EMT Chapter 19 Quiz

Question 1

A 37 year old female with a history of diabetes presents with excessive urination and weakness of 2 days' duration. Her blood glucose level reads 320 mg/dL. If this patient's condition is not promptly treated, she will MOST likely develop:
A) hypoxia and overhydration
B) Irreversible renal failure
C) Severe insulin shock
D) Acidosis and dehydration

Answer 1

B) Irreversible renal failure

Question 2

A 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:
A) Hypoglycemia
B) A heart attack
C) An acute stroke
D) Hyperglycemia

Answer 2

B) A heart attack (AMI)

Question 3

A patient with hypoglycemia will often present with which of the following signs/symptoms?
A) Hypertension
B) Deep, rapid respirations
C) Warm, red, and dry skin
D) Pale, cool, and clammy skin

Answer 3

D) Pale, cool, and clammy skin

Question 4

During your assessment of a 19-year old male, you are told that he is being treated with factor VIII. This indicates that:
A) His blood clots too quickly
B) He has hemophilia A
C) He has a thrombosis
D) He has thrombophilia

Answer 4

B) He has hemophilia A

Question 5

In contrast to type 1 diabetes, type 2 diabetes:
A) Is caused by resistance to insulin at the cellular level
B) Occurs when antibodies attack insulin-producing cells.
C) Is caused by a complete lack of insulin in the body
D) Is commonly diagnosed in children and young adults.

Answer 5

A) Is caused by resistance to insulin at the cellular level.

Question 6

The main function of the endocrine system is to:
A) Regulate glucose and calcium
B) Regulate blood flow
C) Maintain homeostasis
D) Produce glandular secretions

Answer 6

C) Maintain homeostasis

Question 7

The normal blood glucose level is between:
A) 160 and 200 mg/dL
B) 30 and 150 mg/dL
C) 60 and 80 mg/dL
D) 80 and 120 mg/dL

Answer 7

D) 80 and 120 mg/dL

Question 8

Which of the following statements regarding glucose is correct?
A) Most cells will function normally without glucose
B) Blood glucose levels decrease in the absence of insulin
C) The brain requires glucose as much as it requires oxygen
D) The brain requires insulin to allow glucose to enter the cells

Answer 8

C) The brain requires glucose as much as it requires oxygen

Question 9

Which of the following statements regarding sickle cell disease is correct?
A) The red blood cells of patients with sickle cell disease are round and contain hemoglobin
B) Because of their abnormal shape, red blood cells in patients with sickle cell disease are less apt to lodge in a blood vessel
C) Sickle cell disease is an inherited blood disorder that causes the blood to clot too quickly
D) In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen

Answer 9

D) In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.

Question 10

You are treating a 40 year old male with a documented blood sugar reading of 480 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:
A) Dextrose
B) Glucagon
C) Insulin
D) Oxygen

Answer 10

C) Insulin