JBL Medical Questions and Answers Already Passed

JBL Medical Questions and Answers Already Passed A 50-year-old woman complains of a rash and itching to her trunk and arms that began a day after she started taking penicillin. Her breath sounds are clear to auscultation, she denies shortness of breath, her oxygen saturation is 96%, and her BP is 132/74 mm Hg. Treatment should include: A) high-flow oxygen and transport. B) epinephrine and rapid transport. C) transport only with close monitoring. D) warm compresses to relieve the itching. C You receive a call to a restaurant where a 34-year-old man is experiencing shortness of breath. When you arrive, you immediately note that the man has urticaria on his face and arms. He is conscious, but restless, and is in obvious respiratory distress. You should: A) ask the patient if he has an epinephrine auto-injector. B) remove the patient's shirt to inspect his chest for urticaria. C) obtain vital signs and a SAMPLE history. D) administer supplemental oxygen at 12 to 15 L/min. D (Initial management of a pt with a severe allergic rxn is to ensure a patent airway and administer supplemental O2. After ensuring respiratory is okay, ask whether the pt has a prescribed Epi- Pen. If so, contact medical control and obtain permission) Which of the following signs or symptoms is MOST suggestive of a systemic reaction following ingestion of a poison? A) Nausea and vomiting B) Burns around the mouth C) Tachycardia and hypotension D) Painful or difficult swallowing C Which of the following signs is LEAST suggestive of a diabetic emergency? A) Bradycardia B) Tachycardia C) Combativeness D) Fruity breath odor A Bradycardia is not commonly associated with either hyperglycemia or hypoglycemia. Tachycardia and combativeness can occur in patients with hyperglycemia or hypoglycemia. A fruity or acetone breath odor, however, is a specific clinical finding in patients with hyperglycemic ketoacidosis (diabetic coma). When you arrive at a residence for a man who is "not acting right," you enter the house and find him sitting on his couch. Which of the following findings would be MOST indicative of an altered mental status? A) Odor of alcohol B) Closed eyes C) Tired appearance D) Slurred speech D The bite of a brown recluse spider is characterized by: A) immediate pain, swelling at the site, and painful muscle spasms. B) delayed onset of pain, swelling, and blister formation at the site. C) two small puncture marks, swelling, and delayed onset of pain. D) rapid swelling within 30 minutes and a decline in mental status. B Law enforcement requests your assistance to evaluate a young female whom they believe has overdosed. The patient is conscious, is displaying bizarre behavior, and is very restless. Her BP is 170/90 mm Hg and her heart rate is 130 beats/min. You see needle tracks on both of her arms. Which of the following would MOST likely explain her presentation? A) An opioid B) Methamphetamine C) A sedative-hypnotic D) A benzodiazepine B Which of the following drugs can cause or worsen excited delirium? A) Heroin B) Cocaine C) Ketamine D) Marijuana B