PMEDCH.26 - Immunologic Emergencies Questions With
Complete Solutions
A 20-year-old woman complains of difficulty breathing and the
feeling of a lump in her throat approximately 10 minutes after
being stung by a wasp. Your assessment reveals that she is
anxious, is in obvious respiratory distress, and has hives
covering her arms and legs. Further assessment reveals diffuse
wheezing, a blood pressure of 80/50 mm Hg, and a heart rate of
120 beats/min. You should:
a) immediately sedate and intubate her to protect her airway,
administer Benadryl IM, and consider an epinephrine infusion.
b) administer albuterol via an inline nebulizer attached to a bag-
mask device, assist ventilations, and consider administering
epinephrine.
c) apply high-flow oxygen via nonrebreathing mask, administer
epinephrine via the IM route, and establish vascular access.
d) administer high-flow oxygen, start a large-bore IV, infuse up
to 2 liters of normal saline, and administer epinephrine SQ.
Correct Answers c) apply high-flow oxygen via nonrebreathing
mask, administer epinephrine via the IM route, and establish
vascular access.
A 26-year-old female presents with a fever, rash, and joint pain.
What should you suspect?
a) Lupus
b) Anaphylaxis
c) Scleroderma
d) Allergic reaction Correct Answers a) Lupus
,A 31-year-old man presents with diffuse hives, intense itching,
and watery eyes that began acutely about an hour ago. He is
conscious and alert, is breathing without difficulty, and tells you
that he does not have any allergies or significant medical
problems. His blood pressure is 126/76 mm Hg, pulse is 80
beats/min and strong, and respirations are 16 breaths/min and
unlabored. What drug should you administer?
a) Oxygen
b) Albuterol
c) Epinephrine
d) Diphenhydramine Correct Answers d) Diphenhydramine
A 37-year-old male patient presents with a pounding headache,
hives, numbness around the mouth, sweating, and upset
stomach. The patient also reports some shortness of breath.
Which of the following could cause these symptoms?
A) Red man syndrome
B) Severe anxiety
C) Monosodium glutamate poisoning
D) Scombroid fish poisoning Correct Answers C) Monosodium
glutamate poisoning
A 49-year-old male who had a heart transplant presents with a
heart rate of 40 beats/min. He is weak, dizzy, lightheaded, and
hypotensive. Which of the following medications would be the
LEAST beneficial?
a) Atropine
b) Epinephrine
c) Isoproterenol
d) Norepinephrine Correct Answers a) Atropine
, A middle-aged male who received a kidney transplant called
EMS because he was not feeling well. Which of the following
assessment findings is MOST suggestive of organ rejection?
a) Excessive urine output, shortness of breath, and a diffuse
rash
b) Blood in the urine, diffuse abdominal pain, and hypothermia
c) Fever with swelling and tenderness over the implanted
kidney
d) Bilateral flank pain that radiates to both shoulders and
scapulae Correct Answers c) Fever with swelling and
tenderness over the implanted kidney
A patient who was stung by a bee presents with confusion and
combativeness. This change in mental status should prompt you
to:
A) elevate the patient's head.
B) administer diphenhydramine.
C) assess for signs of shock.
D) administer epinephrine. Correct Answers D) administer
epinephrine.
A patient with a suspected allergic reaction reports a rash, itchy
eyes, and some difficulty breathing. This type of allergic
reaction would be classified as:
A) Mild
B) Moderate
C) Severe
D) Emergent Correct Answers B) Moderate
An abnormal immune response that the body develops when it is
re-exposed to an allergen is called:
Complete Solutions
A 20-year-old woman complains of difficulty breathing and the
feeling of a lump in her throat approximately 10 minutes after
being stung by a wasp. Your assessment reveals that she is
anxious, is in obvious respiratory distress, and has hives
covering her arms and legs. Further assessment reveals diffuse
wheezing, a blood pressure of 80/50 mm Hg, and a heart rate of
120 beats/min. You should:
a) immediately sedate and intubate her to protect her airway,
administer Benadryl IM, and consider an epinephrine infusion.
b) administer albuterol via an inline nebulizer attached to a bag-
mask device, assist ventilations, and consider administering
epinephrine.
c) apply high-flow oxygen via nonrebreathing mask, administer
epinephrine via the IM route, and establish vascular access.
d) administer high-flow oxygen, start a large-bore IV, infuse up
to 2 liters of normal saline, and administer epinephrine SQ.
Correct Answers c) apply high-flow oxygen via nonrebreathing
mask, administer epinephrine via the IM route, and establish
vascular access.
A 26-year-old female presents with a fever, rash, and joint pain.
What should you suspect?
a) Lupus
b) Anaphylaxis
c) Scleroderma
d) Allergic reaction Correct Answers a) Lupus
,A 31-year-old man presents with diffuse hives, intense itching,
and watery eyes that began acutely about an hour ago. He is
conscious and alert, is breathing without difficulty, and tells you
that he does not have any allergies or significant medical
problems. His blood pressure is 126/76 mm Hg, pulse is 80
beats/min and strong, and respirations are 16 breaths/min and
unlabored. What drug should you administer?
a) Oxygen
b) Albuterol
c) Epinephrine
d) Diphenhydramine Correct Answers d) Diphenhydramine
A 37-year-old male patient presents with a pounding headache,
hives, numbness around the mouth, sweating, and upset
stomach. The patient also reports some shortness of breath.
Which of the following could cause these symptoms?
A) Red man syndrome
B) Severe anxiety
C) Monosodium glutamate poisoning
D) Scombroid fish poisoning Correct Answers C) Monosodium
glutamate poisoning
A 49-year-old male who had a heart transplant presents with a
heart rate of 40 beats/min. He is weak, dizzy, lightheaded, and
hypotensive. Which of the following medications would be the
LEAST beneficial?
a) Atropine
b) Epinephrine
c) Isoproterenol
d) Norepinephrine Correct Answers a) Atropine
, A middle-aged male who received a kidney transplant called
EMS because he was not feeling well. Which of the following
assessment findings is MOST suggestive of organ rejection?
a) Excessive urine output, shortness of breath, and a diffuse
rash
b) Blood in the urine, diffuse abdominal pain, and hypothermia
c) Fever with swelling and tenderness over the implanted
kidney
d) Bilateral flank pain that radiates to both shoulders and
scapulae Correct Answers c) Fever with swelling and
tenderness over the implanted kidney
A patient who was stung by a bee presents with confusion and
combativeness. This change in mental status should prompt you
to:
A) elevate the patient's head.
B) administer diphenhydramine.
C) assess for signs of shock.
D) administer epinephrine. Correct Answers D) administer
epinephrine.
A patient with a suspected allergic reaction reports a rash, itchy
eyes, and some difficulty breathing. This type of allergic
reaction would be classified as:
A) Mild
B) Moderate
C) Severe
D) Emergent Correct Answers B) Moderate
An abnormal immune response that the body develops when it is
re-exposed to an allergen is called:
