Dip Allerg(SA)

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain
Reg No 1955/000003/08

Examination for the Diploma in Allergology of the

College of Family Physicians of South Africa

5 April 2016
Paper 2

Long Questions/Cases

(3 hours)

All questions to be answered. Each question to be answered in a separate book (or books if more than one is required
for the one answer)

A mother brings her 2-month-old infant to you with mild eczema and mild reflux. The baby is
exclusively breastfed and she would like to introduce solids
a) What information would you request from the mother when taking a history?
(4)
b) What advice would you give her regarding the timing of solid introduction?
(3)
c)
She would also like to know what formula milk she could use to supplement
breastfeeding when she returns to work in one months time. What advice would you
give her?
(5)
d) What tests, if any, would you perform on this baby?
(3)
e) The mother would like to know how long she should continue breastfeeding and if she
should avoid any specific food groups. What advice would you give her?
(5)
f)
Discuss the role of emollients as a prevention strategy for food allergy in this child. (5)
[25]
John is a 37-year-old male that presents to the emergency department where you are
working. He appears flushed, is sweating profusely and has a generalised urticarial rash.
There is no audible stridor and he is well perfused. History from his wife reveals that this was
of sudden onset and occurred during a seafood platter meal they were having at a local
restaurant
a) Discuss non-allergic adverse reactions to seafood.
(7)
b) Outline a clinical approach to seafood allergy.
(10)
c)
How would you investigate the patient?
(8)
[25]

a)

b)

Tabulate anaesthetic related allergic reactions under the following headings

i)
Possible allergens.
ii)
Pathophysiological mechanism.
iii) Diagnosis.
(15)
Discuss short and long term management of a patient with anaphylaxis during
anaesthesia.
(10)
[25]
PTO/Page 2 Question 4

-24

Discuss allergen immunotherapy under the following headings

a) Mechanism (how it works).
(3)
b) Indications and recommendations. Include differences in indications for sublingual and
injectable immunotherapy.
(8)
c)
Contra-indications.
(5)
d) Warning signs of reactions to injected vaccines.
(5)
e) Advise a patient on how to use sublingual immunotherapy.
(4)
[25]

Dip Allerg(SA)

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain
Reg No 1955/000003/08

Examination for the Diploma in Allergology of the

College of Family Physicians of South Africa
6 April 2016

Paper 3

Short Questions

(3 hours)

All questions to be answered. Each question to be answered in a separate book (or books if more than one is required
for the one answer)

Section A
1

When making a choice between skin prick testing and allergen specific IgE tests on a patient
with suspected IgE-mediated allergies, which factors require consideration?
[10]

Discuss the management of a 3-year-old with the diagnosis of selective IgA-deficiency based
on a decreased serum IgA level.
[10]

Discuss the assessment of asthma control.

[10]

Discuss the pharmacological management of hereditary angioedema.

[10]

Discuss peanut introduction in the low and high risk infant.

[10]

Discuss the clinical manifestations of adverse reactions to wheat.

[10]

Write short notes on exercise challenge testing.

Write short notes on the following regarding urticaria

a) Dermatographism.
b) Cold urticaria.

[10]
(5)
(5)
[10]