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NREMT Practice Test Bank - Multiple Choice

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.

58.58.

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