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A 27 yr old female is resting after running for about 30 minutes. She normally r

ID: 121814 • Letter: A

Question

A 27 yr old female is resting after running for about 30 minutes. She normally runs about 5 miles a day, but today she “can’t catch her breath” and says this has not happened before. She is flushed, pulse fast and weak, respirations fast with notable wheezing, and is complaining of itching to her arms and chest. What is the most likely cause of her symptoms

Hyperventilation’s

Acute asthma

Heat stroke

Anaphylaxis

An elderly patient has been drinking all afternoon. En route to the hospital he becomes confused and slow to respond to questions. You should

Open the airway and assist ventilations

Reassess lung sounds and vital signs

Keep him warm and treat for shock

Check his blood glucose level

A 40 yr old construction worker is unconscious. He has been working in 90 degrees heat for the last 5 hrs. you should

Place patient in cool environment, remove clothes, and apply cold packs and oxygen

Pour cold water on patient, apply oxygen, and call medical control

Place patient in cool environment, attempt to give oral fluids, and apply oxygen

Administer oxygen, remove clothing, apply cold packs, and cover with a sheet.

An 18 yr old female has progressively become lethargic at a party. Vital signs are BP 90/60, P 48, R 4. You should

Narcotic overdose

Concussion

Hyperglycemia

Alcohol intoxication

An alert 55 yr old female presents with a severe headache and weakness of the left arm. Vital signs are BP 188/92 P 106 R 14. Suspect?

Stroke

Acute myocardial infarction

Angina pectoris

Migraine

Which statement strongly indicates syncope?

I have had a low grade fever for three days

I think I may had a seizure

I blacked out for a few seconds

I as lying in bed and felt myself drift

A 28 yr old female is unconscious ater being submerged in a lake for three minutes. She has a pulse and agonal breathing. Should?

Apply a C-collar and backboard

Begin 2 minutes of high quality CPR

Give oxygen via non-rebreather mask

Ventilate via BVM

Which of the following most accurately describes insulin?

Converts glycogen to glucose

Helps liver store glucose

Helps glucose move into the cells

Increases the sugar in the blood

You’re assessing an unresponsive medical patient. What should be your primary focus?

Skin condition

History of present illness

List of medications

Chief complaints

You’re called to treat a hiker in the mountains. She is flushed and her mucous membranes appear slightly blue. Most likely cause?

Airway obstruction

Low oxygen levels

Acute allergies

Inadequate ventilation

A patient has a headache. How should you position him on the cot?

Supine

90 degree fowler

Semi-fowler’s

Trendelenburg

Explanation / Answer

1. A 27 yr old female is resting after running for about 30 minutes. She normally runs about 5 miles a day, but today she “can’t catch her breath” and says this has not happened before. She is flushed, pulse fast and weak, respirations fast with notable wheezing, and is complaining of itching to her arms and chest. What is the most likely cause of her symptoms

It could be an Anaphylaxis reaction becuse it is associtaed with itching as well.

2. An elderly patient has been drinking all afternoon. En route to the hospital he becomes confused and slow to respond to questions. You should

Open the airway and assist ventilations. Because he can further deterirate and can have sudden silent arrest.

3 A 40 yr old construction worker is unconscious. He has been working in 90 degrees heat for the last 5 hrs. you should

Pour cold water on patient, apply oxygen, and call medical control becuse patient must have got dehydrated and requires immedite medical care and fluid replcement.

4. An 18 yr old female has progressively become lethargic at a party. Vital signs are BP 90/60, P 48, R 4. You should

Narcotic overdose, it causes brady cardia and other associated mention symptoms.

5.

An alert 55 yr old female presents with a severe headache and weakness of the left arm. Vital signs are BP 188/92 P 106 R 14. Suspect?

Stroke, secondary to high blood pressure.

6. Which statement strongly indicates syncope?

I blacked out for a few seconds. syncope means black out for few seconds.

7. Which of the following most accurately describes insulin?

Converts glycogen to glucose

8. You’re assessing an unresponsive medical patient. What should be your primary focus?

History of present illness

9.You’re called to treat a hiker in the mountains. She is flushed and her mucous membranes appear slightly blue. Most likely cause?

Low oxygen levels

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