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269 Cards in this Set

  • Front
  • Back
EMT's who follow a continuum of care do so because:

it maximixes survival and reduces patient suffering

tradition demands doing what we have always done

the medical community requires progressive phases pf care

definite care is most easily provided in a prehospital setting
it maximizes survival and reduces patient suffering
The person who provides the ongoing working liaison among the medical community, hospitals, and the EMT is the:

medical director

agency manager

district supervisor

EMS administrator
medical director
The person who is responsible for authorizing EMT-B personnel to perform emergency medical care

shift supervisor

medical director

lead EMT in charge

EMS administratior
medical director
Although transport time to a specialty center may be slightly longer that to a local emergency department

specialty center physicians are more highly trained

patients must always be taken to the closest hospital

the patient will receive definitive care more quickly

all patents should be transported to a specialty center
the patient will receive definitive care more quickly
Which of the following statements regarding the National Registry of EMTs is correct?

they are a governmental agency that certifies EMT's

EMS training standards are regulated by the NREMT

the NREMT is the exclusice certifying body of EMTs

the NREMT provides a national standard for EMS testing
the NREMT provides a national standard for EMS testing
Cardiac monitoring, pharmacological interventions and other advanced treatment skills are functions of the

emt basic
emt paramedic
emt intermediate
certified first responder
emt paramedic
Minimum BSI precautions for all patients if there is any possibility for exposure to blood or body fluids include:
gloves and eye protection.
Which of the following is NOT a facial bone?
Mastoid
The leaf-shaped flap of tissue that prevents food and liquid from entering the trachea during swallowing is called the:
epiglottis.
A patient has sustained a stab wound to the left lateral chest just below the armpit. What anatomic term MOST accurately describes the location of this injury?
Midaxillary
Two EMT-Bs witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMT-Bs ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMT-Bs is considered:
legal but unethical
You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to:
provide immediate patient care.
Poisonous substances produced during digestion are brought to what organ and converted to harmless substances?
Liver
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by
requesting a CISM team to provide on-scene peer support.
When palpating the carotid pulse of an unresponsive elderly patient, you should:
avoid compressing both carotid arteries simultaneously
EMT's who follow a continuum of care do so because:

it maximixes survival and reduces patient suffering

tradition demands doing what we have always done

the medical community requires progressive phases pf care

definite care is most easily provided in a prehospital setting
it maximizes survival and reduces patient suffering
The person who provides the ongoing working liaison among the medical community, hospitals, and the EMT is the:

medical director

agency manager

district supervisor

EMS administrator
medical director
The person who is responsible for authorizing EMT-B personnel to perform emergency medical care

shift supervisor

medical director

lead EMT in charge

EMS administratior
medical director
Although transport time to a specialty center may be slightly longer that to a local emergency department

specialty center physicians are more highly trained

patients must always be taken to the closest hospital

the patient will receive definitive care more quickly

all patents should be transported to a specialty center
the patient will receive definitive care more quickly
Which of the following statements regarding the National Registry of EMTs is correct?

they are a governmental agency that certifies EMT's

EMS training standards are regulated by the NREMT

the NREMT is the exclusice certifying body of EMTs

the NREMT provides a national standard for EMS testing
the NREMT provides a national standard for EMS testing
Cardiac monitoring, pharmacological interventions and other advanced treatment skills are functions of the

emt basic
emt paramedic
emt intermediate
certified first responder
emt paramedic
Minimum BSI precautions for all patients if there is any possibility for exposure to blood or body fluids include:
gloves and eye protection.
Which of the following is NOT a facial bone?
Mastoid
The leaf-shaped flap of tissue that prevents food and liquid from entering the trachea during swallowing is called the:
epiglottis.
A patient has sustained a stab wound to the left lateral chest just below the armpit. What anatomic term MOST accurately describes the location of this injury?
Midaxillary
Two EMT-Bs witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMT-Bs ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMT-Bs is considered:
legal but unethical
You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to:
provide immediate patient care.
Poisonous substances produced during digestion are brought to what organ and converted to harmless substances?
Liver
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by
requesting a CISM team to provide on-scene peer support.
When palpating the carotid pulse of an unresponsive elderly patient, you should:
avoid compressing both carotid arteries simultaneously
EMT's who follow a continuum of care do so because:

it maximixes survival and reduces patient suffering

tradition demands doing what we have always done

the medical community requires progressive phases pf care

definite care is most easily provided in a prehospital setting
it maximizes survival and reduces patient suffering
The person who provides the ongoing working liaison among the medical community, hospitals, and the EMT is the:

medical director

agency manager

district supervisor

EMS administrator
medical director
The person who is responsible for authorizing EMT-B personnel to perform emergency medical care

shift supervisor

medical director

lead EMT in charge

EMS administratior
medical director
Although transport time to a specialty center may be slightly longer that to a local emergency department

specialty center physicians are more highly trained

patients must always be taken to the closest hospital

the patient will receive definitive care more quickly

all patents should be transported to a specialty center
the patient will receive definitive care more quickly
Which of the following statements regarding the National Registry of EMTs is correct?

they are a governmental agency that certifies EMT's

EMS training standards are regulated by the NREMT

the NREMT is the exclusice certifying body of EMTs

the NREMT provides a national standard for EMS testing
the NREMT provides a national standard for EMS testing
Cardiac monitoring, pharmacological interventions and other advanced treatment skills are functions of the

emt basic
emt paramedic
emt intermediate
certified first responder
emt paramedic
Minimum BSI precautions for all patients if there is any possibility for exposure to blood or body fluids include:
gloves and eye protection.
Which of the following is NOT a facial bone?
Mastoid
The leaf-shaped flap of tissue that prevents food and liquid from entering the trachea during swallowing is called the:
epiglottis.
A patient has sustained a stab wound to the left lateral chest just below the armpit. What anatomic term MOST accurately describes the location of this injury?
Midaxillary
Two EMT-Bs witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMT-Bs ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMT-Bs is considered:
legal but unethical
You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to:
provide immediate patient care.
Poisonous substances produced during digestion are brought to what organ and converted to harmless substances?
Liver
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by
requesting a CISM team to provide on-scene peer support.
When palpating the carotid pulse of an unresponsive elderly patient, you should:
avoid compressing both carotid arteries simultaneously
A folding or portable stretcher is MOST beneficial when:
a second patient must be transported on the squad bench of the ambulance.
A 72-year-old woman lying in her bed complains of crushing chest pain and shortness of breath. She states she has had two previous heart attacks. Her blood pressure is 146/102 mm Hg, pulse is 108 beats/min, and respirations are 28 breaths/min. Which of the following is the MOST appropriate method of transferring this patient to the ambulance?
Use the draw sheet method to transfer her from the bed to the wheeled stretcher and then to the ambulance.
An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should:
apply a cervical collar and immobilize him with a vest-style device.
Vector-borne transmission of an infectious organism occurs via:
a living object.
When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:
constricting
Movement or motion away from the body's midline is called:
abduction
A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect:
liver dysfunction
What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Protecting patient privacy
Palliating factors regarding a patient's pain involve those that:
alleviate the pain.
The EMT-B would MOST likely be held liable for abandonment if he or she:
did not make provisions for continued care of an injured patient.
The pressure exerted against the walls of the artery when the left ventricle contracts is called the:
systolic pressure.
The MOST easily palpable spinous process in the neck is:
C7
A patient with profuse sweating is referred to as being:
diaphoretic
Which of the following situations would dictate the use of a mask and gown in addition to gloves?
Emergency delivery of an infant
EMTs who follow a coordinated continuum of care do so because
it maximizes survival and reduces patient suffering.
In which of the following situations is an emergency patient move indicated?
Inability to protect the patient from scene hazards
The chemical and physical reactions commonly referred to as the “fight or flight” response involve interaction of the:
nervous and endocrine systems.
When assessing a 62-year-old female with crushing chest pressure, you note that her pulse is rapid and irregular. In addition to administering oxygen, you should:
transport at once and consider requesting a paramedic unit.
When performing an urgent move of a patient from his or her vehicle, you should
apply a cervical collar and remove the patient on a long backboard.
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?
Transport the child immediately and have the parents meet you at the hospital.
The final stage of death and dying is MOST commonly displayed as:
acceptance
When taking a patient's blood pressure in an upper extremity, the diaphragm of the stethoscope is normally placed over which artery?
Brachial
When palpating a patient's pulse, you note that there is a short interval in between pulsations. This indicates that the pulse is:
fast
Which of the following information is NOT considered confidential?
Location of the call
The extremity lift would NOT be appropriate to use on a patient:
with a deformed humerus
Which of the following is a LATE sign of hypoxia?
Cyanosis
You are performing mouth-to-mask ventilations with oxygen connected and set at a flow rate of 15 liters per minute. What percentage of oxygen is your patient receiving?
55%
The nasopharyngeal airway is MOST beneficial because
can maintain a patent airway in a semiconscious patient with a gag reflex.
What normally occurs when the level of carbon dioxide in the blood becomes too high?
The brain stem sends messages to the diaphragm and intercostal muscles and respirations increase
Which of the following patients is breathing adequately?
Conscious male with respirations of 22 breaths/min and pink skin
Which of the following oxygen flowmeters is NOT affected by gravity and can be used in any position when attached to an oxygen cylinder?
Bourdon-gauge flowmeter
A 51-year-old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 24 breaths/min and regular. You should:
administer 100% oxygen via a nonrebreathing mask.
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes:
encouraging him to cough and transporting.
Inhalation occurs when the:
diaphragm and intercostal muscles contract and cause a decrease in intrathoracic pressure.
The diaphragm does NOT function as a voluntary muscle when a person:
sleeps
Which of the following MOST accurately lists the correct order of structures of the lower airway, starting inferiorly?
Alveoli, bronchioles, bronchi, trachea, larynx
In a healthy individual, the primary respiratory drive is based on:
increased arterial carbon dioxide levels.
The MOST common and significant complication of using a flow-restricted oxygen- powered ventilation device is:
gastric distention.
An oxygen cylinder should be taken out of service and refilled when the pressure inside it is less than:
500 psi
In which of the following patients would the head-tilt chin-lift maneuver be the MOST appropriate method of opening the airway?
A 37-year-old female who is found unconscious in her bed
A nasopharyngeal airway is inserted:
with the bevel facing the septum if inserted into the right nare.
Which of the following patients would MOST likely require insertion of an oropharyngeal airway?
A 40-year-old unconscious patient with slow, shallow respirations
The severity of hypoxia depends MOSTLY on the patient's:
ventilatory quality.
Which of the following body systems can survive the longest period of time without oxygen?
Musculoskeletal
The jaw-thrust maneuver is used to open the airway of patients with suspected:
cervical spine injuries.
What occurs when a patient is breathing very rapidly and shallowly?
Air moves primarily in the anatomic dead space and does not participate in pulmonary gas exchange.
You are ventilating a patient with a stoma; however, air is escaping from the mouth and nose. To prevent this, you should:
seal the mouth and nose.
Which of the following conditions would be LEAST likely to result in severe hypoxia?
High blood sugar levels
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:
300 mm Hg.
What is the MOST appropriate management for an uninjured semiconscious 40-year-old male with respirations of 20 breaths/min and adequate tidal volume?
Place him on his left side and administer oxygen via a nonrebreathing mask.
What maneuver should be used to open the airway of an unresponsive patient with suspected trauma?
Jaw-thrust maneuver
When you begin a verbal report, you should state the patient's age, sex, and:
chief complaint.
A patient's refusal for EMS treatment and/or transport must be:
an informed refusal.
In what manner should you act and speak with a patient?
Calm and confident
General guidelines for effective radio communication include all of the following, EXCEPT:
using 10 codes to ensure radio traffic confidentiality.
After performing a head-tilt chin-lift to open the airway of an unconscious patient, you should:
suction as needed and insert an airway adjunct.
A patient who does not respond to your questions, but moves or cries out when his or her hand is pinched, is said to be:
responsive to painful stimuli.
The focused history and physical exam of a medical patient complaining of dizziness should include assessments of:
orientation, vital signs, and signs of head trauma.
Which of the following data is typically NOT included in a prehospital care report?
Blood pressure for patients older than 1 year of age
A _________ is able to receive low-power signals and then rebroadcast them with higher power.
repeater
You have completed your initial assessment and treatment of a 33-year-old male with abdominal pain. As you are performing a focused history and physical exam, your partner should:
obtain a set of baseline vital signs.
When communicating with an elderly patient, it is important to remember that:
Question 12 answers
most elderly people think clearly and are capable of answering questions.
All information recorded on the prehospital care report must be:
considered confidential.
The presence of subcutaneous emphysema could indicate all of the following conditions, EXCEPT:
myocardial rupture.
When assessing a conscious medical patient, the main purpose of the focused history is to:
obtain information regarding the patient's present illness.
In the eyes of the law, a poorly written patient care form indicates that:
patient care was inadequate or haphazard.
When assessing a patient's abdomen, you will typically evaluate for all of the following, EXCEPT:
subcutaneous emphysema.
In what position should you place an uninjured patient with difficulty breathing?
Fowler's position
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location that you are in, you are unable to contact medical control. What should you do?
Follow locally established protocols or standing orders.
Supplemental oxygen via nonrebreathing mask should be administered to patients:
Question 20 answers
with difficulty breathing and adequate tidal volume.
Successful treatment of a stroke depends on whether or not:
clot-buster therapy is given within 2 to 3 hours of symptom onset.
Which of the following MOST accurately describes a focal seizure?
A seizure that begins in one extremity
After the AED has delivered a shock, the EMT-B should:
immediately resume CPR.
Heroin is an example of a/an:
opioid
A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He presents with respiratory distress, facial swelling, and hypotension. After placing him on oxygen and administering his epinephrine via auto-injector, you note that his breathing has improved. Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action should be to:
record the time and dose of the injection on the run form.

Question 6 text Question 6
Acute pulmonary edema would MOST likely develop as the result of:
toxic chemical inhalation.
Colic is pain caused by:
distention or contraction of hollow organs.
The MOST common cause of sudden death following an acute myocardial infarction is:
ventricular fibrillation
Which of the following medications blocks the release of histamines?
Diphenhydramine
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:
4 weeks.
A nuchal cord is defined as an umbilical cord that:
is wrapped around the baby's neck.
Organic brain syndrome (OBS) is MOST accurately defined as:
a dysfunction of the brain caused by abnormal physical or physiological function.
The respiratory distress that accompanies emphysema is caused by:
chronic stretching of the alveolar walls.
You and your partner are standing by at a large social event at a river resort when a frantic woman tells you that she found a young male floating face-down in the water. Nobody claims to have witnessed the event. After you and your partner enter the water and reach the patient, you should:
move him as a unit to a supine position.
The amniotic fluid serves to:
insulate and protect the fetus.
Cardiogenic shock following an acute myocardial infarction is usually the result of:
decreased pumping force of the heart muscle.
Which of the following is a nonspecific complaint that is commonly associated with an acute abdomen?
Loss of appetite
Which of the following conditions is NOT a common cause of seizures?
Severe hypovolemia
Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?
Antihypertensive medications
An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are bilaterally clear and equal. These findings are MOST consistent with:
adequate air exchange.
A 37-year-old female with a history of diabetes presents with excessive urination and weakness of 2 days' duration. You apply 100% oxygen and assess her blood glucose level, which reads 320 mg/dL. If this patient's condition is not promptly treated, she will MOST likely develop:
acidosis and dehydration.
You are dispatched to a local high school track and field event for a 16-year-old male who fainted. The outside temperature is approximately 95°F with high humidity. Upon your arrival, the patient is conscious, alert, and complains of nausea and a headache. His skin is cool, clammy, and pale. You should:
move him into the cooled ambulance.
Which of the following statements regarding glucose is correct?
Glucose is a simple sugar that is readily absorbed by the bloodstream.
A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. As your partner is applying oxygen, it is MOST important for you to:
ask his wife when she noticed the symptoms.
A 38-year-old female was bitten by fire ants while at the park with her kids. Your initial assessment reveals that she is semiconscious, has profoundly labored breathing with reduced tidal volume, and has a rapid, thready pulse. She has a red rash on her entire body and her face appears swollen. You should:
Question 25 answers
assist her ventilations with 100% oxygen.
Epinephrine is indicated for patients with an allergic reaction when:
wheezing and hypotension are present.
Which of the following MOST accurately describes the postictal state that follows a seizure?
Dazed, confused, or combative appearance
You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You should:
request permission from medical control to give another dose of epinephrine.
Excessive eating caused by cellular “hunger” is called:
polyphagia
In contrast to monophasic defibrillation, biphasic defibrillation:
requires a lower energy setting.
When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes furosemide, atenolol, and Plavix. This medication regimen suggests a history of:
cardiovascular disease.
As you enter the residence of a patient who has possibly overdosed, you should:
be alert for personal hazards.
Ketone production is the result of:
fat metabolization when glucose is unavailable.
A pleural effusion is MOST accurately defined as:
fluid accumulation outside the lung.
An incarcerated hernia is one that:
cannot be pushed back within its respective body cavity.
Which of the following is a metabolic cause of a seizure?
Poisoning
You have just delivered a full-term infant. His respirations are rapid and irregular and he has a strong cry. What should you do next?
Assess the brachial or umbilical pulse.
Diabetes is MOST accurately defined as a/an
disorder of carbohydrate metabolism.
Signs and symptoms of pregnancy-induced hypertension (preeclampsia) include all of the following, EXCEPT:
blood in the urine.
Patients with acute abdominal pain should not be given anything by mouth because:
a full stomach may make emergency surgery dangerous.
Medications encased in a gelatin shell taken by mouth are called:
capsules
Which of the following is of LEAST pertinence when obtaining medical history information from a patient complaining of chest discomfort?
Family history of hypertension
A 59-year-old male presents with a sudden onset of severe lower back pain. He is conscious and alert, but very restless and diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should:
administer oxygen and prepare for immediate transport.
During delivery, it is MOST important to position your partner at the mother's head because:
the mother may become nauseated and vomit.
An air embolism associated with diving occurs when:
the diver holds his or her breath during a rapid ascent.
When the cervix begins to dilate:
a mucus plug is expelled from the vagina.
To assess a patient's general temperature, pull back on your glove and place the back of your hand on his or her skin at the:
abdomen
Which of the following signs or symptoms of acute myocardial infarction is especially common in older women?
Fatigue
You are administering epinephrine via the subcutaneous route to a patient experiencing an acute allergic reaction. As you insert the needle and pull back on the plunger, you do not see any blood in the syringe. You should:
push the plunger on the syringe and administer the drug.
Which of the following clinical signs would be MOST suggestive of a ruptured cerebral artery?
Sudden, severe headache
The transfer of heat to circulating air, such as when cool air moves across the body's surface, is called:
convection
Assessment of a patient with hypoglycemia will MOST likely reveal:
bizarre behavior
When assessing an unconscious diabetic patient, the primary visible difference between diabetic coma and insulin shock is the:
rate and depth of breathing.
All of the following questions are pertinent to ask a mother when determining whether or not her baby will deliver within the next few minutes, EXCEPT:
“Have you had a sonogram?”
The parietal peritoneum lines the:
walls of the abdominal cavity.
The first step in assessing a patient with a behavioral emergency is to:
ensure your safety.
Aspirin is MOST beneficial to patients suspected of having a heart attack because it:
prevents the aggregation of platelets.
It is MOST important to determine a patient's weight when asking questions pertaining to a toxic ingestion because:
activated charcoal is given based on a patient's weight.
When administering epinephrine via auto-injector, you should hold the injector in place for:
10 seconds.
You respond to a local motel for a young female who was sexually assaulted. The patient is conscious but confused. She tells you that the last thing she remembers was drinking beer at a club with her friends the night before. When she awoke, she was in the bed of the motel room. You should be MOST suspicious that this patient:
was given Rohypnol.
Which of the following statements regarding an ectopic pregnancy is correct?
Signs of an ectopic pregnancy usually present within the first 6 to 8 weeks of pregnancy.
The ______ of medication determines the route by which it will be administered.
form
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing
tolerance
The adult epinephrine auto-injector contains ___ milligrams and the pediatric auto-injector contains ___ milligrams.
Question 64 answers
0.3, 0.15
A conscious and alert 29-year-old female with a history of asthma complains of difficulty breathing that began after her morning jog. The temperature outside is 40°F. On exam, you hear bilateral expiratory wheezing. After providing 100% oxygen, you should:
determine if she has been prescribed a beta-agonist inhaler.
The two processes that occur during respiration are:
inspiration and expiration.
The umbilical cord:
carries oxygen to the baby via the umbilical vein.
The process of binding or sticking to a surface is called:
adsorption
When the level of arterial carbon dioxide increases:
respirations increase in rate and depth.
You are treating a 40-year-old male with a documented blood sugar reading of 300 mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted ventilation from your partner. You should recognize that definitive treatment for this patient includes:
insulin
Risk factors for a myocardial infarction that CANNOT be controlled include:
family history.
Compared to full-term infants, premature infants are at a higher risk for:
infection
To obtain the MOST accurate reading of a patient's core body temperature, you should place a special hypothermia thermometer:
into the patient's rectum.
Which of the following is NOT a component of the APGAR score?
Body size
A 26-year-old woman complains of a stabbing pain in the right lower quadrant of her abdomen. She states that her last menstrual period was 7 weeks ago and that she had pelvic inflammatory disease approximately 3 months ago. You should be MOST suspicious that this patient is experiencing:
an ectopic pregnancy.
Skeletal muscle is attached to the bone by tough, ropelike fibrous structures called
tendons
The thoracic cavity is separated from the abdominal cavity by the:
diaphragm
In the normal, uninjured eye:
the pupils are equal in size and move together in the same direction
The term “hyphema” is MOST accurately defined as:
blood in the anterior chamber of the eye.
You are assessing a 59-year-old male who complains of diplopia. When obtaining the patient's medical history, it is MOST pertinent to ask him if he:
has a history of eye surgeries
Subcutaneous emphysema is an indication that:
air is escaping into the chest wall from a damaged lung.
A 39-year-old male accidentally cut his wrist while sharpening his hunting knife. He is conscious and alert with adequate breathing, but is bleeding significantly from the wound. You should:
control the bleeding with direct pressure.
Which of the following statements regarding anaphylactic shock is MOST correct?
Subsequent exposure following sensitization often produces more severe reactions.
When assessing a conscious patient with an MOI that suggests spinal injury, you should:
determine if the strength in all extremities is equal.
A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner assumes manual stabilization of her head, you should:
suction her oropharynx for 15 seconds
Which of the following patients is in decompensated shock?
A 20-year-old female with absent radial pulses and dilated pupils
Significant trauma to the face should increase the EMT-B's index of suspicion for a/an:
spinal cord injury.
Which of the following statements regarding anterior epistaxis is MOST correct?
Anterior epistaxis usually originate from the septal area and bleed fairly slowly.
All of the following are hollow abdominal organs, EXCEPT for the:
liver
A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate treatment for this patient includes:
applying direct pressure with a dry, sterile dressing.
A young male was assaulted and is found unconscious. Your assessment reveals bruising around his eyes and blood-tinged fluid draining from his nose. You should be MOST suspicious for a/an:
skull fracture.
Airbags, in conjunction with properly worn seatbelts, are of MOST benefit when a person is involved in a:
head-on crash.
Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced tidal volume, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should:
provide some form of positive-pressure ventilation.
A female patient with a suspected spinal injury is breathing with a marked reduction in tidal volume. The MOST appropriate airway management for her includes:
assisting ventilations at an age-appropriate rate.
It would be MOST appropriate to perform a focused physical exam on a patient who:
fainted and fell to the ground from a standing position.
The MOST significant complication associated with fractures or dislocations of the knee is:
neurovascular compromise.
With regard to musculoskeletal injuries, the zone of injury is defined as the:
area of soft tissue damage surrounding the injury
A 22-year-old female was ejected from her car 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:
stabilize her head and perform an initial assessment.
You are transporting a 33-year-old male who was involved in a motor-vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:
perform a detailed physical exam.
The upper jaw bone is called the:
maxillae
A partial-thickness burn involves the outer layer of skin and a portion of the:
dermal layer.
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:
irrigate both eyes continuously for 20 minutes with plain water.
You are dispatched to a residence for a young female who was kicked in the abdomen by her boyfriend. While en route to the scene, you should ask the dispatcher if:
law enforcement is at the scene.
A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover ____ of his body surface area.
18%
A 45-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused, diaphoretic, and has a weak and rapid radial pulse. His blood pressure is 88/50 mm Hg. After applying 100% supplemental oxygen, you should:
prepare for immediate transport.
When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the:
mechanism of injury.
The act of pulling on a body structure in the direction of its normal alignment is called:
traction
Factors that should be considered when assessing a patient who has fallen include all of the following, EXCEPT:
Question 33 answers
speed of fall.
Hypoperfusion is another name for:
Shock
Which of the following conditions has the GREATEST potential to be accompanied by internal bleeding?
Spinal injury
A utility worker was trimming branches and was electrocuted when he accidentally cut a high-power line. He fell approximately 20 feet and is lying unconscious on the ground; the power line is lying across his chest. You should:
rapidly assess the patient after ensuring the power line is not live
Common signs and symptoms of a chest injury include all of the following, EXCEPT:
hematemesis
Bleeding from the nose following head trauma:
is a sign of a skull fracture and should not be stopped.
A laceration:
is a jagged cut caused by a sharp object or blunt force trauma.
When caring for an occupant inside a motor vehicle equipped with an airbag that did not deploy upon impact, it is MOST important to:
remember that it could still deploy and seriously injure you.
Which of the following splinting devices would be MOST appropriate to use for a patient who has an open fracture of the forearm with severe external bleeding?
Air splint
When caring for a patient with an open facial injury, the EMT-B must:
wear gloves and facial protection.
While assessing a 21-year-old female who struck a tree head-on with her small passenger car, you note that her airbag deployed. You should:
lift the airbag and look for deformity to the steering wheel.
Pneumothorax is MOST accurately defined as:
accumulation of air in the pleural space.
Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with:
a head injury
Patients with full-thickness (third-degree) burns generally do not complain of pain because:
the nerve endings have been destroyed
A patient who cannot remember the events that preceded his or her head injury is experiencing:
retrograde amnesia.
If one or more occupants in the same vehicle are killed, the EMT-B should:
suspect that all living occupants experienced the same serious trauma
Two of the MOST common mechanisms of injury for blunt trauma are:
falls and motor-vehicle collisions.
A 22-year-old male was kicked in the abdomen multiple times during an attack by a gang. He is conscious but restless and his pulse is rapid. Your assessment reveals a large area of bruising to the right upper quadrant of his abdomen. The MOST appropriate treatment for this patient includes:
preparing for immediate transport.
When assessing a 78-year-old female who complains of shortness of breath, the EMT-B should:
ask her how many pillows she uses when she sleeps.
Risk factors for SIDS include all of the following, EXCEPT:
babies who were put to sleep on their back
Most seizures in children:
are due to fever alone.
Common signs of severe dehydration in an infant include all of the following, EXCEPT:
slowed or decreased level of activity.
Talking about an elderly patient in front of him or her to other members of the family:
may cause the patient to think that he or she has no say in making decisions.
Elderly patients experience a decreased ability to compensate for hypoperfusion for all of the following reasons, EXCEPT
uncontrolled hypertension.
Fractures of the pelvis in older patients often occur as the result of a combination of:
osteoporosis and low-energy trauma.
With age, the spine stiffens as a result of shrinkage of the intervertebral disc spaces, and the vertebrae become brittle. This increases the risk of:
compression fractures.
Signs of impending respiratory arrest in the infant or child include all of the following, EXCEPT:
nasal flaring
Many elderly victims of physical abuse may make false statements or lie about the origin of their injuries because:
they fear retribution from the abuser.
Because of the complexity of the geriatric patient and the vagueness of his or her complaint, you should:
attempt to differentiate between chronic and acute problems.
Osteoporosis is MOST accurately defined as:
a decrease in the density of a bone.
The EMT-B should be MOST concerned when a child presents with fever and:
a rash.
When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence?
Why did your child ingest the poison?
A 69-year-old female was involved in a motor vehicle crash. She is semiconscious with a blood pressure of 80/50 mm Hg and a heart rate of 74 beats/min and weak. Her daughter, who was uninjured in the crash, tells you that her mother has a history of hypertension and takes Inderal. Considering the fact that this patient is probably in shock, what is the MOST likely explanation for the absence of tachycardia?
The effects of her antihypertensive medication
When caring for a child with suspected meningitis, it is MOST important for the EMT-B to:
adhere to BSI precautions.
The signs and symptoms of poisoning in children:
vary widely, depending on the child's age and weight.
Children younger than ____ year(s) of age should always be in a rear-facing car seat when being transported.
1
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:
attempt cooling measures, offer oxygen, and transport.
When a child is struck by a car, the area of greatest injury depends MOSTLY on the:
size of the child and the height of the bumper upon impact.
When explaining the need for a particular procedure to an elderly patient, you should:
use plain English and simple terms
The use of multiple prescription drugs by a single patient, causing the potential for negative effects such as overdosing or drug interaction, is called:
polypharmacy
After the age of 30, organ systems begin to deteriorate at a rate of approximately:
1% per year.
Febrile seizures are MOST common in children between:
6 months and 6 years of age.
The MOST effective way to gain an elderly patient's trust and confidence is to:
treat the patient with respect and explain what you are doing.
When an elderly patient presents you with multiple medications that he or she is taking, it is MOST important to:
recall that the patient is at risk for negative medication interactions.
An infant's fontanels should close completely by the time he or she is:
18 months old.
You are dispatched to a skilled nursing care facility for an 80-year-old female with abnormal behavior. The patient is clearly confused and asks you if you are her husband. As your partner administers oxygen to the patient, you should:
determine the patient's baseline mental status.
An elderly patient may understate or minimize the symptoms of his or her illness because:
he or she fears hospitalization.