Question 1

A 65yearold man presents to the emergency department with complaint of painless visual disturbances including loss of central vision, photopsia, "floaters" and shadows in his vision. The most important intervention for this patient is to:

Options :

A : Discharge to home with a referral to an ophthalmologist.

B : Call an ophthalmologist for consult in the ED.

C : Administer antibiotics and discharge to home.

D : Administer steroids and discharge to home.

Answer: B

Question 2

EMS calls with a possible stroke alert patient. As the patient has developed right sided facial paralysis. Upon arrival you examine the patient and observe the he is unable to blink his right eye, nor raise the eye brows. The symptoms suggest that the patient has:

Options :

A : Acute Hemorrhagic stroke

B : Trigeminal Neuralgia

C : Transient Ischemic Attack

D : Bell-s Palsy

Answer: D

Question 3

The normal progression to cardiac arrest in children is:

Options :

A : Shock; Respiratory distress and failure; Cardiopulmonary failure; Cardiac Arrest

B : Cardiopulmonary failure; Shock; Respiratory distress and failure; Cardiac Arrest

C : Respiratory distress and failure; Shock; Cardiopulmonary failure; Cardiac Arrest

D : Shock; Cardiopulmonary failure; Respiratory distress and failure; Cardiac Arrest

Answer: C

Question 4

Patients with any form of hepatitis should be instructed to do all of the following EXCEPT:

Options :

A : Avoid Alcohol

B : Eat small frequent meals low in fat

C : Avoid Steroid medications

D : Eat small frequent meals low in carbohydrates

Answer: D

Question 5

A construction worker presents with left eye pain and redness. He reports having a feeling of "something stuck in my eye". He denies any changes in his vision, but the left eye has clear tearing, erythematic sclera and he complains of photophobia. Which of the following is consistent with his chief complaint?

Options :

A : Corneal Ulceration

B : Retinal Detachment

C : Corneal Abrasion

D : Hyphema

Answer: C

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