Deck 9: Unconsciousness: Differential Diagnosis
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Deck 9: Unconsciousness: Differential Diagnosis
1
An intense headache is associated most closely with:
A)adrenal insufficiency
B)cerebrovascular accident
C)myocardial infarction
D)postural hypotension
A)adrenal insufficiency
B)cerebrovascular accident
C)myocardial infarction
D)postural hypotension
cerebrovascular accident
2
In most cases of unconsciousness,the heart rate ___________ baseline level,while the blood pressure __________.
A)rises above;increases
B)rises above;decreases
C)falls below;increases
D)falls below;decreases
A)rises above;increases
B)rises above;decreases
C)falls below;increases
D)falls below;decreases
rises above;decreases
3
An EMT,knowing neither the victim nor the medical history,will administer which of the following drugs in the field to an unconscious,but breathing,victim who does not respond to positioning,airway,and the administration of oxygen?
A)epinephrine
B)diazepam
C)diphenhydramine
D)50% dextrose
E)none of the above
A)epinephrine
B)diazepam
C)diphenhydramine
D)50% dextrose
E)none of the above
50% dextrose
4
All of the following are methods of elevating blood pressure except:
A)administration of IV vasopressor
B)placing the patient in a semi-erect position (45 degrees upward tilt)
C)terminating anesthesia and administering 100% oxygen
D)intravenous fluid administration
A)administration of IV vasopressor
B)placing the patient in a semi-erect position (45 degrees upward tilt)
C)terminating anesthesia and administering 100% oxygen
D)intravenous fluid administration
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5
Which of the following problems does the following describe: cold and wet to the touch,mild tremor of extremities,mentally confused?
A)hypothyroidism
B)hyperthyroidism
C)acute adrenal insufficiency
D)hypoglycemia
E)hyperglycemia
A)hypothyroidism
B)hyperthyroidism
C)acute adrenal insufficiency
D)hypoglycemia
E)hyperglycemia
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6
Restlessness,pallor,clammy skin,nausea,and vomiting may be signs of:
A)vasodepressor syncope
B)adrenal insufficiency
C)myocardial infarction
D)A,B,and C
E)A and C
A)vasodepressor syncope
B)adrenal insufficiency
C)myocardial infarction
D)A,B,and C
E)A and C
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7
Which of the following situations of unconsciousness will most likely involve hospitalization?
A)vasodepressor syncope
B)postural hypotension
C)acute adrenal insufficiency
D)A and C
A)vasodepressor syncope
B)postural hypotension
C)acute adrenal insufficiency
D)A and C
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8
Which of the following is most helpful in distinguishing vasovagal syncope from postural hypotension?
A)heart rate
B)respiratory rate
C)body temperature
D)mental status
E)blood pressure
A)heart rate
B)respiratory rate
C)body temperature
D)mental status
E)blood pressure
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9
In vasodepressor syncope,the heart rate ___________ baseline level,while the blood pressure __________.
A)rises above;increases
B)rises above;decreases
C)falls below;increases
D)falls below;decreases
A)rises above;increases
B)rises above;decreases
C)falls below;increases
D)falls below;decreases
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10
___________________ is the most common non-stress-related cause of unconsciousness.
A)An allergic reaction
B)Postural hypotension
C)An hyperglycemic reaction
D)Epilepsy
A)An allergic reaction
B)Postural hypotension
C)An hyperglycemic reaction
D)Epilepsy
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11
Which of the following is the single most important factor in management of the unconscious victim?
A)summon EMS stat
B)administration of aromatic ammonia
C)administration of positive-pressure oxygen
D)determination of the cause for loss of consciousness
E)administration of BLS,as indicated
A)summon EMS stat
B)administration of aromatic ammonia
C)administration of positive-pressure oxygen
D)determination of the cause for loss of consciousness
E)administration of BLS,as indicated
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12
Tingling and numbness of the extremities are most closely associated with:
A)hypoglycemic reactions
B)hyperventilation
C)myocardial infarction
D)Hypoglycemic reactions
A)hypoglycemic reactions
B)hyperventilation
C)myocardial infarction
D)Hypoglycemic reactions
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