Question Bank Flashcards
Symptomatic hypoglycemia will MOST likely develop if a patient:
Takes too much of his or her prescribed insulin
A patient with an altered mental status, high blood glucose levels and deep, rapid breathing may have a condition known as
Diabetic keto acidosis
The normal blood glucose level level is between
80 and 120 mg/dL
Which of the following statements regarding glucose is correct
The brain requires glucose as much as it requires oxygen
A 66-year-old woman experienced a sudden onset of difficulty breathing. She has history of type two diabetes and deep vein thrombosis on the basis of her medical history which of the following should the EMT suspect?
Pulmonary embolism
You were treating a four-year-old male with a documented blood sugar reading of 480 mg/dL. The patient is semi conscious and breathing shallowly and receiving assisted ventilation from your partner. You should recognize that definitive treatment for this patient includes:
Insulin
Which of the following statements regarding sickle cell disease is correct
And sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen
A 75-year-old male with type one diabetes, presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately two hours ago to treat this patient as he is experiencing:
A heart attack
A 75-year-old male with type one diabetes, presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately two hours ago to treat this patient as he is experiencing:
A heart attack
Excessive eating caused by cellular “hunger” is called
Polyphagia
A 37-year-old female with a history of diabetes presents with excessive urination and weakness of two days duration. Her blood glucose level is 320 mg/dL. If this patient’s condition is not promptly treated, she will MOST likely develop.
Irreversible renal failure
The main function of the endocrine system is to
Maintain homeostasis
Classic signs and symptoms of hypoglycemia include
Cool, clammy, skin weakness, tachycardia and rapid respirations
In contrast to type 1 diabetes, type 2 diabetes
Is caused by resistance insulin at the cellular level
Which of the following conditions is the diabetic patient in an increased risk of developing
Blindness
A patient with hypoglycemia will often present with which of the following signs and symptoms
Pale cool and clammy skin
During your assessment of a 19-year-old male, you were told that he has been treated with factor eight this indicates that: He has hemophilia a
He has hemophilia A
The EMT should assess for hypoglycemia and small children, severe illness or injury, because
Children cannot store excess glucose as effectively as humans
Proper procedure for administering oral glucose to patient includes all the following EXCEPT
Ensuring the absence of the gag reflex
A man finds his 59-year-old wife unconscious on the couch. He says that she takes medication’s for type two diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals the patient is unresponsive; you should:
Open and maintain her airway and assess breathing
The two main types of cells contained in blood are called
Erythrocytes and leukocytes
A 19-year-old male complains of not feeling right his insulin and a surrender in the nearby table. The patient says he thinks he took his insulin and cannot remember whether he ate. He’s also unable to tell you the time or what day it is the glucometer reads error after several attempts to assess his blood glucose level. You should:
Contact medical control and administer oral glucose
A 28-year-old female patient is found to be responsive to verbal stimulate. Only her roommate states that she was recently diagnosed with type one diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worse in over the last 24 to 36 hours on the base of this patient clinical presentation. You should suspect that she.:
Is significantly hyperglycemic
A 29-year-old female presents with confusion and disorientation her respirations are rapid and shallow and her pulse is 120 bpm and thready she is markedly diaphoretic and has an oxygen saturation of 89%. You should:
Provide ventilatory support
The 31-year-old male with a history of diabetes had a seizure that stopped prior to EMS arrival. He is unresponsive and his rapid, shallow breathing. His pulse is rapid and weak and his skin is cyanotic. The EMT should:
Assist the patient ventilations with a bag valve mask
A 40-year-old male is found unresponsive on his couch by a neighbor during your assessment you find no signs of trauma and the patient’s blood glucose level is 75 mg/dL. His blood pressure is 168/98. His heart rate is 45 and bounding and his respirations are eight breast per minute and irregular. The patient is wearing a medical alert bracelet that states he has has hemophilia. You should:
Suspect that he has intracranial bleeding assist his ventilations and transport rapidly to an appropriate hospital
Is 75-year-old male with type one diabetes, presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and a regular approximately two hours ago. You should treat this patient as though he’s experiencing:
A heart attack
During your assessment of a seven-year-old woman, she tells you that she takes blood thinning medication and has to wear compressed stockings around her legs. Disinformation should make you suspect that she has:
Deep vein thrombosis
In ____ there are a few fewer insulin receptors, so insulin resistance develops
Diabetes mellitus type 2
In which condition are you most likely to encounter a vasoocclusive crisis?
A vasoocclusive crisis is caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the body
Kussmaul respirations
Deep, rapid breathing, usually the result of an accumulation of certain acids when insulin is not available in the body
The normal glucose range in nonfasting children and adults is
80 to 120 mg/dL
Patient experiencing sickle cell crisis should receive which of the following treatments to help improve perfusion?
Supplemental oxygen to hyper saturate the remaining hemoglobin
Patients with thrombophilia are an increased risk for
Pulmonary embolism
Polydipsia
Excessive thirst
Polyphagia
Excessive eating
Polyuria
Excessive urination
Presentations of hypoglycemia include:
Seizures, altered mental status, misdiagnosis of neurologic dysfunction and relationship to airway management
The purpose of the endocrine system is to send _______ throughout the body to control its function
Messages
You are treating a 36-year-old patient displaying the following science and symptoms: Rapid, shallow, respirations, pale, cool, clammy, skin tachycardia weakness on the left side of the body and confusion and irritability. What should you suspect?
Symptomatic hypoglycemia
Can you respond to movie theater for 70-year-old male who is confused his wife tells you that he has type two diabetes that refuses to take his pills. Your assessment reveals at the patient is diaphoretic, tachycardic, tachypneic. Initial management for this patient should include:
Applying a nonbreathing mask at 15 L/minute
Patient who is _____ may have Kussmaul respirations and sweet, fruity breath
Hyperglycemic
Patient with dry and warm skin indicates
Hyperglycemia
