Regional Contest

Medical Math

2015 Regional Contest

Table of Contents

Medical Math ______School Facilitator Packet ------3-4 Site and Materials Requirement

Judge’s Packet ------5-21 Scoring Directions and Contest (Including Written Test and Key)

Grievance Form ------9

Test Answer Key ------18

Contestant Packet ------22-32

Instructor Information Packet ------33-34 Tools and Equipment Needed by Student For Information on Contest

2015 – Regional Contest Page 2 of 34

Medical Math ______

Host School Facilitator Packet

Medical Math ______Materials supplied by host school:

 Test problems and instructions  Scratch paper and pencils

Contest Set-up:

 An area will be set up in which contestants will be given a minimum of 4 foot in any direction from another contestant  Area for judges to score contestants

Provided by Regional Coordinator:

 Judges copy of contest, answer sheet for written test (if used), and scoring sheets.

Supplied by the Contestant:

 Hand-held calculator (no graphing or scientific calculators will be permitted)  One-page, typewritten résumé

Note: No reference materials may be used other than those provided by the technical committee

Observers:

 Observers are not allowed.

Medical Math ______

Judges Packet

Medical Math ______Project Information

Skill Performance

There is no skill performance component of this contest.

SCOPE OF CONTEST

1. The test questions will be taken from problems encountered in the medical field and are selected from the area that might be used in real world applications. Contestants will demonstrate their ability to solve math problems that deal with the following areas: a. Measurements including vital signs, temperature conversions, and height and weight b. Metric and household measurements c. Conversions d. Ratio and proportion e. Percentage f. Intake and output g. Roman Numerals h. Dosage Calculations 2. The test will contain 50 problems that will allow contestants the opportunity to utilize their problem-solving skills as well as their mathematical ability. 3. The contestants will have two (2) hours to complete the test. No bonus points will be given for early completion of the test, and no contestant will be allowed to go in or out of the testing site during the testing.

Medical Math ______JUDGES GENERAL INSTRUCTIONS - REGIONAL and STATE SkillsUSA Skill and Leadership Contests

Thank you for giving your time and talent to evaluate our students. Your evaluation of their performance will assist them in their drive to become successful in their chosen occupation.

l. Please remember that the contestants are students with job entry level skills. Please judge them accordingly.

2. Allow time to orient all contestants prior to the contest. Have students draw for a demonstration time. (Post the times)

3. Make sure that each student has an I.D. badge with their contestant number showing. Don't ask student their names or school they are from. Use the contestant list provided to you, to check off the students present. Do not assign contestant I.D.’s to any student that is not on the list. Immediately contact the Regional Coordinator.

4. If a student arrives late, IF POSSIBLE, allow them to start the contest. They will not be allowed extra time unless the Regional Coordinator gives the OK.

5. There are to be no Cell phones in the contest area.

6. If contestants need assistance in bringing equipment into room, 1 person can help them but in no case can any other person assist them in setting up their demonstration (unless their demonstration involves a model).

7. Select or appoint a head judge who will oversee the contest and be responsible for tallying and certifying the contest rules.

8. Select a judge to keep time and notify the contestant of the time remaining.

9. You are to judge every contestant.

10. Familiarize yourself with the score sheet. The point ranges shown are possible points and you should give the number of points you feel are deserved. Remember to judge on the basis of entry level skills.

11. Do NOT discuss your scoring with anyone. This includes other judges, contestants, or advisors. Results should be kept confidential. Do not discuss who #l, 2, 3 should be - use the tallies from the score sheets as given. Only the head judge deducts timing, clothing, and Resume penalties.

12. DO NOT allow contestants to talk to ANYONE except other judges. Contestants should not leave the contest or holding area for any reason. No advisors or teachers will be allowed to speak with contestants or to be in the contest or holding area EVER. If there is a problem with advisors, contact the regional coordinator or state director at once.

13. Be consistent in your judging

Medical Math ______14. THERE ARE NO TIES when awarding 1st, 2nd, and 3rd place. Remember if contestants have an equal score, the judges must refer to the score obtained on the SkillsUSA knowledge test to break the tie. It is not necessary to select a medal winner if no contestant scores 70% or higher of the possible points for the contest.

15. Judges are not to alter or change the contests or score sheets. All written materials; score sheets, judge’s sheets, written tests, etc., should be placed in a large manila envelope and turned in to the contest coordinator at the conclusion of the contest.

16. There are no uniform or clothing requirements for the regional contests. However, safety items including safety glasses, hard hats, work shoes, etc., will be mandatory as required. Cosmetology contestants must wear the proper clinical shoes - no high heels allowed.

17. If any problems arise, notify the regional coordinator or the state director.

18. If one contestant discovers an error in the contest or any other problem that needs a judges’ help, it should be shared with all contestants.

19. No judge or facilitator may disqualify ANY contestant without the expressed permission of the regional coordinator or state director.

20. Resumes shall be collected at orientation, a fifty point deduction of the total contestant score shall be made if the contestant fails to provide a one page resume.

NOTE: If a contestant feels that a rule violation occurred during the contest, the contestant may file a grievance. The grievance form may be obtained from the head contest judge and must be returned to same. The head judge must accept the grievance and must make a ruling on the grievance. If the head judge cannot rectify the grievance to the satisfaction of the contestant, then and only then may the contestant ask that the grievance be presented to the official grievance committee for consideration. All grievances must start with the head judge of each contest while the contest is in progress. Time missed while making a grievance report to the judge will be given to the contestant to complete his/her contest without penalty. No grievances will be filed after the contests are concluded. Final interpretations of all contest rules will be made by the Florida State Director or the Regional Coordinator at the regional contests.

Medical Math ______FLORIDA SkillsUSA GRIEVANCE FORM

Grievances:

A Grievances will be accepted for a Rule Violation only

Procedure for filing a Grievance:

1. Only contestants may file grievances. No Advisors or Spectators .

2. Grievances must be filed DURING the Contest with the LEAD (Head) Judge prior to the ending of the Contest. The Contestant ONLY must file grievances!! The Contestant may only file a Grievance based on a rule infraction, which impacts ONLY the Contestant. Final interpretations of all contest rules will be made by the Florida State Director or the Regional Coordinator at the regional contests.

Contestant Number: _____ Contest being grieved: ______

Describe the Rule Violation: ______

Contestant Signature: ______

Advisor Signature: ______

Lead Judge Signature: ______

Resolution by Grievance Committee: ______

Committee Chair Signature: ______Date: ______

Medical Math ______

Materials supplied by host school:

Contest Set-up:

 Hand-held calculator  One-page, typewritten résumé

Observers:

Medical Math ______AT THE START OF THE CONTEST:

 Check students present, by verifying their contestant number against your sheet.  Have students draw for a seat.  Collect resumes from students.  All students will begin at the same time.

Medical Math ______Contestant # ___ Written Test

Do your calculations on these test sheet. Circle your answers.

Multiple Choice Identify the letter of the choice that best completes the statement or answers the question.

1. If a patient has a radial pulse of 98 and an apical pulse of 110, what is the pulse deficit? a. -12 b. 110 c. 12 d. 208

2. A patient weights 150 lbs. What is this in kilograms? a. 330 b. 68.18 c. 75 d. 147.8

3. If a patient is 5’7” tall, what is this in centimeters? (round to the nearest cm) a. 170 b. 26 c. 67 d. 226

4. Identify which of the following is the strongest ratio solution? a. 1:10 b. 1:2 c. 1:4 d. 1:8

5. A patient’s temperature was recorded as 100.7º F. What is the patient’s temperature in Celsius to the nearest 10th? a .23.9º b. 38.2º c. 73.7º d. 87.9º

6. Which of the following metric abbreviations is incorrect? a. 2 mg b. 0.2 mg c. .2 mg d. 20 g

Convert the following metric measures.

7. 100 mg = ______g a. 0.1 b. 1 c. 10 d. 0.01

8. 0.3 mg = ______mcg a. 30 b. 300 c. 0.003 d. 3000

9. 10cc=______mL a. 100 b. 1 c. 0.10 d. 10

Medical Math ______10. 700 mcg =______mg a. 70 b. 7 c. 0.7 d. 0.07

11. A nurse is instructed to give a patient 30 mg/kg/day of amoxicillin. If the patient weighs 110 pounds, how much amoxicillin should the patient receive daily? a. 3.7 mg b. 1320 mg c. 1500 mg d. 3300 mg

Determine the value of X in the following proportions. Express answers to the nearest tenth and include unit of measures.

12. 12.5 mg : 2 tab = 18.75 mg : X tab a. 1 tab b. 2 tab c.3tab d. 2.5 tab

13. 30 U : 1.5mL = 25 U : X mL a. 1.0 U b. l.25mL c. 1.25 U d. 1.3 mL

14. 40 mg : 2.5 mL = 30 mg : X mL a. l.9mL b. 2.0mL c. 1.9mg d. 2.0 mg

15. 0.6 mg : 1.1 mL = 0.8 mg : X ml a. 1.5 mL b. 1.46 c. 0.88 mL d. 0.6 mL

16. 36 mg : 2 mL = 24 mg : X mL a. 36 x b. 1.3 mL c. 3 mL d. 48 mg

Solve the following problems.

17. A patient is to receive 1 oz. of milk of magnesia. How many Tbsp should the patient take? a. 1 Tbsp b. 1 ½ Tbsp c. 2 Tbsp d. 3 Tbsp

18. You have just given 2 tablets with a dosage strength of 3.5 mg each. What was the total dosage administered? a. 12.25 mg b. 2 mg c. 3.5 mg d. 7 mg

19. Your patient is to receive a dosage of 7.5 mg and you have only one tablet labeled 3.75 mg. How many more milligrams must you give? a. 3.75 b. 6.5 c. 1 d. 3.25

Medical Math ______20. How many ounces are there in 1.232 kilograms? a. 2.71 b. .58 c. 123.2 d. 44

21. How many feet are in 62 meters? a. 744 b. 200 c. 5.16 d. 620

22. A total regimen of a drug calls for 880 mg to be given. If two doses are 80 mg, how many doses will have to be given? a. 22 b. 11 c. 8 d. 44

23. For an order of 0.25 mg Lanoxin available as 0.5 mg/2mL, how many milliliters will be given? a. .50 b. 5.0 c. l d. 0.1

24. If there are 30 mL of dextrose in 500 mL, what percent solution would it be? a. 60% b. 30% c. 15% d. 6%

25. A liter IV bag is running at 50 mL/hour. How long will it last? a. 10 hours b. 20 hours c. 5 hours d. 50 hours

26. The physician wants the patient to receive an IV of 2,800 mL every 24 hours. What would the pump be set on (mL/hr)? a. 116mL/hr b. 2800 mL/hr c. 24 mL/hr d. 67 mL/hr

27. You must give your patient a dosage of 2.2 mg but have only two tablets labeled 0.55 mg. What additional dosage is milligrams will you need? a. 0.55 b. 1.1 c. 2.2 d. 1.55

28. An order requires 30 mEq of potassium phosphate. What you have available is 4.4 mEq/ml. How many milliliters will you put in the IV bag? a. 132 b. 30 c. 6.82 d. 34.4

29. A drug is available as 0.45 g/fluid ounce. You are to administer 15 mg. How many milliliters will that be? a. 6.75 b. 2.22 c. 0.03 d. 1

30. A patient is receiving 40 mg of ranitidine in 20 cc of D5W every six hours. The IV set delivers 15 gtts/cc. The med is to be administered over 30 minutes. How many drops per minute should the nurse time the IV? a. 300 b. 40 c. 25 d. 10 2015 – Regional Contest Page 14 of 34

Medical Math ______

31. A dose of 0.75g of a drug is ordered, but the drug comes in the form of a scored tablet containing 500 mg of the drug. How many tablets should the patient be given? a. ½ b. 1½ c. 3 d. 4

32. On hand, is a bottle containing 300 mL of a 25% solution of bleach and water. How much water should be added to make a 10% solution? a. 450 mL b. 250 mL c. 75 mL d. 30 mL

33. An order reads: Give 0.3 mg of drug A and 65 mg of drug B The label reads: Drug A 0.5 mg / 1/2 cc Drug B 0.075 g / 1 cc How much fluid will you have in your syringe?

a. 1.3 cc b. 1.2 cc c. 1½ cc d. 3 cc

34. You are to prepare a 300 mcg dose. The medication is labeled 0.4 mg/mL. How many mL will you need for the prescribed dose? a. 0.12 mL b. 1.2 mL c. 0.8 mL d. 8 mL

35. A patient’s symptoms first appeared exactly 5 hrs. 28 min. ago. If it is exactly 3:47 p.m. right now, at what time did the symptoms first appear? a. 8:15 A.M. b. 9:19 A.M. c. 10:15 A.M. d. 10:19 A.M.

36. Sometimes Roman Numerals are used in writing prescriptions. To specify the number of units to be dispensed, the notation Disp iiss is written. How much is iiss? a. 2¼ b. 2½ c. 2¾ d. 11½

37. A patient is being treated for diabetic ketoacidosis. The label on the insulin drip states: 2500 units / 500 cc D5. If the IV infuses (via a pump) at 10 ml/hr, how many units is the patient receiving per hour? a. ½ b. 5 c. 5½ d. 50

38. An IV was hung at 2:00 pm. It is a liter bag and is infusing at 65 ml/hr. How many hours and minutes will this bag last? (round to the nearest minute) a. 15 hr. 23 min. b. 15 hr. 28 min. c. 1 hr. 55 min. d. 2 hr. 5 min.

Medical Math ______39. You are asked to prepare 20 mL of a 50% dextrose solution. How much will you draw up into the syringe if the label on the 50 mL vial reads 25g / 50 mL? a. 2.5 mL b. 5 mL c. 20 mL d. 25 mL

40. Bleach used for decontamination was set at 10% concentration. If the person mixing the solution uses 4 ½ cups of water, how much bleach should be used? a. 4 oz. b. 10 oz. c. 1 cup d. 1½ cups

41. Medication required: 450 mcg Medication on hand: 0.3 mg scored tablets How many tabs should be administered? a. ½ b. 1 c. 1½ d. 1¾

42. 0.15 mg qd. of a drug is prescribed. 0.05 mg/ml of the drug is available. How many mL per dose should be administered? a. 0.75 mL b. 3 mL c. 7.5 mL d. 30 mL

Determine the volume necessary to provide the following dosages. Express answers to the nearest tenth.

43. The dosage strength available is 125,000 U per 1.5 mL. The order reads 175,000 U. a. 2.1 mL b. 1.4 mL c. 1.07 mL

44. The order is to give 30 mEq. The dosage available is 20 mEq in 15 mL. a. 10 mL b. 22.5 mL c. 60 mL d. 40 mL

45. A 175 mg dosage is ordered. 0.35 g in 1.3 mL is available. a. 650 mL b. 525 mL c. 61.3 mL d. 0.7 mL

46. The order is for 150 mcg. The available strength is 0.2 mg in 1.4 mL. a. 1.4m b.0.3mL c. 1.1 mL d. 21 mL

47. The available strength is 2 g in 2.6 mL. A dosage of 600 mg has been ordered. a. 0.8 mL b. 5.2 mL c. 3.3 mL d. 8 mL

48. A dosage of 1250 U has been ordered. The strength available is 1000 U in 1.2 mL. a. 1.5mL b. 1 mL c. 1.2 mL d. 1.1 mL

Medical Math ______Solve.

49. What is the correct Roman numeral for 90? a. XC b. IX c. LXXXX d. XM

50. I&O is being recorded for your patient. At breakfast he drank 1 cup of orange juice. At midmorning he drank a cup of water. For lunch he drank a cup of coffee and a 5 oz bowl of clear soup. At supper he drank a cup of tea and 8 oz bowl of broth. What was his total input in mL? a. 675 b. 450 c. 1200 d. 1350

General Math

51. 20/48 = 5/12 56. 10 1/5 - 6 3/5 = 3 3/5 a. True a. True b. False b. False

52. 16/5 = 3 1/5 57. 7 1/8 x 3/4 = 5 11/32 a. True a. True b. False b. False

53. 1 7/8 = 15/8 58. 5/8  1/16 = 10 a. True a. True b. False b. False

54. 2/3 + 3/4 = 19/12 59. 35% = 0.35 a. True a. True b. False b. False

55. 5/9 + 2/3 = 1 2/9 60. xiv = 14 a. True a. True b. False b. False

End of Test Make sure you have circles all your answers clearly so they stand out and are easily read

Contestant # ______

Medical Math ______Judges Answer Key

1. __C___ 21. __B___ 41. __C___

2. __B___ 22. __A___ 42. __B___

3. __A___ 23. __C___ 43. __A___

4. __B___ 24. __D___ 44. __B___

5. __B___ 25. __B___ 45. __D___

6. __C___ 26. __A___ 46. __C___

7. __A___ 27. __B___ 47. __A___

8. __B___ 28. __C___ 48. __A___

9. __D___ 29. __D___ 49. __A___

10. __D___ 30. __D___ 50. __D___

11. __C___ 31. __B___ 51. __T___

12. __C___ 32. __A___ 52. __T___

13. __B___ 33. __B___ 53. __T___

14. __A___ 34. __C___ 54. __F___

15. __A___ 35. __D__ 55. __T___

16. __B___ 36. __B___ 56. __T___

17. __C___ 37. __D___ 57. __T___

18. __D___ 38. __A___ 58. __T___

19. __A___ 39. __C___ 59. __T___

20. __D___ 40. __A___ 60. __T___

Medical Math ______CONTESTANT NUMBER Possible ITEMS EVALUATED Points Written Test (60 x 15pt ea) 900

Resume 100

Sub Total (100 possible) Clothing Penalty (up to -50) Safety Penalty (up to -50) Time Penalty (5 points per 30 seconds, or fraction below 5 minutes or above 7 minutes)

Total (100 possible)

Medical Math ______TALLY SHEET

Please place all judges’ total scores on this sheet. Add the judge’s scores to determine the placement of each student. Remember you might have secondary (high school) and Post-Secondary (those that have graduated from high school) in the contest. The way to determine is look at their I.D. badge. If you have both groups you will have winners in each group

Contestant number Judge

#1 #2 #3 #4 #5

Contestant number Judge

#1 #2 #3 #4 #5

Medical Math ______

Secondary

3rd Place ______

2nd Place ______

1st Place ______

Post Secondary

3rd Place ______

2nd Place ______

1st Place ______

Medical Math ______

Contestant Packet

Medical Math ______

Directions:  Do you have a pencil?  Do you have a calculator?  Did you give your resume to the judge?  Make sure to place (ONLY) your contestant number on your tests. This is to prevent confusion in judging.  If you are missing an item listed above, let the head judge know during the beginning (or before the start) of the contest.

You will be scored on the following Criteria.

Items Evaluated Possible Points

Sub Total 1,000

------Think Safety------

1. Upon completion and the judges give you the OK, break down your demonstration and remove it from the room.

*****Remember Safety is always a priority*****