Deck 20: Medical Emergencies

Question 1

A 16-year-old patient comes to the diagnostic imaging department for a CT examination.He is lying on the table in a supine position and suddenly seems to lose consciousness and begins to move violently,with jerking motions.You realize that he is having a generalized seizure.The action that you must take is

A) go to the patient immediately,prevent him from harm and call for help.
B) insert your protected thumbs to prevent damage to teeth.
C) place the patient on the floor and begin cardiopulmonary resuscitation (CPR).
D) restrain the patient's extremities to prevent orthopedic injuries.

Answer 1

D

Question 2

When comparing hyperglycemia with hypoglycemia,hyperglycemia

A) indicates a low blood glucose level.
B) is typically of rapid onset.
C) portrays clinical symptoms of excessive thirst and urination as well as dry mouth.
D) requires the patient receive a quick form of glucose.

Answer 2

C

Question 3

When comparing a semi-automatic AED device with an automatic device,

A) both devices determine the patient's cardiac rhythm.
B) the automatic device robotically places the AED paddles on the patient.
C) the semi-automatic AED automatically shocks the patient by placing the unit next to their torso.
D) None of the above are correct.

Answer 3

A

Question 4

A common name for an emergency cart within medical imaging is the _____ cart.

A) first aid
B) crash
C) first call
D) code

Question 5

The single most important action for the radiographer when administering emergency care is

A) reacting to the emergent situation and providing any and all care needed to save the patient's life.
B) minimally getting involved for fear of medical and professional liability.
C) providing a competent level of care,recognizing when advanced care is needed,and calling for assistance.
D) waiting to provide care until any doctor or practitioner arrives.

Question 6

What is the first thing you should do if a patient who is standing turns pale and says he feels dizzy?

A) Quickly take the exposure and get an emesis basin.
B) Have the patient inhale ammonia.
C) Have the patient lean against the radiographic table.
D) Have the patient lie down.

Question 7

The type of shock that is a result of severe loss of blood is

A) hypovolemic.
B) septic.
C) vasogenic.
D) anaphylactic.

Question 8

In preparation for any emergent situation,the professional technologist should become familiar with

A) the location of and access to the crash cart.
B) automatic external defibrillator (AED)operation.
C) institutional numbers for emergency code announcements.
D) All of the above

Question 9

An effective method to handle a patient with an asthmatic attack during a radiographic procedure would be to

A) tell the patient to breathe faster and with less depth to avoid losing consciousness.
B) tell the patient to hold his or her breath for 30 seconds to recover.
C) have the patient sit down and allow the patient to use his or her aerosol inhaler.
D) recognize the patient's situation and work faster to get the examination done so they can use their inhaler sooner.

Question 10

After the administration of an iodine-based contrast into a patient,it is important for the technologist to observe the patient for

A) signs of a reaction such as a metallic taste in the mouth,cold extremities,and bladder swelling.
B) urticaria,nausea,shortness of breath,tightening in the throat,and cardiac arrest.
C) blurred vision,syncope,and epistaxis.
D) excessive salivation,dry eyes,and nasal dryness.

Question 11

The medical term for a temporary suspension of consciousness is

A) epistaxis.
B) vertigo.
C) syncope.
D) aura.

Question 12

What type of shock is caused by loss of blood from a knife or gunshot wound?

A) Cardiogenic
B) Septic
C) Anaphylactic
D) Hypovolemic

Question 13

When working with burn patients,it is critically important to

A) not encase the detector in plastic to prevent skin peeling.
B) position the patient with Teflon-coated positioning aids.
C) spray the burn dressing with lidocaine to relieve the pain.
D) use an extraordinary level of aseptic technique.

Question 14

When caring for a patient with epistaxis,the patient

A) should lean forward and pinch their nostrils against the midline septum for several minutes.
B) should lie down quickly and tilt his or her head back.
C) should be given an emesis basin and gauze pads.
D) should sit back with his or her head tilted,and heparin gel should be applied inside the nose.

Question 15

As you are radiographing a patient from the emergency department who has a knife wound to the upper extremity,you notice that his wound dressing is becoming saturated with blood quickly,and he is getting lightheaded.You should

A) remove the dressing to assess the degree of bleeding.
B) tell the patient to lean over to get his arm lower than his heart.
C) call for help,apply pressure to the wound site,and elevate his arm.
D) lay the patient down and begin CPR.

Question 16

You have come upon a motor vehicle accident as the first person to arrive.As you assess the victim's level of consciousness,you begin to ask questions and encourage the victim to respond.During your efforts to do so,the victim has no verbal response to any stimuli,but his leg moves with your touch and pinch.This person demonstrates what level of consciousness?

A) Alert and responsive
B) Drowsy but can be aroused
C) Unconscious but reflexive
D) Comatose and unresponsive

Question 17

Which of the following is most appropriate for a patient to counteract hypoglycemia?

A) Orange juice
B) Diet soda
C) Protein bar
D) Buttered toast

Question 18

What type of shock can result from a severe reaction to the contrast media used in radiographic examinations?

A) Hypovolemic
B) Septic
C) Anaphylactic
D) Cardiogenic

Question 19

What type of shock is caused by a failure of the heart to pump enough blood to the vital organs including the brain?

A) Cardiogenic
B) Septic
C) Anaphylactic
D) Neurogenic

Question 20

Symptoms of a head injury include

A) respiratory distress.
B) change in state of consciousness.
C) patient is lethargic.
D) All of the above

Question 21

CPR can be stopped when

A) the rescuer is physically exhausted.
B) a physician says it's time to stop CPR.
C) the patient responds and shows signs of recovery.
D) All of the above are correct.

Question 22

When performing CPR as a single rescuer,

A) the compression rate is performed at 60 compressions per minute.
B) assess circulation using the temporal artery of the forehead.
C) after each group of 30 compressions,give 2 quick ventilations.
D) sternal compressions should have a maximum depth of 1 inch.

Question 23

When performing two-person CPR,

A) compressions are at a rate of 60 per minute.
B) compressions are paused briefly to give two ventilations.
C) the rescuers remain at their positions to ensure continuity of compressions.
D) All of the above are correct.

Question 24

It is acceptable to discontinue CPR on a person when

A) a qualified medical practitioner calls a halt.
B) the rescuers decide it is not working.
C) law enforcement arrives and pronounces the victim deceased.
D) All of the above

Question 25

All of the following are related except

A) airway.
B) breathing.
C) circulation.
D) chest compression.

Question 26

The Heimlich maneuver is

A) used to relieve a suspected small bowel obstruction.
B) never used on a pregnant patient.
C) modified for infants to include back slaps and chest thrusts.
D) None of the above are correct.

Question 27

CPR performed on an infant

A) is the same as on an adult but adjusted based on patient size.
B) requires chest compressions of 1 to 2 inches.
C) uses a ventilation depth comparable to an adult.
D) is done at a higher rate with more ventilations because of a higher respiratory and cardiac rate for infants.

Question 28

When performing CPR on a patient,who is lying supine in a patient bed with a soft mattress,you would first look for what item from the emergency crash cart?

A) Backboard
B) Benadryl
C) Firm sponge pillow Hemostat
D) Suction bottle

Question 29

When using an AED,

A) it is used simultaneously with CPR compressions.
B) two AED chest pads are used,one on the upper right side of the chest and the other on the lower left ribs.
C) it is important to plug the unit into the correct power source.
D) CPR can be terminated since it is of little value after the AED is attached.

Question 30

A disorganized cardiac rhythm in which the ventricle "flutters" and loses cardiac output is called

A) syncope.
B) fibrillation.
C) pallor.
D) lethargy.