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50 Cards in this Set
- Front
- Back
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A 28 year old female is being evaluate for acute onset of an alteration in mentation She complained of a stiff neck and persistent headache. Vital signs are P112 R 22 and regular BP 144/88, Sp02 95% and T 102.3 F. The healthcare provider should observe for which complication:
a. Sepsis b. Seizure c: Cardiac arrest d. Internal bleeding |
B
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A 45 year old patient if found supine on the floor of the triage area. Healthcare providers note pinpoint pupils, shallow respirators and vomitus in and around the mouth. What course of action should be implemented next?
a. Initiate an IV and administer naloxone b. Supplemental oxygen and suction c. Obtain a blood glucose level d. Begin bag-mark ventilation |
B
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Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition?
a. Pulmonary embolism b. Angina pectoris c. Angioedema dl Hypertensive crisis |
A
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Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?
a. Excessive mucus production b Inflammation of the visceral pleura c. Breakdown of the alveolar-capillary membrane d. Accumulation of fluid between the pleural layers |
C
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An anxious male complains of a sore throat, fever chills, dental pain and dyspnea. The patient has a firm, red pronounced swelling in the sublingual anterior throat area and tongue. What diagnosis is most likely?
a. Croup b. Tonsillitis c. Angioedema d. Ludwig's angina |
D
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Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging. The best treatment for this is:
a. Increase oxygen concentration to 100% b. Increase tidal volume c. Increase respiratory rate d Administer PEEP |
D
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Anaphylaxis is most associated with which physiological event?
a. hemorrhage b Vasodilation c. Bradycardia d. Hypertension |
B
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An elderly patient in an assisted living facility presents with a diminished level of consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a urinary catheter with dark color urine. Vital signs are P132, R 38 and shallow BP 78/46, Sp02 91% and T 100.8 F. What classification of shock is the patient most likely experiencing:?
a. Hypovolemic b. Cardiogenic c. Distributive d. Obstructive |
C
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Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled heart tones. Vita are P128, R 26, BP 74/52. What classification of shock should be suspected?
a. Hypovolemic b. Cardiogenic c. Distributive d Obstructive |
D
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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. Increase in myocardial contractility d. Vasodilation and sodium retention |
A
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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 hypernatremia and hyperkalemia. What underlying diagnosis is suspected?
a. Adrenal insuffieny b. Diabetic ketoacidosis c. hypothyroidism d. Rhabdomyolysis |
A
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Which condition should the healthcare provider consider to usually be a non emergent non-life threatening illness:?
a. Acute coronary syndrome b. Thoracic outlet syndrome c. Esophageal tear d Aortic dissection |
B
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Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which ECG leads?
a. VI, V2 b. V3, V4 c. I aVL d II, III, aVF |
D
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Which is a high risk factor for intracerebral hemorrhage?
a. Marijuana b. Coronary artery spasm c. Bradycardia d. Cocaine drug abuse |
D
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What is the initial treatment for a patient experience Hyperosmolar Hyperglycemic. Non-Ketotic Syndrome (HHNS)?
a. Cystalloid IV fluid resuscitation b Administration of dextrose c. Administration of insulin d Fluid bolus of 5% dextrose in water (D5W) |
A
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What condition is mot likely to cause respiratory acidosis?
a. Anxiety/panic attack b. Narcotic overdose c. Methanol ingestion d. Diabetic ketoacidosis |
B
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What is the most effective treatment for an unconscious patient in respiratory acidosis?
a. Assisted bag-mark ventilation b Sodium bicarbonate c Supportive care d IV fluid bolus |
A
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An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in thyroid hormones is:
a Addison's disease b Myxedema c. Grave's disease d Diabetic ketoacidosis |
C
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Glucagon may not be effective treatment for patient with hypoglycemia if they also have which underlying illness?
a. Alcoholism b. Cholecystitis c. Pancreatitis d Hypothryoidism |
A
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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?
a. Magnesemia b. Hyponatremia c. Hypocalcemia d. Hypokalemia |
B
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What is the sign of the ECG that will indicate a patient is experiencing hyperkalemia?
a Flatten T waves b. Peaked T waves c. Narrowing of QRS complex d. Presence of Osborne wave |
B
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A 82 year old alcoholic complains of nausea, non- bloody vomiting and severe epigastric and right upper quantant pain that radiates to the back. Palpation reveals epigastric tenderness without peritoneal signs. What working diagnosis should be considered most likely?
a. Acute pancreatitis b. Intestinal (bowel) obstructoin c. Peptic ulcer d. Mallory-Weiss Syndrome |
A
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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, R26, BP 144/88, Sp02 90% and T 102. degree F. What treatment should be performed?
a. 12 lead b. Beta blockers c. Initiate stem1 producs d. Suplplemental oxygen and immediate transport |
D
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A patient with suspected gallbladder disease is asked to take a deep breath while the provider presses upward into the upper right quadrant. If the patient ceases inspiration due to increase pain while being examined, this is known as:
a. Cullens' sign b. Rovsing's sing c. Murphy's sign d. Kehr's sign |
C
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The patient is alert and oriented presenting with hypotension, bradycardia, normal capillary refill and warm, dry skin. These are cardinal signs of which type of distributive shock?
a. Anaphylactic b Neurogenic c. Septic d. Toxic shock syndrome |
B
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During what period of the cummiciable disease process will antibodies begint o reach detectable levels and the infected blood will test positive to pathogens?
a. Communicability b. Incubation c. Disease d . Latent |
B
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The patient present with a history of headache, weight loss, chest discomfort, night sweats and a persistent cough for several weeks. Which infecious disease is most likely occurring?
a. Novel H1N1 influenza b. Meningococcal meningitis c. Tuberculosis d. Malaria |
C
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A lethargic patient presents with dilated pupils and vital signs of P122, R 26 and BP 130/80l He admit to excessive ingestion of diphenhydramine. What response is the cause for the presenting signs and symptoms?
a. Sympathomimetic b. Anticholinergic c. Cholinergic d Opioid |
B
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Organophosphate poisoning will present with which signs and symptoms?
a. Dry mucous membranes and shock b. Altered mental status and flushed skin c Euphoria and tachycardia d Salivation and incontinence of urine and liquid stool |
D
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What medication classification should be administered to an uncooperative, agitated patient?
a Opioid b. Nitrate c. Benzodiazepine d. Sympathomimetic |
C
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A patient presents with mildly deceased metal status slow repsiration, bradycardia, hypotension, has a blood sugar of 42 mg/dl (2.3 mmol/L). This is most likely from excessive ingestion of :
a. Calcium channel blockers b. Tricyclic antidrepessants c. Beta blockers d, Sallicyates |
C
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The patient complains of a deep burning discomfort diffusely throughout the epiagastrium. This is an example of which type of pain?
a. Somatic b. Visceral c. Referred d Radiating |
C
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A 24 year old female presents with lower right quadrant adbominal 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?
a. Pancreatitis b. Appendicitis c. Gastroenteritis d. Ectopic pregnancy |
B
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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 degrees F and severe abdominal tenderness. What underlying diagnosis should be suspected?
a. Gastritis b. Pancreatitis c. Diverticulitis d Perforated gastric ulcer |
B
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What component of a patients part medical history is most helpful in considering myocardial infarction as a working diagnosis?
a. Daily intake of an aspirin b. History of CHF c. Recent hip surgery d. Familial heart disease history |
D
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A patient described an "aching "sensation in his chest. It occurred suddenly while resting and radiates to his jaw. He self administers 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?
a. Anterior wall myocardial b Inferior wall myocardial c Costochondritis d Pericarditis |
B
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Healthcare providers are managing a patient presenting with substernal chest discomfort. They describe the pain as "pressure-like" an it radiates to the jaw and left arm. The discomfort subsides with rest, oxygen and administration of nitroglycerin. What is the most likely working diagnosis?
a. Pleurisy b. Angina pectoris c. Myocardial infarction d. Pulmonary embolism |
B
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Which infectious disease must have oxygen present to survive?
a. Tuberculosis b. Lung abscess c. Botulism d. Tetanus |
A
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Which best practices help to prevent the spread of infectious disease?
a. Alcohol based antimicrobial equipment cleaning & hand washing b. Goggles, gown and gloves for all patient contact c. Facial protection & gloves for all patient contact d. hand washing before & after all patient contact & standard precautions |
A
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Continuous positive airway pressure would be most appropriate in treating which patient?
a. 43 year old with decreased level of consciousness with respiratory difficulty b. 22 year old with severe asthma and not responding to nebulizer treatments c. 38 year old with carpal pedal spasms, clear lung sounds and respirations 40 times per minute d. 55 year old with jugular vein distention and BP 90/60 |
B
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A patient has attempted suicide boy ingesting ethylene glycol about 20 hours prior to arriving for treatment. Lung sounds reveal bilateral crackles & respiration of 30 with symptoms of pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage of ethylene glycol poisoning has occurred?
a. 1 b. 2 c. 3 d. 4 |
B
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A patient with a history of Grave's disease present with anxiety profuse sweating and a palpable goiter Vitals are P 151, R 35, and labored, BP 84/42. Which working diagnosis is most likely?
a. Myxedema b. Cocaine toxicity c. Thyrotoxicosis d. Diabetes insipidus |
C
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A patient experiences unilateral facial weakness & 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?
a Meningitis b Bell's palsy c. Ischemic stroke d. Hemorrhage stroke |
B
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Which component of the history is most crucial when assessing a potential stroke patient?
a. Time of onset b. Last oral intake c. Medication allergies d. Familial risk factors |
A
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The determination of a working diagnosis is dependent on the provider's assessment. critical thinking and __________________ __________________ skills.
a. Pattern recognition b. Written documentation c. Radio communication d. Treatment intervention |
A
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When performing a patient assessment, what information provides the most essential information in determining a working diagnosis?
a. Ordering and correctly interpreting all diagnostic information b. A thorough head to toe examination on all patients c. Obtaining information from bystanders d. Medical History |
D
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Clinical reasoning requires the healthcare provider to:
a. Adequately communicate to peers regarding evidence-based practice b. Order and interpret diagnostic testing results c. Adequately perform a physical assessment d Process RELEVANT information, filter out IRRELEVANT information |
D
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According to the AMLS Assessment Pathway, determining whether a patient is "SICK or NOT sick" is initially done which component of the assessment process?
a. Detailed assessment b. First impression c. Initial observation d. Ongoing management |
B
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Select an example of a communication barrier that impairs an efficient and thorough assessment process:
a. The patient speaks clearly and is shy b. The patient's family is present in the home c. You and your patient communicate fluently in the Spanish language. d. The patient can't find his hearing aid |
D
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Healthcare providers are treating an unresponsive patient who overdosed on Lorazepam. What intervention should be initiated?
a. Airway support b. Administration of Naloxone c. Gather a SAMPLE history d. Supplemental oxygen with nasal cannula |
A
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