The most likely condition that would cause hypovolemic shock is:
Answer(s): C
The liver is a solid organ and therefore would bleed profusely if ever injured. A laceration of the liver would likely lead to hypovolemic shock. A spinal cord injury would most likely lead to distributive shock due to vasodilation. Insulin shock is not a very common cause of hypovolemia, but DKA is. Appendicitis is more likely to lead to septic shock.
You are dispatched to a retirement facility, for a seventy-year-old male with a changing level of consciousness. The elderly man’s wife tells you that he has been quite confused for the past several hours. He has slurred speech and left-sided weakness. What would you suspect with these symptoms?
Answer(s): D
This patient is showing signs and symptoms of having had a stroke. These signs and symptoms are not consistent with an MI or with internal bleeding. Dementia doesn’t typically have an acute initial onset, rather it presents itself over time. It also doesn’t cause slurred speech or one-sided weakness.
You have been dispatched to a possible CVA. Once you have arrived on the scene, you determine that the patient is responding to painful stimuli. Which of the following must be the primary assessment for this patient?
Answer(s): A
When a patient is responsive, they should always be assessed using the ABC sequence during your initial assessment. A patient’s airway should always be assessed prior to their pulses, skin or blood pressure. Their circulation should not be assessed first (the CAB sequence) because responsive patients are not in need of CPR.
Choose the condition that would most likely require your patient to be transported to a specialized facility:
Stroke patients will need to be transported to a facility that is capable of providing rapid assessment and intervention. Dyspnea, diabetic problems and syncope can usually be handled in an emergency department at any hospital.
What is the first thing that you would do to assess an adult with chest pain?
Answer(s): B
Identifying the patient’s transport priority would be a component of the patient’s primary assessment. Scene safety is ascertained during the scene size up. Calculating the specifics about the patient’s pain and reassessing vitals are done later on in the patient’s assessment process.
You have a five-year-old patient who is unresponsive. He has a carotid pulse at 40 beats per minute and is taking 6 shallow breaths per minute. What should you immediately do?
You should begin your CPR with chest compressions whenever you are faced with an unresponsive child with a pulse rate below 60.
Of all the statements below, which one best explains the purpose of administering aspirin to a possible myocardial patient?
Aspirin is used to reduce platelet aggregation in the coronary arteries. It does not dilate coronary arteries, it does not reduce chest pain due to MI and it does not reduce acidosis.
When patients over one year of age are unresponsive, you should palpitate the _______________.
Circulation in an unresponsive patient above one year of age should always be assessed at the carotid artery. The brachial artery is used to assess circulation in unresponsive patients, less than one year of age.
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