medical exam Flashcards
a young man is unresponsive after overdosing on an opioid. He is not breathing and his pulse is weak. The emt should immediately A. ventilate with a BVM B. request an ALS ambulance C. administer naloxone D. begin chest compressions A. ventilate with a BVM common signs and symptoms of AMI include all of the following EXCEPT: A. shortness of breath B. pain exacerbated by breathing C. irregular heartbeat D. sudden unexplained swelling B. pain exacerbated by breathing
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A. ventilate with a BVM
common signs and symptoms of AMI include all of the following EXCEPT: A. shortness of breath B. pain exacerbated by breathing C. irregular heartbeat D. sudden unexplained swelling
B. pain exacerbated by breathing
when assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
A. presence of a medical identification tag
B.rate of the patients pulse
C. rate and depth of breathing
D. patients mental status
C. rate and depth of breathing
Common side effects of nitroglycerin include all of the following EXCEPT: A. severe headache. B. hypertension C. Bradycardia D. hypotension
B.hypertension
Which of the following clinical signs is unique to anaphylactic shock? A. wheezing B. hypotension C. dizziness D .pallor
A. wheezing
While providing CPAP to a patient in severe respiratory distress, you note that his heart rate has increased by 20 beats/min. He is conscious, but no longer following verbal commands. You should:
A. remove the cpap device and apply oxygen by non breather mask
B. decrease the amount of pressure that the cpap device is delivering
C. increase the amount of pressure that the cpap device is delivering
D. remove the cpap device and ventilate him with a bag-valve mask
D. remove the cpap device and ventilate him with bag-valve mask.
you are dispatched to a convenience store for a patient who passed out. Upon arriving at the scene, you find two bystanders performing CPR on the patient, a 58-year-old male. Your initial action should be to:
A. quickly apply AED and follow the prompts
B. request a paramedic unit.
C. give two breaths and then check for pulse
D. have the bystanders stop CPR and assess for a pulse
A. quickly apply AED and follow the prompts
you are assessing a 49-year-old man who complains of chest pressure that began the night before. He is conscious, but anxious, and tells you he has a history of angina and hypertension. After applying high-flow oxygen, you expose his chest to auscultate his lungs and note that he has a nitroglycerin patch on his right upper chest. His skin is cool and pale, his blood pressure is 78/50 mm Hg, and his pulse is 110 beats/min and irregular. You should:
A. ask him if the nitroglycerin patch he is wearing has improved his chest pressure, complete your secondary assessment, and transport promptly.
B. immediately remove the nitroglycerin patch, apply the AED in case he develops cardiac arrest to closet hospitals.
C. remove the nitroglycerin patch, place him in a supine position and elevate his lower extremities, and prepare for immediate transport.
D. move the nitroglycerin patch to the other side of his chest in case you need to apply the AED, keep warm, and transport without delay.
C. remove the nitroglycerin patch, place him in a supine position and elevate his lower extremities, and prepare for immediate transport.
C. remove the nitroglycerin patch, place him in a supine position and elevate his lower extremities, and prepare for immediate transport.
to select the proper size oropharyngeal airway, you should measure from the:
A. corner of the mouth to the superior ear.
B. angle of the jaw to the center of the mouth
C. center of the mouth to the posterior ear.
D. corner of the mouth to the earlobe
D. corner of the mouth to the earlobe
The MOST appropriate treatment for a patient with a mild upper airway obstruction includes:
A. administering oxygen and transporting immediately
B. visualizing the airway and removing the obstruction.
C. performing five back blows and five abdominal thrusts
D. advising the patient not to make any attempts to cough
A. administering oxygen and transporting immediately
You are ventilating a 40-year-old uninjured man who is apneic but has a pulse. When your partner reassesses his blood pressure, she notes that it has decreased significantly from previous readings. You should:
A. increase the rate at which you are ventilating and reassess his blood pressure.
B. reduce the rate or volume of the ventilations you are delivering.
C. perform a head-to-toe assessment to look for signs of bleeding.
D. increase the volume of your ventilations and reassess his blood pressure.
B. reduce the rate or volume of the ventilations you are delivering
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%. You should suspect:
A. spontaneous Pneumothorax
B. acute pulmonary embolism
C. right-side heart failure
D. acute pulmonary edema
B. Acute pulmonary embolism
You are transporting a 33-year-old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:
A. arrange for an ALS rendezvous
B. reassess his condition in 5 minutes.
C. take his vital signs in 15 minutes.
D. repeat your secondary assessment.
B. reassess his condition in 5 minutes
A 50-year-old man with diabetes has an altered mental status and is unable to tell you when he last ate or took his insulin. The patient’s wife reports that his blood sugar has been high or a week. Which of the following clinical signs would MOST likely lead you to the correct diagnosis?
A. Rapid and weak pulse
B. Deep and rapid breathing
C. Hypotension and tachycardia
D. Restlessness and irritability
B. Deep and rapid breathing
a 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the Most appropriate to ask him?
A. “Do you have any heart problems or take medication.”
B. “Were you exerting yourself when the chest pain began?”
C. “Does the pain in your chest move to either of your arms?”
D. “ Does the pain in your chest feel like a stabbing sensation?”
A. Do you have any heart problems or take medication?
