Treatment
POTPOURRI
Sensitive material
Immunology
Eczema or Seborrhea
100
Anaphylaxis
What is IM Epi
100
3 year old was prescribed amoxicillin for otitis media. 6 days following initiation of antibiotic patient developed fever, arthralgia, lymphadenopathy, and skin eruption. what is the most likely diagnosis.
What is Serum sickness
100
According to the Gell and Coombs classification of immune reactions,which type of reaction is represented by cross linking of IgE on mast cells occurs in minutes following exposure (Ex Anaphylaxis, Urticaria)
What is Type 1
100
The most common immune deficency disorder
What is Ig A deficency
100
Dry skin, worse with prolonged exposure to water, especially without using emoliient immediately afterwards.
What is Eczema
200
Allergic rhinitis in 10 year old
What is Intranasal steroid (Top best treatment). If you said PO loratidine or antihistamine oral check out gold standards link.
200
3 year old presents with otalgia. A diagnosis of otitis media is made. Upon prescribing amoxicillin you get a phone call 6 days later from the parents reporting new onset rash, but does have resolved otalgia. Upon having patient come in for an office visit you notice patient with an erythematous, maculopapular rash. Parents reports the rash originated on the trunk, and eventually spreads to the limbs. You suspect morbilliform drug reaction. Now what is the correct treatment.
What is Reasuurance and continue giving the antibiotic.
200
According to the Gell and Coombs classification of immune reactions,which type of reaction is represented by Cytotoxic antibody (Ex Hemolytic anemia)
What is Type 2
200
This X-linked disorder is caused by a defect in B-cell tyrosine kinase protein. Symptoms ( Increased susceptibility to encapsulated pyogenic bacteria, such as Streptococcus pneumoniae, Haemophilus influenzae, and Pseudomonas species. Also, unusually severe and/or recurrent otitis media, sinopulmonary infections, and pneumonia ) usually begin following 6 month's of life. Name the diagnosis
What is Bruton's agammaglobulinemia
200
Greasy lesions, usually begins on scalp
What is Seborrhea
300
Neonate with C.Difficilie to stool
What is no treatment needed, 70% approx are carriers.
300
Foods that cause enterocolitis syndrome (I. e bloody diarrhea and vomiting), cannot be picked by SKIN or RAST testing. Why?
What is their not IgE mediated
300
According to the Gell and Coombs classification of immune reactions,which type of reaction is represented by immune complex deposition with activation of complement, takes hours (Ex. Serum Sickness)
What is Type 3
300
This syndrome caused by a DNA breakage repair deficiency can present with early-onset progressive cerebellar ataxia (difficulty with control of movement), ocular apraxia (difficulty following objects across visual field), immunodeficiency, hyper-sensitivity to ionizing radiation, and increased incidence of malignancies (primarily hematologic). finally, can have small dilated blood vessels near the surface of the skin or mucous membranes. Name the syndrome.
What is ataxia-telangiectasia
300
Pruritic
What is Eczema
400
Celiac disease
What is gluten free diet.
400
Name the most common causes of food reactions (Need 4 for credit).
What is milk (milk protein most common reason), peanuts, soy, tree nuts, fish, shellfish, and wheat.
400
According to the Gell and Coombs classification of immune reactions,which type of reaction is represented by T cell mediated. Takes days (2-3 days) Ex. Contact Dermatitis
What is Type 4
400
Recurrent bacterial infections, defects in neutrophil adhesion, and a delay in umbilical cord sloughing is most likely caused by what disease. Hint: Caused by neutrophils that cannot migrate out of blood vessels.
What is Leukocyte adhesion deficiency
400
Crusty lesions
What is Eczema
500
5 week old breast fed infant with loose watery stools and some blood to stool. no fever.
What is tell mom to hold off on feeding herself cow's milk (I.e no cow's milk for mom), still continue breast feeding.
500
Name the condition that causes endomyocardial fibrosis due to eosinophilic granules in the heart.
What is Loffler's endocarditis
500
According to the Gell and Coombs classification of immune reactions,which type of reaction is represented by low grade fever, malaise, lymphadenopaht, diffuse rash that's pruritic following five days of antibiotics.
What is Type 3 hypersensitivity reaction (Serum sickness)
500
Recurrent lymphadenitis, hepatic abscess, recurrent skin infections, and even osteomyelitis are likely to be present int his disease. This disease is caused by Neutrophils that lack NADPH oxidase, hence the phagocytic system can not kill catalase + organisms.
What is Chronic granulomatous disease.
500
Keratoconus
What is Eczema
M
e
n
u