NREMT: Medical/Obstetrics/Gynecology Flashcards
(115 cards)
1
Q
A 37-year-old female is 36 weeks pregnant. She tells you that she has a severe headache and blurred vision. She describes decreased fetal activity today. Her vital signs are P 86, R 14, BP 138/90, and SpO2 is 96% on room air. You should transport her:
A
on her left side
2
Q
How do the kidneys assist in buffering the pH of the blood?
A
Produce Bicarbonate
3
Q
A 91-year-old female complains of generalized weakness. She tells you that she is depressed because her husband died last month, and she keeps forgetting to take her diabetes medication. Her skin is warm and dry. Her vital signs are P 98, R 16, BP 112/78, and SpO2 is 97% on room air. You should:
A
assess blood glucose
4
Q
A 45-year-old female complains of palpitations. She tells you she feels nervous and tired. She has a history of a panic disorder. Her vital signs are P 100, R 24 and deep, BP 142/84, and SpO2 is 100% on room air. You should:
A
coach her to slow her breathing
5
Q
An unresponsive 58-year-old female had a single seizure prior to your arrival. Bystanders tell you that she hasn’t woken up since she stopped shaking. While you are performing your assessment, she has a brief tonic period followed by generalized clonic activity. You should next:
A
protect her head and transport
6
Q
A 16-year-old male tells you he is allergic to bees and that he was stung. Five minutes ago, he used his epinephrine autoinjector and felt better, but now he is having increasing difficulty breathing. You hear audible stridor and wheezes. You should first:
A
administer second dose of epinephrine
7
Q
An unresponsive 23-year-old male is lying in bed. His mother tells you that he has been getting sicker all week and not taking his medication. He has a history of type 2 diabetes. His skin is warm and dry. His vital signs are P 98, R 24 and deep, BP 112/84, and SpO2 is 98% on room air. You should suspect:
A
hyperglycemia
8
Q
A 38-year-old male complains of nausea and vomiting. He has a history of alcoholism. His abdomen is distended, and he has left upper quadrant tenderness on palpation. His vital signs are P 112, R 18, BP 116/88, and SpO2 is 95% on room air. You should:
A
administer oxygen
9
Q
A 67-year-old female complains of crampy abdominal pain. She tells you she has diarrhea and mucus in her stool. Her vital signs are P 94, R 16, BP 136/84, and SpO2 is 96% on room air. You should:
A
transport in position of comfort
10
Q
A 21-year-old female has a sudden onset of left lower abdominal quadrant pain and vaginal bleeding. She denies the possibility that she could be pregnant. She tells you the pain started after she had a spicy meal. Her vital signs are P 116, R 18, BP 94/70, and SpO2 is 93% on room air. You should suspect:
A
ectopic pregnancy
11
Q
A febrile 66-year-old female complains of chills and body aches. She tells you she removed a tick from her back yesterday. You observe a 3 cm circle of reddened skin that is normal in the center. You should:
A
assess vital sign
12
Q
A 3-year-old male is lethargic and does not respond appropriately. His mother tells you he has constantly been tired and drinking more fluid than normal for several weeks. His conjunctivae appear dry. His vital signs are P 130, R 40, BP 58 systolic, and SpO2 is 98% on room air. You should suspect:
A
hyperglycemia
13
Q
A 32-year-old female complains of a throbbing right-sided headache. She tells you the lights are bothering her eyes and she feels nauseated. Her face is symmetrical, and both arms move equally. Her speech is clear, and she uses appropriate words. You should suspect a:
A
migrain
14
Q
A 36-year-old female complains of palpitations. She tells you that she has a hyperactive thyroid gland. Her skin is warm and moist. Her vital signs are P 108 and irregular, R 18, BP 126/80, and SpO2 is 97% on room air. You should:
A
transport he
15
Q
Which of the following is least dependent on insulin to move glucose into the cells?
A
brain
16
Q
A 29-year-old male complains of severe left-sided flank pain. He tells you that the pain so severe that he cannot sit still to drive his car. His vital signs are P 94, R 16, BP 132/68, and SpO2 is 97% on room air. You should:
A
transport him
17
Q
An 8-year-old female who has a history of autism fractured her lower leg. Before applying the splint, you should:
A
tell her the splint will be tight to keep her leg from moving
18
Q
A 6-month-old female is cyanotic and slow to respond to stimuli. Her father tells you he found her this way on the floor and removed an empty balloon from her mouth. Her pupils are pinpoint. Her vital signs are P 72 and R 16. After you begin to ventilate her, you should:
A
administer narcan
19
Q
A 73-year-old female complains of pain in her lower abdomen and pelvis. She tells you the pain increases during intercourse. Recently, she has had a foul-smelling vaginal discharge. You should suspect:
A
pelvic inflammatory disease
20
Q
A confused 60-year-old female complains of generalized weakness after working outside on a hot, humid day. Her skin is hot and moist. After moving her to your air-conditioned ambulance, you should next:
A
apply cold packs to her groin
21
Q
A 26-year-old male was acting bizarre and violent toward you and your partner. While law enforcement officers assisted you in restraining him, you note he is unexpectedly strong. His skin is hot and diaphoretic. During transport, he suddenly calms down and stops thrashing against his restraints. You should immediately:
A
reevaluate his ABC’s
22
Q
An 84-year-old male tells you that he is hearing and seeing demons. He has a history of schizophrenia. He denies any other complaints. His vital signs are P 64, R 12, BP 122/74, and SpO2 is 98% on room air. You should:
A
tell him that you cannot see or hear them
23
Q
An 86-year-old female complains of difficulty breathing. She has a history of tuberculosis. After donning an N-95 respirator, you auscultate rhonchi in her left lower lung. Her vital signs are P 86, R 16, BP 142/84, and SpO2 is 96% on room air. You should administer oxygen by:
A
nasal cannula and place mask over nose and mouth
24
Q
A 23-year-old female complains of shortness of breath. She has a history of lupus. You observe a rash across both cheeks and the bridge of her nose. Her lungs are clear to auscultation. Her vital signs are P 88, R 20, BP 126/76, and SpO2 is 95% on room air. You should:
A
administer oxygen
25
A 30-year-old female complains of epigastric pain that radiates to her right shoulder. She tells you she vomited the French fries she ate 30 minutes ago. Her lungs are clear to auscultation. Her pain increases when she takes a deep breath while you are palpating her abdomen. Her vital signs are P 92, R 16, BP 124/80, and SpO2 is 97% on room air. You should suspect:
cholecystitis
26
An 85-year-old female complains of chest pain. She has a history of renal failure. She receives hemodialysis and has an arterial-venous fistula in her left lower arm. When assessing her blood pressure, you should:
place the cuff on her right bicep
27
A 76-year-old male complains of vomiting and diarrhea. He tells you he has not been able to keep down food or water for two days. His conjunctivae are pale and dry. He has a history of hypertension. His vital signs are P 80, R 18, BP 108/92, and SpO2 is 92% on room air. You should:
administer oxygen
28
Which of the following will irritate the peritoneum the quickest?
ruptured appendix
29
A drowsy 36-year-old female took 20 amitriptyline 150 mg tablets 15 minutes ago. When you ask why she took the tablets, she states, "My husband is cheating on me, and I want to die." She tells you she feels better now and just wants to take a nap. You should:
immediately transport her
30
A 36-year-old female is 39 weeks pregnant with her second pregnancy. She tells you that she started to have contractions and bleeding 15 minutes ago. You observe a large pool of dark red blood on the floor. Her skin is pale and diaphoretic. Your priority while transporting her should be to:
keep her warm and administer oxygen
31
A febrile 32-year-old female complains of right-sided pelvic pain. She tells you she feels bloated and has heaviness in her abdomen. Her vital signs are P 78, R 18, BP 122/ 68, and SpO2 is 96% on room air. You should:
transport her in a position of comfort
32
Why can a 4-year-old female who is in sickle cell crisis experience chest pain?
her pulmonary microcirculation is occluded
33
A 24-year-old male has a single episode of tonic/clonic seizure activity. He is awake when you arrive and is unaware of what happened. He tells you he ran out of his seizure medication. His vital signs are P 72, R 16, BP 138/68, and SpO2 is 95% on room air. You should:
monitor vitals and transport
34
A 54-year-old male complains of pain in his right flank. He tells you the pain is so severe he feels like he is going to vomit. He tells you he was sitting in a chair watching TV when it started. You should suspect:
renal calculi
35
A 19-year-old female who is in her third trimester complains of blurred vision and a headache. She tells you the baby is moving, and she denies contractions. Her vital signs are P 84, R 16, BP 152/94, and SpO2 is 97% on room air. You should:
transport her on her left side
36
A 48-year-old female has fatigue and shortness of breath. She has a history of sickle cell anemia and tells you she is in crisis. Her lungs are clear to auscultation. Her vital signs are P 98, R 20, BP 148/84, and SpO2 is 93% on room air. You should suspect:
sickle cell crisis
37
A 78-year-old male is having difficulty breathing. He has a history of dementia and COPD. His daughter tells you his breathing gets worse when he walks up the steps. He tells you that he is fine and doesn't want to go to the hospital. He is dyspneic and unable to identify his daughter. You should:
administer oxygen and transport him
38
A 70-year-old female complains of lower abdominal pain. She tells you she has frequently been urinating, and that it burns when she urinates. She denies any other complaints. You should suspect:
UTI
39
A 25-year-old female tells you her water broke. When you examine her, you observe a greenish liquid and the neonate's head crowning. Immediately after the delivery, the male neonate is crying, has cyanotic hands and feet, and is moving all extremities. You should:
suction his mouth
40
An unresponsive 27-year-old female vomited after she ingested a bottle of aspirin. Her skin is diaphoretic and hot. Her vital signs are P 114, R 24 and deep, BP 82/60, and SpO2 is 95% on room air. Which of the following will provide the most accurate, up-to-date information on how to manage her condition?
contact poison control
41
A 41-year-old female complains of shortness of breath and fatigue. She tells you she has a history of Hodgkin's lymphoma and asthma. Her lungs are clear to auscultation. Her vital signs are P 88, R 18, BP 132/82, and SpO2 is 93% on room air. You should:
administer oxygen
42
An unresponsive 18-year-old female is obviously in her third trimester of pregnancy. Bystanders called when they saw her collapse and begin to have a seizure. She is no longer seizing, but she is postictal. Her face, hands, ankles, and feet appear swollen. Her abdomen is relaxed and soft to palpation. Her vital signs are P 98, R 16, BP 168/104, and SpO2 is 93% on room air. You should:
administer oxygen
43
A confused 30-year-old male has flushed dry skin and fever. His girlfriend tells you he took 500 mg of diphenhydramine to help him sleep. His pupils are dilated and non-reactive. His vital signs are P 118, R 20, BP 182/78, and SpO2 is 95% on room air. His blood glucose level is 73 mg/dL. You should:
transport him
44
A 40-year-old female is 38 weeks pregnant with her fourth pregnancy. She complains of severe abdominal pain and has dark red vaginal bleeding. Her skin is pale and diaphoretic. Her vital signs are P 112, R 18, BP 88/58, and SpO2 is 93% on room air. After you administer oxygen, you should next:
keep her warm
45
Why would the fontanel of an 8-month-old female who has meningitis bulge?
ICP has increased
46
A febrile 17-year-old female complains of a headache and sensitivity to light. You observe a petechial rash on her exposed legs. You should first:
don a mask and gloves
47
A 55-year-old female who was bitten by a snake five hours ago complains of a sudden onset of generalized weakness. She tells you the snake was not poisonous, and it had bands of color on its body. Her vision is blurry, and her pupils are four millimeters and reactive. Her vital signs are P 116, R 24, BP 92/64, and SpO2 is 92% on room air. What type of snake should you suspect bit her?
coral snake
48
A pregnant 25-year-old female tells you that she feels the baby delivering. When you examine her, you see a loop of the umbilical cord. You should administer oxygen and transport after:
insert fingers into vagina and push neonate off the cord
49
A 10-month-old female has a two-inch soft bulge under the skin of her belly button. Her father tells you that the bulge appeared after she was coughing. She does not cry when you palpate her abdomen. You should suspect a(n):
hernia
50
A 34-year-old female has severe anxiety and tells you she is having a panic attack. She tells you she has been depressed since her son was born two months ago. Her vital signs are P 88, R 18, BP 132/84, and SpO2 is 99% on room air. You should:
reassure her and transport
51
An unresponsive 67-year-old male is lying next to a bag of pesticide that spilled powder on his legs. You observe clonic seizure activity and copious nasal and oral secretions. After assuring you are wearing proper PPE, you should next:
brush the dry chemical off him
52
A febrile 80-year-old male complains of generalized weakness and foot pain. His left foot is swollen, red, and pus is draining from the wound. He tells you he has MRSA in the wound. His vital signs are P 108, R 22, BP 88/62, and SpO2 is 94% on room air. You should:
administer oxygen
53
An unresponsive 28-year-old female has hot, clammy skin and a foul-smelling vaginal discharge. Her lungs are clear to auscultation, and you observe good chest rise. Her vital signs are P 110, R 24, BP 86/58, and SpO2 is 92% on room air. You should:
administer oxygen
54
An 84-year-old male ingested some of his medication intending to harm himself. Which of the following information is most important for you to gather during your assessment?
spelling of medication, when and how much was ingested
55
You are called to a school for a 9-year-old male who was acting strangely. His teacher tells you that during class, he had several episodes of sitting at his desk staring into space and briefly not responding. He answers your questions correctly and tells you he does not remember the episodes. What type of seizure should you suspect?
absence
56
A 38-year-old female was found unresponsive in her car by her son. He tells you she overdosed on heroin, and he administered Narcan® intranasally before starting CPR four minutes ago. Upon your arrival, she starts to move. She has a carotid pulse and gasping respirations once every 15 seconds. You should next:
assist her ventilation
57
A healthy 32-year-old female just delivered a full-term neonate. She tells you she had no problems with the pregnancy and received prenatal care. After delivery of the placenta, she continues to have significant bleeding. You feel a grapefruit-sized mass in her lower abdomen that is painful when palpated. You should suspect the mass is:
her uterus
58
A febrile 49-year-old male complains of generalized weakness. He has a history of HIV/AIDs. He tells you that he has had diarrhea for three days. His mucous membranes are pale and dry. His vital signs are P 102, R 14, BP 108/76, and SpO2 is 96% on room air. You should:
administer oxygen
59
Which of the following is the mode of transmission for hepatitis C?
blood
60
A 21-year-old female complains of severe nausea and vomiting. She tells you she is six weeks pregnant, and she has been vomiting four times a day. Her conjunctivae are pale and dry. Her vital signs are P 110, R 18, BP 104/86, and SpO2 is 93% on room air. Her blood glucose level is 72 mg/dL. You should administer oxygen and:
treat for shock
61
An unresponsive 7-month-old male is found next to a bottle of his grandmother's oxycontin. There are several tablets on the floor next to him. His skin is cyanotic, and you observe occasional gasping respirations. You should suspect:
ingestion of an opiod
62
A 32-year-old female who is 39 weeks gravid is in active labor. You observe the baby's head as it begins to deliver. You should:
support the baby's head
63
The mother of a 5-year-old male tells you that he was vomiting earlier today and complained of moderate pain around his umbilicus. She tells you that just before she called, the pain worsened, and he now has severe pain. When you ask him where the pain is the worst, he points to the right lower abdominal quadrant. His vital signs are P 98, R 26, BP 96/64, and SpO2 is 98% on room air. You should suspect:
Appendicitis
64
Law enforcement officers requested your assistance with a 24-year-old male who is acting aggressively. He has removed his clothing, is shouting, and throwing heavy furniture around in his apartment. Law enforcement tells you he has a history of diabetes and cocaine use. You should suspect:
65
A 95-year-old male has chronic renal failure. He receives hemodialysis three times a week. He has missed two dialysis appointments this week. Which of the following conditions should you expect his symptoms to mimic?
congestive heart failure
66
A 58-year-old female was sexually assaulted. Her only complaint is minor vaginal bleeding and lower pelvic pain. She reluctantly agrees to go to the hospital with you but wants to use the bathroom first. Her vital signs are P 84, R 16, BP 132/86, and SpO2 is 98% on room air. You should:
explain why she should wait to use the bathroom until she gets to the hospital
67
Why are the signs and symptoms of ectopic pregnancy potentially life-threatening?
embryo ruptures the fallopian tube and causes uncontrolled internal breathing
68
How does the renal system help the body compensate for shock?
decreasing the amount of fluid excreted from the blook
69
You are assessing a newborn female one minute after she was born. Her body is pink, and her extremities are blue. She has a strong cry. She has some movement of her extremities and withdraws her foot when you tap it. Her vital signs are P 168 and R 56. You should suspect she:
is healthy
70
Why can a patient who is having an anaphylactic reaction have angioedema?
capillary beds become more permeable and fluid leaks into the interstitial space
71
An 86-year-old female complains of pain in her sacral area. You observe a four-centimeter decubitus ulcer in the area. Her son tells you that she is bedridden and that he cares for her. Her bedding is wet and smells like urine. You should suspect:
physical neglect
72
A 32-year-old female has a single episode of tonic-clonic seizure activity. She is awake now and restless. She has a history of alcohol abuse and tells you she quit drinking yesterday. Her skin is diaphoretic, and her hands are shaking. Her vital signs are P 114, R 16, BP 178/100, and SpO2 is 97% on room air. You should suspect:
Alcohol withdrawal
73
A 59-year-old male complains of abdominal pain and dizziness. He tells you he had a kidney transplant six months ago. His skin is warmer than normal and diaphoretic. His abdomen is rigid, and his pain increases when you release the pressure after you palpate his abdomen. His vital signs are P 106, R 22, BP 122/90, and SpO2 is 93% on room air. You should:
administer oxygen
74
A 32-year-old female complains of crampy abdominal pain. She tells you she is 20 weeks pregnant. She has moderate vaginal bleeding. You should suspect:
spontaneous abortion
75
An 83-year-old male has uncontrolled epistaxis. He tells you that after blowing his nose it started and it will not stop. He has a history of atrial fibrillation. His vital signs are P 92, R 16, BP 142/82, and SpO2 is 94% on room air. You should:
have him lean his head forward and pinch nostril together
76
What is the most common cause of seizures in an adult?
subtherapeutic levels of anticonvulsive meds
77
An 11-year-old male who has a history of autism has difficulty breathing. You observe intercostal retractions, and he answers basic questions. While caring for him, you should:
only perform necessary assessments and treatments
78
A confused 74-year-old female has left-sided weakness. She can identify her husband and follow your commands but is unaware of current events. Her vital signs are P 70, R 14, BP 142/74, and SpO2 is 99% on room air. Her blood glucose level is 52 mg/dL. You should:
administer oral glucose
79
A 57-year-old male complained of fatigue and shortness of breath after climbing a flight of stairs. He tells you that he feels better now and that he has a history of anemia. His conjunctivae are very pale. His lungs are clear to auscultation. His vital signs are P 90, R 22, BP 146/84, and SpO2 is 95% on room air. He tells you he does not want to go to the hospital. You should:
encourage him to go to the hospital and administer oxygen
80
A 72-year-old male complains of pain in his back. His daughter tells you he has a history of dementia, and he is confused. You observe several half inches by four inches ecchymotic stripes across his back in various stages of healing. His daughter volunteers that the marks are shingles. You should:
ask him about the bruise while alone en route to the hospital
81
A 59-year-old male has superficial lacerations across both wrists. He tells you he cut himself seeking attention and doesn't want to go to the hospital. He has minor bleeding from the wounds. You should apply sterile dressings to the wounds and:
transport him to the hospital
82
A 55-year-old female jumped out of a second-story window and injured her right leg. She tells you she is depressed and that there is no hope for her. She recently lost her job, and her husband left her. You should suspect that she is:
suicidal
83
A 1-month-old male has bilateral circumferential superficial burns from his mid-calf to his toes. He is crying and inconsolable. His mother tells you she placed him in the tub and then accidentally filled the tub with hot water. You should suspect:
non-accidental trauma
84
A 54-year-old male complains of abdominal pain. He tells you he has had generalized crampy pain and diarrhea for three days. His abdomen is soft to palpation. His vital signs are P 90, R 16, BP 142/86, and SpO2 is 96% on room air. You should suspect:
gastroenteritis
85
A 62-year-old female spilled an industrial cleaning liquid on her forearm while at work. She complains of severe itching, and you observe redness on her entire forearm. Coworkers removed her contaminated clothing and flushed the area with large amounts of water for 20 minutes. Prior to transport, you should request a:
copy of the safety data sheet for the liquid
86
What is the mechanism of action of naloxone when administered for opioid overdoses?
antagonizes opioid effects by competing for the same receptor sites
87
A 34-year-old male complains of dizziness and feels like he is going to pass out. He tells you he just took naproxen for the first time for joint pain. You observe urticaria and angioedema. His vital signs are P 104, R 20, BP 78/58, and SpO2 is unobtainable. You should:
administer oxygen and transport
88
A 78-year-old female complains of difficulty breathing. She has a history of chronic renal failure and asthma. She tells you she missed two dialysis appointments this week. You auscultate fine crackles in her bases. Her vital signs are P 92 and irregular, R 22, BP 150/68, and SpO2 is 89% on room air. You should:
administer oxygen by non-rebreather mask
89
An unresponsive 18-year-old male had a seizure. His girlfriend tells you he has had a fever and a headache for two days, but no other medical problems. He has been staying in his room with the blinds closed because the light makes his headache worse. You should suspect:
Meningitis
90
Why should you administer a DuoDote® autoinjector to your partner after he was exposed to sarin gas?
the medications help to counteract the effects on his nervous system
91
When does a hernia become a life threat?
intestine is obstructed
92
A 67-year-old female complains of swelling in her legs and abdomen. She admits to a history of alcohol abuse. You observe that her sclerae are jaundiced. Which organ should you suspect is not functioning properly?
liver
93
An unresponsive 2-month-old female had a single seizure. Her father describes a single tonic-clonic type seizure that lasted two minutes. He tells you that she has not woken up since the seizure. As you begin to assess her, she begins to have another generalized seizure. You should first:
begin transport
94
You are treating a 76-year-old female who complains of chest pain and difficulty breathing. She weighs 430 pounds. When you place her on your stretcher for transport, you should ensure that you:
do not restrict her breathing
95
A febrile 24-year-old female complains of severe abdominal pain. She tells you the pain began around her navel and then moved to her right lower abdomen. Her vital signs are P 78, R 14, BP 122/76, and
SpO2
is 96% on room air. You should
transport in position of comfort
96
An unresponsive 10-year-old female passed out at the playground. Bystanders tell you she was acting confused before she collapsed. Her skin is pale and moist. She localizes to painful stimuli. Her vital signs are P 100, R 26, BP 114/72, and SpO2 is 98% on room air. You should suspect:
hypoglycemia
97
Which of the following assists in regulating the acid-base balance of the circulatory system by producing bicarbonate?
kidneys
98
The wife of an unresponsive 74-year-old male was unable to wake him this morning. She tells you his only complaint when he went to bed last night was increased chronic pain. He takes medication for hypertension and chronic pain. You observe myosis, and his skin is cyanotic. His vital signs are P 68, R 8 and shallow, BP 136/86, and SpO2 is 90% on room air. You should suspect a(n):
opioid overdose
99
A 10-month-old male is crying after he was stung by a bee. The skin around the site is reddened, and there is localized swelling. His lungs are clear to auscultation, and he is interacting with you appropriately. His vital signs are P 120, R 28, BP 90/58, and SpO2 is 98% on room air. You should:
monitor him and transport
100
A confused 32-year-old female tells you she took several lorazepam tablets to help her sleep. Her level of consciousness is slightly decreased, and her speech is slurred, but she is arousable to voice. Her pupils are three millimeters, and you observe rapid movement of her eyes. Her vital signs are P 80, R 12, BP 128/82, and SpO2 is 92% on room air. You should:
administer oxygen
101
A 91-year-old female complains of difficulty breathing. You auscultate fine crackles in her lower lungs. While assessing her lower legs, you observe large areas of dry, crusted scabs on her skin. You should administer oxygen and:
assess her vital signs
102
A 44-year-old male complains of groin pain. He tells you he has had an erection for over an hour. He has a history of sickle cell anemia. His sclerae and conjunctivae appear pale and yellow. His vital signs are P 98, R 20, BP 138/82, and SpO2 is 95% on room air. You should:
administer oxygen
103
A 3-month-old male is crying and inconsolable. His mother tells you he has not been feeding and has had diarrhea all day. His fontanel is depressed, and you do not observe any tears. His vital signs are P 170, R 40, and his capillary refill is three seconds. You should suspect:
dehydration
104
A 26-year-old male complains of difficulty breathing. He tells you he is homeless, and he doesn't have his medications with him. You auscultate slight wheezes in his lower lungs. His vital signs are P 92, R 18, BP 144/88, and SpO2 is 94% on room air. You should:
administer oxygen
105
A confused 54-year-old female did not eat lunch but took her insulin. She has a history of diabetes and chronic back pain. She localizes to stimuli with both hands equally. Her vital signs are P 82, R 14, BP 170/110, and SpO2 is 97% on room air. You should suspect:
hypoglycemia
106
A 37-year-old female who is pregnant with identical twins is in labor. You have already delivered the first neonate, and your partner is assessing him. As she has a contraction, you observe the second neonate's buttock beginning to deliver. You should
support the neonate and assist with the delivery
107
When placing a morbidly obese patient on the stretcher, why shouldn't you place him/her supine or in full Fowler's position?
movement of the diaphragm is restricted
108
A 21-year-old male complains of abdominal pain. His abdomen is soft to palpation, and the pain is the greatest in his left upper abdominal quadrant. He tells you his stool has been maroon in color for the past two days. His vital signs are P 104, R 16, BP 110/88, and SpO2 is 94% on room air. You should suspect:
Upper gi bleed
109
A 95-year-old female fell in the bathroom and injured her hip. She has terminal lung cancer and is enrolled in hospice. Her leg is shortened and internally rotated. She tells you she doesn't want to go to the hospital, and only wants assistance back into her bed. You should:
encourage her to go to the hospital
110
A 16-year-old female complains of pelvic pain and vaginal bleeding. She tells you that she was raped. She is holding a sanitary pad against her external genitalia, and you observe bright red blood running down her leg. You should:
examine her external genitalia
111
A 70-year-old male complains of abdominal pain and vomited dark, brown material. He tells you that he has been under a lot of stress since his wife became ill. His vital signs are P 96, R 16, BP 152/94, and SpO2 is 96% on room air. You should suspect a(n):
gastric ulcer caused by stress
112
A 68-year-old female complains of pelvic pain and a bloody vaginal discharge. She tells you that she is post-menopausal. She denies any other complaints. Her vital signs are P 88, R 14, BP 132/74, and SpO2 is 97% on room air. You should:
transport her in a position of comfort
113
A 66-year-old female complains of burning pain on the right side of her back. She tells you the pain began two days ago, and she can no longer tolerate it. You observe a red rash along the eighth intercostal space on the right side of her back. You should next:
assess her vital signs
114
A 23-year-old female just delivered a full-term male infant. You should first:
dry and stimulate him
115
A 38-year-old female complains of sneezing and mild trouble breathing after inhaling an unknown substance. You auscultate wheezes in all fields. Her vital signs are P 88, R 20, BP 138/68, and SpO2 is 92% on room air. What type of reaction should you suspect?
allergic
