Deck 31: Bariatric Medicine

Question 1

In response to increased pulmonary demands, a patient's respiratory rate and depth will decrease.

Answer 1

False

Question 2

Although some think that adipose tissue is stored energy, it is still metabolically active.

Answer 2

True

Question 3

The right ventricle is a pressure pump, not a volume pump.

Answer 3

False

Question 4

Individuals with a BMI less than ____ are considered underweight.

A) 20
B) 25
C) 30
D) 35

Question 5

When the patient's BMI exceeds ____, then the patient is termed obese.

A) 25
B) 28
C) 31
D) 34

Question 6

Patients with ____ obesity, with a BMI greater than 60, have attendant complications of obesity specific to their condition.

A) class I
B) super morbid
C) chronic
D) morbid

Question 7

A normal body mass index (BMI) is between ____.

A) 5 and 10
B) 10 and 15
C) 15 and 20
D) 20 and 25

Question 8

The body habitus implies a physique that, when observed, would cause the Paramedic to suspect certain medical conditions may coexist.

Question 9

The ____ slides behind the redundant folds of tissue in the morbidly obese patient's oropharynx, providing a patent airway and an improvement in ventilation.

A) nasopharyngeal airway
B) SARA
C) laryngeal mask
D) CPAP

Question 10

The Metropolitan Life Insurance tables tied weight to longevity for the purposes of assigning risk to life insurance.

Question 11

A patient with malignant obesity is at least 75% over ideal weight.

Question 12

The classic pulse point to obtain a patient's heart rate is the ____.

A) spine
B) wrist
C) upper arm
D) ankle

Question 13

When the blood fails to enter the heart, it backs up into the ____.

A) kidneys
B) lungs
C) pancreas
D) abdomen

Question 14

To overcome increased systemic vascular resistance and augmented blood volume, the heart secretes ____ to increase stroke volume and heart rate.

A) glucose
B) adrenaline
C) calcitonin
D) insulin

Question 15

Obese patients have increased acidity of stomach acid, as well as an increased volume of stomach acid.

Question 16

Shortness of breath at night is known as orthopnea.

Question 17

For every kilogram (2.2 pounds) of body weight, it is estimated that the body creates approximately ____ of new blood vessels.

A) 25 inches
B) 25 feet
C) 25 yards
D) 25 miles

Question 18

The patient with POPE should be treated aggressively with high-flow, high-concentration oxygen and continuous positive airway pressure.

Question 19

Increased insulin demand leads to hyperinsulinemia.

Question 20

Insulin resistance occurs when increased free fatty acids, used in lipid formation, inhibit ____ utilization in the muscle.

A) carbohydrate
B) glucose
C) protein
D) oxygen

Question 21

A(n) ____ policy supports the Paramedic who encourages the patient to self-lift and bans the use of cradle lifts and shoulder lifts.

A) assistive lift device
B) no lift
C) low lift
D) lift team

Question 22

Increased hepatic glucose output leads to ____________________.

Question 23

The symptom pattern associated with ____________________, or obesity hypoventilation syndrome, includes morbid obesity, transient hypoxia, hypercarbia, and often obstructive sleep apnea.

Question 24

When considering medication administration, the Paramedic should keep in mind that the patient with obesity will have altered ____________________.

Question 25

Increased pulmonary capillary pressure causes fluids to leak into the alveolar space and ____________________ to form almost instantly.

Question 26

To prepare for intubation of the morbidly obese patient, the Paramedic should remember the mnemonic SOAP (Suction, Oximeter, Airways, and ____).

A) Pharmacology
B) Preparation
C) Positioning
D) Padding

Question 27

Frequently, large amounts of padding are needed behind the patient's shoulders to raise the chest to about a ____ angle.

A) 25-degree
B) 45-degree
C) 65-degree
D) 75-degree

Question 28

Any patient with difficulty breathing should be placed in a ____ position to improve lung expansion.

A) seated
B) supine
C) prone
D) high-Fowler's

Question 29

The ____________________ monitors Paramedic injury rates and encourages the use of ergonomic devices.

Question 30

The ____ blade has both the length of a Miller as well as the large flange characteristic of a Macintosh.

A) Z-flange
B) Robert-Shaw
C) Ayres
D) Magill

Question 31

The hallmark of type 2 diabetes is ____________________.

Question 32

A patient's agitation, tachypnea, and hypoxia is highly suggestive of ____________________.

Question 33

The patient with POPE should immediately put in the ____ position.

A) prone
B) orthopneic
C) seated
D) Sim's

Question 34

In the case of recurrent hypoxia, the hormone ____________________ is secreted by the kidneys, which in turn stimulates the bone marrow to produce erythrocytes.

Question 35

The Paramedic's first step in medication administration is to choose the ____.

A) needle
B) location
C) route
D) dosage