WITH VERIFIED QUESTIONS AND ANSWERS
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◉ A 40-year-old man is in cardiac arrest. Your partner is performing
CPR. You are attaching the AED when the patient's wife tells you that
he has an automatic implantable cardiac defibrillator (AICD). The
AED advises that a shock is indicated. What should you do?
Avoid defibrillation as this will damage the patient's AICD.
Contact medical control and request permission to defibrillate.
Deliver the shock followed by immediate resumption of CPR.
Continue CPR and transport the patient to the closest appropriate
hospital. Answer: c
◉ A 66-year-old woman presents with a stabbing pain in the middle
of her chest that radiates to her back. She tells you that the pain
suddenly began about 30 minutes ago and has been severe since the
,onset. She has a history of hypertension, but admits to not being
compliant with her regimen of antihypertensive medications. During
the primary assessment, you find that her blood pressure is
significantly higher in her left arm than it is in her right arm. What
do these signs and symptoms MOST likely indicate?
unstable angina
dissecting aortic aneurysm
AMI
hypertensive emergency Answer: b
◉ A 67-year-old woman presents with difficulty breathing and chest
discomfort that awakened her from her sleep. She states that she has
congestive heart failure, has had two previous heart attacks, and has
prescribed nitroglycerin. She is conscious and alert with adequate
breathing. Her blood pressure is 94/64 mm Hg and her heart rate is
120 beats/min. Treatment for this patient includes:
,nitroglycerin for her chest pain.
ventilations with a bag-mask device.
oxygen at 4 L/min via nasal cannula.
placing her in an upright position. Answer: d
◉ You are called to a home and find a 56-year-old woman supine in
her bed. She appears alert, but has slurred speech. Her family tells
you she has a history of TIAs and hypertension. You ask the patient,
"What day is it today?" Her reply is "butterfly." Which area of the
brain is likely affected?
Occipital lobe
Left hemisphere
Cerebellum
, Right hemisphere Answer: b
◉ You arrive at a local grocery store approximately 5 minutes after a
21-year-old female stopped seizing. She is confused and disoriented;
she keeps asking you what happened and tells you that she is thirsty.
Her brother, who witnessed the seizure, tells you that she takes
phenytoin (Dilantin) for her seizures, but has not taken it in a few
days. He also tells you that she has diabetes. In addition to applying
high-flow oxygen, you should:
administer one tube of oral glucose and prepare for immediate
transport.
place her in the recovery position and transport her with lights and
siren.
monitor her airway and breathing status and assess her blood
glucose level.
give her small cups of water to drink and observe for further seizure
activity. Answer: c