Diabetic Emergencies and Altered Mental States From Bradys Emergency Care 10 th Edition 1. Which drop of blood should be used when testing a patient's blood sugar level? A.) Third B.) Second C.) First D.) Fourth 2. Which type of treatment is generally given to a patient complaining of dizziness? A.) Interventive B.) Passive C.) Supportive D.) Aggressive 3. How should the patient who has experienced syncope be placed while recovering? A.) Walking B.) Flat C.) Sitting D.) Standing 4. What is a sudden change in sensation, behavior or movement? p. 430 A.) Stroke B.) Epilepsy C.) Convulsion D.) Seizure 5. What is the body's basic source of energy? A.) Syncope B.) Insulin C.) Glycemia D.) Glucose
6. What is the most commonly used drug that causes syncope? A.) Alcohol B.) Nicotine C.) Speed D.) Marijuana 7. Which is a less common symptom of stroke? A.) Jerking B.) Headache C.) Facial droop D.) Loss of bowel control 8. What is the most common cause of a hypovolemic cause of syncope? A.) Bleeding B.) Ear infection C.) Alcohol D.) Racing heart 9. Where should the oral glucose be administered? A.) Between cheek and gum B.) Roof of the mouth C.) In nasal passages D.) Under tongue 10. How long do seizures generally last as a maximum? A.) 7 to 9 minutes B.) 1 to 3 minutes C.) 3 to 5 minutes D.) 5 to 7 minutes 11. What is the most common cause of seizures in infants and children 6 months to 3 years old? A.) Under nourishment B.) High fever C.) Over exertion D.) Not taking medications
12. What condition results from a decreased production of insulin? A.) Hypoglycemia B.) Syncope C.) Diabetes D.) Hyperglycemia 13. What is the best known conditions that results in seizures? A.) Stroke B.) Hypoxia C.) Epilepsy D.) Measles 14. Which is an uncommon sign or symptom of a stroke patient? A.) Confusion B.) Unconsciousness C.) Dizziness D.) Seizures 15. Which is an indication for use of oral glucose? A.) Altered mental status and history of diabetes B.) Known diabetic who has not taken insulin for days C.) Unable to swallow D.) Unconsciousness 16. How long does the tonic phase of the grand mal seizure last generally? A.) 15 seconds B.) 60 seconds C.) 45 seconds D.) 30 seconds 17. What is the most common cause of dizziness? A.) Electrical system problem in the heart B.) Change in brain chemistry C.) Toxicological imbalance D.) Inadequate blood flow
18. What position should the unconscious stoke patient be transported in when the left side has been affected? A.) Seated B.) Left side C.) Suspine D.) Right side 19. What is the onset of a low blood sugar emergency? A.) Incremental B.) Rapid C.) Variable D.) Slow 20. How long should the patient hold their arms out when assessing a stroke patient? A.) 20 seconds B.) 30 seconds C.) 40 seconds D.) 10 seconds 21. Which type of seizure can be characterized by a glassy stare? A.) Grand mal B.) Tonic-clonic C.) Complex partial D.) Simple partial 22. Which situation would NOT cause hyperglycemia in a diabetic patient? A.) Has an infection that has upset insulin/glucose balance B.) Under eating C.) Has forgotten to take insulin D.) Not taken enough insulin to make up for deficiency 23. Which is NOT a characteristic of the stroke patient's speech? A.) Unable to speak B.) Slurred C.) Articulate D.) Use wrong words
24. What is the general rule of thumb for all diabetic emergencies? A.) Hyper-no sugar B.) Get a reading first C.) Sugar for everyone D.) Hypo-lots of sugar 25. Which type of syncope can be caused by simply being frightened? A.) Cardiovascular syncope B.) Aneurysmic syncope C.) Vasovagal syncope D.) Metabolic syncope 26. What reading would indicate a symptomatic diabetic? A.) 100-120 mg/dl B.) 60-80 mg/dl C.) 80-100 mg/dl D.) 120-140 mg/dl 27. How should the patient who has experienced syncope be transported? A.) Position of comfort B.) Legs elevated C.) Flat on the back D.) Left recumbent recovery position 28. What is a term that refers to difficulty in communication? A.) Dyslexia B.) Aphasia C.) Hypoxia D.) Nystagmus 29. What decides the treatment of the diabetic in the field? A.) Rapid identification of the condition B.) Rapid location of family members C.) Rapid notification of medical direction D.) Rapid response to the emergency
30. What should be used to cleanse the skin where the blood will be drawn from for the glucose test? A.) Hydrogen peroxide B.) Ammonium nitrate C.) Alcohol preparation D.) Soap and water 31. What timeframe are the symptoms of a transient ischemic attack generally resolved? A.) 24 hours B.) 60 hours C.) 36 hours D.) 48 hours 32. What position should a patient who has had a seizure be placed in when there is no chance of spinal damage? A.) Seated B.) Side C.) Front D.) Back 33. What can be done to determine how much insulin a patient needs to maintain their blood sugar levels? A.) Keep a daily log B.) Test with glucose meter C.) Contact EMS D.) Go to the doctor's office 34. Which action is NOT advised when a patient is having a seizure? A.) Hold the patient still B.) Loosen restrictive clothing C.) Remove objects that may harm the patient D.) Place patient on the ground
35. What is a common metabolic cause of dizziness? A.) Dehydration from diarrhea B.) Dysrhythmia of the heart C.) Ingestion of alcohol or drugs D.) Inflammation of the middle ear 36. Which type of diabetes is dependent on insulin injections? A.) I B.) II C.) IV D.) III 37. What is the usual dosage of oral glucose? A.) 1 tube B.) 2 tubes C.) 4 tubes D.) 3 tubes 38. What can be done to test the stroke patient's control over facial muscles? A.) Speak B.) Blink C.) Nod D.) Smile 39. Which is a sign of hypoglycemia? A.) Very sweaty skin B.) Thirst C.) Acetone-like breath odor D.) Increased urination