• 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?
• b. Supplemental oxygen and suction
• 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
• During compensatory shock, the renin-angiotensin-aldosterone system is
activated to cause a/an:
• a. Increase in preload, afterload, and re-absorption of sodium
• What clinical findings are most commonly associated with a pulmonary
embolus?
• a. Clear breath sounds with tachypnea
• What condition is most likely to cause respiratory acidosis?
• b. Narcotic overdose
• 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?
• d. ST-segment elevation in all leads
• Anaphylaxis is most associated with which physiological event?
• b. Vasodilation
• Acute Respiratory Distress Syndrome (ARDS) is characterized by
what pathological change?
• c. Breakdown of the alveolar-capillary membrane
, • Continuous positive airway pressure would be most beneficial in treating
which patient?
• b. A 22yo with severe asthma who is not responding to nebulizer treatments
• What is the initial treatment for a patient experiencing
hyperosmolar hyperglycemic nonketotic coma (HHNC)?
• a. Crystalloid IV fluid administration
• Your patient has had a seizure secondary to a nerve agent exposure.
What medication would be best to diminish the seizure?
• c. Midazolam
• Respiratory alkalosis may occur as a result of:
• a. Fever and anxiety
• An age-related change that increases the risk of respiratory compromise is:
• c. Decrease in lung compliance
• Paroxysmal nocturnal dyspnea is most common in patients with a history of:
• a. Left-sided heart failure (?)
• The patient presents with a history of fever and an upper respiratory
infection. Historical information reveals increasing water intake, orthostatic
hypotension, and an increase in urination. You suspect these symptoms are
caused by:
• a. Hyperglycemia
• You are dispatched to the home of a 32yo patient with a history of
Graves' disease. The patient was in the ER earlier today for some "tests for
my ulcers." He received contrast and was discharged. He is now complaining
of not feeling well, chest pain, and palpitations. You note an anxious patient
with fine tremors. He is diaphoretic and has a temperature of 101.5F, BP