Allergy & Immunology Board Exam Started: Jul 13, 2026 10:12 Page 27 of 41 Attempt #2592 Overall: 0 / 201 questions answered Question 131 / 201 Not answered During ward handover: a 64-year-old man presents with recurrent swelling without urticaria. Relevant risk context includes family allergy history. What is the most likely diagnosis? A. Chronic spontaneous urticaria B. Primary antibody deficiency suspicion C. Allergic rhinitis D. Anaphylaxis E. Drug hypersensitivity reaction Show Answer & Explanation Correct Answer: C Explanation: The pattern of recurrent swelling without urticaria with risk factors such as family allergy history is most consistent with Allergic rhinitis. This answer best matches the expected diagnostic framework for Allergy & Immunology. Reference: WAO Anaphylaxis Guidance 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 132 / 201 Not answered In an emergency department assessment: a 38-year-old woman has recurrent sinopulmonary infections with risk profile of family allergy history. After initial stabilization and assessment, what is the most appropriate management step? A. Emergency action plan and patient education B. Stepwise antihistamine optimization C. Asthma controller optimization with trigger control D. Immediate intramuscular epinephrine E. Targeted therapy for bradykinin-mediated angioedema Show Answer & Explanation Correct Answer: B Explanation: Stepwise antihistamine optimization is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Allergy & Immunology. Reference: EAACI Position Papers; Allergy & Immunology topic-specific current guideline update 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 133 / 201 Not answered In an outpatient specialty clinic: a 35-year-old man has wheeze with hypotension after allergen exposure with risk profile of asthma comorbidity. After initial stabilization and assessment, what is the most appropriate management step? A. Targeted therapy for bradykinin-mediated angioedema B. Asthma controller optimization with trigger control C. Intranasal corticosteroid-based rhinitis control D. Stepwise antihistamine optimization E. Immediate intramuscular epinephrine Show Answer & Explanation Correct Answer: A Explanation: Targeted therapy for bradykinin-mediated angioedema is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Allergy & Immunology. Reference: WAO Anaphylaxis Guidance 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 134 / 201 Not answered During morning rounds: a 37-year-old man presents with recurrent swelling without urticaria. Relevant risk context includes immune deficiency family history. What is the most likely diagnosis? A. Drug hypersensitivity reaction B. Anaphylaxis C. Primary antibody deficiency suspicion D. Allergic rhinitis E. Chronic spontaneous urticaria Show Answer & Explanation Correct Answer: B Explanation: The pattern of recurrent swelling without urticaria with risk factors such as immune deficiency family history is most consistent with Anaphylaxis. This answer best matches the expected diagnostic framework for Allergy & Immunology. Reference: GINA Asthma Strategy; Allergy & Immunology topic-specific current guideline update 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 135 / 201 Not answered At a preventive-care consultation: a 64-year-old woman is evaluated for sneezing and nasal pruritus with seasonal pattern in the context of atopy. Which is the most appropriate next investigation? A. Complement profile including C4 B. Pulmonary function testing C. Skin-prick testing when appropriate D. Detailed trigger-focused allergy history E. Immunoglobulin level assessment Show Answer & Explanation Correct Answer: B Explanation: Pulmonary function testing is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Allergy & Immunology. Reference: EAACI Position Papers; Allergy & Immunology topic-specific current guideline update 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 27 of 41 Next → »