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Immunology

What each immunology question is really asking, how to structure the answer, and where the marks are likely to sit.

For Janet, a 20-year-old with five weeks of itchy eyes, watery rhinorrhoea, night cough, sneezing and bilateral nasal polyps, give three differentials with reasoning, list further history questions, explain the pathophysiology of your primary diagnosis, differentiate the hypersensitivity mechanisms and say which one she is experiencing.

Discuss the symptoms associated with anaphylactic shock, how the nurse differentiates them from other conditions, and the steps that should be taken if anaphylactic shock is suspected.

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