Allergy workup and breaking the vicious cycle of multiple diet changes

Presented by Jangi Bajwa, BVSc and AH, Dipl. ACVD

Continuing education questionnaire

CE credit: 1

AssignedWebcast

Name

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Province where you practise *

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Questions

1. A dominant clinical sign associated with food allergies in dogs is: *

Vomiting

Moist dermatitis

Pruritus

Anal sacculitis

2. Food allergies in dogs can often be a strong differential diagnosis when: *

Dogs are presented to the veterinarian with skin disease

Age of onset is over 6 months old and before 3 years

Malassezia dermatitis is noted

Age of onset is before 1 year and over 7 years

3. A dietary elimination trial is important because: *

Prevalence of food allergies in dogs is so high that it should be the primary differential diagnosis in all patients with otitis and allergic skin diseases

Prevalence of food allergies in dogs is high enough to justify ruling out food allergy in any patient with pruritus or allergic skin diseases

Performing a food trial is the correct initial step in any patient presented with prurituc skin disease

All of the above

4. Non-dermatological symptoms of food allergies in dogs include: *

Sneezing

Systemic lupoid onychodystrophy

Increased frequency of bowel movements

All of the above

5. Which of the following statements is true regarding the duration of dietary elimination trials in cats? *

A 3-week elimination trial will lead to remission in 50% of food allergic cats

A 4-week elimination trial will lead to remission in 90% of food allergic cats

An 8-week elimination trial will lead to remission in 90% of food allergic cats

An 8-week elimination trial will lead to remission in 95% of food allergic cats

6. A food allergy diagnosis cannot be reliable without: *

Food-specific IgE serum testing

Patch testing

Elimination diet trial and provocative exposure testing

A combination of at least 2 of the above diagnostic tests

7. Which of the following statements is true about oral food challenges in cats? *

It can be initiated after remission of clinical signs, irrespective of the duration of the dietary elimination trial

A 7-day-long challenge is adequate in confirming or ruling out food allergies to the exposed allergens

Resolution of secondary infection before food challenge helps with its reliability

All of the above

8. Which of the following statements is true regarding the reliability of label claims on food products? *

Raw meat-based diets are unbalanced, and unsafe but single protein labels are generally accurate, despite the diets being unsafe

Veterinary hydrolyzed protein diets are generally accurately labelled although individual patients may be sensitive to partial hydrolysates in these diets

Single protein-based and restrictive pet store diets often contain additional protein ingredients, with the primary listed protein always being present

All of the above

9. Dietary workup in allergic patients is important, in part, because: *

One fourth of dogs with atopic dermatitis have concurrent cutaneous adverse food reaction

One third of dogs with atopic dermatitis have concurrent cutaneous adverse food reaction

Two third of dogs with atopic dermatitis have concurrent cutaneous adverse food reaction

Three fourth of dogs with atopic dermatitis have concurrent cutaneous adverse food reaction

10. Anti-pruritus drug therapy has the following role in exclusively food allergic patients: *

Short-term seasonal therapy may be needed in some patients with ongoing dietary control

Ongoing therapy can adequately manage patients over the long term when client compliance is lacking

Short-term therapy can be used to help with patient comfort for a successful dietary elimination trial

Ongoing therapy helps prevent complications such as otitis and skin infection while occasional treatment exposures occur