What is the most likely blood type of Patient 1? Image 70_E3(2).jpg

Which of the following statements about Direct Antiglobulin Testing (DAT) is incorrect?

On the Quotient 10 Cell Antibody ID Panel for Sterling Malory Archer in cell line #1, is Fya expressed homozygously or heterozygously?

When working on solving an antibody panel, which of the following steps would be performed first?

In carcinoma of the prostate, which of the following enzymes is most likely increased?

A creatinine clearance is performed on a hospitalized patient from 8 AM Monday until 8 AM Tuesday.  Which of the following actions could cause an error in the results obtained?

How should you position an alert patient who presents with slurred speech, facial droop, and right side paralysis?

Enroute Phase Scenario:  The AEMT is dispatched to a community dental office for a 28-year-old female patient who is reportedly acting strangely and refusing to allow anyone near her. The call was received at 1440. The estimated response time is 9 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is also en route. Law enforcement has been requested but has not yet arrived on scene. It is overcast and 52°F (11°C) on a mild afternoon. Traffic in the area is moderate. The patient is located in a private dental suite within the office. The nearest hospital is 10 minutes from the scene.  OnScene Phase Scenario:  The patient (approximately 40 kilograms) is standing in the corner of a private dental suite, mumbling incoherently and clutching her chest. She appears visibly frightened and refuses to sit, make eye contact, or respond to verbal commands. The dental staff states that the patient was agitated upon arrival and repeatedly claimed that someone was “chasing her.” The patient has a history of anxiety and a prior psychiatric admission, and she takes sertraline for depression. She has no known drug allergies. There are no signs of trauma. The patient has not attempted to harm herself or others but is refusing to answer questions or follow instructions. Law enforcement has arrived and is standing outside the room. The patient’s level of consciousness appears intact, but her behavior is paranoid and disorganized. No vital signs have been obtained at this time.  What is the most appropriate next step for the AEMT when the patient refuses to answer questions or comply with directions? 

Enroute Phase Scenario:  The AEMT is dispatched to a dentist’s office for a 32-year-old male who is reported to be weak, dizzy, and slightly agitated. The call was received at 1015. The estimated response time is 9 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is also en route. The patient is located inside the dental office. It is a cool spring morning with heavy rainfall in the area, and the temperature is 42°F (6°C). A small hospital is located 12 minutes from the scene, while the nearest comprehensive medical facility is 30 minutes away.  OnScene Phase Scenario:  The patient (70 kilograms) is seated upright in a dental chair and appears visibly diaphoretic. The office staff states that the patient seemed confused upon arrival and has become increasingly irritable and slow to respond. The patient has a history of diabetes, seizures, and hyperlipidemia, and was instructed to fast after midnight for a scheduled dental procedure. The patient takes insulin, carbamazepine, hydrocodone/acetaminophen (for dental pain), and atorvastatin. The patient has no known allergies to medications. There are no signs of trauma, and the patient is able to follow simple commands. Eyes are open, and the pupils are 5 mm and reactive to light. The patient’s skin is diaphoretic. The vital signs are: blood pressure is 156/90 mmHg, pulse is 124 beats per minute, respirations are 10 per minute, SpO₂ is 95% on room air, temperature is 98°F (37°C), and the blood glucose is 47 mg/dL. Post scene Phase Scenario: Following administration of Dextrose 50% IV, the patient (70 kilograms) becomes more alert and oriented. He states that he did not eat breakfast prior to the dental procedure and began feeling “shaky” shortly after arriving. The patient now appears weak but is conversational and cooperative. His skin remains slightly diaphoretic. There are no signs of trauma, and IV access remains intact in the left forearm. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are: blood pressure is 138/86 mmHg, pulse is 102 beats per minute, respirations are 14 per minute, SpO₂ is 97% on room air, temperature is 98°F (37°C), and the blood glucose is 84 mg/dL. The patient agrees to transport for further evaluation.   Which of the following findings best confirms that the dextrose treatment has been effective? 

Enroute Phase Scenario:  The AEMT is dispatched to a dentist’s office for a 32-year-old male who is reported to be weak, dizzy, and slightly agitated. The call was received at 1015. The estimated response time is 9 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is also en route. The patient is located inside the dental office. It is a cool spring morning with heavy rainfall in the area, and the temperature is 42°F (6°C). A small hospital is located 12 minutes from the scene, while the nearest comprehensive medical facility is 30 minutes away.  OnScene Phase Scenario:  The patient (70 kilograms) is seated upright in a dental chair and appears visibly diaphoretic. The office staff states that the patient seemed confused upon arrival and has become increasingly irritable and slow to respond. The patient has a history of diabetes, seizures, and hyperlipidemia, and was instructed to fast after midnight for a scheduled dental procedure. The patient takes insulin, carbamazepine, hydrocodone/acetaminophen (for dental pain), and atorvastatin. The patient has no known allergies to medications. There are no signs of trauma, and the patient is able to follow simple commands. Eyes are open, and the pupils are 5 mm and reactive to light. The patient’s skin is diaphoretic. The vital signs are: blood pressure is 156/90 mmHg, pulse is 124 beats per minute, respirations are 10 per minute, SpO₂ is 95% on room air, temperature is 98°F (37°C), and the blood glucose is 47 mg/dL. Post scene Phase Scenario: Following administration of Dextrose 50% IV, the patient (70 kilograms) becomes more alert and oriented. He states that he did not eat breakfast prior to the dental procedure and began feeling “shaky” shortly after arriving. The patient now appears weak but is conversational and cooperative. His skin remains slightly diaphoretic. There are no signs of trauma, and IV access remains intact in the left forearm. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are: blood pressure is 138/86 mmHg, pulse is 102 beats per minute, respirations are 14 per minute, SpO₂ is 97% on room air, temperature is 98°F (37°C), and the blood glucose is 84 mg/dL. The patient agrees to transport for further evaluation.   What should the AEMT document to support the effectiveness of treatment?