Allergy Specialist Board Exam Started: Jul 12, 2026 22:42 Page 6 of 11 Attempt #1204 Overall: 0 / 53 questions answered Question 26 / 53 Not answered At a primary-care follow-up visit: 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. Normal childhood infection pattern E. Humoral immunodeficiency such as X-linked agammaglobulinemia Show Answer & Explanation Correct Answer: E 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 27 / 53 Not answered At a primary-care follow-up visit: 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. Use topical steroid D. Allergy evaluation and desensitization if true allergy confirmed E. Delay treatment indefinitely Show Answer & Explanation Correct Answer: D 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 Question 28 / 53 Not answered At a primary-care follow-up visit: A 55-year-old man develops wheeze, urticaria, and hypotension after peanut exposure. What is the first treatment? A. Oral antihistamine B. IV antibiotics C. IM epinephrine D. CT chest E. Observation only Show Answer & Explanation Correct Answer: C Explanation: [Allergy & Immunology] Anaphylaxis with respiratory and cardiovascular involvement requires immediate intramuscular epinephrine. Reference: World Allergy Organization Anaphylaxis Guidance 2020/2024 update. 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 29 / 53 Not answered A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1960) A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. No vaccine in pregnancy ever E. Inactivated influenza vaccine Show Answer & Explanation Correct Answer: E Explanation: [Allergy & Immunology] 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 30 / 53 Not answered A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1959) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Treat hypoglycemia immediately and reassess neurologic deficit E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: D Explanation: [Allergy & Immunology] 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 Cancel « ← Previous Page 6 of 11 Next → »