Quiz
EMT 18
Fragen in diesem Quiz (36)
1A 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 mm Hg, her pulse is 100 beats/min and strong, and her respirations are 18 breaths/min and unlabored. You should:
- Aposition her legs well above the level of her heart.
- Badminister oxygen and transport her to the hospital.
- Crequest a paramedic unit to administer epinephrine.
- Dadvise her to see her physician as soon as possible.
2A 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?
- AAsk the patient if he has any diphenhydramine (Benadryl) tablets that you can administer.
- BAdminister oxygen, transport at once, and request a paramedic intercept.
- CRemain at the scene with the patient and request a paramedic ambulance.
- DQuickly determine if there are any bystanders who may carry epinephrine.
3A 38-year-old female was bitten by fire ants while at the park with her kids. Your primary assessment reveals that she is semiconscious, has profoundly labored breathing, and has a rapid, thready pulse. She has a red rash on her entire body and her face is very swollen. You should:
- Aperform a rapid secondary assessment.
- Bassist her ventilations with 100% oxygen.
- Cadminister 0.3 mg of epinephrine.
- Dplace her supine with her legs elevated 6″ to 12″.
4A 48-year-old male is found unconscious in the garden by his wife. When you arrive at the scene and assess the man, you find that he is unresponsive, has severely labored breathing, and has hives over his entire trunk. You should:
- Aperform a detailed secondary assessment.
- Bmaintain his airway and assist his ventilations.
- Cask his wife if he has any known allergies.
- Dapply the automated external defibrillator (AED) in the event that cardiac arrest occurs.
5A 50-year-old male was stung by a 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:
- Areassess his breathing and blood pressure in 15 minutes.
- Bvisualize his airway to assess for oropharyngeal swelling.
- Cnotify medical control of the patient's response to your treatment.
- Drecord the time and dose of the injection, and transport promptly.
6A 73-year-old man presents with a generalized rash, which he thinks may have been caused by an antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94 mm Hg, and his pulse is 64 beats/min and regular. You auscultate his breath sounds and hear scattered wheezing, although he is not experiencing respiratory distress. In addition to administering oxygen, you should:
- Acontact medical control if needed, transport the patient, and monitor him for signs of deterioration
- Bask him if he has epinephrine and request approval from medical control to administer it to the patient.
- Cavoid the use of epinephrine because of his cardiac history, even if his symptoms become severe.
- Dbegin transport and request to administer epinephrine if his systolic blood pressure falls below 110 mm Hg.
7A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called:
- Aa pustule.
- Bpurpura.
- Curticaria.
- Da wheal.
8After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However, she is still anxious and tachycardic. You should
- Acontact medical control and obtain authorization to administer another 0.3 mg of epinephrine
- Btransport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
- Cmonitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
- Dconsider administering 0.15 mg of epinephrine to completely resolve her allergic reaction.
9Anaphylaxis is MOST accurately defined as a(n):
- Amoderate allergic reaction that primarily affects the vasculature.
- Bextreme allergic reaction that may affect multiple body systems.
- Csevere allergic reaction that typically resolves without treatment.
- Dallergic reaction that causes bronchodilation and vasoconstriction.
10Because the stinger of a honeybee remains in the wound following a sting:
- Athe stinger can easily be removed with tweezers.
- Bthe body's immune system deactivates the venom.
- Cthe toxicity of the venom decreases within 10 minutes.
- Dit can continue to inject venom for up to 20 minutes.
11Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include:
- Athe bee venom itself.
- Badrenaline and histamines.
- Cleukocytes and epinephrine.
- Dhistamines and leukotrienes.
12Common side effects of epinephrine include all of the following, EXCEPT:
- Adrowsiness.
- Btachycardia.
- Cheadache.
- Ddizziness.
13Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:
- Aabdominal cramps.
- Bdrying of the eyes.
- Cflushing of the skin.
- Dpersistent dry cough.
14Epinephrine is indicated for patients with an allergic reaction when:
- Awheezing and hypotension are present.
- Bthe patient is anxious and tachycardic.
- Ca paramedic is present at the scene.
- Dthe reaction produces severe urticaria.
15Immediately after giving an epinephrine injection, you should:
- Aproperly dispose of the syringe.
- Brecord the time and dose given.
- Creassess the patient's vital signs.
- Dnotify medical control of your action.
16Most patients who die of anaphylaxis do so within the first __________ following exposure.
- A5 minutes
- B30 minutes
- C60 minutes
- D90 minutes
17The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the pediatric auto-injector delivers ______ mg.
- A0.1, 0.01
- B0.01, 0.1
- C0.03, 0.3
- D0.3, 0.15
18The effects of epinephrine are typically observed within _________ following administration.
- A30 seconds
- B1 minute
- C30 minutes
- D1 hour
19The foreign substance responsible for causing an allergic reaction is called a(n):
- Aallergen.
- Bantibody.
- Chistamine.
- Dleukotriene.
20The stinger from a honeybee should be:
- Aleft in place and covered.
- Bscraped away from the skin.
- Csqueezed with tweezers and removed.
- Dirrigated with copious amounts of water.
21The two MOST common signs of anaphylaxis are:
- Awheezing and widespread urticaria
- Bwatery eyes and localized itching.
- Cexpiratory stridor and tachycardia.
- Dhypertension and swollen hands.
22Urticaria is the medical term for:
- Ahives.
- Bburning.
- Cswelling.
- Da wheal.
23When administering epinephrine via auto-injector, you should hold the injector in place for:
- A5 seconds.
- B10 seconds.
- C15 seconds.
- D20 seconds.
24When using an auto-injector to give epinephrine, the primary injection site is the:
- Amedial part of the buttocks.
- Blateral portion of the arm
- Clateral portion of the thigh.
- Dmedial portion of the thigh.
25Which of the following medications blocks the release of histamines?
- Aalbuterol (Ventolin)
- Bepinephrine
- Cacetaminophen (Tylenol)
- Ddiphenhydramine (Benadryl)
26Which of the following MOST accurately defines an allergic reaction?
- Aan exaggerated immune system response to any substance
- Bdestruction of the immune system by an external substance
- Ca release of erythrocytes in response to a foreign substance
- Da direct negative effect on the body by an external substance
27Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated immediately?
- Adiffuse urticaria
- Bsevere hypotension
- Cupper airway swelling
- Dsystemic vasodilation
28Which of the following patients would MOST likely have a delayed onset of an allergic reaction?
- Aa 21-year-old female who inhaled pollen
- Ba 30-year-old male who was stung by a bee
- Ca 45-year-old male who ingested penicillin
- Da 50-year-old male who was exposed to latex
29Which of the following physiologic actions does epinephrine produce when given for an allergic reaction?
- Abronchodilation and vasodilation
- Bvasoconstriction and bronchodilation
- Cbronchoconstriction and vasoconstriction
- Dblocking of further histamine release
30Which of the following sounds indicates swelling of the upper airway?
- Arales
- Bstridor
- Crhonchi
- Dwheezing
31Which of the following statements regarding fire ants is correct?
- AFire ants often bite a person repeatedly.
- BFire ant bites rarely cause anaphylaxis.
- CFire ant bites typically occur on the face.
- DMost people are allergic to fire ant toxin.
32Which of the following would MOST likely provide clues regarding the source of a patient's allergic reaction?
- Athe patient's family history
- Bthe patient's general physical appearance
- Cthe environment in which the patient is found
- Dthe time of season in which the exposure occurred
33While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear bilateral wheezing over all lung fields. This indicates:
- Arapid swelling of the upper airway tissues.
- Ba significant amount of fluid in the alveoli.
- Cnarrowing of the bronchioles in the lungs
- Denlargement of the bronchioles in the lungs.
34You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that he had a “bad reaction” the last time he was stung by a scorpion, and carries his own epinephrine auto-injector. You should:
- Aapply high-flow oxygen, apply a chemical cold pack directly to the injection site, and transport at once.
- Bapply high-flow oxygen, obtain approval from medical control to assist him with his epinephrine, and transport.
- Cassess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if he remains stable.
- Dapply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to the hospital
35You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You should:
- Amonitor her en route to the hospital and call medical control if she worsens.
- Bcrush up an antihistamine tablet and place it in between her cheek and gum.
- Crequest permission from medical control to give another dose of epinephrine.
- Dadminister a nebulized bronchodilator to improve the status of her breathing.
36You respond to the residence of a 55-year-old female with a possible allergic reaction to peanuts that she ate approximately 30 minutes ago. The patient is conscious and alert, but has diffuse urticaria and the feeling that she has a lump in her throat. As your partner applies oxygen to the patient, you should:
- Aask her if she has prescribed epinephrine.
- Bobtain a complete set of baseline vital signs.
- Cascertain if she has a family history of allergies.
- Dask her when her last allergic reaction occurred.
Informationen
- Beschreibung
- EMT-B EMT Quiz am EMT 18, erstellt von Seth Weaver am 10/06/2018.
- Autor
- Seth Weaver
- Sprache
- English
- Aufrufe
- 83
- Schlagwörter
- Bewertung
- Noch keine Bewertungen Bewerte dieses Quiz