A 21-year-old female was sexually assaulted with a glass bottle. Your assessment reveals that she is semiconscious with shallow breathing. The bottle is still inside her vagina. You should:
A. assist ventilations, perform a head-to-toe assessment, and stabilize the bottle in place.
B. apply oxygen via nonrebreathing mask, remove the object and place it in a plastic bag.
C. intubate the patient, perform a detailed physical exam, and stabilize the bottle in place.
D. assist ventilations, obtain baseline vital signs, and carefully remove the impaled bottle.
Answer: A. assist ventilations, perform a head-to-toe assessment, and stabilize the bottle in place.
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Which hose tool can be installed when a hoseline ruptures but must remain charged to continue the fire attack?
A. Hose roller B. Hose clamp C. Hose jacket D. Rubber mallet
Your patient is an expectant mother with signs of imminent delivery. You realize that you will have to deliver the baby. What is the first thing to do when assisting with a normal delivery?
A. Check for the presence of a nuchal cord. B. Wash your hands with soap and water or with commercial hand wash. C. Drape the mother and place her on top of clean sheets or towels. D. Place one hand below the baby's head to support it.
The talocrural joint functions in the motion of dorsiflexion and plantarflexion. Due to triplanar motion at this joint, what other motion occurs with dorsiflexion?
a. Abduction b. Adduction c. Inversion d. Eversion
Jacob is a 30-year-old black man with a history of sickle cell disease. He presents with a three-day history of pain in both elbows. The pain is sharp and the patient rates it as a "9" on a scale of 1-10. He has a low-grade fever
He was started on NS IV fluids and morphine was administered for the pain. PMH—aside from the sickle cell disease, his past medical history is unremarkable. FH/SH—Both parents are alive and well. He has no siblings. He is not married. No known relatives with a history of sickle cell disease. Vital signs—T – 101.4 P – 89 R – 18 BP – 112/66 O2 sats – 90% on room air. HEENT—PERRLA; scleral icterus; remainder of exam in unremarkable. Cranial nerves grossly intact; normal sensation. Neck—No LAD or masses; no lymph nodes appreciated. Cardiac—RRR, S1 and S2 are normal. Lungs—Decreased breath sounds bilaterally. Crackles and rales heard on ausulcation. Abdomen—Normal bowel sounds; no rebound tenderness or guarding. Spleen slightly enlarged. Extremities—No cyanosis or clubbing. Musculoskeletal—Both elbows swollen, red, hot to the touch; tenderness on palpation and painful on extension. Limited ROM in both elbows. GU—Normal male. Rectal exam deferred. Impression: Sickle cell crisis. I am also concerned about the crackles, rales, and diminished breath sounds in the lungs. There could be a pneumonia starting. Plan: Admit for treatment of the sickle cell crisis. Get a CXR to see what is going on in the lungs. Continue IV fluids; consider Hydrea; consider transfusion, depending on H&H. Addendum: CXR is positive for pneumonia. Will do a forced sputum culture and start on antibiotics. First-listed diagnosis: ________ Secondary diagnosis: ________ Fill in the blank with correct word.