Pulmonology Board Exam Started: Jul 13, 2026 06:58 Page 15 of 57 Attempt #2222 Overall: 0 / 285 questions answered Question 71 / 285 Not answered At a primary-care follow-up visit: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 429) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Aspirin desensitization if benefits outweigh risks E. Give only paracetamol Show Answer & Explanation Correct Answer: D Explanation: [Pulmonology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. Reference: 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 72 / 285 Not answered At a primary-care follow-up visit: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 428) A. Subcutaneous injection into forearm B. Oral tablet C. Intramuscular injection into the mid-anterolateral thigh D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: C Explanation: [Pulmonology] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. Reference: 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 73 / 285 Not answered During an emergency department assessment: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 420) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Delay glucose correction until CT E. Treat hypoglycemia immediately and reassess neurologic deficit Show Answer & Explanation Correct Answer: E Explanation: [Pulmonology] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke Guideline. Reference: 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 74 / 285 Not answered During an emergency department assessment: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 421) A. Inactivated influenza vaccine B. Live intranasal influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: A Explanation: [Pulmonology] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy Guidance. Reference: 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 75 / 285 Not answered During an emergency department assessment: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 422) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B Explanation: [Pulmonology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: 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 15 of 57 Next → »