NAECB NAECB Immunotherapy & Allergen Management 2

Question 1

A grade 3 systemic reaction during SCIT is characterized by:

Accepted Answer

Bronchospasm, stridor, or hypotension requiring epinephrine

Answer

Local erythema only at injection site

Answer

Rhinitis and urticaria with no hypotension

Answer

Mild pruritus at a distant site

Question 2

The first-line treatment for a systemic anaphylactic reaction following an immunotherapy injection is:

Accepted Answer

Epinephrine 0.3–0.5 mg IM into the lateral thigh

Answer

Oral diphenhydramine 50 mg

Answer

Inhaled albuterol alone

Answer

IV corticosteroids immediately

Question 3

Which allergen sensitization pattern in a US asthma patient most strongly supports initiating immunotherapy?

Accepted Answer

Perennial aeroallergen sensitization (dust mite, cockroach) with year-round symptom burden

Answer

Single food allergen sensitization causing GI symptoms only

Answer

Latex contact dermatitis without respiratory symptoms

Answer

Drug hypersensitivity to NSAIDs

Question 4

Before administering a scheduled SCIT injection, the asthma educator or nurse should verify that the patient's peak flow is:

Accepted Answer

At or above 80% of personal best

Answer

At any level regardless of symptoms

Answer

Below 70% to confirm active inflammation

Answer

Between 50–60% of predicted

Question 5

House dust mite (HDM) allergen avoidance measures recommended for sensitized asthma patients include:

Accepted Answer

Encasing mattresses and pillows in allergen-impermeable covers and washing bedding in hot water weekly

Answer

Removing all plants from the bedroom only

Answer

Using humidifiers to maintain >60% indoor humidity

Answer

Keeping carpets in bedrooms to trap dust

Question 6

Cockroach allergen sensitization is particularly prevalent among which US patient population?

Accepted Answer

Inner-city, low-income urban residents

Answer

Rural farm communities

Answer

Coastal fishing communities

Answer

Mountain or high-altitude residents