1. A glucometer is a tool the EMT can use to measure:

2. A patient exhibits signs and symptoms of diabetes, but he informs you that he has not been diagnosed with the disease. You decide to check his blood sugar. If the patient truly has diabetes, which of these readings would you expect?

3. Which of these patients has a normal fasting glucose level?

4. You have been called for a patient who is confused and slightly combative. Which of these assessment findings would make you suspicious that the patient has hyperglycemia?

5. Which individual finding would most lead the EMT to suspect that a patient has hypoglycemia?

6. With normal metabolism, what happens after a healthy patient ingests food?

7. A patient with diabetes presents as alert but irritable and confused. His airway is patent with an intact gag reflex and breathing is adequate. You do not have a glucometer available and are not sure if his blood sugar is high or low. In this situation, what would be your next best action?

8. You have been called for a 33-year-old male patient who complains of weakness and dizziness. When getting the history, which of these statements made by the patient would raise your suspicion that the patient has undiagnosed diabetes?

9. You have arrived on the scene of a 64-year-old patient with diabetes. He is supine in bed and exhibits snoring respirations. Family members state that they just tested his blood sugar and it is 25 mg/dL. What should be your immediate action?

10. An alert but confused patient with diabetes is complaining of weakness. Your service carries oral glucose, which has been authorized through off-line medical direction. In this case, you should:

11. You are called to an outpatient clinic to transfer a 39-year-old male patient in diabetic ketoacidosis (DKA) to an acute-care hospital. When assessing this patient, which sign or symptom would you expect to find?

12. A glucometer reads 50 mg/dL. The EMT would recognize this reading as:

13. You have been called for an adult male patient who is hypoglycemic and responsive to painful stimuli. The family has oral glucose and wants you to administer it. However, at this time, your medical director has not authorized this agent's use and there are no protocols regarding its use. Given the patient's condition and the family's request, which action should you take?

14. After you administer oral glucose to a confused and combative patient, she gradually becomes calmer and fully oriented. As a knowledgeable EMT, you would recognize that this patient:

15. You are sitting next to a 24-year-old female patient with diabetes who has altered mental status and a blood sugar reading of 31 mg/dL. Family members state that she took her normal amount of insulin this morning and ate her breakfast as usual. Which additional statement would the EMT recognize as contributing to her current condition?

16. You suspect that an unresponsive female patient may be diabetic. To help confirm this suspicion, where would you send your partner to look for vials of insulin?

17. A patient with diabetes is exhibiting rapid and deep respirations. As a knowledgeable EMT, you would expect this patient to have:

18. You have been called for a 32-year-old female patient with altered mental status. On scene, you find the patient lethargic and confused. Although information is sketchy, it appears that she has a history of diabetes as well as renal failure for which she receives dialysis. You note no deficits in the primary assessment and the vital signs are pulse, 124; respirations, 28 breaths/min; blood pressure, 106/68 mmHg; and SpO2, 97%. Your partner reports a blood sugar reading of 774 mg/dL. Based on this information, the EMT would understand that definitive care of this patient would involve the administration of which medication at the hospital?

19. With which of these patients would the EMT have the strongest suspicion of a diabetic emergency?

20. To decrease the possibility of a faulty glucometer reading, you would:

21. In which form is oral glucose packaged?

22. Which assessment finding is the best means by which to delineate hypoglycemia from hyperglycemia?

23. What is the primary reason to administer oral glucose to a patient?

24. Prior to the administration of oral glucose, a patient's blood glucose level was 49 mg/dL. After administering the oral glucose, the patient is alert and oriented. Which repeat blood glucose levels would the EMT expect with this clinical presentation?

25. Long-term complications of diabetes commonly include: