nero test Flashcards
You would NOT expect a person using methamphetamine to present with:
Bradypnea
Patient with alcoholism are prone to subdural hematomas gastrointestinal bleeding MAINLY because:
Their blood-clotting mechanisms are impaired.
The clinical presentation of a stimulant abuser includes:
Excitement, hypertension, tachycardia, and dilated puplis.
Which of the following ECG abnormalities is MOST suggestive of cocaine toxicity..
Prolongation of the QT interval.
If you are treating a patient with a suspected benzodiazepine overdose, and find that that the patient is hypotensive, bradycardia, and comatose:
You should consider concomitant overdose with another CNS depressant.
Narcan (naloxone) is a narcotic that displaces narcotic molecules from opiate receptors. Which of hte following should be anticipated when Narcan is given to a person who is physically addicted to a narcotic?
Extreme combativeness
The recommended dose and method for administering naloxone to a patient who overdosed on a narcotic and is unresponsive and hypo-ventilating is:
0.8 mg injected IM to improve respiratory effort/
Signs and symptoms of organophosphate poisoning include:
vomiting
Common signs and symptoms of a tricyclic antidepressant overdose include:
altered mental status and tachycardia
Severe salicylate toxicity produces:
Metabolic acidosis
A 29-year-old woman was found unresponsive by her husband. When you arrive at the scene and begin your assessment, you note that that patient’s reparations are slow and shallow, her pulse is slow and weak, and her pupils are markedly dilated. Your partner begins assisting the patient’s ventilations as you assess her blood pressure, which is 70/48 mm Hg. The patient’s husband hands you an empty bottle of phenobarbital, which was filled the day before, and tells that his wife takes the medication for seizures. After establishing vascular access, you should:
recognize the need for crystalloid fluid boluses to improve her blood pressure
Sammy a 2 y/o got hold of his grandmothers’ Verapamil (a calcium channel blocker). Like Cardizem (diltiazem) and Procardia (nifedipine), Verapamil at toxic levels can cause some serious dysrhythmias including:
Complete heart block
Sinus arrest
Bradycardia
Asystole
The two main classifications of seizures are:
Focal & Generalized
Which of the following pose a high risk for the occurrence of seizures?
Eclampsia
Drug withdrawal
Pyrexia
Seizures can often result from which of the following problems?
Hypoxia
Hypoglycemia
Metabolic imbalance
Stroke
You are transporting a stroke patient to the hospital. Which of the following assessment findings would be most indicative of a deteriorating state?
Ataxic respirations
A bradycardia
Projectile vomiting
A period of seizure activity
Ischemic cerebrovascular accidents include which of the following pathology:
Tumor
Embolism
Thrombosis
Which of the following statement is/are true?
An ischemic stroke of stroke is often occurs in the early morning
A hemorrhagic stroke may occur with a “sentinel hemorrhage” or warning leak.
A hemorrhagic stroke occurs often in an area known as the Circle of Willis
Signs and symptoms of a leaking or ruptured abdominal aortic aneurysm include:
Unexplained syncope or hypotension
Acute onset of back pain
Diaphoresis and cool skin
Bilious vomit can result from:
Cholecystitis
Acute pancreatitis
Which of the following statement regarding pancreatitis are true?
In men this disease can be associated with alcoholism and/or peptic ulcer
In women this disease is commonly associated with biliary tract disease
In many patients then first epigastric pain centered close to the umbilicus and unrelieved by vomiting
Acute pancreatitis may result in:
Pancreatic enzymes entering the vascular system and causing vasodilation
A large amount of plasma volmue being trapped in the pancreas
Pain after the ingestion of alcohol of food
Haemorrhage as necrosis develops and pancreatic tissue breaks away.
An abrupt increase in muscle tone of the face and torso, along with flexion of arms and extension of legs, lasting only seconds, best describes a:
Tonic seizure
Seizures or convulsions have many causes but all result from:
Excessive disordered discharge of neural impulses