A 23 year old male complains of a productive cough, fever, chills and pleuritic chest pain that
has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow
respirations. Vitals are P 128, R 26, B
...
A 23 year old male complains of a productive cough, fever, chills and pleuritic chest pain that
has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow
respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102°F (38.8°C). What
treatment should be performed? Correct Answer: Supplemental oxygen and immediate transport
A 24 year old female presents with lower right quadrant abdominal pain. Her skin is hot to the
touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What
diagnosis is suspected? Correct Answer: Appendicitis
A 24 year old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance should the healthcare provider most
likely suspect? Correct Answer: hyponatremia
A 28 year old female is being evaluated for an acute onset of an alteration in mentation. She
complained of a stiff neck and persistent headache. Vital signs are P112, R22 and regular, BP
144/88, SpO2 95% and T 102.3°F (39°C). The healthcare provider should observe for which
complication? Correct Answer: seizure
A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the
past two weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight
loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is
suspected? Correct Answer: adrenal insufficiency
A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note
pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of
action should be implemented next? Correct Answer: supplemental oxygen and suction
A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea and
blood-streaked emesis. The patient has a temperature of 101.9°F (38.8°C) and severe abdominal
tenderness. What underlying diagnosis should be suspected? Correct Answer: pancreatitis
A lethargic patient presents with dilated pupils and vital signs of P 122, R 26 and BP 130/80. He
admits to excessive ingestion of diphenhydramine. What response is the cause for the presenting
signs and symptoms? Correct Answer: anticholinergic
A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and
radiates to the jaw. He self administered 1 nitroglycerin tablet without relief and the 12 lead
reveals a normal sinus rhythm with ST elevation in leads II, III, and aVF. What working
diagnosis is most likely? Correct Answer: inferior wall myocardial infarctions
A patient experiences unilateral facial weakness and droop, garbled speech, altered sense of taste
and no extremity weakness. The patient has a history of Lyme's disease. What condition is the
patient likely experiencing? Correct Answer: Bell's palsy
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