***FINAL****

Question 1

Which type of diabetes requires insulin?

Answer 1

Type 1

Question 2

What are 3 key S/S of a diabetic coma?

Answer 2

Rapid, deep breathing (Kussmaul)
Dry, warm skin, sunken eyes
Fruity breath

Question 3

What are 3 s/s of Insulin shock?

Answer 3

• -pale, moist, diaphoretic skin
• -aggressive behavior
• -intense hunger, fainting, seizures, or coma

Question 4

Is insulin shock too much insulin or glucose?

Answer 4

Too much insulin

Question 5

Which has a rapid, weak pulse and slightly low BP?

– Diabetic Coma or Insulin Shock????

Answer 5

Diabetic coma

Question 6

Which has full rapid pulse and normal BP?

–Diabetic Coma or Insulin Shock

Answer 6

Insulin Shock

Question 7

If the patient has eaten but has not taken their insulin, what is probably the problem?
–Diabetic Ketoacidosis or Insulin Shock

Answer 7

Diabetic ketoacidosis

Question 8

If the patient took their insulin but forgot to eat, what is probably the problem?
–Diabetic Ketoacidosis or Insulin Shock???

Answer 8

Insulin shock

Question 9

If you know it is insulin shock and the patient is alert and able to swallow, what should you do?

Answer 9

Give sugar

Question 10

If you know it is insulin shock and the patient is unconscious, what should you do?

Answer 10

Give BLS

Question 11

Which type of stroke is caused by a blockage of a vessel?

Answer 11

Ischemic

Question 12

What type of stroke is caused by a rupture of a vessel or an aneurysm?

Answer 12

Hemorrhagic

Question 13

Which has a worse prognosis, Ischemic or Hemorrhagic?

Answer 13

Hemorrhagic

Question 14

What is the most common cause of strokes?

Answer 14

Thrombosis

Question 15

Which type of CVA is described?

–specific losses of body function, generally w/out pain or seizures.

Answer 15

Thrombosis

Question 16

Which type of CVA is described?

–loss of body function but is usually accompanied by a sudden, violently severe headache?

Answer 16

Arterial rupture

Question 17

Which type of CVA is described?

–sudden seizure, paralysis, or loss of consciousness w/out headache or pain.

Answer 17

Cerebral embolism

Question 18

What are 2 key treatments for CVA?

Answer 18

• -Give oxygen

- -Position patient on paralyzed side

Question 19

What is a critical elevation in blood pressure in which diastolic pressure exceeds 120 mm Hg?

Answer 19

Hypertensive emergency

Question 20

What is hermetic whitlow?

Answer 20

Herpes of the finger

Question 21

How can you tell Bell’s palsy from a lesion in the brainstem involving the nuclei of CN 7?

Answer 21

Looks like bell’s

– check cardinal planes of gaze, abducens rarely involved

Question 22

How do you differentiate the S/S of early and late hypothermia?

Answer 22

Shivering = early
Death = late

Question 23

What is HHNC?

Answer 23

Diabetic emergency seen in elderly w/ Type 2 Diabetes

Question 24

What are the 3 phases of Seizures?

Answer 24

• -Aura
• -Convulsion
• -Postictal