Allergy Specialist Board Exam Started: Jul 12, 2026 20:21 Page 10 of 11 Attempt #864 Overall: 0 / 53 questions answered Question 46 / 53 Not answered During an emergency department assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1967) A. Subcutaneous injection into forearm B. Intramuscular injection into the mid-anterolateral thigh C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: B Explanation: [Allergy & Immunology] 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 47 / 53 Not answered During an emergency department assessment: A teenager with allergic rhinitis has sneezing, nasal itching, watery rhinorrhea, and pale boggy turbinates. What is first-line controller therapy for persistent symptoms? A. Intranasal corticosteroid B. Oral antibiotic for 6 weeks C. Nasal decongestant indefinitely D. Systemic steroid daily long term E. No allergen advice Show Answer & Explanation Correct Answer: A Explanation: [Allergy & Immunology] Intranasal corticosteroids are the most effective first-line therapy for persistent allergic rhinitis. Reference: ARIA Allergic Rhinitis 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 48 / 53 Not answered During an emergency department assessment: A patient has recurrent swelling of lips and abdomen without urticaria, low C4, and poor response to antihistamines. What is likely? A. Histamine-mediated urticaria only B. Anaphylaxis from peanuts C. Contact dermatitis D. Cellulitis E. Hereditary angioedema Show Answer & Explanation Correct Answer: E Explanation: [Allergy & Immunology] Recurrent angioedema without urticaria plus low C4 suggests bradykinin-mediated hereditary angioedema. Reference: WAO/EAACI Hereditary Angioedema 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 49 / 53 Not answered During an emergency department assessment: A child develops recurrent infections with absent tonsils and very low immunoglobulins. What immune defect is suggested? A. Complement C1 inhibitor deficiency B. Atopic dermatitis only C. Food intolerance D. Humoral immunodeficiency such as X-linked agammaglobulinemia E. Normal childhood infection pattern Show Answer & Explanation Correct Answer: D Explanation: [Allergy & Immunology] Absent lymphoid tissue and very low immunoglobulins suggest B-cell/humoral immunodeficiency. Reference: ESID/AAAAI Primary Immunodeficiency 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 50 / 53 Not answered During an emergency department assessment: A patient has immediate hives and bronchospasm after penicillin, but penicillin is essential for neurosyphilis. What is the best approach? A. Give penicillin without precautions B. Avoid all antibiotics forever C. Allergy evaluation and desensitization if true allergy confirmed D. Use topical steroid E. Delay treatment indefinitely Show Answer & Explanation Correct Answer: C Explanation: [Allergy & Immunology] When penicillin is essential and IgE-mediated allergy is likely, specialist-supervised desensitization is appropriate. Reference: CDC STI Treatment Guidelines; 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 Cancel « ← Previous Page 10 of 11 Next → »