And AnSwerS
.A 23 year old male complains of a productive cough, fever, chills and pleuritic chest pain
that has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow
respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102°F (38.8°C). What
treatment should be performed? - Supplemental Oxygen and immediate transport
-Chapter 3
.A 24 year old female presents with lower right quadrant abdominal pain. Her skin is hot to
the touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days.
What diagnosis is suspected? - Appendicitis
-Chapter 7
.A 24 year old has completed a triathlon on a hot, humid day. The athlete complains of a
severe headache, muscle cramps and abdominal pain. As the patient history is obtained,
the athlete becomes lethargic. What underlying electrolyte disturbance should the
healthcare provider most likely suspect? - Hyponatremia
-Chapter 6
.A 28 year old female is being evaluated for an acute onset of an alteration in mentation.
She complained of a stiff neck and persistent headache. Vital signs are P112, R22 and
regular, BP 144/88, SpO2 95% and T 102.3F (39C). The healthcare provider should observe
for which complication? - Seizure
-Chapter 2
, .A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over
the past two weeks, she complains of chronic fatigue, weakness, and loss of appetite with
weight loss. Lab results indicate hyponatremia and hyperkalemia. What underlying
diagnosis is suspected? - Adrenal insufficiency
-Chapter 6
.A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers
note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What
course of action should be implemented next? - Supplemental oxygen and suction
-Chapter 2
.A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea
and blood-streaked emesis. The patient has a temperature of 101.9°F (38.8°C) and severe
abdominal tenderness. What underlying diagnosis should be suspected? - Pancreatitis
-Chapter 7
.A lethargic patient presents with dilated pupils and vital signs of P 122, R 26 and BP
130/80. He admits to excessive ingestion of diphenhydramine. What response is the cause
for the presenting signs and symptoms? - Anticholinergic
-Chapter 9
.A patient describes an "aching" sensation in his chest. It occurred suddenly while resting
and radiates to the jaw. He self administered 1 nitroglycerin tablet without relief and the 12
lead reveals a normal sinus rhythm with ST elevation in leads II, III, and aVF. What working
diagnosis is most likely? - Inferior wall myocardial injury
-Chapter 5
.A patient experiences unilateral facial weakness and droop, garbled speech, altered sense
of taste and no extremity weakness. The patient has a history of Lyme's disease. What
condition is the patient likely experiencing? - Bell's palsy