Allergy Specialist Board Exam Started: Jul 12, 2026 20:18 Page 1 of 11 Attempt #807 Overall: 0 / 53 questions answered Question 1 / 53 Not answered During preoperative assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 2000) A. Subcutaneous injection into forearm B. Oral tablet C. Nebulized only D. Topical application E. Intramuscular injection into the mid-anterolateral thigh Show Answer & Explanation Correct Answer: E 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 2 / 53 Not answered In a ward handover scenario: A child develops recurrent infections with absent tonsils and very low immunoglobulins. What immune defect is suggested? A. Humoral immunodeficiency such as X-linked agammaglobulinemia B. Complement C1 inhibitor deficiency C. Atopic dermatitis only D. Food intolerance E. Normal childhood infection pattern Show Answer & Explanation Correct Answer: A 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 3 / 53 Not answered In a ward handover scenario: 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. Delay treatment indefinitely E. Allergy evaluation and desensitization if true allergy confirmed Show Answer & Explanation Correct Answer: E 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 4 / 53 Not answered In a ward handover scenario: 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. CT chest D. IM epinephrine E. Observation only Show Answer & Explanation Correct Answer: D 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 5 / 53 Not answered At a primary-care follow-up visit: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1983) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Second-generation H1 antihistamine D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: C 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 Cancel « ← Previous Page 1 of 11 Next → »