1. Which physical finding is consistent with HAE?
A. Erythematous, edematous rash with diffuse pruritis
B. Hives on the abdomen and lower back
C. Progressive swelling of the lips, tongue, and face
D. Pitting edema of the lower legs
E. Unsure
2. What laboratory findings correspond to Type I HAE.
A. Low C4, low C1-INH antigen, low C1-INH function
B. Low C4, normal C1-INH antigen, normal C1-INH function
C. Low C4, low C1-INH antigen, normal C1-INH function
D. Low C4, normal C1-INH antigen, low C1-INH function
E. Unsure
3. What statement summarizes guideline recommendations for on-demand HAE therapy?
A. On-demand therapy is not needed unless there is oropharyngeal swelling
B. Every patient should have access to 2 doses of on-demand therapy
C. Subcutaneous on-demand therapies are approved for use in children
D. An HAE expert should be consulted to give the “okay” to administer on-demand therapy
E. Unsure
4. For which procedure should short-term HAE prophylaxis be considered?
A. Therapeutic massage
B. Routine dental exam
C. Cosmetic facial
D. Colonoscopy
E. Unsure
5. Choose the correct statement regarding long-term HAE prophylaxis.
A. All patients require long-term prophylaxis
B. Disease severity and disease burden should be considered when starting long-term prophylaxis
C. The goal of long-term prophylaxis is to decrease hospitalizations
D. Generic medications are used for long-term prophylaxis
E. Unsure
6. Choose the correct statement regarding on-demand treatments for HAE.
A. C1-INH products are contraindicated in patients with rabbit allergy
B. Ecallantide (Kalbitor) can be given by a healthcare provider or self-administered
C. Icatibant (Firazyr and generics) is a convenient option in terms of formulation, dosing, and self-administration
D. A second dose is recommended in product labeling for all on-demand treatments
E. Unsure
7. Choose the correct statement regarding the long-term prophylaxis medications for HAE.
A. Both plasma-derived and recombinant C1-INH products are options
B. Berotralstat (Orladeyo) could be opened and sprinkled on applesauce for a 7-year-old child who cannot swallow capsules
C. Thromboembolism is a concern for all agents
D. The least frequent dosing option in adolescents and adults is every 2 to 4 weeks
E. Unsure
8. An 18-year-old male is requesting convenient and discreet on-demand and long-term prophylaxis treatment options for use while he is living in a college dormitory. Which would be best?
A. Icatibant (Firazyr and generics) and lanadelumab (Takhzyro)
B. Ecallantide (Kalbitor) and plasma-derived C1-INH (Cinryze)
C. Recombinant C1-INH (Ruconest) and plasma-derived C1-INH (Haegarda)
D. Plasma-derived C1-INH (Berinert) and berotralstat (Orladeyo)
E. Unsure
9. A 12-year-old female has started to experience a worsened frequency and severity of HAE attacks, which has increased her fear of needles. Which long-term prophylaxis options would be best for this patient?
A. Plasma-derived C1-INH concentrate (Cinryze)
B. Plasma-derived C1-INH concentrate (Haegarda)
C. Lanadelumab (Takhzyro)
D. Berotralstat (Orladeyo)
E. Unsure
10. A 4-year-old female has received a diagnosis of HAE after an older sibling (age 9 years) experienced a serious HAE attack with laryngeal involvement. Shared decision-making leads to a management plan that includes referral to an HAE specialist to discuss long-term prophylaxis, disease and medication education, genetic counseling, and support for medication access. What on-demand medications would be best for this family?
A. Prescribe 4 doses of recombinant C1-INH (Ruconest) (2 for each child)
B. Prescribe 4 doses of plasma-derived C1-INH (Berinert) (2 for each child)
C. Prescribe 2 doses of plasma-derived C1-INH (Berinert) (for 1 child) and 2 doses of recombinant C1-INH (Ruconest) (for 1 child)
D. Prescribe ecallantide (Kalbitor) for both children so that the family has contact with a health care team during HAE attacks
E. Unsure