Specimen A in this image needs to be recollected because:
A. RBCs have been destroyed, releasing calcium and potassium.
B. the patient may not have been fasting.
C. coagulation proteins have been activated.
D. it has an incorrect additive to blood ratio.
Answer: B
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Your patient is a 45-year-old male with a history of bipolar disorder. He is sitting at the kitchen table, conscious, alert, and oriented. He is pleasant and greets you as you walk in. The patient's wife called EMS because he has refused to take his lithium and is "driving her crazy with his hyperactive attitude." She insists that you transport him to the hospital. The patient admits to voluntary
noncompliance with his lithium, stating, "I didn't like the way it made me feel." He denies any suicidal thoughts and states that he has not felt "this good for a long time." He is curious about your job and wants to know how he could get into a paramedic class. He states that he's also thinking about going to law school but wants to finish his Ph.D. first. The physical examination is unremarkable. HR = 82, BP = 122/80, RR = 10, SaO2 = 99%. He says, "See, I told you I'm fine. I don't need to go to the hospital." Which of the following is the best course of action? A) Contact medical direction. B) Explain to the patient that he has no choice; if he is unwilling to take his medication, you must take him to the hospital for evaluation. C) Restrain the patient if necessary and transport. D) Request law enforcement assistance for legal detention of the patient for transport to the ED.
When grossly decontaminating a patient who is not wearing personal protective equipment in a hazardous materials incident, which of the following techniques should be used?
A) Scrubbing with a long-handled brush B) Using a high pressure water jet system C) Taking a low-pressure decontamination shower D) Sponging with a dilute solution of water and white vinegar
Which of the following gases support combustion? Air Oxygen Helium Carbon Dioxide
a. 2 only c. 2, 3 b. 1, 2 d. 1, 3, 4
Diseases with hypersecretion or poor clearance of secretions include which of the following? 1. Cystic fibrosis 2. Pneumonia 3. Congestive heart failure 4. Primary ciliary dyskinesia
a. 1 only b. 1 and 2 only c. 2 and 3 only d. 1, 2, and 4 only