review #4

rhonci

Rattling noise of mucous in the lungs

which would be MOST likely to have a delayed onset of an allergic reaction?

a 45 year old male who invested penicillin

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

a confused 55 year old male with tachycardia and pallor

what is the most commonly abused drug in the United states

alcohol

activated charcoal may be indicated for a patient who ingested:

aspirin

Your priority in caring for a patient with a surface contact poisoning is to:

avoid contaminating yourself

the major side effect associated with ingestion of activated charcoal is:

black stools

Each ovary produces an ovum in alternating months and releases it into the:

fallopian tube

when obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:

if he or she has had any recent illnesses or excessive stress

bacterial vaginosis is a condition that occurs when:

normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent, necessitating the placement of handcuffs. When you assess the patient, he tells you that killing someone will make his abdominal pain go away. His vital signs are stable. How should you manage this situation?

request a police officer to accompany you in the ambulance

angioedema

swelling of the tounge and lips

signs and symptoms of a sympathomimetic drug overdose include:

tachycardia

what statement regarding epinephrine administration via intramuscular route is correct

the 1:1000 concentration should be used

homeostasis

the body's ideal temperature

what are 3 causes of obstructive shock

1.cardiac tamponade 2.air embolism and tension pneumothorax 3.blood clot

3 causes of hypovolemic shock not including hemmorrhagic

1.severe burns 2.vasodialation 3.food poisoning(dehydration)

Thrombophilia

A tendency toward the development of blood clots as a result of an abnormality of the system of coagulation.

subcutaneous emphysema

Air in the subcutaneous layer of the skin

cardiac tamponade

Fluid in the pericardial sac

airborne substances are diluted with

Oxygen

crackles

The sound caused by fluid in the alveoli or by the opening of closed alveoli

delirium tremens

a disorder involving sudden and severe mental changes or seizures caused by abruptly stopping the use of alcohol

clinical signs of compensated shock include all of the following, EXCEPT:

absent peripheral pulse;;;;; cool, clammy skin, restlessness or anxiety, adn rapid shallow breathing are signs

Which statement regaurding the physical exam of a patient with a behavioral problem is correct?

although the physical exam can be difficult, the patient´s emotional state may be determined by noting facial expressions, pulse rate, and respirations

the action of hormones such as epinephrine and norepinephrine stimulates _________ to maintain pressure in the system, and , as a result, perfusion of all vital organs.

an increase in heart rate, an increase in the strength of cardiac contractions, vasoconstriction in nonessential areas.

which of the following conditions or factors would be the LEAST likely to result in a change or behavior

antihypertensive medications

what is the definitive treatment for septic shock

antiobiotics

you respond to a residence for a patient with severe leg injury folliwng an accidednt with a chainsaw. When you arrive, you find the patient, a 44 year old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequeately; however , he is restless and his skin is diaphoretic. You should:

apply direct pressure to the wound

in gerneral injected poisons are impossible to dilute or remove because they:

are usually absorbed quickly into the body

a 66 year old male presents with bizzare behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious, and has a patent airway and adequate breathing. You should:

ask the daughther how her father normally behaves

you respond to a college campus for a young male who is acting strangely. after law enforcement has secured the scene, you enter the patients dorm room and find him sitting on the edge of the bed, he appears agitated. as you approach him, you note that he has dried blood around both nostrils. he is breathing adequately, his pulse is rapid and irregular, and his blood pressure is 200/110. treatment for this patient includes

attempting to calm him and giving him oxygen is tolerated

when assessing a patient with a behavioral crisis, you should:

be direct and clearly state your intentions

in contrast to a behavioral crisis, a psychiatric emergency occurs when a person:

becomes agitated or violent and is a threat to him or herself or others

General guidelines for managing a patient with a behavioral emergency include:

being prepared to spend extra time with the patient

a 56 year old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patients wife states that he complained of left arm pain and nausea the day before, but wouldn´t allow her to call 9-1-1. The MOST likely cause of this patients present condition is:

cardiogenic hypoperfusion

your assessment of an unresponsive patient reveals that her breathing is inadequate. Your MOST immediate action should be to:

check her airway for obstructions.

The single most significant factor that contributes to suicide is:

depression

you are disbatched to a residence for a 40 year old female who fainted. Upon your arrival, the patient is conscious and alert, and states that she is fine. Her husband tells you that she fainted after receiving news that her sister was killed in a car crash. You offer oxygen to the patient, but she refuses to accept it. At this point, your primary concern should be to:

determine if she was injured when she fainted

Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?

dry mucous membranes

neurogenic shock occurs when

failure of the nervous system causes widespread vasodilation.

Ketone production is the result of:

fat metabolization when glucose is unavailable.

pedal edema

fluid accumulation in the foot/ankle area

Whenever possible, a female sexual assault victim should be:

given the option of being treated by a female EMT.

When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she:

has gathered patient history information.

wheezes

high pitched musics sound

stridor

high pitched upper airway sound

what two hormones does the pancreas produce and store that play a major role in the glucose metabolism

insulin and glucagon

is a woman with vaginal bleeding reposted syncope, the EMT should assume that she

is in shock

why is sickle cell disease dangerous

it can cause blood clots; "vasococlusive crisis"

blood glucose levels are measured in

milligrams per deciliter

a 22 year old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone(Dilaudid) is found on an adjeacent table. You should:

open the patients airway and assess his respirations

a functional disorder is a:

physiological disorder in the absence of a structural abnormality.

immediately after giving epinephrine injection, you should:

properly dispose of the syringe

what are the three basic causes of shock

pump failure, low fluid volume, poor vessel function

you are assessing a conscious 55 year old male with a sudden change in behabior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient´s central nervous system

rapid eye movement

When assessing an unresponsive diabetic paient, the primary visble difference between hyperglycemia and hypoglycemia is the:

rate and depth of breathing

immediately after physically restraining a violent patient, the EMT should:

reassess the patient´s airway and breathing

a technique used to gain insight into a patients thinking, which involves repeating in question form what the patient has said, is called:

reflective listening

a 19 year old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give him epinephrine via intramusclular injection. Upon reassessment, you determine that his condition has not improved. You should:

repeat the epinephrine injection after consulting with medical control

You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You should:

request permission from medical control to give another dose of epinephrine.

you respond to a residence for a patient who is ¨not acting right¨. As you approach the door, the patient, a 35 year old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:

retreat at once and call law enforcement

you are called to a construction site where a 27 year old worker has fallen from the second floor. He landed on his back and is drifting in and out of consciousness. A quick assessment reveals no bleeding or blood loss. His blood pressure is 90/60 mmHg with a pulse rate of 110 beats/min. His airway is open and breathing is within normal limits. You realize the patient is in shock. The patients shock is due to an injury to the:

spinal cord

you are dispatched to a local nursery for a 39 year old female who is sick. When you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. You quickly feel her pulse and note that it is very slow. Immediate management for this patient should include:

thoroughly suctioning her oropharnyx

psychosis

unusual or bizarre behavior

which of the following negative effects of anaphylaxis will be the most rapidly fatal if not treated immediately

upper airway swelling

which of the following physiologic actions does epinephrine produce when given for an allergic reaction

vasoconstriction and bronchodilation

Which sign or symptom would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes

weight loss and polyuria

A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called:

wheal

You respond to the local nursing home for an 85 year old woman who has altered mental status. Durning your assessment, you notice that the patient has an elevated body temperature. She is hypotension and her pulse is tachycardic. The nursing staff tells you that she has been sick for several days and that they called because her mental status continued to decline. You suspect the patient is in septic shock. The shock is due to:

widespread dialation