Chapter 8 Medical Emergencies - Test

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1

True or False?

The Glasgow Coma scale addresses physiologic functioning of patients

False

The Glasgow Coma scale addresses neurologic function of patients

2

What are the 6 items that assess motor responce on the Glassglow Coma Scale?

1. obeys commands - 6
2. localized pain - 5
3. withdrawals from painful stimuli - 4
4. abnormal flexion - 3
5. extension - 2
6. no response - 1

3

General signs and symptoms that the radiographer must learn to recognize as probable indicators that the patient is in shock include (More than one may apply):

A) Strong, irregular pulse
B) Hypertension
C) Flushed face
D) Respiration increases
E) Skin is cold and clammy
F) Acetone breath
G) Mental status changes beginning with confusion and ending with coma
H) Decreased temperature
I) Weak, thready pulse
J) Rapid heartbeat, hypotension

D) Respiration increases
E) Skin is cold and clammy
F) Acetone breath
I) Weak, thready pulse

4

Why is anaphylactic shock the most frequently seen type of shock in the diagnostic imaging department?

A) Patients who come for diagnostic imaging procedures are weak and debilitated
B) Iodinated contrast agents are frequently used
C) Patients here have more allergies
D) X-radiation causes this problem

B) Iodinated contrast agents are frequently used

5

All of the following are early symptoms of anaphylactic reaction, except

A) Itching at the site of injection
B) Tearing of eyes
C) Sneezing
D) Decreasing blood pressure

D) Decreasing blood pressure

6

Myrtle Maywriter is a 43-year-old female who has come to diagnostic imaging this morning from her home for an upper GI series. After she has been in the room for a short time, she complains of a severe headache. Shortly after, you notice that she has cold, clammy skin and speaks in a slurred manner. You suspect that Ms. Maywriter is:

A) A diabetic and is having a ketoacidotic reaction
B) Having a cardiac arrest
C) An alcoholic and is drunk
D) An epileptic and is having a seizure
E) A diabetic and is having a hypoglycemic reaction

E) A diabetic and is having a hypoglycemic reaction

7

Myrtle Maywriter is a 43-year-old female who has come to diagnostic imaging this morning from her home for an upper GI series. After she has been in the room for a short time, she complains of a severe headache. Shortly after, you notice that she has cold, clammy skin and speaks in a slurred manner.The immediate emergency treatment of Ms. Maywriter’s is imperative. Which is the best action to take?

A) Prepare for oxygen administration and call the emergency team.
B) Check for an identification of the patient as a diabetic, give her some form of concentrated sugar, and notify the physician in charge.
C) Place the patient in a supine position, keep her warm, and call the emergency team.
D) Continue with your work, but do not leave the patient alone.

A) Prepare for oxygen administration and call the emergency team.

8

Symptoms of a partially obstructed airway may include:

A) Cold, clammy skin; pallor; weakness; anxiety
B) Flushed, hot skin; hyperactivity; confusion; seizures
C) Labored, noisy breathing; wheezing; use of neck muscles to assist with breathing
D) Acetone breath, irregular pulse, noisy respiration, rapid heartbeat, flushed skin

C) Labored, noisy breathing; wheezing; use of neck muscles to assist with breathing

9

A 16-year-old patient comes to the diagnostic imaging department for a CT scan. He is lying on the table in a supine position. He suddenly seems to lose consciousness and begins to move violently with jerking motions. You realize that he is having a generalized seizure. What is the best action to take?

A) Go to the patient immediately and restrain him or her with immobilizers.
B) Call for help and do not leave the patient.
C) Place the patient on the floor and begin CPR.
D) Call for help and make sure the patient does not injure himself.

D) Call for help and make sure the patient does not injure himself.

10

Mrs. Gertrude Glucose, age 35, had an open reduction of her left femur 3 days earlier and has been transported to the diagnostic imaging department by gurney from her hospital room for radiographs. As you prepare the patient for the radiograph, she suddenly begins to complain of pain in her mid-chest and appears to be out of breath. You stop your preparation and take her pulse and blood pressure. You find out that her blood pressure is 120/80 and her radial pulse is 120 per minute and is very difficult to palpate because it is so weak and thready. You quickly notify the physician of the problem, and he directs you to call the emergency team. You do this and make other emergency preparations. You believe that this patient may be having:

A) A stroke
B) A seizure
C) A pulmonary embolus
D) An episode of syncope

C) A pulmonary embolus

11

Fainting is a common medical emergency in the diagnostic imaging department. If a patient appears to be fainting, what is the first thing to do?

A) Assist the patient to a safe position and then call for help.
B) Give smelling salts.
C) Get the emergency cart.
D) Prepare to administer oxygen.

A) Assist the patient to a safe position and then call for help.

12

A 16-year-old patient comes to the diagnostic imaging department for a CT scan. He is lying on the table in a supine position. He suddenly seems to lose consciousness and begins to move violently with jerking motions. You realize that he is having a generalized seizure. What is the worst action to take?

A) Go to the patient immediately and restrain him or her with immobilizers.
B) Call for help and do not leave the patient.
C) Place the patient on the floor and begin CPR.
D) Call for help and make sure the patient does not injure himself.

A) Go to the patient immediately and restrain him or her with immobilizers.

13

Difficult speech, severe headache, one-sided, drooping eye and face, loss of consciousness

A) Hypovolemic shock
B) CVA
C) Airway obstruction
D) Cardiogenic shock
E) Anaphylactic shock

B) CVA

14

Choking, inability to speak, eventual loss of consciousness

A) Hypovolemic shock
B) CVA
C) Airway obstruction
D) Cardiogenic shock
E) Anaphylactic shock

C) Airway obstruction

15

Itching of eyes, apprehensiveness, wheezing, choking

A) Hypovolemic shock
B) CVA
C) Airway obstruction
D) Cardiogenic shock
E) Anaphylactic shock

E) Anaphylactic shock

16

Loss of consciousness; decreased blood pressure; weak, rapid pulse

A) Hypovolemic shock
B) CVA
C) Airway obstruction
D) Cardiogenic shock
E) Anaphylactic shock

A) Hypovolemic shock

17

Pallor; thirst; cold, clammy skin; restlessness

A) Hypovolemic shock
B) CVA
C) Airway obstruction
D) Cardiogenic shock
E) Anaphylactic shock

D) Cardiogenic shock

18

Which of the following is a question that must be asked of a patient before the patient receives an iodinated contrast agent?

A) Are you allergic to any foods, medications, or any other substances?
B) If you have had this study before, did you have any allergic or unusual reaction?
C) Have you had this study before?
D) Do you have heart disease, hypotension, diabetes mellitus, sickle cell anemia, or asthma?
E) all of the above

E) all of the above

19

Periorbital swelling is a clinical manifestation of _____ shock.

anaphylactic

20

True or False?

Cold clammy skin is a possible sign that a patient is experiencing shock.

True

21

Diaphoresis is a clinical manifestation of a _____ _____.

pulmonary embolus

22

Bradycardia is a clinical manifestation of _____ shock.

neurogenic

23

True or False?

Level of consciousness can be asses by asking the patient to state his or her name, address, date, and reason for the exam.

True

24

The result of an exaggerated hypersensitivity reaction; an allergic reaction

A) Syncope
B) anaphylaxis
C) Bronchospasm
D) Tachycardia
E) Bradycardia

B) anaphylaxis

25

An abnormal condition in which the myocardium contracts at a rate greater than 100 beats per minute.

A) Syncope
B) anaphylaxis
C) Bronchospasm
D) Tachycardia
E) Bradycardia

D) Tachycardia

26

fainting

A) Syncope
B) anaphylaxis
C) Bronchospasm
D) Tachycardia
E) Bradycardia

A) Syncope

27

An abnormal circulatory condition in which the heart beats in a regular pattern but at a rate of less than 60 beats per minute.

A) Syncope
B) anaphylaxis
C) Bronchospasm
D) Tachycardia
E) Bradycardia

E) Bradycardia

28

Contraction of smooth muscles in the walls of the bronchi and bronchioles causing narrowing of the lumen

A) Syncope
B) anaphylaxis
C) Bronchospasm
D) Tachycardia
E) Bradycardia

C) Bronchospasm

29

A state in which a person's mental capacity to recognize reality, communicate, and relates to others is impaired

A) Periorbital
B) Psychosis
C) Diaphoresis
D) Syncope
E) Anaphylaxis

B) Psychosis

30

Profuse sweating, heavy persiration

A) Periorbital
B) Psychosis
C) Diaphoresis
D) Syncope
E) Anaphylaxis

C) Diaphoresis

31

Clinical manifestation of pulmonary embolus

A) Periorbital
B) Psychosis
C) Diaphoresis
D) Syncope
E) Anaphylaxis

D) Syncope

32

Relating to the periosteum of the orbit, usually of the eye

A) Periorbital
B) Psychosis
C) Diaphoresis
D) Syncope
E) Anaphylaxis

A) Periorbital

33

A type of shock

A) Periorbital
B) Psychosis
C) Diaphoresis
D) Syncope
E) Anaphylaxis

E) Anaphylaxis