Cardiology
A 45 year old male complains of dull chest pain. You should first:
A) Administer oxygen by non-rebreather mask.
B) Administer aspirin.
C) Attach the AED.
D) Obtain vital signs.
B) Administer aspirin.
You transported a 78 yo male who had facial droop, slurred speech, and arm drift. On hour later you are back in the emergency dept with another patient, and you see he is now comfortable without any symptoms. He most likely suffered a/an:
A) epidural bleed
B) basal cell stroke
C) transient ischemic attack
D) migraine headache
C) transient ischemic attack
Which of the following is most likely to be injured by the primary blast of an explosion?
A) Bones
B) Brain
C) Heart
D) Lungs
D) Lungs
Children with congenital heart defects are more likely to suffer:
A) Fibrillation
B) Hypoxia
C) Wolf-Parkinson-White syndrome
D) AV node dissociation
B) Hypoxia
A 35yo female who is gravida 5, para 4 is in active labor. She tells you the deliver of her last child was fast. You should prepare for:
A) Vaginal tearing
B) A precipitous delivery
C) A breech presentation
D) A complicated delivery
B) A precipitous delivery
An unresponsive 56 year old male has no chest rise. You are unable to palate a carotid pulse. You should next:
A) Auscultate for heart sounds.
B) Start chest compressions.
C) Check the other carotid pulse.
D) Check for a radial pulse.
B) Start chest compressions.
A 61 yo male has slurred speech and left-sided arm drift. His vitals are P 81, R 18, BP 146/96, and SpO2 is 96% on room air. Before transport, it is important that you:
A) monitor his pupillary response
B) Keep his head elevated in Fowler's position
C) Prepare for him to transition into cardiac arrest
D) Establish the time he was last seen normal
D) Establish the time he was last seen normal
Which of the following patients will most likely have complications as a result of blood loss?
A) A 14yo female who has a partial foot amputation and BP 96/66
B) An 18yo female who is shot in the chest and BP 112/84
C) A 42yo male who lacerated his brachial artery and BP 94/74
D) An 82yo male shot in the leg and BP 94/82
D) An 82yo male shot in the leg and BP 94/82
An 11yo male fell from his bicycle and has soft tissue injuries to his elbow. There is swelling present and lower arm is not in alignment. You should:
A) Splint his arm in the position found
B) Apply a sling and swathe
C) Align his arm and then use a pneumatic splint
D) Use a ladder splint to conform to the shape of his elbow
A) Splint his arm in the position found
A 23yo female in her third trimester complains of low abdominal pain and dark-colored vaginal bleeding. She tells you the pain increases with uterine contractions which are ten minutes apart. Her vitals are P 114, R 22, and BP 124/86. You should suspect:
A) Abruptio placentae
B) placenta previa
C) Uterine rupture
D) Bloody show
A) Abruptio placentae
A 19 yo male who was drowning was rescued from a lake. When you arrive, he is sitting with lifeguards. They performed CPR for 2 min before he spat up water and began to recover. He can answer your questions, is embarrassed, and does not want to be transported. His vitals are P 116, R 16, BP 134/84, and SpO2 is 94% on room air. You should:
A) Insist on him being transported
B) Contact law enforcement
C) Continue to observe him for another 30 min
D) Administer oxygen by non-rebreather mask.
A) Insist on him being transported
A 32 year old female complains of chills and tells you she has a urinary tract infection. Her skin is hot to touch and flushed. Her vitals are P 102, R 16, BP 138/78, and SpO2 is 94% on room air. You should suspect an early onset of:
A) Flu-like symptoms
B) Sepsis
C) Renal stones
D) Diverticulitis
B) Sepsis
A patient who has cardiac tamponade will have hypoperfusion of the brain due to a/an:
A) Loss of cardiac afterload
B) Decrease in venous return
C) Irregular heartbeat
D) Ventricular perfusion mismatch
A) Loss of cardiac afterload
The mother of a 2yo male called because she is not able to wake her son tonight. She tells you yesterday his pediatrician diagnosed an ear infection. You should suspect:
A) Anaphylactic reaction
B) Influenza type symptoms
C) Meningitis
D) Febrile seizure
D) Febrile seizure
A 34yo female in her third trimester has blurred vision and is vomiting. She tells you she is expecting her second child. You see dependent edema and facial swelling. Her vital signs are P 108, R 16, BP 168/82. You should suspect:
A) Pulmonary embolism
B) Liver disease
C) Right-sided heart failure
D) Preeclampsia
D) Preeclampsia
Poor ejection from the left ventricle during systole results in:
A) swollen ankles
B) Jugular vein distention
C) Pulmonary edema
D) Hypertension
C) Pulmonary edema
Which of the following patients who have a history of diabetes is most likely hypoglycemic?
A) A 41yo female who was sick and unable to take her insulin
B) A 27yo male who is acting intoxicated and has an odor of liquor on his breath
C) A 21yo female who ate a high-calorie dinner and decreased her exercise habits
D) A 47yo male who took his insulin but could not eat
D) A 47yo male who took his insulin but could not eat
A 56yo male is in respiratory arrest following a head-on car crash while not wearing a seat belt. He has significant facial and torso trauma. You palpate an irregularity to his cervical spine at C-4. You should suspect his arrest is due to:
A) Spinal cord compression above the C-4 level
B) Brainstem injury from head trauma
C) Tension pneumothorax inhibiting chest expansion
D) Rupture of the diaphragm blocking inhalation
A) Spinal cord compression above the C-4 level
A 12yo male tells you he ate peanut butter by mistake. He has audible wheezes and his skin is pale. His pulse is weak and rapid. You should suspect:
A) Distributive shock
B) Respiratory failure
C) Extrinsic asthma
D) Obstructive shock
A) Distributive shock
A 27yo female has completed the second stage of labor and you are ready to cut the umbilical cord. You should cut the cord:
A) After assessing the five minute APGAR score
B) When the placenta separates from the uterus
C) After it stops pulsating
D) When the placenta is delivered
C) After it stops pulsating
An 86 year old female had a syncopal episode at church. When you arrive, she is awake, complains of weakness, nausea, and some abdominal pain. She states, "I felt fine before this happened." You should suspect:
A) Drug interaction
B) Vasodilation
C) Stroke
D) Myocardial infarction
D) Myocardial infarction
A 72yo male is vomiting lare amounts of dark, foul-smelling liquids. He has diffuse, colicky abdominal pain. His skin is cool and clammy. His vital signs are P 112, R 16, BP 108/86, and SpO2 is 94% on room air. You should:
A) Administer oxygen by non-rebreather mask
B) Administer oxygen by nasal cannula
C) Provide supportive care
D) Give sips of sports drinks
B) Administer oxygen by nasal cannula
A stab wound which perforates the stomach will cause:
A) slow, chemical peritonitis
B) Rapid onset of sepsis
C) Slow, bacterial peritonitis
D) Rapid, chemical peritonitis
D) Rapid, chemical peritonitis
A confuse 6yo male fell off a skateboard, striking his chest against a curb. You see irregular chest wall movement. His vital signs are P 108, R 26, BP 96/82, and SpO2 is 88% on room air. You should:
A) Assist his ventilations with a BVM
B) Administer oxygen by non-rebreather mask
C) Use wide tape over the anterior surface of his chest
D) Place a sling and swathe on him to splint his chest
A) Assist his ventilations with a BVM
A 36yo female who is eight months pregnant is experiencing painless vaginal bleeding. You should suspect:
A) Progesterone imbalance
B) Endometrial sloughing
C) Bloody show
D) Placenta previa
D) Placenta previa