Allergy Specialist Board Exam Started: Jul 12, 2026 21:55 Page 8 of 11 Attempt #1115 Overall: 0 / 53 questions answered Question 36 / 53 Not answered 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. Humoral immunodeficiency such as X-linked agammaglobulinemia D. Food intolerance E. Normal childhood infection pattern Show Answer & Explanation Correct Answer: C 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 37 / 53 Not answered 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. Allergy evaluation and desensitization if true allergy confirmed C. Avoid all antibiotics forever D. Use topical steroid E. Delay treatment indefinitely Show Answer & Explanation Correct Answer: B 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 38 / 53 Not answered A 55-year-old man develops wheeze, urticaria, and hypotension after peanut exposure. What is the first treatment? A. IM epinephrine B. Oral antihistamine C. IV antibiotics D. CT chest E. Observation only Show Answer & Explanation Correct Answer: A 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 39 / 53 Not answered A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1961) A. Second-generation H1 antihistamine B. IM epinephrine for every isolated wheal C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: A Explanation: [Allergy & Immunology] 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 Question 40 / 53 Not answered During an emergency department assessment: A 55-year-old man develops wheeze, urticaria, and hypotension after peanut exposure. What is the first treatment? A. Oral antihistamine B. IM epinephrine C. IV antibiotics D. CT chest E. Observation only Show Answer & Explanation Correct Answer: B 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 Cancel « ← Previous Page 8 of 11 Next → »