front 1 Vector-borne transmission of an infectious organism occurs via... | back 1 animals or insects |
front 2 Which of the following statements regarding the different stages of the grieving process is correct? | back 2 The stages of the grieving process may occur simultaneously |
front 3 While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician several days later. Which route of transmission does this scenario describe? | back 3 indirect contact |
front 4 The EMT's first priority is.. | back 4 personal safety |
front 5 Which of the following is an effective stress management strategy? | back 5 developing a social network outside of EMS |
front 6 The simplest, yet most effective method of preventing the spread of an infectious disease to... | back 6 wash your hands in between patient contacts |
front 7 **To help protect patients, EMS agencies are required to have... | back 7 a privacy officer to answer questions |
front 8 Which of the following general statements regarding consent is correct? | back 8 a patient can consent to transport but can legally refuse to be treated |
front 9 After assessing a patient's blood glucose level, you accidentally stick yourself with the contaminated lancet. You should... | back 9 Report the incident to your supervisor after the call |
front 10 Which of the following statements regarding HIV is correct? | back 10 There is no vaccine against HIV infection |
front 11 The MOST serious consequence of drug or alcohol abuse among EMS personnel is.. | back 11 substandard or inappropriate patient care |
front 12 At the scene of an automobile crash, a utility pole has been broken and power lines are lying across the car. The patients inside the car are concisous. You should... | back 12 mark off a danger zone around the downed lines |
front 13 ***Which type of consent is involved when a 39 year old mentally competent female with a severe headache asks you to take her to the hospital? | back 13 expressed |
front 14 You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13 year old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do? | back 14 Transport the child immediately and have the parents meet you at the hospital |
front 15 When is forcible restraint permitted? | back 15 when the patient poses a significant threat to self or others |
front 16 ***In which of the following circumstances can the EMT legally release confidential patient information? | back 16 the patient is competent and signs a release form |
front 17 Which aspect of the Health Insurance Portability and Accountability Act (HIPPA) MOST affects EMS personnel? | back 17 protecting the patient privacy |
front 18 You respond to the home of a 59-year old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient, but they are unable to locate it. You should: | back 18 begin treatment and contact medical control as needed |
front 19 You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should: | back 19 have your partner check for a pulse to confirm that the patient is deceased |
front 20 The EMT's scope of practice within his or her local response area is defined by the: | back 20 medical director |
front 21 Effective therapeutic communication skills require... | back 21 verbal and nonverbal communication techniques |
front 22 Which of the following types of questions allow for the most detailed response? | back 22 open-ended questions |
front 23 ***Which of the following will help improve radio communications? | back 23 Wait 1 second after pressing the transmit button before speaking |
front 24 During your assessment of a 20 year old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should: | back 24 allow him time to think about the question and respond to it |
front 25 When you are communicating with an older patient, it is important to remember that: | back 25 most older people think clearly and are capable of answering questions |
front 26 Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following EXCEPT: | back 26 elevating the tone of your voice and exaggerating word pronunciation |
front 27 As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should: | back 27 Respond only after giving a verbal patient report to a nurse or physician |
front 28 Which of the following statements is NOT appropriate to document in the narrative section of a PCR? | back 28 General impression revealed that the patient was intoxicated |
front 29 Which of the following statements regarding a patient refusal is correct? | back 29 a mentally competent adult has the legal right to refuse EMS care and transport |
front 30 The suffix -pathy means: | back 30 disease |
front 31 The root melan/o means: Chondro in the word chondritis: the meaning around can have which of the following prefixes? Myo is the word myocarditis means: which of the following suffixes mean pertaining to? Which of the following suffixes means two? Gastro in the word gastroenteritis means: A 5 year old boy has fallen and has a severe deformity of the forearm near the wrist. He has possible sustained a fracture of the ____forearm. The topographic term used to describe the location of body parts that are closer toward the midline of the body is... | back 31 black cartilage Peri and circum- muscle -al and -ic dipl- and bi- stomach distal medial |
front 32 The ___ is a muscular dome that forms the inferior boundary of the thorax, separating the thorax from the abdomen. | back 32 diaphragm |
front 33 Bile is produced by the liver and concentrated and stored in the: | back 33 gallbladder |
front 34 The ___is made of the maxilla and zygoma, as well as the frontal bone of the cranium. | back 34 orbit |
front 35 The brain connects to the spinal cord through a large opening at t he base of the skull called the: | back 35 foramen magnum |
front 36 Which of the following structures does NOT contain smooth muscle? | back 36 skeletal system |
front 37 A by-product of involuntary muscle contraction and relaxation is... | back 37 heat |
front 38 If the patient's chest barely moves during inhalation, even if the patient's respiratory rate is normal you should suspect that: | back 38 a minute volume is decreased |
front 39 ***What happens when blood volume is lost from the body? | back 39 the arteries contract to increase the blood pressure |
front 40 ***A patient has a blood pressure of 130/70 mm Hg. The "130" in this measurement represents: | back 40 ventricular contraction |
front 41 Which of the following is NOT a function of the skin? | back 41 metabolic coordination |
front 42 The respiratory rate of 30 breaths per minute in an infant is___ | back 42 normal |
front 43 The areas of the infant's skull that have not yet fused together are called___ | back 43 fontanelles |
front 44 Children of which age group are considered toddlers? | back 44 1-3 years |
front 45 A normal systolic blood pressure for a 30 year old is between: | back 45 90 and 140 mm Hg |
front 46 What is the normal respiratory rate for an adult? | back 46 12-20 breaths/min |
front 47 ***Atherosclerosis is defined as___ | back 47 the blockage of a coronary artery |
front 48 ***Older adults frequently___ | back 48 take multiple medications |
front 49 In preconventional reasoning, children: | back 49 act almost purely to avoid punishment and to get what they want |
front 50 A 16 year old female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should: | back 50 inquire about the possibility of pregnancy in private, if possible |
front 51 The human body should be functioning at its optima level between the ages of: | back 51 19 and 25 years |
front 52 Which of the following scenarios does NOT involve the presence of any symptoms? a) a 44 yr old male with abdominal pain and severe dizziness | back 52 a) a 44 yr old male with abdominal pain and severe dizziness b) a 49 yr old female with blurred vision and ringing in the ears c) a 55 yr old male with a severe headache and 2 days of nausea d) a 61 yr old female who is unconscious with facial cyanosis*** |
front 53 Which of the following actions would NOT be performed during the scene size-up? a) asking a neighbor to secure the patient's dog b) rapidly assessing a patients respiratory status c) notifying the dispatcher to send fire personnel d) noting the position of a crashed motor vehicle | back 53 b) rapidly assessing a patient's respiratory status |
front 54 You are assessing a 72 year old man with abdominal pain. The patient is sitting in a chair, he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should: | back 54 position yourself in between the patient and the gun and ask your partner to request law enforcement assistance |
front 55 Which of the following statements regarding the mechanism of injury is correct? | back 55 the MOI may allow you to predict the severity of a patient's injuries |
front 56 During an EMS call, you should take standard precautions: | back 56 before exiting the ambulance and before actual patient contact |
front 57 Treatment and transport priorities at the scene of a mass-casualty incident should be determined after: | back 57 all the patients have been triaged |
front 58 When approaching a 32 year old male who is complaining of traumatic neck pain, you should: | back 58 ensure that the patient can see you approaching him |
front 59 ***Which of the following conditions would be LEAST likely to cause an altered level of consciousness? | back 59 acute perfusion |
front 60 An elderly patient has fallen and hit her head. Your initial care should focus on: | back 60 airway, breathing, and circulation |
front 61 An injured patient is assigned a total sore of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score? | back 61 opens eyes in response to pain, uses inappropriate words, withdraws from pain |
front 62 To protect a restrained patient and prevent him from using leverage to break free, the EMT should secure___. | back 62 one arm above the head |
front 63 The ___ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle. | back 63 sacrum |
front 64 An EMT may injure his or her back, even if it is straight, if the... | back 64 back is bent forward at the hips |
front 65 The proper technique for using the power grip is to: | back 65 lift with your palms up |
front 66 Which of the following statements regarding patient weight distribution is correct? | back 66 the majority of a horizontal patient's weight is in the torso |
front 67 To minimize the risk of injuring yourself when lifting or moving a patient, you should: | back 67 keep the weight as close to your body as possible |
front 68 Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury? | back 68 a long backboard |
front 69 To facilitate a safe and coordinated move, the team leader should: | back 69 use preparatory commands to initiate any moves |
front 70 As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden sharp pain in your lower back. You should: | back 70 stop the move and request additional lifting assistance |
front 71 When pulling a patient, you should extend your arms no more than___ in front of your torso. | back 71 15-20 inches |
front 72 The amount of medication that is given is known as the... | back 72 dose |
front 73 What is the rout of administration for the EpiPen auto-injector? | back 73 intramuscular |
front 74 Which of the following is required for an EMT to administer a drug to a patient? | back 74 medical direction approval |
front 75 Which of the following patient populations typically require a modified drug dose? | back 75 pediatric patients |
front 76 After taking diphenhydramine (Benadryl) for an allergic reaction, a person begins experiencing drowsiness and a dry mouth. These findings are examples of a(n): | back 76 side effect |
front 77 Advil, Nuprin, and Motrin are trade names for the generic medication: | back 77 ibuprofen |
front 78 While assisting a paramedic in the attempted resuscitation of a 55 yr old male in cardiac arrest, you should expect the paramedic to: | back 78 administer drugs via the IV route the achieve the fastest effect |
front 79 A 31 year old female is experiencing an acute asthma attack. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should: | back 79 reassess the patient and document her response to the medication |
front 80 A 62 year old male is seen with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken any. After administering supplemental oxygen if needed and contacting medical control, you should: | back 80 assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg |
front 81 Which of the following clinical signs would necessitate the administration of naloxone? | back 81 slow respirations |
front 82 Inadequate circulation of blood throughout the body is called___ | back 82 shock |
front 83 What are the three components of the perfusion triangle? | back 83 hear, blood vessels, blood |
front 84 You suspect your patient is in shock. You note the patient's skin is pale. This is likely due to... | back 84 Peripheral vasoconstriction |
front 85 Shock due to severe infection is called.... | back 85 septic shock |
front 86 ***Your patient has a decreased cardiac output and poor myocardial contractility. This will likely lead to___ | back 86 cardiogenic shock |
front 87 Foods, medication, and insects are common causes of___ | back 87 anaphylactic shock |
front 88 Your patient is in shock, but the body's defense mechanisms are currently able to maintain adequate circulation. This is called___ | back 88 compensated shock |
front 89 ***To protect vital organs, the body compensates by directing blood flow away from the organs that are more tolerant of low flow, such as... | back 89 the skin |
front 90 ***Hypovolemic shock caused by severe burns is the result of a loss of: | back 90 plasma |
front 91 When assessing a patient with signs and symptoms of shock, it is important to remember that: | back 91 blood pressure may be the last measurable factor to change in shock |
front 92 Assessment of the medical patient is usually focused on the... | back 92 nature of the illness |
front 93 Most treatments provided in the prehospital setting are intended to___. | back 93 address the patient's symptoms |
front 94 Most patients with an infectious disease will have... | back 94 a fever |
front 95 Which of the following is bacterium resistant to most antibiotics and causes skin abscesses? | back 95 MRSA |
front 96 ***Which of the following conditions is NOT categorized as a psychiatric condition? | back 96 substance abuse |
front 97 You and your EMT partner arrive at the residence of a 50 year old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away, you should... | back 97 manage all threats to airway, breathing, and circulation and consider requesting an ALS unit |
front 98 When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem? | back 98 primary assessment |
front 99 It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected___ problem/ | back 99 neurologic |
front 100 The determination of whether a medical patient is a high-priority or low-priority transport is typically made: | back 100 after the primary assessment has been completed |
front 101 In which of the following situations would it be MOST appropriate to utilize an air medical transportation service? A) a 29 year old woman who is 18 weeks pregnant and has light vaginal bleeding, and stable vital signs B) a 43 year old man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away C) a 50 year old conscious woman with severe nausea and vomiting, fever, and chills of 3 days' duration D) a 61 year old man with signs and symptoms of a stroke and a ground transport time of 50 minutes | back 101 a 61 year old man with signs and symptoms of a stroke and a ground transport time of 50 minutes |
front 102 ***Your patients has a chronic respiratory condition. His stimulus to breathe is triggered by low oxygen levels in the blood. This is known as____ | back 102 hypoxic drive |
front 103 Which of the following must be assessed in every respiratory patient? | back 103 lung sounds |
front 104 Crackles (rales) are caused by___ | back 104 air passing through fluid |
front 105 In what area of the lungs does respiration occur? | back 105 alveoli |
front 106 Which of the following is MOST characteristic of adequate breathing? A) 22 breaths per min with an irregular pattern of breathing and cyanosis B) 20 breaths per minute with shallow movement of the chest wall and pallor C) 24 breaths per minute with bilaterally equal breath sounds and pink skin D) 30 breaths per minute with supraclavicular retractions and clammy skin | back 106 C) 24 breaths per minute with bilaterally equal breath sounds and pink skin |
front 107 Which of the following conditions would be least likely to result in hypoxia? A) pleural effusion B) severe anxiety C) pulmonary edema D) narcotic overdose | back 107 B) severe anxiety |
front 108 ***A 59 year old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition? | back 108 spontaneous pneumothorax |
front 109 Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated in which of the following situations? A) pulmonary edema, history of hypertension, and anxiety B) difficulty breathing, two-word dyspnea, and tachycardia C) shortness of breath and a blood pressure of 76/56 mm Hg D) conscious and alert patient with an oxygen saturation of 85% | back 109 C) shortness of breath and a blood pressure f 76/56 mm Hg |
front 110 ***A 30 year old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all the lung fields. His blood pressure is 90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen, the MOST important treatment for this patient is.... | back 110 epinephrine |
front 111 You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient takes a deep breath and depresses the inhaler, you should: | back 111 instruct him to hold his breath for as long as he comfortably can |
front 112 The three major parts of the brain are the ... | back 112 cerebrum, cerebellum, and brain stem |
front 113 ***Interruption of cerebral blood flow may result from all of the following, EXCEPT: A) a thrombus B) an embolism C) cerebral vasodilation D) an acute arterial rupture | back 113 C) cerebral vasodilation |
front 114 ***The MOST significant risk factor for a hemorrhagic stroke is: | back 114 hypertension |
front 115 ***Which of the following MOST accurately describes a simple partial seizure? | back 115 a seizure that begins in one extremity |
front 116 Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure? | back 116 confusion and fatigue |
front 117 During the primary assessment of a semiconscious 70 year old female, you should... | back 117 ensure a patent airway and support ventilation as needed |
front 118 You are caring for a 68 year old man with sudden onset of left sided paralysis and slurred speech. His airway is patent, his respirations are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include: | back 118 recovery position and transport |
front 119 When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine: | back 119 when the patient last appeared normal |
front 120 When assessing for arm drift of a patient with a suspected stroke you should... | back 120 ask the patient to close his or her eyes during the assessment |
front 121 Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow Coma Scale score of ___ | back 121 8 |
front 122 ***For a patient with a GI complaint, it is MOST important for the EMT to... | back 122 identify whether the patient requires rapid transport |
front 123 Which of the following helps filter the blood and has no digestive function? | back 123 spleen |
front 124 Which of the following is correct about the secondary assessment for a high-priority patient? | back 124 you may not have time to complete a secondary assessment |
front 125 Which of the following may help reduce your patient's nausea? | back 125 low flow oxygen |
front 126 Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called: | back 126 referred pain |
front 127 ***A 30 year old woman with a history of alcoholism presents with severe upper abdominal pain and is omitting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 beats per minute and weak, and her BP is 70/50 mm Hg. Your MOST immediate action should be to_____ | back 127 Protect her airway from aspiration |
front 128 ***A 47 year old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to: | back 128 assess his BP to determine perfusion adequacy |
front 129 Which of the following statements regarding dialysis is correct? A) acute hypertension is a common adverse effect of dialysis B) Hemodialysis is effective but carries a high risk of peritonitis C) Patients who miss a dialysis treatment often present with weakness D) The purpose of dialysis is the help the kidneys retain salt and water | back 129 A) acute hypertension is a common adverse effect of diaylsis |
front 130 ***Peritonitis may result in shock because: | back 130 fluid shifts from the bloodstream into body tissues |
front 131 When assessing a patient with abdominal pain, you should: | back 131 Palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful |
front 132 The main function of the endocrine system is to__ | back 132 maintain homeostasis |
front 133 **A patient with an altered mental status; high blood glucose levels; and deep, rapid breathing may have a condition known as____ | back 133 diabetic ketoacidosis |
front 134 A patient with hypoglycemia will often present with which of the following signs/symptoms? | back 134 pale, cool, and clammy skin |
front 135 Which of the following statements regarding glucose is correct? A) most cells will function normally without glucose B) blood glucose levels decrease in the absence of insulin C) The brain requires glucose as much as it requires oxygen D) The brain requires insulin to allow glucose to enter the cells | back 135 C) the brain requires glucose as much as it requires oxygen |
front 136 In contrast to type 1 diabetes, type 2 diabetes: | back 136 is caused by resistance to insulin at the cellular level |
front 137 The EMT should assess for hypoglycemia in small children with a severe illness or injury because: | back 137 children cannot store excess glucose as effectively as adults |
front 138 Classic signs and symptoms of hypoglycemia include: | back 138 cool, clammy skin, weakness, tachycardia, and rapid respirations |
front 139 A 75 year old male with type 1 diabetes presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing___ | back 139 a heart attack |
front 140 A man finds his 59 year old wife unconscious on the couch. He states that she takes medications for type 2 diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals that the patient is unresponsive. You should___ | back 140 open and maintain her airway and assess breathing |
front 141 A 66 year old woman experienced a sudden onset of difficulty breathing. She has a history of type 2 diabetes and DVT. On a basis of her medical history, which of the following should the EMT suspect? | back 141 pulmonary embolism |
front 142 When an allergic reaction proceeds to life-threatening anaphylaxis, it will usually do so..... | back 142 quickly and within 30 minutes |
front 143 When a foreign substance invades the body, the body will____ | back 143 protect itself, go on alert, and attempt to inactivate the foreign substance |
front 144 At the site of the injury, signs, and symptoms of an animal or insect bite or sting may include pain, localized heat, and a wheal, which appears as ___ | back 144 a raised, well-defined area of the skin |
front 145 Care for a victim of an immunologic emergency who is severely hypotensive should include which of the following? | back 145 Apply high-flow oxygen therapy, place the patient in a shock position, and help maintain the patient's body temperature |
front 146 Epinephrine stimulates the ___response, increasing blood pressure and relieving bronchospasm. | back 146 sympathetic |
front 147 After administering 0.3 mg of epinephrine via auto-injector to a 22 year old woman with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However, she is still anxious and tachycardic. You should.... | back 147 monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine |
front 148 Urticaria is the medical term for... | back 148 hives |
front 149 A 37 year old male is having a severe allergic reaction to penicillin. He does not have an epinephrine auto-injector and your protocols do not allow you to carry epinephrine on the ambulance. How should you proceed with the treatment of this patient? | back 149 Administer oxygen, transport at once, and request a paramedic intercept |
front 150 Which of the following sounds indicates swelling of the upper airway? | back 150 stridor |
front 151 A 19 year old female was stung multiple times on the legs by fire ants. She states that she is allergic to fire ants, but does not carry her own epinephrine. The patient is conscious and alert and complains of pain to the area of the bites. Her blood pressure is 122/70 mm Hg, her pule is 100 bpm and strong, and her respirations are 18 breaths, min and unlabored. You should..... | back 151 Administer oxygen and transport her to the hospital |
front 152 How do poisons typically act to harm the body? | back 152 by changing the normal metabolism of cells or by destroying them |
front 153 If the victim of a toxicological emergency vomits, an EMT should____ | back 153 use appropriate PPE and examine the vomitus for pill fragments or other clues for patient care |
front 154 Of the four avenues of poisoning, generally ____ is the most worrisome in terms of treatment of the EMS provider. | back 154 injection |
front 155 Victims of inhaled poisoning will require which of the following? | back 155 transport to an emergency department for evaluation |
front 156 The recommended treatment for absorbed or contact poisons includes.... | back 156 safely removing or diluting the poisonous substance |
front 157 Most poisonings occur via the ___route. | back 157 ingestion |
front 158 Heroin is an example of an___ | back 158 opiod |
front 159 Hypotension, hypoventilation, and pin point pupils would be expected following an overdose of ___ | back 159 oxycodone (Percocet) |
front 160 Which of the following questions would be LEAST pertinent during the initial questioning of a patient who ingested a substance? | back 160 Why was the substance ingested? |
front 161 Activated charcoal is given to patients who have ingested certain substances because it: | back 161 binds to the substance and prevents absorption |
front 162 What is the most common misconception surrounding mental illness? | back 162 Feeling bad or depressed means the must be sick |
front 163 Why might EMTs encounter a larger proportion of violent patients than the population at large? | back 163 EMTs respond to patients who, by definition, are having an emergency |
front 164 Everyone exhibits some signs and symptoms of mental illness at some point in life___ | back 164 but that does not mean a person is mentally ill |
front 165 A behavioral crisis interferes with which of the following? | back 165 activities of daily living behavior that is acceptable to the community dressing, eating, or bathing |
front 166 Which of the following is an example of a psychiatric emergency? A) a person going on a week-long bender after losing a job B) a person violently attacking family members C) a person who is depressed and no longer caring for himself D) a person who is experiencing a panic attack | back 166 a person violently attacking family members |
front 167 When a psychiatric emergency arises, a patient is most likely to exhibit which of the following behaviors? A) disruptions to activities of daily living B) any behaviors unacceptable to the patient, family, or community C) any behaviors that are a violent threat to the patient, EMTS, or others D) visual or auditory hallucinations | back 167 any behaviors that are a violent threat to the patient, EMTs, or others |
front 168 The two basic categories of diagnosis that a physician will use for behavioral crises or psychiatric emergencies are ___ A) organic brain syndrome and altered mental status B) functional and nonfunctional C) physical and psychological D) all of the above are correct | back 168 physical and psychological |
front 169 Which of the following is considered an organic brain syndrome? | back 169 Alzheimer dementia |
front 170 Which of the following is a good guideline for physical examination of any patient? | back 170 avoid touching without permission |
front 171 A general impression of the patient is formed by an EMT: | back 171 at a distance when the patient is first seen |
front 172 The ___ connects each ovary with the uterus. | back 172 fallopian tubes |
front 173 Some women experience___during ovulation. | back 173 slight cramping |
front 174 While the ages can vary, women typically experience menstruation from approximately ages ____to ____. | back 174 11-50 |
front 175 Which of the following infections, when left untreated, may lead to infection of the blood and brain? A) PID B) chlamydia C) bacterial vaginosis D) gonorrhea | back 175 D) gonorrhea |
front 176 The EMT should ensure that vaginal bleeding is___ | back 176 taken seriously nd the patient is transported for gynecologic evaulation |
front 177 Causes of vaginal bleeding include what? | back 177 ectopic pregnancy, vaginal trauma, spontaneous abortion |
front 178 ***In cases of sexual assault, it is important to ensure that you do which of the following? | back 178 call for a female EMT or ALS care provider immediately write down observations of the scene before assessing pt discuss with law enforcement any suspicions that you may have about the perpetrator |
front 179 A 26 year old female presents with heavy vaginal bleeding. She is conscious, but restless. Her BP is 84/54 mm Hg, her pulse is 120 bpm and weak, and her respirations are 22 breaths per min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should___ | back 179 administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay |
front 180 When caring for a female patient who has been sexually assaulted, you should: | back 180 place any bloodstained clothing or other articles in separate paper bags |
front 181 Law enforcement personnel request your assistance to assess a 31 year old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should___ | back 181 provide emotional support and visually assess her for obvious trauma |
front 182 The CNS is composed of the : | back 182 brain and spinal cord |
front 183 What part of the nervous system controls the body's voluntary activities? | back 183 Somatic |
front 184 The five sections of the spinal column, in descending order, are the: | back 184 cervical, thoracic, lumbar, sacral, and coccygeal |
front 185 Common signs and symptoms of a serious head injury include all of the following, EXCEPT: A) a rapid, thread pulse B) a widening pulse pressure C) CSF leakage from the ears D) decelerate posturing | back 185 a rapid, thready pulse |
front 186 ***When assessing a patient with a head injury, you note the presence of thin, bloody fluid draining from his right ear. This indicates: | back 186 a rupture of the tympanic membrane following diffuse impact to the head |
front 187 ***Which of the following breathing patterns is MOST indicative of increased intracranial pressure? A) increased rate with normal inspiratory time and a prolonged expiratory time B) irregular rate, pattern, and volume of breathing with intermittent periods of apnea C) increased rate and depth with the distinct odor of acetone of the patient's breath D) slow, shallow, occasional gasps that progress to prolonged periods of apnea | back 187 B) irregular rate, pattern, and volume of breathing with intermittent periods of apnea |
front 188 A man jumped from the roof of his house and landed on his feet. He complains of pain to his heels, knees, and lower back. This mechanism of injury is an example of: | back 188 axial loading |
front 189 Once a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless: | back 189 it causes a problem managing the airway |
front 190 The Glasgow Coma Scale (GCS) is used to assess: | back 190 eye opening, verbal response, and motor response |
front 191 When immobilizing a trauma patient's spine, the EMT manually stabilizing the head should not let go until: | back 191 the patient is completely secured to the backboard |
front 192 When a warm hand is immersed in water that is 70 degrees F, heat is transferred from the hand to the water through a process called___ | back 192 conduction |
front 193 The body's natural cooling mechanism, in which sweat is converted to a gas, is called: | back 193 evaporation |
front 194 Hypothermia occurs when the core body temperature falls below: | back 194 95 degrees F (35 degrees C) |
front 195 A 30 year of male was rescued after being lost in the woods for approximately 18 hours. The outside temperature is 30 degrees F (-1 C). He is immediately placed in the warmed ambulance where you perform a primary assessment. He is unresponsive, pale, and apneic. You should: | back 195 protect the affected part from further injury |
front 196 Common signs and symptoms of heat exhaustion include all of the following, EXCEPT: A) nausea B) headache C) tachycardia D) hot, dry skin | back 196 D) hot, dry skin |
front 197 You receive a call to a residence for a sick patient. Upon your arrival, you find the patient, a 53 year old diabetic male, lying down on his front porch. His wife tells you that he had been mowing the lawn in the heat for the past 3 hours. The patient is confused and has hot, moist skin. His pulse is weak and thread, and his BP is 90/50 mm Hg. You should: | back 197 load him into the ambulance and begin rapid cooling interventions |
front 198 You respond to a local lake where a diver complains of difficulty breathing that occurred immediately after rapidly ascending from a depth of approximately 30 feet. On assessment, you note that he has cyanosis around his lips and has pink froth coming from his nose and mouth. You should: | back 198 suction his mouth and nose, apply high-flow oxygen, monitor the patient's breath sounds for a pneumothorax, and contact medical control regarding transport to a recompression facility |
front 199 The venom of a black widow spider is toxic to the: | back 199 nervous system |
front 200 You and your partner respond to a park where several people were reportedly struck by lightning. When you arrive, you find three patients. The first patient is lying supine on the ground; he is unresponsive and does not appear to be breathing. The second patient is ambulatory, appears confused, and is holding his arm against his chest. The third patient is sitting on the ground holding the sides of his head. After calling for backup, you should: | back 200 assess the unresponsive patient's pulse, begin CPR starting with chest compressions if he is pulseless, and attach the AED as soon as possible |
front 201 Which of the following destinations is most appropriate for a 41 year old male patient who was involved in a rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel times to each is equal? | back 201 a Level 1 or Level 2 trauma center |
front 202 The index of suspicion is MOST accurately defined as: | back 202 your awareness and concern for potentially serious underlying injuries |
front 203 Which of the following statements regarding gunshot wounds is correct? A) high velocity bullets will cause less severe internal injuries B) the size of a bullet has the greatest impact on the injury produced C) low-velocity bullets will cause the greatest amount of trauma D) the speed of a bullet has the greatest impact on the injury produced | back 203 D) the speed of a bullet has the greatest impact on the injury produced |
front 204 Which types of motor vehicle collisions present the greatest potential for multiple impacts? | back 204 rotational and rollover |
front 205 While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6 year old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: A) open abdominal trauma B) neck and facial injuries C)blunt trauma to the head D) lower extremity fractures | back 205 B) neck and facial injuries |
front 206 15 year old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to: | back 206 stabilize her entire spine other options: obtain baseline vital signs, inspect the helmet for cracks, leave the bicycle helmet on |
front 207 A 12 year old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain? A) lateral impact to the spine B) energy transmission to the spine C) direct trauma to the spinal column D) secondary fall after the initial impact | back 207 B) energy transmission to the spine |
front 208 When assessing an elderly patient who fell, it is important to remember that: | back 208 osteoporosis can cause a fracture as a result of a fall from a standing position |
front 209 Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma? A) IV fluid administration B) early administration of oxygen C) elevation of the lower extremities D) rapid transport to a trauma center | back 209 D) rapid transport to a trauma center |
front 210 According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient if: | back 210 Traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome |
front 211 Which section of the heart receives deoxygenated blood? | back 211 right |
front 212 Circulation of blood within an organ or tissue in adequate amounts to meet the cell's oxygen, nutritional, and waste-removal needs is termed__ | back 212 perfusion |
front 213 Hypovolemic shock occurs when: | back 213 the body cannot compensate for rapid blood loss |
front 214 What mechanism(s) does the body use to control bleeding? | back 214 clotting, coagulation, vasoconstriction |
front 215 The severity of bleeding should be based on all of the following findings, EXCCEPT: A) systolic BP B) poor general appearance C) the mechanism of injury D) clinical signs and symptoms | back 215 systolic blood pressure (A) |
front 216 ***Following blunt trauma to the abdomen, a 21 year old female complains of diffuse abdominal pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to the: | back 216 spleen |
front 217 A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should: | back 217 assist the patient's ventilations |
front 218 If direct pressure fails to immediately stop severe bleeding from an extremity, you should apply: | back 218 a tourniquet proximal to the injruy |
front 219 a 43 year old man is experiencing a severe nosebleed. His BP is 190/110 mm Hg and his heart rate is 90 beats per minute and bounding. Preferred treatment for this patient includes: | back 219 pinching the patient's nostrils and having him lean forward |
front 220 Whether you are using a commercial device or a stick and triangular bandage as a tourniquet, it is important to remember that: | back 220 you should try to control the bleeding by applying a pressure to a proximal arterial pressure point first |
front 221 The EMT is legally obligated to protect a patient's privacy according to___ | back 221 HIPAA |
front 222 National guidelines for EMS care are intended to___ | back 222 provide more consistent delivery of EMS care across the United States |
front 223 Which of the following interventions is used by all levels of EMS providers? | back 223 automated external defibrillator Not: multilumen airways, needle compression, automatic transport ventilators |
front 224 ***Online medical control requires__ | back 224 phone or radio contact with the medical provider |
front 225 Prehospital patient care decisions should be based on __ | back 225 EMS research |
front 226 American Heart Association protocols are based on___ | back 226 evidence based research |
front 227 The ability to handle multiple tasks based on their priority is called____ | back 227 time management |
front 228 You are encouraging a patient to go to the hospital by ambulance. You know that a transport will keep you on duty several hours after your regular quitting time. This is an example of ___ | back 228 patient advocacy |
front 229 Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? A) a vast network of advanced providers who provide definitive emergency care in the prehospital setting B) a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured C) A system composed exclusively of emergency medical responders and emergency medical technicians who are responsible for providing care to sick and injured patients D) a team of paramedics and emergency and emergency physicians who are responsible for providing emergency care to critically injured patients | back 229 B) |
front 230 Which of the following statements regarding the NREMT is correct? A) the NREMT is a governmental agency that certifies EMTs B)EMS training standards are regulated by the NREMT C) the NREMT is the exclusive certifying body for EMTs D) the NREMT provides a national standard for EMS testing | back 230 D) |
front 231 Which of the following areas of the body has the thinnest skin? | back 231 ears |
front 232 ***Which of the following processes occurs during the inflammation phase of the healing process? | back 232 The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling |
front 233 Which of the following statements regarding crush syndrome is correct? | back 233 Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours |
front 234 Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss? | back 234 abrasion |
front 235 During your assessment of a patient who was shot in the abdomen, you notice a large entrance wound with multiple small puncture wounds surrounding it. This wound pattern is MOST consistent with a: | back 235 shotgun |
front 236 A 39 year old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should: | back 236 Administer high flow oxygen |
front 237 As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should: | back 237 Open his airway and assess his breathing status |
front 238 A 33 year old male sustained an abdominal evisceration to the LLQ of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how you should care for his wound? | back 238 cover it with moist, sterile gauze and secure with an occlusive dressing |
front 239 In which of the following patients should you remove an impaled object? A) a semiconscious patient with an ice pack impaled in the chest B) an apneic patient with a shard of glass impaled in the abdomen C) a pulseless and apneic patient with a knife impaled in the back D) a conscious and alert patient with a fishhook impaled in the eye | back 239 C |
front 240 A burn that is characterized by redness and pain is classified as a: | back 240 superficial burn |
front 241 When performing a full body scan, you should assess for ____ | back 241 DCAP-BTLS |
front 242 If your patient swallows blood following facial trauma, there is an increased risk of ___ | back 242 vomiting |
front 243 The upper jawbones are called the ___ | back 243 maxillae |
front 244 ***The MOST significant complication associated with facial injuries is ___ | back 244 cervical spine injury |
front 245 When caring for a patient with an open facial injury, the EMTs immediate priority should be to: | back 245 wear gloves and facial protection |
front 246 Bleeding from soft-tissue injuries to the face is MOST effectively controlled with: | back 246 direct pressure using dry, sterile dressings |
front 247 A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should: | back 247 irrigate both eyes continuously for 20 minutes with plain water |
front 248 A 4 year old female has a peanut lodged in the external auditory canal of her right ear. You should: | back 248 transport her to the emergency department |
front 249 A 52 year old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats per min and respirations of 22 breaths per minute with adequate tidal volume. You should: | back 249 fully immobilize her spine, attempt to locate the dislodged the dislodged teeth, suction as needed, and transport |
front 250 A 6 year old female was riding he bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is: | back 250 rapidly transporting her to the hospital |
front 251 Children are often "belly breathers" because___ | back 251 their intercostal muscles are not developed |
front 252 Closed chest injuries are typically caused by___ | back 252 blunt trauma |
front 253 Which of the following is most likely to cause immediate death? A) myocardial contusion B) pulmonary contusion C) aortic dissection D) aortic rupture | back 253 D) aortic rupture |
front 254 Immediately life-threatening chest injures must be found and managed during the___ | back 254 primary assessment |
front 255 If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she: | back 255 must increase his or her respiratory rate to maintain adequate minute volume |
front 256 In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a: | back 256 pneumothorax |
front 257 A simple pneumothorax: | back 257 is commonly caused by blunt chest trauma |
front 258 ****You respond to a residence for a 40 year old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine of the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, JVD, and unilaterally absent breath sounds. As your partner is supporting her ventilation you should: | back 258 Immediately request ALS support |
front 259 The thoracic cavity is separated from the abdominal cavity by the: | back 259 diaphragm |
front 260 Which of the following statements regarding normal gas exchange in the lungs is correct? | back 260 oxygen and carbon dioxide diffuse across the alveolar walls and capillaries |
front 261 Which of the following structures is NOT found in the upper airway? A) larynx B) pharynx C)bronchus D) oropharynx | back 261 C) bronchus |
front 262 The physical act of moving air into and out of the lungs is called: | back 262 ventilation |
front 263 Which of the following statements regarding breathing adequacy is correct? A) patients with a grossly irregular breathing pattern usually do not require assisted ventilation B) the single most reliable sign of breathing adequacy in the adult is his or her respiratory rate C) patients breathing shallowly may require assisted ventilation despite a normal respiratory rate D) a patient with slow respirations and adequate depth will experience an increase in minute volume | back 263 C) |
front 264 Which of the following patients is breathing adequately? A) A conscious male with respirations of 19 breaths/min and pink skin B) a conscious female with facial cyanosis and rapid, shallow respirations C) a conscious male with respirations of 18 breaths per minute and reduced tidal volume D) an unconscious 52 year old female with snoring respirations and cool, pale skin | back 264 A) a conscious male with respirations of 19 breaths per min and pink skin |
front 265 Irregular respirations characterized by an increasing rate and depth of breathing followed by periods of apnea are called: | back 265 Cheyne-Stokes respirations |
front 266 In which of the following patients would the head tilt chin lift maneuver be the MOST appropriate method of opening the airway? A) a 24 year old male who is found unconscious at the base of a tree B) a 37 year old female who is found unconscious in her bed C) a 45 year old male who is semiconscious after falling 20 feet D) a 50 year old male who is unconscious following head trauma | back 266 A 37 year old female who is found unconscious in her bed |
front 267 A 19 year old is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should: | back 267 remove the airway and be prepared to suction her oropharynx |
front 268 The nasopharyngeal airway is MOST beneficial because it: | back 268 can maintain a patent airway in a semiconscious patient with a gag reflex |
front 269 When testing a mechanical suctioning unit, you should turn on the device, clamp the tubing, and ensure that it generates a vacuum pressure of more than: | back 269 300 mm Hg |
front 270 In pediatric patients, the liver and spleen are___ | back 270 larger in proportion to the abdomen |
front 271 Abdominal pain, vomiting, and fever are most likely due to___ | back 271 infection |
front 272 When a patient stiffens the muscles of the abdomen, it is known as___ | back 272 guarding |
front 273 Which of the following is true regarding injury to the kidneys? A) the kidneys are not well protected B) only minimal force is needed to damage the kidneys C) kidney injuries are rarely caused by blunt trauma D) Injury to the kidneys usually indicates injury to other organs | back 273 Injury to the kidneys usually indicates injury to other organs (D) |
front 274 Because the depth of an open abdominal wound is often difficult to determine: | back 274 prompt transport to the hospital is essential |
front 275 You are transporting a 42 year old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should: | back 275 Insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM |
front 276 Which of the following statements regarding abdominal eviscerations is correct? | back 276 The protruding organs should be kept warm and moist |
front 277 Your presence is requested by law enforcement to assess a 33 year old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her BP is 98/58 mm Hg, her pulse is 130 bpm, and her respirations is 24 breaths per minute. You should: | back 277 Control any external bleeding, administer oxygen, and transport at once |
front 278 You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should: | back 278 closely monitor him and reassess him frequently |
front 279 All of the following are hollow abdominal organs, EXCEPT the: A) spleen B) bladder C) ureters D) stomach | back 279 spleen |
front 280 Deoxygenated blood from the body returns to the: | back 280 right atrium |
front 281 Angina pectoris occurs when: | back 281 myocardial oxygen demand exceeds supply |
front 282 The electrical impulse generated by the heart originates in the: | back 282 SI node |
front 283 Risk factors for AMI that cannot be controlled include: | back 283 family history |
front 284 ***A 49 year old male presents with an acute onset of crushing chest pain and diaphoresis. You should: | back 284 assess the adequacy of his respirations |
front 285 A patient in cardiac arrest is wearing an external defibrillator vest, which is interfering with effective chest compressions. The EMT should: | back 285 remove the battery from the monitor and then remove the vest |
front 286 A dissecting aortic aneurysm occurs when: | back 286 the inner layers of the aorta become separated |
front 287 A 66 year old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours of duration. Her BP is 140/90 mm Hg, her pulse is 100 bpm and irregular, her respirations are 22 breaths per minute, and her oxygen saturation is 92%.The patient does not have prescribed nitroglycerin, but her husband does. You should: | back 287 administer oxygen, give her 324 mg of aspirin, and assess her further |
front 288 A patient tells you that he has a LVAD. Which of the following conditions should you suspect that he has experienced? | back 288 acute myocardial infarction |
front 289 You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should: | back 289 begin high quality CPR and apply the AED as soon as possible |
front 290 The musculoskeletal system refers to the: | back 290 bones and voluntary muscles of the body |
front 291 Skeletal muscle is attached to the bone by tough, ropelike, fibrous structures called: | back 291 tendons |
front 292 Which of the following musculoskeletal injuries would MOST likely result in deformity? A) severe strain B) moderate sprain C) hairline fracture D) displaced fracture | back 292 D) displaced fracture |
front 293 An open fracture is MOST accurately defined as a fracture in which: | back 293 The overlying skin is no longer intact |
front 294 Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life? A) an amputated extremity B) bilateral femur fractures C) nondisplaced long bone fractures D) pelvic fracture with hypotension | back 294 D) pelvic fracture with hypotension |
front 295 A 22 year old female was ejected from her care after striking a tree head-on. As you approach her, you note obvious closed deformities to both of her femurs. She is not moving and does not appear to be conscious. You should: | back 295 stabilize her head and perform a primary assessment |
front 296 A 54 year old male accidentally shot himself in the leg while cleaning his gun. Your assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is on the opposite side of the leg and is actively bleeding. The patient complains of numbness and tingling in his right foot. You should: | back 296 Control the bleeding and cover the wound with a sterile dressing |
front 297 In which of the following situations should the EMT splint an injured limb in the position of deformity? A) when distal circulation and neurological functions are absent B) if transport time to the hospital is greater than 20-30 minutes C) if resistance is encountered or the patient experiences severe pain D) if a traction splint will be used to immobilize the injured extremity | back 297 C) if resistance is encountered or the patient experiences severe pain |
front 298 During your assessment of a 29 year old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should: | back 298 splint the elbow in the position of deformity and transport immediately |
front 299 A 17 year old female dislocated her patella while playing soccer. Her knee is flexed and she complains of severe pain. You should: | back 299 Keep her knee flexed and secure it with padded board splints |
front 300 From what internal female organ is the fetus expelled during delivery? | back 300 uterus |
front 301 The amniotic fluid serves to: | back 301 insulate and protect the fetus |
front 302 A 26 year old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her BP has been high and that she had been complaining of a headache for the past few days. You should: | back 302 Place her on her side, administer high-flow oxygen, and transport |
front 303 A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: | back 303 An ectopic pregnancy |
front 304 The presence of meconium in the amniotic fluid indicates: | back 304 that the baby's airway may be obstructed |
front 305 When preparing a pregnant patient for delivery, you should positon her: | back 305 on a firm surface with her hips elevated 2-4 inches |
front 306 During your visual inspection of a 25 year old woman in labor, you see the baby's head crowning at the vaginal opening. What should you do? | back 306 Apply gentle pressure to the baby's head as it delivers |
front 307 Following delivery of a full-term baby, you have properly cared for the baby and have clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should: | back 307 firmly massage the uterine fundus with a circular motion |
front 308 If a baby is born at 7:52, the second Apgar score should be calculated at: | back 308 7:57 |
front 309 Your 22 year old patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this situation includes: | back 309 Placing the mother supine with her head down and pelvis elevated |
front 310 The first month of life after birth is referred to as the: | back 310 neonatal period |
front 311 Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: | back 311 at the feet |
front 312 Pale skin in a child indicates that the: | back 312 blood vessels near the skin are constricted |
front 313 The purpose of the pediatric assessment triangle (PAT) is to: | back 313 allow you to rapidly and visually form a general impression of the child |
front 314 You are dispatched to a residence for a child with respiratory distress. The patient, an 18 month old female, is tachypneic, has sternal retraction, and is clinging to her mother. Her skin is pink and dry, and her heart rate is 120 bpm. The MOST appropriate treatment for this child includes: | back 314 administering blow-by oxygen and transporting the child with her mother |
front 315 A viral infection that may cause obstruction of the upper airway in a child is called: | back 315 croup |
front 316 Infection should be considered a possible cause of an airway obstruction in an infant or child, especially is he or she presents with: | back 316 drooling or congestion |
front 317 When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence initially? | back 317 Why did your child ingest the poison? |
front 318 A 2 year old female has experienced a seizure. When you arrive at the scene, the child is conscious, crying and clinging to her mother. Her skin is hot and moist. The mother tells you that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. You should: | back 318 Allow the mother to drive her daughter to the hospital |
front 319 When caring for a female child who has possible been sexually abused, you should: | back 319 Have a female EMT remain with her if possible |
front 320 To minimize distractions and confusion when assessing an older patient, you should: | back 320 have only one EMT speak to the patient at a time |
front 321 Sedentary behavior while healing from a hip fracture would MOST likely predispose the older patient to: | back 321 pneumonia |
front 322 The leading cause of death in the geriatric patient is: | back 322 heart disease |
front 323 During the natural process of aging, the number of functional cilia in the respiratory system decreases, resulting in: | back 323 a decreased ability to cough |
front 324 In contrast to younger patients, older patients are more prone to a decrease in BP upon standing because: | back 324 the body is less able to adapt the BP to rapid postural changes |
front 325 Clouding of the lenses of the eyes is called: | back 325 cataracts |
front 326 ***An abdominal aortic aneurysm: | back 326 is often the result of hypertension and atherosclerosis |
front 327 The stooped posture of some older people, which gives them a humpback appearance, is called: | back 327 kyphosis |
front 328 Common causes of depression in the elderly include all of the following, EXCEPT: A) chronic medical conditions B) prescription medication use C) an acute onset of dementia D) alcohol abuse and dependence | back 328 C) an acute onset of dementia |
front 329 Because of the complexity of the older patient and the vagueness of his or her complaint, you should: | back 329 attempt to differentiate between chronic and acute problems |
front 330 Which of the following statements regarding patients with intellectual disabilities is correct? A) speaking with the patient's family is the least effective way to determine how much the patient understands B) patients with intellectual disabilities are susceptible to the same disease processes as other patients C) an intellectual disability differs from mental retardation in that it is the result of a congenital abnormality D) most patients with intellectual disabilities have normal cognitive function, but abnormal physical features | back 330 B) patients with intellectual disabilities are susceptible to the same disease processes as other patients |
front 331 When caring for a patient who is visually impaired, it is important to: | back 331 tell her or her what is happening, identify noises, and describe the situation and surroundings |
front 332 A 70 year old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should: | back 332 try repositioning the hearing aid or remove it and turn down the volume |
front 333 Which of the following conditions would MOST likely be encountered in a patient with cerebral palsy? | back 333 seizure disorders |
front 334 Spina bifida is defined as: | back 334 a birth defect caused by incomplete closure of the spinal column |
front 335 You are assessing a 440 lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his BP is 148/98 mm Hg, and his heart rate is 120 bpm. Your MOST immediate action should be to: | back 335 avoid placing him in a supine position if possible and administer oxygen |
front 336 Because a tracheostomy tube bypasses the nose and mouth: | back 336 secretions can build up in and around the tube |
front 337 A 13 year old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning and the child has increasing respiratory distress. You should: | back 337 disconnect the ventilator and apply a tracheostomy collar |
front 338 ***Under what circumstances is a left ventricular assist device used? | back 338 as a bridge to heart transplantation while a donor heart is being located |
front 339 Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct? | back 339 Communication with the patient's caregiver or family members is important because they are the most familiar with the patient's condition |
front 340 A type___ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a new chassis as needed. | back 340 I |
front 341 Equipment and supplies that are carried on an ambulance should be stored: | back 341 according to the urgency and frequency of their use |
front 342 The LEAST practical place to store a portable oxygen cylinder is: | back 342 in the driver's compartment |
front 343 For every emergency request, the dispatcher should routinely gather and record all of the following information, EXCEPT the: | back 343 patients medical history the information that would be gathered includes: The nature of the call, caller's phone number, and location of the patients |
front 344 Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then: | back 344 observe the scene for safety hazards |
front 345 When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck: he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should: | back 345 position the ambulance upwind |
front 346 Maintaining a cushion of safety when operating an ambulance means: | back 346 Keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors' blind spots |
front 347 The use of lights and siren on an ambulance: | back 347 signifies a request for other drivers to yield the right of way |
front 348 In which of the following situations would the EMTs MOST likely utilize a police escort? | back 348 The EMTs are unfamiliar with the location, but the police officer knows the area |
front 349 When approaching a helicopter, whether the rotor blades are moving or not, you should: | back 349 never duck under the body or the tail boom because the pilot cannot see you in these areas |
front 350 At a scene with downed electrical lines, the EMT should____ | back 350 remain outside the danger (hot) zone |
front 351 Returning the emergency unit to service is part of the ____ | back 351 termination phase |
front 352 The EMTs responsibility during search-and-rescue operations is to___ | back 352 wait at the staging area until the patients is located |
front 353 Upon arrival at a trench rescue operation, you should___ | back 353 park at least 500 feet from the incident |
front 354 While staged at the scene of a structure fire, the EMT should___ | back 354 remain with the ambulance |
front 355 Extrication is defined as: | back 355 removal from a dangerous situation or position |
front 356 Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have ejected from their vehicle. You should___ | back 356 immediately request additional resources |
front 357 The rescue team is in the process of extricating a 40 year old male from his truck. The patient's wife, who was uninjured in the crash, is calmly observing the extrication and asks you if her husband will be all right. You should___ | back 357 ensure that she is in a safe area, away from the scene |
front 358 You are attempting to gain access to a patient who was injured when his truck struck another vehicle from behind. The patient is conscious and alert, but is screaming in pain. You try to open the door, but it is locked. You should: | back 358 ask the patient if he can unlock the door |
front 359 A 19 year old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should: | back 359 direct your partner to begin ventilator assistance |