Anaphylaxis Quiz

ANAPHYLAXIS QUIZ
1. True or False: Anaphylaxis is only developing a rash after exposure to an allergen.

False - Anaphylaxis typically involves more than one symptom in more than one part of
the body at the same time. For instance, a serious reaction could involve developing a
rash and vomiting or diarrhea after being exposed to an allergen.
2. Symptoms of anaphylaxis can occur:

a. Shortly after contact with an allergen
b. Hours after with an allergen
c. Either of the above
While anaphylaxis typically occurs within minutes or even seconds after exposure to an
allergen, it is possible for symptoms to be delayed an hour or more. There are also
cases where symptoms go away only to return a few hours later.
3. True or False: Anaphylaxis can occur from eating common food such as milk or eggs.
True - These common foods may be harmless substances for most people but having
an allergy to these or any other foods can trigger an allergic reaction. Foods that cause
the majority of life-threatening reactions are peanuts, tree nuts (such as walnut, cashew,
Brazil nut), shellfish, fish, milk and eggs.
4. True or False: Anaphylactoid reaction needs sensitization.
False – Anaphylactoid is non-immunological hence does not need sensitization
5. True or False: If you had a mild allergic reaction to an allergen in the past, then you are
at risk for a life-threatening reaction in the future.
True - Having previous mild reactions to an allergen is a strong predictor regarding the
intensity of future reactions.
6. True or False: Epinephrine should be given in the latter symptoms of anaphylaxis.
False - Epinephrine (adrenaline) should be given early to help stop or slow down the
reaction from getting worse.
7. Epinephrine is most effective when injected into the:

a. Arm
b. Thigh
c. Buttocks
Thigh - The thigh muscle is one of the largest containing lots of blood vessels, therefore
greater the blood supply, the faster absorption of the adrenaline. There is less fat between
the skin and muscle in the thigh. Adrenaline needs to be injected straight into the muscle to
be most effective.
8. True or False: Antihistamines are good substitutes for epinephrine in treating
anaphylaxis.
False - Antihistamines should never be used in patients with anaphylaxis as side effects
(drowsiness or lethargy) may mimic some signs of anaphylaxis.
9. If you are at risk for anaphylaxis, the best way to manage your condition is:
a. Avoid allergens that trigger symptoms
b. Carry autoinjectable epinephrine
c. Know how to use epinephrine
d. Develop an anaphylaxis action plan
e. All of the above
Being prepared for an emergency can help. Work with your physician or immunologist to identify
allergens that trigger symptoms so that you can avoid these and develop an action plan.
10. Anaphylactoid reactions do not require prior sensitization and do not involve interaction of
which of the following immunoglobulins?
a. IgA
b. IgE
c. IgG
d. IgM
This immunoglobulin’s primary role involves allergic or hypersensitivity reactions and is not
involved in anaphylactoid reactions.
11. Anaphylaxis is which type of hypersensitivity reaction?

a. Type I
b. Type II
c. Type III
d. Type IV
Type I reactions (i.e., immediate hypersensitivity reactions) involve immunoglobulin E (IgE)–

mediated release of histamine and other mediators
12. True or False: Patients with anaphylactic shock should NOT be placed on sitting and never
on standing up.
True – These positions can deteriorate the patient’s condition leading to cardiac arrest.
13. Anaphylaxis is caused by an over-reaction of which system in the body?

a. Immune system
b. Pulmonary system
c. Cardiac system
d. Circulatory system
Anaphylaxis is the result of the immune system, the body's natural defense system,
overreacting to a trigger.
14. A patient is having an anaphylactic reaction to an IV medication. What is the FIRST action
the nurse should take?
a. Administer Epinephrine
b. Call a Rapid Response
c. Stop the medication
d. Administer a breathing treatment
The FIRST step the nurse should take is to immediately remove the allergen. This would be
stopping the medication, and then call a rapid response.
15. What is the BEST position for a patient in anaphylactic shock?
a. Lateral recumbent
b. Supine with legs elevated
c. High Fowler's
d. Semi-Fowler’s
This position will increase venous return to the heart, which will help increase cardiac output
and blood pressure.
16. What is the maximum number of doses of epinephrine should be administered?

a. Five
b. One
c. Four
d. Two
e. Three
Epinephrine should be administered as necessary every 5-15 minutes for a maximum of 3
doses.
17. What is the most important first step to take if a person is having anaphylaxis?
a. Call for help
b. Check and manage airway
c. Administer epinephrine
Patients having an anaphylactic reaction should be treated using the Airway, Breathing,
Circulation, Disability, Exposure (ABCDE) approach.
18-20. Give at least 3 clinical manifestations of anaphylaxis in the integumentary system.
 erythema
 edema
 urticaria
 angioedema

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ANAPHYLAXIS QUIZ

1. True or False: Anaphylaxis is only developing a rash after exposure to an allergen.

2. Symptoms of anaphylaxis can occur:

4. True or False: Anaphylactoid reaction needs sensitization.

False – Anaphylactoid is non-immunological hence does not need sensitization

6. True or False: Epinephrine should be given in the latter symptoms of anaphylaxis.

7. Epinephrine is most effective when injected into the:

11. Anaphylaxis is which type of hypersensitivity reaction?

Type I reactions (i.e., immediate hypersensitivity reactions) involve immunoglobulin E (IgE)–

13. Anaphylaxis is caused by an over-reaction of which system in the body?

16. What is the maximum number of doses of epinephrine should be administered?

18-20. Give at least 3 clinical manifestations of anaphylaxis in the integumentary system.

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