Chapters 5-9

Question 1

Syncope is the sudden loss of consciousness and postural tone, and is most often caused by a loss of cerebral oxygenation.

Both phases are true

Answer 1

Both phases are true

Question 2

Which age groups are particularly susceptible to syncope?

Geriatric individuals

Answer 2

Geriatric individuals

Question 3

All of the following are common classifications of syncope except one. Which one is the exception?

Obstructive syncope

Answer 3

Obstructive syncope

Question 4

The most serious form of syncope is

Cardiac syncope

Answer 4

Cardiac syncope

Question 5

Hyperventilation can cause syncope due to

Cerebral vasoconstriction

Answer 5

Cerebral vasoconstriction

Question 6

The symptoms associated with syncope stem from the stimulation of the

Sympathetic nervous system

Answer 6

Sympathetic nervous system

Question 7

All of the following are signs or symptoms associated with syncope except one. Which one is the exception?

Pupil constriction

Answer 7

Pupil constriction

Question 8

In what position should a patient be placed when suffering from syncope?

Supine position with feet elevated

Answer 8

Supine position with feet elevated

Question 9

Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results in a reduction of metabolism for those tissues.

Both phrases are true

Answer 9

Both phrases are true

Question 10

Which type of shock would you suspect for a patient experiencing a severe infection?

Septic shock

Answer 10

Septic shock

Question 11

Which state of shock is irreversible and characterized by failure of the vital organs?

Refractory stage

Answer 11

Refractory stage

Question 12

What is the most important step in the specific emergency treatment for hypovolemic shock?

Answer 12

iv

Question 13

All of the following are possible etiologies of neurogenic shock except one? Which one is the exception?

Myocardial infarction

Answer 13

Myocardial infarction

Question 14

The type of shock that has the symptoms of nonspecific chest pain and shortness of breath would be?

Cardiogenic shock

Answer 14

Cardiogenic shock

Question 15

All of the following are forms of distributive shock except one. Which one is the exception?

Cardiogenic shock

Answer 15

Cardiogenic shock

Question 16

In what position should a patient be placed when suffering from shock?

Supinely

Answer 16

Supinely

Question 17

All of the following are symptoms of hyperventilation except one. Which one is the exception?

Hyperpnea

Answer 17

Hyperpnea

Question 18

The chemical lacking in the bloodstream of the hyperventilating patient is

Carbon dioxide

Answer 18

Carbon dioxide

Question 19

The carpopedal spasms often seen in a patient who is hyperventilating is caused by

Reduction in calcium in the bloodstream

Answer 19

Reduction in calcium in the bloodstream

Question 20

The recommended treatment for a hyperventilating patient is

Work with him or her to control his or her breathing

Answer 20

Work with him or her to control his or her breathing

Question 21

The symptoms of a pulmonary embolism are often similar to the symptoms of hyperventilation, and both conditions are potentially life threatening.

The first phase is correct, and the second phase is incorrect

Answer 21

The first phase is correct, and the second phase is incorrect

Question 22

The respiration rate for a person experiencing hyperventilation is

> 22 respirations/minute

Answer 22

> 22 respirations/minute

Question 23

Abnormal spasm of the facial muscle elicited by light taps on the facial nerve is referred to as

Chvostek’s sign

Answer 23

Chvostek’s sign

Question 24

All of the following are common precipitating factors of hyperventilation except one. Which one is the exception?

Hypertension

Answer 24

Hypertension

Question 25

All of the following are associated with increased seizure activity except one. Which one is the exception? Hyperglycemia

Answer 25

Hyperglycemia

Question 26

Which of the following are responsibilities of the clinician in treating a patient with a seizure disorder? All of the above (thoroughly reviewing the medical history and discussing it with the patient, monitoring the patient for signs and symptoms of impending seizures, protecting the patient from harm during the seizure, monitoring the patient's vital signs during recovery and arranging a ride home)

Answer 26

All of the above (thoroughly reviewing the medical history and discussing it with the patient, monitoring the patient for signs and symptoms of impending seizures, protecting the patient from harm during the seizure, monitoring the patient's vital signs during recovery and arranging a ride home)

Question 27

Generalized tonic-clonic seizures are often preceded by an aura. Patients are always aware that they have had an aura Both statements are false

Answer 27

Both statements are false

Question 28

All of the following are factors used to classify seizure types except one. Which one is the exception? Age of patient

Answer 28

Age of patient

Question 29

Your patient stiffens and starts to experience a seizure in the middle of periodontal debridement. What is the first thing you should do? Stop treatment and remove everything from the patient's mouth

Answer 29

Stop treatment and remove everything from the patient's mouth

Question 30

The following oral signs and symptoms are often present in a patient with a history of seizure disorders. Which of the following is an exception? Gingival overgrowth

Answer 30

Gingival overgrowth

Question 31

Antiepileptic drugs fall into which of the following pharmaceutical classifications? Anticonvulsants

Answer 31

Anticonvulsants

Question 32

The most common type of seizure disorder is... Tonic-clonic or grand mal seizures

Answer 32

Tonic-clonic or grand mal seizures

Question 33

The injectable drug of choice in the emergency treatment of GTCS or status epileptics is

Answer 33

?

Question 34

Respiratory arrest is most likely to occur during which phase of a generalized tonic-clonic seizure?

Answer 34

?

Question 35

Which of the following is a condition that often mimics the symptoms of a CVA?

Answer 35

?

Question 36

All of the following are individuals susceptible to CVA except one. Which one is the exception?

Answer 36

?

Question 37

The preferred treatment for acute ischemic stroke in the emergency department is the administration of intravenous r-tPa needs to be delivered within the first three hours of onset of the CVA symptoms

Answer 37

?

Question 38

What can occur in a patient who is experiencing a hemorrhagic CVA and is given r-tPA?

Answer 38

?

Question 39

Oxygen should be delivered to a patient suspected of a CVA only if...

Answer 39

?

Question 40

Cerebral hemorrhages occur when a defective artery within the brain bursts and the surrounding tissue fills with blood, whereas subarachnoid hemorrhage strokes occur when a blood vessel on the surface of he brain ruptures and bleeds.

Answer 40

?

Question 41

All of the following are symptoms of acute ischemic CVA except one. Which one is the exception?

Answer 41

?