New York State Emergency Medical Technician (EMT) Practice Exam

For a 75-year-old male with type 1 diabetes experiencing chest pain, what should he be treated for?

1. Hypoglycemia

2. An acute stroke

3. Hyperglycemia

4. A heart attack

The correct answer is: A heart attack

In the scenario presented, the 75-year-old male with type 1 diabetes is experiencing chest pain, which is a classic symptom that raises concern for a heart attack. While diabetes can complicate the clinical picture and lead to a variety of metabolic issues such as hypoglycemia and hyperglycemia, the primary concern when a patient presents with chest pain is the possibility of an acute coronary event. Individuals with diabetes are at an increased risk for cardiovascular issues, including heart attacks. The symptoms of a heart attack can sometimes be subtle in those with diabetes due to neuropathy that may diminish the perception of pain. However, chest pain is still a critical symptom that necessitates immediate assessment for a cardiac event. Therefore, the appropriate action involves treating the patient with the assumption that they may be experiencing a heart attack, which could require advanced cardiac interventions, oxygen supplementation, and possibly medication to manage pain and support the cardiovascular system. Addressing other options, while managing blood glucose levels is important in patients with diabetes, the presence of chest pain specifically directs the focus toward the heart and potential cardiac conditions rather than metabolic management alone.