Diabeetus
Take a Deep Breath
AEIOUTIPS
Everything is edible once
Achey Breaks
100
A hormone called insulin is secreted by the:
A) islets of Langerhans in the liver.
B) gallbladder found in the pancreas.
C) islets of Langerhans in the pancreas.
D) None of the above.
C) CORRECT. Within the pancreas, specialized clusters of cells called the islets of Langerhans secrete insulin.
100
Which of the following does not occur during inspiration?
A) Intercostal muscles contract.
B) Chest cavity increases in size.
C) Diaphragm lowers.
D) Diaphragm relaxes.
D) CORRECT. The diaphragm does not relax during inspiration; it contracts to expand the size of the chest cavity
100
Your patient is a 80 YOF presenting with sudden onset left sided facial drooping and slurred speech. You suspect the PT is suffering from:
A) a stroke B) an acute myocardial infarction
C) a pulmonary embolism D) a diabetic emergency
A) a stroke
100
Which of the following effects may occur due to chronic abuse of alcohol?
A) Abnormal blood sugar levels
B) Poor nutrition
C) Potential for gastrointestinal bleeding
D) All of the above
D) All of the above
100
Which of the following may be a sign or symptom of a problem with the heart?
A) Chest discomfort
B) Fainting or near fainting
C) Nausea, with or without vomiting
D) All of the above
D) All the above
200
Which of the following is the role of glucose in the body?
A) It assists the pancreas in the manufacture of insulin.
B) It provides energy for brain cells and other cells in the body.
C) It allows the body to use insulin.
D) It is an essential building block for body tissues, such as muscle and bone
B) It provides energy for brain cells and other cells in the body.
200
Which of the following best defines inadequate breathing?
A) Wheezing noises when breathing
B) Breathing that is insufficient to sustain life
C) Breathing slower than normal
D) Breathing faster than normal
B) Breathing that is insufficient to sustain life
200
Select all of the following statements that are true:
a) patients with a hemorrhagic stroke often describe a "thunder clap" headache
b) most strokes are ischemic strokes
c) you should administer aspirin if you suspect an ischemic stroke
d) symptoms of a TIA resolve within 24 hours
A, B, D
Never give aspirin to stroke patients!
200
Most cases of accidental poisoning involve which of the following?
A) Infants
B) Adults
C) Adolescents
D) Young children
D) Young Children
200
You are on-scene with a 48-year-old unresponsive male patient. Bystanders state he complained of chest pain and then suddenly collapsed. Vital signs are blood pressure 68/42, pulse 36, and respiratory rate 3. He is unresponsive to painful stimuli. After performing the primary assessment and treating all life threats, what is your next intervention?
A) Insert an oral airway.
B) Administer high-concentration oxygen at 15 lpm by bag-valve mask.
C) Package the patient for rapid transport.
D) Apply the AED
C) CORRECT. The patient has systolic blood pressure below 90 to 100. The best action for this patient is rapid transport to the closest appropriate facility.
300
Which of the following is an action of insulin?
A) It assists the transfer of sugar from the stomach and small intestine to the bloodstream.
B) It helps the movement of sugar from the bloodstream to the cell.
C) It increases the circulating level of glucose in the blood.
D) It blocks the uptake of sugar by the body's cells.
B) It helps the movement of sugar from the bloodstream to the cell.
300
While assessing the airway of a pediatric patient, you will notice that it is different than that of an adult. Which of the following is one of those differences?
A) The cricoid cartilage is less developed, reducing the possibility that it can be completely occluded.
B) The tongue is smaller, taking up less room in the mouth and allowing larger objects to occlude the airway.
C) The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed.
D) The chest wall is softer, making it easier for the chest to expand.
C) CORRECT. A pediatric patient's trachea is softer and more flexible than that of an adult, making proper airway positioning critical; bending the pediatric trachea too much can result in collapse and will obstruct breathing.
300
Write out the Cincinnati Prehospital Stroke Scale/Test.
Facial Droop
Arm Drift/weakness
Speech slurred/aphasia
Time last known normal
Bonus 50 Pts: what other two symptoms have recently been added by the American Stroke Association?
300
You have just arrived on the scene of an agricultural business and see three men coming out of a building, choking and holding their heads. One of the men tells you there are two workers still inside. What should you do next?
A) Call for properly trained assistance and stay a safe distance away from the scene.
B) Cover your nose and mouth with a wet towel and check on the status of the two workers inside the building.
C) Get the assistance of the men who made it out of the building to prevent delay in finding the workers inside.
D) Evaluate the three men and administer high-concentration oxygen, then help them get a safe distance away from the scene.
A) call for backup and run away
300
Assuming your protocol allows the administration of nitroglycerin when certain conditions exist, what is the maximum number of tablets to be administered in the prehospital setting?
3
400
What are symptoms of hyperglycemia that differ from those of hypoglycemia?
High BGL
Fruity odor on breath
Increased urination
Dehydration
Slow onset
400
What is the normal respiratory rate for a two year old child?
24-40 breaths per min
400
A 17 year old patient has had multiple tonic-clonic seizures without becoming conscious in between. Their state would best be defined as:
a) epilepsy
b) status epilepticus
c) gran mal
d) a bad day
b) Status Epilepticus
400
It is a chilly fall morning and you are called to an RV campground for three patients who are complaining of headache, dizziness, and nausea. Your primary assessment reveals that they are cyanotic and have an altered mental status. You suspect:
A) snake bite.
B) bee sting.
C) food poisoning.
D) carbon monoxide poisoning.
D) CO poisoning
400
What stimulates a mechanical contraction of the cells of the heart, creating a mechanical squeeze used to push blood?
A) Left ventricle
B) Right ventricle
C) Left and right atria
D) Electrical energy
D) CORRECT. In the cardiac conduction system, an electrical charge is created, and this energy is passed from cell to cell along a specialized pathway. As energy is distributed along this pathway, it spreads to all the cells of the heart and, if conditions are correct, this energy stimulates a mechanical contraction of those cells that creates the mechanical squeeze used to push blood.
Page Ref: 556-557
500
When someone is experiencing hypoglycemia, the body attempts to compensate by using the fight-or-flight mechanism of the autonomic nervous system. Which of the following is NOT one of the fight-or-flight responses?
A) Blood vessels constrict.
B) The heart pumps faster.
C) Breathing accelerates.
D) The skin is hot and dry.
D) CORRECT. The autonomic fight-or-flight response to low blood sugar will make the patient's skin pale and sweaty.
500
Your patient is a 24-year-old woman with asthma who is struggling to breathe and is very agitated. She has cyanosis of her lips and nail beds, and is cool and clammy to the touch. When you attempt to assist her ventilations with a bag-valve mask device, she becomes combative and repeatedly pushes the mask away from her face. Which of the following is the best option?
A) Use a nasal cannula to administer supplemental oxygen.
B) Have your partner restrain the patient's hands so that you can ventilate her.
C) Begin transport immediately and contact medical control for advice.
D) Wait for the patient's level of consciousness to decrease so that she can no longer resist your attempts to ventilate.
C) CORRECT. In the rare circumstance when a patient with inadequate breathing is conscious enough to fight artificial ventilation, transport immediately and consult medical direction.
500
A patient who demonstrates any one of three symptoms from the Cincinnati Prehospital Stroke Scale as a(n) _ % chance of having an acute stroke.
A) 60 B) 80 C)70 D)50
C) 70%
500
Your patient is a 7-year-old male who ate an unknown type of mushroom on a dare by his friends. Which of the following questions should you ask? Select all that apply
A) When did you eat the mushroom?
B) Are there any more of the mushrooms?
C) Why did you eat the mushroom?
D) How much did you eat?
A, B, D
500
Draw and label the heart with the route that blood flows through it.
