Medical Emergencies and OB Study Center > Diagnostic Tests > Medical Emergencies and OB Step 1 of 40 2% A 14-year-old female patient is lying in a fetal position on the couch complaining of right lower quadrant pain with nausea, vomiting and fever. The mother states she initially complained of pain around her umbilicus and has no past medical history. Her last menstrual cycle was 2 weeks ago. You suspect*appendicitis.ectopic pregnancy.dysmenorrhea.urinary tract infection. A 67-year-old male patient collapsed during a church service. Your assessment reveals a GCS of 15, slurred speech and left-sided weakness. Vital signs include blood pressure 190/102, bounding peripheral pulses at 68 bpm, non-labored respirations of 16 with an oxygen saturation of 93% on room air. What would be the most appropriate management of this patient?*High concentration oxygen and rapid transportPlace patient in recovery position and rapid transportPlace patient in semi-Fowlers position and rapid transportOxygen via nasal cannula at 2-4 lpm and rapid transport At approximately 2300 hours you are called to the residence of a 3-year-old female patient for respiratory distress. The patient’s mother explains the toddler has been sick with flu-like symptoms for the past week but suddenly got worse tonight with a loud harsh cough, hoarse voice and difficulty breathing. Which of the following interventions would be MOST beneficial for this patient?*Flavored high flow oxygenAdministration of albuterolHumidified high flow oxygenPositive pressure ventilations During your visual inspection you discover what appears to be the buttocks of a fetus protruding through the birth canal of a 28-year-old patient who is 38 weeks gestation. You should*place the mother in head down position with pelvis elevated and rapid transport.place the mother in supine position with legs elevated and rapid transport.attempt to reposition the fetus and proceed with a normal delivery.place the mother in the recovery position and transport rapidly. You are requested to a local park by law enforcement for a middle-aged male patient sitting on a bench. You do not note any signs of trauma. The patient is very confused with pale, cool and diaphoretic skin. Which of the following interventions would be of MOST benefit?*Administer 1 tube of oral glucoseOxygen administration via nasal cannula at 4 lpmRequest ALS backupPlace patient in supine position and cover with a blanket You arrive on scene to find an extremely anxious 28-year-old female patient who can only speak in 2-3 word sentences complaining of sharp pain that radiates from her breastbone to the middle of her back. Her symptoms began 15 minutes ago. She smokes a pack of cigarettes per day, takes oral birth control pills and has no known drug allergies. The most appropriate care would include*administration of 162 mg aspirin by mouth and reassess.high concentration oxygen via NRB and rapid transportadministration of CPAP at 2-5 cmH2O and rapid transport.oxygen via nasal cannula at 2-4 lpm and rapid transport. Law enforcement requested EMS to a local nightclub for a patient experiencing extreme anxiety and agitation. The patient’s friends stated he was using cocaine earlier in the evening. After ensuring scene safety and properly restraining the patient, what should you pay specific attention to during transport of this patient?*TachycardiaRespiratory effortSeizure activityBlood pressure Nursing home staff called 911 for a patient with difficulty breathing which began gradually over the last 24 hours. Upon your arrival you note a 70-year-old male patient sitting on the edge of his bed with labored respirations and accessory muscle use. His respiratory rate is 26, breath sounds reveal crackles in all lung fields, and his skin pale, cool and moist. You should*provide continuous positive airway pressure.deliver positive pressure ventilations with supplemental oxygen.assist the patient patient with his albuterol MDI.administer high concentration oxygen via NRB mask. An 8 year old male experienced new onset of seizure activity. His mother states he has a history of hydrocephalus and had a tube put in when he was a toddler. You should suspect*new onset epilepsy.medication injestionAV shunt obstruction.traumatic brain injury. You respond to an elementary school nurse’s office for an 11-year-old female patient experiencing possible tonic-clonic seizure activity which began after the child presented to the school nurse complaining of severe headache and fever. Your assessment reveals decorticate posturing, deep rapid regular respirations and skin which is hot to the touch. You suspect*Intracranial hemorrhage.hypoglycemia.meningitis.status epilepticus. Which of the following disease pathologies is associated with an increased number of red blood cells as a compensatory mechanism?*Sickle cell anemiaPneumoniaChronic bronchitisEmphysema A 32-year-old female patient states she is having an allergic reaction to a hamburger she thinks was cooked in peanut oil. She is “highly allergic” to peanuts. The patient has labored respirations with a very hoarse voice and advises she has a duo-dose epi auto-injector and took one dose approximately 15 minutes ago with no improvement. You should*contact ALS backup for the administration of albuterol and Benadryl.assist the patient in administering the second dose of her epi auto-injector.perform a complete secondary exam and contact medical control for orders.administer high concentration oxygen and prepare for rapid transport. You have a 5-year-old male patient who presents with stridor and drooling. The patient’s mother states the child’s symptoms began about an hour ago with a fever and worsened progressively. You should suspect*accidental poisoning.croup.epiglottitis.meningitis. A 16-year-old female is in the restroom of her high school complaining of abdominal cramping and bloody vaginal discharge she describes as “large clots and tissue.” The patient admits to being sexually active and states her menstrual cycles are very irregular but her last one was about 3 months ago. You suspect*spontaneous abortion.ruptured ovarian cyst.abruptio placentae.pelvic inflammatory disease. Upon arrival at a residence you find a 27-year-old male patient experiencing a tonic-clonic seizure. Family members state the patient has a history of epilepsy and this is the second seizure within the last 10 minutes. You should*request an ALS unit.suction the patient’s airway.prepare for immediate transport.attempt to insert an OPA. During transport of a 37-week gestation female patient complaining of nausea and vomiting she begins to complain of feeling lightheaded. You note weak rapid radial pulses with pale, cool and moist skin. You should*place patient in left lateral recumbent position.administer high flow oxygen via NRB.reassess the patient’s vital signs.perform visual exam for possible crowning or bleeding. While evaluating an alert 65-year-old obese female she complains of a sharp tearing abdominal pain which radiates to left flank and back. She states she has a past medical history of hypertension and arteriosclerosis. Your assessment is unremarkable with the exception of unequal pedal pulses. You should*administer activated charcoal due to possible accidental ingested poison.administer high concentration oxygen via NRB.place the patient in recovery position and transport to community ER.immediately transport the patient to the nearest trauma center. You are called to a nursing home for an 82-year-old female patient found unresponsive in her bed. Upon your arrival you note the patient has an indwelling Foley catheter. Your assessment reveals snoring respirations, respiratory rate of 12 and shallow, weak radial pulses, skin is flushed, hot and dry. You should*insert an oral airway and begin positive pressure ventilations.apply ice packs to the axilla and groin and rapid transport.administer oral glucose.elevate the legs 15 degrees, cover with a blanket and transport rapidly. A 16-year-old male with a history of asthma complains of difficulty breathing. Your assessment reveals increased respiratory rate, increased heart rate, diminished breath sounds in the right upper lung fields and hyperresonance when percussed. You suspect*tension pneumothorax.cardiac tamponade.status asthmaticus.spontaneous pneumothorax. Which of the following is a possible side effect of CPAP?*Pulmonary edemaCardiac dysrhythmiasBradycardiaHypotension Your 43-year-old female patient is complaining of severe epigastric pain with nausea and vomiting approximately 30 minutes after eating at a fast food restaurant. She advises this has been occurring for the past several months whenever she eats fast food. You should suspect*myocardial infarction.gastroenteritis.cholecystitis.food poisoning. An 82 year old male who is a resident of a nursing home has had melena in his stools for the past week. The nursing staff tells you he has been experiencing weakness and confusion. Which of the following conditions should you suspect?*Acute liver failureEsophageal varicesGastrointestinal bleedAbdominal aortic aneurysm You arrive on scene of an 8-year-old male patient complaining of being stung by a wasp. His father advises he is allergic to wasps and has an epi auto-injector with him. You note mental status to be normal with GCS 15, non-labored respirations with a rate of 24, localized redness, swelling and itching to the bite area on his right ankle. The MOST appropriate management of this patient would include*high concentration oxygen via NRB.assisting in administration of epi auto-injector.applying compression dressing to right lower leg and transporting.applying an ice pack and transporting in position of comfort. You are evaluating an oriented 18-year-old female patient who experienced syncope prior to your arrival. The patient states she has not had a menstrual cycle for 2 months and is complaining of severe right lower quadrant pain. Your assessment reveals non-labored respirations with rate of 20, weak radial pulses with rate of 120 bpm, blood pressure of 92/74 and pale, cool and clammy skin. Which of the following should you suspect?*Ectopic pregnancyRuptured ovarian cystPlacenta previaUrinary tract infection You are transporting a 72-year-old male patient with CHF. The patient’s respirations decrease and he becomes lethargic several minutes after applying CPAP. You should*place the patient in recovery position.remove the CPAP and apply high flow oxygen via NRB.initiate positive pressure ventilations.elevate the head of the stretcher to 90 degrees. During the assessment of a 22-year-old female patient who is 38 weeks gestation, you note the fetus’ hand protruding from the patient’s vagina. The MOST appropriate action would be to*apply high concentration oxygen and transport in left lateral recumbent position.apply high concentration oxygen and transport in head down position with pelvis elevated.apply high concentration oxygen and prepare for imminent delivery on scene.apply high concentration oxygen while attempting to push the limb back inside the vagina. You arrive on scene at a nursing home where a 72-year-old female was experiencing slurred speech and left-sided weakness. The symptoms have resolved but nursing staff advises the signs and symptoms lasted approximately 20 minutes. She has a history of atrial fibrillation, hypertension and hypercholesterolemia. You should suspect*transient ischemic attack.hypoglycemia.intracerebral hemorrhage.ischemic stroke. You respond to a homeless shelter to find an oriented 54-year-old male experiencing frequent violent vomiting of bright red blood which began 30 minutes ago. The patient states he is an alcoholic and has liver failure. How should this patient be positioned during transport?*Place the patient in recovery position.Place the patient in supine position and cover with a blanket.Allow the patient to assume position of comfort.Place the patient in semi-Fowler’s position. Which of the following drug overdoses presents with delayed signs and symptoms which include ringing of the ears, deep rapid respirations and bruising?*AspirinAcetaminophenAntipsychoticsAntihistamines You are called to a 24-year-old female patient who is 37 weeks pregnant with her first child. The patient complains of a severe headache and swelling in her hands and feet for the past 5 days. After assessing her vital signs which include blood pressure 168/98, pulse 110, and respirations of 22 and non-labored, you suspect which of the following conditions?*Placenta previaPreeclampsiaAbruptio placentaeEclampsia You respond to a residence to find a 19-year-old female patient who delivered her newborn approximately 5 minutes before you arrived. You note a foul odor and observe that the newborn is unresponsive, pulseless and apneic with signs of decomposition. Your NEXT action should be to*provide emotional comfort to the mother.apply umbilical clamps and cut the umbilical cord.simulate CPR and transport to avoid distressing the mother.immediately begin CPR. Nursing home staff calls 911 for an 82-year-old female patient with respiratory distress. Your assessment reveals the patient to be responsive to voice with deep labored respirations. Her respiratory rate is 24. Breath sounds are normal on the right but you note scattered rhonchi in her left lower lung fields, strong bounding peripheral pulses with rate of 110 bpm and pink, hot skin. You suspect*pulmonary embolism.pulmonary edema.pneumonia.pleural effusion. An alert 62-year-old female is lying on the couch complaining of fever and sharp left lower quadrant abdominal pain which began 2 days ago. The patient performs continuous ambulatory peritoneal dialysis at home and the last fluid exchange was approximately 4 hours ago. Which of the following should you suspect?*PeritonitisIncomplete emptying of dialysis fluidGastroenteritisRuptured ovarian cyst A female patient is 32 weeks pregnant with twins. Her contractions are approximately every 2 minutes apart and you notice perineal bulging. You should*immediately prepare for transport.request ALS backup.administer high concentration oxygen.apply sterile gloves. You respond to a 44-year-old male patient complaining of right flank pain with nausea and vomiting onset 2 hours ago. Upon arrival on scene the patient is found lying in his bed but very restless and describes the pain as a 10/10 and radiates to his groin area. You should suspect which of the following disorders?*Renal colicAcute renal failurePancreatitisUrinary tract infection Kussmaul’s respirations are indicative of which of the following disorders?*Diabetic ketoacidosisOrganophosphate poisoningsTransient ischemic attackHypoglycemia You are called to a rural farm for a 36-year-old male worker possibly exposed to chemicals being applied to crops for killing weeds. The patient is responsive to painful stimuli with copious secretions draining from his mouth and nose. You observe urinary and fecal incontinence. You should*place patient in recovery position to allow drainage of secretions.suction the airway in order to clear secretions.begin decontamination of the patient with copious amounts of water.provide positive pressure ventilations with high concentration oxygen. You have just delivered a full term newborn. You note brownish yellow streaks in the amniotic fluid. The infant is moving, begins a faint cry and has some cyanosis of the extremities. You should*suction the mouth and nose.ventilate the neonate.dry and stimulate the neonate.request an ALS unit. You are called to the scene of a 24-year-old male patient who accidentally ingested gasoline while attempting to siphon gasoline from an automobile. Upon arrival patient is confused and gagging. You should*administer activated charcoal.insert an oropharyngeal airway.prepare to suction the airway.contact poison control. You and your partner are providing coverage for a cross country track event. A 17-year-old male runner is brought to your unit experiencing severe respiratory distress and audible wheezing. The patient has a history of asthma and has his albuterol metered dose inhaler with him. You should*administer high flow oxygen via non-rebreather.place the patient on CPAP.assist the patient with his inhaler.place the patient in semi-Fowler’s position and reassure.