Part of the Medical Emergencies practice questions exam area.
This page holds 200 free practice questions for Chapter 24, Endocrine Emergencies, covering endocrine anatomy and hormones, type 1 and type 2 diabetes, insulin pumps, hypoglycemia, diabetic ketoacidosis, HHS, thyroid storm and myxedema coma, adrenal crisis, and pituitary, parathyroid, and sodium disorders. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.
Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.
A trauma patient with no history of diabetes has a glucose of 210 mg/dL. The most likely reason is:
Answer: B. Stress hormones raising glucose
Epinephrine, cortisol, glucagon, and growth hormone released during major stress raise blood glucose (stress hyperglycemia). It is common after trauma, MI, and stroke and is associated with worse outcomes, but it is not new diabetes.
A type 1 diabetic has the flu and is eating very little. Regarding her insulin, she should usually:
Answer: B. Keep taking it; check glucose often
Illness raises stress hormones and glucose, and type 1 patients always need basal insulin to prevent DKA, even when not eating. Sick-day rules call for frequent glucose and ketone checks and fluids.
Under ADA definitions, level 3 (severe) hypoglycemia is defined by:
Answer: B. Needing help from another person
Level 1 is below 70 mg/dL, level 2 is below 54 mg/dL, and level 3 is any event with altered mental or physical status requiring assistance to treat, regardless of the number.
Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.
Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.
Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53
These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.