Ramp events, i.e., significant changes in wind speed in a short time period, have become critically important to end-users. However, only a few studies address their impact on wind turbine loads. To the best of the authors' knowledge, these results have not yet been validated with measurements. Therefore, this paper aims to investigate the impact of extreme wind speed ramps on ultimate wind turbine loads using eight months of offshore measurements. We also compare the measured loads with simulations following the International Electrotechnical Commission (IEC) extreme turbulence model, in order to improve the modelling of ultimate loads. This is because events with a 10-min horizontal wind speed standard deviation higher than the prescribed IEC turbulence class, in line with other research, are primarily associated with ramp events. They are found to be design driving for the blade root flap-wise moments below and beyond rated wind speed, but not in the transition region. The high-frequency analysis of these moments showed a sudden pitch transition from the inactive to the active region. In general, the loads associated with ramp events did not exceed the simulations. In addition, non-ramp related extreme loads around rated wind speed, which exceeded the simulations, were associated with standard deviations slightly above the normal turbulence model (NTM) of IEC for a waked turbine, indicating the impact of wake added turbulence. In conclusion, for the ultimate load analysis, the wind speed time series should include a sudden pitch transition from the inactive to the active region in addition to wake added turbulence.