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WorksheetsExam 5 review Ch 20-26
Total questions: 20
Worksheet time: 10mins
A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours. On the basis of this patient’s clinical presentation, you should suspect that she:
is significantly hyperglycemic
has a low blood glucose level.
has a urinary tract infection
has overdosed on her insulin
The EMT should assess for hypoglycemia in small children with a severe illness or injury because:
a child’s cells do not uptake glucose as rapidly as adults’ do
children cannot store excess glucose as effectively as adults
illness or injury causes the pancreas to produce less insulin
children overproduce insulin during severe illness or injury
A 29-year-old female presents with confusion and disorientation. Her respirations are rapid and shallow, and her pulse is 120 beats/min and thready. She is markedly diaphoretic and has an oxygen saturation of 89%. You should:
transport immediately.
administer oral glucose
provide ventilatory support
treat her for hyperglycemia
Which of the following conditions is the diabetic patient at an increased risk of developing?
Blindness
Depression
Alcoholism
Hepatitis B
You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that he had a “bad reaction” the last time he was stung by a scorpion, and carries his own epinephrine auto-injector. You should:
apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and transport at once.
apply high-flow oxygen, obtain approval from medical control to assist him with his epinephrine, and transport.
assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if he remains stable.
apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to the hospital.
Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated immediately?
Diffuse urticaria
Severe hypotension
Upper airway swelling
Systemic vasodilation
Which of the following medications blocks the release of histamines?
Albuterol (Ventolin)
Epinephrine (Adrenalin)
Acetaminophen (Tylenol)
Diphenhydramine (Benadryl)
Which of the following sounds indicates swelling of the upper airway?
Rales
Stridor
Rhonchi
Wheezing
Which of the following physiologic actions does epinephrine produce when given for an allergic reaction?
Bronchodilation and vasodilation
Vasoconstriction and bronchodilation
Bronchoconstriction and vasoconstriction
Blocking of further histamine release
Heroin is an example of a(n):
opioid.
hypnotic.
cholinergic.
sympathomimetic.
Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:
ecstasy.
oxycodone (Percocet).
amphetamine sulfate (Benzedrine).
crack cocaine.
In general, injected poisons are impossible to dilute or remove because they:
are usually absorbed quickly into the body.
are usually fatal within 30 minutes of exposure.
absorb slowly into the body, despite their potency.
react with the blood, which increases their toxicity.
You receive a call to a residence where a man found his wife unresponsive on the couch. The patient’s respiratory rate is 8 breaths/min, her breathing is shallow, her heart rate is 40 beats/min, and her pulse is weak. The husband hands you an empty bottle of hydrocodone (Vicodin), which was refilled the day before. You should:
ventilate her with a bag-mask device.
contact the poison control center.
perform a rapid head-to-toe exam.
apply oxygen via a nonrebreathing mask.
A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should:
approach the patient with caution.
quickly tend to the bleeding wound.
tell the patient that you want to help.
calmly identify yourself to the patient
You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient’s central nervous system?
An irregular pulse
Rapid eye movement
Excessive tearing or crying
Consistent eye contact
Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated?
Chlamydia
Ovarian cysts
Genital herpes
Ectopic pregnancy
Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
Dismounted seats
Steering wheel collapse
Intrusion into the vehicle
Deployment of the airbag
While enroute to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the airbag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced:
open abdominal trauma.
neck and facial injuries.
blunt trauma to the head.
lower extremity fractures.
A 22-year-old male was kicked in the abdomen multiple times during an assault. He is conscious but restless and his pulse is rapid. His skin is cold and moist. Your assessment reveals a large area of bruising to the right upper quadrant of his abdomen. The most appropriate treatment for this patient includes:
preparing for immediate transport.
applying oxygen via nasal cannula.
performing a focused physical exam.
a detailed assessment of his abdomen
All of the following should be addressed during the primary assessment except:
severe hemorrhage.
slow, shallow breathing.
airway obstruction.
capillary bleeding.
