Obstetrics & Gynecology Medical Coding
final exam 100% accurate answers
485. A 20-year-old asthmatic patient is experiencing shortness of breath. On scene, the
patient advises he has a meter-dosed inhaler in his backpack but needs assistance in
getting it. What is the mechanism of action of albuterol via a metered-dose inhaler?
Increases alveolar blood flow
Moisturizes the lungs
Relaxes bronchial smooth muscle
Increases overall lung compliance - Relaxes bronchial smooth muscle
486. A patient has just stopped exhibiting a generalized motor seizure. In which of the
following states is the patient most likely to be?
Alert and oriented to person, place, and time
Self-resolved lack of orientation to person, place and time
Anxiety and restlessness
Unresponsiveness to painful stimuli - Self-resolved lack of orientation to person, place
and time
487. A 19-year-old is complaining of general malaise and shortness of breath. She is
sweaty, breathing very shallowly, and has pinpoint pupils. Which of the following is the
most likely cause of her signs and symptoms?
Sympathomimetic overdose
Tension pneumothorax
Opioid overdose
Sedative overdose - Opioid overdose
488. Which of the following would be considered a serious complication of a severe
allergic reaction?
Hypertension
Respiratory distress
Urticaria
Hives - Respiratory distress
489. A 30-year-old female was stung by a bee. On arrival, the patient is complaining of
steadily increasing shortness of breath and urticaria, and feels as if her throat or tongue
is swelling. Which of the following is the most likely cause of her signs and symptoms?
,Heat exhaustion
Anaphylactic shock
Asthma
Syncope - Anaphylactic shock
490. A 66-year-old patient complains of right upper quadrant pain and general malaise,
and has a yellowish tint to his skin and the sclera of his eyes. Which of the following is
the most likely cause of his complaints and findings?
Pneumonia
Pancreatitis
Chronic renal failure
Hepatitis - Hepatitis
491. A 14-year-old male complains of lower abdominal pain. His blood pressure is
120/80 mmHg, his pulse is 130 beats per minute, respirations are 28 breaths per
minute, and temperature is 104.8°F (40.4°C). The pain is located in the right lower
quadrant. The patient has recent contacts with gastroenteritis.
Which of the following is the most appropriate treatment?
Do not transport, as gastroenteritis is not life-threatening
Advise acetaminophen for fever and ask the parents to follow up with the patient's
pediatrician
Administer oxygen and transport
Advise acetaminophen for fever and reassess in fifteen minutes - Administer oxygen
and transport
492. Which of the following is not a cause of vaginal bleeding in pregnancy?
Ectopic pregnancy
Abruptio placentae
Preeclampsia
Spontaneous abortion - Preeclampsia
493. A 10-year-old male has non-traumatic epistaxis. He is visibly upset and crying.
Which of the following is the most appropriate step to control his bleeding?
Have the patient sit leaning forward with the head tilted backward, and apply direct
pressure for at least 15 minutes
Have the patient sit leaning forward with the head tilted forward, and apply direct
pressure for at least 15 minutes
Place the patient in the supine position and apply ice over the nose
Have the patient sit leaning forward, and pack gauze into the nose - Have the patient sit
leaning forward with the head tilted forward, and apply direct pressure for at least 15
minutes
494. A 32-year-old man is hypothermic after swimming in an icy river. Although he came
out of the river within a few minutes, he is showing a diminished level of consciousness.
Which of the following is the most appropriate next step?
Encourage the patient to walk in order to improve his circulation and create body heat
, Massage the extremities to increase circulation
Give the patient hot coffee or tea and place heating pads under his arms and in his
groin
Cover the patient with blankets and increase the heat in the patient compartment of the
ambulance - Cover the patient with blankets and increase the heat in the patient
compartment of the ambulance
495. Which of the following organs is not part of the endocrine system?
Gallbladder
Pancreas
Thyroid gland
Pituitary gland - Gallbladder
496. Which of the following is a likely indication for the prehospital administration of
epinephrine?
Hypoglycemia due to an adjustment of insulin dose
Wheezing due to an allergic reaction
Chest pain secondary to acute myocardial infarction
Abdominal pain due to poison ingestion - Wheezing due to an allergic reaction
497. A 9-year-old boy had a single, brief seizure at home and is now postictal. His
mother is upset and reports that he has experienced a seizure once before, but it was
different than this episode. Which of the following is not a critical step to achieving the
best patient outcome?
Patient position
Waiting for the patient to regain consciousness before assessment
Clearing the airway of secretions
Preventing aspirations - Waiting for the patient to regain consciousness before
assessment
498. A 6-month-old infant has a recent history of vomiting and diarrhea. Which of the
following signs would best indicate the possibility of dehydration?
Skin that is flushed and hot to the touch
Sunken fontanelle
Capillary refill time of two seconds or less
Strong peripheral pulses with a heart rate of 100 beats per minute - Sunken fontanelle
499. Which of the following is not a factor affecting how a patient deals with
environmental changes?
Illness
Anxiety
Alcohol consumption
Age - Anxiety
500. Which of the following is not a method of gauging a patient's responsiveness to
painful stimuli?
final exam 100% accurate answers
485. A 20-year-old asthmatic patient is experiencing shortness of breath. On scene, the
patient advises he has a meter-dosed inhaler in his backpack but needs assistance in
getting it. What is the mechanism of action of albuterol via a metered-dose inhaler?
Increases alveolar blood flow
Moisturizes the lungs
Relaxes bronchial smooth muscle
Increases overall lung compliance - Relaxes bronchial smooth muscle
486. A patient has just stopped exhibiting a generalized motor seizure. In which of the
following states is the patient most likely to be?
Alert and oriented to person, place, and time
Self-resolved lack of orientation to person, place and time
Anxiety and restlessness
Unresponsiveness to painful stimuli - Self-resolved lack of orientation to person, place
and time
487. A 19-year-old is complaining of general malaise and shortness of breath. She is
sweaty, breathing very shallowly, and has pinpoint pupils. Which of the following is the
most likely cause of her signs and symptoms?
Sympathomimetic overdose
Tension pneumothorax
Opioid overdose
Sedative overdose - Opioid overdose
488. Which of the following would be considered a serious complication of a severe
allergic reaction?
Hypertension
Respiratory distress
Urticaria
Hives - Respiratory distress
489. A 30-year-old female was stung by a bee. On arrival, the patient is complaining of
steadily increasing shortness of breath and urticaria, and feels as if her throat or tongue
is swelling. Which of the following is the most likely cause of her signs and symptoms?
,Heat exhaustion
Anaphylactic shock
Asthma
Syncope - Anaphylactic shock
490. A 66-year-old patient complains of right upper quadrant pain and general malaise,
and has a yellowish tint to his skin and the sclera of his eyes. Which of the following is
the most likely cause of his complaints and findings?
Pneumonia
Pancreatitis
Chronic renal failure
Hepatitis - Hepatitis
491. A 14-year-old male complains of lower abdominal pain. His blood pressure is
120/80 mmHg, his pulse is 130 beats per minute, respirations are 28 breaths per
minute, and temperature is 104.8°F (40.4°C). The pain is located in the right lower
quadrant. The patient has recent contacts with gastroenteritis.
Which of the following is the most appropriate treatment?
Do not transport, as gastroenteritis is not life-threatening
Advise acetaminophen for fever and ask the parents to follow up with the patient's
pediatrician
Administer oxygen and transport
Advise acetaminophen for fever and reassess in fifteen minutes - Administer oxygen
and transport
492. Which of the following is not a cause of vaginal bleeding in pregnancy?
Ectopic pregnancy
Abruptio placentae
Preeclampsia
Spontaneous abortion - Preeclampsia
493. A 10-year-old male has non-traumatic epistaxis. He is visibly upset and crying.
Which of the following is the most appropriate step to control his bleeding?
Have the patient sit leaning forward with the head tilted backward, and apply direct
pressure for at least 15 minutes
Have the patient sit leaning forward with the head tilted forward, and apply direct
pressure for at least 15 minutes
Place the patient in the supine position and apply ice over the nose
Have the patient sit leaning forward, and pack gauze into the nose - Have the patient sit
leaning forward with the head tilted forward, and apply direct pressure for at least 15
minutes
494. A 32-year-old man is hypothermic after swimming in an icy river. Although he came
out of the river within a few minutes, he is showing a diminished level of consciousness.
Which of the following is the most appropriate next step?
Encourage the patient to walk in order to improve his circulation and create body heat
, Massage the extremities to increase circulation
Give the patient hot coffee or tea and place heating pads under his arms and in his
groin
Cover the patient with blankets and increase the heat in the patient compartment of the
ambulance - Cover the patient with blankets and increase the heat in the patient
compartment of the ambulance
495. Which of the following organs is not part of the endocrine system?
Gallbladder
Pancreas
Thyroid gland
Pituitary gland - Gallbladder
496. Which of the following is a likely indication for the prehospital administration of
epinephrine?
Hypoglycemia due to an adjustment of insulin dose
Wheezing due to an allergic reaction
Chest pain secondary to acute myocardial infarction
Abdominal pain due to poison ingestion - Wheezing due to an allergic reaction
497. A 9-year-old boy had a single, brief seizure at home and is now postictal. His
mother is upset and reports that he has experienced a seizure once before, but it was
different than this episode. Which of the following is not a critical step to achieving the
best patient outcome?
Patient position
Waiting for the patient to regain consciousness before assessment
Clearing the airway of secretions
Preventing aspirations - Waiting for the patient to regain consciousness before
assessment
498. A 6-month-old infant has a recent history of vomiting and diarrhea. Which of the
following signs would best indicate the possibility of dehydration?
Skin that is flushed and hot to the touch
Sunken fontanelle
Capillary refill time of two seconds or less
Strong peripheral pulses with a heart rate of 100 beats per minute - Sunken fontanelle
499. Which of the following is not a factor affecting how a patient deals with
environmental changes?
Illness
Anxiety
Alcohol consumption
Age - Anxiety
500. Which of the following is not a method of gauging a patient's responsiveness to
painful stimuli?
