1. In order for symptoms of allergic rhinitis to emerge in an atopic patient, the allergic inflammatory response needs to exceed the allergy symptom threshold.

2. The higher the specific IgE level in KUa/L, the higher the likelihood that particular allergen in contributing to the patient’s symptoms.

3. What should be used to confirm a diagnosis of allergic disease?

4. The ‘need behind the need’ refers to:

5. In individuals with allergies, the first exposure to pollen, animal dander, dust mites, or other microbes triggers atopy/sensitization, a process whereby the immune system treats that substance as an allergen or an invader.

6. An infant with eczema may be the first sign of a lifelong predisposition to allergy.

7. What is the progression of diseases in the childhood allergy march?

8. The ‘need behind the need’ is usually related to which of these general business areas?

9. According to Dr. Homburger in the article titled “Diagnosing Allergic Diseases in Children,” medical history and physician examination lead to a correct diagnosis of allergy:

10. According to the Szeinbach chart review titled, “Identification of Allergic Diseases Among Users of Antihistamines,” _______% of patients taking a prescription antihistamines are not allergic.

11. How many patients agreed to be tested to determine if they had allergic or non-allergic rhinitis in the Journal of Managed Care Pharmacy article?

12. Asthma is a chronic lung disease characterized by reversible airway obstruction caused by:

13. ____% of adult asthmatics and up to ____% of asthmatic children, have allergic triggers.

14. Based on the 2007 NIH Asthma Guidelines, it is recommended that clinicians take a two-pronged approach to asthma treatment based on the fact(s):

15. The 2007 NIH Asthma Guidelines recommend that clinicians take a two-pronged approach in the treatment of asthma for all _________asthma patients.

16. The 2007 NIH Guidelines Expert Panel recommends that patients who are taking a daily controller medication should be queried about exposures to inhalant allergens, particularly ________ inhalant allergens, and their potential effects on the patient’s asthma.

17. According to the Expert Panel in the Guidelines for the Diagnosis and Management of Food Allergy in the United States, the coexistence of Food Allergy in patients with asthma may be a risk factor for severe asthma exacerbations.

18. The REACT survey results highlight the need for:

19. How many patients responded to the web-based survey utilizing the Asthma Control Test (ACT) highlighted in the article titled “Real-World Evaluation of Asthma Control and Treatment?”

20. What percentages of patients in the REACT study were considered controlled?

21. What percentage of controlled patients in the REACT survey had health care coverage?

22. Polysensitization indicates that an individual is sensitive to _______ allergen(s).

23. Based on the Morgan et al study data, patients in a controlled trial of environmental interventions for exposure to allergens, it was found that patients in the intervention group experienced ____ fewer symptom days over a 1-year period.

24. What was the age range of patients included in the Morgan et al data?

25. What was the primary objective of the study titled “Results of a Home-Based Environmental Intervention Among Children with Asthma?”

26. According to the Morgan data, patients experienced ____ fewer days of missed school in the intervention group than in the control group.

27. What peer-reviewed journal was the inner-city study published?

28. According to the study entitled, “Effect of mattress and pillow encasings on children with asthma and house dust mite allergy,” after 1 year, the dose of inhaled steroids was reduced by at least 50% in significantly more children in the active treatment group than in the placebo group. What percentage of patients experienced this result?

29. In the study by Dr. Halken et al, at the inclusion and during the baseline and treatment periods, asthma medication was titrated to the lowest effective to maintain control of symptoms, lung function, and use of rescue medication.

30. In PSS, Satisfy consists of the following:

31. What peer-reviewed journal was the Halken study published?

32. In PSS, there are three levels of listening including: Level 1—complete attention; Level 2-attention varies from full to partial to none; Level 3-not listening.

33. What are the skill steps of the PSS Sales Model (in order)?

34. Up to % of eczema is caused by a low level food sensitivity.

35. How much blood is required for running the respiratory and food profiles?

36. How many foods account for nearly 90% of all allergic reactions?

37. How do you determine what profile should be ordered?

38. If you identify specific allergic triggers, you can reduce exposure. If you reduce exposure, you can reduce ________, if you reduce _________, you can reduce symptoms.

39. Allergy contributes to which of the following Childhood Diseases?

40. In the NIH Guidelines, what is stated as being the first and most important step in the treatment of asthma?

41. How many patients were enrolled in the study entitled, “Effect of mattresses and pillow encasings on children with asthma and house dust mite allergy?”

42. According to the Halken study, in childhood, asthma is the most common chronic disease, with house and dust mite allergy being the most frequent cause of allergic asthma.

43. % of children sensitized to egg and _ % of children sensitized to milk can tolerate the baked versions of those foods.

44. Specific IgE blood testing is said to be comparable to SPT in what 3rd party resource?

45. All long acting beta agonists are considered rescue medications.

46. Which product is the only asthma medication indicated for use in allergic rhinitis?

47. Combination products (i.e. Advair and Symbicort) contain the following two classes of drugs:

48. What class of medication is Flonase considered?

49. What does REACT stand for?

50. Referral to a specialist is always an option for PCPs, especially those patients that may benefit from immunotherapy, or who are sensitized to anaphylaxis-prone allergies, I.e. Certain food (peanuts, tree nuts, and shellfish), venom, drugs, etc. And may need challenge testing.

51. ImmunoCAP specific IgE test is an in vitro assay for the measurement of allergen-specific IgE in human serum or plasma.

52. According to the 2015 Allergic Rhinitis Guidelines, IgE-mediated Allergic Rhinitis may affect in persons within the United States.

53. What are the 4 components of the 2007 NIH Asthma Guidelines?

54. The 3 SLIT (sublingual, immunotherapy tablets) that are available on the market include:

55. According to the 2015 Allergic Rhinitis Guidelines, Allergic Rhinitis is the 16th most common primary diagnosis for outpatient office visits.

56. Histamine is a key inflammatory mediator in allergic inflammation.

57. According to ENT referral populations, up to % of children with otitis media have allergies.

58. According to Dowdee in her Journal article titled, “Assessment of childhood allergy”, providing evidence of the absence of allergy can improve compliance with nose sprays and convince the parent/patient that there is no magic pill that will quickly alleviate symptoms.

59. The following represent the primary medical treatment options for allergic rhinitis:

60. According to the CDC in 2015, Asthma effects over people worldwide.

61. What type of medication should be carried by all asthmatics, regardless of where they fall on the asthma cascade?

62. The presence of overlapping symptoms in patients with rhinitis:

63. In a genetically predisposed atopic patient, the first exposure to an allergen produces antibodies, which sensitizes the patient.

64. Epithelial cells provide a smooth lining to airways. In an asthmatic patient, they become hyper-reactive and inflamed, causing airflow problems.

65. Atopic Dermatitis is also called eczema.

66. According to Dowdee in her journal article titled, “Assessment of childhood allergy”, the most common offending foods in sensitized children are milk, egg, wheat, peanuts, and soy.

67. Asthma is a leading chronic disease among children and leading reason for missed school days.

68. Four features that are characteristic of asthma are:

69. When managing asthma patients clinicians use a stepwise approach. At Step One, the patients are classified as having intermittent Asthma. What type of medication would be prescribed and how often for this patient?

70. According to Dr. Henry Homburger, it is useful to think of the entire respiratory tract as a single target organ, as allergic rhinitis and asthma often accompany one another.

71. What are the three illnesses or disease states that fall under Upper Respiratory Diseases (URD)?

72. To establish a diagnosis of asthma, the clinician should determine that episodic symptoms of airflow obstruction are present (coughing, wheezing, shortness of breath of rapid breathing, chest tightness) and the airflow obstruction is at least partially reversible.

73. Asthma is partially reversible.

74. According to Dr. Cox, in the ACAAI/AAAAI Joint Task Force “Pearls and pitfalls of allergy diagnostic testing”, which laboratory allergy test has been the most extensively studied?

75. ImmunoCAP is not cleared by the FDA as an allergy screening assay.