Medical;Obstestrics&Gynecolog
y exam with question and
correct answers
,485. A 6-month-old infant has a recent history of vomiting and diarrhea. Which of the following signs
would best indicate the possibility of dehydration?
Skin that is flushed and hot to the touch
Sunken fontanelle
Capillary refill time of two seconds or less
Strong peripheral pulses with a heart rate of 100 beats per minute - correct answerSunken fontanelle
486. A patient has just stopped exhibiting a generalized motor seizure. In which of the following states is
the patient most likely to be?
Alert and oriented to person, place, and time
Self-resolved lack of orientation to person, place and time
Anxiety and restlessness
Unresponsiveness to painful stimuli - correct answerSelf-resolved lack of orientation to person, place and
time
487. A 19-year-old is complaining of general malaise and shortness of breath. She is sweaty, breathing
very shallowly, and has pinpoint pupils. Which of the following is the most likely cause of her signs and
symptoms?
Sympathomimetic overdose
Tension pneumothorax
Opioid overdose
Sedative overdose - correct answerOpioid overdose
488. Which of the following would be considered a serious complication of a severe allergic reaction?
Hypertension
Respiratory distress
Urticaria
Hives - correct answerRespiratory distress
,489. A 30-year-old female was stung by a bee. On arrival, the patient is complaining of steadily increasing
shortness of breath and urticaria, and feels as if her throat or tongue is swelling. Which of the following
is the most likely cause of her signs and symptoms?
Heat exhaustion
Anaphylactic shock
Asthma
Syncope - correct answerAnaphylactic shock
490. A 66-year-old patient complains of right upper quadrant pain and general malaise, and has a
yellowish tint to his skin and the sclera of his eyes. Which of the following is the most likely cause of his
complaints and findings?
Pneumonia
Pancreatitis
Chronic renal failure
Hepatitis - correct answerHepatitis
491. A 14-year-old male complains of lower abdominal pain. His blood pressure is 120/80 mmHg, his
pulse is 130 beats per minute, respirations are 28 breaths per minute, and temperature is 104.8°F
(40.4°C). The pain is located in the right lower quadrant. The patient has recent contacts with
gastroenteritis.
Which of the following is the most appropriate treatment?
Do not transport, as gastroenteritis is not life-threatening
Advise acetaminophen for fever and ask the parents to follow up with the patient's pediatrician
Administer oxygen and transport
Advise acetaminophen for fever and reassess in fifteen minutes - correct answerAdminister oxygen and
transport
492. Which of the following is not a cause of vaginal bleeding in pregnancy?
Ectopic pregnancy
Abruptio placentae
Preeclampsia
Spontaneous abortion - correct answerPreeclampsia
, 493. A 10-year-old male has non-traumatic epistaxis. He is visibly upset and crying. Which of the
following is the most appropriate step to control his bleeding?
Have the patient sit leaning forward with the head tilted backward, and apply direct pressure for at least
15 minutes
Have the patient sit leaning forward with the head tilted forward, and apply direct pressure for at least
15 minutes
Place the patient in the supine position and apply ice over the nose
Have the patient sit leaning forward, and pack gauze into the nose - correct answerHave the patient sit
leaning forward with the head tilted forward, and apply direct pressure for at least 15 minutes
494. A 32-year-old man is hypothermic after swimming in an icy river. Although he came out of the river
within a few minutes, he is showing a diminished level of consciousness. Which of the following is the
most appropriate next step?
Encourage the patient to walk in order to improve his circulation and create body heat
Massage the extremities to increase circulation
Give the patient hot coffee or tea and place heating pads under his arms and in his groin
Cover the patient with blankets and increase the heat in the patient compartment of the ambulance -
correct answerCover the patient with blankets and increase the heat in the patient compartment of the
ambulance
495. Which of the following organs is not part of the endocrine system?
Gallbladder
Pancreas
Thyroid gland
Pituitary gland - correct answerGallbladder
496. Which of the following is a likely indication for the prehospital administration of epinephrine?
Hypoglycemia due to an adjustment of insulin dose
Wheezing due to an allergic reaction
Chest pain secondary to acute myocardial infarction
Abdominal pain due to poison ingestion - correct answerWheezing due to an allergic reaction
y exam with question and
correct answers
,485. A 6-month-old infant has a recent history of vomiting and diarrhea. Which of the following signs
would best indicate the possibility of dehydration?
Skin that is flushed and hot to the touch
Sunken fontanelle
Capillary refill time of two seconds or less
Strong peripheral pulses with a heart rate of 100 beats per minute - correct answerSunken fontanelle
486. A patient has just stopped exhibiting a generalized motor seizure. In which of the following states is
the patient most likely to be?
Alert and oriented to person, place, and time
Self-resolved lack of orientation to person, place and time
Anxiety and restlessness
Unresponsiveness to painful stimuli - correct answerSelf-resolved lack of orientation to person, place and
time
487. A 19-year-old is complaining of general malaise and shortness of breath. She is sweaty, breathing
very shallowly, and has pinpoint pupils. Which of the following is the most likely cause of her signs and
symptoms?
Sympathomimetic overdose
Tension pneumothorax
Opioid overdose
Sedative overdose - correct answerOpioid overdose
488. Which of the following would be considered a serious complication of a severe allergic reaction?
Hypertension
Respiratory distress
Urticaria
Hives - correct answerRespiratory distress
,489. A 30-year-old female was stung by a bee. On arrival, the patient is complaining of steadily increasing
shortness of breath and urticaria, and feels as if her throat or tongue is swelling. Which of the following
is the most likely cause of her signs and symptoms?
Heat exhaustion
Anaphylactic shock
Asthma
Syncope - correct answerAnaphylactic shock
490. A 66-year-old patient complains of right upper quadrant pain and general malaise, and has a
yellowish tint to his skin and the sclera of his eyes. Which of the following is the most likely cause of his
complaints and findings?
Pneumonia
Pancreatitis
Chronic renal failure
Hepatitis - correct answerHepatitis
491. A 14-year-old male complains of lower abdominal pain. His blood pressure is 120/80 mmHg, his
pulse is 130 beats per minute, respirations are 28 breaths per minute, and temperature is 104.8°F
(40.4°C). The pain is located in the right lower quadrant. The patient has recent contacts with
gastroenteritis.
Which of the following is the most appropriate treatment?
Do not transport, as gastroenteritis is not life-threatening
Advise acetaminophen for fever and ask the parents to follow up with the patient's pediatrician
Administer oxygen and transport
Advise acetaminophen for fever and reassess in fifteen minutes - correct answerAdminister oxygen and
transport
492. Which of the following is not a cause of vaginal bleeding in pregnancy?
Ectopic pregnancy
Abruptio placentae
Preeclampsia
Spontaneous abortion - correct answerPreeclampsia
, 493. A 10-year-old male has non-traumatic epistaxis. He is visibly upset and crying. Which of the
following is the most appropriate step to control his bleeding?
Have the patient sit leaning forward with the head tilted backward, and apply direct pressure for at least
15 minutes
Have the patient sit leaning forward with the head tilted forward, and apply direct pressure for at least
15 minutes
Place the patient in the supine position and apply ice over the nose
Have the patient sit leaning forward, and pack gauze into the nose - correct answerHave the patient sit
leaning forward with the head tilted forward, and apply direct pressure for at least 15 minutes
494. A 32-year-old man is hypothermic after swimming in an icy river. Although he came out of the river
within a few minutes, he is showing a diminished level of consciousness. Which of the following is the
most appropriate next step?
Encourage the patient to walk in order to improve his circulation and create body heat
Massage the extremities to increase circulation
Give the patient hot coffee or tea and place heating pads under his arms and in his groin
Cover the patient with blankets and increase the heat in the patient compartment of the ambulance -
correct answerCover the patient with blankets and increase the heat in the patient compartment of the
ambulance
495. Which of the following organs is not part of the endocrine system?
Gallbladder
Pancreas
Thyroid gland
Pituitary gland - correct answerGallbladder
496. Which of the following is a likely indication for the prehospital administration of epinephrine?
Hypoglycemia due to an adjustment of insulin dose
Wheezing due to an allergic reaction
Chest pain secondary to acute myocardial infarction
Abdominal pain due to poison ingestion - correct answerWheezing due to an allergic reaction
