Fisdap Medical

1. To access a possible stroke patient for abnormal speech, you should A. Ask the family if the patient’s speech has been normal B. Write questions for the patient to read C. Ask the patient to repeat a common phrase D. Ask the patient to smile and observe for symmetry 2. What effects does epinephrine have on the cardiovascular system? A. Dilates the atria and ventricles B. Constricts blood vessels C. Decreases cardiac afterload D. Increases myocardial spasm 3. A 50 year old male who recently completed renal dialysis is bleeding profusely from his shunt. How should you classify this bleeding? A. A life threatening problem that requires immediate surgical intervention B. Normal after dialysis if it does not last more than 10 minutes C. Arterial and possibly serious D. Venous and non life threatening 4. Which of the following is a sign of hypoglycemia? A. Lower back pain B. Cold and clammy skin C. Hot and dry skin D. Increased blood pressure 5. Which statement strongly indicates syncope? A. “ I think I may have had a seizure” B. “ I was lying in bed and felt myself drift off” C. “ I blacked out for a few seconds” D. I have had a low grade fever for three days 6. 16 year old female patient woke up this morning with severe abdominal pain. “I have not had a period in 2 months, pain started this morning.” BP 90/70 P 130 R 28 Skin pale and cool. A. Acute appendicitis B. Hypovolemic shock C. Toxic shock syndrome D. Septic shock Page 502 7. 42 year old female patient. Family says she had a brief period of slurred speech & left arm weakness. Likely cause is: A. Hypoglycemia B. Narcotic Overdose C. Stroke D. TIA (Transient ischemic attack) 8. 82 year old female complains of nausea/vomiting over 2 days. Ran out of prescription heart medication last week. BP 158/92 P 92 and irregular R 18. You should A. Obtain orthostatic vital signs and administer oral glucose B. Call primary care physician to renew prescription C. Admin aspirin and perform detailed physical exam D. Admin low flow O2 & monitor vitals 9. An 87 year old nursing home resident has developed a productive cough over the past three days and confusion over the past day. There are rhonchi and wheezing in the right lung. Vital signs are BP 116/90, P 92, R 24, temp 101 degree Fahrenheit. The most likely cause is: A. Aspiration B. Pneumonia C. Emphysema D. Asthma Page 588