1. Your unit is called to a local baseball park where you find a 23-year-old man who complains of difficulty breathing. The patient denies any allergies. The only thing that he ate was a package of peanuts approximately 30 minutes ago. Upon examination, you find widespread urticaria and note that the patient's heart rate is 120 beats/min and his blood pressure is 90/60 mm Hg. You can hear wheezing, even without a stethoscope. Which of the following conditions should you
suspect?
A.A mild allergic reaction
B.A moderate allergic reaction
C.A severe allergic reaction
D.An acute asthma attack


2. Which of the following exposures would result in the MOST rapid onset of signs and symptoms of an anaphylactic reaction?
A.Ingestion of penicillin
B.Injection of penicillin
C.Ingestion of shrimp
D.A noninvenomated insect sting


3. Which of the following statements is TRUE regarding anaphylaxis?
A.Most people who develop anaphylaxis die.
B.Urticaria is a late sign of anaphylaxis.
C.Anaphylaxis typically involves multiple organ systems.
D.Hypotension is seen very early during the course of anaphylaxis.


4. An allergic reaction is an exaggerated response of the immune system to any substance. The body releases which of the following chemicals that causes the signs and symptoms of the allergic reaction?
A.Histamine
B.Epinephrine
C.Adrenalin
D.Benadryl


5. Upon arriving at the scene of a residence, where a patient is evidently having a "severe" allergic reaction to an ant bite, the EMT-B's initial action should be to:
A.perform an initial assessment of the patient.
B.immediately establish and maintain the patient's airway.
C.perform a size-up of the scene prior to entering the residence.
D.obtain a SAMPLE history in order to determine the patient's history.


6. A young male patient is experiencing signs and symptoms of anaphylaxis after being stung by a scorpion. His level of consciousness is diminished and you can hear stridorous respirations upon inhalation. The patient has a prescribed epinephrine auto injector with him. Initial management for this patient should include:
A.assisting with the administration of the epinephrine.
B.applying 100% oxygen via a nonrebreathing mask.
C.providing positive pressure ventilation with a BVM device.
D.elevating the patient's legs and keeping him warm with a blanket.


7. When administering epinephrine by auto injector, the EMT-B must hold the injector in place for approximately:
A.2 - 5 seconds.
B.10 seconds.
C.20 seconds.
D.30 seconds.


8. A 19-year-old man who was bitten on the leg by a rattlesnake is found sitting on the ground leaning against a tree. The patient is weak and sweaty and states that his leg is burning. As you begin your assessment, the patient vomits and becomes very anxious. Your care for this patient should begin by:
A.placing a cold pack over the bite area.
B.giving him small sips of water to clear his mouth.
C.placing a constricting band directly over the bite area.
D.consulting with medical control and then lightly placing venous tourniquets above and below the bite.


9. It is approximately 13:25 hours when you are dispatched for a man who complains of pain to his left hand. Upon arrival, you assess the man and find that he has a small wound in his hand that is slightly cyanotic in the center, surrounded by an area of tenderness. The man states that he does not remember being bitten or stung by anything. He noticed the pain and discoloration approximately 6 hours after adding wood to his woodpile for the upcoming winter. Which of the following is most likely the cause of this patient's presentation?
A.A black widow spider bite
B.The sting from a scorpion
C.The bite from a brown recluse spider
D.Envenomation from a coral snake


10. You are called to the home of an elderly woman who states that she is dizzy and having difficulty breathing and that her chest feels "tight." She also has severe abdominal cramps. As you assess her, you find out that she was fine until after she started cleaning in the garage yesterday, but she says that she did not do any heavy lifting. As you examine her leg, you notice a light pink rash and what appear to be two small puncture wounds. These signs and symptoms indicate the bite of a:
A.fire ant.
B.pit viper.
C.black widow spider.
D.brown recluse spider.


11. You are treating man who was bitten by a rattlesnake. The patient complains of generalized weakness and is diaphoretic. There is a large, swollen area on his left lower leg with two distinctive puncture wounds. Appropriate management for this patient includes:
A.applying ice to the area to decrease swelling.
B.having the patient walk to diminish venom spread.
C.placing the patient in a fully upright position.
D.splinting the extremity to decrease movement.


12. Approximately 3 days after removing a tick from his upper leg, a 35-year-old man presents with a local rash that resembles that of a "bulls-eye." His blood pressure is 108/78 mm Hg, his heart rate is 100 beats/min and regular, and his respirations are 22 breaths/min with adequate air exchange. Which of the following do you suspect?
A.Rocky mountain spotted fever
B.A rheumatoid infection
C.Lyme disease
D.An allergic reaction


13. A 10-year-old girl was stung several times by a swarm of bees. The areas where she was stung are red and swollen, and several stingers are embedded in her arms, legs, and face. The patient is crying and complains of severe pain in the area surrounding each sting. The parents state that she has no known allergy to bee stings. The patient has a rapid pulse. The most appropriate course of action would be to:
A.squeeze the stingers and remove the venom.
B.apply warm compresses to the areas and give oxygen.
C.scrape off the stingers with the edge of a card, wash the areas, and apply cold packs.
D.use tweezers to remove the stingers and then apply warm compresses to the areas.


14. A characteristic mark found on patients who have been bitten by a pit viper is:
A.a row of small puncture wounds.
B.a large puncture wound.
C.a large puncture wound with a stinger.
D.two small puncture wounds about ½ " apart.



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