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After activating the auto-injector,how long should it be held in place before removing it from the patient's thigh?


A) 30 seconds
B) 10 seconds
C) 1 minute
D) It should be removed from the injection site immediately.

E) A) and C)
F) All of the above

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You are treating a 28-year-old female who is 34 weeks pregnant.She has a history of bee sting anaphylaxis and was stung by a bee while in the garden.She is having severe respiratory distress and her blood pressure is 72/50 mmHg.Which of the following is the BEST option for the EMT?


A) Transport rapidly, bypassing the emergency department and taking the patient directly to the obstetrics unit of the hospital.
B) Immediately administer the patient's Epi-Pen®.
C) Do not administer the Epi-Pen® under any circumstances.
D) Administer the Epi-Pen® only on the advice of medical control.

E) None of the above
F) All of the above

Correct Answer

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Which of the following is MOST likely to be a complaint of a patient suffering from anaphylaxis?


A) "I am having severe muscle pains."
B) "My legs are numb and I can't move them."
C) "My throat feels like it is closing."
D) "I can't remember what happened."

E) A) and D)
F) B) and D)

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You have responded to a park where you find a 23-year-old female sitting on a bench near a running trail.She states that she has been running for the past 30 minutes,and all of a sudden she cannot catch her breath.She states that this has never happened before and she usually runs 5 miles a day.Your assessment reveals that she is flushed,her pulse is fast and weak,her respirations are fast and she is wheezing,and she has hives on her arms and chest.She is most likely suffering from which of the following?


A) Anaphylaxis
B) Heat stroke
C) Allergic reaction
D) Hyperventilation syndrome

E) C) and D)
F) All of the above

Correct Answer

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A 35-year-old female has just eaten lobster and is now complaining of itchy,watery eyes.Her blood pressure is beginning to fall,but she denies difficulty breathing.Which of the following best describes her condition?


A) Anaphylaxis
B) Dyspnea
C) Shock
D) Mild allergy

E) A) and D)
F) B) and C)

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You are called to the local park on a hot summer day for an 8-year-old child in respiratory distress.The child can barely speak and appears to be getting sleepy.Vital signs are blood pressure 90/60,pulse 120,and respiratory rate 32.Your physical exam reveals a swollen tongue,inspiratory stridor,wheezing,and hives on the neck and chest.What condition do you suspect?


A) Asthma
B) Heat exhaustion
C) Allergic reaction
D) Anaphylaxis

E) C) and D)
F) B) and C)

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Which of the following is the result of histamine and other chemicals in the body during anaphylaxis?


A) Urticaria occurs due to fluid being shunted from the skin, causing dehydration of tissue.
B) Blood vessels constrict, capillaries become leaky, and bronchoconstriction occurs.
C) Capillaries become leaky, bronchoconstriction occurs, and swelling appears in areas around the vocal cords.
D) Bronchodilation occurs, blood vessels dilate, and swelling appears in areas around the vocal cords.

E) B) and C)
F) None of the above

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You are on the scene of a 40-year-old male patient who is anaphylactic and still unresponsive following a single epinephrine injection.You had inserted an oral airway and administered oxygen at 15 liters per minute by bag-valve mask and your partner found diminished lung sounds.After the epinephrine administration your partner reassesses lung sounds and tells you that the patient is now wheezing loudly in all fields.What is the next action you should perform?


A) Discontinue bagging the patient.
B) Place the patient on a nonrebreather mask.
C) Hyperventilate the patient.
D) Contact medical control and request to administer another dose of epinephrine.

E) All of the above
F) None of the above

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Which of the following changes commonly occurs in the cardiovascular system during anaphylaxis?


A) Low blood pressure due to vasodilation
B) High blood pressure due to tachycardia
C) High blood pressure due to vasoconstriction
D) Low blood pressure due to bradycardia

E) B) and C)
F) A) and B)

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Your patient is a 7-year-old girl who was prescribed an antibiotic for an ear infection.After 4 days on the antibiotic,the patient is experiencing hives and itching on her face,throat,and neck.Which of the following should you do?


A) Advise the parents that these symptoms are related to the ear infection and the antibiotic will take care of these symptoms if taken as directed.
B) Provide supportive care and monitor the patient's condition during transport to the hospital.
C) Advise the parents to call the pediatrician for a different antibiotic.
D) Immediately administer Epi-Pen Jr.®

E) A) and D)
F) A) and B)

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Which of the following is a general term for a substance to which the body may have an anaphylactic reaction?


A) Pathogen
B) Allergen
C) Antibody
D) Pyrogen

E) None of the above
F) A) and B)

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Which of the following does NOT commonly lead to anaphylaxis?


A) Peanuts
B) Cat dander
C) Wasp stings
D) Sulfa drugs

E) A) and B)
F) A) and C)

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You are called to a farmhouse on a sunny spring afternoon.Upon arrival,a frantic mother tells you that her 3-year-old daughter was playing in the yard,accidentally stepped on a hornets' nest,and was stung repeatedly.The patient is alert,screaming and crying,and can follow her mother's commands.Her arms and legs are swollen and show the marks of several stings.Her body is covered in hives.Her vital signs are blood pressure 90/40,pulse 110,respiratory rate 24,and oxygen saturation 99%.Her lung sounds are clear and equal bilaterally.Her mother states she put "nox-a-sting" on the bites but the bites only seemed to get worse.What condition is the patient suffering from?


A) Minor anaphylactic reaction
B) Moderate anaphylactic reaction
C) Allergic reaction from the hornets' stings
D) Anaphylactic reaction from the "nox-a-sting" swabs

E) A) and D)
F) All of the above

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You are on the scene of a 22-year-old female patient who is unresponsive.The patient's mother states that she is deathly allergic to peanuts and accidentally ate stir fry cooked in peanut oil.The patient is unresponsive with agonal respirations at 6 per minute.What is your first action?


A) Administer epinephrine with medical control consent.
B) Insert an oral airway and apply oxygen at 15 liters per minute by nonrebreather mask.
C) Insert an oral airway and apply oxygen at 15 liters per minute by bag-valve mask.
D) Perform a complete assessment and confirm that the patient is actually in anaphylaxis.

E) A) and B)
F) None of the above

Correct Answer

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You are unsure if a patient's condition requires the administration of an epinephrine auto-injector.Which of the following actions is most appropriate?


A) Ask a family member if this is the type of situation when the patient usually takes his auto-injector.
B) Administer the epinephrine, just in case.
C) Consult with a paramedic on your service for advice.
D) None of the above

E) A) and B)
F) C) and D)

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Which of the following is the proper method of disposing of a used epinephrine auto-injector?


A) Bend the needle at an angle to prevent accidental punctures and place it in the trash.
B) Place the device in a rigid biohazardous sharps disposal container.
C) Leave it at the scene for the patient or his family to dispose of.
D) Take it to the hospital for disposal in the emergency department.

E) None of the above
F) A) and D)

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You are called to a residence for a 60-year-old male complaining of chest pain.You find the patient seated in bed.His past medical history includes hypertension and high cholesterol.The patient presents with hives over the chest,stridor,a swollen tongue,and wheezing in the upper fields.He denies any shortness of breath or respiratory distress,but does so in short two to three word statements.What condition do you suspect?


A) Anaphylaxis
B) Asthma
C) Acute myocardial infarction
D) Angina pectoris

E) A) and D)
F) A) and C)

Correct Answer

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As you prepare to enter a patient's room in a nursing home,you see a sign posted on the door indicating that the patient has a latex allergy.Which of the following is the BEST way to care for the patient?


A) Only perform a history on this patient, not a physical exam, so you can avoid contacting him with your gloves.
B) Ask the nursing staff if the patient has an epinephrine auto-injector available in case of a reaction to your gloves.
C) Put on latex gloves anyway; you must protect yourself with BSI.
D) Ask the nursing facility staff to find synthetic exam gloves to wear for contact with this patient.

E) B) and D)
F) B) and C)

Correct Answer

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What is another name for a severe allergic reaction?


A) Dermatitis
B) Asthma
C) Anaphylaxis
D) Psychosomatic reaction

E) A) and D)
F) B) and C)

Correct Answer

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When documenting the administration of an epinephrine auto-injector,which of the following should be included?


A) Patient's response to the medication
B) Site of medication administration
C) Time the medication was administered
D) All of the above

E) A) and C)
F) B) and D)

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