Chapter 21 JBL

Signs and symptoms of a sympathomimetic drug overdose include: Select one: A. slurred speech. B. hypotension. C. hypothermia. D. tachycardia.

tachycardia.

Substance abuse is MOST accurately defined as: Select one: A. unwillingly and unknowingly consuming drugs or alcohol. B. willfully using a therapeutic drug to treat a medical illness. C. knowingly selling illicit drugs in order to buy more drugs. D. knowingly misusing a substance to produce a desired effect.

knowingly misusing a substance to produce a desired effect.

Airborne substances should be diluted with: Select one: A. syrup of ipecac. B. oxygen. C. activated charcoal. D. an alkaline antidote.

oxygen.

Medical problems that may cause the patient to present as intoxicated include all of the following, EXCEPT: Select one: A. uncontrolled diabetes. B. head trauma. C. syncope. D. toxic reactions.

syncope.

Which of the following is NOT considered a sign or symptom of alcohol withdrawal? Select one: A. Fever and sweating B. Chest pain C. Agitation and restlessness D. Seizures

Chest pain

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? Select one: A. Excessive lacrimation B. A fall in blood pressure C. Pupillary constriction D. Dry mucous membranes

Dry mucous membranes

You have responded to the home of a 26-year-old woman who has reportedly taken a large number of pills in an attempt to commit suicide. As you enter the living room, you see her sleeping in her chair, and several empty alcohol containers are present. She is breathing heavily. You are able to arouse her consciousness for a short period of time. Which course of action takes priority? Select one: A. Have her take activated charcoal while she is conscious. B. Administer syrup of ipecac. C. Ask her why she attempted suicide. D. Cover her with a blanket to maintain body temperature

Have her take activated charcoal while she is conscious.

Which of the following statements regarding injected poisons is FALSE? Select one: A. They are frequently caused by a drug overdose. B. They are easily diluted once in the bloodstream. C. You should remove rings, watches, and bracelets in areas of swelling. D. They may result in dizziness, fever, and chills.

They are easily diluted once in the bloodstream.

Treatment for ingestion of poisonous plants includes all of the following, EXCEPT: Select one: A. assessing the patient's airway and vital signs. B. taking the plant to the emergency department. C. prompt transport. D. administering activated charcoal.

administering activated charcoal.

In general, injected poisons are impossible to dilute or remove because they: Select one: A. are usually absorbed quickly into the body. B. absorb slowly into the body, despite their potency. C. react with the blood, which increases their toxicity. D. are usually fatal within 30 minutes of exposure.

are usually absorbed quickly into the body.

Your priority in caring for a patient with a surface contact poisoning is to: Select one: A. decontaminate the patient's skin. B. avoid contaminating yourself. C. move the patient to a safe area. D. obtain and maintain a patent airway.

avoid contaminating yourself.

The MOST important consideration in caring for a patient who has been exposed to an organophosphate insecticide or some other cholinergic agent is to: Select one: A. maintain the airway. B. initiate CPR. C. apply high-flow oxygen. D. avoid exposure yourself.

avoid exposure yourself.

"Nerve gases" overstimulate normal body functions that are controlled by parasympathetic nerves, causing: Select one: A. pupil dilation. B. decreased lacrimation. C. decreased urination. D. increased salivation.

increased salivation.

Before giving activated charcoal, you should: Select one: A. have the patient drink a glass of milk. B. mix it with an equal amount of water. C. mix the suspension by stirring the bottle. D. obtain approval from medical control.

obtain approval from medical control.

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: Select one: A. assisted ventilation with a BVM. B. requesting a paramedic to give her atropine. C. thoroughly suctioning her oropharynx. D. performing a rapid secondary assessment.

thoroughly suctioning her oropharynx.