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EMT UCLA > Medical Unit Exam > Flashcards

Medical Unit Exam Flashcards

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1
Q

A 15-year-old soccer player is pale, hot and semi-conscious. You should?

A

Remove the patient from the hot environment.

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2
Q

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

A

Hypovolemic Shock

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3
Q

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?

A

Hypovolemic

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4
Q

A 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should?

A

Obtain vital signs

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5
Q

A 20-year-old female is unconscious after being submerged in a lake for three minutes. she has a pulse and agonal breathing.

A

Ventilate using a BVM

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6
Q

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.

A

Gloves and HEPA Mask

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7
Q

A 21-year-old male is unresponsive, has constricted pupils, slow, shallow respirations, you should suspect:

A

Narcotic overdose

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8
Q

A 23-year-old female complains of fever, muscle aches, and congestion, is pale; BP94/60, P120, R24. roommate feels the same?

A

Influenza

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9
Q

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?

A

Ask the family to convince the patient to open the door

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10
Q

A 23-year-old male with bipolar disorder. depressed and locked himself inside the bathroom

A

Call law enforcement to secure the scene

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11
Q

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

A

anaphylaxis

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12
Q

A 28-year-old patient is outside at a concert and appears confused. he is unable to answer your questions. you should:

A

Look for a medical identification necklace or bracelet

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13
Q

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:

A

BP90/60, P124, R20

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14
Q

A 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most likely cause is?

A

Migraine

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15
Q

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?

A

assess her pulse for 30-45 seconds

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16
Q

A 38-year-old patient has a history of hypothyroidism. She is hypertensive, tachycardic and hyperthermic. You find an empty bottle of Synthroid nearby

A

Contact the poison center or medical command

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17
Q

A 40-year-old unconscious patient was working in 90F weather for the last 5 hours?

A

Place patient to a cool environment, remove clothing give a cold pack, and give oxygen

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18
Q

A 42-year-old female states she is “having the worst headache of my life”. vomiting. BP180/90, P68, R14 what should you suspect?

A

Migraine

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19
Q

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?

A

Black Widow

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20
Q

A 46-year-old male has a sudden onset of left sided weakness and slurred speech. BP188/92, P58, R12. what should you suspect?

A

Transient ischemic stroke

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21
Q

A 50-year-old male who recently completed renal dialysis is bleeding profusely from the shunt. How should you classify this bleeding?

A

Arterial and possibly serious

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22
Q

A 65-year-old patient reports abdominal pain, vomiting and loss of appetite, as well as black stools. You should suspect

A

Fecal Impaction

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23
Q

A 68-year-old patient reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools what should you expect?

A

Lower GI bleeding

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24
Q

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?

A

The patient’s pulse should be palpated in at least 2 places.

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25
Q

A 72-year-old female has slurred speech and left arm weakness prior to EMS arriving. what do you think happened?

A

transient ischemic attack

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26
Q

A 72-year-old male has weak hand grips, blurred vision, and unable to tell what day it is he has type II diabetes

A

Evaluate Facial Droop

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27
Q

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?

A

immediately notify law enforcement to take a report

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28
Q

A car battery exploded in your patients face. He denies any breathing difficulty. You should?

A

Begin irrigating his eyes with clean water.

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29
Q

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?

A

Open the patient’s airway and insert an OPA

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30
Q

A middle-aged patient outside a homeless shelter. coughs up pink sputum and passes out?

A

don a N95 respirator prior to continuing assessment

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31
Q

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

A

Hypoglycemia

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32
Q

A patient has a headache. How should you position him on the cot?

A

Semi Fowlers

33
Q

A patient is diagnosed with Diabetic ketoacidosis and is now unconscious and breathing deeply. what should you suspect?

A

Hyperglycemia

34
Q

A patient is having a tonic-clonic seizure and is not breathing

A

you should: prevent patient from further injury

35
Q

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?

A

Appendicitis

36
Q

A patient is unresponsive with her arms and legs violently jerking. What phase of a generalized seizure is this patient demonstrating?

A

Clonic

37
Q

A patient tells you he has anemia. You should expect him to present with

A

Pallor

38
Q

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

A

Move patient to a well-ventilated area

39
Q

A patient was stung by a bee. You should?

A

Apply ice cold compresses to the affected area

40
Q

A patient’s family reports a glucometer reading of 57mg/dL. this reading is considered

A

LOW

41
Q

A worker at a fertilizer plant and spilled lye all over their body?

A

Brush the powder off

42
Q

According to the Cincinnati Prehospital Stroke​ Scale, which of the following must be​ assessed?

A

Facial Droop

43
Q

An 18-year-old female has progressively become lethargic at a party. vitals are BP90/60, P48, R4, you should suspect:

A

Narcotic overdose

44
Q

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

A

Paranoid schizophrenia

45
Q

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

A

Administer oxygen and monitor vitals

46
Q

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?

A

Pneumonia

47
Q

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?

A

introduce yourself and start an assessment

48
Q

An alert 56-year-old female has severe headache and weakness in the left arm. BP188/92, P106, R14?

A

Stroke

49
Q

An elderly patient has been drinking all afternoon. en route to the hospital he has become confused and slow to respond to questions?

A

Check blood glucose levels.

50
Q

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?

A

report suspicion of neglect to medical director and local abuse agency

51
Q

An unconscious 33-year-old patient was found lying prone in a local park. he was apneic. you should:

A

Put in supine check airway

52
Q

An unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is

A

Stroke

53
Q

Five employees at a packaging company report being “light-headed”. they have respiratory problems after working in a packing company.

A

Toxic Substance exposure

54
Q

How should you administer an epinephrine auto injector?

A

Firmly apply the injector to the thigh for at least ten seconds

55
Q

To assess possible stroke patient for abnormal speech?

A

ask patient to repeat a common phrase

56
Q

What effects does epinephrine side effects on the cardiovascular system?

A

Constricts blood vessels

57
Q

What is a characteristic of a transient ischemic attack?

A

Attack results in chronic arm weakness.

58
Q

What is hyperglycemia?

A

High blood sugar

59
Q

What type of drug abuse is characterized by the patient seeing or hearing things that are not present?

A

Hallucinogens

60
Q

When assessing a patient for facial droop, you should?

A

Ask the patient to smile or show you his teeth.

61
Q

When assessing for arm drift you should ask the patient to?

A

Hold arms out with palms out and eyes closed

62
Q

When treating a patient with altered behavior?

A

Consider any possible medical causes

63
Q

Where would you expect to find pain in a patient with suspected appendicitis?

A

RLQ

64
Q

Which of the following assessment findings suggest gastrointestinal bleed?

A

Bright red blood from the rectal area

65
Q

Which of the following best describes viruses and bacteria?

A

Pathogens

66
Q

Which of the following is a contradiction for the administration of oral glucose?

A

Unconsciousness

67
Q

Which of the following is a sign of hypoglycemia?

A

Cool, Clammy skin

68
Q

Which of the following medications helps the body transport sugar into cells?

A

Insulin

69
Q

Which of the following most accurately describes insulin?

A

It helps glucose move into the cells

70
Q

Which statement strongly indicates syncope?

A

Blacked out for a few seconds

71
Q

You are assessing an unresponsive medical patient. what is the primary focus?

A

Chief complaint

72
Q

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?

A

Bee Sting

73
Q

You are called to treat a hiker in the mountains. patient is flushed and their mucous membrane is slightly blue.

A

Low oxygen levels

74
Q

You have been dispatched to a behavioral emergency. the police are on scene and have asked you to evaluate the patient.

A

you should assess the patient and transport to appropriate emergency room

75
Q

Your elderly patient complains of abdominal pain and back pain. has tarry stools for three days. what should you suspect?

A

Gastrointestinal bleed.

76
Q

Your epileptic patient complains of persistent metallic taste in her mouth. you should suspect

A

A seizure may occur

77
Q

Your first priority when deal with a patient who is exhibiting behavior issues is to?

A

Ensure the safety of yourself and your partner

78
Q

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?

A

Assist the patient with her epinephrine auto injector

79
Q

Your patient is unconscious. A medical identification bracelet tells you that she is diabetic. You should

A

Ensure a patent airway

EMT UCLA (9 decks)

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