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Question 1/101/10
Using Diagnostic and Laboratory Studies
Using Diagnostic and Laboratory Studies
Using Diagnostic and Laboratory Studies
A 55-year-old woman suffered a biking accident requiring sutures for a laceration, which was subsequently complicated by cellulitis. After a week on cephalexin with no improvement in the cellulitis, trimethoprim/sulfamethoxazole was initiated. Shortly after finishing the antibiotics, the patient developed watery diarrhea, malaise, and abdominal pain. Her temperature now is 36.7°C (98.1°F), pulse rate 78/min, leukocytes 13.1 × 109/L, and albumin 2.1 g/dL. A stool sample is obtained and enzyme immunoassay (EIA) is done. What is the most likely diagnosis?
Select the answer:Select the answer
1 correct answer
A.
Crohn disease
B.
Ulcerative colitis
C.
Irritable bowel syndrome
D.
Salmonella infection
E.
Clostridioides difficile infection
""""The question accurately presents a clinical scenario consistent with the diagnosis of Clostridioides difficile infection, particularly following antibiotic use. The options provided are appropriate for a medical exam context.
Right Answer: E
Quiz
Question 2/102/10
Pharmacology
Pharmacology
Pharmacology
The nurse is caring for a client receiving vancomycin for methicillin-resistant Staphylococcus aureus. After reviewing the list of drugs that the client is taking concurrently, which drug interaction is the nurse concerned about?
Select the answer:Select the answer
1 correct answer
A.
Acetaminophen
B.
Ciprofloxacin
C.
Omeprazole
D.
Azithromycin
When vancomycin is given with ciprofloxacin, there is an increased concern for potential nephrotoxicity. Both medications can stress the kidneys, so nurses must monitor renal function closely, including checking serum creatinine levels and urine output, to prevent kidney damage during therapy.
Right Answer: B
Quiz
Question 3/103/10
Aviation Law and Ethics
Aviation Law and Ethics
Aviation Law and Ethics
Which of the following is a key principle of aviation law and ethics in the United Kingdom?
Select the answer:Select the answer
1 correct answer
A.
Speed
B.
Competition
C.
Profit
D.
Confidentiality
Confidentiality is an important principle in aviation law and ethics as it ensures that sensitive information related to air traffic control operations is kept secure and not disclosed to unauthorized individuals or entities.
Right Answer: D
Quiz
Question 4/104/10
Using Diagnostic and Laboratory Studies
Using Diagnostic and Laboratory Studies
Using Diagnostic and Laboratory Studies
A 35-year-old woman presents to the primary care clinic with weight loss, heat intolerance, and increased anxiety. The physician associate obtains a thyroid-stimulating hormone level and notes it to be abnormally low, leading to the concern that the patient may have hyperthyroidism. What is the next test to order for this patient?
Select the answer:Select the answer
1 correct answer
A.
Serum phosphate level
B.
Serum calcium level
C.
T3 and T4 levels
D.
Serum cortisol level
E.
Adrenocorticotropic hormone (ACTH) level
Right Answer: D
Quiz
Question 5/105/10
Anatomy
Anatomy
Anatomy
A 24-day-old neonate is brought to the ED because of high-grade fever, inability to feed, and lethargy. He was previously active and energetic, feeding every 2–3 hours and making 6–8 wet diapers every day. Two days ago, he vomited twice, developed diarrhea, and slowly became lethargic. The boy was born at 39 weeks' gestation via spontaneous vaginal delivery. He is up to date on all vaccines and is meeting all developmental milestones. He has not been in contact with any sick people. His temperature is 39.4°C (102.9°F). Physical exam reveals hypotonia and a bulging anterior fontanelle. He is admitted to the NICU for suspicion of neonatal meningitis. A lumbar puncture is ordered and empiric antibiotics are started. Which of the following structures will be traversed with the needle during the lumbar puncture?
Select the answer:Select the answer
1 correct answer
A.
Denticulate ligament
B.
Pia mater
C.
Anterior longitudinal ligament
D.
Nucleus pulposus
E.
Dura mater
Right Answer: C
Quiz
Question 6/106/10
Behavioral Science / Psychiatry
Behavioral Science / Psychiatry
Behavioral Science / Psychiatry
A 60-year-old man is brought to the emergency department by police officers because he was acting strangely in public. The patient was found talking nonsensically to characters on cereal boxes in the store. His past medical history is significant for multiple hospitalizations for injuries in the setting of alcohol intoxication. The patient’s vital signs are within normal limits. Physical examination shows a disheveled male who is oriented to person, but not to time or place. Neurologic examination shows nystagmus and severe gait ataxia. A T1/T2 MRI is performed and demonstrates evidence of damage to the mammillary bodies. The patient is started on the appropriate treatment and his nystagmus and some of his gait abnormalities improve. However, significant short-term memory deficits persist. The patient remembers events from his past such as the college he attended, his current job, and the names of family members, but is unable to recall the events prior to his assessment. Which of the following is the most likely diagnosis in this patient?
Select the answer:Select the answer
1 correct answer
A.
Wernicke encephalopathy
B.
Korsakoff syndrome
C.
Delirium
D.
Delirium tremens
E.
Schizophrenia
Right Answer: A
Quiz
Question 7/107/10
Biochemistry
Biochemistry
Biochemistry
A 28-year-old woman survives a plane crash in the Arctic region of Alaska. She is unable to recover any food from the crash site, but is able to melt snow into drinking water using a kettle and a lighter. A rescue helicopter finally finds her after 12 days, and she is flown to a hospital. At this time, which of the following substances is mostly responsible for supplying her brain with energy?
Select the answer:Select the answer
1 correct answer
A.
Glycogen
B.
Free fatty acids
C.
Glucose
D.
Acetoacetate
E.
Cholesterol
F.
Amino acids
Right Answer: A
Quiz
Question 8/108/10
Biostatistics/Epidemiology
Biostatistics/Epidemiology
Biostatistics/Epidemiology
A study that aimed to evaluate the relationship between inflammatory markers and lipid metabolism in individuals with rheumatoid arthritis (RA) recruited 252 patients with RA in a tertiary care hospital. Fasting blood samples were taken for lipid profiling and for the assessment of inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate. The relationship between CRP and total cholesterol was assessed using Pearson’s correlation. A scatter plot between CRP and total cholesterol can be seen in the picture. Based on the scatter plot, which of the following can be correctly concluded about the value of the Pearson correlation coefficient, r, for CRP and total cholesterol?
Select the answer:Select the answer
1 correct answer
A.
r-value is exactly +1
B.
r-value lies between 0 and -1
C.
r-value lies between 0 and +1
D.
r-value is exactly 0
E.
r-value is exactly -1
Right Answer: E
Quiz
Question 9/109/10
Embryology
Embryology
Embryology
A 37-year-old man presents with dull, continuous epigastric pain that radiates to his back. His history is significant for 3 episodes of acute pancreatitis that were managed conservatively. He reports no history of similar episodes in his relatives and denies a family history of any cardiovascular or gastrointestinal disorders. His vital signs include blood pressure 105/70 mm Hg, heart rate 101/min, respiratory rate 17/min, and temperature 37.4℃ (99.3℉). The physical examination reveals epigastric tenderness, slight muscle guarding, and abdominal distention. Laboratory studies show the following findings:
Complete blood count
Erythrocytes 4.5 x 106/mm3
Hgb 14.7 g/dL
Hct 43%
Leukocytes 12,700/mm3
Segmented neutrophils 65%
Bands 4%
Eosinophils 1%
Basophils 0%
Lymphocytes 27%
Monocytes 3%
Biochemistry
Serum amylase 170 U/L
ALT 21 U/L
AST 19 U/L
Total serum cholesterol 139 mg/dL (3.6 mmol/L)
Serum triglycerides 127 mg/dL (1.4 mmol/L)
The magnetic resonance cholangiopancreatography findings are shown in the figure. What embryogenic disruption could cause such anatomic findings?
Select the answer:Select the answer
1 correct answer
A.
Improper rotation of the anterior pancreatic bud
B.
Failure of the dorsal and ventral pancreatic duct anlages to fuse
C.
Ectopy of the developing bile duct
D.
Duplication of the embryonic pancreatic duct
E.
Duplication of the pancreatic bud of the midgut
Right Answer: A
Quiz
Question 10/1010/10
Histology
Histology
Histology
A 36-year-old man undergoes surgical intervention due to a right upper quadrant abdominal stab wound. His gallbladder is found to be lacerated so it is removed and sent for histological evaluation. The pathologist examines the slide shown in the exhibit (see picture) and identifies the structures numbered the image. Which of the following statements is correct?
Select the answer:Select the answer
1 correct answer
A.
This section is taken from a site that does not adjoin the liver.
B.
The cells in area 2 belong to muscularis mucosa.
C.
Normally, there should be goblet cells among the cells in area 1.
D.
The cells in area 3 are inactivated by cholecystokinin.
E.
The function of the cells in area 1 is to secrete bile.
NREMT Paramedics Exam Practice Test Practice test unlocks all online simulator questions
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Info quiz:
Quiz name:NREMT Paramedics Exam Practice Test
Total number of questions:4064
Number of questions for the test:100
Pass score:70%
Number of topics:14 Topics
Study topics:Number of questions:
Anatomy:144 Questions
Aviation Law and Ethics:74 Questions
Behavioral Science / Psychiatry:100 Questions
Biochemistry:149 Questions
Biostatistics/Epidemiology:119 Questions
Embryology:47 Questions
Histology:66 Questions
Immunology:121 Questions
Medical Genetics:50 Questions
Microbiology:238 Questions
Pathology & Pathophysiology:1155 Questions
Pharmacology:1061 Questions
Physiology:624 Questions
Using Diagnostic and Laboratory Studies:116 Questions
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