1. A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be taken next?
a. Initiate an I
...
1. A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be taken next?
a. Initiate an IV and administer naloxone
b. Supplemental oxygen and suction
c. Obtain a blood glucose level
d. Begin BVM ventilations - correct answer b. Supplemental oxygen and suction
2. Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have what condition?
a. Pulmonary embolism
b. Angina pectoris
c. Angioedema
d. Hypertensive crisis - correct answer a. Pulmonary embolism
3. During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
a. Increase in preload, afterload, and re-absorption of sodium
b. Decrease in preload, afterload, and re-absorption of sodium
c. Hypotension and bradycardia
d. Vasodilation and sodium retention - correct answer a. Increase in preload, afterload, and re-absorption of sodium
4. What clinical findings are most commonly associated with a pulmonary embolus?
a. Clear breath sounds with tachypnea
b. Rhonchi auscultated bilaterally with hypercarbia
c. Crackles heard in the bases with bradycardia
d. Fever, tachycardia, and tachypnea with increased work of breathing - correct answer a. Clear breath sounds with tachypnea
5. What condition is most likely to cause respiratory acidosis?
a. Anxiety/panic attack
b. Narcotic overdose
c. Methanol ingestion
d. Diabetic ketoacidosis - correct answer b. Narcotic overdose
6. A 55-year-old complains of an 'aching' chest discomfort that persists over several days. The patient has a temperature of 101F (38.3C). Which finding will help narrow the diagnosis to pericarditis?
a. Pain is relieved when supine
b. Pulsus alternans is present
c. S3 gallop is auscultated
d. ST-segment elevation in all leads - correct answer d. ST-segment elevation in all leads
7. Anaphylaxis is most associated with which physiological event?
a. Hemorrhage
b. Vasodilation
c. Bradycardia
d. Hypertension - correct answer b. Vasodilation
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