Ch. 20 Quiz

Question 1

A 19 year old female was stung multiple times on the legs by fire ants. She states that she is allergic to fire ants but does not carry her own epinephrine. The patient is conscious and alert and complains of pain to the area of the bites. Her blood pressure is 122/70 mmHg, her pulse is 100 beats/min and strong, and her respirations are 18 breaths/min and unlabored. You should:
A. request a paramedic unit to administer epinephrine
B. Advise her to see her physician as soon as possible
C. Position her legs well above the level of her heart.
D. Administer oxygen and transport her to the hospital

Answer 1

D. Administer oxygen and transport her to the hospital

Question 2

A 37 year old male is having a severe allergic reaction to penicillin. He does not have an epinephrine auto-injector and your protocols do not allow you to carry epinephrine on the ambulance. How should you proceed with the treatment of this patient?
A. Remain at the scene with the patient and request a paramedic ambulance
B. Quickly determine if there are any bystanders who may carry epinephrine
C. Ask the patient if he has any diphenhydramine tablets that you can administer
D. Administer oxygen, transport at once, and request a paramedic intercept

Answer 2

D. Administer oxygen, transport at once, and request a paramedic intercept

Question 3

After administering 0.3 mg of epinephrine via auto-injector to a 22-year old woman with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However, she is still anxious and tachycardic. You should:
A. contact medical control and obtain authorization to administer another 0.3 mg of epinephrine
B. consider administering 0.15mg of epinephrine to completely resolve her allergic reaction.
C. transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
D. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.

Answer 3

D. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine

Question 4

Anaphylaxis is MOST accurately defined as a(n)
A. Severe allergic reaction that typically resolves without treatment.
B. Extreme allergic reaction that may affect multiple body systems
C. Allergic reaction that causes bronchodilation and vasoconstriction
D. Moderate allergic reaction that primarily affects the vasculature

Answer 4

B. extreme allergic reaction that may affect multiple body systems.

Question 5

At the site of the injury, signs and symptoms of an animal or insect bite or sting may include pain, localized heat, and a wheal, which appears as _________
A. a series of small, raised pustules
B. a large area of red, blotchy skin
C. an uncomfortable depression in the skin
D. a raised, well-defined area of the skin

Answer 5

D. a raised, well-defined area of the skin

Question 6

Care for a victim of an immunologic emergency who is severely hypotensive should include which of the following?
A. Apply high-flow oxygen therapy, place the patient in a shock position, and help maintain the patient’s body temperature.
B. Routine spinal immobilization due to the potential for traumatic injury
C. Position the patient’s airway and initiate positive-pressure ventilations.
D. Initiate basic life support measures, including the use of an automated external defibrillator, if necessary.

Answer 6

A. Apply high-flow oxygen therapy, place the patient in a shock position, and help maintain the patient’s body temperature.

Question 7

Urticaria is the medical term for:
A. swelling
B. a wheal
C. burning
D. hives

Answer 7

D. hives

Question 8

When an allergic reaction proceeds to life-threatening anaphylaxis, it will usually do so \_\_\_\_\_\_\_\_\_\_\_\_. Select one:
A. quickly, within 30 minutes
B. quickly, within 30 seconds
C. slowly, over several hours.
D. slowly, over more than 30 minutes

Answer 8

A. quickly, within 30 minutes

Question 9

Which of the following signs/symptoms are indicative of respiratory involvement of an allergic reaction?
Select one:
A. Flushed, itching, or burning skin
B. A sense of impending doom
C. Tightness in the chest or throat
D. All of these answers are correct.

Answer 9

C. Tightness in the chest or throat

Question 10

Which of the following sounds indicates swelling of the upper airway?
A. Rhonchi
B. Stridor
C. Wheezing
D. Rales

Answer 10

B. Stridor