A. a sudden dysrhythmia causes death.
B. sweating is the only presentation.
C. the usual chest pain is not present.
D. the patient minimizes the chest pain.
B. head trauma.
A. a strangulated bowel.
B. myocardial infarction.
C. an aortic aneurysm.
D. acute appendicitis.
A. pathologic fracture.
B. compression fracture.
C. comminuted fracture.
D. idiopathic fracture.
A. limit your physical examination to the area of pain or injury.
B. rely exclusively on family members for the medical history.
C. perform a rapid assessment on all geriatric patients you treat.
D. attempt to differentiate between chronic and acute problems.
A. renal insufficiency.
B. splenic dysfunction.
C. pancreatic failure.
D. intentional overdose.
A. an acute onset of dementia.
B. prescription medication use.
C. alcohol abuse and dependence.
D. chronic medical conditions.
A. a decreased ability to cough.
B. baseline respiratory distress.
C. air-trapping within the alveoli.
D. an increased risk of COPD.
A. increased bone density and car crashes.
B. arthritic joints and high-energy trauma.
C. osteoporosis and low-energy trauma.
D. acetabular separation and severe falls.
A. is the result of an acute condition.
B. often develops over a period of days.
C. is reversible with certain treatment.
D. is usually considered irreversible.
A. constipation, low blood pressure, and bradycardia.
B. loss of balance, muscle weakness, and spasms.
C. loss of bladder control and sensitivity to touch.
D. numbness, tingling, and severe muscle pain.
C. ischemic stroke.
D. heart failure.
A. is usually beneficial because the patient’s cognitive skills are typically impaired.
B. may cause the patient to think that he or she has no say in making decisions.
C. often causes the patient to become paranoid and untrusting of your help.
D. will anger the patient and result in his or her refusal to accept care or transport.
A. heart disease.
C. altered mental status.
A. open her airway with the head tilt-chin lift maneuver, insert an oral or nasal airway, and assess her blood glucose level to rule out hypoglycemia.
B. direct your partner to manually stabilize her head while you quickly visualize her chest for signs of breathing.
C. suction her airway, apply a cervical collar, administer high-flow oxygen via a nonrebreathing mask, and perform a rapid assessment.
D. begin assisting her ventilations with a bag-mask device while your partner auscultates her lung sounds to ensure adequate positive-pressure ventilation.
A. observe for conditions that may make the residence unsafe.
B. immediately seek out a family member or other caregiver.
C. talk to the patient after performing his or her primary assessment.
D. begin his or her assessment after gathering any medication bottles.
A. decreased bone density often results in incomplete fractures.
B. geriatric patients usually present with little to no pain.
C. geriatric patients typically present with classic signs of shock.
D. the injury may have been preceded by a medical condition.
A. document his or her perceptions of the event.
B. list the names of all of the suspected abusers.
C. avoid documenting any unsupported opinions.
D. theorize as to why the patient was abused.
A. use the appropriate medical terminology.
B. be complex so the patient fully understands.
C. realize that he or she will not understand you.
D. use plain language and simple terms.
A. secure the patient’s head before the torso.
B. force the head into a neutral alignment.
C. use a scoop stretcher instead of a log roll.
D. place blankets behind the patient’s head.
A. routinely perform a focused exam to minimize time at the scene.
B. focus your assessment just on the area(s) of pain or obvious injury.
C. perform an in-depth physical exam prior to initiating any treatment.
D. recall that it will take a less severe mechanism of injury to cause significant injuries.
A. 59-year-old male who is recovering from pneumonia
B. 78-year-old female who takes blood thinning medications
C. 71-year-old male with recent surgery to a lower extremity
D. 66-year-old active female with a history of hypertension
A. The majority of elderly patients are hearing or visually impaired.
B. Explain the justification for a procedure after it has been completed.
C. Attempt to calm the elderly patient by using his or her first name.
D. Older patients have difficulty understanding when they are stressed.
A. a family member regularly checks up on her.
B. she became dizzy or fainted before falling.
C. she attempted to catch herself before falling.
D. she takes medications for Alzheimer disease.
A. determine the patient’s baseline mental status.
B. obtain a complete list of the patient’s medications.
C. ask an attendant for the patient’s medical records.
D. inquire about a history of Alzheimer disease.