front 1 A 60-year-old female presents with a tearing sensation in her lower back. Her skin is sweaty, and she is tachycardic. The EMT should suspect: | back 1 aortic aneurysm. |
front 2 A 59-year-old male presents with sudden-onset severe lower back pain. He is conscious and alert, but very restless and diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should: | back 2 administer oxygen and prepare for transport |
front 3 Which of the following conditions is more common in women than in men? | back 3 Cytitis |
front 4 Which of the following statements regarding the acute abdomen is correct? | back 4 The initial pain associated with an acute abdomen tends to be vague and poorly localized. |
front 5 Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called: | back 5 reffered pain |
front 6 The kidneys help to regulate blood pressure by: | back 6 removing sodium and water from the body |
front 7 Which of the following is characteristic of peptic ulcer disease (PUD)? | back 7 Burning or gnawing stomach pain that subsides immediately after eating |
front 8 Esophageal varices MOST commonly occur in patients who: | back 8 consume a lot of alcohol. |
front 9 The principal symptom in both infectious and noninfectious gastroenteritis is: | back 9 diarrhea |
front 10 Older patients with abdominal problems may not exhibit the same pain response as younger patients because of: | back 10 age-related deterioration of their sensory systems. |
front 11 Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices results in: | back 11 an ulcer |
front 12 Which of the following statements regarding dialysis is correct? | back 12 Patients who miss a dialysis treatment often present with weakness. |
front 13 An important aspect in the treatment of a patient with severe abdominal pain is to: | back 13 provide emotional support en route to the hospital. |
front 14 Which of the following organs would MOST likely bleed profusely if injured? | back 14 Liver |
front 15 In the presence of ileus, the only way the stomach can empty itself is by: | back 15 Vomiting |
front 16 A strangulated hernia is one that: | back 16 loses its blood supply due to compression by local tissues. |
front 17 Most patients with abdominal pain prefer to: | back 17 lie on their side with their knees drawn into the abdomen. |
front 18 The parietal peritoneum lines the: | back 18 walls of the abdominal cavity |
front 19 Which of the following organs lies in the retroperitoneal space? | back 19 pancreas |
front 20 Functions of the liver include: | back 20 secretion of bile and filtration of toxic substances. |
front 21 The MOST important treatment for a patient with severe abdominal pain and signs of shock is: | back 21 transporting the patient without delay. |
front 22 Chronic renal failure is a condition that: | back 22 is often caused by hypertension or diabetes. |
front 23 Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies? | back 23 spleen |
front 24 In contrast to the parietal peritoneum, the visceral peritoneum: | back 24 is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation. |
front 25 Your patient’s past medical history includes hypertension, congestive heart failure, diabetes, and seizures. Today, he presents with signs of acute renal failure. Which of his medical problems MOST likely caused this? | back 25 heart failure |
front 26 Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and lack of appetite are MOST indicative of: | back 26 appendicitis. |
front 27 The MOST common and significant complication associated with an acute abdomen is: | back 27 peritonitits |
front 28 Injury to a hollow abdominal organ would MOST likely result in: | back 28 leakage of contents into the abdominal cavity. |
front 29 You are transporting a 49-year-old male with “tearing” abdominal pain. You are approximately 30 miles away from the closest hospital. During your reassessment, you determine that the patient’s condition has deteriorated | back 29 consider requesting a rendezvous with an ALS unit. |
front 30 Solid abdominal organs include the: | back 30 spleen, kidneys, and pancreas. |
front 31 During your assessment of a 70-year-old woman, she tells you that she takes blood-thinning medication and has to wear compression stockings around her legs. This information should make you suspect that she has: | back 31 deep vein thrombosis. |
front 32 Hemoglobin is: | back 32 found within the red blood cells and is responsible for carrying oxygen. |
front 33 In general, oral glucose should be given to any patient who: | back 33 has an altered mental status and a history of diabetes. |
front 34 Classic signs and symptoms of hypoglycemia include: | back 34 cool, clammy skin; weakness; tachycardia; and rapid respirations. |
front 35 During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that: | back 35 he has hemophilia A. |
front 36 Patients with thrombophilia are at an increased risk for: | back 36 acute arterial rupture. |
front 37 Symptomatic hypoglycemia will MOST likely develop if a patient: | back 37 takes too much of his or her prescribed insulin. |
front 38 Assessment of a patient with hypoglycemia will MOST likely reveal: | back 38 combativeness. |
front 39 Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT: | back 39 ensuring the absence of a gag reflex. |
front 40 Which of the following statements regarding sickle cell disease is correct? | back 40 In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen. |
front 41 The EMT should assess for hypoglycemia in small children with a severe illness or injury because: | back 41 children cannot store excess glucose as effectively as adults. |
front 42 Which of the following conditions is the diabetic patient at an increased risk of developing? | back 42 Blindness |
front 43 Excessive eating caused by cellular “hunger” is called: | back 43 polyphagia. |
front 44 When obtaining a SAMPLE history from a patient with diabetes who has an altered mental status, it would be MOST important to determine: | back 44 if he or she has had any recent illnesses or excessive stress. |
front 45 Patients with uncontrolled diabetes experience polyuria because: | back 45 excess glucose in the blood is excreted by the kidneys. |
front 46 Diabetes is MOST accurately defined as a(n): | back 46 disorder of glucose metabolism. |
front 47 Type 1 diabetes: | back 47 is a condition in which no insulin is produced by the body. |
front 48 To which of the following diabetic patients should you administer oral glucose? | back 48 A confused 55-year-old male with tachycardia and pallor |
front 49 Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes? | back 49 Weight loss and polyuria |
front 50 Common signs and symptoms of severe hyperglycemia include all of the following, EXCEPT: | back 50 cool clammy skin |
front 51 Diabetic ketoacidosis occurs when: | back 51 insulin is not available in the body. |
front 52 Glipizide, a non–insulin-type medication, is another name for: | back 52 Glucotrol. |
front 53 Patients with type 2 diabetes usually control their disease with all of the following, EXCEPT: | back 53 supplemental insulin. |
front 54 In contrast to type 1 diabetes, type 2 diabetes: | back 54 is caused by resistance to insulin at the cellular level. |
front 55 When assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the: | back 55 rate and depth of breathing |
front 56 Kussmaul respirations are an indication that the body is: | back 56 attempting to eliminate acids from the blood. |
front 57 The normal blood glucose level is between: | back 57 80 and 120 |
front 58 Which of the following statements regarding glucose is correct? | back 58 The brain requires glucose as much as it requires oxygen. |
front 59 A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She furthe | back 59 is significantly hyperglycemic |