What are the risk factors for Type 2 diabetes?
What will be an ideal response?
Family history of diabetes in a first degree relative (parent or sibling) and obesity are the strongest risk factors for Type 2 diabetes and in fact, obesity is present in 80% of diabetics and is the single best predictor for diabetes. Ethnicity plays an important role in diabetes with Hispanic Americans, African Americans, Native Americans and Asian Americans/Pacific Islanders being at the highest risk. Age greater than 45 years has been a well documented risk factor in the past but more recently Type 2 diabetes has become an increasing problem in adolescents primarily related to an increase in obesity in this age group. A sedentary lifestyle (exercise less than three times a week) makes a person more likely to develop diabetes. A personal past medical history of gestational diabetes, polycystic ovary disease, a skin condition called acanthosis nigricans, high blood pressure, cardiovascular disease, and high cholesterol and/or high triglycerides is also associated with a higher risk of developing diabetes.
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Which three mechanisms can produce visceral pain?
A) Peritonitis, cholecystitis, and a ruptured abdominal aorta B) Blunt trauma, penetrating trauma, and medical illness C) Somatic, referred, and peritonitis D) Distension, ischemia, and inflammation
You are on the scene of a person down. You arrive at a college dormitory and find a 21-year-old patient lying supine on the floor, unresponsive. The patient is "guppy" breathing at 5 times a minute, has a strong radial pulse at 110 beats per minute, and has vomited on himself. Friends state they went out to dinner and a party. They returned to change clothes for another party and he never came
out of his room. Your partner suctions the patient, inserts an oropharyngeal airway, and ventilates the patient with a bag-valve mask with high-concentration oxygen. You listen to lung sounds and there are coarse rhonchi bilaterally. What condition do you suspect? A) Overdose B) Aspiration C) Severe meningitis D) Status asthmaticus
Your patient is a 19-year-old man who was thrown from a horse while riding in a rodeo. After throwing the patient off, the horse stepped on the patient's abdomen. When you reach the patient, you note that his face, neck, and shoulders are pale, cool, and diaphoretic but that the patient's skin is otherwise warm and dry. The patient has some movement and sensation in his forearms and hands but
otherwise no movement or sensation below the shoulders. He is anxious and has a respiratory rate of 24, a heart rate of 68, and a blood pressure of 106/66. Which of the following should be the primary concern when determining this patient's transport priority? A) The potential for neurologic shock, requiring immediate surgery B) The potential for intraabdominal hemorrhage that may be masked by loss of nervous function C) The potential for traumatic brain injury D) The potential for respiratory failure secondary to paralysis of the diaphragm
Which of the following statements shows that an OEC Technician has a good understanding of dealing with a patient who is having a behavioral emergency?
a. "Try to assess patients from a safe distance until they start to answer your questions calmly." b. "I avoid making eye contact because patients may perceive eye contact as a threatening gesture and respond with violence." c. "Touch conveys concern for a patient, so I try to touch the patient's shoulder or arm as soon as I arrive at the scene." d. " If a patient raises his voice to you, you must raise your voice in return. Research has shown that this helps deter violence."