g g g g g
g(Verified Answers)
g
1. 1.gAg30gyeargoldgclimbergisgexperiencinggsevergshortnessgofgbreathgaftergrea
chinggangelevationgofg12000feet.gThegPTgisgveryganxiousgandghasgralesgnotedgt
ogallgquadrantsgbutgisgotherwiseghealthy.gHegisgnotgaccustomedgtoghighgaltitud
es.gWhatgshouldgyougdo?
g ANSgAdministergoxygengwhilegdescendinggtogaglowergaltitude.
2. 2.gAg26gyeargoldgfemalegdoesgnotgrespondgtogverbalgstimuligbutgmoansgi
ngresponsegtogpain.gAgfriendgstatesgthegpatientghasgingestedgapproxg150ga
mitriptylinegtables.gVitalgSignsgaregBPg88/50gR16.gYougestablishgIVgaccess
andgadministergagfluidgchallenge.gEngroutegtogtheghospitalghergECGgshowsgag
wideninggQRS.gYougshouldgadminister
g ANSgSodiumgBicarbonate.
1g/g18
, 3. 3.gYougPTgexperiencedgtraumagyesterdaygandgyougaregtransferringghergtog
aglargergfacility.gSheghasgbeengexperiencinggprogressiveghypoxia.gYougnotice
coarsegcracklesgingallglunggfieldsgongventilation.gVitalgsignsgaregBPg90/50gandgS
PO2g90%.gYougshould
g ANSgTransportgemergencygandgcontinuegventilation.
4. 4.gAngalertg22gyeargoldgmalegwasgjustgdisentangledgfromgdebrisgingaghousegc
ollapse.gHegdeniesgheadgorgneckgpain,gbutgcomplainsgofgserverghipgpain.gVitalgs
ignsgaregBPg88/40.gP120gRg16gyougshouldgadminister
.gANSgsodiumgbicarbonate
5. 5.gBraxtongHicksgcontractions
g ANSgoccurgingthegsecondgtrimestergandgaregfalseglabor.
6. 6.gAg40gyeargoldgmalegcrashedghisgmotorcycle.gHeghadgagbriefglossgofg
consciousness,gwokegupgand
walkedghome.gYougfindghimg2ghoursglatergatghomegunconscious.gYougshouldg
suspect.
g ANSgepiduralghematoma
2g/g18
,7. 7.gAg47gyeargoldgmalegwhogwasgfoundgunconsciousgongthegsidegofgthegroadg
respondgonlygtogpainfulgstimulus.gWhengyougattemptgtogestablishgIVgaccessgh
egstiffensghisgarmsgandglegs.gHeghasgminorgabrasionsgallgoverghisgbody.gVitalgsi
gnsgaregBOg178/122gP56gRgirregulargETCO2g30.gWhatgshouldgyougdo?
g ANSgAssistgventilationsgatg12gbreathsgpergminHg.
8. 8.gAg28gyeargoldgfemaleghasgagsuddengonsetgofgtightnessginghergchestgandgs
ervergdifficultygbreathing.gHergtonguegfacegandgneckgappeargswollengandgshegh
asgredgitchyghivesgonghergtorso.gHergsignsgaregBPg80/40gPg130.gYougshouldgad
minister
g ANSgEpinephrineg0.3mg
9. 9.gYougaregaskedgtogsetgupgagpatientgtreatmentgareagaftergagboxglabeledg"radiog
active"gwasgfoundgunattendedgingagpark.gWhichgofgthegfollowinggwouldgbegtheg
bestglocation.
g ANSgBuildinggingthegpark
10. 10.gYougaregatgaghousegfiregwithgmultiplegpatients.gWhichgpatientgshouldgbe
transportedgFirstgtogagburngcenter?
g ANSg52gyeargoldgwithgsecondgdegreegburnsgtogfacegandgrightghand
3g/g18
, 11. 11.gWhatgisgthegmostgcommongcausegofgstatusgepilepticusgingadults.g
ANSgFailuregtogtakegprescribedgmedications
4g/g18