This document contains two multiple choice questions from an NREMT practice test bank. The first question asks which condition would be most suspicious for a patient presenting with hot, flushed skin, significant underlying medical problems, and dry skin. The correct answer is heat stroke. The second question describes a diabetic patient presenting with weakness, sweating, and fast heart rate, and a low blood glucose reading, and asks which treatment medical control would most likely order - giving oral glucose.
This document contains two multiple choice questions from an NREMT practice test bank. The first question asks which condition would be most suspicious for a patient presenting with hot, flushed skin, significant underlying medical problems, and dry skin. The correct answer is heat stroke. The second question describes a diabetic patient presenting with weakness, sweating, and fast heart rate, and a low blood glucose reading, and asks which treatment medical control would most likely order - giving oral glucose.
This document contains two multiple choice questions from an NREMT practice test bank. The first question asks which condition would be most suspicious for a patient presenting with hot, flushed skin, significant underlying medical problems, and dry skin. The correct answer is heat stroke. The second question describes a diabetic patient presenting with weakness, sweating, and fast heart rate, and a low blood glucose reading, and asks which treatment medical control would most likely order - giving oral glucose.
be MOST suspicious for: stroke commonly affects children and
• A:acute ischemic stroke. older adults, and typically occurs when • B:a diabetic complication. the patient is in a hot, poorly ventilated • C:heat stroke. space for a prolonged period of time. • D:anaphylactic shock. Significant underlying medical problems (eg, hypertension, diabetes, heart dis- ease) increase the patient's risk for clas- sic heat stroke. Both exertional and clas- sic heat stroke present with hot, flushed skin; however, patients with exertional heat stroke may have moist skin, usu- ally from residual perspiration, whereas patients with classic heat stroke typically have dry skin.
57. A 36-year-old male, who is a You selected D; This is correct!
known diabetic, presents with se- Reason:The patient's signs and symp- vere weakness, diaphoresis, and toms indicate hypoglycemia. When you tachycardia. He is conscious, are in doubt as to a patient's blood glu- but confused. His blood pres- cose level, you should err on the side of sure is 110/58 mm Hg, pulse caution and give sugar; this is what med- is 120 beats/min and weak, and ical control will likely order you to do.The respirations are 24 breaths/min. patient, although confused, is conscious The glucometer reads error af- and will likely be able to swallow. Insulin ter several attempts to assess is not administered to patients in the his blood glucose level. In ad- field, even if hyperglycemia is document- dition to high-flow oxygen, med- ed; EMTs and paramedics are usually ical control will MOST likely order not familiar with all of the different types you to: of insulin and their respective doses, and • A:transport only and closely profound hypoglycemia, potentially re- monitor him. sulting in death, can occur if too much • B:assist the patient in taking his insulin is given. After giving oral glucose, insulin. reassess the patient's mental status and • C:give him a salt-containing so- vital signs. lution to drink. • D:give at least one tube of oral glucose.