Module Five Quiz

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hiker0001
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268317
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Module Five Quiz
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2014-04-05 18:19:43
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Module Five Quiz
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Module Five Quiz
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  1. A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction and he tells you that he does.
    You should:
    A. avoid giving him nitroglycerin and transport him at once.
    B. ask him what he takes, how much, and when he last took it.
    C. administer his nitroglycerin and then reassess his blood pressure.
    D. recall that erectile dysfunction drugs can cause hypertension if given with nitroglycerin.
    B. ask him what he takes, how much, and when he last took it.
    (this multiple choice question has been scrambled)
  2. You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he
    is a dialysis patient, but has missed his last two treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should:
    A. place him in a supine position, elevate his lower extremities, and transport at once.
    B. perform a detailed secondary assessment and then transport him to a dialysis center.
    C. treat for shock and request a paramedic unit to respond to the scene and assist you.
    D. leave him in a sitting position, keep him warm, and prepare for immediate transport.
    D. leave him in a sitting position, keep him warm, and prepare for immediate transport.
    (this multiple choice question has been scrambled)
  3. You are dispatched to a residence for a 67-year-old female who was awakened by shortness of breath and sharp chest pain. Her husband tells you that she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and an oxygen saturation of 88%. This patient's presentation is MOST consistent with:
    A. right-sided heart failure.
    B. spontaneous pneumothorax.
    C. acute pulmonary embolism.
    D. acute pulmonary edema.
    C. acute pulmonary embolism.
    (this multiple choice question has been scrambled)
  4. You are caring for a semiconscious man with left-sided paralysis.  His airway is patent and his respirations are 14 breaths/min with  adequate tidal volume. Treatment for this patient should include:
    A. an oral airway, assisted ventilation with a bag-mask device, Fowler's position, and transport.
    B. assisted ventilation with a bag-mask device, right lateral recumbent position, and transport.
    C. oxygen via a nonrebreathing mask, supine position with legs elevated 6″ to 12″, and transport.
    D. oxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
    D. oxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
    (this multiple choice question has been scrambled)
  5. A 73-year-old man presents with a generalized rash, which he thinks may have been caused by an antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94 mm Hg, and his pulse is 64 beats/min and regular. You auscultate his breath sounds and hear scattered wheezing, although he is not experiencing respiratory distress. In addition to administering oxygen, you should:
    A. avoid the use of epinephrine because of his cardiac history, even if his symptoms become severe.
    B. Ask him if he has epinephrine and request approval from medical control to administer it to the patient.
    C. begin transport and request to administer epinephrine if his systolic blood pressure falls below 110 mm Hg.
    D. contact medical control if needed, transport the patient, and monitor him for signs of deterioration.
    D. contact medical control if needed, transport the patient, and monitor him for signs of deterioration.
    (this multiple choice question has been scrambled)
  6. Law enforcement personnel request your assistance for a 30-year-old man who they pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a Taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should:
    A. suspect that he is acutely hypoglycemic, consider giving him one tube of oral glucose, and transport with lights and siren.
    B. recognize that he is experiencing a complex psychiatric crisis, quickly load him into the ambulance, and transport without delay.
    C. quickly rule out any life-threatening conditions and then perform a detailed secondary assessment as he is being restrained.
    D. limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.
    D. limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.
    (this multiple choice question has been scrambled)
  7. You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced:
    A. a ruptured cerebral artery.
    B. a complex partial seizure.
    C. an occluded cerebral artery.
    D. acute hypoglycemia.
    A. a ruptured cerebral artery.
    (this multiple choice question has been scrambled)
  8. You are assessing the arm drift component of the Cincinnati Prehospital Stroke Scale on a 60-year-old woman. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her sides. You should:
    A. defer this part of the test and assess her for facial droop and slurred speech.
    B. repeat the arm drift test and ensure that her palms are facing downward.
    C. repeat the arm drift test, but move the patient's arms into position yourself.
    D. instruct the patient to keep her eyes open and then repeat the arm drift test.
    C. repeat the arm drift test, but move the patient's arms into position yourself.
    (this multiple choice question has been scrambled)
  9. Which of the following conditions is NOT categorized as a psychiatric condition?
    A. depression
    B. substance abuse
    C. Alzheimer's disease
    D. schizophrenia
    B. substance abuse
    (this multiple choice question has been scrambled)
  10. While auscultating an elderly woman's breath sounds, you hear low-pitched “rattling” sounds at the bases of both of her lungs. With which of the following conditions is this finding MOST consistent?
    A. widespread atelectasis
    B. early pulmonary edema
    C. aspiration pneumonia
    D. acute asthma attack
    C. aspiration pneumonia
    (this multiple choice question has been scrambled)
  11. A 37-year-old male is found unconscious in his car. His airway is patent and his respirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands
    you a medication named Alupent, which he found in the backseat of the patient's car. This medication suggests that the patient has a history of:
    A. hypertension.
    B. asthma.
    C. heart disease.
    D. allergic reactions.
    B. asthma.
    (this multiple choice question has been scrambled)
  12. In contrast to the parietal peritoneum, the visceral peritoneum:
    A. is supplied by the same nerves from the spinal cord that supply the skin of the abdomen.
    B. is less likely to become inflamed or infected because it lines the abdominal organs themselves.
    C. lines the walls of the abdominal cavity and is stimulated when the solid abdominal organs contract.
    D. is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.
    D. is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.
    (this multiple choice question has been scrambled)
  13. A patient without a history of seizures experiences a sudden convulsion. The LEAST likely cause of this seizure is:
    A. a brain tumor.
    B. epilepsy.
    C. intracranial bleeding.
    D. a serious infection.
    B. epilepsy.
    (this multiple choice question has been scrambled)
  14. Diabetic ketoacidosis occurs when:
    A. insulin is not available in the body.
    B. blood glucose levels rapidly fall.
    C. the pancreas produces excess insulin.
    D. the cells rapidly metabolize glucose.
    A. insulin is not available in the body.
    (this multiple choice question has been scrambled)
  15. On scene you suspect that a young female patient who is suffering from hyperventilation syndrome.  Which of the following signs would best assist you in confirming this suspicion?
    A. Urinary incontinence
    B. Spasm of the hands (carpopedal spasms)
    C. Breathing through the mouth
    D. Heart rate of 64 bpm
    B. Spasm of the hands (carpopedal spasms)
    (this multiple choice question has been scrambled)

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