Quiz 3 Flashcards
- You have a Sailor that presents to medical with pain in the right side of his head. Upon gathering of history, he states it the pain is feels around the right side and he notice some lacrimation as well. Neurological exam is unremarkable, Vitals 120/84 P: 90 Resp 16. SPO2 97% Temp 98.7. What is the diagnosis on this patient?
Cluster Headaches
- During an Admin Department muster onboard your ship, you noticed a junior Sailor immediately falling on the floor and going rigid. Right after he start experiencing jerking, which last approximately 90 seconds, then he reminds unresponsive and goes flaccid. You started proving aid when he began to gain consciousness and complaining of headache, and fatigue. What condition you suspected this patient just experience?
Seizure
- You are called into the Master at Arms office after a Department Head suspects Sailor might have been drunk. Department Head states patient was having slurred speech, difficulty understanding others and imbalance. Your exam reveals an unremarkable neurological exam. Vitals 140/94. P: 90 Resp 18 SPO2 99% Temp 98.7. While gathering your history of present illness, patient states he’s taking 20mg HCTZ QD and he states he felt weird and not himself this morning, but it went away and now he’s feeling well and wants to go back to work. What is the diagnosis on this patient?
- You have a Sailor that presents to sick call complaints of headache of 9/10. While gathering your history of present illness/social history/personal history, the headache is around the head and describes it as a squeeze that came and goes. she also states she’s going through a divorce and feel extremely tired with work. Your exam reveals un unremarkable neurological exam, neck and back of the head tender to palpation. What is the diagnosis on this patient?
Tension HA
- Patient presents to medical with Headache. He tells you the headache is the worst headache of his life and feels neck pain, nausea, and vomited x2 times. Focal neurological deficits noted. What is the best treatment for this patient?
SAH
(a) Bedrest
(b) Analgesia with Tylenol
(c) Avoid drugs that can lead to anticoagulation
(d) MEDEVAC
- You were attending a command bbq event when heard a scream. One of your shipmates got tackled while playing a soccer game and felt on his neck. Your patient complaint of neck pain, feeling of numbness spreading down to the arms and legs, you noticed a step of at C-5 and swelling. What is the best treatment for this patient?
Spinal Cord Injury
Methylprednisolone (Solumedrol) 125mg IM/IV q 4-6 hours prn
MEDEVAC ASAP!
- You were called back to the ship from homeport liberty visit after a Sailor was drunk and felt. Witness stated that he had a lot to drink, got into a fight a got knocked out and when he woke up, he couldn’t remember what happened and was confused. Neurological exam; slurred speech, stare, inability to focus, disorientation Vitals 130/90 P: 90 Resp 18. SPO2 97% Temp 98.8. What is the best treatment for this patient?
Concussion TBI
(a) Direct observation for 24 hours
(b) Awaken the patient every two hours to ensure normal alertness
(c) Low level of activity for 24 hours after injury
(d) No alcohol, sedatives, or pain relievers other than NSAIDs should be given for 48
hours
MEDIVAC??
You have a patient that presents to medical feeling ill. She stated that her sister was feeling the same way, which describes as headache, light sensitivity, neck pain, chills, skin rashes, generalized pain. Physical exam reveals nuchal rigidity, neurological deficit signs, burdzinski sign and kernigs sign positive. Vitals 130/90 P: 90 Resp 20. SPO2 96% Temp 103.5F.. What is the treatment for this patient?
Menigitis
(a) Ceftriaxone (rocephin)
(b) Vancomycin (not in AMAL)
(c) Dexamethasone
(d) acyclovir IV
You have patient that presents to medical feeling sick. You are gathering your pertinent information and patient states he had an ear infection about a week ago and today he feels numbness in the face, drooling, tearing of the eye, blinking, inability to drink water, Your PE reveals CN VII deficit and is unable to raise his eyebrow and make a forehead folds. What is the best treatment for this patient?
Balls Pasley
Prednisone mild
Valacyclovir severe
