Medical; Obstetrics Gynecology Study Questions Actual

pg. 1 Medical; Obstetrics & Gynecology Study Questions/ Actual Exam Questions with Correct Answers - Latest Update .

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 - Correct Answer - Relaxes bronchial smooth muscle

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 - Correct Answer - Self-resolved lack of orientation to

person, place and time

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 - Correct Answer - Opioid overdose

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

• Hypertension
• Respiratory distress
• Urticaria
• Hives - Correct Answer - Respiratory distress 1 / 4

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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 - Correct Answer - Anaphylactic shock

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 - Correct Answer - Hepatitis

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 - Correct Answer - Administer

oxygen and transport

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

• Ectopic pregnancy
• Abruptio placentae
• Preeclampsia
• Spontaneous abortion - Correct Answer - Preeclampsia

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? 2 / 4

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• 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 - Correct Answer - Have the

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

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

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

• Gallbladder
• Pancreas
• Thyroid gland
• Pituitary gland - Correct Answer - Gallbladder

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 - Correct Answer - Wheezing due to an allergic reaction

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 3 / 4

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• Preventing aspirations - Correct Answer - Waiting for the patient to regain consciousness before

assessment

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 - Correct Answer - Sunken

fontanelle

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

• Illness
• Anxiety
• Alcohol consumption
• Age - Correct Answer – Anxiety

Which of the following is not a method of gauging a patient's responsiveness to painful stimuli?

• Press on the bone above the eye
• Gently but firmly pinch the patient's ear lobe
• Gently but firmly pinch the muscles of the neck
• Slap the patient's cheek - Correct Answer - Slap the patient's cheek

A 32-year-old patient appears to be intoxicated. Bystanders are unaware of any alcohol or drug use. They report that the patient seemed to be fine until he began acting drunk. Which of the following is the most likely cause?

• Allergic reaction
• Alcohol abuse
• Hypoglycemia
• Poisoning - Correct Answer - Hypoglycemia

A 20-year-old female complains of a rapid onset of abdominal pain with nausea and vomiting.Management for a patient experiencing acute abdominal pain should include which of the following?Administration of small sips of water to prevent dehydration and combat nausea and vomiting Administration of supplemental oxygen and placement of the patient on her left side

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