B. should be supported by a biopsy of the affected area.C. necessitates obtaining peripheral blood eosinophil level.D. is usually made by clinical assessment alone.80. Type I hypersensitivity reactions, such as atopic dermatitis, involve the action of which antibodies binding to receptor sites on mastcells?A. IgGB. IgMC. IgED. IgA81. During type I hypersensitivity reactions, histamine released from degraded mast cells causes all of the following except:A. vasodilationB. mucous gland stimulation.C. enhanced sebum production.D. tissue swelling.82. The most important aspect of skin care for individuals with atopic dermatitis is:A. frequent bathing with antibacterial soap.B. consistent use of medium-potency to high-potency topical steroidsC. application of lubricants.D. treatment of dermatophytes.83. One of the most common trigger agents for contact dermatitis is:A. exposure to nickel.B. use of fabric softener.C. bathing with liquid body wash.D. eating spicy foods.84. A common site for atopic dermatitis in teens or adults is on the:A. dorsum of the hand.B. face.C. neck.D. flexor surfaces.85. A common site for atopic dermatitis in an infant is:A. the diaper area.B. the face.C. the neck.
65FITZGERALD QUESTIONS FOR EXAM 1D. the posterior trunk.86. In counseling a patient with atopic dermatitis, you suggest all of the following can be used to alleviate symptoms of a flare except:A. the use of oral antihistamines.B. applying a heating pad on the affected region for 30 minutes.C. the use of topical corticosteroids.D. applying cool, wet dressings made from a clean cloth and water to the affected area.87 to 89. Match each description with the correct condition.87. Atopic dermatitis - red, itchy, scaly skin appearing on the elbows88. Scabies - new-onset vesicular lesions appearing along the waistline89. Seborrheic dermatitis - chronic, recurrent condition of greasy, scaly lesions on the scalp and nasolabial folds90. The mechanism of action of pimecrolimus (Elidel°) in the treatment of atopic dermatitis is as:A. an immunomodulator.B. an antimitotic.C. a mast cell activator.D. an exfoliant.91. When counseling a patient about the use of tacrolimus (Protopic®) or pimecrolimus (Elidel°), you mention that:A. this is the preferred atopic dermatitis treatment in infants.B. there is a possibility of increased cancer risk with its use.C. the product is used interchangeably with topical corticosteroids.D. the product is a potent antihistamine.92. You see a 34-year-old man with atopic dermatitis localized primarily on the arms who complains of severe itching. The conditionbecomes worse at night and interferes with his sleep. You recommend:A. taking a bedtime dose of antihistamine.B. taking a bedtime dose of acetaminophen.C. taking a hot shower prior to bedtime.D. applying a warm compress to the affected are as 30 minutes prior to bedtime.
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