Allergy & Immunology Board Exam Started: Jul 13, 2026 10:05 Page 18 of 41 Attempt #2549 Overall: 0 / 201 questions answered Question 86 / 201 Not answered During a primary-care follow-up visit: a 52-year-old man presents with transient pruritic wheals. Relevant risk context includes food trigger pattern. What is the most likely diagnosis? A. Hereditary angioedema B. Anaphylaxis C. Chronic spontaneous urticaria D. Drug hypersensitivity reaction E. Primary antibody deficiency suspicion Show Answer & Explanation Correct Answer: B Explanation: The pattern of transient pruritic wheals with risk factors such as food trigger pattern is most consistent with Anaphylaxis. This answer best matches the expected diagnostic framework for Allergy & Immunology. Reference: ARIA Rhinitis Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 87 / 201 Not answered At a preventive-care consultation: a 35-year-old man is evaluated for sneezing and nasal pruritus with seasonal pattern in the context of atopy. Which is the most appropriate next investigation? A. Pulmonary function testing B. Skin-prick testing when appropriate C. Immunoglobulin level assessment D. Complement profile including C4 E. Detailed trigger-focused allergy history Show Answer & Explanation Correct Answer: A Explanation: Pulmonary function testing is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Allergy & Immunology. Reference: EAACI Position Papers; Allergy & Immunology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 88 / 201 Not answered During morning rounds: a 39-year-old man has sneezing and nasal pruritus with seasonal pattern with risk profile of atopy. After initial stabilization and assessment, what is the most appropriate management step? A. Emergency action plan and patient education B. Immediate intramuscular epinephrine C. Asthma controller optimization with trigger control D. Targeted therapy for bradykinin-mediated angioedema E. Intranasal corticosteroid-based rhinitis control Show Answer & Explanation Correct Answer: B Explanation: Immediate intramuscular epinephrine is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Allergy & Immunology. Reference: WAO Anaphylaxis Guidance Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 89 / 201 Not answered At a preventive-care consultation: a 52-year-old woman is evaluated for transient pruritic wheals in the context of atopy. Which is the most appropriate next investigation? A. Specific IgE testing in context B. Detailed trigger-focused allergy history C. Immunoglobulin level assessment D. Complement profile including C4 E. Pulmonary function testing Show Answer & Explanation Correct Answer: E Explanation: Pulmonary function testing is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Allergy & Immunology. Reference: EAACI Position Papers; Allergy & Immunology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 90 / 201 Not answered During a primary-care follow-up visit: a 54-year-old man is evaluated for recurrent sinopulmonary infections in the context of asthma comorbidity. Which is the most appropriate next investigation? A. Immunoglobulin level assessment B. Skin-prick testing when appropriate C. Specific IgE testing in context D. Complement profile including C4 E. Detailed trigger-focused allergy history Show Answer & Explanation Correct Answer: A Explanation: Immunoglobulin level assessment is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Allergy & Immunology. Reference: ARIA Rhinitis Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 18 of 41 Next → »