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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

19 August 2014
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)

Discuss asthma and sport under the following headings


a)
Definition and prevalence.
b)
Mechanism of disease.
c)
Treatment.

With regards to the management of atopic dermatitis (eczema) discuss:


a)
Diagnostic criteria.
b)
Non-pharmaceutical management strategies.
c)
Use of topical corticosteroids.

Discuss isolated angioedema under the following headings


a)
Causes.
b)
Diagnostic workup.
c)
Types of hereditary angioedema.
d)
Management strategy.
Discuss IgE-mediated cows milk protein allergy under the following headings
a)
Pathophysiology.
b)
Clinical manifestations.
c)
Diagnosis.
d)
Management.

(10)
(5)
(10)
[25]

(10)
(10)
(5)
[25]

(5)
(5)
(5)
(10)
[25]

(5)
(5)
(5)
(10)
[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
20 August 2014

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

A mother of a 1-year-old boy comes to your practice because the clinic sister refused to
immunise him against measles because he developed an urticarial rash on eating fried
eggs a month prior to the visit. The mother would like to know if it is safe or not, for her son
to receive the Measles, Mumps and Rubella (MMR) vaccination. Explain you advice.
[10]

Discuss the Hygiene Hypothesis as a proposed mechanism for the rising prevalence of
allergy. Discuss the proposed idea, the components that would contribute to a 'hygienic'
environment and some of the suggested strategies to overcome a 'hygienic' environment to
protect against allergy development.
[10]

Discuss the indications and contraindications to prescribing allergen immunotherapy.

[10]

Discuss the management of allergic conjunctivitis.

[10]

Discuss how component resolved allergy testing may aid in the diagnosis of egg allergy and
guide therapy.
[10]

Discuss the concept of Asthma Education with regards to the discussion you would have
with a known asthmatic that is not well controlled.
[10]

Discuss the Peak Expiratory Flow Rate (PEFR) under the following
a)
Describe the correct technique.
b)
Indications.

Design a patient information leaflet on how to use an adrenaline auto-injector.

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