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Multiple-choice questions and answers on emergency medical conditions, covering respiratory distress, shock, neurological and environmental emergencies. It's a resource for medical students and professionals to test knowledge and prepare for exams. Focused on practical application and critical thinking, it provides insights into patient assessment and management, enhancing decision-making skills. It covers recognition and management of common emergencies like anaphylaxis, stroke, and respiratory distress. The concise answers provide clear explanations, making it a valuable tool for improving knowledge and skills in emergency medical care.
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Which of the following may cause primary respiratory alkalosis?
week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What should you suspect?
What condition causes paroxysmal nocturnal dyspnea? - CORRECT ANSWER
bradycardic, hypotensive, and has warm, dry skin. Which type of shock is most likely occurring? - CORRECT ANSWER-Neurogenic It is 0600 hours and you are treating a 63-year-old female with slurred speech, facial droop, and altered mental status. At 0400 hours, her husband heard her go to the bathroom. At 2300 hours they went to bed and everything was "fine." How should you report the last time she was known normal? - CORRECT ANSWER- 2300 hrs Continuous positive airway pressure would be most beneficial in treating which of the following patients? - CORRECT ANSWER-A 22-year-old with severe asthma that is unresponsive to albuterol treatments A 27-year-old male is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statements is the most helpful when treating this patient? - CORRECT ANSWER-" I understand why you are concerned. Please tell me more about why you feel this way." A 15-year-old male complains of lower abdominal pain with nausea. He is in the fetal position and states, "it hurts to walk." What should you suspect? - CORRECT ANSWER-Appendicitis A 26 - year-old male has abdominal pain. He is able to pinpoint exactly where it hurts, experiences rebound tenderness on physical exam, and guards the affected area. Which type of pain should you suspect? - CORRECT ANSWER-Somatic A 52-year-old male is suffering from acute chest pain after physical exercises. He is
A 30 - year-old female complains of acute chest tightness, shortness of breath, and a non productive cough. She states that this happens frequently and usually resolves after using her "inhaler." What should you suspect? - CORRECT ANSWER-Asthma A 44-year-old female complains of a sudden onset of sharp pain in her right flank that radiates to her groin area. Intermittently the pain becomes very severe. She also reports nausea. Vital signs are BP-152/94, P-104, R-16, SpO2-98%. What is the most likely cause? - CORRECT ANSWER-Kidney Stones A 13-year-old male has been skateboarding in temperatures of 100F (37.7 C) and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow-QRS tachycardia at a rate of 150 beats/minute. Vital signs are BP- 108/62, R-24. What should you do? - CORRECT ANSWER-Transport the patient by ambulance, monitor closely, and administer fluids en route An 82 - year-old female complains of foul-smelling diarrhea, abdominal cramping, and a loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? - CORRECT ANSWER-Clostridium difficile A 62-year-old female presents with severe nausea and blurred vision that began whole watching TV. She describes the headache as the worst headache she has ever had in her life. Vital signs are BP-194/110, P-98, R-20. What should you suspect? - CORRECT ANSWER-Subarachnoid hemorrhage
A 33-year-old female is threatening suicide because her partner left her. Which of the following would be an appropriate response? - CORRECT ANSWER-What was your plan to kill yourself A 71 - year-old female complains of shortness of breath. She has a productive cough that has increased in severity over the last week. She speaks in 1 to 2 word broken sentences with pursed lips. What should you suspect? - CORRECT ANSWER-COPD What is an age-related change that increases the risk of respiratory compromise? - CORRECT ANSWER-Decrease in lung compliance A 45-year-old female is supine on the floor. Her pupils are pinpoint, and she has vomitus in and around her mouth. Vital signs are P-48, R-8 with gurgling. What should you do? - CORRECT ANSWER-Suction the airway A 68 - year-old female who has a history of COPD may rely one which of the following breathing mechanics? - CORRECT ANSWER-A decrease in the oxygen level in the blood as the stimulus to breathe Which of the following is a hallmark sign of tricyclic antidepressant toxicity? - CORRECT ANSWER-Dysrhythmias
A 27-year old male is agitated and talks continuously. His pupils are dilated. He admits to being awake for 36 hours straight. Vital signs are BP-188/98, P-140, R-30. What type of overdose should you suspect? - CORRECT ANSWER-Bath Salts