Allergy & Immunology Board Exam Started: Jul 13, 2026 11:01 Page 24 of 41 Attempt #2636 Overall: 0 / 201 questions answered Question 116 / 201 Not answered During morning rounds: a 38-year-old man is evaluated for sneezing and nasal pruritus with seasonal pattern in the context of food trigger pattern. 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. 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: 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 117 / 201 Not answered At a multidisciplinary case conference: a 60-year-old man is evaluated for reaction after new medication in the context of new drug exposure. Which is the most appropriate next investigation? A. Skin-prick testing when appropriate B. Detailed trigger-focused allergy history C. Pulmonary function testing D. Specific IgE testing in context E. Immunoglobulin level assessment Show Answer & Explanation Correct Answer: C 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 118 / 201 Not answered During morning rounds: a 54-year-old man presents with wheeze with hypotension after allergen exposure. Relevant risk context includes asthma comorbidity. What is the most likely diagnosis? A. Drug hypersensitivity reaction B. Primary antibody deficiency suspicion C. Anaphylaxis D. Hereditary angioedema E. Chronic spontaneous urticaria Show Answer & Explanation Correct Answer: C Explanation: The pattern of wheeze with hypotension after allergen exposure with risk factors such as asthma comorbidity is most consistent with Anaphylaxis. This answer best matches the expected diagnostic framework for 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 119 / 201 Not answered At a preventive-care consultation: a 65-year-old woman has sneezing and nasal pruritus with seasonal pattern with risk profile of immune deficiency family history. After initial stabilization and assessment, what is the most appropriate management step? A. Asthma controller optimization with trigger control B. Intranasal corticosteroid-based rhinitis control C. Immediate intramuscular epinephrine D. Targeted therapy for bradykinin-mediated angioedema E. Stepwise antihistamine optimization Show Answer & Explanation Correct Answer: C 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 120 / 201 Not answered In an outpatient specialty clinic: a 42-year-old man presents with sneezing and nasal pruritus with seasonal pattern. Relevant risk context includes new drug exposure. What is the most likely diagnosis? A. Allergic rhinitis B. Primary antibody deficiency suspicion C. Chronic spontaneous urticaria D. Drug hypersensitivity reaction E. Anaphylaxis Show Answer & Explanation Correct Answer: E Explanation: The pattern of sneezing and nasal pruritus with seasonal pattern with risk factors such as new drug exposure is most consistent with Anaphylaxis. This answer best matches the expected diagnostic framework for Allergy & Immunology. Reference: GINA Asthma Strategy; 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 Cancel « ← Previous Page 24 of 41 Next → »