Which of the following are common symptoms of thrombocytopenia? Select 3 options

A 28-year-old patient presents with a 4-week history of unintentional weight loss despite an increased appetite, palpitations, tremors, increased body temperature, and anxiety. HR and BP are slightly elevated. What condition is this most consistent with?

During a patient interview, which communication technique involves asking the patient to explain or elaborate on their statement to ensure you accurately understand their meaning?

A 72-year-old male presents with progressive shortness of breath that worsens when lying flat. He reports needing to sleep on three pillows at night and woke up suddenly “gasping for air.” He also complains of fatigue and a persistent productive cough.  On assessment, you note crackles in both lung bases and mild tachypnea. There is no peripheral edema, and no signs of cor pulmonale.  VS: BP 158/92; P 102; R 24; SpO₂ 90% on room air. Skin is pale and slightly diaphoretic. Of the options below, rank the differential diagnosis from most likely, possible and not likely Most likely: Possible: Not likely:

An incident occurred that involves multiple patients at a high speed MVC on a highway. EMS is staffed with 2 paramedics and is responding with multiple agencies including: 2 fire engines1 squadFire department chiefLaw enforcementAll units arrive at the same time. There are no hazards. As a paramedic, you should: Select 2 options

A 17-year-old male athlete collapses suddenly during a physical endurance activity. Bystanders report no preceding trauma, no known medical history or symptoms. The patient is currently pulseless and apneic. After resuscitation, the ECG shows high-voltage QRS complexes and deep septal Q waves. Which of the following is the most likely underlying clinical impression?

Determine which primary acid-base disruption is most likely for each circumstance below:

(2 of 13)En Route  You are dispatched at 17:40 for a 12-year-old male injured on a farm involving a motorized utility vehicle (UTV-like equipment). Caller reports the patient is “stuck underneath it and unable to get out.” Response time: 12 minutesEnvironment: Early evening, temperature 34°F (1°C), light wind (10–15 mph) → wind chill near freezingLighting: Dusk transitioning to dark; rural roads poorly litRoad conditions: Dry pavement, minimal trafficAccess: Paved county road leading to a gravel driveway, opening into a muddy trail/fieldResources:ALS ambulance (2 paramedics)BLS fire engine en route for manpower and extrication supportTransport options via ground:Community hospital: 12 minutesLevel I trauma center: 25 minutesWhat strategy is best when walking through the muddy trail/field?

(2 of 13)En RouteEMS is dispatched at 0815 to a home for a 3-year-old child with altered mental status. Call was made by the patient’s parent, who reports that the child had a high fever overnight and vomited several times. Outside temp is 32° F, skies are cloudy, roads are dry, and traffic is light. Ambulance is staffed with 2 paramedics; and a fire engine with EMTs is also responding.Which obstacle/barrier to effective communication should the paramedic most likely anticipate? 

What responses should a paramedic anticipate in a patient compensating from hypoperfusion/hypovolemic shock?