Question Bank

Question 1

Symptomatic hypoglycemia will MOST likely develop if a patient:

Answer 1

Takes too much of his or her prescribed insulin

Question 2

A patient with an altered mental status, high blood glucose levels and deep, rapid breathing may have a condition known as

Answer 2

Diabetic keto acidosis

Question 3

The normal blood glucose level level is between

Answer 3

80 and 120 mg/dL

Question 4

Which of the following statements regarding glucose is correct

Answer 4

The brain requires glucose as much as it requires oxygen

Question 5

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?

Answer 5

Pulmonary embolism

Question 6

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:

Answer 6

Insulin

Question 7

Which of the following statements regarding sickle cell disease is correct

Answer 7

And sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen

Question 8

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:

Answer 8

A heart attack

Question 9

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:

Answer 9

A heart attack

Question 10

Excessive eating caused by cellular “hunger” is called

Answer 10

Polyphagia

Question 11

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.

Answer 11

Irreversible renal failure

Question 12

The main function of the endocrine system is to

Answer 12

Maintain homeostasis

Question 13

Classic signs and symptoms of hypoglycemia include

Answer 13

Cool, clammy, skin weakness, tachycardia and rapid respirations

Question 14

In contrast to type 1 diabetes, type 2 diabetes

Answer 14

Is caused by resistance insulin at the cellular level

Question 15

Which of the following conditions is the diabetic patient in an increased risk of developing

Answer 15

Blindness

Question 16

A patient with hypoglycemia will often present with which of the following signs and symptoms

Answer 16

Pale cool and clammy skin

Question 17

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

Answer 17

He has hemophilia A

Question 18

The EMT should assess for hypoglycemia and small children, severe illness or injury, because

Answer 18

Children cannot store excess glucose as effectively as humans

Question 19

Proper procedure for administering oral glucose to patient includes all the following EXCEPT

Answer 19

Ensuring the absence of the gag reflex

Question 20

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:

Answer 20

Open and maintain her airway and assess breathing

Question 21

The two main types of cells contained in blood are called

Answer 21

Erythrocytes and leukocytes

Question 22

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:

Answer 22

Contact medical control and administer oral glucose

Question 23

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.:

Answer 23

Is significantly hyperglycemic

Question 24

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:

Answer 24

Provide ventilatory support

Question 25

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:

Answer 25

Assist the patient ventilations with a bag valve mask

Question 26

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:

Answer 26

Suspect that he has intracranial bleeding assist his ventilations and transport rapidly to an appropriate hospital

Question 27

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:

Answer 27

A heart attack

Question 28

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:

Answer 28

Deep vein thrombosis

Question 29

In ____ there are a few fewer insulin receptors, so insulin resistance develops

Answer 29

Diabetes mellitus type 2

Question 30

In which condition are you most likely to encounter a vasoocclusive crisis?

Answer 30

A vasoocclusive crisis is caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the body

Question 31

Kussmaul respirations

Answer 31

Deep, rapid breathing, usually the result of an accumulation of certain acids when insulin is not available in the body

Question 32

The normal glucose range in nonfasting children and adults is

Answer 32

80 to 120 mg/dL

Question 33

Patient experiencing sickle cell crisis should receive which of the following treatments to help improve perfusion?

Answer 33

Supplemental oxygen to hyper saturate the remaining hemoglobin

Question 34

Patients with thrombophilia are an increased risk for

Answer 34

Pulmonary embolism

Question 35

Polydipsia

Answer 35

Excessive thirst

Question 36

Polyphagia

Answer 36

Excessive eating

Question 37

Polyuria

Answer 37

Excessive urination

Question 38

Presentations of hypoglycemia include:

Answer 38

Seizures, altered mental status, misdiagnosis of neurologic dysfunction and relationship to airway management

Question 39

The purpose of the endocrine system is to send _______ throughout the body to control its function

Answer 39

Messages

Question 40

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?

Answer 40

Symptomatic hypoglycemia

Question 41

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:

Answer 41

Applying a nonbreathing mask at 15 L/minute

Question 42

Patient who is _____ may have Kussmaul respirations and sweet, fruity breath

Answer 42

Hyperglycemic

Question 43

Patient with dry and warm skin indicates

Answer 43

Hyperglycemia