Allergy & Immunology Board Exam Started: Jul 12, 2026 22:58 Page 37 of 41 Attempt #1290 Overall: 0 / 201 questions answered Question 181 / 201 Not answered At a preventive-care consultation: a 30-year-old man has sneezing and nasal pruritus with seasonal pattern with risk profile of family allergy history. After initial stabilization and assessment, what is the most appropriate management step? A. Immediate intramuscular epinephrine B. Stepwise antihistamine optimization C. Targeted therapy for bradykinin-mediated angioedema D. Intranasal corticosteroid-based rhinitis control E. Asthma controller optimization with trigger control Show Answer & Explanation Correct Answer: E Explanation: Asthma controller optimization with trigger control 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 182 / 201 Not answered At a multidisciplinary case conference: a 72-year-old man presents with transient pruritic wheals. Relevant risk context includes family allergy history. What is the most likely diagnosis? A. Drug hypersensitivity reaction B. Anaphylaxis C. Hereditary angioedema D. Allergic rhinitis E. Primary antibody deficiency suspicion Show Answer & Explanation Correct Answer: B Explanation: The pattern of transient pruritic wheals with risk factors such as family allergy history is most consistent with Anaphylaxis. This answer best matches the expected diagnostic framework for 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 183 / 201 Not answered At a multidisciplinary case conference: a 55-year-old man is evaluated for reaction after new medication in the context of asthma comorbidity. Which is the most appropriate next investigation? A. Detailed trigger-focused allergy history B. Skin-prick testing when appropriate C. Specific IgE testing in context D. Pulmonary function testing E. Immunoglobulin level assessment Show Answer & Explanation Correct Answer: C Explanation: Specific IgE testing in context is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 Question 184 / 201 Not answered During morning rounds: a 25-year-old woman presents with transient pruritic wheals. Relevant risk context includes asthma comorbidity. What is the most likely diagnosis? A. Anaphylaxis B. Primary antibody deficiency suspicion C. Hereditary angioedema D. Allergic rhinitis E. Chronic spontaneous urticaria Show Answer & Explanation Correct Answer: B Explanation: The pattern of transient pruritic wheals with risk factors such as asthma comorbidity is most consistent with Primary antibody deficiency suspicion. 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 185 / 201 Not answered In an emergency department assessment: a 67-year-old woman presents with recurrent swelling without urticaria. Relevant risk context includes new drug exposure. What is the most likely diagnosis? A. Drug hypersensitivity reaction B. Hereditary angioedema C. Chronic spontaneous urticaria D. Allergic rhinitis E. Anaphylaxis Show Answer & Explanation Correct Answer: A Explanation: The pattern of recurrent swelling without urticaria with risk factors such as new drug exposure is most consistent with Drug hypersensitivity reaction. 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 Cancel « ← Previous Page 37 of 41 Next → »