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58) Which of the following is a sign or symptom of withdrawal from alcohol?
A) Seizures
B) Sweating
C) Hallucinations
D) All of the above
Objective: 21.10
59) You are treating a 61-year-old who is a chronic alcohol abuser. He is complaining of "snakes
slithering around his ankles," and he tells you that he had only two drinks tonight. You notice
that he is sweating, trembling, and anxious. Before you can complete your assessment, he begins
to have a seizure. Which of the following is the most likely cause of this situation?
A) The patient could not find an alcoholic beverage and drank antifreeze instead.
B) The patient is suffering from alcohol withdrawal.
C) The patient drank mouthwash instead of beverage alcohol.
D) The patient is suffering from acute alcohol poisoning.
Objective: 21.10
30
60) You respond to the county jail for a 48-year-old inmate arrested two days ago for public
intoxication. Guards state the patient is a known alcoholic and "frequent flier." The guards state
that for several hours the patient was "acting crazy" and seeing "bugs on the walls." The patient
then began seizing and they called for an ambulance. You notice the patient is no longer seizing,
diaphoretic, or confused. What condition do you suspect?
A) Acute episode of paranoid schizophrenia
B) Alcohol poisoning
C) LSD abuse
D) Delirium tremens
Objective: 21.10
61) When a chemical substance is taken for reasons other than therapeutic use, this action is
called:
A) tolerance.
B) psychological dependence.
C) substance abuse.
D) addiction.
Objective: 21.11
31
62) Which of the following types of drugs may induce sleep or stupor?
A) Tranquilizers
B) Narcotics
C) Hallucinogens
D) Both A and B
Objective: 21.11
63) Barbiturates may be referred to as which of the following?
A) Downers
B) Meth
C) Acid
D) Uppers
Objective: 21.11
32
64) OxyContin is an example of which of the following types of drugs?
A) Narcotic
B) Antidepressant
C) Appetite suppressant
D) Barbiturate
Objective: 21.11
65) Gamma-hydroxybutyrate (GHB) is an example of which of the following types of drugs?
A) Cannabis
B) Stimulant
C) Volatile spirit
D) Depressant
Objective: 21.11
33
66) The opiate triad includes all of the following except:
A) hypertension.
B) pinpoint pupils.
C) coma.
D) respiratory depression.
Objective: 21.11
67) Cleaning fluid, glue, and model cement are common examples of which of the following?
A) Hallucinogens
B) Narcotics
C) Volatile chemicals
D) Aromatic spirits
Objective: 21.11
34
68) The drug ecstasy is classified as what type of drug?
A) Depressant
B) Hallucinogen
C) Barbiturate
D) Tranquilizer
Objective: 21.11
69) You respond to assist law enforcement with a 35-year-old male patient who, according to
them, is "high as a kite." The patient is anxious, tachycardic, and angry. What condition do you
suspect?
A) GHB overdose
B) Marijuana overdose
C) Alcohol overdose
D) Cocaine overdose
Objective: 21.11
35
70) Your patient is a 23-year-old male who is unresponsive in the restroom of a bar. His
respirations are slow and shallow, he has a heart rate of 50 beats per minute, he is sweating
profusely, and he has constricted pupils. Which of the following substances is MOST likely
responsible for the patient's condition?
A) Heroin
B) Ecstasy
C) LSD
D) PCP
Objective: 21.11
71) A patient who has abused "uppers" will display which of the following signs and symptoms?
A) Dilated pupils, excessive salivation, and food cravings
B) Excessive talkativeness, dilated pupils, and dry mouth
C) Constricted pupils, hypotension, and blurred vision
D) Slurred speech, constricted pupils, and frequent urination
Objective: 21.11
36
72) You are called to the scene of a 14-year-old female patient who is unresponsive. Her mother
states she has n teased and bullied at school and she suspects that she tried to commit suicide by
taking her pain pills. The patient is unresponsive to painful stimuli, with agonal respirations, and
has vomited. She has a weak carotid pulse. Your first action is to:
A) administer oxygen by bag-valve mask (BVM).
B) administer oxygen by nonrebreather mask (NRB).
C) administer an oropharyngeal airway (OPA).
D) suction the patient's airway.
Objective: 21.12
73) You are called to the scene of a 17-year-old female patient who is unresponsive. Her mother
suspects that she tried to commit suicide by taking her pain pills. The patient is unresponsive to
painful stimuli, has agonal respirations, and has vomited. She has a weak carotid pulse. After
securing the airway and providing oxygen by bag-valve mask, what is your next action?
A) Perform a rapid physical examination of the patient.
B) Ask the mother the name of her pain medication.
C) Question the mother about the patient's suicidal tendencies.
D) Perform a focused assessment.
Objective: 21.12
37
74) What is the most important treatment for a patient who has inhaled a poison?
A) Administer the correct antidote.
B) Administer high-concentration oxygen.
C) Administer activated charcoal.
D) Administer epinephrine via auto-injector.
Objective: 21.12
75) You are called to the scene of a local night club for a 21-year-old female patient who is
bradycardic and in respiratory arrest. The patient's airway is patent and the chest easily rises with
bag-valve-mask ventilation. The patient's friends state the patient had only one or two drinks
when she suddenly complained of dizziness and "seeing things." Her friends state that she then
passed out, started twitching like she was seizing, and then stopped. Her friends adamantly state
that she does not do drugs. What situation do you suspect?
A) Alcohol overdose
B) GHB overdose
C) Anaphylactic reaction to the alcoholic drink
D) Cocaine overdose
Objective: 21.12
38
