Allergy Specialist Board Exam Started: Jul 12, 2026 22:41 Page 7 of 11 Attempt #1192 Overall: 0 / 53 questions answered Question 31 / 53 Not answered A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1958) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Life-threatening asthma requiring urgent escalation D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: C Explanation: [Allergy & Immunology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 32 / 53 Not answered 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 1957) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B Explanation: [Allergy & Immunology] 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 33 / 53 Not answered A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1956) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A 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 34 / 53 Not answered 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. Oral antibiotic for 6 weeks B. Nasal decongestant indefinitely C. Systemic steroid daily long term D. No allergen advice E. Intranasal corticosteroid Show Answer & Explanation Correct Answer: E 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 35 / 53 Not answered 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. Hereditary angioedema E. Cellulitis Show Answer & Explanation Correct Answer: D 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 Cancel « ← Previous Page 7 of 11 Next → »