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Review Questions and Answers Chapters 6-9 12-12
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12-12. 1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

Dec 21, 2015

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Page 1: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

12-12

Review Questions and Answers

Chapters 6-9

Page 2: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

12-12

1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results in a reduction of metabolism for those tissues.

◦ A. 1st phrase is true, 2nd phase is false◦ B. 1st phrase is false, 2nd phase is true◦ C. Both phrases are true.◦ D. Both phrases are false.

Chapter 6: Shock

Page 3: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

12-12

1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results in a reduction of metabolism for those tissues.

◦ A. 1st phrase is true, 2nd phase is false◦ B. 1st phrase is false, 2nd phase is true◦ C. Both phrases are true.◦ D. Both phrases are false.

ANSWER… Ch 6

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2. Which type of shock would you suspect for a patient experiencing a severe infection?

◦ A. hypovolemic◦ B. anaphylactic◦ C. cardiogenic◦ D. septic

Chapter 6: Shock

Page 5: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

12-12

2. Which type of shock would you suspect for a patient experiencing a severe infection?

◦ A. hypovolemic◦ B. anaphylactic◦ C. cardiogenic◦ D. septic

ANSWER… Ch 6

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3. Which stage of shock is irreversible and characterized by failure of the vital organs?

◦ A. initial stage◦ B. refractory stage◦ C. compensatory stage◦ D. progressive stage

Chapter 6: Shock

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3. Which stage of shock is irreversible and characterized by failure of the vital organs?

◦ A. initial stage◦ B. refractory stage◦ C. compensatory stage◦ D. progressive stage

ANSWER… Ch 6

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4. What is the most important step in the specific emergency treatment for hypovolemic shock?

◦ A. arrest the fluid loss◦ B. administer antimicrobial medication◦ C. administer appropriate medication to reduce

tachycardia◦ D. none of the above

Chapter 6: Shock

Page 9: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

12-12

4. What is the most important step in the specific emergency treatment for hypovolemic shock?

◦ A. arrest the fluid loss◦ B. administer antimicrobial medication◦ C. administer appropriate medication to reduce

tachycardia◦ D. none of the above

ANSWER… Ch 6

Page 10: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

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5. All of the following are possible etiologies of neurogenic shock except one. Which one is the exception?

◦ A. emotional trauma◦ B. a disease of the brain stem◦ C. an injury to the spinal cord◦ D. myocardial infarction (MI)

Chapter 6: Shock

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5. All of the following are possible etiologies of neurogenic shock except one. Which one is the exception?

◦ A. emotional trauma◦ B. a disease of the brain stem◦ C. an injury to the spinal cord◦ D. myocardial infarction (MI)

ANSWER… Ch 6

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6. The type of shock that has the symptoms of nonspecific chest pain and shortness of breath would be

◦ A. hypovolemic◦ B. cardiogenic◦ C. septic◦ D. none of the above

Chapter 6: Shock

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6. The type of shock that has the symptoms of nonspecific chest pain and shortness of breath would be

◦ A. hypovolemic◦ B. cardiogenic◦ C. septic◦ D. none of the above

ANSWER… Ch 6

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7. All of the following are forms of distributive shock except one. Which one is the exception?

◦ A. cardiogenic shock◦ B. septic shock◦ C. neurogenic shock◦ D. anaphylactic shock

Chapter 6: Shock

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7. All of the following are forms of distributive shock except one. Which one is the exception?

◦ A. cardiogenic shock◦ B. septic shock◦ C. neurogenic shock◦ D. anaphylactic shock

ANSWER… Ch 6

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8. In what position should the patient be placed when suffering from shock?◦ A. supine◦ B. head between the knees◦ C. upright◦ D. on the stomach

Chapter 6: Shock

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8. In what position should the patient be placed when suffering from shock?◦ A. supine◦ B. head between the knees◦ C. upright◦ D. on the stomach

ANSWER… Ch 6

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1. All of the following are symptoms of hyperventilation except one. Which one is the exception?◦ A. circumoral parasthesia◦ B. heart palpitations◦ C. pulmonary embolism◦ D. hypernea

Chapter 7: Hyperventilation

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1. All of the following are symptoms of hyperventilation except one. Which one is the exception?◦ A. circumoral parasthesia◦ B. heart palpitations◦ C. pulmonary embolism◦ D. hypernea

ANSWER… Ch 7

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2. The chemical lacking in the bloodstream of the hyperventilating patient is◦ A. oxygen◦ B. hydrogen◦ C. iron◦ D. carbon dioxide

Chapter 7: Hyperventilation

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2. The chemical lacking in the bloodstream of the hyperventilating patient is◦ A. oxygen◦ B. hydrogen◦ C. iron◦ D. carbon dioxide

ANSWER… Ch 7

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3. The carpopedal spasms often seen in a patient who is hyperventilating is caused by◦ A. the respiratory acidosis◦ B. the reduction in calcium in the bloodstream◦ C. reduced cerebral oxygenation◦ D. none of the above

Chapter 7: Hyperventilation

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3. The carpopedal spasms often seen in a patient who is hyperventilating is caused by◦ A. the respiratory acidosis◦ B. the reduction in calcium in the

bloodstream◦ C. reduced cerebral oxygenation◦ D. none of the above

ANSWER… Ch 7

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4. The recommended treatment for a hyperventilating patient is◦ A. have him/her breathe into a paper bag◦ B. have him/her drink milk to increase calcium

levels◦ C. administer oxygen at 4 liters per minute◦ D. work with the patient to control his/her

breathing

Chapter 7: Hyperventilation

Page 25: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

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4. The recommended treatment for a hyperventilating patient is◦ A. have him/her breathe into a paper bag◦ B. have him/her drink milk to increase calcium

levels◦ C. administer oxygen at 4 liters per minute◦ D. work with the patient to control his/her

breathing

ANSWER… Ch 7

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5. The symptoms of a pulmonary embolism are often similar to the symptoms of hyperventilation and both conditions are potentially life threatening.◦ A. The 1st phrase is correct and the 2nd is incorrect◦ B. The 1st phrase is incorrect and the 2nd is correct◦ C. Both phrases are correct◦ D. Both phrases are incorrect

Chapter 7: Hyperventilation

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5. The symptoms of a pulmonary embolism are often similar to the symptoms of hyperventilation and both conditions are potentially life threatening.◦ A. The 1st phrase is correct and the 2nd is

incorrect◦ B. The 1st phrase is incorrect and the 2nd is correct◦ C. Both phrases are correct◦ D. Both phrases are incorrect

ANSWER… Ch 7

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6. The respiration rate for a person experiencing hyperventilation is◦ A. 12-14 resp/min◦ B. 14-16 resp/min◦ C. 16-18 resp/min◦ D. >22 resp/min

Chapter 7: Hyperventilation

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6. The respiration rate for a person experiencing hyperventilation is◦ A. 12-14 resp/min◦ B. 14-16 resp/min◦ C. 16-18 resp/min◦D. >22 resp/min

ANSWER… Ch 7

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7. Abnormal spasm of the facial muscles elicited by light taps on the facial nerve is referred to as◦ A. Levine sign

B. Chvostek’s signC. TetanyD. Circumoral parasthesia

Chapter 7: Hyperventilation

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7. Abnormal spasm of the facial muscles elicited by light taps on the facial nerve is referred to as◦ A. Levine sign◦ B. Chvostek’s sign◦ C. Tetany◦ D. Circumoral parasthesia

ANSWER… Ch 7

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All of the following are common precipitating factors of hyperventilation except one. Which one is the exception?◦ A. high altitudes◦ B. Pregnancy◦ C. anxiety◦ D. hypertension

Chapter 7: Hyperventilation

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All of the following are common precipitating factors of hyperventilation except one. Which one is the exception?◦ A. high altitudes◦ B. Pregnancy◦ C. anxiety◦ D. hypertension

ANSWER… Ch 7

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1. All of the following are associated with increased seizure activity, except one. What is the exception?◦ A. hypoglycemia◦ B. hyperglycemia◦ C. hypoxia◦ D. pyrexia

Chapter 8: Seizure Disorders

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1. All of the following are associated with increased seizure activity, except one. What is the exception?◦ A. hypoglycemia◦ B. hyperglycemia◦ C. hypoxia◦ D. pyrexia

ANSWER… Ch 8

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2. Which of the following are responsibilities of the clinician in treating a patient with seizure disorder?◦ A. Thoroughly reviewing the medical history and

discussing it with the patient.◦ B. Monitoring the patient for signs and symptoms

of impending seizures.◦ C. Protecting the patients from harm during the

seizure.◦ D. Monitoring the patient’s vital signs during

recovery, and arranging a ride home◦ E. All of the above.

Chapter 8: Seizure Disorders

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2. Which of the following are responsibilities of the clinician in treating a patient with seizure disorder?◦ A. Thoroughly reviewing the medical history and

discussing it with the patient.◦ B. Monitoring the patient for signs and symptoms

of impending seizures.◦ C. Protecting the patients from harm during the

seizure.◦ D. Monitoring the patient’s vital signs during

recovery, and arranging a ride home◦ E. All of the above .

ANSWER… Ch 8

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3. Seizure activity is often preceded by an aura. Patients are always aware that they have had an aura.◦ A. Both phrases are true◦ B. Both phrases are false◦ C. The 1st phrase is true, the 2nd is false◦ D. The 1st phrase is false, the 2nd is true

Chapter 8: Seizure Disorders

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3. Seizure activity is often preceded by an aura. Patients are always aware that they have had an aura.◦ A. Both phrases are true◦ B. Both phrases are false◦ C. The 1st phrase is true, the 2nd is false◦ D. The 1st phrase is false, the 2nd is true

ANSWER… Ch 8

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4. All of the following are classifications of seizures, except one. Which one is the exception?◦ A. Signs and symptoms◦ B. duration◦ C. age of patient◦ D. type of aura◦ E. precipitating factors

Chapter 8: Seizure Disorders

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4. All of the following are classifications of seizures, except one. Which one is the exception?◦ A. Signs and symptoms◦ B. duration◦ C. age of patient◦ D. type of aura◦ E. precipitating factors

ANSWER… Ch 8

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5. Your patient stiffens and starts to experience a seizure in the middle of periodontal debridement. What is the first thing you should do?◦ A. Activate EMS system◦ B. Stop treatment and remove everything from

the patient’s mouth◦ C. Administer CPR◦ D. Administer antiepileptic medications

Chapter 8: Seizure Disorders

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5. Your patient stiffens and starts to experience a seizure in the middle of periodontal debridement. What is the first thing you should do?◦ A. Activate EMS system◦ B. Stop treatment and remove everything

from the patient’s mouth◦ C. Administer CPR◦ D. Administer antiepileptic medications

ANSWER… Ch 8

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6. The following oral signs and symptoms may be present in a patient with a history of seizure disorders. Which of the following is an exception?◦ A. advanced periodontitis◦ B. gingival overgrowth◦ C. fractured teeth◦ D. tongue lacerations and scarring

Chapter 8: Seizure Disorders

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6. The following oral signs and symptoms may be present in a patient with a history of seizure disorders. Which of the following is an exception?◦ A. advanced periodontitis◦ B. gingival overgrowth◦ C. fractured teeth◦ D. tongue lacerations and scarring

ANSWER… Ch 8

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7. Antiepileptic drugs fall into which of the following pharmaceutical classifications◦ A. muscle relaxants◦ B. opioids◦ C. central nervous system stimulants◦ D. anticonvulsants

Chapter 8: Seizure Disorders

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7. Antiepileptic drugs fall into which of the following pharmaceutical classifications◦ A. muscle relaxants◦ B. opioids◦ C. central nervous system stimulants◦ D. anticonvulsants

ANSWER… Ch 8

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8. The most common type of seizure disorder is◦ A. absence or petit mal seizures◦ B. tonic-clonic or grand mal seizures

Chapter 8: Seizure Disorders

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8. The most common type of seizure disorder is◦ A. absence or petit mal seizures◦ B. tonic-clonic or grand mal seizures

ANSWER… Ch 8

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9. The injectable drug of choice in the emergency treatment of GTCS or status epilepticus is◦ A. phenytoin◦ B. carbamazepine◦ C. diazepam◦ D. codeine

Chapter 8: Seizure Disorders

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9. The injectable drug of choice in the emergency treatment of GTCS or status epilepticus is◦ A. phenytoin◦ B. carbamazepine◦ C. diazepam◦ D. codeine

ANSWER… Ch 8

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10. Respiratory arrest is most likely to occur during which phase of a generalized tonic-clonic seizure?◦ A. aura◦ B. preictal◦ C. ictal◦ D. postictal

Chapter 8: Seizure Disorders

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10. Respiratory arrest is most likely to occur during which phase of a generalized tonic-clonic seizure?◦ A. aura◦ B. preictal◦ C. ictal◦ D. postictal

ANSWER… Ch 8

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1. Which of the following is a condition that often mimics the symptoms of a CVA?◦ A. hypoglycemia◦ B. hyperventilation◦ C. diabetic ketoacidosis◦ D. anaphylaxis

Chapter 9: Cerebrovascular Accident

Page 55: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

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1. Which of the following is a condition that often mimics the symptoms of a CVA?◦ A. hypoglycemia◦ B. hyperventilation◦ C. diabetic ketoacidosis◦ D. anaphylaxis

ANSWER… Ch 9

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2. All of the following are individuals susceptible to CVA except one. Which one is the exception?◦ A. individuals with atrial fibrillation◦ B. diabetic patients◦ C. young women taking oral contraceptives◦ D. males in the 30-40 age range.

Chapter 9: Cerebrovascular Accident

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2. All of the following are individuals susceptible to CVA except one. Which one is the exception?◦ A. individuals with atrial fibrillation◦ B. diabetic patients◦ C. young women taking oral contraceptives◦ D. males in the 30-40 age range.

ANSWER… Ch 9

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3. All of the following are symptoms of acute ischemic CVA except one. Which one is the exception?◦ A. vision changes◦ B. dysphagia◦ C. chest pain◦ D. facial droop

Chapter 9: Cerebrovascular Accident

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3. All of the following are symptoms of acute ischemic CVA except one. Which one is the exception?◦ A. vision changes◦ B. dysphagia◦ C. chest pain◦ D. facial droop

ANSWER… Ch 9

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4. The preferred treatment for acute ischeimic stroke in the emergency department is the administration of intravenous r-tPA, and the r-tPA needs to be delivered within the first three hours of onset of the CVA symptoms.◦ A. The 1st phrase is true, the 2nd false◦ B. The 1st phrase is false, the 2nd true◦ C. Both phrases are true◦ D. Both phrases are false

Chapter 9: Cerebrovascular Accident

Page 61: 12-12.  1. Shock is the condition produced when the cardiovascular-pulmonary system fails to deliver enough oxygenated blood to body tissues, which results.

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4. The preferred treatment for acute ischeimic stroke in the emergency department is the administration of intravenous r-tPA, and the r-tPA needs to be delivered within the first three hours of onset of the CVA symptoms.◦ A. The 1st phrase is true, the 2nd false◦ B. The 1st phrase is false, the 2nd true◦ C. Both phrases are true◦ D. Both phrases are false

ANSWER… Ch 9

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5. What can occur to a patient who is experiencing a hemorrhagic CVA and is given r-tPA?◦ A. formation of a thrombus and worsening

symptoms◦ B. additonal hemorrhage worsening symptoms◦ C. rupturing of an aneurysm and improved

symptoms◦ D. none of the above

Chapter 9: Cerebrovascular Accident

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5. What can occur to a patient who is experiencing a hemorrhagic CVA and is given r-tPA?◦ A. formation of a thrombus and worsening

symptoms◦ B. additional hemorrhage worsening

symptoms◦ C. rupturing of an aneurysm and improved

symptoms◦ D. none of the above

ANSWER… Ch 9

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6. Oxygen should be delivered to a patient suspected of a CVA only if◦ A. The patient is positioned supinely◦ B. The patient is hypoxic◦ C. the CVA is hemorrhagic◦ D. the blood pressure is below 120/80 mmHg

Chapter 9: Cerebrovascular Accident

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6. Oxygen should be delivered to a patient suspected of a CVA only if◦ A. The patient is positioned supinely◦ B. The patient is hypoxic◦ C. the CVA is hemorrhagic◦ D. the blood pressure is below 120/80 mmHg

ANSWER… Ch 9

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7. Cerebral hemorrhages occur when a defective artery within the brain bursts and the surrounding tissue fills with blood, whereas subarachnoid hemorrhage strokes occur when a blood vessel on the surface of the brain ruptures and bleeds.◦ A. The 1st phrase is true, the 2nd is false◦ B. The 1st phrase is false, the 2nd is true◦ C. Both phrases are true◦ D. Both phrases are false

Chapter 9: Cerebrovascular Accident

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7. Cerebral hemorrhages occur when a defective artery within the brain bursts and the surrounding tissue fills with blood, whereas subarachnoid hemorrhage strokes occur when a blood vessel on the surface of the brain ruptures and bleeds.◦ A. The 1st phrase is true, the 2nd is false◦ B. The 1st phrase is false, the 2nd is true◦ C. Both phrases are true◦ D. Both phrases are false

ANSWER… Ch 9