А 16-year-old patient has suicidal ideations. How should the EMT proceed?
Answer(s): B
Assessing for suicidal intent includes directly asking about a plan, which helps determine the immediacy of risk and guides appropriate care and transport decisions.
A 45-year-old male complains of a sudden onset of right flank pain that radiates to his right groin. He is pale, diaphoretic and restless. You should suspect:
Sudden severe flank pain radiating to the groin with restlessness and diaphoresis is characteristic of renal colic caused by kidney stones moving through the ureter.
An unresponsive 14-year-old presents with agonal respirations and pinpoint pupils. You should suspect he has ingested:
Agonal respirations and pinpoint pupils indicate opioid toxicity, which depresses the central nervous system and causes characteristic miosis and respiratory failure.
А 56-year-old female with diabetes reports dizziness, shortness of breath, and weakness that began an hour ago. The EMT should suspect:
Answer(s): D
Diabetic patients may present with atypical symptoms of acute myocardial infarction such as dizziness, weakness, and shortness of breath due to autonomic neuropathy masking classic chest pain.
An 8-year-old female is drooling, incontinent, and her eyes are watery. Her father tells you that she was playing in the garden. You should suspect:
Drooling, incontinence, and watery eyes indicate excessive secretions consistent with cholinergic toxicity, which is characteristic of organophosphate exposure commonly found in pesticides used in gardens.
А 50-year-old male became disoriented while playing basketball. His skin is hot and red. You should suspect:
Answer(s): A
Altered mental status with hot, red skin indicates failure of the body’s cooling mechanisms, which is characteristic of heat stroke and represents a life-threatening emergency.
А 76-year-old patient has behavioral changes that began this morning. The patient is also having trouble ambulating and speaking. Which of the following conditions should the EMT suspect? (Choose two.)
Answer(s): A,B
Sudden behavioral changes with difficulty speaking and ambulating are classic signs of stroke. Acute confusion and altered behavior in an elderly patient can also indicate infection, which commonly presents with neurological changes.
A 77-year-old male presents with generalized aches and pain. He has been taking over-the-counter pain relief pills multiple times a day for the last 3 weeks. Your physical examination is most likely to reveal signs of:
Prolonged excessive use of over-the-counter analgesics can impair kidney function, leading to signs of renal failure such as fluid imbalance and toxin buildup.
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