Chapter 21 Quiz Flashcards
A 49-year-old male presents with confusion, sweating, and visual hallucinations. The patient's wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before your arrival. This patient is MOST likely experiencing: Select one: A. delirium tremens. B. acute hypovolemia. C. acute schizophrenia. D. alcohol intoxication.
A. delirium tremens.
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing: Select one: A. withdrawal. B. tolerance. C. dependence. D. addiction.
B. tolerance.
Activated charcoal is given to patients who have ingested certain substances because it:
Select one:
A. induces vomiting and empties the stomach.
B. decreases absorption of poisons into the lungs.
C. binds to the substance and prevents absorption.
D. is a direct antidote for many toxic substances.
C. binds to the substance and prevents absorption.
An overdose of acetaminophen, the active ingredient in Tylenol, will MOST likely cause: Select one: A. liver failure. B. kidney failure. C. gastric ulcers. D. CNS depression.
A. liver failure.
As you enter the residence of a patient who has possibly overdosed, you should: Select one: A. quickly gain access to the patient. B. be alert for personal hazards. C. look for drug paraphernalia. D. observe the scene for drug bottles.
B. be alert for personal hazards.
Heroin is an example of a(n): Select one: A. sympathomimetic. B. cholinergic. C. opioid. D. hypnotic.
C. opioid.
How do poisons typically act to harm the body?
Select one:
A. By changing the normal metabolism of cells or by destroying them
B. By interfering with normal neurologic function
C. By causing a slowing of nearly all bodily functions
D. By causing burns and damage to either external or internal organs
A. By changing the normal metabolism of cells or by destroying them
Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of: Select one: A. oxycodone (Percocet). B. ecstasy. C. crack cocaine. D. amphetamine sulfate (Benzedrine).
A. oxycodone (Percocet).
If the victim of a toxicologic emergency vomits, an EMT should _________.
Select one:
A. safely dispose of the vomitus as soon as possible and decontaminate the vehicle as necessary.
B. use appropriate personal protective equipment and examine the vomitus for pill fragments or other clues for patient care.
C. not approach the vomitus.
D. have the patient enclose the vomitus in a container and take it to the emergency department.
B. use appropriate personal protective equipment and examine the vomitus for pill fragments or other clues for patient care.
In an apparent suicide attempt, a 19-year-old female ingested a full bottle of amitriptyline (Elavil). At present, she is conscious and alert and states that she swallowed the pills approximately 30 minutes earlier. Her blood pressure is 90/50 mm Hg, her pulse is 140 beats/min and irregular, and her respirations are 22 breaths/min with adequate depth. When transporting this patient, you should be MOST alert for: Select one: A. an increase in her blood pressure. B. seizures and cardiac arrhythmias. C. a sudden outburst of violence. D. acute respiratory depression.
B. seizures and cardiac arrhythmias.
Most poisonings occur via the \_\_\_\_\_\_\_\_\_\_ route. Select one: A. ingestion B. injection C. inhalation D. absorption
A. ingestion
Of the four avenues of poisoning, generally \_\_\_\_\_\_\_\_\_\_\_ is the most worrisome in terms of treatment to the EMS provider. Select one: A. absorption B. injection C. ingestion D. inhalation
B. injection
The recommended treatment for absorbed or contact poisons includes _________.
Select one:
A. safely removing or diluting the poisonous substance
B. collecting and transporting the poisonous substance to the emergency department for identification
C. neutralizing the poisonous substance with a chemical
D. transporting the patient to the emergency department with the poisonous substance in place
A. safely removing or diluting the poisonous substance
Victims of inhaled poisoning will require which of the following?
Select one:
A. Suctioning to clear the airway
B. Transport to an emergency department for evaluation
C. An oropharyngeal or nasopharyngeal device to maintain an airway
D. Ventilation with a bag-valve mask
B. Transport to an emergency department for evaluation
When caring for a known alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that:
Select one:
A. long bone fractures are likely because chronic alcohol consumption weakens the structure of the bones.
B. internal bleeding may be profuse because prolonged alcohol use may impair the blood’s ability to clot.
C. delirium tremens (DTs) are commonly induced by physical trauma and can lead to life-threatening seizures.
D. signs and symptoms of shock may be masked by the stimulant effects produced by alcohol.
B. internal bleeding may be profuse because prolonged alcohol use may impair the blood’s ability to clot.