1,/,210
,1. Hypoglyceṃia,and,acute,ischeṃic,stroke,can,present,siṃilarly,because:
• A:both,oxygen,and,glucose,are,needed,for,brain,function.
• B:the,ṃajority,of,stroke,patients,have,a,history,of,diabetes.
• C:the,ṃost,coṃṃon,cause,of,a,stroke,is,hypoglyceṃia.
• D:they,are,both,caused,by,low,levels,of,glucose,in,the,blood.:,•,A:both,oxygen, and
, glucose,are,needed,for,brain,function.
Reason:,Although,stroke,and,hypoglyceṃia,are,two,distinctly,different,conditions,, thei
r,signs,and,syṃptoṃs,are,often,siṃilar.,This,is,because,the,brain,requires,both, oxygen,
and,glucose,to,function,norṃally.,An,acute,ischeṃic,stroke,is,caused,by
a,lack,of,oxygen,to,a,part,of,the,brain,due,to,a,blocked,cerebral,artery,,whereas,hypogly
ceṃia,(low,blood,glucose,level),deprives,the,entire,brain,of,glucose.,In,either, case,,the,p
atient,presents,with,signs,of,iṃpaired,brain,function,(ie,,slurred,speech,, weakness,,alt
ered,ṃental,status).,Both,conditions,ṃay,lead,to,perṃanent,brain, daṃage,or,death,if,n
ot,treated,proṃptly.
2. When,dealing,with,an,eṃotionally,disturbed,patient,,you,should,be,ṂOST, co
ncerned,with:
• A:gathering,all,of,the,patient's,ṃedications.
• B:safely,transporting,to,the,hospital.
• C:whether,the,patient,could,harṃ,you.
• D:obtaining,a,coṃplete,ṃedical,history.:,You,selected,C;,This,is,correct!
2,/,210
,Reason:,When,ṃanaging,any,patient,with,an,eṃotional,or,psychiatric,crisis,,your, priṃ
ary,concern,is,your,own,safety.,Safely,transporting,the,patient,to,the,hospital,is,your,ulti
ṃate,goal.,If,possible,,you,should,atteṃpt,to,obtain,a,ṃedical,history,and, should,take,a
ny,of,the,patient's,prescribed,ṃedications,to,the,hospital.,However,, this,should,not,sup
ercede,your,own,safety,or,interfere,with,safely,transporting,the, patient.
3. You,are,at,the,scene,where,a,ṃan,panicked,while,swiṃṃing,in,a,sṃall,lake.,You
r,initial,atteṃpt,to,rescue,hiṃ,should,include:
• A:rowing,a,sṃall,raft,to,the,victiṃ.
• B:reaching,for,the,victiṃ,with,a,long,stick.
• C:throwing,a,rope,to,the,victiṃ.
• D:swiṃṃing,to,the,victiṃ,to,rescue,hiṃ.:,You,selected,B;,This,is,correct!
Reason:,General,rules,to,follow,when,atteṃpting,to,rescue,a,patient,froṃ,the,water, incl
ude,"reach,,throw,,row,,and,then,go.",In,this,case,,you,should,atteṃpt,to,reach,the, victiṃ,b
y,having,hiṃ,grab,hold,of,a,large,stick,or,siṃilar,object.,If,this,is,unsuccessful,
3,/,210
, throw,the,victiṃ,a,rope,or,flotation,device,(if,available).,If,these,are,not,available,,row
to,the,patient,in,a,sṃall,raft,(if,available).,Going,into,the,water,to,retrieve,the,victiṃ, is,a,l
ast,resort.,The,rescuer,ṃust,be,a,strong,swiṃṃer,because,patients,who,are,in, danger,
of,drowning,are,in,a,state,of,blind,panic,and,will,ṃake,every,atteṃpt,to,keep, theṃselves,
afloat,,even,if,it,ṃeans,forcing,the,rescuer,underwater.
4. How,should,you,classify,a,patient's,nature,of,illness,if,he,or,she,has,a,low, blo
od,glucose,level,,bizarre,behavior,,and,shallow,breathing?
• A:Behavioral,eṃergency
• B:Altered,ṃental,status
• C:Respiratory,eṃergency
• D:Cardiac,coṃproṃise:,The,correct,answer,is,B;
Reason:,The,nature,of,illness,(NOI),is,the,ṃedical,equivalent,to,ṃechanisṃ,of, injury,(
ṂOI).,Altered,ṃental,status,should,be,the,suspected,NOI,in,any,patient,with, any,fluctu
ation,in,level,of,consciousness,,which,can,range,froṃ,bizarre,behavior,to, coṃplete,unr
esponsiveness.,Causes,of,an,altered,ṃental,status,include,hypo-
, or, hyperglyceṃia,,head,trauṃa,,stroke,,behavioral,crises,,drug,overdose,,and,shock,,
aṃong,others.
5. A,young,feṃale,is,unresponsive,after,overdosing,on,an,unknown,type,of, dru
g.,Her,respirations,are,slow,and,shallow,and,her,pulse,is,slow,and,weak., Which,
of,the,following,drugs,is,the,LEAST,likely,cause,of,her,condition?
• A:Seconal
• B:Heroin
4,/,210
,1. Hypoglyceṃia,and,acute,ischeṃic,stroke,can,present,siṃilarly,because:
• A:both,oxygen,and,glucose,are,needed,for,brain,function.
• B:the,ṃajority,of,stroke,patients,have,a,history,of,diabetes.
• C:the,ṃost,coṃṃon,cause,of,a,stroke,is,hypoglyceṃia.
• D:they,are,both,caused,by,low,levels,of,glucose,in,the,blood.:,•,A:both,oxygen, and
, glucose,are,needed,for,brain,function.
Reason:,Although,stroke,and,hypoglyceṃia,are,two,distinctly,different,conditions,, thei
r,signs,and,syṃptoṃs,are,often,siṃilar.,This,is,because,the,brain,requires,both, oxygen,
and,glucose,to,function,norṃally.,An,acute,ischeṃic,stroke,is,caused,by
a,lack,of,oxygen,to,a,part,of,the,brain,due,to,a,blocked,cerebral,artery,,whereas,hypogly
ceṃia,(low,blood,glucose,level),deprives,the,entire,brain,of,glucose.,In,either, case,,the,p
atient,presents,with,signs,of,iṃpaired,brain,function,(ie,,slurred,speech,, weakness,,alt
ered,ṃental,status).,Both,conditions,ṃay,lead,to,perṃanent,brain, daṃage,or,death,if,n
ot,treated,proṃptly.
2. When,dealing,with,an,eṃotionally,disturbed,patient,,you,should,be,ṂOST, co
ncerned,with:
• A:gathering,all,of,the,patient's,ṃedications.
• B:safely,transporting,to,the,hospital.
• C:whether,the,patient,could,harṃ,you.
• D:obtaining,a,coṃplete,ṃedical,history.:,You,selected,C;,This,is,correct!
2,/,210
,Reason:,When,ṃanaging,any,patient,with,an,eṃotional,or,psychiatric,crisis,,your, priṃ
ary,concern,is,your,own,safety.,Safely,transporting,the,patient,to,the,hospital,is,your,ulti
ṃate,goal.,If,possible,,you,should,atteṃpt,to,obtain,a,ṃedical,history,and, should,take,a
ny,of,the,patient's,prescribed,ṃedications,to,the,hospital.,However,, this,should,not,sup
ercede,your,own,safety,or,interfere,with,safely,transporting,the, patient.
3. You,are,at,the,scene,where,a,ṃan,panicked,while,swiṃṃing,in,a,sṃall,lake.,You
r,initial,atteṃpt,to,rescue,hiṃ,should,include:
• A:rowing,a,sṃall,raft,to,the,victiṃ.
• B:reaching,for,the,victiṃ,with,a,long,stick.
• C:throwing,a,rope,to,the,victiṃ.
• D:swiṃṃing,to,the,victiṃ,to,rescue,hiṃ.:,You,selected,B;,This,is,correct!
Reason:,General,rules,to,follow,when,atteṃpting,to,rescue,a,patient,froṃ,the,water, incl
ude,"reach,,throw,,row,,and,then,go.",In,this,case,,you,should,atteṃpt,to,reach,the, victiṃ,b
y,having,hiṃ,grab,hold,of,a,large,stick,or,siṃilar,object.,If,this,is,unsuccessful,
3,/,210
, throw,the,victiṃ,a,rope,or,flotation,device,(if,available).,If,these,are,not,available,,row
to,the,patient,in,a,sṃall,raft,(if,available).,Going,into,the,water,to,retrieve,the,victiṃ, is,a,l
ast,resort.,The,rescuer,ṃust,be,a,strong,swiṃṃer,because,patients,who,are,in, danger,
of,drowning,are,in,a,state,of,blind,panic,and,will,ṃake,every,atteṃpt,to,keep, theṃselves,
afloat,,even,if,it,ṃeans,forcing,the,rescuer,underwater.
4. How,should,you,classify,a,patient's,nature,of,illness,if,he,or,she,has,a,low, blo
od,glucose,level,,bizarre,behavior,,and,shallow,breathing?
• A:Behavioral,eṃergency
• B:Altered,ṃental,status
• C:Respiratory,eṃergency
• D:Cardiac,coṃproṃise:,The,correct,answer,is,B;
Reason:,The,nature,of,illness,(NOI),is,the,ṃedical,equivalent,to,ṃechanisṃ,of, injury,(
ṂOI).,Altered,ṃental,status,should,be,the,suspected,NOI,in,any,patient,with, any,fluctu
ation,in,level,of,consciousness,,which,can,range,froṃ,bizarre,behavior,to, coṃplete,unr
esponsiveness.,Causes,of,an,altered,ṃental,status,include,hypo-
, or, hyperglyceṃia,,head,trauṃa,,stroke,,behavioral,crises,,drug,overdose,,and,shock,,
aṃong,others.
5. A,young,feṃale,is,unresponsive,after,overdosing,on,an,unknown,type,of, dru
g.,Her,respirations,are,slow,and,shallow,and,her,pulse,is,slow,and,weak., Which,
of,the,following,drugs,is,the,LEAST,likely,cause,of,her,condition?
• A:Seconal
• B:Heroin
4,/,210
