OEC Medical Conditions & Ongoing Care 3

Question 1

A patient on the slopes reports sudden unilateral leg weakness, facial drooping, and slurred speech. What condition does this most suggest?

Accepted Answer

Transient ischemic attack or stroke

Answer

Unilateral weakness, facial droop, and slurred speech are hallmark signs of stroke or TIA, requiring immediate evacuation for definitive care.

Question 2

Which of the following is a late sign of shock that indicates decompensation in an adult patient?

Accepted Answer

Falling blood pressure

Answer

Blood pressure drops late in shock as compensatory mechanisms fail; tachycardia, anxiety, and pallor are earlier signs.

Question 3

A child in the patrol room has a respiratory rate of 50 breaths per minute and nasal flaring. What is the most appropriate intervention?

Accepted Answer

Administer high-flow oxygen and prepare for rapid evacuation

Answer

Tachypnea of 50 bpm with nasal flaring indicates significant respiratory distress in a child, requiring oxygen and urgent ALS evacuation.

Question 4

A patient reports a history of anaphylaxis and is now developing hives and throat tightness after a bee sting. The correct first-line treatment is:

Accepted Answer

Epinephrine auto-injector (EpiPen) to the lateral thigh

Answer

Epinephrine is the first-line treatment for anaphylaxis; antihistamines are adjuncts but do not reverse airway compromise.

Question 5

During patient handoff to EMS, which component of the SOAP or patient report format conveys the patient's vital signs and exam findings?

Accepted Answer

Objective

Answer

The Objective section includes measurable findings such as vital signs, physical exam results, and SpO2 readings.

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