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WorksheetsAEMT Endocrine and Hematologic Emergencies
Total questions: 62
Worksheet time: 47mins
Name
Class
Date
1.
The endocrine system directly or indirectly influences almost every____ in the body
a)
cell
b)
organ
c)
function
d)
all of the above
2.
The ____ excrete(s) chemicals for elimination
a)
pancreas
b)
exocrine glands
c)
liver
d)
endocrine glands
3.
The ____ secrete(s) or release(s) chemicals that are used inside the body
a)
pancreas
b)
exocrine glands
c)
liver
d)
endocrine glands
4.
Which of the following conditions may appear similar to a diabetic emergency
a)
head injury
b)
stroke
c)
meningitis
d)
all of the above
5.
Prolonged hyperglycemia with exceptionally high glucose levels results in
a)
diabetic ketoacidosis
b)
insulin shock
c)
type 1 diabetes
d)
type 2 diabetes
6.
Diabetes is a metabolic disorder in which the hormone ___ is missing or ineffective
a)
estrogen
b)
adrenalin
c)
insulin
d)
epinephrine
7.
The accumulation of ketones and fatty acids in the blood tissue can lead to a dangerous condition in diabetic patients known as
a)
diabetic ketoacidosis
b)
insulin shock
c)
HHNC
d)
hypoglycemia
8.
The term for excessive eating as a result of cellular "hunger" is
a)
polyuria
b)
polydipsia
c)
polyphagia
d)
polyphony
9.
Insulin is produced by the
a)
adrenal glands
b)
hypothalamus
c)
spleen
d)
pancreas
10.
Factors that may contribute to DKA include
a)
infection
b)
alcohol consumption
c)
insufficient insulin
d)
all of the above
11.
The only organ that does not required insulin to allow glucose to enter its cells is the:
a)
liver
b)
brain
c)
pancreas
d)
heart
12.
The sweet or fruity odor on the breath of a diabetic patient is caused by ____ in the blood
a)
acetone
b)
ketones
c)
alcohol
d)
insulin
13.
The term for excessive thirst is
a)
polyuria
b)
polydipsia
c)
polyphagia
d)
polyphony
14.
An important clue that may help you decide what is wrong with a patient includes:
a)
insulin syringes on the bed stand
b)
insulin bottles in the refrigerator
c)
a glass of orange juice
d)
all of the above
15.
___ is one of the basic sugars in the body
a)
dextrose
b)
sucrose
c)
fructose
d)
syrup
16.
___ is the hormone that is normally produced by the pancreas that enables glucose to enter the cells
a)
insulin
b)
adrenalin
c)
estrogen
d)
epinephrine
17.
The term for excessive urination is
a)
polyuria
b)
polydipsia
c)
polyphagia
d)
polyphony
18.
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
19.
Administration of concentrated glucose solutions in a suspected stroke situation may exacerbate
a)
intracranial pressure
b)
cerebral bleeding
c)
hypertension
d)
dehydration
20.
The onset of hypoglycemia can occur within
a)
seconds
b)
minutes
c)
hours
d)
days
21.
Without ___, or with an extremely low level, brain cells rapidly suffer permanent damage
a)
epinephrine
b)
ketones
c)
bicarbonate
d)
glucose
22.
An African American patient or any patient of Mediterranean descent who complains of severe pain may have undiagnosed:
a)
type 1 diabetes
b)
type 2 diabetes
c)
hemophilia
d)
sickle cell anemia
23.
___ is genetic bleeding disorder in which clotting does not occur or occurs insufficiently.
a)
hemophilia
b)
sickle cell anemia
c)
thrombophilia
d)
splenic sequestration crisis
24.
A hypoglycemic crisis may develop as a result of
a)
too little insulin
b)
too much insulin
c)
over hydration
d)
metabolic alkalosis
25.
All of the following are physical signs of sickle cell crisis except
a)
swelling of the fingers and toes
b)
priapism
c)
nausea
d)
jaundice
26.
An increased heart rate in ___ represents a compensatory mechanism, in an attempt to "force" the misshapen cells through the small vasculature
a)
hemophilia
b)
a sickle cell crisis
c)
thrombophilia
d)
a splenic sequestration crisis
27.
Large quantities of ketone bodies in the bloodstream cause a decreased in the blood's pH and result in:
a)
respiratory alkalosis
b)
respiratory acidosis
c)
metabolic alkalosis
d)
metabolic acidosis
28.
Begin emergency care of the patient with an altered mental status by ensuring:
a)
scene safety
b)
that dispatch information is accurate
c)
that the patient has a pulse
d)
that the airway is clear
29.
Contraindications for the use of oral glucose include:
a)
unresponsiveness
b)
known alcoholism
c)
insulin shock
d)
all of the above
30.
In patients experiencing a sickle cell crisis
a)
respirations are normal to rapid
b)
pulse is weak and rapid
c)
skin is typically pale and clammy
d)
all of the above
31.
Signs and symptoms associated with hypoglycemia include
a)
warm, dry skin
b)
slow, bounding pulse
c)
kussmaul respirations
d)
anxious or combative behavior
32.
The patient in insulin shock is experiencing
a)
hyperglycemia
b)
hypoglycemia
c)
diabetic ketoacidosis
d)
a low production of insulin
33.
An emergency identification device may be in the form of a
a)
wallet card
b)
necklace
c)
bracelet
d)
all of the above
34.
The blood glucose level in neonates should be above
a)
50mg/dL
b)
60mg/dL
c)
70mg/dL
d)
80mg/dL
35.
The term ____ refers to any disorder of the blood
a)
hematology
b)
hemolytic disorder
c)
hemostatic disorder
d)
hematologic disorder
36.
Hospital personnel need to be informed about:
a)
the patient's history
b)
assessment findings
c)
your interventions
d)
all of the above
37.
Fluid deficits in patients with HHS.HONK may amount to ___ of more
a)
2 L
b)
5 L
c)
8 L
d)
10 L
38.
The "universal donor" blood type is
a)
O
b)
A
c)
B
d)
AB
39.
When a patient receives a blood transfusion, it is important to monitor the patient very closely for the first ____ minutes because transfusion reactions typically begin within this time frame
a)
5 to 10
b)
10 to 20
c)
15 to 30
d)
30 to 60
40.
Diabetes that develops during pregnancy in women who did not have diabetes before pregnancy is called
a)
juvenile diabetes
b)
gestational diabetes
c)
perinatal diabetes
d)
type 2 diabetes
41.
Hemostasis is a highly complex proves that allows the body to stop bleeding through
a)
vascular spasm
b)
coagulation
c)
platelet plugging
d)
all of the above
42.
In ___, the body produces to many platelets
a)
thrombosis
b)
thrombocytosis
c)
thrombocytopenia
d)
thrombophilia
43.
___ is a reduction in platelets
a)
thrombosis
b)
thrombocytosis
c)
thrombocytopenia
d)
thrombophilia
44.
Disseminated intravascular coagulation (DIC) may result from:
a)
trauma
b)
sepsis
c)
Obstetric Complications
d)
all of the above
45.
You should not use an advanced airway prior to giving D50 to a hypoglycemic patient
a)
true
b)
false
46.
The spleen produces the clotting factors found in the blood
a)
true
b)
false
47.
Thyroid hormones is secrete in response to the stimulation of the thyroid gland by the pancreas
a)
true
b)
false
48.
S/S of a diabetes emergency can develop quickly in children because their levels of activity can exhaust their glucose levels
a)
true
b)
false
49.
The ABO system uses the WBC classification types, O, A, B, AB to indicate which antigens are found in the plasma membrane
a)
true
b)
false
50.
If the patient has taken insulin but has not eaten, the problem is likely to be hyperglycemia
a)
true
b)
false
51.
If the level of glucose in the blood drops dramatically, the brain is literally starved
a)
true
b)
false
52.
Glucagon should never be used in conjunction with D50
a)
true
b)
false
53.
A patient is suspected of having a hematologic disorder should be assessed the same as any other patient
a)
true
b)
false
54.
The goals of prehospital treatment of DKA are to begin rehydration and to correct the patient's electrolyte and acid-base abnormalities
a)
true
b)
false
55.
The only contraindications to oral glucose are an inability to swallow or unresponsiveness
a)
true
b)
false
56.
The first treatment for patients with hyperglycemia is to administer oral glucose or D50
a)
true
b)
false
57.
When you know the blood glucose level, it is generally easier to identify abnormal vital signs
a)
true
b)
false
58.
The run report is the only legal document showing the appropriate care was provided
a)
true
b)
false
59.
Many anti-inflammatory drugs and some herbal supplements can decrease platelet aggregation
a)
true
b)
false
60.
Because of the widespread effect of diabetes on all systems of the body, and preexisting condition will be more difficult to manage after diabetes develops in the patient
a)
true
b)
false
61.
When diabetes is well controlled, the process of lipolysis raises the level of fat in the blood
a)
true
b)
false
62.
Iron deficiency anemia may cause A1C results to be falsely low
a)
true
b)
false
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