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MARCH 2004 QUIZ OF THE MONTH . . .

Your patient is a 34 year old hospital nurse with a history suggesting an allergy to natural rubber latex (NRL), manifested as asthmatic reactions. Which one of the statements below is most correct, as applied to her case?

1. The diagnosis of NRL allergy in this woman can be made only by a provocative inhalational challenge with NRL.

2. The major sources of NRL in a hospital environment are powdered rubber gloves.

3. If this patient is found to be allergic to NRL, she must avoid any occupation within the hospital.

4. If this patient is found to be allergic to NRL, she will almost always react to foods such as bananas and kiwi fruit.

5. An approved immunotherapy injection protocol using NRL extracts can be used to significantly reduce the sensitivity to NRL in allergic individuals.

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