Medical Te st Prep for (JBL) Exam Complete and R ated A with Actual and Verified Solutions. A 39 -year-old man is unresponsive, pulseless, and apneic after being lost in the woods during the middle of winter. He has a core body temperature of 85°F (29.4°C). When treating this patient, you should avoid: A: defibrillation. B: cardiac medications. C: passive rewarming. D: intubation. Verified Answer -B: cardiac medications . Which of the following statements regarding lightning injuries is correct? A: Muscle that is injured by lightning produces methemoglobin, which can damage the kidneys. B: Asystole following a lightning strike is generally intractable and responds poorly to CPR. C: Lightning is alternating current that causes severe damage to the nerves and microvasculature. D: Lightning injuries tend to resemble blast injuries more than they do high-voltage injuries. Verified Answer -D: Lightning injuries tend to resemble blast injuries more than they do high -voltage injuries. What is a common finding in both fresh water and salt water drownings? A: Pulmonary edema B: Inadequate oxygenation C: Loss of surfactant D: Severe metabolic alkalosis Verified Answer -B: Inad equate oxygenation At 2:30 AM, you respond to a crowded homeless shelter for a 52 -year-old male who is sick. The patient complains of intense itching to his hands and axillae. Assessment of these areas reveals the presence of a rash. The patient denies any medical problems, but states that he was stung by a hornet two days ago. Which of the following should you suspect? A: Herpes simplex B: Allergic reaction C: Lice D: Scabies Verified Answer -D: Scabies Which of the following statements regarding sickle cell disease is correct? A: When the sickle cell gene is inherited from both parents, the patient will probably not develop the disease. B: Despite their altered shape, the red blood cells of a person with sickle cell disease are effective carriers of oxygen. C: In sickle cell disease, misshapen red blood cells can lodge in the spleen, causing it to swell and rupture. D: The red blood cells in sickle cell disease have a rounded appearance, rather than the normal oblong appearance. Verified Answer -C: In sickle cell disease, misshapen red blood cells can lodge in the spleen, causing it to swell and rupture. A patient with a blood glucose level of 650 mg/dL would be expected to present with: A: hyperpnea, dehydration, warm skin, and tachycardia. B: hypopnea, oliguria, abdominal pain, and vomiting. C: hypercarbia, anorexia, hyperactivity, and diaphoresis. D: tachypnea, anuria, alkalosis, and a bounding pulse. Verified Answer -A: hyperpnea, dehydration, warm skin, and tachycardia. The clinical presentation of thyroid storm MOST closely resembles that of: A: myxedema. B: amphetamine use. C: ketoacidosis. D: heroin overdose. Verified Answer -B: amphetamine us e. Which of the following is MOST indicative of an infectious or communicable disease? A: Vomiting and diarrhea for 3 days B: Sore throat and nasal discharge C: Persistent fever and night sweats D: Severe headache and photophobia Verified Answer -C: Persistent fever and night sweats What is the MOST appropriate dose and route of diphenhydramine for a patient who is experiencing a severe allergic reaction? A: 0.3 to 0.5 mg IM B: 25 to 50 mg IM C: 25 to 50 mg IV D: 0.3 to 0.5 mg SC Verified Answer -C: 25 to 50 mg IV IM would be appropriate to give to patients with moderate allergic reaction because perfusion is generally adequate. After performing your primary assessment and initial treatment of an unresponsive patient who has not been injured, you should: A: obtain vital signs. B: perform a rapid assessment. C: perform a detailed head -to-toe exam. D: obtain a SAMPLE history. Verified Answer -B: perfor m a rapid assessment. A 60 -year-old woman, who has been taking high doses of prednisone for several months to treat her rheumatoid arthritis, presents with weakness
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