Topic Exam 4 (Ch 15, 16, 17)

Question 1

hemoglobin is

Answer 1

found within the red blood cells and is responsible for carrying oxygen

Question 2

injury to a hollow organ would most likely result in

Answer 2

leakage of contents into the abdominal cavity

Question 3

you are treating a 40 year old male with documented blood sugar reading of 300 mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted ventilations from your partner. You should recognize that definitive treatment for this patient includes

Answer 3

insulin

Question 4

which of the following statements regarding the acute abdomen is correct

a. the most common cause of an acute abdomen is inflammation of the gallbladder
b. the parietal peritoneum is typically the first abdominal layer that becomes inflamed or irritated
c. the initial pain associated with an acute abdomen tends to be vague and poorly localized

Answer 4

c. the initial pain associated with an acute abdomen tends to be vague and poorly localized

Question 5

which of the following organs would most likely bleed profusely if injured
liver
stomach
appendix

Answer 5

liver

Question 6

you are caring for a semiconscious man with left-sided paralysis. His airway is patent and his respirations are 14 bpm with adequate TV. treatment should include

Answer 6

oxygen via NRB, LLR, transport

Question 7

in _____ the RBC are abnormally shaped and less able to carry oxygen

Answer 7

sickle cell disease

Question 8

to which of the following diabetic patients should you administer oral glucose

a. unconscious with cool clammy skin
b. conscious with nausea and vomiting
c. semiconscious with gag reflex
d. confused with tachycardia and pallor

Answer 8

d. confused with tachycardia and pallor

Question 9

in contrast to insulin shock _____ can only be corrected in the hospital setting

Answer 9

diabetic coma

Question 10

classic signs of _____ include cool, clammy skin; weakness; tachycardia; rapid respirations

Answer 10

hypoglycemia

Question 11

patients with thrombophilia are at increased risk for _____

Answer 11

pulmonary embolism

Question 12

erosion of protective layer of the stomach secondary to over activity of digestive juices results in

Answer 12

an ulcer

Question 13

pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder is called

Answer 13

referred pain

Question 14

a patient who is possible experiencing a stroke is not eligible for thrombolytic therapy if he or she

a. has had a prior heart attack
b. is older than 60 yrs
c. has a GCS score less than 8
d. has bleeding within the brain

Answer 14

d. has bleeding within the brain

Question 15

most patients with abdominal pain prefer to

Answer 15

lie on their side with their knees drawn into the abdomen

Question 16

parietal peritoneum lines the

Answer 16

walls of the abdominal cavity

Question 17

spleen, kidneys, and pancreas are ___ organs

Answer 17

solid

Question 18

normal blood glucose level

Answer 18

80-120 mg/dL

Question 19

absence seizure =

Answer 19

petit mal seizure

Question 20

clinical sign most suggestive of ruptured cerebral artery

Answer 20

sudden, severe headache

Question 21

esophageal varices occur most commonly in patients who

Answer 21

drink a lot of alcohol

Question 22

mental status of a patient who has experienced a typical seizure is likely to

Answer 22

improve over a period of 5-30 min

Question 23

spinal cord exits the cranium through the

Answer 23

foramen magnum

Question 24

insulin

Answer 24

enables glucose to enter cells

Question 25

patients with acute abdominal pain should not be given anything to eat or drink becase

Answer 25

substances in the stomach increase risk of aspiration

Question 26

most basic body functions are controlled by the (breathing, BP, swallowing)

Answer 26

brain stem

Question 27

area of swelling or enlargement in a weakened arterial wall is called

Answer 27

an aneurysm