Unit 3: 3 Anaphylaxis Assessment History Quiz
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Questions and Answers

What is the recommended route of administration for aqueous epinephrine in an adult suspected of anaphylaxis?

  • Intranasal
  • Intravenous
  • Intramuscularly in the anterolateral aspect of the mid-thigh (correct)
  • Subcutaneous

How quickly may reactions to the offending allergen occur in an anaphylactic reaction?

  • Within months
  • Within hours
  • Within minutes (correct)
  • Within weeks

What are the organ systems commonly affected during a manifestation of an anaphylactic reaction?

  • Urinary and endocrine systems
  • Musculoskeletal and immune systems
  • Reproductive and lymphatic systems
  • Respiratory and integumentary systems (correct)

What is recommended for individuals who have experienced anaphylaxis or are at risk?

<p>Wear a medical identification bracelet (C)</p> Signup and view all the answers

What should be provided concerning reading food labels for individuals at risk?

<p>Instructions on trigger identification and avoidance (C)</p> Signup and view all the answers

Why is it crucial for individuals with allergen sensitivity to have epinephrine auto-injectors?

<p>To provide a premeasured epinephrine dose in case of reaction (C)</p> Signup and view all the answers

What is the recommended dose of an epinephrine auto-injector for infants and young children weighing less than 25 kg?

<p>0.1 mg (D)</p> Signup and view all the answers

What is the appropriate epinephrine auto-injector dose for children weighing between 25 and 30 kg?

<p>0.3 mg (A)</p> Signup and view all the answers

What is the recommendation regarding children self-carrying epinephrine auto-injectors in schools and camps?

<p>Allowed with a proper consent and prescription (A)</p> Signup and view all the answers

Which type of allergen is NOT listed as a common offending allergen for anaphylaxis?

<p>Cat fur (C)</p> Signup and view all the answers

What physiological effect does the release of histamine have during an anaphylactic reaction?

<p>Peripheral vasodilation (B)</p> Signup and view all the answers

Which factor released during anaphylaxis results in bronchoconstriction?

<p>Leukotriene (A)</p> Signup and view all the answers

What is a possible life-threatening consequence of an anaphylactic reaction according to the text?

<p>Hypoxemia (C)</p> Signup and view all the answers

Which allergen is NOT listed under the potential Anaphylaxis-Inducing Allergens in the text?

<p>Pollen (D)</p> Signup and view all the answers

What role does immunoglobulin E play in an anaphylactic reaction?

<p>Triggers mast cell activation (A)</p> Signup and view all the answers

Which of the following is a systemic effect of histamine release during an anaphylactic reaction?

<p>Bronchoconstriction (B)</p> Signup and view all the answers

What type of allergen can cause angioedema, according to the text?

<p>Insect venom (D)</p> Signup and view all the answers

Which substance is NOT listed as a potential drug allergen that can induce anaphylaxis?

<p>Morphine (B)</p> Signup and view all the answers

What is a characteristic of uniphasic and biphasic reactions during anaphylaxis?

<p>They can happen up to 10 to 12 hours after exposure (B)</p> Signup and view all the answers

How do protracted reactions differ from uniphasic or biphasic reactions?

<p>They can last from 24 to rarely 72 hours (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as part of the information that should be obtained from a patient during an anaphylactic event?

<p>Occupational history (D)</p> Signup and view all the answers

What is a common physical finding related to the cardiovascular system in an individual experiencing an anaphylactic reaction?

<p>Syncope (C)</p> Signup and view all the answers

Which of the following is NOT a symptom commonly associated with pulmonary manifestations in an anaphylactic reaction?

<p>Chest pain (D)</p> Signup and view all the answers

What can elevated serum tryptase levels indicate in the context of an anaphylactic event?

<p>Mast cell activation (B)</p> Signup and view all the answers

Which diagnostic tool is recommended to exclude a pulmonary embolism during an anaphylactic event?

<p>Arterial blood gases analysis (A)</p> Signup and view all the answers

What is a common central nervous system manifestation that can occur during an anaphylactic reaction?

<p>Seizure (C)</p> Signup and view all the answers

Which of the following is NOT commonly associated with cutaneous manifestations in an anaphylactic reaction?

<p>Edema of extremities (C)</p> Signup and view all the answers

What can chest radiograph help detect in patients with underlying pathologic processes during an anaphylactic event?

<p>Respiratory compromise (C)</p> Signup and view all the answers

What is the benefit of monitoring serum glucose levels during an anaphylactic event?

<p>To assess for hypoglycemia (C)</p> Signup and view all the answers

Which of the following options is NOT commonly considered in the differential diagnosis of anaphylaxis?

<p>Hypothyroidism (C)</p> Signup and view all the answers

What should a clinician consider when differentiating between inflammatory mediators causing coronary artery spasms and myocardial infarction?

<p>Clinical presentation and history (D)</p> Signup and view all the answers

Which statement regarding diagnostics during an anaphylactic event is TRUE?

<p>Electrocardiography can be used to monitor pulmonary status. (D)</p> Signup and view all the answers

What is the maximum dose of aqueous epinephrine that can be administered intramuscularly to adults in an anaphylactic event?

<p>1 mg (A)</p> Signup and view all the answers

Which muscle site is preferred for the intramuscular injection of epinephrine in children and infants?

<p>Vastus lateralis (A)</p> Signup and view all the answers

What should be done if respiratory symptoms persist after the administration of epinephrine in an anaphylactic reaction?

<p>Use inhaled β2 agonists (B)</p> Signup and view all the answers

Why are H1 and H2 antagonists not recommended as first-line treatment in anaphylaxis?

<p>They have a delayed onset of action (B)</p> Signup and view all the answers

When should individuals experiencing an anaphylactic event be transported to an emergency facility?

<p>Immediately (A)</p> Signup and view all the answers

What is the recommended initial dose of diphenhydramine for children experiencing an anaphylactic reaction?

<p>0.1 mg/kg (D)</p> Signup and view all the answers

Which medication should be considered for individuals who experience alterations in epinephrine effect due to β blocker use?

<p>Glucagon (B)</p> Signup and view all the answers

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