IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
Anaphylaxis is not always life threatening, but it typically involves:
A. multiple organ systems
B. wheezing
C. urticaria
D. wheals - -answer--A
Epinephrine, whether made by the body or by a drug manufacturer, works rapidly to:
A. raise the pulse rate and blood pressure
B. inhibit an allergic reaction
C. relieve bronchospasm
D. all of the above - -answer--D
You should not use tweezers or forceps to remove an embedded stinger because:
A. squeezing may cause the stinger to inject more venom into the wound
B. the stinger may break off in the wound
C. the tweezers are not sterile and may cause infection
D. removing the stinger may cause bleeding - -answer--A
You have been called to a park where a local church is holding a potluck dinner. As
you exit your ambulance, a woman approaches you holding her 7-year-old son who
is wheezing and having difficulty breathing. She informs you that he inadvertently ate
a brownie with nuts, and he is allergic to nuts. The child's mother has an EpiPen that
contains the appropriate dose of epinephrine for a child. What dose would that be?
A. 0.8 mg
B. 0.5 mg
C. 0.4 mg
D. 0.15 mg - -answer--D
When an allergic reaction proceeds to life-threatening anaphylaxis, it will usually do
so __________.
A. quickly, within 30 seconds.
B. quickly, within 30 minutes.
C. slowly, over more than 30 minutes.
D. slowly, over several hours. - -answer--B
The goal of invaders such as bacteria and viruses is to __________.
,IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
A. cause an immune response
B. spread disease and destruction
C. use a human body as a home
D. kill their human host - -answer--C
At the site of the injury, signs and symptoms of an animal or insect bite or sting may
include pain, localized heat, and a wheal, which appears as __________.
A. an uncomfortable depression in the skin
B. a series of small, raised pustules
C. a raised, well-defined area of the skin
D. a large area of red, blotchy skin - -answer--C
Care for a victim of an immunologic emergency who is severely hypotensive should
include which of the following?
A. Routine spinal immobilization due to the potential for traumatic injury
B. Initiate basic life support measures, including the use of an automated external
defibrillator, if necessary.
C. Position the patient's airway and initiate positive-pressure ventilations.
D. Apply high-flow oxygen therapy, place the patient in a shock position, and help
maintain the patient's body temperature. - -answer--D
Which of the following signs/symptoms are indicative of respiratory involvement of an
allergic reaction?
A. Flushed, itching, or burning skin
B. A sense of impending doom
C. Tightness in the chest or throat
D. All of these answers are correct. - -answer--C
Epinephrine stimulates the ________ response, increasing blood pressure and
relieving bronchospasm.
A. respiratory
B. sympathetic
C. parasympathetic
D. cardiac - -answer--B
,IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old woman
with an allergic reaction, you note improvement in her breathing and dissipation of
her hives. However, she is still anxious and tachycardic. You should:
A. transport her rapidly, as it is obvious that she is having a severe reaction to the
epinephrine.
B. contact medical control and obtain authorization to administer another 0.3 mg of
epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of
epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic
reaction. - -answer--C
Anaphylaxis is MOST accurately defined as a(n):
A. extreme allergic reaction that may affect multiple body systems.
B. severe allergic reaction that typically resolves without treatment.
C. moderate allergic reaction that primarily affects the vasculature.
D. allergic reaction that causes bronchodilation and vasoconstriction. - -answer--A
Urticaria is the medical term for:
A. swelling.
B. hives.
C. a wheal.
D. burning. - -answer--B
The stinger from a honeybee should be:
A. left in place and covered
B. scraped away from the skin.
C. irrigated with copious amounts of water.
D. squeezed with tweezers and removed. - -answer--B
Which of the following would MOST likely provide clues regarding the source of a
patient's allergic reaction?
A. The time of year in which the exposure occurred
, IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
B. The patient's family history
C. The environment in which the patient is found
D. The patient's general physical appearance - -answer--C
A 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?
A. Quickly determine if there are any bystanders who may carry epinephrine.
B. Remain at the scene with the patient and request a paramedic ambulance.
C. Ask the patient if he has any diphenhydramine tablets that you can administer.
D. Administer oxygen, transport at once, and request a paramedic intercept. - -
answer--D
Which of the following sounds indicates swelling of the upper airway?
A. Rales
B. Rhonchi
C. Stridor
D. Wheezing - -answer--C
The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the
infant-child auto-injector delivers ______ mg.
A. 0.3; 0.15
B. 0.1; 0.01
C. 0.03; 0.3
D. 0.01; 0.1 - -answer--A
The effects of epinephrine are typically observed within _________ following
administration.
A. 1 hour
B. 30 seconds
C. 30 minutes
D. 1 minute - -answer--D
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
Anaphylaxis is not always life threatening, but it typically involves:
A. multiple organ systems
B. wheezing
C. urticaria
D. wheals - -answer--A
Epinephrine, whether made by the body or by a drug manufacturer, works rapidly to:
A. raise the pulse rate and blood pressure
B. inhibit an allergic reaction
C. relieve bronchospasm
D. all of the above - -answer--D
You should not use tweezers or forceps to remove an embedded stinger because:
A. squeezing may cause the stinger to inject more venom into the wound
B. the stinger may break off in the wound
C. the tweezers are not sterile and may cause infection
D. removing the stinger may cause bleeding - -answer--A
You have been called to a park where a local church is holding a potluck dinner. As
you exit your ambulance, a woman approaches you holding her 7-year-old son who
is wheezing and having difficulty breathing. She informs you that he inadvertently ate
a brownie with nuts, and he is allergic to nuts. The child's mother has an EpiPen that
contains the appropriate dose of epinephrine for a child. What dose would that be?
A. 0.8 mg
B. 0.5 mg
C. 0.4 mg
D. 0.15 mg - -answer--D
When an allergic reaction proceeds to life-threatening anaphylaxis, it will usually do
so __________.
A. quickly, within 30 seconds.
B. quickly, within 30 minutes.
C. slowly, over more than 30 minutes.
D. slowly, over several hours. - -answer--B
The goal of invaders such as bacteria and viruses is to __________.
,IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
A. cause an immune response
B. spread disease and destruction
C. use a human body as a home
D. kill their human host - -answer--C
At the site of the injury, signs and symptoms of an animal or insect bite or sting may
include pain, localized heat, and a wheal, which appears as __________.
A. an uncomfortable depression in the skin
B. a series of small, raised pustules
C. a raised, well-defined area of the skin
D. a large area of red, blotchy skin - -answer--C
Care for a victim of an immunologic emergency who is severely hypotensive should
include which of the following?
A. Routine spinal immobilization due to the potential for traumatic injury
B. Initiate basic life support measures, including the use of an automated external
defibrillator, if necessary.
C. Position the patient's airway and initiate positive-pressure ventilations.
D. Apply high-flow oxygen therapy, place the patient in a shock position, and help
maintain the patient's body temperature. - -answer--D
Which of the following signs/symptoms are indicative of respiratory involvement of an
allergic reaction?
A. Flushed, itching, or burning skin
B. A sense of impending doom
C. Tightness in the chest or throat
D. All of these answers are correct. - -answer--C
Epinephrine stimulates the ________ response, increasing blood pressure and
relieving bronchospasm.
A. respiratory
B. sympathetic
C. parasympathetic
D. cardiac - -answer--B
,IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old woman
with an allergic reaction, you note improvement in her breathing and dissipation of
her hives. However, she is still anxious and tachycardic. You should:
A. transport her rapidly, as it is obvious that she is having a severe reaction to the
epinephrine.
B. contact medical control and obtain authorization to administer another 0.3 mg of
epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of
epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic
reaction. - -answer--C
Anaphylaxis is MOST accurately defined as a(n):
A. extreme allergic reaction that may affect multiple body systems.
B. severe allergic reaction that typically resolves without treatment.
C. moderate allergic reaction that primarily affects the vasculature.
D. allergic reaction that causes bronchodilation and vasoconstriction. - -answer--A
Urticaria is the medical term for:
A. swelling.
B. hives.
C. a wheal.
D. burning. - -answer--B
The stinger from a honeybee should be:
A. left in place and covered
B. scraped away from the skin.
C. irrigated with copious amounts of water.
D. squeezed with tweezers and removed. - -answer--B
Which of the following would MOST likely provide clues regarding the source of a
patient's allergic reaction?
A. The time of year in which the exposure occurred
, IMMUNOLOGIC EMERGENCIES/ IMMUNOLOGY
FINAL EXAM YEAR 2025 WITH VERIFIED AND
APPROVED QUESTIONS AND ANSWERS BEST
GRADED A+
B. The patient's family history
C. The environment in which the patient is found
D. The patient's general physical appearance - -answer--C
A 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?
A. Quickly determine if there are any bystanders who may carry epinephrine.
B. Remain at the scene with the patient and request a paramedic ambulance.
C. Ask the patient if he has any diphenhydramine tablets that you can administer.
D. Administer oxygen, transport at once, and request a paramedic intercept. - -
answer--D
Which of the following sounds indicates swelling of the upper airway?
A. Rales
B. Rhonchi
C. Stridor
D. Wheezing - -answer--C
The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the
infant-child auto-injector delivers ______ mg.
A. 0.3; 0.15
B. 0.1; 0.01
C. 0.03; 0.3
D. 0.01; 0.1 - -answer--A
The effects of epinephrine are typically observed within _________ following
administration.
A. 1 hour
B. 30 seconds
C. 30 minutes
D. 1 minute - -answer--D
