A 16 yr old female awoke this morning with severe abdominal pain. She states “ I
ID: 121813 • Letter: A
Question
A 16 yr old female awoke this morning with severe abdominal pain. She states “ I have not had a period in two months and the pain started this morning.” Vitals= BP 90/70, P 130, R 28, skin pale and cool. Suspect what?
Acute appendicitis
Septic shock
Toxic shock syndrome
Hypovolemic shock
How should you administer an epi pen
Press the inkector against the arm until you hear a click
Firm apply the injector to the thigh for at least ten seconds
Press the injector firmly against the stomach and release
Use the injector repeatedly to deliver a full dose
Which of the following is a contraindication for the administer of oral glucose
A pulse of 75
Unconsciousness
COPD
A broken bone
What is characteristic of a transient ischemic attack?
Bilateral paresthesia is always present
Attack results in chronic arm weakness
Symptoms develop slowly over time
Symptoms usually resolve within 24 hours
A 32 yr old male complains of photophobia and vomiting. The most likely cause of his symptom
Migraine headache
Detached retina
Sinus infection
Transient ischemic attack
A 68 year old patient reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools, you should suspect?
Upper GI bleeding
Fecal impaction
An Ulcer disease
Lower GI bleeding
What is hyperglycemia
Low blood sugar
Insulin shock
High blood sugar
Excessive hunger
To assess a possible stroke patient for abnormal speech. You should
Ask the patient to smile and observe for symmetry
Ask the patient to repeat a common phrase
Ask family if the patient’s speech has been normal
Write questions for the patient to read
A patient is running a high fever, vomiting, and reporting pain that has shifted from around her bellybutton to the lower right area of her abdomen. you should suspect
Kidney stones
Appendicitis
Pancreatitis
Gallbladder disease
A 27 yr old female is resting after running for about 30 minutes. She normally runs about 5 miles a day, but today she “can’t catch her breath” and says this has not happened before. She is flushed, pulse fast and weak, respirations fast with notable wheezing, and is complaining of itching to her arms and chest. What is the most likely cause of her symptoms
Explanation / Answer
1)A 16 yr old female awoke this morning with severe abdominal pain. She states “ I have not had a period in two months and the pain started this morning.” Vitals= BP 90/70, P 130, R 28, skin pale and cool. Suspect what?
Acute appendicitis
Septic shock
Toxic shock syndrome
Hypovolemic shock
Answer:Hypovolemic shock as Blood pressure is a lower systolic of 90.Tachycardia due to hypovomemia. Cool and pale skin due to inadequate circulation.
Acute appendicitis:leads to ride sided pain
It is not septic shock because patient is hemodynamically stable.In toxic shock syndrome patients Respiratory rate will be more than 30/breaths/min.
2)How should you administer an epi pen
Answer: Press the inkector against the arm until you hear a click
3)Which of the following is a contraindication for the administer of oral glucose
A pulse of 75
Unconsciousness
COPD
A broken bone
Answer:unconsciousness (as there is high risk for aspiration in a patient with loss of consciousness so oral therapy should be avoided.
4)What is characteristic of a transient ischemic attack?
Bilateral paresthesia is always present
Attack results in chronic arm weakness
Symptoms develop slowly over time
Symptoms usually resolve within 24 hours
Answer:Bilateral parethesia is always present because once TIA occurs the complete blood supply is not resumed thus leading to a small amount of parethesia always .
5)A 32 yr old male complains of photophobia and vomiting. The most likely cause of his symptom
Migraine headache
Detached retina
Sinus infection
Transient ischemic attack
Answer:Migraine headache is associated with photophobia and vomiting
In detatched retina it leads to flower appearance and slow fading of vision
In sinus infection there is no photophobia and vomiting the main symptoms is headache and heavy head feeling
6)A 68 year old patient reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools, you should suspect?
Upper GI bleeding
Fecal impaction
An Ulcer disease
Lower GI bleeding
Answer: Fecal impaction as the stools are old stools thus showing tarry colour
Not upper GI bleed or lower GI bleed because it stools will have fresh blood is stools .
An ulcer disease will also have fresh bleeding .
7)What is hyperglycemia
Low blood sugar
Insulin shock
High blood sugar
Excessive hunger
Answer:High Blood sugar
8)To assess a possible stroke patient for abnormal speech. You should
Ask the patient to smile and observe for symmetry
Ask the patient to repeat a common phrase
Ask family if the patient’s speech has been normal
Write questions for the patient to read
Answer:write questions for the patient to read .by writing the questions the patient can himself read by not been influenced by the assesors pronunciation.
Aking the patient to smile will not assess the speech impairment
9)A patient is running a high fever, vomiting, and reporting pain that has shifted from around her bellybutton to the lower right area of her abdomen. you should suspect
Kidney stones
Appendicitis
Pancreatitis
Gallbladder disease
Answer Pancreatitis because pancreas is located in the right umbilical region of the abdomen.Fever and vomiting are the golden symptoms of pancreatitis.
10)A 27 yr old female is resting after running for about 30 minutes. She normally runs about 5 miles a day, but today she “can’t catch her breath” and says this has not happened before. She is flushed, pulse fast and weak, respirations fast with notable wheezing, and is complaining of itching to her arms and chest. What is the most likely cause of her symptoms.
Answer:the female must have had a anaphylactic shock
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.