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Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of confusion,
lethargy, and ST-segment depression on the electrocardiogram?
A. Less than 10%
B. 20% COHb
C. 30% COHb
D. 40% to 60% COHb C. 30% COHb
Which causes the greatest percentage of mammalian bites?
A. Dogs
B. Cats
C. Humans
D. Rodents A. Dogs
Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissue?
A. Tick
B. Brown recluse spider
,C. Wasp
D. Stinging caterpillar B. Brown recluse spider
What condition is sometimes confused with anaphylaxis from an insect sting?
A. Heat stroke
B. Toxic syndrome
C. Vasovagal reaction
D. Inflammatory response C. Vasovagal reaction
Delayed serum sickness-type reactions in response to multiple bee, wasp, or fire-ant stings can
be managed with which of the following?
A. A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered over 2 weeks
B. An oral antihistamine, such as hydroxyzine, for 2 weeks
C. An H2 blocker such as cimetidine for 1 week
D. 0.1 mg (1 mL of 1:10,000 solution epinephrine) in 10 mL of normal saline and administer as a
slow IV push over 10 minutes A. A corticosteroid such as prednisone (Deltasone), 60 to
100 mg, tapered over 2 weeks
, After a head injury, what is it called when air enters into the cerebrospinal fluid (CSF)-filled
spaces within the head?
A. Pneumocephalus
B. Hemotympanum
C. Battle's sign
D. Raccoon sign A. Pneumocephalus
CSF may leak through the cribriform plate region of the skull following a head injury and cause
which of the following?
A. Ear CSF otorrhea
B. Leakage of CSF from the eye
C. Nasal CSF rhinorrhea
D. Leakage of CSF from the mouth C. Nasal CSF rhinorrhea
What condition is characterized by a brief loss of consciousness, then a brief "lucid" moment,
followed by momentary unconsciousness minutes after the injury?
A. Concussive hematoma
B. Bleeding dyscrasias
C. Subdural hematoma