Deck 30: Anaphylaxis

Question 1

____ is a substance that binds to receptors in the body, resulting in bronchoconstriction, vasodilatation, increased vascular permeability, and gastric acid secretions.

A) Tetracycline
B) Epinephrine
C) Adrenaline
D) Histamine

Answer 1

Histamine

Question 2

A release of histamine and other substances into the tissues causes vasodilation and leaky blood vessels, producing the signs and symptoms associated with an allergic reaction: a pruritic (itchy), red, and raised rash called ____.

A) angioedema
B) anaphylactis
C) pruritis
D) urticaria

Answer 2

urticaria

Question 3

The immune response begins with the exposure of the body to a(n) ____, which is any foreign substance that can induce an immune response.

A) antigen
B) allergen
C) antibody
D) globulin

Answer 3

antigen

Question 4

____ is the most common antihistamine used.

A) Methylprednisolone
B) Albuterol
C) Eprinephrine
D) Diphenhydramine

Question 5

When asking a patient about exposures to new medications, foods, or insect stings, the Paramedic should use the ____ mnemonic to help obtain a detailed history.

A) MMWR
B) AMPLE
C) TEST
D) TOPV

Question 6

All patients with allergic reactions or anaphylaxis should be transported to the hospital.

Question 7

Tachycardia, tachypnea, and hypotension indicate ____.

A) pruritis
B) urticaria
C) shock
D) erythema

Question 8

____ block(s) the histamine receptors in the body, limiting the body's natural response to histamine.

A) Epinephrine
B) Antihistamines
C) Steroids
D) Norepinephrine

Question 9

The common name for pruritis is ____.

A) itching
B) swelling
C) hives
D) sweating

Question 10

Angioedema is a true anaphylactic reaction.

Question 11

Antihistamines stop the effects of histamine from worsening and they reverse the response that has already occurred.

Question 12

In severe anaphylaxis, intubation can be very difficult due to the edema.

Question 13

____ is a sympathomimetic medication that causes bronchodilation and peripheral vasoconstriction, increasing blood pressure.

A) Diphenhydramine
B) Albuterol
C) Epinephrine
D) Adrenaline

Question 14

With ____, the patient will develop the typical swelling in the face, lips, and tongue.

A) angioedema
B) anaphylaxis
C) COPD
D) diaphoresis

Question 15

When trying to determine the cause of breathing issues, the Paramedic should ask the patient about taking ____ medications, specifically those in the angiotensin-converting enzyme and angiotensin receptor blocker classes, which are most associated with angioedema.

A) bronchoconstriction
B) antihypertensive
C) antibiotic
D) NSAIDs

Question 16

Many schools have discontinued the practice of allowing homemade treats at various school functions due to the possibility of unrealized exposure to ____ in the home setting.

A) peanuts
B) eggs
C) milk
D) soy

Question 17

Anaphylaxis results in between 500 to 1,000 deaths per year in the United States.

Question 18

The common name for urticaria is ____.

A) itching
B) sweating
C) hives
D) swelling

Question 19

Patients with a history of ____ may have more severe bronchospasm with anaphylaxis.

A) erythema
B) bronchitis
C) sardoidosis
D) asthma

Question 20

____ is a rapid swelling of the dermis.

A) Pruritis
B) Bradykinin
C) Angioedema
D) Urticaria

Question 21

One of the products of the complement system pathway is a chemical called ____________________, which serves various functions.

Question 22

The Paramedic should consider ____________________ intubation if airway edema is present and progressing.

Question 23

When an allergen (antigen) enters the body, a massive amount of ____________________ is released.

Question 24

____________________ is the drug of choice for the treatment of anaphylaxis.

Question 25

Pruritis and urticaria suggest a hypersensitivity reaction which can rapidly progress to ____________________.