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AEMT Chapter 27 __ Questions & Answers
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AEMT Chapter 27 __ Questions & AnswersWhich statement regarding immunocompromise is true?
A.
Immunocompromised patients are at no greater risk of infection than any other person.
B.
HIV is the only disease that is affected by immunocompromise.
C.
Patients with immunocompromise are at risk for cancers that are normally rare.
D.
Cancer patients are protected by their cancer treatments from immunocompromise.
Correct Ans - C.
Patients with immunocompromise are at risk for cancers that are normally rare.
Which presentation is most consistent with a patient experiencing an allergic reaction?
A.
A 16-year-old girl reports being stung on the right thumb by a bee. Her thumb is swollen
and slightly red with a small blanched area at the site of the sting. She says she doesn't
think she has ever been stung by a bee before and she wonders if she could be allergic. She
has no hoarseness, difficulty breathing, or difficulty swallowing. Her lung sounds are clear
and equal. An examination of the skin reveals no rash. Vital signs: HR 92, BP 114/74, RR 20.
B.
A 6-year-old complains of stinging and burning of his eyes after the application of mosquito
repellent to his face. His mother fears he may be having an allergic reaction to the product.
His right eye is watering and slightly bloodshot. He has no other complaints. An
examination of his skin shows several mosquito bites, but no rash. His lung sounds are
clear and equal. Vital signs: HR 100, BP 92/66, RR 24.
C.
A 45-year-old man began vomiting and experienced diarrhea 3 hours after eating a
sandwich he purchased at a convenience store. His son, who ate part of the sandwich, is
complaining of nausea and stomach cramps. Both patients have normal vital signs.
D.
A 23-year-old woman states that she thinks she is having an allergic reaction to an
antibiotic she was prescribed for a urinary tract infection. She is somewhat embarrassed
that the intensely itching rash she experienced on the palm of her right hand and behind
her right knee has disappeared. Her lung sounds are clear and equal. Vital signs: HR 76, BP
110/74, RR 16. Correct Ans - D.
A 23-year-old woman states that she thinks she is having an allergic reaction to an
antibiotic she was prescribed for a urinary tract infection. She is somewhat embarrassed
that the intensely itching rash she experienced on the palm of her right hand and behind
her right knee has disappeared. Her lung sounds are clear and equal. Vital signs: HR 76, BP
110/74, RR 16.
, All of the scenarios have some element that could be involved with an allergic reaction, but
their histories and signs and symptoms must be evaluated to see how good a fit their
overall presentation is to allergic reaction. The 23 year old woman is taking an antibiotic,
and antibiotics are a common allergy trigger. Her description of a "disappearing rash" may
sound odd, but it is typical for hives, a common manifestation of allergic reaction, to appear
and disappear in one location and then appear in other locations. The 6 year old is likely
experiencing localized irritation from a chemical exposure to the eye. Burning and stinging
of the eyes isn't a typical indication of allergic reaction, with the exception of seasonal
allergies, and he does not have a rash on the skin where the repellent was applied, or other
signs of an allergy. The 45-year-old man and his son present with a history more suggestive
of food poisoning, both because of the timing and the fact that they both are ill. The 16-
year-old girl's thumb has the typical appearance of a bee sting, but she has no indications of
an allergic reaction.
Your patient has been involved in an automobile accident while returning from a doctor's
visit. He tells you that he had a kidney transplant three weeks ago and that the doctor says
he is healing well. Today, the rear end of his car was hit by another car. This deployed the
airbag, and the patient's glasses cut into the skin on his face. What is the greatest risk for
this patient?
A.
neck injury
B.
indirect trauma to the kidney causing bleeding
C.
traumatic brain injury
D.
infection, since he is likely taking medications to suppress the immune system Correct
Ans - D.
infection, since he is likely taking medications to suppress the immune system
Your are called to care for an 84-year-old male who is having tightness in his chest. Upon
arrival, you find that he is in respiratory distress and has broken out in hives. You note that
he has several medication patches on his chest and back, some of which may have been
there for quite some time. What should you do with the medication patches?
A.
Remove them in case they are the source of the allergen.
B.
Leave them in place but note how many there are and that the hives seem to focus around
them.
C.
See whether you can read what types of patches they are and ask whether he is allergic to
any.
D.
Call his family physician to see whether you can remove the patches. Correct Ans -
A.
Remove them in case they are the source of the allergen.
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