Free Printable Chapter 19 Endocrine and Hematologic Emergencies

1.

when the body's cell do not receive the glucose they require, the body resorts to burning _______________

a)

fats

b)

proteins

c)

blood cells

d)

ketones

2.

normal blood glucose levels range from _______________mg/dL

a)

80 to 120

b)

90 to 140

c)

70 to 110

d)

60 to 100

3.

a sickle cell-related tissue that results in unintentional clot formation s known as a(n):

a)

hemolytic crisis

b)

aplastic crisis

c)

splenic sequestration crisis

d)

vasoocclusive crisis

4.

diabetes mellitus disorder in which the hormone _______________is missing or ineffective

a)

estrogen

b)

adrenaline

c)

insulin

d)

epinephrine

5.

emergency care of a patent with hematologic disorder includes all of the following EXCEPT:

a)

rapid transport for patients with an altered mental status

b)

providing supportive and symptomatic care

c)

oxygen at 4 L/min for patients with inadequate breathing

d)

placing patients in a position of comfort

6.

the accumulation of keynotes and fatty acids in blood can lead to a dangerous condition in diabetic patients known as:

a)

diabetic ketoacidosis

b)

insulin shock

c)

HHNC

d)

hypoglycemia

7.

the term for excessive eating as a result of cellular "hunger" is:

a)

polyuria

b)

polydipsia

c)

polyphagia

d)

polyphony

8.

insulin is produced by the:

a)

adrenal glands

b)

hypothalamus

c)

spleen

d)

pancreas

9.

the patient with diabetic ketoacidosis (DKA) will generally have a finger stick glucose level higher than:

a)

100 mg/dL

b)

200 mg/dL

c)

300 mg/dL

d)

400 mg/dL

10.

where is glycogen stored in the body?

a)

liver

b)

brain

c)

pancreas

d)

heart

11.

the sweet fruity odor on the breath of a patient is commonly found in what condition?

a)

hypoglycemia

b)

hyperglycemia

c)

hemophilia

d)

thrombophilia

12.

what condition increases a patient's risk for developing thromboliphilia

a)

diabetes

b)

sickle cell disease

c)

cirrhosis of the liver

d)

cancer

13.

oral diabetic medications do NOT include:

a)

micronase

b)

glucotrol

c)

januvia

d)

insulin

14.

which of the following is a contraindication to the administration of oral glucose

a)

inability to swallow

b)

history of diabetic ketoacidosis

c)

active infection

d)

recent abdominal surgery

15.

_______________is the hormone that is normally produced by the pancreas that enables glucose to enter the cells

a)

insulin

b)

adrenaline

c)

estrogen

d)

epinephrine

16.

the term for excessive urinaton is:

a)

ployuria

b)

polydipsia

c)

polyphagia

d)

polyphony

17.

when fat is used as an immediate energy source, _______________and fatty acids are formed as waste products

a)

dextrose

b)

sucrose

c)

ketones

d)

bicarbonate

18.

an african american patient complaining of severe, generalized pain may have undiagnosed:

a)

sickle cell disease

b)

type 1 diabetes

c)

thrombopenia

d)

hemophilia

19.

the onset of hypoglycemia can occur within:

a)

seconds

b)

minutes

c)

hours

d)

days

20.

without _______________, or with very low levels, brain cells rapidly suffer permanent damage

a)

epinphrine

b)

ketones

c)

bicarbonate

d)

glucose

21.

_______________is/are a potentially life-threatening complication of hypoglycemia

a)

kussmaul respirations

b)

hypotension

c)

seizures

d)

polydipsia

22.

blood glucose levels are measured in:

a)

micrograms per deciliter

b)

milligrams per deciliter

c)

milliliters per decigram

d)

microliters per decigram

23.

diabetic ketoacidosis may develop as a result of:

a)

too little insulin

b)

too much insulin

c)

overhydration

d)

metabolic alkalosis

24.

always suspect hypoglycemia in any patient with:

a)

kussmaul respirations

b)

an altered metal status

c)

nausea and vomiting

d)

stridor

25.

the most important step in caring for the unresponsive diabetic patient is to:

a)

give oral glucose immediately

b)

perform a focused assessment

c)

open the airway

d)

obtain a SAMPLE history

26.

determination of hyperglycemia or hypoglycemia should be:

a)

Made before transport of the patient

b)

made before administration for oral glucose

c)

determined by a urine glucose test

d)

based on your knowledge of the signs and symptoms of each condition

27.

when obtaining the medical history of a patient experiencing a sickle cell crisis, you should:

a)

determine the patient's level of consciousness

b)

ask the patient about recent illnesses or stress

c)

take the patient's vital signs

d)

avoid asking about previous sickle cell crises

28.

a DVT is a worrisome risk for patients who have had:

a)

gallbladder surgery

b)

alcoholism

c)

pneumonia

d)

joint replacement surgery

29.

when reassessing the diabetic patient after administration of oral glucose, watch for all of the following EXCEPT:

a)

airway problems

b)

seizures

c)

sudden loss of consciousness

d)

joint pain

30.

signs and symptoms associated with hypoglycemia include:

a)

warm, dry skin

b)

slow pulse

c)

kussmaul respirations

d)

anxious or combative behavior

31.

hospital interventions for hemophilia my include all of the following EXCEPT:

a)

blood transfusions

b)

analgesics for pain

c)

intravenous (IV) therapy

d)

decontamination

32.

because hyperglycemia is a complex metabolic condition that usually develops over time and involves all of the tissues of the body, correcting this condition may:

a)

be accomplished quickly through the use of oral glucose

b)

require rapid infusion of IV fluid to prevent permanent brain damage

c)

take many hours in a hospital setting

d)

include a reduction in the amount of insulin normally taken by the patient

33.

a patient with hypoglycemia or hyperglycemia may appear to be:

a)

having a heart attack

b)

perfectly normal

c)

intoxicated

d)

having a stroke

34.

when patients use father energy, the fat waste products increase the amount of acid in the blood and tissue

a)

true

b)

false

35.

the glucose of a neonate patient should be above 70 mg/dL

a)

true

b)

false

36.

the lifespan of a normal red blood cell is approximately 50 to 75 days

a)

true

b)

false

37.

if blood glucose levels remain low, a patient may lose consciousness or have permanent brain damage

a)

true

b)

false

38.

higher glucose levels in the blood cause the excretion of glucose in urine

a)

true

b)

false

39.

people with hemophilia A have an increased ability to create a clot after an injury

a)

true

b)

false

40.

diabetic emergencies can occur when a patient's blood glucose level gets too high or drops too low

a)

true

b)

false

41.

diabetic patients may require insulin to control their blood glucose

a)

true

b)

false

42.

insulin is one of the basic sugars essential for cell metabolism in humans

a)

true

b)

false

43.

a clot that forms deep in a vein is called an aplastic crisis

a)

true

b)

false

44.

diabetes can cause kidney failure, blindness, and damage to blood vessels

a)

true

b)

false

45.

most children with diabetes are insulin dependent

a)

true

b)

false

46.

within the red blood cells, leukocytes are responsible for carrying oxygen

a)

true

b)

false

47.

many adults with diabetes can control their blood glucose levels with diet alone

a)

true

b)

false

48.

a 54-year-old golfer collapsed on the 17th green at the golf course. his friend said he wasn't feeling well after the 8th hole but insisted on walking and finishing out the game. his skin is pale, cool, and diaphoretic, and he provide incoherent answers to your questions.

during your rapid full-body scan, you discover a medical alert necklace around his neck that reads "type 1 diabetic." this tells you that he most likely:

a)

developed diabetes later in life

b)

produces inadequate amounts of insulin

c)

takes noninsulin-type oral medications

d)

will develop HHNS

49.

a 54-year-old golfer collapsed on the 17th green at the golf course. his friend said he wasn't feeling well after the 8th hole but insisted on walking and finishing out the game. his skin is pale, cool, and diaphoretic, and he provide incoherent answers to your questions.

his blood glucose level is 65 mg/dL. you:

a)

do not suspect hypoglycemia and begin to think that his condition is cardiac in nature

b)

suspect hyperglycemia and proceed to give oral glucose

c)

suspect hypoglycemia and proceed to give oral glucose

d)

suspect hypoglycemia but oral glucose is contraindicated for him

50.

a 54-year-old golfer collapsed on the 17th green at the golf course. his friend said he wasn't feeling well after the 8th hole but insisted on walking and finishing out the game. his skin is pale, cool, and diaphoretic, and he provide incoherent answers to your questions.

the patient loses consciousness and a second blood glucose level reads 48 mg/dL. you should do all of the following EXCEPT:

a)

call for, or rendezvous with, ALS unit

b)

ensure a patent airway

c)

provide high-flow oxygen

d)

give oral glucose

51.

a 54-year-old golfer collapsed on the 17th green at the golf course. his friend said he wasn't feeling well after the 8th hole but insisted on walking and finishing out the game. his skin is pale, cool, and diaphoretic, and he provide incoherent answers to your questions.

because the patient is unconscious and his blood glucose level is 48 mg/dL, how should the glucose be delivered?

a)

between the cheek and gum

b)

placed on the back of the tongue

c)

placed on the tipoff the tongue

d)

you should not deliver oral glucose

52.

while driving back to the station, you and your partner find an unconscious person person lying on the grass in front of a home.

after completing a scene size-up, your first step is to:

a)

take appropriate BSI precautions

b)

form a general impression of the patient

c)

apply oxygen

d)

none of the above

53.

while driving back to the station, you and your partner find an unconscious person person lying on the grass in front of a home.

the patient appears to be a woman in her mid 30s and she is unresponsive to verbal or painful stimulus. because there is no one around, you are unable to complete a patient history. which physical examination should you perform first?

a)

focused physical examination

b)

rapid full-body scan

c)

detailed physical examination

d)

blood glucose level

54.

while driving back to the station, you and your partner find an unconscious person person lying on the grass in front of a home.

her respirations are 28 breaths/min, her pulse is 110 beats/min, and her blood pressure is 94/52 mm Hg. how should you intervene for her?

a)

giver her oral glucose

b)

give her insulin

c)

provide high-flow oxygen

d)

all of the above

55.

while driving back to the station, you and your partner find an unconscious person person lying on the grass in front of a home.

your protocols do not allow you to measure blood glucose levels, and you are unsure as to the nature of her illness. you should:

a)

provide oral glucose anyway

b)

provide insulin found in her purse

c)

provide nitroglycerin found in her purse

d)

none of the above

56.

while driving back to the station, you and your partner find an unconscious person person lying on the grass in front of a home.

when relaying information to medical control, you should inform them of:

a)

the patient's condition

b)

any changes on consciousness

c)

any difficulty the patient may experience in breathing

d)

all of the above

Chapter 19 Endocrine and Hematologic Emergencies

Total questions: 56

Worksheet time: 3hrs 48mins

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