Free Board Review Questions of the Week – Allergy and Immunology

Adam WandermanIM Question of the Week, Personal Education, Question of the Week

Free board review question of the week allergy and immunology

Free allergy and immunology board review questions sample from Med-Challenger.

Allergy review questions are part of a well-rounded internal medical education, and is an essential component of complete patient care. Med-Challenger offers allergy and immunology review questions and everything else you need to maintain your clinical practice. More free allergy and immunology sample questions can be accessed via this week’s Quick Quiz, and via free trial of Med-Challenger IM.

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This week’s case-based question:

A healthy, 59-year-old postmenopausal woman with no known chronic medical conditions presents to you for evaluation of a rash on her left arm (see Figure). The patient notes that it started on the day prior to presentation when she was outside (during the summer) at a picnic. The rash is extremely pruritic and she is requesting treatment.

She does not take any medications and does not have any allergies and notes no prior history of anaphylaxis, urticaria, or angioedema. She did not eat any new foods or have any other environmental changes and notes no shortness of breath and no lip or tongue swelling. Her blood pressure is 130/80 mm Hg, pulse 93 beats/minute, respiratory rate 16 breaths/minute, oxygen saturation 100% on room air, and temperature 98 °F.

General physical examination is remarkably normal with the exception of the diffuse macular rash on the left forearm. There is no evidence of respiratory distress or angioedema, and the lung fields are clear.

What is the most likely diagnosis?

Answer Options

necrotizing fasciitis
local reaction to an insect sting

And the answer is …

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