A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him epinephrine via subcutaneous injection. Upon reassessment, you determine that his condition has not improved. You should:
repeat the epinephrine injection after consulting with medical control.
Neurogenic shock occurs when:
failure of the nervous system causes widespread vasodilation.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization and rapid transport, the MOST appropriate treatment for this patient includes:
assisted ventilation, thermal management, and elevation of the lower extremities.
In infants and children, a capillary refill time (CRT) that is greater than ______ second(s) is a sign of poor peripheral perfusion.
A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient's present condition is:
Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes:
Hypotension in a child with blunt or penetrating trauma is particularly significant because:
it often indicates the loss of half of his or her blood volume.
When assessing a patient with signs and symptoms of shock, it is MOST important to remember that:
blood pressure may be the last measurable factor to change in shock.
A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She has signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the following interventions will provide this patient with the greatest chance for survival?
When treating an 80-year-old patient who is in shock, it is important to remember that:
changes in gastric motility may delay gastric emptying, which increases the risk for vomiting.
Which of the following MOST accurately describes septic shock?
bacterial damage to the vessel wall, leaking blood vessels, and vasodilation
Hypovolemic shock caused by severe burns is the result of a loss of:
When the body senses a state of hypoperfusion, the sympathetic nervous system releases epinephrine, the effects of which include:
A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying 100% supplemental oxygen, you should:
prepare for immediate transport.
Which of the following statements regarding anaphylactic shock is MOST correct?
Each subsequent exposure following sensitization often produces a more severe reaction.
All of the following conditions would make you suspect shock, EXCEPT:
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:
apply direct pressure to the wound.
Which of the following injuries would MOST likely cause obstructive shock?
Pulmonary edema and impaired ventilation occur during:
You are transporting a 33-year-old male who was involved in a motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:
reassess his condition in 5 minutes.
Which of the following would MOST likely result in hemorrhagic shock?
Clinical signs of compensated shock include all of the following, EXCEPT:
absent peripheral pulses.
Patients develop septic shock secondary to:
poor vessel function and severe volume loss.
Your primary assessment of an elderly woman reveals that she is conscience and alert, but is experiencing difficultly breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the pt's circulatory system, you should direct your partner to:
administer oxygen with the appropriate device
When forming your general impression of a pt with a medical complaint it is important to remember that:
the conditions of many medical pts may not appear serious at first
Which of the following assessment findings is most indicative of a cardiovascular problem?
jugular venous distention
Upon initial contact with a pt who appears to be unconscious, you should:
attempt to elicit a verbal response by talking to the pt
In contrast to viral hepatitis, toxin-induced hepatitis:
is not a communicable disease
Which of the following statements regarding severe acute respiratory syndrome (SARS) is correct?
SARS is caused by a virus and usually starts with flu-like symptoms that deteriorate to pneumonia and respiratory failure
Which of the following statements regarding hepatitis A is correct?
Hep A can only be transmitted by a pt who has an acute infection
Which of the following conditions often require transport to a hospital with specialized capabilities that may not be available at the closest hospital?
stroke and heart attack
9. Hep B is more virulent than Hep C, which means that it
has a greater ability to produce disease
An infectious disease is most accurately defined as:
a medical condition caused by the growth and spread of small harmful organisms within the body
After sizing up the scene of a pt with a possible infectious disease, your next priority should be to
take standard precautions
The greatest danger in displaying a personal bias or "labeling" a pt who frequently calls EMS is
overlooking a potentially serious medical condition
Reassessment of a pt with a medical complaint should be by:
repeating the primary assessment
The secondary assessment of a medical pt:
is not practical if the pt is critically ill or your transport is short
Which of the following statements regarding the human immunodeficiency virus (HIV) is correct?
The risk of HIV infection is greatest hen deposited on a mucous membrane or directly into the bloodstream
When caring for a pt who takes numerous medications it is best to:
take all of the pt's medications with you to the hospital and document them on your pt care report
In addition to obtaining a SAMPLE history and asking questions related to the chief complaint, what else should you inquire about when assessing a pt with potentially infectious disease?
A 33-year old female presents with lower abdominal quadrant pain. She is conscience and alert, but in moderate pain. While your partner is asking her questions about her medical history, you take her vital signs. When you assess her radial pulse, you are unable to locate it. You should:
assess the rate, regularity and quality of her carotid
Ten days after treating a 34-year old pt with TB, you are given a TB skin test, which yields a positive result. This MOST likely indicates that:
you were exposed to another person prior to treating the 34-year-old pt
A pt who presents with a headache, fever, confusion, and red blotches on his or her skin should be suspected of having
End-tidal carbon dioxide (ETCO2) monitoring is clearly indicated for pts who presents with:
You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:
manage all threats to airway, breathing, and circulatory system and consider requesting and ALS unit
It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in pt with a suspected ______ problem.
Hyperventilation could be associated with all of the following, EXCEPT:
a narcotic overdose.
In a healthy individual, the brain stem stimulates breathing on the basis of:
increased carbon dioxide levels.
Which of the following conditions would LEAST likely result in hypoxia?
You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient takes a deep breath and depresses the inhaler, you should:
instruct him to hold his breath for as long as he comfortably can.
Which of the following statements regarding pulse oximetry is correct?
Pulse oximetry measures the percentage of hemoglobin that is saturated with oxygen, but does not measure the actual hemoglobin content of the blood.
When the level of arterial carbon dioxide rises above normal:
respirations increase in rate and depth.
Alkalosis is a condition that occurs when:
blood acidity is reduced by excessive breathing.
When administering supplemental oxygen to a hypoxemic patient with a chronic lung disease, you should:
adjust the flow rate accordingly until you see symptom improvement, but be prepared to assist his or her ventilations.
You are dispatched to an apartment complex where a 21-year-old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respirations. You should:
insert a nasopharyngeal airway and begin assisted ventilation.
A pleural effusion is MOST accurately defined as:
fluid accumulation outside the lung.
Which of the following statements regarding the hypoxic drive is MOST correct?
The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels.
A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition?
Albuterol is a generic name for:
Asthma is caused by a response of the:
Which of the following is MOST characteristic of adequate breathing?
24 breaths/min with bilaterally equal breath sounds and pink skin
Weakening of the airway in patients with chronic bronchitis is the result of:
destruction of protective mechanisms that remove foreign particles.
Acute pulmonary edema would MOST likely develop as the result of:
toxic chemical inhalation.
A 22-year-old female patient is complaining of dyspnea and numbness and tingling in her hands and feet after an argument with her fiancé. Her respirations are 40 breaths/min. You should:
provide reassurance and give oxygen as needed.
In what area of the lungs does respiration occur?
Harsh, high-pitched inspiratory sounds are characteristic of:
When assessing for fluid collection in the lungs during auscultation of lung sounds, you should:
start at the lower lung fields and determine at which level you start hearing clear breath sounds.
The respiratory distress that accompanies emphysema is caused by:
chronic stretching of the alveolar walls.
Paroxysmal nocturnal dyspnea (PND), rales, and dependent edema are clinical indicators of:
congestive heart failure.
Common signs and symptoms of acute hyperventilation syndrome include:
tachypnea and tingling in the extremities.
A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and an oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two- to three-word sentences at a time. You should:
apply a continuous positive airway pressure (CPAP) device, monitor his blood pressure, and observe him for signs of improvement or deterioration.
THE MYOCARDIUM RECEIVES OXYGENATED BLOOD FROM THE ____, WHICH ORIGINATE(S) FROM THE _______.
CORONARY ARTERIES, AORTA
WHEN WOULD IT BE MOST APPROPRIATE FOR A PATIENT TO TAKE HIS/HER PRESCRIBED NITROGLYCERIN?
CHEST PAIN THAT DOES NOT IMMEDIATELY SUBSIDE WITH REST
A 40 Y/O 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 IMPLANTED CARDIAC DEFIBILLATOR (AICD). THE AED ADVISES THAT A SHOCK IS INDICATED. WHAT SHOULD YOU DO?
DELIVER THE SHOCK FOLLOWED BY IMMEDIATE RESUMPTION OF CPR
THE ILIAC ARTERIES IMMEDIATELY SUBDIVIDE INTO THE:
A 66 Y/O FEMALE WITH A HISTORY OF HYPERTENSION AND DIABETES PRESENTS WITH SUBSTERNAL CHEST PRESSURE OF 2 HOURS' DURATION. HER BLOOD PRESSURE IS 140/90MM HG, HER PULSE IS 100 BEATS/MIN AND IRREGULAR, AND HER RESPIRATIONS ARE 22 BREATHS/MIN WITH ADEQUATE DEPTH. THE PATIENT DOES NOT HAVE PRESCRIBED NITROGLYCERIN, BUT HER HUSBAND DOES. YOU SHOULD:
ADMINISTER OXYGEN, GIVE HER 324 MG ASPIRIN AND ASSESS HER FURTHER
DEFIBRILLATOR PADS ARE PLACED ON THE PATIENT'S CHEST WITH ONE PAD TO THE:
RIGHT OF THE UPPER STERNUM AND THE OTHER PAD TO THE LEFT AND BELOW THE LEFT NIPPLE.
IN CONTRAST TO MONOPHASIC DEFIBRILLATION, BIPHASIC DEFIBRILLATION:
REQUIRES A LOWER ENERGY SETTING
THE EMT SHOULD USE AN AED ON A CHILD OLDER THAN 1 YEAR IF:
PEDIATRIC PADS AND AN ENERGY-REDUCING DEVICE ARE AVILABLE
THE ELECTRICAL IMPULSE GENERATED BY THE HEART ORIGINATES IN THE:
SINOATRIAL (SA) NODE
A DISSECTING AORTIC ANEURYSM OCCURS WHEN:
THE INNER LAYERS OF THE AORTA BECOME SEPERATED
YOU ARE DISPATCHED TO A RESIDENCE FOR A 56 Y/O MALE WITH AN ALTERED MENTAL STATUS. UPON ARRIVAL AT THE SCENE, THE PATIENT'S WIFE TELLS YOU THAT HE COMPLAINED OF CHEST PAIN THE DAY BEFORE, BUT WOULD NOT ALLOW HER TO CALL EMS. THE PATIENT IS SEMICONSCIOUS; HAS RAPID, SHALLOW RESPIRATIONS; AND HAS A THREADY PULSE. YOU SHOULD:
BEGIN VENTILATORY ASSISTANCE
YOU ARE ASSESSING A 49 Y/O MAN WHO COMPLAINS OF CHEST PRESSURE THAT BEGAN THE NIGHT BEFORE. HE IS CONCIOUS, BUT ANXIOUS, AND TELLS YOU HE HAS A HISTORY OF ANGINA AND HYPERTENSION. AFTER APPLYING HIGH-FLOW OXYGEN, YOU EXPOSE HIS CHEST TO AUSCULTATE HIS LUNGS AND NOTE THAT HE HAS A NITROGLYCERIN PATCH ON HIS RIGHT UPPER CHEST. HIS SKIN IS COOL AND PALE, HIS BLOOD PRESSURE IS 78/50MM HG AND HIS PULSE IS 110 BEATS/MIN AND IRREGULAR. YOU SHOULD:
REMOVE THE NITROGLYCERIN PATCH, PLACE HIM IN A SUPINE POSITION AND ELEVATE HIS LOWER EXTREMITIES, AND PREPARE FOR IMMEDIATE TRANSPORT
CARDIOGENIC SHOCK FOLLOWING AMI IS CAUSED BY:
DECREASED PUMPING FORCE OF THE HEART MUSCLE
WHICH OF THE FOLLOWING CARDIAC ARRHYTHMIAS HAS THE GREATEST CHANCE OF DETERIORATING INTO A PULSELESS RHYTHM?
AFTER ASSISTING YOUR PATIENT WITH HIS/HER NITROGLYCERIN, YOU SHOULD:
REASSESS THE BLOOD PRESSURE WITHIN 5 MINUTES TO DETECT HYPOTENSION
ISCHEMIC HEART DISEASE IS MOST ACCURATELY DEFINED AS:
DECREASED BLOOD FLOW TO ONE OR MORE PORTIONS OF THE MYOCARDIUM
WHICH OF THE FOLLOWING STATEMENTS REGARDING NITROGLYCERIN IS CORRECT?
NITROGLYCERIN USUALLY RELIEVES ANGINAL CHEST PAIN WITHIN 5 MINUTES
WHICH OF THE FOLLOWING IS OF LEAST PERTINENCE WHEN OBTAINING MEDICAL HISTORY INFORMATION FROM A PATIENT COMPLAINING OF CHEST DISCOMFORT?
FAMILY HISTORY OF HYPERTENSION
WHEN AN ELECTRICAL IMPULSE REACHES THE AV NODE, IT IS SLOWED FOR A BRIEF PERIOD OF TIME SO THAT:
BLOOD CAN PASS FROM THE ATRIA TO THE VENTRICLES
PRIOR TO DEFIBRILLATING A PATIENT WITH AN AED, IT IS MOST IMPORTANT THAT YOU:
ENSURE THAT NO ONE IS TOUCHING THE PATIENT
THE ABILITY OF CARDIAC MUSCLE CELLS TO CONTRACT SPONTANEOUSLY WITHOUT A STIMULUS FROM A NERVE SOURCE IS CALLED:
UPON ARRIVAL AT THE RESIDENCE OF A PATIENT WITH A POSSIBLE CARDIAC PROBLEM, IT IS MOST IMPORTANT TO:
ASSESS THE SCENE FOR POTENTIAL HAZARDS
NITROGLYCERIN IS CONTRAINDICATED IN PATIENTS:
WHO HAVE EXPERIENCED A HEAD INJURY
WHAT IS THE FUNCTION OF THE LEFT ATRIUM?
IT RECEIVES OXYGENATED BLOOD FROM THE LUNGS
WHICH OF THE FOLLOWING WOULD CAUSE THE GREATEST INCREASE IN CARDIAC OUTPUT?
INCREASED HEART RATE AND INCREASED STROKE VOLUME
WHEN THE MYOCARDIUM REQUIRES MORE OXYGEN:
THE ARTERIES SUPPLYING THE HEART DILATE
BLOOD THAT IS EJECTED FROM THE RIGHT VENTRICLE:
FLOWS INTO THE PULMONARY ARTERIES
PRIOR TO ASSISTING A PATIENT WITH HIS/HER PRESCRIBED NITROGLYCERIN, THE EMT MUST:
OBTAIN AUTHORIZATION FROM MEDICAL CONTROL
RAPID, LABORED BREATHING IN A PATIENT WITH SIGNS AND SYMPTOMS OF AMI SHOULD MAKE YOU SUSPICIOUS FOR:
CONGESTIVE HEART FAILURE
DURING YOUR TREATMENT OF A WOMAN IN CARDIAC ARREST, YOU APPLY THE AED, ANALYZE HER CARDIAC RHYTHM, AND RECEIVE A "NO SHOCK ADVISED" MESSAGE. THIS INDICATES THAT:
SHE IS NOT IN VENTRICULAR FIBRILLATION
MOST PATIENTS ARE INSTRUCTED BY THEIR PHYSICIAN TO TAKE UP TO _____ DOSES OF NITROGLYCERIN BEFORE CALLING EMS.
WHICH OF THE FOLLOWING MEDICATIONS IS COMMONLY GIVEN TO PATIENTS WITH CHEST PAIN TO PREVENT BLOOD CLOTS FROM FORMING OR GETTING BIGGER?
WHICH OF THE FOLLOWING STATEMENTS REGARDING THE PAIN ASSOCIATED WITH AMI IS CORRECT?
IT CAN OCCUR DURING EXERTION OR WHEN THE PATIENT IS AT REST
THE MOST COMMON ERROR ASSOCIATED WITH THE USE OF THE AED IS:
FAILURE OF THE EMT TO ENSURE THE BATTERY IS CHARGED
COMMON SIGNS AND SYMPTOMS OF A HYPERTENSIVE EMERGENCY INCLUDE:
A BOUNDING PULSE, A SEVERE HEADACHE, AND DIZZINESS
THE LEFT VENTRICLE HAS THE THICKEST WALLS BECAUSE IT:
PUMPS BLOOD INTO THE AORTA AND SYSTEMIC CIRCULATION
A 67 Y/O FEMALE 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:
PLACING HER IN AN UPRIGHT POSITION
A PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) RESTORES BLOOD FLOW TO THE ISCHEMIC MYOCARDIUM BY:
DILATING THE AFFECTED CORONARY ARTERY WITH A SMALL INFLATABLE BALLOON
SIGNS AND SYMPTOMS OF A HYPERTENSIVE EMERGENCY WOULD MOST LIKELY BE DELAYED IN PATIENTS WHO:
HAVE CHRONIC HYPERTENSION
WHICH OF THE FOLLOWING IS NOT A COMMON SIGN OR SYMPTOM ASSOCIATED WITH MALFUNCTION OF AN IMPLANTED CARDIAC PACEMAKER?
A RAPID HEART RATE
THE PURPOSE OF DEFIBRILLATION IS TO:
STOP THE CHAOTIC, DISORGANIZED CONTRACTION OF THE CARDIAC CELLS
THE AED IS MOST ADVANTAGEOUS TO THE EMT BECAUSEw
IT DELIVERS PROMPT DEFIBRILLATION TO PATIENTS WITH VENTRICULAR FIBRILLATION
AN ACUTE MYOCARDIAL INFARCTION (AMI) OCCURS WHEN:
MYOCARDIAL TISSUE DIES SECONDARY TO AN ABSENCE OF OXYGEN
WHICH OF THE FOLLOWING SIGNS IS COMMONLY OBSERVED IN PATIENTS WITH RIGHT-SIDED HEART FAILURE?
Which of the following clinical signs is MOST suggestive of a ruptured cerebral artery? -
sudden, severe headache
You are caring for a semiconscious man with left-side paralysis. His airway is patent and his respirations are 14 breaths/minute with adequate tidal volume. Treatment for this patient should include:
- oxygen via nonrebreathing mask, left lateral recumbent position, and transport
The left cerebral hemisphere controls:
- the right side of the body
Successful treatment of a stroke depends on whether:
Successful treatment of a stroke depends on whether:
. A generalized seizure is characterized by:
- severe twitching of all the body's muscles.
Which of the following medications is NOT used to treat patients with a history of seizures?
- hydromorphone (Dialudid)
Which of the following patients would MOST likely demonstrate typical signs of infection, such as fever?
- a 17-year-old male with depression and anxiety
patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she:
- has bleeding within the brain
2. An area of swelling or enlargement in a weakened arterial wall is called:
- are usually benign but should be evaluated.
Interruption of cerebral flood flow may result from all of the following EXCEPT:
- cerebral vasodilation
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the:
- brain stem
When assessing arm movement of a patient with a suspected stroke, you should:
- ask the patient to close his or her eyes during the assessment
A patient with an altered mental status is:
- not thinking clearly or is incapable of being aroused.
The three major parts of the brain are the:
- cerebrum, cerebellum, and brain stem.
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke?
You arrive at the residence of a 33-year-old woman who is experiencing a generalized seizure. She has a small amount of vomitus draining from the side of her mouth. After protecting her from further injury, you should:
- maintain her airway with manual head positioning, suction her airway to remove the vomitus, insert a nasopharyngeal airway, and administer high-flow oxygen.
A 29-year-old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken numerous different medications, but none of them seem to help. His blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations are 20 breaths/min and adequate. In addition to high-flow oxygen, further treatment should include:
- dimming the lights in the back of the ambulance and transporting without lights and siren.
Muscle control and body coordination are controlled by the:
A transient ischemic attack (TIA) occurs when:
- the normal body processes destroy a clot in a cerebral artery.
You are assessing the arm drift component of the CincinattiPrehospital Stroke Scale on a 60-year-old woman. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her sides. You should:
- repeat the arm drift test, but put the patient's arms into position yourself.
When obtaining medical history information from the family of a suspected stroke patient, it is MOST important to determine:
when the patient last appeared normal.
The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia:
when the patient last appeared normal.
The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia:
- usually have an altered mental status or decreased level of consciousness.
1. Pain that is localized to the lower back and/or lower:
an aorta aneurysm
2. Most pt with abdominal pain prefer to:
lie on their side with their knees drawn into the abdomen
You respond to the residence of a 70-year old male who complains of weakness and severe shortness of breath. His wife tells you he is a dialysis pt, but has missed his last 2 treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The pt is conscious, but confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min, and irregular, and his respirations are 24 breaths/min and labored. You should:
leave him sitting position, keep him warm and prepare for immediate transport
30-year-old woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale and clammy; her heart rate s 120 beats/min and weak; and her blood pressure is 70/50 mm Hg. Your most immediate action should be:
protect her airway from aspiration
Which of the following statements regarding the acute abdomen is correct?
The initial pain associated with an acute abdomen tends to be vague and poorly localized
.Solid abdominal organs include the:
spleen kidneys, and pancreas
n the presence of ileus, the only way the stomach can empty itself is by:
Which of the following statement regarding gastrointestinal bleeding is correct?
Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself
Pain that radiates to the right lower quadrant from the umbilical area, nausea, and vomiting, and anorexia are most indicative of
11.The most important treatment for a pt with severe abdominal pain and sign of shock includes:
transporting the pt. without delay
A 35-year-old mildly obese woman is complaining of localized pain in the rt upper quadrant with referred pain to the right shoulder. The most likely cause of her pain is:
Erosion of the protective layer of the stomach or duodenum secondary to over activity of digestive juices results in:
Pt with acute abdominal pain should not be given anything to eat or drink because:
substances in the stomach increase the risk of aspiration
15. Which of the following organs lies in the retroperitoneal space?
Chronic renal failure is a condition that:
is often caused by hypertension or diabetes
strangulated hernia is one that:
loses its blood supply due to compression by local tissue
Which of the following conditions is more common in women than in men?
A 59-year-old male presents with a sudden onset of severe lower back pain. He is conscious and alert, but very restless and diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should:
administer oxygen and prepare for immediate transport
In contrast to the parietal peritoneum, the visceral peritoneum:
is supplied by nervous of the automomic nervous system, which are less able to localize pain or sensation
.The parietal peritoneum lines the:
walls of the abdominal cavity
The kidneys help regulate blood pressure by:
removing sodium, and thus water, from the body
An important aspect in the treatment of a pt with severe abdominal pain is to:
provide emotional support en route to the hospital
Esophageal varices most commonly occur in pts who:
drink a lot of alcohol
You are transporting a 49-year-old male with "tearing" abdominal pain. You are approximately 30 miles from the closest hospital. During your assessment, you determine that the pt's conditions has deteriorated significantly. You should:
Consider requesting a rendezvous with an ALS unit
Which of the following organs would most likely bleed profusely if injured?
The coronary arteries are blood vessels that supply blood to heart muscle?
The right coronary artery supplies blood to the right ventricle and, usually, the inferior wall of the left ventricle.
The circulating blood volume pools in the expanded vascular beds and tissue perfusion decreases.
Each subsequent exposure after sensitization tends to produce a more severe reaction.
Assessment of the medical patient is similar to assessment of the trauma patient, but with a different focus.
Nature of illness (NOI)
eye pupil check for ?
Although syphilis is commonly thought of as a?
sexually transmitted disease, it is also a bloodborne disease.treated with penicillin
It is only one of many forms of influenza,contagious in humans.
There are two processes that occur during respiration.