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CHaPTEr 45 Food Allergy 631.e1
MULTIPLE-CHOICE QUESTIONS
1. A 3-year-old boy is seen in his primary care physician’s office A. Egg
after having a reaction at a recent birthday party. His mother B. Peanut
states that she noticed lip swelling and coughing within minutes C. Cashew
after eating off a plate containing a variety of foods. The meal D. Tilapia
consisted of a hamburger with mustard, lettuce, onion, and E. Shrimp
pickles; potato chips; fruit punch juice; and a piece of candy 3. An 11-year-old male has recently been diagnosed with
containing chocolate, pecans, and caramel. Which of these eosinophilic esophagitis (EoE). Which of the following is an
foods the child ate most likely contributed to his reaction? appropriate long-term treatment option for him?
A. Mustard A. Daily oral prednisone
B. Red dye #5 in the fruit punch B. Avoidance of milk, egg, wheat, soy, nuts, and seafood
C. Chocolate C. Monthly injections of omalizumab
D. Pecan D. Daily montelukast
E. Onion
E. Oral desensitization to milk, egg, and wheat
2. A 14-year-old boy with a diagnosis of atopic dermatitis and
multiple food allergies is seen in his primary care physician’s 4. A new mother brings her 5-month-old child with severe atopic
office for his yearly well-child physical. His mother reports dermatitis into your office for evaluation. Is there anything
that he has been avoiding eggs, peanuts, tree nuts, fish, and you could tell her to decrease the likelihood of the child
shellfish since he was 2 years old. He has a history of ana- developing a food allergy?
phylaxis to peanuts, and documented sensitivity to eggs that A. Introduce egg products after 2 years of age.
resulted in worsening of his atopic dermatitis as an infant. B. Introduce wheat products after 2 years of age.
Which of the following allergens is most likely to be tolerated C. Introduce sweet potatoes at 6 months of age.
in this child who is now 14 years old? D. Introduce peanut products at 5 months of age.
E. Introduce shrimp at 3 years of age.
