b. Slow heart rate
d. Cold, clammy skin
a. Use of excessive amounts of insulin or lack of adequate food intake
b. Flushed, hot, dry skin and a “fruity” odor of the breath
c. Cool, moist skin, agitated behavior, and increased heart rate
d. Sudden onset of altered mental status
EMT can do to optimize the care of a stroke patient who is a candidate for the drugs is:
a. determine the exact time of onset of symptoms.
b. transport the patient to a Level I Trauma Center.
c. do a thorough physical exam of the patient.
d. transport to the closest hospital since the patient must go to the operating room as soon as possible.
a. Ask the patient to smile, hold his arms out straight in front of him with his eyes closed, and ask him to
say the alphabet backward.
b. Ask the patient to look up, hold his arms straight out by his side with his eyes closed, and ask him to
repeat a sentence to see if he can remember it.
c. Ask the patient to smile. tilt his head back with his eyes closed, and ask him to say a sentence such as, ”
The sky is blue in Cincinnati.” to see if he can say Cincinnati.
d. Ask the patient to smile, hold his arms straight out in front of him with his eyes closed, and ask him to
say a sentence to see if it is clear.
sentence to see if it is clear.
usually caused by:
a. poor management of the patient’s diabetes.
a. Administration of glucose to a hyperglycemic patient
d. Chest pain
unresponsive to all stimuli. He has a respiratory rate of 12 breaths per minute, heart rate of 112 beats
per minute, and is pale and sweaty. Which of the following should you do to treat this patient?
a. Encourage the patient’s family to administer his insulin.
b. Apply oral glucose solution to a tongue depressor and insert it between the patient’s cheek and gums.
c. Place the patient in the recovery position to protect the airway and place oral glucose solution under the
d. Place the patient in the recovery position, administer oxygen, and monitor his airway status.
a. Failure to take prescribed medication
b. Withdrawal from alcohol
d. Head trauma
However, occasionally you will experience an instance of hyperglycemia. In the list below, which item is
not likely to be a sign or symptom of hyperglycemia?
a. Chronic thirst
b. Excessive urination
c. A reduced rate of breathing
a. Islets of Langerhans in the liver.
b. gallbladder found in the pancreas.
c. Islets of Langerhans in the pancreas.
d. None of the above
which of the following?
a. Failing respiratory system
b. Problems with the RAS due to hypertension
c. The need for suctioning of the airway
d. The need to complete a secondary assessment
abusive to you, and she is very sweaty. Although she refuses to give a history of the present illness, you
should suspect which of the following as the likely cause of the patient’s presentation?
a. Failure to take her insulin
b. A nondiabetic-related problem, such as a head injury or mental illness
c. Failure to intake sufficient sugar
d. Excessive intake of foods high in sugar, such as soda or candy
a. 80 mg/dL
b. 40 mg/dL
c. 180 mg/dL
d. 150 mg/dL
her shoot up earlier in the day and the school resource officer has found a syringe in her backpack. The
patient has cool and clammy skin, snoring respirations, and she vomited before she slumped to the floor.
What might be the cause of her altered mental status?
a. Fainting spell
c. Hypotension due to pregnancy
d. Injectable illegal drugs
decreased level of consciousness, and an inability to maintain his or her airway?
b. Lying on the right side
d. Lying on the left side
drowsy, confused, and complaining of a headache. This patient is demonstrating the:
a. aura phase.
b. clonic phase.
c. postictal phase.
d. tonic phase.
Scale has a ______ percent chance of having an acute stroke.
prepared oral glucose solution?
a. Having the patient drink a glass of milk
b. Diet soda
c. Having the patient eat something high in protein, such as a deli sandwich
d. Cake icing
a. Oxygen to perfuse brain tissue, insulin to nourish brain tissue, and sodium to keep the brain hydrated
b. Oxygen to perfuse brain tissue, insulin to nourish brain tissue, and water to keep the brain hydrated
c. Oxygen to perfuse brain tissue, glucose to nourish brain tissue, and sodium to keep the brain hydrated
d. Oxygen to perfuse brain tissue, glucose to nourish brain tissue, and water to keep the brain hydrated
a. Chest pain
c. Sudden impairment of vision