Font size
WorksheetsLCCFRS Medical Review
Total questions: 82
Worksheet time: 42mins
Cholecystitis
Appendicitis
Cystitis
Diverticulitis
How much Epinephrine is in an Epi-pen, Jr.?
0.15 mg
0.3 mg
1 gram
3 grams
A patient has a headache. How should you position him on the cot?
Supine
Trendelenburg
Semi-Fowler's
Lay supine on the affected side
TRUE or FALSE: Your patient complains of a sudden onset, severe headache . This is not a true emergency.
true
false
Your patient is attending a Renaissance Festival, appears confused and is unable to answer your questions. You should
Administer oral glucose
Determine your patient is intoxicated and call the police
Look for medical identification jewelry
Move the patient inside and conduct a full assessment
When assessing a patient for arm drift, you should ask the patient to
Squeeze both your hands with their hands
hold their arms out with palms down, eyes closed
hold their arms out with palms up, eyes closed
hold their arms out with palms up, eyes open
When assessing a possible stroke patient for abnormal speech, you should
Ask the patient to write down a common phrase that you say
Ask the patient to smile and look for symmetry
Ask the patient to repeat a common phrase
Ask a family member if the patient is speaking normally
Your patient is having a seizure and is not breathing. You should
Insert an oral airway and ventilate with a BVM
Move furniture out of the way to prevent further injury
Administer oxygen via an NRB
Administer IM glucagon
Your patient was stung by a bee. You should
Flush with copious amounts of sterile water or saline
apply cold compresses to the affected area
elevate the affected part above the heart
apply a tourniquet to stop the venom from spreading further
What is hyperglycemia?
High blood sugar
Low blood sugar
Insulin shock
Excessive thirst
Your patient was cleaning a pool room when he started gagging and coughing. Patient is complaining of dyspnea and has red, irritated eyes. You should
Locate the cleaning supplies so you can determine to what your patient has been exposed
Move your patient to a well-ventilated area
Call for the Hazmat Team
Flush the eyes with copious amounts of saline
Your patient is found outside (temperature is -12o Celsius). You check for a pulse and respirations for 10 seconds and can not detect either. You should
Assess the pulse rate for 30-45 seconds
Start CPR
Move the patient to a warmer environment
Give 2 rescue breaths and reassess
How does epinephrine effect the cardiovascular system?
decreases cardiac afterload
increases cardiac afterload
increases peripheral vascular resistance
decreases the heart rate
Your patient was playing lacrosse and is pale, hot, and has an altered mental status. You should
Administer small sips of water
Administer oxygen at 10 LPM via an NRB
Remove the patient from the hot environment
Apply ice packs to the groin area and under the armpits
Your patient is unresponsive with his arms and legs violently jerking. What phase of a generalized seizure is this?
Tonic
Clonic
Absence
Focal motor
Your patient is unresponsive with her arms and legs stiff. What phase of a generalized seizure is this?
Tonic
Clonic
Absence
Focal motor
Your patient has a history of epilepsy and is now complaining that he sees flashing lights. You should suspect
A seizure may occur
Status epilepticus
A postictal state
A stroke may occur
An unconscious patient has one pupil that is significantly larger than the other and not reactive to light. The most likely cause is:
Stroke
Drug abuse
Glaucoma
A glass eye
Your Alzheimer's patient has bruising on her back, neck and arms. When you ask, the son indicates that "she fell walking to the kitchen". What should you do?
Move her to the ambulance so you can talk to her alone
Call law enforcement
Notify the ER
Ask the daughter additional questions to clarify the situation
Your patient has irregular respirations, is pacing and has cool, clammy skin. You should suspect
hypothermia
hypoglycemia
hyperglycemia
schizophrenia
Your patient suffered a stroke. How should you position him on the cot?
Supine
Trendelenburg
Semi-Fowler's
Lay supine on the affected side
What is hypoglycemia?
High blood sugar
Low blood sugar
Insulin shock
Excessive urination
When assessing your patient for facial droop, you should
Ask the patient to repeat a simple phrase
Ask the patient to raise their arms, palm up and close their eyes
Ask the patient to smile
Palpate the face
Your patient had been drinking for several hours. During transport to the ER, your patient becomes confused and slow to respond. You should
treat for shock
reassess vital signs
check blood glucose
Administer high flow O2 via NRB
Your patient complains of difficulty breathing and pain in their chest and shoulders. Patient recalls feeling a sharp pin prick on their leg while moving some firewood. What type of spider bite is your patient most likely suffering from?
Brown recluse
Black widow
Spitting
Wolf
Your female patient woke up this morning with severe abdominal pain. BP 90/70, HR 130, RR 28, skin pale and cool
Septic shock
Gastroenteritis
Hypovolemic shock
Appendicitis
Signs and symptoms of anaphylaxis include
Dyspnea, wheezing, itching and/or hives
Dyspnea and wheezing
Dyspnea, tingling in the hands and feet
Eupnea, clear lung sounds, itching and/or hives
A nursing home resident has developed a productive cough over the past several days, is fatigued There are rhonchi and wheezing in the right lung. Vital signs: BP 110/82, HR 92, RR 26, temperature of 102. The most likely cause is:
Pneumonia
Bronchitis
Emphysema
Spontaneous pneumothorax
Your patient says they have anemia. What skin color would you expect?
Jaundice
Pallor
Cyanotic
Flushed
An unresponsive patient has constricted pupils and cool skin. Vital signs are BP 84/50, HR 72, and RR 8. What should you suspect?
Narcotics overdose
Hypoglycemia
Alcohol poisoning
Acetaminophen Poisoning
Your elderly patient has a history of type 2 diabetes, has weak hand grip, blurred vision and is unable to tell you the day of the week. What should you do?
Administer glucose
Evaluate for facial droop
Check pupils
Take a full set of vitals
Several people report being dizzy and having trouble breathing after working in a warehouse. You should suspect?
Allergic reaction
Toxic substance exposure
A terrorist attack
Asthma
Your patient is unconscious, apneic, and lying prone on the sidewalk. You should
Establish c-spine, roll the patient to a supine position and open the airway
Roll the patient to a supine position and do a rapid trauma assessment
Assess scene safety
Roll the patient to a supine position and open the airway
Your patient is sitting in a chair with left-sided facial droop and slurred speech. You smell an acetone odor on their breath. What should you suspect?
DKA
Hypoglycemia
Stroke
Bell's Palsy
Your unresponsive patient is a known diabetic with a blood glucose of 42 mg/dL. You should?
Administer oral glucose
Administer IM glucagon
Monitor their airway and rapidly transport
Call for ALS
Naloxone is useful for reversing the effects of which of the following medications?
Doxepin
Fentanyl
Amitriptyline
Diazepam
The condition in which the patient’s core body temperature decreases during rewarming.
Afterdrop phenomenon
hypothermia
hyperthermia
Accidental hypothermia
A heat emergency characterized by heavy sweating, dizziness & hypovolemia
Heat exhaustion
Heat stroke
Heat cramps
hyperthermia
The most common of the heat emergencies, and is the result of excessive loss of salt and water in the sweat.
Heat exhaustion
Heat cramps
Heat stroke
hypothermia
What is the gland that controls body temperature?
Hypothalamus
Pituitary
Pineal
Adrenal
What is the cure for Acute Mountain Sickness?
Ascend to a higher altitude
Oxygen via NRB at 15 LP
Hyperbaric chamber
Descent to a lower altitude
An illness occurring during or after ascent, secondary to rapid release of nitrogen bubbles.
(a)
Your patient is complaining of pain in the legs, vertigo, visual abnormalities and dyspnea. Your patient recently flew home from a trip to Mexico and had been scuba diving earlier in the day. What should you suspect?
Decompression sickness
Pulmonary embolism
Montezuma's revenge
Descent illness
You are dispatched to a call for an adult patient who experienced a witnessed tonic-clonic seizure. Upon arrival, the patient is postictal, confused, and breathing adequately. What is your priority in managing this patient?
Restrain the patient to prevent further injury
Immediately administer glucose
Ensure airway patency and monitor breathing
Initiate rapid transport without assessment
You arrive on scene to find an adult patient who had a seizure lasting approximately 3 minutes and is currently postictal. Patient is unresponsive with a HR 110, RR 10 (irregular), BP 138/86. What is the most appropriate immediate action?
Apply high-flow oxygen via non-rebreather mask and prepare for transport
Perform a blood glucose check before initiating interventions
Insert an nasopharyngeal airway and assist ventilations with a BVM
Initiate rapid transport to the ER
You are called to a public restroom for an unresponsive adult. On arrival, you find the patient supine on the floor with a respiratory rate of 4, pinpoint pupils, a pulse of 52 bpm with pale, cool, and diaphoretic skin. What is the most critical consideration before administering intranasal naloxone?
Confirming the patient’s blood glucose is within normal limits
Confirming adequate ventilation and suction is available
Ruling out cardiac causes of unresponsiveness before naloxone
Ensure that ALS is enroute to the scene
Excess accumulation of fluid, which impairs the exchange of materials within the tissues, is called ________.
stroke
edema
MALT (mucosa-associated lymphatic tissue)
shock
The loss of body fluids due to illness or not taking in enough fluid:
Dehydration
Edema
Which hormone is primarily responsible for lowering blood glucose levels?
Epinephrine
Glucagon
Cortisol
Insulin
Your patient is experiencing sudden weakness on the left side of the body and slurred speech. What should you suspect?
Seizure
Stroke
Hypoglycemia
Allergic reaction
You are called to assess a 19-year-old college student with a sudden onset of high fever, headache, and a stiff neck. The patient is also sensitive to light and appears confused. What is your most important action after initial assessment and ABCs?
Administer acetaminophen and monitor for changes
Place the patient in the recovery position and apply cold packs
Minimize exposure to lights and sounds, and initiate rapid transport
Delay transport until a full neurological exam is completed
You are treating an adult male found outside in cold weather. He is conscious but lethargic, with a core temperature of 32°C (89.6°F). His skin is cold to the touch, and his speech is slurred. What is the most appropriate initial treatment for this patient?
Apply heat packs and begin active rewarming
Encourage physical activity and administer warm oral fluids
Remove wet clothing, insulate the patient, and initiate passive rewarming
Check a blood glucose level
What is the primary mechanism of action of epinephrine when administered during anaphylaxis?
Blocks histamine receptors to reverse airway swelling
Stimulates alpha and beta adrenergic receptors to constrict blood vessels and relax airway muscles
Inhibits parasympathetic nervous system activity to decrease secretions
Decreases heart rate and reduces myocardial oxygen demand
Which of the following findings most clearly indicates that a patient is experiencing anaphylaxis rather than a mild allergic reaction?
Localized hives and itching at the site of exposure
Nasal congestion and watery eyes after eating a new food
Diffuse urticaria with normal vital signs and no respiratory distress
Hypotension and respiratory distress following exposure to an allergen
