Please answer each of the following questions and press the Submit button. You can submit your results by using the information provided on the next page.
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1. The general progression of the allergic march is _____.

 A. allergic rhinitis > eczema > asthma > food allergy
 B. asthma > eczema > food allergy > allergic rhinitis
 C. eczema > food allergy > allergic rhinitis > asthma
 D. food allergy > eczema > asthma > allergic rhinitis


2. Halting the allergic march will largely be focused on use of _____ prevention strategies.

 A. primary
 B. secondary
 C. tertiary


3. Mechanisms of inflammation related to allergic rhinitis include:

 A. Mast cell mediators and cytokines
 B. Neuotrophin nerve growth factor
 C. Release of neuropeptides and nitric oxide
 D. All of the above


4. Immunologic changes in allergen immunotherapy decreases all responses except:

 A. Lymphoproliferative response to allergen
 B. IL-2 production to allergen
 C. Interferon gamma production
 D. Activation of tissue eosinophils


5. Which of the following second- or third-generation antihistamines, when taken concurrently with drugs that inhibit cytochrome P450, may induce an excessive delay in ventricular repolarization and thus prolong the QT interval.

 A. Norastemizole
 B. Desloratadine
 C. Fexofenadine
 D. Astemizole


6. Anti-inflammatory effects of anti-histamines may include all of the following except:

 A. Inhibition of chemotaxis
 B. Inhibition of degranulation of inflammatory cells
 C. Attenuation of the expression and/or activity of cell adhesion molecules
 D. Inhibition of cytokine release
 E. None of the above


7. Which of the following agents should offer the most improvement of multiple allergic diseases?

 A. Systemic decongestants
 B. Theophylline
 C. Omalizumab
 D. Topical corticosteroids


8. Evidence for the systemic nature of allergic diseases includes?

 A. Elevated IgE levels
 B. Increased eosinophils in tissue and blood
 C. Smooth muscle hyperresponsiveness
 D. All of the above