EMT Chapter 21 Allergy and Anaphylaxis Questions
and Correct Answers | Latest Update
A 38-year-old woman was bitten by fire ants while at the park. Your
primary assessment reveals that she is semiconscious; has labored
breathing; and has a rapid, thready pulse. She has a red rash on her
entire body, and her face is swollen. You should:
A. perform a rapid secondary assessment.
B. assist her ventilations with 100% oxygen.
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C. locate the area where the fire ants bit her.
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D. place her supine with her legs elevated.
Ans: B. assist her ventilations with 100% oxygen.
Because the stinger of a honeybee remains in the wound following a
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sting:
A. the toxicity of the venom decreases within 10 minutes.
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B. the stinger should quickly be removed with tweezers.
C. it can continue to inject venom for up to 20 minutes.
D. the body's immune system deactivates the bee's venom.
Ans: C. it can continue to inject venom for up to 20 minutes.
The adult Epi auto-injector delivers ______ mg of Epinephrine, and the
infant-child auto-injector _____ mg.
A. 0.03; 0.3
B. 0.3; 0.15
C. 0.01; 0.1
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D. 0.1; 0.01
Ans: B. 0.3; 0.15
You have administered one dose of epinephrine to a 40-year-old female
to teat an allergic reaction that she developed after being stung by a
scorpion. Your assessment reveals that she is still having difficulty
breathing , has a decreasing mental status, and has a BP of 80/50 mm Hg.
You should:
A. administer a nebulized bronchodilator to improve the status of her
breathing.
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B. request permission from medical control to give another dose of
epinephrine.
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C. crush up an antihistamine tablet and place it in between her cheek and
gum.
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D. monitor her en route to the hospital and call medical control if she
worsens.
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Ans: B. request permission from medical control to give another dose of
epinephrine.
A 50-year-old male was stung by honeybee approximately 15 minutes
ago. He presents with respiratory distress, facial swelling, and
hypotension. After placing him on oxygen and administering his
epinephrine via auto-injector, you note that his breathing has improved.
Additionally, his facial swelling is resolving and his blood pressure is
stable. Your next action should be to:
A. reassess his breathing and BP in 15 minutes.
B. record the time and dose of the injection and transport promptly.
C. visualize his airway to assess for oropharyngeal swelling.