PAEA Surgery End Of Rotation (EOR) Practice Exam

What is the initial step in evaluating syncope?

1. Assess for cardiac arrest

2. Provide immediate treatment

3. Check blood glucose levels

4. Perform a physical examination

The correct answer is: Assess for cardiac arrest

The initial step in evaluating syncope is to assess for cardiac arrest. Syncope is a transient loss of consciousness due to a lack of cerebral perfusion, and in some cases, it can be indicative of a serious underlying issue, such as a cardiac event. When a patient experiences syncope, the first priority is to ensure that they do not have a cardiac arrest, as this is a life-threatening condition that requires immediate intervention. In assessing for cardiac arrest, healthcare providers quickly check for responsiveness and normal breathing. If the patient is unresponsive and not breathing, it indicates the necessity for cardiopulmonary resuscitation (CPR) and the activation of emergency medical services. This rapid evaluation is crucial because it can mean the difference between life and death. The other options, while important in the overall evaluation of syncope, do not take precedence in the immediate assessment of the patient's condition. Handling any immediate threats to life is of utmost priority before proceeding with further evaluations, such as treatment, checking glucose levels, or conducting a physical examination.