Emergency Care and Transportation of
the Sick and Injured 12th Edition -
Chapter 20: Endocrine and
Hematologic Emergencies Test
Questions Answered Correct.
A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate
states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling
her blood sugar level. She further tells you that the patient has been urinating excessively and
has progressively worsened over the last 24 to 36 hours. On the basis of this patent's clinical
presentation, you should suspect that she: - Answer is significantly hyperglycemic.
Classic signs and symptoms of hypoglycemia include: - Answer cool, clammy skin; weakness,
tachycardia; and rapid respirations.
Diabetes is MOST accurately defined as a: - Answer disorder of glucose metabolism.
Diabetic ketoacidosis occurs when: - Answer insulin is not available in the body.
Excessive eating caused by cellular "hunger" is called: - Answer polyphagia.
Hemoglobin is: - Answer found within the red blood cells and is responsible for carrying
oxygen.
In general, oral glucose should be given to any patient who: - Answer has an altered mental
status and a history of diabetes.
Patients with thrombophilia are at an increased risk for: - Answer acute arterial rupture.
Patients with type 2 diabetes usually control their disease with all of the following: - Answer 1.
tolbutamide (Orinase)
2. glyburide (Micronase)
3. diet and exercise
, Proper procedure for administering oral glucose to a patient includes all of the following: -
Answer 1. assessing the patients mental status
2. checking the medication's expiration date
3. requesting permission from medical control
Symptomatic hypoglycemia will MOST likely develop if a patient: - Answer takes too much of
his or her prescribed insulin.
The normal blood glucose level is between: - Answer 80 and 120 mg/dL.
A confused 55-year-old male with tachycardia and pallor should receive: - Answer oral glucose.
Type 1 diabetes: - Answer is a condition in which no insulin is produced by the body.
When assessing an unresponsive diabetic patient, the primary visible difference between
hyperglycemia and hypoglycemia is the: - Answer rate and depth of breathing.
When obtaining a SAMPLE history from a patient with diabetes who has an altered mental
status, it would be MOST important to determine: - Answer if he or she has had any recent
illnesses or excessive stress.
A diabetic patient is at an increased risk of developing: - Answer blindness.
What could be signs or symptoms that an EMT could encounter in a patient with new-onset
type 1 diabetes? - Answer Weight loss and polyuria
In ____________ , the red blood cells are: - Answer abnormally shaped and are less able to
carry oxygen.
A 19-year-old male complains of "not feeling right". His insulin and a syringe are on a nearby
table. The patient says he thinks he took his insulin and cannot remember whether he ate. He is
also unable to tell you the time or what day it is. The glucometer reads "error" after several
attempts to assess his blood glucose level. You should: - Answer contact medical control and
administer oral glucose.
the Sick and Injured 12th Edition -
Chapter 20: Endocrine and
Hematologic Emergencies Test
Questions Answered Correct.
A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate
states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling
her blood sugar level. She further tells you that the patient has been urinating excessively and
has progressively worsened over the last 24 to 36 hours. On the basis of this patent's clinical
presentation, you should suspect that she: - Answer is significantly hyperglycemic.
Classic signs and symptoms of hypoglycemia include: - Answer cool, clammy skin; weakness,
tachycardia; and rapid respirations.
Diabetes is MOST accurately defined as a: - Answer disorder of glucose metabolism.
Diabetic ketoacidosis occurs when: - Answer insulin is not available in the body.
Excessive eating caused by cellular "hunger" is called: - Answer polyphagia.
Hemoglobin is: - Answer found within the red blood cells and is responsible for carrying
oxygen.
In general, oral glucose should be given to any patient who: - Answer has an altered mental
status and a history of diabetes.
Patients with thrombophilia are at an increased risk for: - Answer acute arterial rupture.
Patients with type 2 diabetes usually control their disease with all of the following: - Answer 1.
tolbutamide (Orinase)
2. glyburide (Micronase)
3. diet and exercise
, Proper procedure for administering oral glucose to a patient includes all of the following: -
Answer 1. assessing the patients mental status
2. checking the medication's expiration date
3. requesting permission from medical control
Symptomatic hypoglycemia will MOST likely develop if a patient: - Answer takes too much of
his or her prescribed insulin.
The normal blood glucose level is between: - Answer 80 and 120 mg/dL.
A confused 55-year-old male with tachycardia and pallor should receive: - Answer oral glucose.
Type 1 diabetes: - Answer is a condition in which no insulin is produced by the body.
When assessing an unresponsive diabetic patient, the primary visible difference between
hyperglycemia and hypoglycemia is the: - Answer rate and depth of breathing.
When obtaining a SAMPLE history from a patient with diabetes who has an altered mental
status, it would be MOST important to determine: - Answer if he or she has had any recent
illnesses or excessive stress.
A diabetic patient is at an increased risk of developing: - Answer blindness.
What could be signs or symptoms that an EMT could encounter in a patient with new-onset
type 1 diabetes? - Answer Weight loss and polyuria
In ____________ , the red blood cells are: - Answer abnormally shaped and are less able to
carry oxygen.
A 19-year-old male complains of "not feeling right". His insulin and a syringe are on a nearby
table. The patient says he thinks he took his insulin and cannot remember whether he ate. He is
also unable to tell you the time or what day it is. The glucometer reads "error" after several
attempts to assess his blood glucose level. You should: - Answer contact medical control and
administer oral glucose.
