Allergy Specialist Board Exam Started: Jul 12, 2026 22:49 Page 9 of 11 Attempt #1270 Overall: 0 / 53 questions answered Question 41 / 53 Not answered During an emergency department assessment: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1972) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B 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 42 / 53 Not answered During an emergency department assessment: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1971) A. Inactivated influenza vaccine B. Live intranasal influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: A 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 43 / 53 Not answered During an emergency department assessment: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1970) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Delay glucose correction until CT E. Treat hypoglycemia immediately and reassess neurologic deficit Show Answer & Explanation Correct Answer: E 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 Question 44 / 53 Not answered During an emergency department assessment: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1969) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D 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 45 / 53 Not answered During an emergency department assessment: 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 1968) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C 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 Cancel « ← Previous Page 9 of 11 Next → »