Ch14 Practice Questions Flashcards

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1
Q

A patient informs you that any time she uses a particular soap, she experiences a mild allergic reaction. You recognize that:

A) the soap contains an allergen.

B) her soap contains non-organic ingredients.

C) the soap contains antibodies that react in her body.

D) with continued use, the allergic reaction will diminish.

A

A patient informs you that any time she uses a particular soap, she experiences a mild allergic reaction. You recognize that:
A) the soap contains an allergen.
B) her soap contains non-organic ingredients.
C) the soap contains antibodies that react in her body.
D) with continued use, the allergic reaction will diminish.

Ans: A

Complexity: Easy
Ahead: Anatomy and Physiology  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 301
Objective: 14-2
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2
Q

Which of the following statements indicates that the speaker understands allergic reactions and anaphylaxis?

A) “An allergic reaction only occurs when the patient ingests or inhales an allergen; anaphylaxis occurs when the allergen is injected.”

B) “Allergic reactions are caused by pollen and food; anaphylactic reactions are caused by venoms and medications.”

C) “Anaphylaxis is a severe allergic reaction that will lead to death without emergency care.”

D) “Anaphylaxis describes a severe allergic reaction that occurs the first time a person is exposed to an allergen.”

A

Which of the following statements indicates that the speaker understands allergic reactions and anaphylaxis?
A) “An allergic reaction only occurs when the patient ingests or inhales an allergen; anaphylaxis occurs when the allergen is injected.”
B) “Allergic reactions are caused by pollen and food; anaphylactic reactions are caused by venoms and medications.”
C) “Anaphylaxis is a severe allergic reaction that will lead to death without emergency care.”
D) “Anaphylaxis describes a severe allergic reaction that occurs the first time a person is exposed to an allergen.”

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 301
Objective: 14-1
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3
Q

You are called to the lodge to help a patient who has developed an allergic reaction after taking an antibiotic medication. You would describe this route of exposure as:

A) injection.
B) contact.
C) ingestion.
D) inhalation.

A
You are called to the lodge to help a patient who has developed an allergic reaction after taking an antibiotic medication. You would describe this route of exposure as:
A) injection.
B) contact.
C) ingestion.
D) inhalation.

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 301
Objective: 14-1
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4
Q

A patient can have an allergic reaction caused by intramuscular administration of a medication. This method by which an allergen enters the body is called:

A) inhalation.
B) injection.
C) ingestion.
D) topical.

A
A patient can have an allergic reaction caused by intramuscular administration of a medication. This method by which an allergen enters the body is called:
A) inhalation.
B) injection.
C) ingestion.
D) topical.

Ans: B

Complexity: Easy
Ahead: Anatomy and Physiology  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 301
Objective: 14-1
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5
Q

The overreaction of the immune system to a substance that is otherwise harmless is known as:

A) hypersensitivity.
B) hives.
C) anaphylaxis.
D) immunity.

A
The overreaction of the immune system to a substance that is otherwise harmless is known as:
A) hypersensitivity.
B) hives.
C) anaphylaxis.
D) immunity.

Ans: A

Complexity: Easy 
Ahead: Anatomy and Physiology  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 301
Objective: 14-1
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6
Q

Which of the following statements concerning allergies is true?

A) Allergies affect young healthy individuals only.

B) An allergic reaction to a substance can occur minutes, or hours, after exposure to the substance.

C) Once hypersensitized to a substance, a given individual will experience allergic reactions to that substance randomly, not consistently.

D) Anaphylaxis is the mildest type of allergic reaction.

A

Which of the following statements concerning allergies is true?
A) Allergies affect young healthy individuals only.
B) An allergic reaction to a substance can occur minutes, or hours, after exposure to the substance.
C) Once hypersensitized to a substance, a given individual will experience allergic reactions to that substance randomly, not consistently.
D) Anaphylaxis is the mildest type of allergic reaction.

Ans: B

Complexity: Easy
Ahead: Anatomy and Physiology  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 301
Objective: 14-1
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7
Q

Which of the following statements from a patient suggests he may be having a mild allergic reaction?

A) “I have had a fever and chills for the past two days.”

B) “My heart feels as though it is skipping some beats.”

C) “I feel dizzy and weak.”

D) “I have a rash on my face and neck.”

A

Which of the following statements from a patient suggests he may be having a mild allergic reaction?
A) “I have had a fever and chills for the past two days.”
B) “My heart feels as though it is skipping some beats.”
C) “I feel dizzy and weak.”
D) “I have a rash on my face and neck.”

Ans: D

Complexity: Easy
Ahead: Common Causes of Allergies 
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 302
Objective: 14-3
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8
Q

During a primary assessment, which of the following findings would most likely lead you to suspect an allergic reaction?

A) Hives on the face and neck
B) Blood pressure of 100/60 mmHg
C) Heart rate of 55 beats per minute
D) A complaint of dizziness

A
During a primary assessment, which of the following findings would most likely lead you to suspect an allergic reaction?
A) Hives on the face and neck
B) Blood pressure of 100/60 mmHg
C) Heart rate of 55 beats per minute
D) A complaint of dizziness

Ans: A

Complexity: Easy
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 302
Objective: 14-3
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9
Q

The patient has swollen lips and hives. Which of the following scene size-up observations supports your suspicion that the patient is having an allergic reaction?

A) He has a glucometer among his belongings.

B) He has a new container of antibiotics with only two pills missing.

C) He states that several members of his family have the flu.

D) He has a bottle of expired nitroglycerin tablets.

A

The patient has swollen lips and hives. Which of the following scene size-up observations supports your suspicion that the patient is having an allergic reaction?
A) He has a glucometer among his belongings.
B) He has a new container of antibiotics with only two pills missing.
C) He states that several members of his family have the flu.
D) He has a bottle of expired nitroglycerin tablets.

Ans: B

Complexity: Easy
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 302
Objective: 14-2
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10
Q

Which of the following foods most commonly causes an allergic reaction?

A) Shellfish
B) Chocolate
C) Peanuts
D) Eggs

A
Which of the following foods most commonly causes an allergic reaction?
A) Shellfish
B) Chocolate
C) Peanuts
D) Eggs

Ans: C

Complexity: Easy
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 302
Objective: 14-2
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11
Q

The most severe form of an allergic reaction is called:

A) rash.
B) anaphylaxis.
C) an antigen response.
D) rhinorrhea.

A
The most severe form of an allergic reaction is called:
A) rash.
B) anaphylaxis.
C) an antigen response.
D) rhinorrhea.

Ans: B

Complexity: Easy
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 303
Objective: 14-2
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12
Q

A patient who is responsive only to painful stimuli is covered with hives. He has labored respirations and a weak and tachycardic pulse. His vital signs are pulse 128, respirations 24, and blood pressure 80/50 mmHg. Given this presentation, you would suspect:

A) a pulmonary embolism.
B) an anaphylactic reaction.
C) a stroke.
D) a head injury.

A
A patient who is responsive only to painful stimuli is covered with hives. He has labored respirations and a weak and tachycardic pulse. His vital signs are pulse 128, respirations 24, and blood pressure 80/50 mmHg. Given this presentation, you would suspect:
A) a pulmonary embolism.
B) an anaphylactic reaction.
C) a stroke.
D) a head injury.

Ans: B

Complexity: Moderate
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 304
Objective: 14-3
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13
Q

When the respiratory effects of an allergic reaction are obvious within a few seconds to minutes:

A) the reaction tends to be more severe.
B) the reaction tends to be localized.
C) a large amount of allergen is likely involved.
D) epinephrine will not be effective.

A

When the respiratory effects of an allergic reaction are obvious within a few seconds to minutes:
A) the reaction tends to be more severe.
B) the reaction tends to be localized.
C) a large amount of allergen is likely involved.
D) epinephrine will not be effective.

Ans: A

Complexity: Moderate
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 304
Objective: 14-3
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14
Q

Which of the following findings is present in anaphylaxis but is not a sign of a mild allergic reaction?

A) Anxiousness
B) Swelling at the site of a bee sting
C) Hives
D) Hypotension

A
Which of the following findings is present in anaphylaxis but is not a sign of a mild allergic reaction?
A) Anxiousness
B) Swelling at the site of a bee sting
C) Hives
D) Hypotension

Ans: D

Complexity: Moderate
Ahead: Common Causes of Allergies
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 304
Objective: 14-3
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15
Q

Your patient is having an allergic reaction and needs to use his epinephrine auto-injector. He is concerned that he does not recall the correct way to do it. Which of the following things would you tell him?

A) “Press the injector onto the outer thigh and push the tip against the thigh until the needle deploys.”

B) “Place the injector against the outer upper arm, push the tip until the needle deploys, and then push
the plunger slowly to inject the medication.”

C) “Pinch the skin on the anterior thigh, press the injector tip against the skin, and wait until it activates.”

D) “Pinch the skin on the lateral thigh, press the injector against the skin, and rapidly push the plunger to inject the medication.”

A

Your patient is having an allergic reaction and needs to use his epinephrine auto-injector. He is concerned that he does not recall the correct way to do it. Which of the following things would you tell him?
A) “Press the injector onto the outer thigh and push the tip against the thigh until the needle deploys.”
B) “Place the injector against the outer upper arm, push the tip until the needle deploys, and then push the plunger slowly to inject the medication.”
C) “Pinch the skin on the anterior thigh, press the injector tip against the skin, and wait until it activates.”
D) “Pinch the skin on the lateral thigh, press the injector against the skin, and rapidly push the plunger to inject the medication.”

Ans: A

Complexity: Moderate
Ahead: Management of Allergic Reactions  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 308
Objective: 14-4
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16
Q

You are staffing a first-aid booth at a mountain bike event. A mother approaches you with her 15-year-old son and informs you that her son is severely allergic to bees. Although he hasn’t been stung, she is concerned about the auto-injector he carries. The mother states that it was prescribed when her son was 13 years old. She shows you the 0.15 mg auto-injector, and you note that it expired about 12 months ago. Which of the following statements would be most appropriate for you to make?

A) “Call your doctor’s office for a new prescription because this auto-injector is out of date.”

B) “If you go to the pharmacy where you got this, they will be able to give you a new one.”

C) “Most medications are still good for months after the expiration date. You can use this one for a little while longer.”

D) “This medication is good for today, but you should call your doctor as soon as possible to replace this.”

A

You are staffing a first-aid booth at a mountain bike event. A mother approaches you with her 15-year-old son and informs you that her son is severely allergic to bees. Although he hasn’t been stung, she is concerned about the auto-injector he carries. The mother states that it was prescribed when her son was 13 years old. She shows you the 0.15 mg auto-injector, and you note that it expired about 12 months ago. Which of the following statements would be most appropriate for you to make?
A) “Call your doctor’s office for a new prescription because this auto-injector is out of date.”
B) “If you go to the pharmacy where you got this, they will be able to give you a new one.”
C) “Most medications are still good for months after the expiration date. You can use this one for a little while longer.”
D) “This medication is good for today, but you should call your doctor as soon as possible to replace this.”

Ans: A

Complexity: Easy
Ahead: Management of Allergic Reactions  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 308
Objective: 14-4
17
Q

When administering epinephrine to an infant or child, the injector should be placed at what location?

A) The outer buttock
B) The anterior thigh
C) The upper arm
D) The lateral thigh

A
When administering epinephrine to an infant or child, the injector should be placed at what location?
A) The outer buttock
B) The anterior thigh
C) The upper arm
D) The lateral thigh

Ans: D

Complexity: Moderate
Ahead: Management of Allergic Reactions  
Subject: Chapter 14
Title: Allergies and Anaphylaxis
Feedback: 308
Objective: 14-4