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An anxious 32 year old female complains of chest pain with palpitations. She has a
history of Graves' disease. She reports she was seen in the ED earlier that day and has
a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature
of
101.5 F. Vital signs are 100/62 P 156 R30 BGL 133 mg/dL. What should
you administer? A. Calcium Chloride
B. Normal Saline
C. Amiodarone
D. Aspirin (ASA) - ANSWER B. Normal Saline
What statement is correct regarding responding to a suspected nerve agent exposure?
A. Secondary contamination rarely occurs in nerve agent exposure
B. Parking downwind will ensure first responder safety
C. Patients should be treated in well-ventilated areas
D. Nerve agents degrade immediately when exposed to sunlight. - ANSWER C.
Patients should be treated in well-ventilated areas.
What reference is the MOST beneficial to obtain for a suspected stroke?
A. Past Medical History
B. Last Oral Intake
C. Last Known Well
D. Daily Aspirin Dose - ANSWER C. Last Known Well
Which of the following statements is correct regarding radioactive materials?
A. Gamma rays are unable to penetrate bone and connective tissue
B. Neutrons are low energy particles and do not cause bodily harm
C. Alpha particles are harmless when ingested and inhaled
D. Simple clothing can stop beta particles from entering the body - ANSWER D. Simple
clothing can stop beta particles from entering the body
What finding is unique to pericarditis?
A. Diffuse ST segment elevation
B. Pain is relieved when supine
C. S3 gallop is auscultated
, D. Pulses alternans is present - ANSWER A. Diffuse ST segment elevation
A 21-year old male complains of sharp chest pain and shortness of breath. The
symptoms started when he lifted a heavy object. Vital signs are BP 152/96 P 108 R 24
and diminished on the left. What should you suspect?
A. Spontaneous Pneumothorax
B. Pectoralis muscle tear
C. Aortic Dissection
D. Pulmonary Embolism - ANSWER A. Spontaneous Pneumothorax
A 72- year old female complains of a sudden onset of a burning sensation to the left
side of her forehead and blurred vision. She wants to follow up with her family physician
tomorrow. Vital signs are BP 150/70 P 80 R 16 What should you do? - ANSWER B.
Encourage her to be transported by ambulance to the hospital
An anxious 61-year old male complains of severe shortness of breath and localized
chest pain with blood-tinged sputum. His dyspnea started when he stood up from
watching television all day and increased in severity as he moved around. Vital signs
are BP 104/60 P 98 and irregular R 26 and labored. What should you suspect? -
ANSWER B. Pulmonary Embolism
Anaphylaxis is most commonly associated with which physiological event? - ANSWER
C. Vasodilation
A confused 67 year old male has vomited multiple times prior to EMS arrival. He was
involved in a car crash 48 hours prior. Bystanders state he became increasingly
confused and lost coordination since the crash. Vital signs are BP 150/88 P 72 R 16
BGL 92 mg/dL. What should you suspect? - ANSWER D. Subdural hematoma
What condition causes paroxysmal nocturnal dyspnea? - ANSWER B. Left-sided heart
failure
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic
state? - ANSWER B. Normal Saline
An 18 year old male nearly drowned at a local lake after treading water for 25 minutes.
He is shivering uncontrollably and complains of nausea and weakness. Vital signs are
BP 122/62 R 28 P 136 and a temp of 93.2 F. What should you suspect? - ANSWER A.
Mild Hypothermia