CHAPTER 41 – Flashcards

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question
Which choice is considered a​ "signature" wound of the Iraq and Afghanistan​ wars?
answer
Amputation
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Which of these statements concerning assessing a returning combat​ veteran's potential for suicide or violence against others is a​ myth?
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Those who talk of or threaten suicide rarely follow through with it.
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Which of these behaviors is characteristic of​ PTSD?
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Feelings of​ anger, fear,​ horror, and hopelessness
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Which of these divisions of the nervous system is responsible for initiating and maintaining the​ body's survival response when a person is confronted with a​ stressor?
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The sympathetic nervous system
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Which of these predisposes a returning combat veteran to chronic traumatic​ encephalopathy?
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Repeated traumatic brain injury
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Which of these signs or symptoms is associated with​ PTSD?
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Relationship problems
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Which of these problems is associated with​ PTSD?
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History of a traumatic event
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Which choice is considered the four essential features of​ PTSD?
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Response, relives,​ avoids, and​ anxiety/anger
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Which of these statements BEST characterizes the problems of traumatic brain injury​ (TBI) and post traumatic stress disorder​ (PTSD) in returning combat​ veterans?
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There is overlap in the signs and symptoms of TBI and PTSD.
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PTSD stands for
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​Post-traumatic stress disorder
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Which of these is a common characteristic of​ PTSD?
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Reliving traumatic experiences
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Which of the following BEST describes the nature of post traumatic stress​ disorder?
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It is a reaction that occurs to normal people who are exposed to abnormal stressors or dangerous conditions.
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Which of the following hormones are released in a stress​ reaction?
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Norepinephrine
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A returning combat veteran is experiencing difficulty at work because of impulsive​ behavior, difficulty reading​ instructions, lack of​ focus, and getting lost while performing tasks. For which of these should you maintain the highest index of​ suspicion?
answer
Traumatic brain injury
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Which of these organs is the source of the substances that initiate and maintain the stress​ response?
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Adrenal glands
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Which of these findings is MOST likely with​ PTSD?
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Anger
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Which of the following statements would be considered detrimental to establishing rapport and a therapeutic relationship with a returning combat veteran in need of your​ assistance?
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​"Did you have to kill anyone while you were​ deployed?"
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Which of these findings is LEAST likely to be associated with​ PTSD?
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Confusion
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Which choice is LEAST likely to occur in a combat veteran with​ PTSD?
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Aggressive behavior toward others
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Which of these findings is more likely to be associated with traumatic brain injury than with posttraumatic stress​ disorder?
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Difficulty finding the right words
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Which of these guidelines is helpful in assessing and communicating with a returning combat veteran in need of your​ assistance?
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Provide structure and organization in your approach to the call and your interaction with the patient.
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Which of these substances is involved in initiating and maintaining the stress​ response?
answer
Epinephrine
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Which choice is one of the four essential features of​ PTSD?
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Anger
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An alteration in brain function caused by an external force can be caused by​ a(n)
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TBI
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Which of these reactions is LEAST likely to occur in returning combat veterans with​ PTSD?
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Increased impulsiveness
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Which of these findings should alert you to the possibility that a patient diagnosed with PTSD may have an undiagnosed traumatic brain​ injury?
answer
Reports he was told he was involved in an IED​ explosion, but does not remember​ it, impulsive​ behavior, and relationship difficulties
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Which of the following neurochemicals is released during a stressful​ event?
answer
Epinephrine
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When approaching a combat veteran who is highly​ agitated, the EMT must remember​ that:
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reassurance with a​ firm, calm voice may be necessary.
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As an​ EMT, you realize that​ post-traumatic stress disorder​ (PTSD) occurs​ when:
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an individual is exposed to an abnormal or dangerous condition.
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Regarding suicide in the combat​ veteran, which of the following is​ true?
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There is often no preventing suicide when this course of action is decided.
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You are assessing a military veteran complaining of a​ headache, visual​ disturbances, and generalized anxiety. You suspect that he may be suffering from​ post-traumatic stress disorder​ (PTSD). What questions would be most appropriate in getting additional information regarding the possibility of​ PTSD?
answer
​"Where did you see​ combat?"
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During scene​ size-up on an unknown medical​ call, which clue would best indicate that the patient very well may be a veteran of the​ military?
answer
Military style haircut
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When faced with​ danger, what component of the nervous system is immediately activated for basic​ survival?
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Sympathetic
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The EMT would suspect that a patient suffers from a traumatic brain injury​ (TBI), as opposed to​ post-traumatic stress disorder​ (PTSD) when he​ observes:
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confusion and disorientation.
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You arrived on scene of a local restaurant and encounter a highly agitated combat veteran who is yelling at patrons. Given the public nature of the scene and a known history of​ post-traumatic stress disorder​ (PTSD), which of the following statements indicates appropriate initial management of the​ situation?
answer
"Let me see if I can establish a rapport and calm​ him."
question
When caring for a​ 34-year-old male with a history of​ post-traumatic stress disorder​ (PTSD), which of the following instructions to your crew would be most​ appropriate?
answer
​"We need to determine if he feels suicidal or​ homicidal."
question
A combat veteran patient with a history of severe PTSD states that he has a headache that feels worse than any other he has ever had. The patient is alert and oriented with no threats to the​ airway, breathing, or circulation. His vital signs​ are: pulse​ 68, respirations​ 16, blood pressure​ 168/100 mmHg, and SpO2​ 95% on room air. You next action is​ to:
answer
perform a neurological assessment.
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You have been dispatched to a​ Veteran's Administration​ (VA) clinic for a male patient with a behavioral emergency. On​ scene, the VA physician tells you that the patient is a returning veteran with newly diagnosed​ post-traumatic stress disorder​ (PTSD). Based on​ this, you would​ realize:
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the veteran may have been in the military but never involved in combat.
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Which of the following is true regarding​ post-traumatic stress​ disorder?
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There is no cure for the​ post-traumatic stress disorder.
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The signature wound of recent combat missions in the Middle East is typically caused​ by:
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improvised explosive devices.
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A combat​ veteran's wife has summoned 911 after her husband suddenly became confused and agitated. She states that he takes several mood stabilizing drugs and has a history of traumatic brain injury​ (TBI) from an improvised explosive device​ (IED) while on tour in the Middle East. There is no other medical history. In the​ bedroom, the patient is staring at you with a face that appears angry. Your initial priority in the care of this patient would be​ to:
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establish a rapport with the patient and ensure personal safety.
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In​ post-traumatic stress disorder​ (PTSD), the EMT would recognize that a patient is reliving an event when he​ states:
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​"I cannot sleep well because of nightmares that I am back in the​ desert."
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The EMT would recognize an era veteran when a family member​ states:
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​"He trained for combat but was never​ deployed."
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The EMT would recognize what response when a patient states​ "I still see them burning but cannot do anything about​ it"?
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Relive
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The four essential features of​ post-traumatic stress disorder​ include:
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feelings of anger.
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The EMT recognizes that alcohol or drug dependence often occurs in those with postminus−traumatic stress disorder​ (PTSD) because:
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it is used to blunt the sympathetic nervous system and emotional mental anguish.
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A wife of a returning combat veteran has called EMS because her husband is complaining of constant headaches. You ask about​ post-traumatic stress disorder​ (PTSD) or traumatic brain injury​ (TBI) and she states that he was injured by an improvised explosive device in​ Iraq, but cannot remember the event. She continues on by telling you that he has had numerous CTs and MRIs of head and has been told by his family doctor that there is no sign of injury. Regarding either of these medical​ conditions, you realize​ that
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TBI may exist despite the negative findings of the CT and MRI tests.
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A traumatic brain injury​ (TBI) would most likely be caused​ by:
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nearby explosion of a concussion grenade.
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The wife of a military veteran with PTSD states that her husband became a type II diabetic 10 years after returning from combat. She states that there is no history of this in either side of the family and he is not overweight nor has any other risk factors for the disease.​ Consequently, she believes the diabetes is resultant from his experience in the military. Your response would​ be:
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​"It is not uncommon for combat veterans to unexplainably develop such conditions like​ this."
question
A soldier patrolling the streets in a foreign country is suddenly fired on by a sniper. In​ response, what would you expect to occur within his​ body?
answer
The pupils dilate.
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