Phys Vivas · rheumatological
Allergic Rhinitis AND Asthma — Viva Defence
DCE viva defence for Allergic Rhinitis AND Asthma.
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Target exams
Allergic Rhinitis AND Asthma Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Allergic Rhinitis AND Asthma. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Redfern JS, Smith MA A quarter-century of montelukast: clinical lessons for adult and pediatric asthma and allergic rhinitis care Curr Med Res Opin, 2026.PMID 42466635
- [2]Liao CH, Chou AK, Wang LC, Chiang BL, et al. Distinct epidemiological patterns of allergic disease comorbidity across elementary school grades in Taiwan Pediatr Res, 2026.PMID 42457989
- [3]Hou Y, Zhang Q, Xu X, Zhao G Effects of vitamin D levels and vitamin D supplementation on allergic diseases: an umbrella review Front Allergy, 2026.PMID 42445461
- [4]Goh SLE, Yang JX, Kan SJ, Ricci V, et al. Evidence-to-Recommendation Framework for 2026 ACE Clinical Guideline on allergic rhinitis - diagnosis and management Singapore Med J, 2026.PMID 42434879
- [5]Taube C, Greulich T, Böing S, Pfaar O, et al. Between Guidelines and Daily Practice: The Persistent Use of Parenteral Depot Corticosteroids in Germany Clin Transl Allergy, 2026.PMID 42426834
- [6]Li JN [Interpretation of Allergic Rhinitis and Its Impact on Asthma (ARIA) Guidelines 2024-2025 Revision: guidelines on intranasal treatments] Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2026.PMID 42420039
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922