Psychiatric Emergencies
Endocrine and Hematology
Neurologic
Cardiovascular
Respiratory
100
Those with recent seriousness illness diagnosis, substance abusers, those with children who are addicted to alcohol:
What is people at risk for suicide
100
Hypoglycemic crisis tends to develop more often and more severely in children because
What is they do not always eat correctly and on schedule
100
2 yr/male conscious and crying. Mother states child has been running high fever then had seizure that lasted aprox. 3 minutes. You should:
What is transport the child to the hospital and reassure mother en route
100
which of the following would cause the greatest increase in cardiac output? A: increased heart rate and increased stroke volume B: decreased stroke volume and increased heart rate C: decreased heart rate and increased stroke volume D: decreased stroke volume and decreased heart rate
What is A: increased heart rate and increased stroke volume
100
The ____________ stimulates a person to breathe on the basis of low oxygen levels
What is hypoxic drive
200
66 yr/male not acting right. Daughter states pt does not seem to recognize her and is not acting right. Pt is conscious and has patent airway and is breathing good. You should?
What is ask how the pt normally acts
200
Assessing pt's mental status, checking the medications expiration date, requesting permission from medical control
What is proper procedure for administering oral glucose to a pt
200
You are assessing arm drift component of the Cincinnati Prehospital Stroke Scale on 60 yr/female. She holds both arms out, closes her eyes, and both arms immediately fall. You should:
What is repeat the arm drift test, but move the pt's arms into position yourself.
200
In contrast to AMI, a dissecting aortic aneurysm: A: is more commonly associated with pressure in the chest B: often presents with pain that is maximal from the onset C: usually presents gradually, often over a period of hours D: is typically preceded by other symptoms
What is B: often presents with pain that is maximal from the onset
200
When administering o2 to a hypoxic pt with chronic lung disease you should:
What is adjust the flow rate accordingly until you see symptom improvement, but be prepared to assist with ventilations
300
A __________ may be difficult to perform for a behavioral problem but may provide clues to pt's state of mind and thought process.
What is physical examination
300
59 yr/female, unconscious. Takes meds for type 2 diabetes. Husband states she has been ill and not eaten for 24 hrs. you reveal pt is unresponsive. You should:
What is open and maintain her airway and assess breathing.
300
Interruption of cerebral blood flow may result from all of the following EXCEPT: A: a thrombus B: an embolism C: cerebral vasodilation D: an acute arterial rupture
What is C: cerebral vasodilation
300
which of the following is of LEAST pertinence when obtaining medical history information from a pt complaining of chest discomfort A: history of smoking B: history of previous heart attack C: presence of personal risk factors D: family history of hypertension
What is D:family history of hypertension
300
which of the following would LEAST likely result in hypoxia? A: pleural effusion B: severe anxiety C: pulmonary edema D: prolonged seizures
What is B: severe anxiety
400
22 yr/male history of depression. Attempted suicide, EMS and police arrive at same time. Pt lying supine, unconscious, cyanotic, empty bottle of Dilaudid found on table. You should:
What is open airway and assess breathing
400
Which diabetic should you administer oral glucose? A: unconscious 33 yr/male cool clammy skin B: conscious 37 yr/female with nausea and vomiting C: semiconscious 40 yr/female without gag reflex D: a confused 55 yr/male with tachycardia and pallor
What is D: a confused 55 yr/male with tachycardia and pallor
400
49 yr/male (according to wife) experienced sudden, severe headache and then passed out. unresponsive and has slow, irregular breathing. B/P is 190/94 pulse 50. Hx hypertension and diabetes. He Most likely experienced: A: acute hypoglycemia B: ruptured cerebral artery C: complex partial seizure D: occluded cerebral artery
What is B: ruptured cerebral artery
400
the main legal risk in using the AED is: A: negligence on the part of the manufacturer B: failure of the AED'S internal computer chip C: failing to deliver a shock when one is needed D: not assessing for a pulse after a shock is delivered
What is C: failing to deliver a shock when one is needed
400
60 yr/male presents with acute respiratory distress. Conscious and alert, pink dry skin, resp 24 with adequate depth. which is MOST appropriate treatment? A: assist ventilation with bvm and heat to toe exam B: oxygen via nrm and a focused secondary assessment C: positive-pressure ventilations and immediate transport D: oxygen via cannula, vitals and prompt transport
What is B: oxygen via nrm and a focused secondary assessment
500
Single most significant factor that contributes to suicide is:
What is depression
500
An acute accelerated drop in the hemoglobin level, which is caused by red blood cells breaking down at a faster rate than normal, occurs during a(n)__________________ crisis.
What is hemolytic
500
Which of the following is a metabolic cause of a seizure? A: poisoning B: head trauma C: brain tumor D: massive stroke
What is A: poisoning
500
66 yr/female stabbing pain in middle of chest that radiates to back. pain began suddenly aprox 30 min ago and has been severe since onset. Hx of hypertension, admits to being non-compliant with anithypertension meds. bp is significantly higher in left arm than rt arm. s/s MOST indicate? A: unstable angina B: dissecting aortic aneurysm C: AMI D: hypertensive emergency
What is B: dissecting aortic aneurysm
500
fluid accumulation outside the lung
What is pleural effusion
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