Medical Emergencies

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A RED, TENDER LULMKP INTGHE EYELID OR AT THE LID MARGIN IS CALLED?

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HORDEOLUM ( STYE)

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A PATIENT WHO IS TAKING AVENTYL

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IS BEING TREATED FOR SEVERE DEPRESSION

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METABOLIC CAUSES OF ABNORMAL BEHAVIOR INCLUDE:

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ELECTROLYTE IMBALANCE, HYPOGLYCEMIA, DKA

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WHICH OF THE FOLLOWING CONDITIONS HAS BEEN ASSOCATED WITH DEATH FOLLOWING EXPOSURE TO A TASER DEVICE?

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DRUG OVERDOES SYNDROME, EXCITED DELIRIUM, ACUTE PSYCHIATRIC DECOMPENSATION, HYPOGLYCEMIA, HEATSTROKE, HEPATOENCHPALAPOTHY, SEIZURE DISORDER, DEMENTIA, ENCEPHALITIS.

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________________ FORMS THE PRINICIPAL MASS OF THE TOOTH AND IS MUCH DENSER AND STRONGER THAN BONE

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DENTIN

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IN CONTRAST TO DEMENTIA, DELIRIUM:

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DELIRIUM HAS AN ACUTE ONSET, DEMINITIA HAS A CHRONIC ONSET

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ORGANIC BRAIN SYNDROME IS A TERM USED TO DESCRIBE A CONDITION IN WHICH A PERSON'S ABNORMAL BEHAVIOR IS:

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CAUSED BY BIOLOGIC OR ORGANIC INFLUENCES THAT INTERFERE WITH NORMAL CEREBRAL FUNCTION

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PARALYSIS OF CRANIAL NERVE _______ CAN CAUSE UNILATERAL FACIAL AND GAG REFLEX PARALYSIS

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7

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YOU WOULD MOST LIKELY ENCOUNTER ORAL CANDIDIASIS IN A PATIENT:

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HIV/AIDS PATIENTS, CANDER PATIENTS, DIABETICS, AND PATIENTS WITH VAGINAL YEAST ( DIP PATEL) BABIES, PATIENTS WITH COMPROMISED IMMUNE SYSTEMS, PATIENTS WHO WEAR DENTURES, PATIENTS WHO USE INHALED CORTICOSTEROIDS.

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AN ACUTE DYSTONIC REACTION IS CHARACTERIZED BY:

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PATIENT DEVELOPS MUSCLE SPASM OF THE NECK, FACE & BACK WITHIN A FEW DAYS OF STARTING TREATMENT WITH AN ANTIPSYCHOTIC DRUG

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WHAT IS THE PATHOPHYSIOLOGY OF MENIERE DISEASE?

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INNER EAR DISEASE WHICH ENDOLYMPHATIC RUPTURE CREATES INCREASED PRESSURE IN THE COCHLEAR DUCT WHICH THEN LEADS TO DAMAGE OF THE ORGAN OF CORTI AND THE SEMICOLUAR CANAL

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YOU ARE ASSESSING A MAN WHO WAS BOXING WITH HIS FRIEND. HE COMPLAINS OF SEEING FLASHING LIGHTS AND "FLOATERS" IN HIS FIELD OF VISION. THE MOST IMPORTANT INTERVENTION IS:

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RETINAL DETACHMENT AND DEFECT

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WHEN EXTREME ANXIETY OCCURS IN CONJUNCTION WITH RESTLESSNESS, A PATIENT:

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??????

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AN AGITATED MAN WITH AN ANTISOCIAL PERSONALITY:

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WILL NOT HESITATE TO HURT YOU

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A 4 YEAR OLD CHILD PRESENTS WITH A DEEP "CROUP-LIKE" COUGH, DIFFICULTY BREATING AND A HIGH FEVER. YOU SHOULD SUSPECT:

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TRACHEITIS

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WHICH OF THE FOLOWING STATMENTS REGARDING VITREOUS HUMOR IS CORRECT?

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JELLY LIKE SUBSTANCE, IT WILL NOT REPLACE ITSELF IF LOST, GIVES FORM TO THE EYE

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WHEN PAINFUL MEMORIES ARE REPRESSED, ________________ IS IMPAIRED

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MEMORY

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WHAT IS A COMPLICATION ASSOCIATED WITH DYSFUNCTION OF CRANIAL NERVES VI, VII, IX, AND XII?

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SWALLOWING IS CONTROLED BY THOSE NERVES. STROKE OR TRAUMA CAN AFFECT THOSE NERVES

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WHEN CONFRONTED WITH A FEARED OBJECT OR SITUATION, THE PHOBIC PERSON:

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EXPRESSES INTOLERABLE ANXIETY AND ALL THE AUTONOMIC SYMPTOMS THAT ANXIETY BRINGS

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WHICH OF THE FOLLOWING STRUCTURES RECEIVES LIGHT IMPULSES AND CONVERTS THEM TO NERVE SIGNALS THAT THEY ARE CONDUCTED TO THE BRAIN BY THE OPTIC NERVE AND INTERPRETED AS VISION?

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RETINA

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IF A PSYCHOTIC PERSON'S LEVEL OF CONSCIOUSNESS IS FLUCTUATING, YOU SHOULD:

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?????

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RETINAL DETACHMENT IS ESPECIALLY COMMON IN:

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SPORT INJURIES, ESPECIALLY BOXING

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UNLIKE A PERSON WITH BULIMA NERVOSA, A PERSON WITH ANOREXIA NERVOSA:

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UNSUCCESSFUL IN LOSING WEIGHT

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WHICH OF THE FOLLOWING STEPS OF CARING FOR A PATIENT WITH A PSYCHIATRIC EMERGENCY WOULD MOST LIKELY GIVE THE PATIENT THE FEELING THAT SOMETHING IS BEING DONE TO HELP?

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DEVELOP A PLAN OF ACTION

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WITHIN THE COCHLEA, AT THE________________________, VIBRATION STIMULATES HAIR MOVEMETNS THAT FORM NERVE IMPULSES THAT TRAVEL TO THE BRAIN VIA THE AUDITORY NERVE.

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ORGAN OF CORTI

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A DISTORED SENSE OF SMELL IN WHICH A PERSON PRECEIVES UNPLEASANT ODORS WHEN THE ODORS DO NOT EXIST IS CALLED?

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DYSOMIA

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VENLAFAXINE IS THE GENERIC NAME FOR:

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EFFEXOR

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WHAT PART OF THE EYE IS MOST COMMONLY INJURED FOLLOWING A THERMAL BURN?

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EYELIDS

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MANIC PATIENTS MAY REPORT THAT THEIR THOUGHTS ARE RACING AND THEY MAY RAPIDLY SKIP FROM ONE TOPIC TO ANOTHER, THIS IS CALLED:

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TANGENTIAL THINKING

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PSYCHOMOTOR ABNORMALITIES ASSOCIATED WITH DERPRESSION INCLUDE:

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SEEMS TO DO THINGS IN SLOW MOTION, PACING, WRINGING THEIR HANDS, PICKING THEMSELVES.

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THE BEST EXAMPLE OF AN INPULSE CONTROL DISORDER IS:

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INTERMITTEN EXPLOSIVE DISORDER, KLEPTOMANIC, PYROMANIAC, PATHOLOGICAL GAMBLER

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You are dispatched to a skilled nurings care facility for a 74 year old male. During your assesment, you note that the patient has his head cocked to the side and is unable to move it. the charge nurse tells you that the patient was placed on Seroquel 2 days ago. base on this patients clinical presentation and medication history, you should

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give 25-50 mg of benedryl for acute dystonic reaction

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A PATIENT WHO IS CONFUSED:

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MAY NEED TO BE TOLD THINGS MULTIPLE TIMES AS WELL AS BE REASSURED

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WHAT WORD WOULD MOST LIKELY DE-ESCALATE THE SYMPTOMS OF A PANIC ATTACK TO A MORE MANAGEABLE LEVEL?

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THE WORD "SAFE"

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SIGNS AND SYMPTOMS OF A RUPTURED TYMPANIC MEMBRANE INCLUDE:

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LOSS OF HEARING, BLOOD DRAINAGE FROM THE EAR, PAIN

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A PATIENT WITH A LOSS OF PERIPHERAL VISION IS MOST LIKELY HAS DAMAGE TOTHE:

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NON CENTRAL PORTION OF THE RETINA

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THE _______, also called the eyeball, is a spherical structure measuring about 1 inch in diameter

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globe

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PEOPLE WHO ARE OVERLY CONCERNED WITH THEIR PHYSICAL HEALTH AND APPEARANCE MOST LIKE HAVE A (n):

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somatoform disorder

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FEVER, HOARSENESS, AND SWOLLEN LYMPH NODES IN THE NECK ARE CONMON CLINICAL SIGNS OF:

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LARYNGITIS

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A SMALL PERCENTAGE OF CLINICALLY DEPRESSED PATIENT:

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ATTEMPT SUICIDE

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IN CONTRAST TO THE OCULOMOTOR NERVE, THE OPTIC NERVE:

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OCULOMOTOR - THIRD CRANIAL NERVE - MOVES EYEBALLS & CONTROLS PUPILS AND LENS' OPTIC - SECOND CRANIAL NERVE - PROVIDES SENSE OF VISION

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WHAT'S A SITUATION IS THE MORGAN LENS NOT APPROPRIATE TO USE:

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IMBEDDED OR IMPALED OBJECTS IN THE EYE

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AT A MINIMUM, YOU SHOULD BE ABLE TO ASSESS AN EMOTIONALLY DISTURBED PATIENT'S:

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GENERAL APPEARANCE

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YOU ARE ASSESSING A MIDDLE AGED WOMAN WHO IS ACUTELY DISORIENTED. ACCORDING TO HER HUSBAND, SHE HAS BIPOLAR DISORDER AND, TO THE BEST OF HIS KNOWLEDGE, HAS BEEN COMPLIANT WITH HER MEDICATION. HER BLOOD PRESSURE IS 106/66 mm Hg. pulse rate is 100 beats/min and strong, and RESPIRATION are 14 breaths/min and regular. DURING YOUR CARE OF THIS PATIENT, IT IS MOST IMPORTANT TO:

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KEEP ORIENTING THE PATIENT TO TIME, PLACEE AND PEOPLE IN THE ENVIRONMENT

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THE ONLY INDICATION FOR REMOVING CONTACT LENSES IN THE PREHOSPITAL SETTING IS:

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CHEMICAL BURNS OF THE EYE

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IN DARK SKINNED PATIENTS, CYANOSIS CAN BE DETECTED IN THE:

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LIPS

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THE BEST WAY TO ENSURE THAT NO ONE IS HARMED DURING AN EMS CALL IS TO:

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TAKE PREVENTATIVE ACTION. ALSO, ASSESS THE SCENE CAREFULLY, BE READY TO CALL THE POLICE OR WAIT UNTIL THE POLICE HAVE CLEARED THE SCENE BEFORE ENTERING.

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A CONFUSED, BEDRIDDEN RESIDENT IN A SKILLED NURSING FACILITY WHO TELLS YOU THAT HE OR SHE COOKS DINNER FOR THE OTHER RESIDENTS EACH NIGHT:

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CONFABULATION

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YOU RECEIVE A CALL TO AN APT COMPLEX FOR A PATIENT WITH AN UNKNOWN BEHAVIORAL PROBLEM. THE SCENE HAS BEEN SECURED BY LAW ENFORCMEENT PRIOR TO YOUR ARRIVAL. THE PATIENT, A 39 YEAR OLD MAN, APPEARS VERY ANXIOUS AND WORRIED. HE TELLS YOU THAT HE HAS OBSESSIVE COMPULSIVE DISORDER AND STOPPED TAKING HIS PRESCRIBED MEDICATION A WEEK AGO BECAUSE HE DIDNT NOT LIKE ITS SIDE EFFECTS. HE TELLS YOU THAT HE HAS HAD FLEETING THOUGHTS OF SUICIDE, BUT DENIES HOMICIDAL THOUGHTS. YOU SHOULD:

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DO NOT LEAVE THE PATIENT ALONE; COLLECT IMPLEMENTS; ACKNOWLEDGE PATIENTS FEELINGS, ENCOURAGE TRANSPORT

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A 55 YEAR OLD FEMALE COMPLAINS OF SEVERE VERTIGO, TINNITUS, NAUSEA, AND A SENSE OF FULLNESS IN HER RIGHT EAR . YOU SHOULD:

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MENIERE DISEASE

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A CHEMISTRY STUDENT ACCIDENTALLY SPLASHES A STRONG ACID CHEMICAL INTO HIS EYES. HE WEARS RIGID GAS-PERMEABLE CONTACT LENSES AND IS EXPERIENCING INTENSE PAIN. YOU SHOULD:

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WET THIS TIP OF A SMALL SUCTION CUP WITH NORMAL SALINE AND REMOVE THE CONTACT USING THE SUCTION CUP

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AQUEOUS HUMOR:

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A CLEAR WATERY FLUID IN THE ANTERIOR CHAMBER OF THE EYE; IT WILL GRADUALLY REPLENISH IF LOST

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THE MOST IMPORTANT ASPECT IN THE CARE OF A PATIENT WHO IS AT RISK FOR SUICIDE IS:

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EVERY PATIENT MUST BE EVALUATED FOR SUICIDE RISK

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A MAN WHO WAS USING AN ARC WELDER WITHOUT EYE PROTECTION PRESENTS WITH BILATERAL EYE PAIN AND DIMINISHED VISION. HE IS CONSCIOUS AND ALERT HAS A PATENT AIRWAY AND HAS STABLE VITAL SIGN. TREATMENT SHOULD INCLUDE:

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COVER EYE WITH A MOIST STERILE DESSING AN EYE SHIELD

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what are ways that certain psychiatric conditions may present themselves
;

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disorder fo consciousness, motor activity speech, thought, affect, memory, orientation and perception

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THE ____________ NERVE PROVIDES MOTOR FUINCTION TO THE MUSCLES OF THE TONGUE

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HYPOGLOSSAL

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DETECTING DISORDERS OF PERCEPTION IS OFTEN DIFFICULT BECAUSE:

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PATIENTS OFTEN HESTIATE TO ANSWER DIRECT QUESTONS ABOUT HALLUCINATIONS OR ILLUSIONS

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A MAN WHO SMILES PLEASANTLY WHEN HE TELLS YOU OF THE RECENT DEATH OF HIS WIFE:

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??????

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ALMOST ALL DISORIENTED BEHAVIOR;

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ARE ORGANIC IN NATURE, AS OPPOSED TO PHYCHOSIS

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TREATMENT FOR MENIER DISEASE INCLUDES:

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PREHOSPITAL ASSESSMENT IS NOT LIKELY.

PREHOSPITAL CARE INCLUDES TREATING NAUSEA AND VOMITING. PHYSICANS MAY TREAT WITH DIURETICS AND ANTIEMETIC

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WHEN EVALUATING A PATIENT WTH A BEHAVIORAL EMERGENCY, VIRTUALLY ALL OF THE DIAGNOSTIC INFORMATION YOU OBTAIN MUST COME FROM:

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THE PARAMEDICS THOUGHTS, PERCEPTIONS AND FEELINGS

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GLAUCOMA IS A CONDITION CAUSED BY:

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A GROUP OF CONDITIONS THAT LEAD TO INCREASED INTRAOCULAR PRESSURE

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ALKALI OR STRONG ACID BURNS TO THE EYE SHOULD BE IRRIGATED FOR AT LEAST _______ MINUTES

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20

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A 41 YEAR OLD WOMAN ATTEMPTED TO KILL HERSELF BY CUTTING HER WRIST. LAW ENFORCEMENT PERSONNEL ARE AT THE SCENE. YOU HAVE CONTOLLED THE BLEEDING WITH DIRECT PRESSURE AND A PRESSURE BANDAGE. THE PATIENTS VITAL SIGNS ARE STABLE AND SHE IS CONSCIOUS AND ALERT; HOWEVER, SHE REFUSED TO GO TO THE HOSPITAL. DESPITE PLEAS FROM HER FAMILY TO GO TO THE HOSPITAL, SHE STILL REFUSES YOU SHOULD:

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FOLLOW LOCAL PROTOCOL; PD AND THE LOCAL MENTAL HEALTH PHYSICAN CAN REQUIRE A PATIENT TO GO WITHOUT PATIENT CONSENT

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ANY PATIENT WHO IS EXPERIENCING A PANIC ATTACK:

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SHOULD BE FULLY EVALUATED IN THE HOSPITAL

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SYSTEMIC SIGNS OF A DENTAL ABSCESS INCLUDE:

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FEVERS, CHILLS, NAUSEA, VOMITING

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WHICH CRANIAL NERVE PROCESS TASTE SENSATION TO THE POSTERIOR PORTIONS OF THE TONGUE AND CARRIES PARASYMPATHETIC FIBERS TO THE SALIVARY GLANDS?

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GLOSSOPHARYNGEAL