medical exam 2

Question 1

You arrive to find a 50 year old male who is overweight and complaining of shortness of breath. He has a history of smoking for 30 years. He is cyanotic and has been coughing up thick yellow mucous. BP 130/88, HR 110, Resp 30 labored, Temp 99. He is on Ventolin and Viagra. What is he most likely experiencing?

Pneumonia
Bronchitis
Emphysema
Athma

Answer 1

Bronchitis

Question 2

Your next patient is a 20 year old female who was in an aerobics class when she suddenly became short of breath. Upon auscultation you hear expiratory wheezing in all four lung fields. What is she most likely suffering from?
Group of answer choices

Pulmonary embolism
Stridor obstruction
Bronchitis
Asthma attack

Answer 2

Pulmonary embolism

Question 3

You arrive at a MVC to find a 15 year female who just stopped at a fatal auto accident to render aid. She is complaining of numbness and tingling in her fingers and around her lips. You also notice she has carpo-pedal spasms. BP 140/90, HR 130, Resp 40, Temp 99. What is she most likely experiencing?
Group of answer choices

Emphysema
Hyperventilation
Pulmonary embolism
Asthma attack

Answer 3

Hyperventilation

Question 4

Your next call is to a school at 3pm where a 9 year old is complaining of feeling lightheaded and abdominal cramping. BP 100/60, HR 100, Resp 24 labored, Temp 99. Onset was after a 9am biology course outside by the stream.
Group of answer choices

Brown recluse
Ingested poisoning
Scorpion sting
Black widow

Answer 4

Black widow

Question 5

Your next patient is an alcoholic who is complaining of indigestion. BP 122/86, HR 90, Resp 18 unlabored, Temp 100. O-comes on slow, P-feels better after eating, Q-burning, R-none, S-4, T-chronic. Allergic to penicillin. What is he most likely experiencing?
Group of answer choices

Pancreatitis
AMI
Gall bladder
Stomach ulcer

Answer 5

Stomach ulcer

Question 6

56 year old hip replacement 4 days ago. BP 140/90, HR 130, Resp 28, Temp 101. Nurses state she was fine 20 minutes ago and now is unresponsive. Breath sounds are clear when using the BVM. What is she most likely experiencing?
Group of answer choices

Spontaneous pneumothorax
Epidural bleed
Pulmonary edema
Pulmonary embolism

Answer 6

Spontaneous pneumothorax

Question 7

The next patient is a 40 year old male complaining of RUQ dull pains. Has lost his appetite for the last several days. Started having night sweats this week. What is he most likely experiencing?
Group of answer choices

Appendicitis
Gallbladder
Hepatitis
Pancreatitis

Answer 7

Hepatitis

Question 8

Your next patient is unresponsive found in his car in the garage. BP 100/80, HR 130, Resp 26, Temp 100. Skin in clammy. Breath sounds clear bilateral. Patient has old bruises on his chest and face. The patient is bleeding from the mouth and has urinated on himself. What is most likely the problem?
Group of answer choices

Heat stroke
Carbon monoxide poisoning
Seizure
Diabetic Ketoacidosis

Answer 8

Seizure

Question 9

Your next patient is a diabetic who is helping a neighbor move. The patient is lightheaded, confuses and starting to panic. What is most likely the problem?
Group of answer choices

Diabetic coma
Stroke
Subdural bleed
Insulin shock

Answer 9

Insulin shock

Question 9

Your next patient is a 18 year old basketball player who is complaining of shortness of breath. Breath sounds clear bilateral. BP 110/70, HR 110, Resp 24 shallow, Temp 99. The patient is becoming more anxious. What is he most likely experiencing?
Group of answer choices

Pulmonary embolism
Spontaneous pneumothorax
Heat exhaustion
Asthma attack

Answer 9

Spontaneous pneumothorax

Question 10

Your next patient is unresponsive in a supine position. BP 90/70, HR 140, Resp 28 shallow, Temp 96. Upon exam the abdominal area is rigid and distended. What is most likely the problem?
Group of answer choices

Acute aortic aneurism
Ruptured appendix
Kidney stone rupture
Diverticula emergency

Answer 10

Acute aortic aneurism

Question 11

Your next patient is having trouble walking and is confused. She is complaining of vision problems and feeling lightheaded. BP 180/120, HR 70, Resp 16, Temp 99. During transport she has become unresponsive. New vitals are 190/90, Resp 20 irregular, HR 50. Patient has vomited. What is most likely the condition?
Group of answer choices

Transient ischemic accident
Hemorrhagic stroke
Ischemic stroke
Hypoglycemic emergency

Answer 11

Heat stroke

Question 11

Your last patient is confused and with hot and dry skin. BP 80/50, HR 140, Resp 30 deep, Temp 104. What is most likely the condition using only the information given?
Group of answer choices

DKA
Heat exhaustion
Heat stroke
Status epilipticus

Answer 11

Heat stroke