T/F Anaphylaxis is a serious systemic, life threatening medical condition that must be treated
immediately and aggressively - ANS True
Anaphylaxis results from which of the following medical issues?
A. Antibody Response
B. Hypertension
C. Hypovolemia
D.Respiratory Distress - ANS A. Antibody Response
T/F A physician needs to be physically present in the immunizations clinic in order for the
technicians to administer immunizations - ANS False
T/F Recognition and treatment of anaphylaxis is a primary responsibility for all those who
administer injections of any kind - ANS True
Allergic Reactions target many organs but during severe anaphylaxis in the upper airway which
sign/symptom will the patient display?
A. Cyanosis, pallor
B. Fullness in mouth or throat
C. Stridor, completely occluded airway
D. Bronchospasm, dyspnea cough, wheezing - ANS C. Stridor, completely occluded airway
Allergic Reactions target many organs but during severe anaphylaxis in the gastrointestinal tract
which sign/symptom will the patient display?
A. Bronchospasm, dyspnea cough, wheezing
B. Dysphasia, intense abdominal cramping diarrhea
C. Hypotension, syncope
D. Fullness in mouth or throat - ANS B. Dysphasia, intense abdominal cramping diarrhea
What is the immediate intervention following the diagnosis of anaphylaxis?
A. Epinephrine, Circulation, Airway, Breathing
B. Airway, Breathing, Circulation, Benadryl
C. Epinephrine, Benadryl, Oxygen, Vital Signs
D. Airway, Breathing, Oxygen, Vital Signs - ANS A. Epinephrine, Circulation, Airway, Breathing
What is the adult dosage and route of Epinephrine?
A. 1:1000 w/v, 0.5 mL-1 mL, Subcutaneous
B. 1:1000 w/v, 0.5 mL-1 mL, Intramuscular
C. 1:1000 w/v, 0.3 mL-0.5 mL, Subcutaneous
D. 1:1000 w/v, 0.3 mL-0.5 mL, Intramuscular - ANS D. 1:1000 w/v, 0.3 mL-0.5 mL, Intramuscular
, Epinephrine causes which of the following reactions?
A. Vasodialation and Bronchoconstriction
B. Vasoconstriction and bronchodilation
C. Vasoconstrction ONLY
D. Bronchodialation ONLY - ANS B. Vasoconstriction and bronchodilation
When giving vaccines and the patient must sit, the preferred piece of furniture is
A. Office chair with wheels
B. Exam table
C. Office chair without wheels
D. Wheel chair - ANS B. Exam table
What is the most common post injection adverse event?
A. Anaphylaxis
B. Vasovagal
C. Urticaria
D. Edema - ANS B. Vasovagal
After a patient receives two vaccines, they complain to you that they suddenly feel nauseous.
You perform a quick assessment and note the patient is breathing rapidly, looks pale and their
skin is cool and clammy to the touch. What is this patient experiencing?
A. Gastroenteritis
B. Anaphylaxis
C. Vasovagal
D. None of the above - ANS C. Vasovagal
T/F The most dangerous aspect of a vasovagal episode is injuries that are sustained from the
fall. - ANS True
Who can submit a Vaccine Adverse Event Reporting System (VAERS) Form?
A. Allergy/Immunization Technicians and/or IBTs
B. Physicians
C. Patients
D. All of the Above - ANS D. All of the Above
You have a patient that reacted strangely to a vaccine injection but you are unsure if this is a
VAERS reportable event. Where would you find a list of required reportable events?
A. Allergist Adverse Events Log
B. Reportable Vaccine Table
C. Adverse Events Vaccine Log
D. Reportable Events Table - ANS D. Reportable Events Table
Why should an adverse reaction to a vaccine be reported to VAERS?
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