To assist the pediatrician in studying this issue, a self-assessment Pre-Test is offered below, so that the reader may challenge himself on his knowledge of the subject before reading further in this issue. To qualify for continuing-medical-education credits, it will be necessary to read carefully each of the articles that follow, successfully complete the CME quiz at the end of the issue, and return the quiz to the CME center for scoring.
As an organizatbn accredited for continuing medical education, the Lenox Hill Hospital of New York designates this continuing medical education activity as meeting the criteria for three credit hours in Category 1 for Educational Materials for the Physician's Recognition Act of the American Medical Association, provided it has been completed according to instructions.
1. One form of allergic rhinitis is seasonal. The other two forms of nasal allergy are:
2. A nine-year old patient is allergic to eggs. You can safely advise his parents that
A. Shots are the most effective form of treatment.
B. The child must refrain from eating eggs for the rest of his life.
C. Often, after eggs have been completely eliminated from the diet for several months, an allergic patient will be able to tolerate them.
D. The child can overcome the allergy by eating egg in small portions several times a week.
3. Antiasthmatic medications are effective because they
A. Stimulate the cholinergic system, increasing mucus production.
B. Stimulate the sympathetic system, decreasing mucus production.
C. Stimulate the parasympathetic system, decreasing capillary permeability.
D. Depress the adrenergic system, causing contraction of the bronchial smooth muscles.
4. Corticosteroids should not be substituted indiscriminately for conventional antiallergic medications because
A. They will interfere with the wheal and flare responses in skin tests.
B. It takes several days to establish therapeutic blood levels.
C. Their activity is largely systemic, making them of little value in treating the allergic dermatoses.
D. Serious side effects are associated with their long-term use.
Answers to Pre-Test
1 . Perennial allergic rhinitis, recurrent upper respiratory involvement of allergic origin. 2. C 3. B. 4. D.
The educational objective of this issue of Pediatric Annals is to provide an overview and update of the principles in treating allergic rhinitis and asthma in infants, children, and adolescents. When the answers are completed, the reader should be able to determine the possible causes of asthmatic attacks, order appropriate tests, make the definitive diagnosis, and direct treatment on the basis of his findings. Indications and contraindications for newer forms of drug therapy are included. An outline of the material to be presented appears on the Contents Page.