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CHAPTER 3

Treatment and disease management

Understand how inflammation is managed through steroids, immune therapies, and supportive care—and what to expect at each step.

8 lessons
Total: tbc

Chapter 3: Quiz

Test Your Knowledge

Congratulations for taking the time to review all of the lessons in this Chapter. Now, let’s test your knowledge. Pick the best answer for each question to test your state of knowledge.

Ready to take the quiz? Start
1 of 12
True or false: If you feel well, monitoring is usually no longer important in IgG4-RD.
True
False
Please select an answer.
2 of 12
Which statement best explains why doctors monitor patients closely for relapse?
Because every flare causes severe symptoms right away
Because repeated inflammation can lead to organ damage over time
Because serum IgG4 always rises before a flare
Because treatment always stops working after a few months
Please select an answer.
3 of 12
True/False: Most patients with active IgG4-RD feel better within days to weeks of starting steroids.
True
False
Please select an answer.
4 of 12
Which is NOT a typical reason to add a steroid-sparing therapy?
Severe multi-organ disease
Trouble tapering steroids
Stable remission off treatment for 3 years
Steroid side effects or contraindications
Please select an answer.
5 of 12
True or False: It’s best to complete age-appropriate vaccines 3–4 weeks before rituximab when possible.
True
False
Please select an answer.
6 of 12
A patient with very high serum IgG4 and involvement of pancreas and kidneys is most likely to benefit from:
Steroids alone for 2 months
Watchful waiting
B-cell depletion as a steroid-sparing agent
No treatment
Please select an answer.
7 of 12
True or False: B‑cell inhibition and B‑cell depletion are the same thing.
True
False
Please select an answer.
8 of 12
Obexelimab is best described as:
A steroid that reduces swelling quickly
A non‑depleting antibody that inhibits B‑cell activity
A surgery for blocked ducts
A vitamin that strengthens bones
Please select an answer.
9 of 12
True or False: DMARDs for IgG4-RD are usually used off-label to reduce steroid exposure or help maintain remission.
True
False
Please select an answer.
10 of 12
Which lab tests are most commonly monitored on DMARDs?
Vitamin D and calcium
CBC and liver tests
Only blood sugar
No routine labs are needed
Please select an answer.
11 of 12
Which statement is most accurate?
Lifestyle changes can cure IgG4‑RD.
Lifestyle choices can support treatment and reduce complications.
Vitamins are safer than vaccines during treatment.
Please select an answer.
12 of 12
You’re starting prednisone. Which two lifestyle steps are most helpful to plan right away?
Extra salt and late‑night workouts
Bone health (vitamin D/calcium, weight‑bearing exercise) and sleep routines
Stopping all exercise for a month
Please select an answer.
Your Score:
1 of 12
True or false: If you feel well, monitoring is usually no longer important in IgG4-RD.
True
False
2 of 12
Which statement best explains why doctors monitor patients closely for relapse?
Because every flare causes severe symptoms right away
Because repeated inflammation can lead to organ damage over time
Because serum IgG4 always rises before a flare
Because treatment always stops working after a few months
3 of 12
True/False: Most patients with active IgG4-RD feel better within days to weeks of starting steroids.
True
False
4 of 12
Which is NOT a typical reason to add a steroid-sparing therapy?
Severe multi-organ disease
Trouble tapering steroids
Stable remission off treatment for 3 years
Steroid side effects or contraindications
5 of 12
True or False: It’s best to complete age-appropriate vaccines 3–4 weeks before rituximab when possible.
True
False
6 of 12
A patient with very high serum IgG4 and involvement of pancreas and kidneys is most likely to benefit from:
Steroids alone for 2 months
Watchful waiting
B-cell depletion as a steroid-sparing agent
No treatment
7 of 12
True or False: B‑cell inhibition and B‑cell depletion are the same thing.
True
False
8 of 12
Obexelimab is best described as:
A steroid that reduces swelling quickly
A non‑depleting antibody that inhibits B‑cell activity
A surgery for blocked ducts
A vitamin that strengthens bones
9 of 12
True or False: DMARDs for IgG4-RD are usually used off-label to reduce steroid exposure or help maintain remission.
True
False
10 of 12
Which lab tests are most commonly monitored on DMARDs?
Vitamin D and calcium
CBC and liver tests
Only blood sugar
No routine labs are needed
11 of 12
Which statement is most accurate?
Lifestyle changes can cure IgG4‑RD.
Lifestyle choices can support treatment and reduce complications.
Vitamins are safer than vaccines during treatment.
12 of 12
You’re starting prednisone. Which two lifestyle steps are most helpful to plan right away?
Extra salt and late‑night workouts
Bone health (vitamin D/calcium, weight‑bearing exercise) and sleep routines
Stopping all exercise for a month

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