1. A 26 y/o male complains of chest pain and hemoptysis. He has a productive cough
with purulent discharge and a low-grade fever. What should you suspect? -
ANS-Tuberculosis (tuberculosis can present with different manifestations of the
clinical conditions. Common S/S that are presented with this disease are night
sweats, hemoptysis, chills, fever, fatigue, productive or nonproductive cough, and
weight loss. If you suspect tuberculosis you should immediately don a N95 respirator
and place a mask over the patent as well for further protection)
2. A 27 y/o female complains of general weakness. She tells you that she feels
"unstable" when she walks so she lay down in the bed. She is supine in bed and was
incontinent. She is out of her prescribed methylprednisolone. What should you
suspect? - ANS-Multiple Sclerosis (causes demyelination of the nerve cells and
nerve fibers from the brain and spinal cord, this results in weakness of one or more
limbs, sensory loss, parenthesis, and changes in vision. Steroids are used for
treatment of the swelling nerve fibers.)
3. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant.
Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R
18 with wheezing. What should you administer? - ANS-Epinephrine .3 to .5 IM
1:1000 (should suspect anaphylactic shock)
4. A 31 y/o female complains of diplopia and nausea with vomiting. She has a
well-developed goiter and is sweating profusely. VS are BP 132/92, P 104, R 18.
What should you suspect? - ANS-Thyrotoxic crisis (suspect a thyroid storm, field
treatment is mainly supportive in nature)
5. A 39 y/o female complains of chronic left-sided flank pain that radiates to her hip/
She called EMS because the pain is "unbearable." VS are BP 133/86, P 104, R 16.
What should you do? - ANS-Administer 4 mg morphine sulfate (she is presenting
with S/S of a kidney stone, follow local protocol for analgesics for the pain)
6. A 41 y/o male returned from a scuba diving trip 12 hours ago. He complains of a
gradual onset of stiff joints and a headache. His skin is mottled ad his VS are BP
110/74, P 112, R 22, SpO2 82% on high-flow oxygen. What should you do? -
ANS-Transport him to a hyperbaric facility
7. A 52 y/o male complains of sharp abdominal pain that radiates to his back for the
past 5 days. He is nauseated with vomiting and diarrhea. He has right upper
quadrant, mid-abdominal tenderness and Cullen's sign. He tells you that he has a Hx
of alcoholism. What should you suspect? - ANS-Pancreatitis (pancreatitis can get
intrabdominal bleeding to occur, alcoholism can cause pancreatitis, digestive
enzymes that are produced be the pancreas can erode through the tissue causing
significant hemorrhage, due to hemorrhage we can see Cullen's sign and have pain
to the right upper quadrant and abdominal tenderness to the mid-abdominal area)
8. A 56 y/o male is unconscious and jaundiced. He has peripheral edema and a shunt
in his left upper arm. What should you suspect? - ANS-Renal failure (Pt probably has
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