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This quiz is designed to test your knowledge of assessment of an altered level of consciousness patient. Read each question fully and make sure you understand what the question is asking before you answer. Some questions are select all that apply, these will be marked by square check boxes. After answering all questions to the best of your ability, click the “Submit” button at the bottom of the page. Your score will be shown at the bottom of the page after submission. You may reset this quiz as many times as you would like.

In this quiz, you will always have the option of choosing one or more answers as to what is or is not potentially altering your patient. The answer choices will always be AEIOUTIPS. Information not supplied in the question is assumed to be unneeded or within normal limits (unless there is a reason it would not be within the question). Remember that just because something could cause ALOC does not mean it always does in every patient. Select all that apply.

1 You are called code 3 for an ALOC 98 year old female. Your patient was found by facility staff during a morning check on the ground next to her bed. History gathering reveals history of hypertension, diabetes type II, and hyperlipidemia. Your patient is compliant with the medications for her conditions. Your patient has an allergy to penecillin. Your patient has shown a decreased appetite and increased thirst as well as polyuria and pain on urination. Your patient's blood glucose is 231 mg/dL with a heart rate of 142 bpm and blood pressure 146/68 and a temperature of 101.2F. Your trauma assessment is unremarkable. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

2 You are called code 3 for an ALOC 5 month old male. Your patient's mother witnessed her have a seizure for 4 minutes before becoming postictal. The patient experiences another seizure while in your care and continues to exhibit a postictal phase. History gathering reveals no history, or allergies. The patient's mother has been giving him Tylenol for fever. Your patient has shown a decreased appetite. Your patient's blood glucose is 80 mg/dL with a heart rate of 162 bpm and blood pressure 90/52. Your trauma assessment is unremarkable. Which of the following are most likely causing the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

3 You are called code 3 for an ALOC 15 year old female. Your patient was found by highway patrol after a rollover vehicle accident where she was ejected. It is presumed that she was un-seatbelted. She was the only person in the car, examination of the car reveals obvious smell of alcohol. History gathering is unable to determine history, medications, or allergies. Bystanders state that your patient was driving erratically and "speeding at easily 110 mph". Your patient's blood glucose is 110 mg/dL with a heart rate of 142 bpm and blood pressure 62/40. Your trauma assessment shows a depressed skull fracture, flail chest, fractured femur, amputated left arm, and significant lacerations to the whole body. Which of the following are most likely NOT contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

4 You are called code 3 for an ALOC 34 year old male. Your patient was found by facility staff during his dialysis appointment and is "not acting how he normally does". History gathering reveals history renal failure, hypertension, hyperlipidemia, and diabetes type II. Your patient has missed his last 2 dialysis appointments due to travel. Your patient is compliant with the medications for his conditions. Your patient has an allergy to sulfa medications. Your patient's blood glucose is 146 mg/dL with a heart rate of 60 bpm and blood pressure 98/58. Your trauma assessment is unremarkable. There is a shunt in your patient's right arm. Which of the following are most likely causing the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

5 You are called code 3 for an ALOC 21 year old male. Your patient was found naked on the ground in a puddle of vomit the day after a college frat party and cannot recall the year or physical location. Per bystanders, he stripped and lay on the cement to sleep. His roommates say that they do not recall any pertinent medical history or allergies and that he has been eating and drinking normally and has not been sick. His blood glucose is 88 mg/dL with a heart rate of 86 bpm and blood pressure 132/76. Your trauma assessment is unremarkable. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

6 You are called code 3 for an ALOC 51 year old male. Your patient was found by wife on the couch after taking his insulin. Patient's lunch is untouched next to him on the table. History gathering reveals history of adrenal insufficiency, diabetes, and hypothyroidism. Your patient is non-compliant with the medications for his conditions. Your patient has no known allergies. Your patient has not been sick recently. Your patient's blood glucose is LO on the testing device with a heart rate of 62 bpm and blood pressure 102/60. Your trauma assessment is unremarkable. The patient's skin signs are cool and clammy. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

7 You are called code 3 for an ALOC 6 year old female. Your patient was found by her mother in the her room after hearing a "thump". History gathering reveals no significant medical history, allergies, or medications. Your patient has been eating and drinking normally and has not been sick. Your patient's blood glucose is 108 mg/dL with a heart rate of 102 bpm and blood pressure 100/56. Your trauma assessment shows laceration to the right temple with a small pool of blood near a dresser that has blood on one corner. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

8 You are called code 3 for an ALOC 22 year old male. Your patient was found by wife in the living room after a fall to the floor. He reports that his leg "suddenly gave out" and is AxO 3 unable to remember the date/year. He is able to recall before, during, and after event and reports on loss of consciousness or trauma to his head, neck, or back. History gathering reveals history of hypertension, atrial fibrillation, and CABG. Your patient is compliant with the medications for his conditions, which include blood thinners. Your patient has allergies to propofol and morphine. Your patient has been eating and drinking normally and has not been sick. Your patient's blood glucose is 90 mg/dL with a heart rate of 68 bpm and blood pressure 146/68. Your secondary assessment shows unilateral weakness to the left arm and leg as well as unequal pupils. No trauma noted. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

9 You are called code 3 for an ALOC 40 year old female. Your patient called 911 saying that "they're almost here. They'll keep coming until they get me". History gathering reveals history of alcohol abuse and schizophrenia. Your patient is non-compliant with the medications for her conditions. She states that she does "drink a half liter of vodka a day to keep them away" but "stays away" from drugs. Your patient has an allergy to penecillin, cats, Zyprexa, and Seroquel. Your patient is transient and has been unable to eat for several days. Your patient's blood glucose is 85 mg/dL with a heart rate of 70 bpm and blood pressure 116/74. Your trauma assessment is unremarkable. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock

10 You are called code 3 for an ALOC 24 year old male. Your patient was found by family on his bed, responsive to pain only. History gathering reveals a history of recent leg fracture after a car accident, which your patient takes morphine for, and no allergies. Per family, the patient has been complaining of increased pain today. Your patient exhibits a decreased respiratory rate with pinpoint pupils upon examination. Your patient's blood glucose is 81 mg/dL with a heart rate of 54 bpm and blood pressure 120/72. Your trauma assessment is unremarkable aside from the cast to the patient's right leg. Which of the following are most likely contributing to the alteration of your patient's mental status?

Alcohol
Epilepsy/Electrolytes/Endocrine
Insulin
Overdose
Underdose/Uremia
Trauma/Temperature
Infection
Poisons/Psychogenic
Stroke/Shock


FA info icon.svgAngle down icon.svgPage data
SDG SDG03 Good health and well-being
Authors Josh Hantke, Catherine Mohr
License CC-BY-SA-4.0
Language English (en)
Related subpages, pages link here
Impact 461 page views
Created July 9, 2021 by Catherine Mohr
Modified March 1, 2023 by Felipe Schenone
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