Medical Unit Exam Flashcards
A 15-year-old soccer player is pale, hot and semi-conscious. You should?
Remove the patient from the hot environment.
A 16-year-old female awoke this morning with severe abdominal pain. She states I have not had a period in two months and the pain started this morning
Hypovolemic Shock
A 16-year-old female with severe abdominal pain “hasn’t had a period in two months and the pain started this morning” BP90/70, P130, R28. skin is pale and cool. what should you suspect?
Hypovolemic
A 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should?
Obtain vital signs
A 20-year-old female is unconscious after being submerged in a lake for three minutes. she has a pulse and agonal breathing.
Ventilate using a BVM
A 20-year-old male in college dorm room complains of fever, headache and a stiff neck. He has an altered mental status, and you notice red blotches on his skin.
Gloves and HEPA Mask
A 21-year-old male is unresponsive, has constricted pupils, slow, shallow respirations, you should suspect:
Narcotic overdose
A 23-year-old female complains of fever, muscle aches, and congestion, is pale; BP94/60, P120, R24. roommate feels the same?
Influenza
A 23-year-old male has a bipolar disorder. He is depressed and has locked himself in a bathroom. His family is concerned for his well-being. What should you do?
Ask the family to convince the patient to open the door
A 23-year-old male with bipolar disorder. depressed and locked himself inside the bathroom
Call law enforcement to secure the scene
A 27-year-old female is resting after running for 30 minutes. she normally runs 5 miles every day but today she “can’t catch her breath”. flushed skin, fast and weak pulse, fast respirations with wheezing, complains of itching arms and chest
anaphylaxis
A 28-year-old patient is outside at a concert and appears confused. he is unable to answer your questions. you should:
Look for a medical identification necklace or bracelet
A 31-year-old male is vomiting and has diarrhea for 10 hours. complains of weakness and light headedness upon standing. pale and diaphoretic. vitals should be:
BP90/60, P124, R20
A 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most likely cause is?
Migraine
A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do?
assess her pulse for 30-45 seconds
A 38-year-old patient has a history of hypothyroidism. She is hypertensive, tachycardic and hyperthermic. You find an empty bottle of Synthroid nearby
Contact the poison center or medical command
A 40-year-old unconscious patient was working in 90F weather for the last 5 hours?
Place patient to a cool environment, remove clothing give a cold pack, and give oxygen
A 42-year-old female states she is “having the worst headache of my life”. vomiting. BP180/90, P68, R14 what should you suspect?
Migraine
A 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pin on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from?
Black Widow
A 46-year-old male has a sudden onset of left sided weakness and slurred speech. BP188/92, P58, R12. what should you suspect?
Transient ischemic stroke
A 50-year-old male who recently completed renal dialysis is bleeding profusely from the shunt. How should you classify this bleeding?
Arterial and possibly serious
A 65-year-old patient reports abdominal pain, vomiting and loss of appetite, as well as black stools. You should suspect
Fecal Impaction
A 68-year-old patient reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools what should you expect?
Lower GI bleeding
A 71-year-old male is found unconscious and cold to the touch in a local park. Police identify him as a resident of a nearby Alzheimer’s center who was reported missing hours. The outside temp has been in the low teens. What do you need to keep in mind when trying to obtain a pulse?
The patient’s pulse should be palpated in at least 2 places.
A 72-year-old female has slurred speech and left arm weakness prior to EMS arriving. what do you think happened?
transient ischemic attack
A 72-year-old male has weak hand grips, blurred vision, and unable to tell what day it is he has type II diabetes
Evaluate Facial Droop
A 78-year-old male Alzheimer’s patient has bruising on his back, neck and stomach. caregivers insist that he fell out of bed. what should you do?
immediately notify law enforcement to take a report
A car battery exploded in your patients face. He denies any breathing difficulty. You should?
Begin irrigating his eyes with clean water.
A middle-aged male was found outside a homeless shelter. As you approach, he coughs up pink sputum and passes out. What should you do?
Open the patient’s airway and insert an OPA
A middle-aged patient outside a homeless shelter. coughs up pink sputum and passes out?
don a N95 respirator prior to continuing assessment
A patient found in his home has irregular respirations and appears agitated. He is pacing back and forth, and his skin is cool and clammy. You should suspect
Hypoglycemia
A patient has a headache. How should you position him on the cot?
Semi Fowlers
A patient is diagnosed with Diabetic ketoacidosis and is now unconscious and breathing deeply. what should you suspect?
Hyperglycemia
A patient is having a tonic-clonic seizure and is not breathing
you should: prevent patient from further injury
A patient is running a high fever, vomiting and reporting pain that has shifted from around her belly button to the lower right area of her abdomen you should suspect?
Appendicitis
A patient is unresponsive with her arms and legs violently jerking. What phase of a generalized seizure is this patient demonstrating?
Clonic
A patient tells you he has anemia. You should expect him to present with
Pallor
A patient was cleaning the bathroom when he came out gagging and coughing. His eyes are red, and watering and he is complaining of dyspnea. You should
Move patient to a well-ventilated area
A patient was stung by a bee. You should?
Apply ice cold compresses to the affected area
A patient’s family reports a glucometer reading of 57mg/dL. this reading is considered
LOW
A worker at a fertilizer plant and spilled lye all over their body?
Brush the powder off
According to the Cincinnati Prehospital Stroke Scale, which of the following must be assessed?
Facial Droop
An 18-year-old female has progressively become lethargic at a party. vitals are BP90/60, P48, R4, you should suspect:
Narcotic overdose
An 18-year-old male states “The CIA is after me” You notice he has covered his head and windows with aluminum foil. When you ask why
Paranoid schizophrenia
An 82-year-old female complains of nausea and vomiting for two days. she ran out of her prescription heart medication last week. BP158/92, P92 irregular, R18
Administer oxygen and monitor vitals
An 87-year-old has a productive cough over the past three days and confusion over the past day. there is rhonchi and wheezing in the right lung. BP116/92, P92, R24 and temperature is 101F. what should you suspect?
Pneumonia
An adult male is sitting alone in a dark room, rocking back and forth. he mutters to his sock puppet “are you feeling sad?” what should you do?
introduce yourself and start an assessment
An alert 56-year-old female has severe headache and weakness in the left arm. BP188/92, P106, R14?
Stroke
An elderly patient has been drinking all afternoon. en route to the hospital he has become confused and slow to respond to questions?
Check blood glucose levels.
An elderly patient is malnourished and wearing inadequate clothes for the current temperature. they are lying on soiled bedding and has a strong smell of urine all over the house. caregiver daughters say mother refused to get out of bed most days. won’t do housekeeping, and not taking medication?
report suspicion of neglect to medical director and local abuse agency
An unconscious 33-year-old patient was found lying prone in a local park. he was apneic. you should:
Put in supine check airway
An unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is
Stroke
Five employees at a packaging company report being “light-headed”. they have respiratory problems after working in a packing company.
Toxic Substance exposure
How should you administer an epinephrine auto injector?
Firmly apply the injector to the thigh for at least ten seconds
To assess possible stroke patient for abnormal speech?
ask patient to repeat a common phrase
What effects does epinephrine side effects on the cardiovascular system?
Constricts blood vessels
What is a characteristic of a transient ischemic attack?
Attack results in chronic arm weakness.
What is hyperglycemia?
High blood sugar
What type of drug abuse is characterized by the patient seeing or hearing things that are not present?
Hallucinogens
When assessing a patient for facial droop, you should?
Ask the patient to smile or show you his teeth.
When assessing for arm drift you should ask the patient to?
Hold arms out with palms out and eyes closed
When treating a patient with altered behavior?
Consider any possible medical causes
Where would you expect to find pain in a patient with suspected appendicitis?
RLQ
Which of the following assessment findings suggest gastrointestinal bleed?
Bright red blood from the rectal area
Which of the following best describes viruses and bacteria?
Pathogens
Which of the following is a contradiction for the administration of oral glucose?
Unconsciousness
Which of the following is a sign of hypoglycemia?
Cool, Clammy skin
Which of the following medications helps the body transport sugar into cells?
Insulin
Which of the following most accurately describes insulin?
It helps glucose move into the cells
Which statement strongly indicates syncope?
Blacked out for a few seconds
You are assessing an unresponsive medical patient. what is the primary focus?
Chief complaint
You are called to an outdoor garden center on a hot, humid day. Your patient is at an outdoor garden center on a hot and humid day. patient is pale, wheezing and has hives. what should you suspect?
Bee Sting
You are called to treat a hiker in the mountains. patient is flushed and their mucous membrane is slightly blue.
Low oxygen levels
You have been dispatched to a behavioral emergency. the police are on scene and have asked you to evaluate the patient.
you should assess the patient and transport to appropriate emergency room
Your elderly patient complains of abdominal pain and back pain. has tarry stools for three days. what should you suspect?
Gastrointestinal bleed.
Your epileptic patient complains of persistent metallic taste in her mouth. you should suspect
A seizure may occur
Your first priority when deal with a patient who is exhibiting behavior issues is to?
Ensure the safety of yourself and your partner
Your patient has a bee allergy, was stung and says their throat is itchy. lips are swelling, patient has a EpiPen. what should you do?
Assist the patient with her epinephrine auto injector
Your patient is unconscious. A medical identification bracelet tells you that she is diabetic. You should
Ensure a patent airway
