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

A grade 3 systemic reaction involves bronchospasm, laryngeal edema, or hypotension and mandates immediate epinephrine administration.

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

Intramuscular epinephrine 0.3–0.5 mg injected into the anterolateral thigh is the first-line and life-saving treatment for anaphylaxis.

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

Perennial aeroallergen sensitization causing year-round asthma and rhinitis symptoms provides the strongest indication for immunotherapy.

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

Peak flow should be at or above 80% of personal best before administering SCIT to ensure the patient is not in a compromised respiratory state that increases reaction risk.

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

Allergen-impermeable mattress/pillow encasings and weekly hot-water washing of bedding significantly reduce HDM allergen exposure in sensitized patients.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB NAECB Immunotherapy & Allergen Management 2