Quiz
EMT 17
Create a free account to finish this quiz
Save your progress and see your final score.
Already have an account? Sign in
Questions in this quiz (43)
1A 19-year-old male complains of “not feeling right.” His insulin and a syringe are on a nearby table. The patient says he thinks he took his insulin and cannot remember whether he ate. He is also unable to tell you the time or what day it is. The glucometer reads “error” after several attempts to assess his blood glucose level. In addition to administering oxygen, you should:
- Acontact medical control and administer oral glucose.
- Bassist him with his insulin injection and reassess him.
- Crequest a paramedic ambulance to administer IV glucose.
- Dtransport only with close, continuous monitoring en route.
2A 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 further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours. On the basis of this patient's clinical presentation, you should suspect that she:
- Ais significantly hyperglycemic.
- Bhas a low blood glucose level.
- Chas a urinary tract infection.
- Dhas overdosed on her insulin.
3A 29-year-old female presents with confusion and disorientation. Her respirations are rapid and shallow and her pulse is 120 beats/min and thready. She is markedly diaphoretic and has an oxygen saturation of 89%. You should:
- Atransport immediately.
- Badminister oral glucose.
- Cprovide ventilatory support.
- Dtreat her for hyperglycemia.
4A 30-year-old female presents with severe acute pain to the left upper quadrant of her abdomen. During your assessment, she tells you that she has sickle cell disease. You should suspect that:
- Aher spleen is enlarged because of red blood cell engorgement.
- Bthe pain in her abdomen is referred pain from an enlarged liver.
- Cshe has gastrointestinal bleeding due to large blood vessel rupture.
- Dshe is experiencing an aplastic crisis and needs a blood transfusion.
5A 37-year-old female with a history of diabetes presents with excessive urination and weakness of 2 days' duration. You apply 100% oxygen and assess her blood glucose level, which reads 320 mg/dL. If this patient's condition is not promptly treated, she will MOST likely develop:
- Asevere insulin shock.
- Bacidosis and dehydration.
- Ccomplete renal failure.
- Dhypoxia and overhydration.
6A 42-year-old male is found unresponsive on his couch by a neighbor. During your assessment, you find no signs of trauma and the patient's blood glucose level is 75 mg/dL. His blood pressure is 168/98 mm Hg, his heart rate is 45 beats/min and bounding, and his respirations are 8 breaths/min and irregular. The patient is wearing a medical alert bracelet that states he has hemophilia. You should:
- Aadminister oxygen via a nonrebreathing mask, apply oral glucose in between his cheek and gum, and transport.
- Bsuspect that he has internal bleeding and is in shock, administer high-flow oxygen, and transport at once.
- Cadminister high-flow oxygen, perform a detailed secondary assessment at the scene, and transport promptly.
- Dsuspect that he has intracranial bleeding, assist his ventilations, and transport rapidly to an appropriate hospital.
7A 75-year-old male with type 1 diabetes presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing:
- Ahypoglycemia.
- Ban acute stroke.
- Chyperglycemia.
- Da heart attack.
8A man finds his 59-year-old wife unconscious on the couch. He states that she takes medications for type 2 diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals that the patient is unresponsive. You should:
- Aopen and maintain her airway and assess breathing.
- Bquickly assess for the presence of a medical identification tag.
- Cadminister 100% oxygen via a nonrebreathing mask.
- Dadminister oral glucose between her cheek and gum.
9An acute accelerated drop in the hemoglobin level, which is caused by red blood cells breaking down at a faster rate than normal, occurs during a(n) __________ crisis.
- Aaplastic
- Bhemolytic
- Cvaso-occlusive
- Dsplenic sequestration
10Assessment of a patient with hypoglycemia will MOST likely reveal:
- Asunken eyes.
- Bhyperactivity.
- Cwarm, dry skin.
- Dcombativeness.
11Classic signs and symptoms of hypoglycemia include:
- Awarm, dry skin; irritability; bradycardia; and rapid respirations.
- Bcool, clammy skin; weakness; tachycardia; and rapid respirations.
- Ccold, clammy skin; bradycardia; hunger; and deep, rapid respirations.
12Common signs and symptoms of diabetic coma include all of the following, EXCEPT:
- Awarm, dry skin.
- Bcool, clammy skin.
- Crapid, thready pulse.
- Dacetone breath odor.
13Diabetes is MOST accurately defined as a/an:
- Adisorder of carbohydrate metabolism.
- Babnormally high blood glucose level.
- Cmass excretion of glucose by the kidneys.
- Dlack of insulin production in the pancreas.
14Diabetic coma is a life-threatening condition that results from:
- Ahyperglycemia, ketoacidosis, and dehydration.
- Bhypoglycemia, excess insulin, and dehydration.
- Chypoglycemia, dehydration, and ketoacidosis.
- Dhyperglycemia, excess insulin, and ketoacidosis.
15Diabetic ketoacidosis occurs when:
- Ablood glucose levels rapidly fall.
- Bthe cells rapidly metabolize glucose.
- Cthe pancreas produces excess insulin.
- Dinsulin is not available in the body.
16During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that:
- Ahe has a thrombosis.
- Bhe has hemophilia B.
- Che has hemophilia A
- Dhis blood clots too quickly.
17Excessive eating caused by cellular “hunger” is called:
- Apolyphagia.
- Bpolydipsia.
- Cdysphasia.
- Ddyspepsia.
18Glipizide, a non–insulin-type medication, is another name for:
- AGlucophage.
- BGlucotrol.
- CMicronase.
- DDiabinese.
19Glutose is a trade name for:
- Aglucotrol.
- Boral glucose.
- Cmicronase.
- Dglucophage.
20Hemoglobin is:
- Athe fluid portion of the blood that transports cells throughout the body.
- Bessential for the formation of clots, such as when vessel damage occurs.
- Cfound within the red blood cells and is responsible for carrying oxygen.
- Da key component of the blood and is produced in response to an infection.
21Hypoglycemic crisis tends to develop more often and more severely in children because:
- Athey have larger glucose stores than adults do.
- Bthey do not always eat correctly and on schedule.
- Ctheir cells do not uptake glucose as fast as adults' do.
- Dtheir low activity levels cause rapid glucose depletion.
22In contrast to insulin shock, diabetic coma:
- Ais rapidly reversible if oral glucose is given.
- Bcommonly results in excess water retention.
- Ccan only be corrected in the hospital setting.
- Dis a rapidly developing metabolic disturbance.
23Insulin functions in the body by:
- Aproducing new glucose as needed.
- Benabling glucose to enter the cells.
- Cincreasing circulating blood glucose.
- Dmetabolizing glucose to make energy.
24Insulin shock will MOST likely develop if a patient:
- Atakes too much of his or her prescribed insulin.
- Bmarkedly overeats and misses an insulin dose.
- Ceats a regular meal followed by mild exertion.
- Dmisses one or two prescribed insulin injections.
25Ketone production is the result of:
- Aacidosis when blood glucose levels are low.
- Bblood glucose levels higher than 120 mg/dL.
- Cfat metabolization when glucose is unavailable.
- Drapid entry of glucose across the cell membrane.
26Kussmaul respirations are an indication that the body is:
- Aattempting to eliminate acids from the blood.
- Btrying to generate energy by breathing deeply.
- Cseverely hypoxic and is eliminating excess CO2.
- Dcompensating for decreased blood glucose levels.
27Patients with thrombophilia are at an increased risk for:
- Avarious cancers.
- Bhemorrhagic stroke.
- Cacute arterial rupture.
- Dpulmonary embolism.
28Patients with type 2 diabetes usually control their disease with all of the following, EXCEPT:
- Adiet and exercise.
- Btolbutamide (Orinase).
- Cglyburide (Micronase).
- Dsupplemental insulin.
29Patients with uncontrolled diabetes experience polyuria because:
- Athey drink excess amounts of water due to dehydration.
- Bexcess glucose in the blood is excreted by the kidneys.
- Clow blood glucose levels result in cellular dehydration.
- Dhigh blood sugar levels cause permanent kidney damage.
30Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT:
- Aassessing the patient's mental status.
- Bensuring the absence of a gag reflex.
- Cchecking the medication's expiration date.
- Drequesting permission from medical control.
31The normal blood glucose level, as measured by a glucometer, is between:
- A60 and 80 mg/dL.
- B80 and 120 mg/dL.
- C130 and 150 mg/dL.
- D160 and 200 mg/dL.
32The signs and symptoms of insulin shock are the result of:
- Aincreased blood glucose levels.
- Bfat metabolism within the cells.
- Cdecreased blood glucose levels.
- Dprolonged and severe dehydration.
33To which of the following diabetic patients should you administer oral glucose?
- Aan unconscious 33-year-old male with cool, clammy skin
- Ba conscious 37-year-old female with nausea and vomiting
- Ca semiconscious 40-year-old female without a gag reflex
- Da confused 55-year-old male with tachycardia and pallor
34Type 1 diabetes:
- Ais typically treated with medications such as metformin (Glucophage).
- Bis a condition in which no insulin is produced by the body.
- Ctypically occurs in patients between 50 and 70 years of age.
- Dis defined as a blood sugar level that is less than 120 mg/dL.
35When assessing an unconscious diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
- Apatient's mental status.
- Brate of the patient's pulse.
- Cpresence of a medical identification tag.
- Drate and depth of breathing.
36When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:
- Aif he or she has had any recent illnesses or excessive stress.
- Bapproximately how much water the patient drank that day.
- Cif there is a family history of diabetes or related conditions.
- Dthe name of the physician who prescribed his or her insulin.
37Which of the following conditions is the diabetic patient at an increased risk of developing?
- Ablindness
- Bdepression
- Calcoholism
- Dhepatitis B
38Which of the following statements regarding diabetic coma is correct?
- ADiabetic coma can be prevented by taking smaller insulin doses.
- BDiabetic coma typically develops over a period of hours or days
- CPatients with low blood glucose levels are prone to diabetic coma.
- DDiabetic coma rapidly progresses once hyperglycemia develops.
39Which of the following statements regarding glucose is correct?
- AMost cells will function normally without glucose.
- BBlood glucose levels decrease in the absence of insulin.
- CThe brain requires glucose as much as it requires oxygen.
- DThe brain requires insulin to allow glucose to enter the cells.
40Which of the following statements regarding sickle cell disease is correct?
- ASickle cell disease is an inherited blood disorder that causes the blood to clot too quickly.
- BIn sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
- CThe red blood cells of patients with sickle cell disease are round and contain hemoglobin A.
- DBecause of their abnormal shape, red blood cells in patients with sickle cell disease are less apt to lodge in a blood vessel.
41You are treating a 40-year-old male with a documented blood sugar reading of 300 mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted ventilation from your partner. You should recognize that definitive treatment for this patient includes:
- Aoxygen.
- Bglucagon.
- Cinsulin.
- Ddextrose.
42You respond to a movie theater for a 70-year-old male who is confused. His wife tells you he has type 2 diabetes but refuses to take his pills. Your assessment reveals that the patient is diaphoretic, tachycardic, and tachypneic. Initial management for this patient should include:
- Aadministering one to two tubes of oral glucose.
- Bapplying a nonrebreathing mask at 15 L/min.
- Cassisting the patient with his diabetic medication.
- Dperforming a rapid exam and obtaining vital signs.
43You respond to a residence for a patient who is “not acting right.” As you approach the door, the patient, a 35-year-old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:
- Acalm him down so you can assess him.
- Bbe assertive and talk the patient down.
- Ccontact medical control for instructions.
- Dretreat at once and call law enforcement.
Information
- Description
- EMT-B EMT Quiz on EMT 17, created by Seth Weaver on 09/06/2018.
- Author
- Seth Weaver
- Language
- English
- Views
- 23
- Tags
- Rating
- No ratings yet Rate this quiz