Environmental Exposures

Self-directed learning assessment

Name:______

Please Circle the correct answer:

1. Hypothermia is defined as a core temperature below?

A. 32 C

B. 37 C

C. 35 C

D. 30 C

E. 28

2. What is the primary factor differentiating heat stroke from heat exhaustion?

  1. Heat stroke patients will always have a core body temperature higher than 40 degrees C.
  2. Heat exhaustion patients are able to sweat, but heat stroke patients stop sweating.
  3. Heat stroke patients have an altered mental status
  4. Heat exhaustion patients usually do not have volume depletions, but heat stroke patients most often are hypovolemic.
  5. An altered mental status is usually found in both heat stroke and heat exhaustion victims, but sweating is absent in heat stroke.
  1. Most venomous snakes in the US may be recognized by which one of the following features?
  1. Round eyes
  2. Absence of hollow fangs
  3. Small “pit” indention between each eye and nostril
  4. Double row of caudal plates from the anal plate to one-third of the way from the tail
  5. Round, oval head
  1. Crofab would be indicated for use in which patient:
  1. 12 year old who was bitten in the foot 24 hours ago and has swelling to her ankle and fang marks
  2. 50 year old who was bitten 3 hours ago in the hand and has progressive swelling up the arm, but normal coags and DIC panel
  3. 35 year old who comes in with an ankle bite swelling, diminished pulses, and an INR of 4 and a fibrinogen of 150
  4. 40 year old whose tetanus is not up to date and who is having a panic attack after a dry bite to her wrist with normal vital signs except HR of 110.
  1. The following Dysrhythymias can be seen in patients with hypothermia:
  1. AFIB or flutter
  2. Nodal rhythms
  3. AV block
  4. PVCs
  5. All of the above can be seen