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68W LPC BIG EXAM/QUESTIONS AND ANSWERS A+ RATED
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68W LPC BIG EXAM/QUESTIONS ANDANSWERS A+ RATED
What form is used to request medical treatment and as a means of
communication between the patient's commander and medical personnel? -
-DD Form 689 - Individual Sick Call Slip
- What personnel / section of the MTF handle the requests for medical
information? - -Patient Administration (PAD)
- Your M.O. has ordered 50 mg of ketamine for a patient with severe pain.
The concentration of ketamine you have is 100mg/ml. How many milliliters
of the on-hand drug would you draw up? - -50mg/100mg x 1 ml = 0.5 ml
- You have a patient suffering from nephrolithiasis (kidney stones). How
would this patient describe his pain? - -Severe and colicky (comes and goes
or varies in intensity in a rhythmic nature)Pain is waking them from sleep
- What is the difference between "BED REST" and "QUARTERS"? - -Bed Rest
-restriction to their bed with necessary travel to the DFAC and
latrineQuarters - restriction to any area inside the patient's domicile, DFAC,
latrines
- Which skin disease is caused by the chicken-pox virus and has a rash that
occurs unilaterally in the thoracic or lumbar region? - -Herpes Zoster
(Shingles)
- Which organ can absorb 5 to 7 liters of water per day? - -Large intestine
- Round the following numbers to the nearest whole number:13.32.655.5 - -
13 3 56
- What is the sequence of assessment when examining the abdomen? - -
Inspect, Auscultate, Palpate
- If your PT is complaining of RUQ pain, what is the sequence of palpation? -
-Sequence is not important, painful area palpated last
- What is drug tolerance? - -A progressive decrease in the effectiveness of a
drug. Patient receives the same drug over a long period of time and requires
higher doses to achieve the same effect
- Define subluxation - -The incomplete dislocation of a bone in a joint
,- The _______ absorbs carbs, proteins and sugars - -small intestine
- Infections that patients acquire while in the health carefacility are called
what? - -nosocomial infections
- Which skin disease often appears with redness to severe swelling with
bullae and linear streaks? - -contact dermatitis
- Infectious mononucleosis presents with what symptoms? - -Enlarged
lymph nodes of the neck Shaggy white-purple tonsillar exudateAbdominal
painPossible inflammation of the spleen
- What part of the ear is shaped to collect sound waves and direct them
toward the external auditory meatus (opening of the ear)? - -Auricle or Pinna
- Quadrant where the appendix is located?Quadrant where the gallbladder is
located?Quadrant where the liver is located?Quadrant where the spleen is
located?Quadrant where the stomach is located? - -RLQ- Appendix RUQ -
Gallbladder RUQ - Liver LUQ - Spleen LUQ - Stomach
- What is the difference between a psychological dependence and a
physiological dependence to a medication? - -Psychological: patient is
convinced (mind) they have a need for the drugPhysiological: the body has
developed a physical need for the drug
- What are the six rights of medication administration? - -Right Patient
Right Medication
Right Dose
Right Route
Right Time
Right Documentation
- What is the main advantage of giving oral antibiotics vs IV antibiotics? - -
Oral ABX are the safest route of administration
- You are preparing for a blood specimen draw, what angle are you inserting
the needle? - -15-30 degrees
- Which is the most common bony injury? - -Clavicle fracture(80% of
fractures occur in the middle third of the clavicle)
- What parts of a needle are sterile? - -All parts of the needle are sterile
- Describe the response (normal course) to infection. - -Incubation Period:
pathogen enters the body to the appearance of the first symptomsProdromal
Stage: from the onset of initial symptoms such as fatigue or low-grade fever
,to more severe symptomsFull Stage of Illness: symptoms are acute and
specific to the type of infection such as lesion covering the body or high
feverConvalescent Stage: acute symptoms to the infection subside and the
person recovers
- Physical examination for ___________ will result in TTP at the calcaneus and
plantar fascia. No edema, ecchymosis,erythema. Pain during weight bearing
- -plantar fasciitis
- What is the dose of epinephrine for a patient suffering an anaphylactic
reaction? - -0.3 - 0.5 mg (of 1:1000 solution), IM or SCMaybe repeated every
5-10 minutes if symptoms continue to recur.
- What type of patient would require protective (reverse) isolation? - -
Patients who are susceptible to disease due to low immunity status.
Example: 14 y/o girl who is receiving chemotherapy
- What is a pathogen's strength to cause disease? - -Virulence
- You are educating a patient with a diagnosis of infectious mononucleosis
on the danger of avoiding contact sports for at least 30 days. What is the
patient at an increased risk for? - -Splenic (spleen) rupture
- The M.O. orders 25mg of diphenhydramine (Benadryl) to be injected via IM.
You have a vial of the medication in a concentration of 10mg/ml.How many
ml of the on hand medication do you administer? - -2.5 ml
- What are the three types of transmission based precautions and the
diseases they help to protect against? - -airborne, contact, droplet
- What is the preferred site for tuberculin testing and most other ID
injections? - -Inner forearm - inner, flat portion
- What is angioedema? - -Diffuse swelling following the administration of a
drug which may start with the lips, hands, feet, mucous membranes and may
progress to involve swelling of the airway.
- If you administer an antibiotic to a patient and they begin to experience
anaphylaxis. What medication can be given without a prescription or doctors
orders? - -epinephrine
- What is ASA and who should it not be given to? - -Aspirin (ASA)Not given
to children
- What medication is short acting and can wear off causing a relapse into
respiratory depression caused by a narcotic? - -naloxone (Narcan)
, - What areas of the lower extremities are frequent sites of sprains and bony
injury? - -Ankle and foot
- Describe rebound tenderness - -During deep palpation the patient
experiences greater pain upon quick release of the examiner's hands than
during actual palpation.
- Histamines have what effect on the body? - -Stimulates gastric secretions.
Causes dilation of capillaries, Constriction of bronchial smooth muscle
Decrease blood pressure
- What is the most important step in evaluating ocular problems? - -visual
acuity test
- How many mLs are given for the following injection sites?:IM: Deltoid
Gluteus Vastus Lateralus SQ: Upper Arm - -IM: Deltoid - up to 2.0 mls
Gluteus - up to 5.0 mls Vastus Lateralus - up to 5.0 mlsSQ: Upper Arm - not
to exceed 0.5ml
- What is the initial treatment of a chemical burn to the eye. - -Irrigation
with copious amounts of water.
- The band that joins bone to bone is called what? - -ligament
- What are some different means of transmission for pathogens? - -Direct
contact Indirect contact Airborne transmission Water-borne transmission
Food-borne transmission Blood-borne transmission Human carrier Vectors
- What is compartment syndrome? - -A progressive degeneration of the
tissue and muscle caused by the of interruption of blood flow.
- Flexion, extension, lateral bend and rotation are ranges of motion for
what? - -Lower back and Neck
- What is the best course of action after you conduct a physical exam and
find nothing wrong? - -refer to MO
- What analgesic medication can cause liver damage if given at higher doses
for an extended period of time? - -acetaminophen (Tylenol)
- What is the primary purpose of intradermal injections? - -Testing for
sensitivity to environmental allergens.
- What organ regulates the water, electrolytes and acid-base balance
content of blood? - -kidneys
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