MEDICAL EMERGENCIES FISDAP QUESTIONS 3rd test

1. Which of the following meds helps the body transport sugar into the cells? • Insulin/ Orinase/ Diabinese/ Oral glucose Reason: Because insulin the key to the cells. 2. A 32 year PT is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? • Give a few rescue breaths then check for a response/ Take at least 2 minutes to detect a pulse rate/ Assess her pulse for 30-45 seconds/ Immediately begin cardiopulmonary resuscitation Reason: Hypothermia. Cold conditions make it hard to read vitals. 3. An adult male is sitting alone in a dark room, rocking back and forth. He mutters to his sock puppet, “are you feeling sad?” What should you do? • Introduce yourself and start an assessment/ Ask PT if he intends to harm himself or others/ withdraw until ALS arrives/ look for PT’s meds Reason: make the patient aware that you are there. 4. A 42 yo man complains of difficulty breathing and pain in his chest and shoulders. He recalls feeling a sharp pin prick on his arm while cleaning out his basement. What type of spider bite is this man most likely suffering from? • Black Widow/ spitting/ woodlouse/ brown recluse Reason: chest tightness and difficulty breathing usually develop within 24 hours of a black widow bite. These symptoms usually subside within 48 hours and are associated with a black widow bite but not a brown recluse. CLUE: he was in his basement. 5. A car battery exploded in your PT’s face. He denies breathing difficulty. You should? • Cover eyes with dry/ cover eyes with moist/ begin irrigating eyes with clean water/ irrigate with vinegar and water Reason: This is considered a chemical burn. 6. 19 year old F is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. You should? • Obtain vital signs/ apply high-flow 02/ insert OPA/ admin activated charcoal Reason: If there is vitals in question or info on breathing then consider obtain vital signs.If she is unresponsive, that consider correcting life threats. (insert OPA) 7. A 32 year old M complains of photophobia and vomiting . The most likely cause is? • Migraine Reason: Photophobia is sensitivity to light. 8. A 68 yo PT reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools. • Ulcer disease/fecal impaction/ upper GI / Lower GI[1] Reason: PG. 710 Black, tarry stools are associated with upper GI 9. A 21 yo M is unresponsive, has constricted pupils, slow, shallow respirations, you should suspect? • Alcohol poison/TBI/diabetic reaction/narcotic OD Reason: Constricted pupils is associated to narcotics/opioids. 10. A Pt tells you he had anemia, you should expect him to present with? • Hypertension/jaundice/bradycardia/pallov This study source was downloaded by from CourseH on :30:29 GMT -05:00 Reason: Anemia is associated with jaundice. 11. Your epileptic patient complains of persistent metallic taste in her mouth. You should suspect: • A seizure may occur/status epilepticus/clonic activity/postictal state Reason: The metallic taste is the patient's aura. 12. Pt is having a tonic-clonic seizure and is not breathing. You should: • Admin O2 via NRB/check blood glucose level/prevent patient from further injury/insert OPA Reason: Tonic-clonic involves jerking and shaking of the whole body. 13. An 18 yo M states “The CIA is after me” you notice he has covered his head and windows with aluminum foil. When you ask why he says “in order to block out the gov radio waves” vitals are BP 138/34, P 122, R24. You should suspect? • Paranoid bipolar disorder/acute anxiety disorder/paranoid schizophrenia/acute panic attack Reason: patient is anxious could be the reason for the heart rate. 14. A patient is running a high fever, vomiting, and reporting pain that has shifted from around her belly button to the lower right area of her abdomen you should suspect? • gallbladder disease/pancreatitis/appendicitis/kidney stones Reason: Lower right is where the appendix is. 15. A 20 yr old male in a college dorm room complains of fever, headache, and a stiff neck. He has an altered mental status, and you notice red blotches on his skin. Which of the following are the most appropriate BSI Precautions • Gloves and gown/gloves and goggles/gloves and HEPA mask/gloves and surgical mask Reason: (pg 573) Meningitis causes red blotches and stiff neck and is highly contagious. 16. An unconscious patient has one pupil that is significantly larger than the other and not reactive to light. The most likely cause is • Drug overdose/ hypoglycemia/ stroke/ glaucoma Reason: Unequal pupils is a sign of stroke. 17. What is hyperglycemia • High blood glucose Reason: Hyper is key word for high. 18. When assessing a patient for facial droop you should? • Ask the patient to smile or show his teeth Reason: Cincinnati scale 19. An alert patient has a severe headache/weakness of left arm you should suspect? • AMI/stroke/migraine/angina pectoris Reason: Key word is weakness in the left arm. 20. A 28 yr old patient is outside at a concert and appears confused. He is unable to answer your questions. You should • Admin oral glucose and then reevaluate the patient/ look for medical identification necklace or bracelet / call medical direction for a consultation on treatment / assess his level of intoxication and look for illicit drug use Reason: check for possibility of diabetes or other possible medical conditions