Unit 3: 4 Bites and Stings Quiz
73 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which type of insect bite or sting should prompt immediate emergency department referral or physician consultation?

  • Bee stings
  • Black widow spider bites (correct)
  • Mosquito bites
  • Centipede bites

What is the significance of insects mentioned in the text?

  • They do not transmit infectious pathogens
  • They are harmless and do not bite or sting
  • They can cause hypersensitivity reactions (correct)
  • They only cause local reactions

Which of the following insects inject venom with a stinger?

  • Flies
  • Mosquitoes
  • Ants (correct)
  • Centipedes

What is a possible consequence of some insect bites and stings despite being mostly a nuisance?

<p>Systemic reactions in some patients (D)</p> Signup and view all the answers

Which of the following is NOT a mediator released from mast cells during a sting reaction?

<p>Thrombocytopenia-inducing factor (D)</p> Signup and view all the answers

What are the initial manifestations of a systemic reaction to an insect sting?

<p>Itchy eyes, facial flushing, generalized urticaria (A)</p> Signup and view all the answers

Which insect's sting can progress to sterile pustules within 6-24 hours?

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

What is the typical clinical presentation of bedbug or kissing bug bites?

<p>Clustered, erythematous, pruritic nodules (A)</p> Signup and view all the answers

How do fleas typically deposit saliva during a bite?

<p>Deposit saliva in bite (B)</p> Signup and view all the answers

Which insect causes pain and itching with local necrosis due to its venom?

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

What is the treatment recommendation for adults with systemic allergic reactions post-insect sting?

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

How is anaphylaxis generally treated in adults experiencing systemic reactions from insect stings?

<p>Intramuscular or subcutaneous epinephrine (D)</p> Signup and view all the answers

What is the recommended dose of antihistamines for itching due to insect bites in children?

<p>0.01 mg/kg (D)</p> Signup and view all the answers

How can lice infestation be eradicated according to the text?

<p>By using lindane shampoo on dry hair for 4 minutes (A)</p> Signup and view all the answers

What is suggested for effective removal of ticks according to the text?

<p>Using angled forceps or a tick-removal instrument (A)</p> Signup and view all the answers

What is one of the reasons why bedbugs have spread globally?

<p>Increasing global travel (D)</p> Signup and view all the answers

Why are travelers advised to thoroughly check for bedbugs in mattresses and luggage according to the text?

<p>To reduce the spread of bedbugs (C)</p> Signup and view all the answers

Which insect requires eradication by vacuuming thoroughly, treating pets, washing rugs and beds, and using insecticide?

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

What is recommended for long-standing or crusted scabies infestation treatment in the text?

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

When should a tick be removed to potentially prevent Lyme disease infection according to the text?

<p>36 (D)</p> Signup and view all the answers

What is advised for those with a history of anaphylaxis from wasp or bee stings according to the text?

<p>Carrying an epinephrine injector kit and wearing medical warning tags (D)</p> Signup and view all the answers

What is necessary if a systemic reaction or anaphylactic reaction occurs due to insect bites or stings?

<p>Referral to the emergency department for definitive management including epinephrine (D)</p> Signup and view all the answers

What is NOT a preventive measure mentioned in the text against bites and stings?

<p>Regular use of DEET repellent (C)</p> Signup and view all the answers

When is antibiotic prophylaxis indicated according to the text?

<p>When Lyme disease is endemic or tick feeding time is not known (D)</p> Signup and view all the answers

What is the most venomous spider in the world?

<p>Black widow spider (C)</p> Signup and view all the answers

Which spider has a violin-shaped marking on its back?

<p>Brown recluse spider (B)</p> Signup and view all the answers

What is the primary symptom of a brown recluse spider bite?

<p>Mild, erythematous lesion that heals over several days to weeks (C)</p> Signup and view all the answers

Where are black widow spiders commonly found in the United States?

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

Which spider's bite is almost painless and can cause necrosis within days?

<p>Brown recluse spider (D)</p> Signup and view all the answers

What is the main effect of brown recluse spider venom on the body?

<p>Endothelial injury and thrombosis (D)</p> Signup and view all the answers

Which spider has urticating hairs that can lead to stinging and anaphylaxis?

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

What are common locations where brown recluse spiders are found?

<p>Garages and abandoned buildings (A)</p> Signup and view all the answers

Which spider species has a marking resembling an orange-red, hourglass shape?

<p>Black widow spider (C)</p> Signup and view all the answers

What is the size comparison between male and female black widow spiders?

<p>Male is much smaller than female (D)</p> Signup and view all the answers

What is a common early symptom of a black widow spider bite?

<p>Mild to moderate pain followed by muscle cramps (B)</p> Signup and view all the answers

Which complication can arise from a black widow spider bite in small children or individuals with cardiovascular disease?

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

Which of the following is NOT a pit viper snake?

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

What percentage of venomous snakebites result in no envenomation?

<p>20% (C)</p> Signup and view all the answers

Which reptile has venom as toxic as a rattlesnake but requires a prolonged bite for envenomation?

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

What clinical finding is typically seen in bites with no envenomation?

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

Which factor does NOT influence the clinical presentation of envenomated patients?

<p>Type of venom (C)</p> Signup and view all the answers

What is a common initial presentation of coral snake bites?

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

Which venomous reptile causes mainly local pain and swelling with occasional systemic reactions?

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

What is the primary type of venom in scorpions?

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

What distinguishes venomous rattlesnakes from nonvenomous ones?

<p>Presence of fangs (B)</p> Signup and view all the answers

What type of damage does pit viper venom primarily cause?

<p>Systemic vascular damage (A)</p> Signup and view all the answers

Which non-venomous reptile mentioned has to be forcibly removed after biting?

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

How do coral snake bites usually appear initially?

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

What is the primary purpose of capturing and bringing the actual spider for identification in cases of suspected spider bites?

<p>To determine the species of spider responsible for the bite (B)</p> Signup and view all the answers

Which laboratory tests are specifically recommended in cases of suspected brown recluse spider bites?

<p>Blood urea nitrogen (BUN) and creatinine (B)</p> Signup and view all the answers

What initial therapy is typically recommended for black widow spider bites?

<p>Pain relief medications as needed (A)</p> Signup and view all the answers

In what circumstances is antivenom therapy indicated for black widow spider bites?

<p>For confirmed severe bites due to risk of anaphylaxis (D)</p> Signup and view all the answers

Why is it important to consider all causes of acute abdomen in the differential diagnosis when presented with unusual abdominal pain?

<p>Acute abdomen may mimic symptoms of spider envenomation (A)</p> Signup and view all the answers

What is the recommended type of care for wolf spider bites, such as those from tarantulas?

<p>Supportive care equivalent to a wasp sting (A)</p> Signup and view all the answers

Which factor determines whether an individual should receive antivenom therapy for black widow spider bites?

<p>Confirmation of a severe bite and no previous exposure to horse serum (B)</p> Signup and view all the answers

$Which$ laboratory test may be indicated for suspected black widow spider bites even though no specific tests are recommended?

<p>$CBC$ and $urinalysis$ (B)</p> Signup and view all the answers

What characteristic differentiates brown recluse from black widow spider bites in terms of laboratory tests?

<p>Black widow bite diagnosis may involve abnormal coagulation profiles. (C)</p> Signup and view all the answers

Why is tetanus prophylaxis recommended as part of initial care for both brown recluse and black widow spider bites?

<p>To protect against tetanus infection from contaminated wounds. (D)</p> Signup and view all the answers

What autonomic nervous system symptoms may occur as a result of a venomous bite or sting?

<p>Tachycardia and excessive secretions (C)</p> Signup and view all the answers

Why is it discouraged for patients to bring the actual snake to the healthcare facility for identification?

<p>Snakes can reflexively bite immediately after death. (C)</p> Signup and view all the answers

What laboratory study is NOT commonly needed when evaluating a patient with a venomous bite or sting?

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

What is a recommended first aid measure for snakebite victims before reaching a healthcare facility?

<p>Minimizing physical activity (B)</p> Signup and view all the answers

What should be observed for a minimum of 12 hours following bites or stings, as mentioned in the text?

<p>Clinical symptoms assessment (A)</p> Signup and view all the answers

Which type of snakebite requires antivenom as part of the main therapy?

<p>Severe venomous snakebites (D)</p> Signup and view all the answers

In which months do most snake bites typically occur according to the text?

<p>April to October (C)</p> Signup and view all the answers

What is the main difference between non-Africanized bees and Africanized bees in terms of stinging behavior?

<p>Non-Africanized bees sting only once, while Africanized bees can sting multiple times. (A)</p> Signup and view all the answers

In the context of stinging injuries, what is the significance of delayed serum sickness?

<p>It can occur up to 10 days after being stung. (C)</p> Signup and view all the answers

What is the recommended first-line treatment for a person experiencing a severe allergic reaction to a bee sting?

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

Why is prophylaxis with an EpiPen recommended for individuals experiencing stinging injuries?

<p>To prevent anaphylactic reactions in case of future stings. (B)</p> Signup and view all the answers

What is the recommended first-line treatment for pruritus following an insect sting, as suggested in the text?

<p>Immediate application of ice to the sting area (A)</p> Signup and view all the answers

Which measure is suggested in the text for preventing insect stings?

<p>Applying approved chemicals on lawns to keep ants away (A)</p> Signup and view all the answers

What should be done if severe systemic allergic reactions are suspected after an insect sting, based on the information provided?

<p>Transfer to the Emergency Department (ED) (A)</p> Signup and view all the answers

Which statement accurately reflects the treatment approach for insect stings according to the text?

<p>Antihistamines can be used prophylactically (B)</p> Signup and view all the answers

Flashcards

Black widow spider bites

Black widow spider bites warrant immediate medical attention. Seek emergency department referral or consult a physician for proper diagnosis and treatment.

Insects and hypersensitivity

Insects can trigger hypersensitivity reactions, resulting in adverse responses like allergic reactions.

Ant stings

Ants inject venom using a stinger.

Systemic reactions from insect bites

Insect bites and stings can sometimes cause systemic reactions, impacting the entire body, even if they generally seem harmless.

Signup and view all the flashcards

Mast cell mediators

Thrombocytopenia-inducing factor is NOT a mediator released from mast cells during a sting reaction. Mast cells release histamine, serotonin, and leukotrienes.

Signup and view all the flashcards

Initial symptoms of systemic reaction

Itchy eyes, facial flushing, and generalized urticaria are initial symptoms of a systemic reaction to an insect sting.

Signup and view all the flashcards

Fire ant sting pustules

Fire ant stings can develop into sterile pustules within 6-24 hours.

Signup and view all the flashcards

Bedbug bite presentation

Bedbug or kissing bug bites typically present as clustered, erythematous, pruritic nodules.

Signup and view all the flashcards

Fleas and saliva

Fleas deposit saliva during a bite.

Signup and view all the flashcards

Centipede venom

Centipedes cause pain and itching, and their venom can lead to local necrosis.

Signup and view all the flashcards

Venom immunotherapy

Adults with severe allergic reactions after insect stings should consider venom immunotherapy.

Signup and view all the flashcards

Anaphylaxis treatment

Anaphylaxis is often treated with intramuscular or subcutaneous epinephrine in adults experiencing systemic reactions from insect stings.

Signup and view all the flashcards

Antihistamine dosage for children

Antihistamines, typically at a dose of 0.01 mg/kg, are recommended for itching due to insect bites in children.

Signup and view all the flashcards

Lice treatment

Lice infestations can be eliminated using lindane shampoo on dry hair for 4 minutes.

Signup and view all the flashcards

Tick removal

Angled forceps or a tick-removal instrument are recommended for effective removal of ticks.

Signup and view all the flashcards

Global bedbug spread

Bedbugs have become widespread due to increasing global travel.

Signup and view all the flashcards

Preventing bedbug spread

To reduce the spread of bedbugs, travelers are advised to thoroughly check for bedbugs in mattresses and luggage.

Signup and view all the flashcards

Eradicating fleas

Fleas can be eradicated by thorough vacuuming, treating pets, washing rugs and beds, and using insecticide.

Signup and view all the flashcards

Scabies treatment

For long-standing or crusted scabies infestations, oral Ivermectin is recommended for treatment.

Signup and view all the flashcards

Lyme disease prevention

Ticks should be removed within 36 hours to potentially prevent Lyme disease infection.

Signup and view all the flashcards

Anaphylaxis precautions

Individuals with a history of anaphylaxis from wasp or bee stings should carry an epinephrine injector kit and wear medical warning tags for prompt treatment.

Signup and view all the flashcards

Emergency treatment for bites and stings

If a systemic or anaphylactic reaction occurs due to insect bites or stings, a trip to the emergency department for definitive management, including epinephrine, is necessary.

Signup and view all the flashcards

Preventing insect bites

Regular use of DEET repellent is NOT a preventive measure mentioned in the text. The text focuses on other measures like avoiding contact with insects, wearing protective clothing, and proper removal of ticks.

Signup and view all the flashcards

Antibiotic prophylaxis for Lyme disease

Antibiotic prophylaxis is indicated when Lyme disease is endemic or the duration of tick feeding is unknown.

Signup and view all the flashcards

Most venomous spider

The black widow spider is considered the most venomous spider in the world.

Signup and view all the flashcards

Brown recluse spider markings

The brown recluse spider has a distinguishing feature - a violin-shaped marking on its back.

Signup and view all the flashcards

Initial brown recluse spider bite

A mild, erythematous lesion that heals over several days to weeks is a common initial symptom of a brown recluse spider bite.

Signup and view all the flashcards

Black widow spider habitat

Black widow spiders are frequently found in the southern and western regions of the United States.

Signup and view all the flashcards

Brown recluse spider bite characteristics

The brown recluse spider bite is often painless initially, but necrosis can develop within days.

Signup and view all the flashcards

Brown recluse spider venom

Brown recluse spider venom primarily causes endothelial injury and thrombosis.

Signup and view all the flashcards

Tarantula hairs

Tarantulas, unlike other spiders, possess urticating hairs that can sting and cause anaphylaxis.

Signup and view all the flashcards

Brown recluse spider locations

Brown recluse spiders are commonly found in garages, abandoned buildings, and other undisturbed areas.

Signup and view all the flashcards

Black widow spider marking

The black widow spider has a distinct marking resembling an orange-red, hourglass shape.

Signup and view all the flashcards

Black widow spider size difference

Male black widow spiders are significantly smaller than females.

Signup and view all the flashcards

Early black widow spider bite symptoms

Mild to moderate pain followed by muscle cramps is a typical early symptom of a black widow spider bite.

Signup and view all the flashcards

Black widow spider bite complications

Hypertension can occur as a complication from a black widow spider bite, especially in small children or individuals with cardiovascular disease.

Signup and view all the flashcards

Gila monster and pit vipers

The Gila monster, despite its venom, is not a pit viper snake, unlike rattlesnakes and copperheads.

Signup and view all the flashcards

Venomous bites without envenomation

Venom bites without envenomation, meaning no venom is injected, occur in about 20% of cases.

Signup and view all the flashcards

Gila monster venom

The Gila monster's venom is as toxic as a rattlesnake's but requires a prolonged bite for envenomation.

Signup and view all the flashcards

Clinical finding in bites without envenomation

Typically, bites without envenomation present as a puncture wound.

Signup and view all the flashcards

Coral snake bite symptoms

Coral snake bites often manifest initially with neurologic symptoms.

Signup and view all the flashcards

Gila monster bite effects

Gila monster bites usually cause local pain and swelling, and occasionally systemic reactions.

Signup and view all the flashcards

Scorpion venom

Scorpions primarily have neurotoxic venom.

Signup and view all the flashcards

Venomous rattlesnakes feature

The presence of fangs distinguishes venomous rattlesnakes from nonvenomous ones.

Signup and view all the flashcards

Pit viper venom effects

Pit viper venom primarily causes systemic vascular damage.

Signup and view all the flashcards

Gila monster bite removal

The Gila monster, although nonvenomous, must be forcibly removed after biting because its sharp teeth can tear into flesh.

Signup and view all the flashcards

Coral snake bite appearance

Coral snake bites usually appear initially as scratch marks.

Signup and view all the flashcards

Spider bite identification

Capturing and bringing the spider to be identified is crucial in suspected spider bite cases for accurate determination of the species responsible.

Signup and view all the flashcards

Lab tests for brown recluse spider bite

Blood urea nitrogen (BUN) and creatinine levels are specifically recommended lab tests for suspected brown recluse spider bites.

Signup and view all the flashcards

More Like This

Ultimate Pit Stop Quiz
5 questions

Ultimate Pit Stop Quiz

AdvancedIllumination avatar
AdvancedIllumination
Pit and Fissure Sealants Quiz
5 questions
Pit and Fissure Caries Lesions
10 questions
Pit Latrines Overview
38 questions

Pit Latrines Overview

RemarkableOrchid avatar
RemarkableOrchid
Use Quizgecko on...
Browser
Browser