interference with sleep, daily activities, work, or school function and
attendance, and no troublesome symptoms
✔✔moderate to severe AR - ✔✔symptoms impair sleep, impair daily activities or are
troublesome
✔✔allergic salute - ✔✔- constant upward rubbing of the nose with the palm of the hand
- creating crease in nose
- common s/s of AR
✔✔other s/s of AR:
1. nasal turbinates
2. intraorbital cyanosis
3. increased pharyngeal lymphoid tissue - ✔✔1. pale, blue swollen dimpling in nares
2. allergic shiners
3. cobblestoning
✔✔inhalent allergies - ✔✔skin testing to ID specific IgE allergy is best for what type of
allergy?
✔✔first line med for moderate to severe AR - ✔✔intranasal corticosteroids
✔✔antihistamines - ✔✔- med for AR that controls itching, sneezing, rhinorrhea
- first gen is sedating
- second gen not sedating
, ✔✔Fexofenadine - ✔✔- Allegra
- antihistamine
- OK for 6 mo +
✔✔Cetirizine - ✔✔- Zyrtec
- antihistamine
- ok for 6 mo +
✔✔Loratadine - ✔✔- Claritin
- antihistamine
- OK for 2 yo +
✔✔Mast Cell Stabilizers - ✔✔- cromolyn sodium
- ipratropium (Atrovent)
- opthalamic cromolyn
✔✔PO decongestants - ✔✔- Pseudoephedrine (Sudafed)
- Phenylephrine (Sudafed PE)
- kids are NOT rec to use these to tx AR
✔✔Montelukast - ✔✔- leukotriene receptor antagonist
- Singular
- used for perennial AR in 6 mo + and seasonal in 2 yo +
✔✔antibiotic - ✔✔most frequent cause of allergic reaction
✔✔Type 1 hypersensitivity reaction - ✔✔-IgE mediated
-Ex: Asthma, allergic rhinitis, atopic dermatitis, anaphylactic shock, urticaria,
angioedema
✔✔Type 2 hypersensitivity reaction - ✔✔cytotoxic (drug-induced hemolytic anemia or
thrombocytopenia)
✔✔Type 3 hypersensitivity reaction - ✔✔Immune complex
(serum sickness, SLE)
✔✔Type 4 hypersensitivity reaction - ✔✔T-cell dependent like contact dermatitis, TB,
Leprosy, GVHD
✔✔Aromatic AEDs - ✔✔- what type of AEDs has the most common hypersensitivity rx
- common cause of DRESS in kids (drug rash with eosinophilia and sys s/s)
✔✔serum typtase - ✔✔if anaphylaxis is suspected, what lab should you get within 2h?
