Thursday, May 1, 2008

Diabetic Emergencies Quiz

Chapter 20 Quiz
Write the letter of the best answer in the space provided.

__________ 1. Insulin can best be described as a(n)
A. amino acid. C. blood sugar.
B. hormone. D. platelet.

__________ 2. The organ(s) responsible for the production of insulin is (are) the
A. liver. C. pancreas.
B. kidneys. D. spleen.

__________ 3. All of the following are signs or symptoms commonly associated with a diabetic emergency except
A. an elevated heart rate. C. seizure activity.
B. combativeness. D. hot, dry skin.

__________ 4. The simple form of sugar that is the body’s main source of energy is
A. insulin. C. adrenalin.
B. glucose. D. diabanese.

__________ 5. Glucose is administered in the form of a
A. tablet. C. suspension.
B. liquid for injection. D. gel.

__________ 6. Use the following memory aid to gather a history from a patient with an altered mental status

__________ 7. The type of diabetes that requires a patient to inject insulin daily is
A. Type I. C. “maturity-onset diabetes.”
B. Type II. D. diabetic ketoacidosis.

__________ 8. If a patient has excessive thirst, breath with a fruity odor, and warm, dry skin, you would suspect
A. hypoglycemia. C. hyperglycemia.
B. epilepsy. D. cerebral edema.

__________ 9. All of the following are medications often taken by diabetics except
A. Glynase®. C. nitroglycerin.
B. Humalog®. D. Orinase®.

__________ 10. For the EMT to administer oral glucose, the patient must meet all of the following criteria except
A. an altered mental status.
B. a baseline blood pressure that is greater than 90 mmHg systolic.
C. a history of diabetes controlled by medication.
D. the ability to swallow.

__________ 11. Proper administration of oral glucose usually produces
A. headache. C. diaphoresis.
B. bradycardia. D. no side effects.

__________ 12. What action does oral glucose take in the bloodstream?
A. decreases blood sugar C. decreases insulin level
B. increases blood sugar D. increases insulin level

__________ 13. If you are in doubt as to whether the patient is suffering from an emergency related to hypoglycemia or hyperglycemia, err to benefit the patient and
A. allow the patient to drink. C. administer oral glucose.
B. withhold liquids from the patient. D. withhold oral glucose.

__________ 14. Which of the following is a contraindication to the administration of oral glucose?
A. history of diabetes C. trauma
B. altered mental status D. unresponsiveness

__________ 15. Patients with an altered mental status and without suspected spinal injury should be transported in what position?
A. shock C. prone
B. lateral recumbent D. supine