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A 35 year old man is pulseless and apneic. He was found in a lake after falling through the ice. His wife says he left the house 3 hours ago. His is cold and rigid.What should you do?
- Perform chest compressions
- Begin active rewarming techniques
- Obtain IO access and administer a warm fluid bolus
- Contact the medical examiner - ANSWER-A. Perform chest compressions
- A 52 year old male was the unrestrained driver in a frontal impact car crash.
- Patellar dislocation
- Cervical spine fracture
- Ruptured diaphragm
- Flail chest - ANSWER-C. Ruptured diaphragm
Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"?
- A 22 year old female complains of joint pain and flu-like symptoms over the
- Cholecystis
- Gastroenteritis
- Lyme's disease 1 / 4
past two days. Her abdomen is soft and non-tender, but she appears to have a circular rash on her lower left quadrant. What should you suspect?
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- Influenza - ANSWER-C. Lyme's disease
- A 88 year old male is combative and angry. His wife states that he is normally
- A response to oxygen therapy
- A blood glucose reading
- If he responds to forceful control
- Cincinnati stroke scale - ANSWER-B. A blood glucose reading
pleasant and calm. What intervention would narrow your differential diagnosis?
- A 23 year old male complains of diffuse lower leg pain and tension after a car
- Iliac arterial rupture
- Bilateral tibial fractures
- Compartment syndrome
- Lower leg embolism - ANSWER-C. Compartment syndrome
accident. Pedal pulses are absent bilaterally and you note slight cyanosis in his feet.Vital signs are BP 130/90, P 88, R 16. What should you suspect?
- A 52 year old female was the passenger in a car crash in which the airbag
- Grey-Turner's sign
- Cullen's sign
- Kehr's sign
- Shoulder dystocia - ANSWER-C. Kehr's sign
deployed. She complains of violent pain in her left shoulder. What is this known as?
- A 56 year old male complains of diarrhea, nausea, and diffuse pain in his
abdomen for the past 48 hours. What should you suspect? 2 / 4
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- Cholecystis
- Gastroenteritis
- Diverticulitis
- Peptic ulcer - ANSWER-B. Gastroenteritis
- A 23 year old male complains of neck stiffness and flu symptoms for the past
- Hemorrhagic stroke
- Migraine
- Meningitis
- Influenza - ANSWER-C. Meningitis
few days. He also describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect?
- What causes an emphysema patient to have a pink appearance?
- Elevated PCO2 level
- Polycythemia
- Anemia
- Elevated PO2 level - ANSWER-B. Polycythemia
- Which of the following is a musical, squeaking or whistling sound heard in
- Wheezing
- Snoring
- Stridor
- Gurgling - ANSWER-A. Wheezing
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inspiration and expiration while auscultating lung fields?
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- You are treating a 82 year old male in hypovolemic shock. In order to increase
their blood pressure you should administer:
- 0.45% NaCl via IV
- isotonic fluids orally
- dextrose 5% in water via IO
- isotonic crystalloid via IV - ANSWER-D. isotonic crystalloid via IV
- You have received an order for a dopamine drip. You carry 500cc bags of
- 800mg
- 1600mcg
- 1600mg
- 400mcg - ANSWER-A. 800 mg
D5W. How much dopamine should you add to the bag to create a 1600mcg/1mL dilution?
- What does a pulsating mass in the abdomen suggest?
- Abdominal aortic aneurysm
- Perforated ulcer
- Hernia
- Ruptured ectopic pregnancy - ANSWER-A. Abdominal aortic aneurysm
- What is the safest and most effective landing pattern for a helicopter?
- At a slight angle like that of a jet
- Nose of the helicopter pointing up with a tail wind
- Straight up and down in a vertical motion
- Nose of the helicopter pointing down with a slow descent - ANSWER-A. At a
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slight angle like that of a jet