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Medical; Obstetrics & Gynecology final exam 2024/2025 questions with 100% answers

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medical obstetrics gynecology final exam 2
medical obstetrics gynecology final exam 2024

Institution Medical;
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Medical; Obstetrics & Gynecology final
exam 2024/2025 questions with 100%
answers

485. A 20-year-old asthmatic patient is experiencing shortness of breath. On scene, the patient advises
he has a meter-dosed inhaler in his backpack but needs assistance in getting it. What is the mechanism
of action of albuterol via a metered-dose inhaler?

Increases alveolar blood flow

Moisturizes the lungs

Relaxes bronchial smooth muscle

Increases overall lung compliance - ANSWERS Relaxes bronchial smooth muscle

486. A patient has just stopped exhibiting a generalized motor seizure. In which of the following states
is the patient most likely to be?

Alert and oriented to person, place, and time

Self-resolved lack of orientation to person, place and time

Anxiety and restlessness

Unresponsiveness to painful stimuli - ANSWERS Self-resolved lack of orientation to person, place and
time

487. A 19-year-old is complaining of general malaise and shortness of breath. She is sweaty, breathing
very shallowly, and has pinpoint pupils. Which of the following is the most likely cause of her signs and
symptoms?

Sympathomimetic overdose

Tension pneumothorax

Opioid overdose

,Sedative overdose - ANSWERS Opioid overdose

488. Which of the following would be considered a serious complication of a severe allergic reaction?

Hypertension

Respiratory distress

Urticaria

Hives - ANSWERS Respiratory distress

489. A 30-year-old female was stung by a bee. On arrival, the patient is complaining of steadily
increasing shortness of breath and urticaria, and feels as if her throat or tongue is swelling. Which of the
following is the most likely cause of her signs and symptoms?

Heat exhaustion

Anaphylactic shock

Asthma

Syncope - ANSWERS Anaphylactic shock

490. A 66-year-old patient complains of right upper quadrant pain and general malaise, and has a
yellowish tint to his skin and the sclera of his eyes. Which of the following is the most likely cause of his
complaints and findings?

Pneumonia

Pancreatitis

Chronic renal failure

Hepatitis - ANSWERS Hepatitis

491. A 14-year-old male complains of lower abdominal pain. His blood pressure is 120/80 mmHg, his
pulse is 130 beats per minute, respirations are 28 breaths per minute, and temperature is 104.8°F
(40.4°C). The pain is located in the right lower quadrant. The patient has recent contacts with
gastroenteritis.

Which of the following is the most appropriate treatment?

Do not transport, as gastroenteritis is not life-threatening

Advise acetaminophen for fever and ask the parents to follow up with the patient's pediatrician

,Administer oxygen and transport

Advise acetaminophen for fever and reassess in fifteen minutes - ANSWERS Administer oxygen and
transport

492. Which of the following is not a cause of vaginal bleeding in pregnancy?

Ectopic pregnancy

Abruptio placentae

Preeclampsia

Spontaneous abortion - ANSWERS Preeclampsia

493. A 10-year-old male has non-traumatic epistaxis. He is visibly upset and crying. Which of the
following is the most appropriate step to control his bleeding?

Have the patient sit leaning forward with the head tilted backward, and apply direct pressure for at least
15 minutes

Have the patient sit leaning forward with the head tilted forward, and apply direct pressure for at least
15 minutes

Place the patient in the supine position and apply ice over the nose

Have the patient sit leaning forward, and pack gauze into the nose - ANSWERS Have the patient sit
leaning forward with the head tilted forward, and apply direct pressure for at least 15 minutes

494. A 32-year-old man is hypothermic after swimming in an icy river. Although he came out of the river
within a few minutes, he is showing a diminished level of consciousness. Which of the following is the
most appropriate next step?

Encourage the patient to walk in order to improve his circulation and create body heat

Massage the extremities to increase circulation

Give the patient hot coffee or tea and place heating pads under his arms and in his groin

Cover the patient with blankets and increase the heat in the patient compartment of the ambulance -
ANSWERS Cover the patient with blankets and increase the heat in the patient compartment of the
ambulance

495. Which of the following organs is not part of the endocrine system?

Gallbladder

, Pancreas

Thyroid gland

Pituitary gland - ANSWERS Gallbladder

496. Which of the following is a likely indication for the prehospital administration of epinephrine?

Hypoglycemia due to an adjustment of insulin dose

Wheezing due to an allergic reaction

Chest pain secondary to acute myocardial infarction

Abdominal pain due to poison ingestion - ANSWERS Wheezing due to an allergic reaction

497. A 9-year-old boy had a single, brief seizure at home and is now postictal. His mother is upset and
reports that he has experienced a seizure once before, but it was different than this episode. Which of
the following is not a critical step to achieving the best patient outcome?

Patient position

Waiting for the patient to regain consciousness before assessment

Clearing the airway of secretions

Preventing aspirations - ANSWERS Waiting for the patient to regain consciousness before assessment

498. A 6-month-old infant has a recent history of vomiting and diarrhea. Which of the following signs
would best indicate the possibility of dehydration?

Skin that is flushed and hot to the touch

Sunken fontanelle

Capillary refill time of two seconds or less

Strong peripheral pulses with a heart rate of 100 beats per minute - ANSWERS Sunken fontanelle

499. Which of the following is not a factor affecting how a patient deals with environmental changes?

Illness

Anxiety

Alcohol consumption

Age - ANSWERS Anxiety

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Exam (elaborations) ·

Exam (elaborations)

Medical; Obstetrics & Gynecology final exam 2024/2025 questions with 100% answers

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