EMT FINAL

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lbstarr
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179498
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EMT FINAL
Updated:
2012-10-23 23:01:51
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LIN EMT QUESTIONS
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EMT FINAL REVIEW
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  1. Which of the following statements regarding psychosocial development in the adolescent age group is correct?

    A. Antisocial behavior and peer pressure peak around 14 to 16 years of age.
    B. Adolescents are less fixated on their public image than younger children.
    C. Because they think rationally, adolescents are at the lowest risk for suicide.
    D. family conflict decreases as the adolescent gains control of his or her life.
    A. Antisocial behavior and peer pressure peak around 14 to  16 years of age
    (this multiple choice question has been scrambled)
  2. Shortly after loading your patient,  a 50 year old man withe  abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital.  He is conscious and alert and has no signs of mental incapacitation.  You are suspicious that the man has significant underlying condition and feel strongly that he should go the the hospital.  Which of the following statements regarding this situations is correct?

    A. A mentally competent adult can withdraw his or her consent to treat at any time.
    B. Any patient who refuses EMS treatment must legally sign a patient refusal form.
    C. Because of your suspicions, the best approach is to transport him to the hospital.
    D. Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment
    consent to treat at any time.
  3. While evaluating a patient with chest pain, your partner tells you that the patient's blood pressure is 140/90.  The lower number represents the pressure from the"

    A. Venticles contracting
    B. Ventricles relaxing
    C. Atria relaxing
    D. Atria contracting
    B. Ventricles relaxing
    (this multiple choice question has been scrambled)
  4. In addition to looking for severe bleeding, assessment of circulation in the conscious patient should include:

    A. palpating the carotid pulse to determine the approximate rate and checking capillary refill time
    B. taking blood pressure and determining if the patient is alert and oriented or confused
    C. applying a pulse oximeter probe to the finger to determine if peripheral perfusion is adequate
    D. checking radial pulse and noting the color, temperature, and condition of his or her skin
    D. checking radial pulse and noting the color, temperature, and condition of his or her skin
    (this multiple choice question has been scrambled)
  5. The pulse rate of a child from ages 6 to 12 years is approximately:

    A. 90 to 140
    B. 60 to 100
    C. 70 to 120
    D. 100 to 150
    C. 70 to 120
    (this multiple choice question has been scrambled)
  6. You responded to a movie theater for a 70 year old male who is confused.  His wife tells you he has type 2 diabetes but refuses to take his pills.  Your assessment reveals that the patient is diaphoretic, tachycardia, and tachypneic.  Initial management for this patient should include:

    A. applying a nonrebreathing mask at 15 L/min
    B. perform a rapid exam and obtaining vital signs
    C. administering one to two tubes of oral glucose
    D. assisting the patient with his diabetic medication
    A. applying a nonrebreathing mask at 15 L/min
    (this multiple choice question has been scrambled)
  7. In relation to the wrist, the elbow is:

    A. lateral
    B. distal
    C. medial
    D. proximal
    D. proximal
    (this multiple choice question has been scrambled)
  8. Pain that radiates to the right lower quadrant from the umbilical area, nausea, and vomiting, and anorexia are MOST indicative of:

    A. gastroenteritis
    B. cholecystitis
    C. pancreatitis
    D. appendicitis
    D. appendicitis
    (this multiple choice question has been scrambled)
  9. Which of the following statements regarding communication with a child is most correct?

    A. give the child minimal information to avoid scaring him or her
    B. most children are intrigued by strangers wearing uniforms
    C. unlike adults, children cannot see through lies or deceptions
    D. standing over a child often increases his or her level of anxiety
    D. standing over a child often increases his or her level of anxiety
    (this multiple choice question has been scrambled)
  10. what medication form does oral glucose come in?

    A. gel
    B. suspension
    C. liquid
    D. fine powder
    A. gel
    (this multiple choice question has been scrambled)
  11. which of the following conditions would MOST likely affect the entire brain?

    A. respiratory failure or cardiopulmonary arrest
    B. reduced blood supply to the left hemisphere
    C. blocked cerebral artery in the frontal lobe
    D. ruptured cerebral artery in the occipital lobe
    A. respiratory failure or cardiopulmonary arrest
    (this multiple choice question has been scrambled)
  12. pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:

    A. radiating pain
    B. referred pain
    C. visceral pain
    D. remote pain
    B. referred pain
    (this multiple choice question has been scrambled)
  13. what type of medical condition do standing orders and protocols describle?

    A. radio
    B. off-line
    C. online
    D. direct
    B. off-line
    (this multiple choice question has been scrambled)
  14. shortly after assisting a 65 year old female with her prescribed nitro, she begins complaining of dizziness and experiences a drop of 30mm Hg in her systolic blood pressure.  the patient remains conscious and her breathing is adequate.  you should:

    A. assist ventilations with a bag-mask device
    B. place her supine and elevate her legs
    C. transport her in a supine position
    D. wait 5 minutes and reassess her bp
    B. place her supine and elevate her legs
    (this multiple choice question has been scrambled)
  15. neurogenic shock occurs when:

    A. massive vasoconstriciton occurs distal to a spinal cord injury
    B. the spinal cord is severed and causes massive hemorrhaging
    C. there is too much blood to fill a smaller vascular container
    D. failure of nervous system causes widespread vasodilation
    D. failure of nervous system causes widespread vasodilation
    (this multiple choice question has been scrambled)
  16. a patient whose speech is slurred and difficult to understand is experiencing:

    A. paraplegia
    B. dysarthria
    C. dysphagia
    D. aphasia
    B. dysarthria
    (this multiple choice question has been scrambled)
  17. a 39 year old male sustained a stab wound to the groin during an altercation at a bar.  as you approach the patient you note that he is conscious is screaming in pain and is attempting to control the bleeding which is bright red and spurting from his groin area.  you should:

    A. elevate his legs and keep him warm
    B. administer 100% supplemental oxygen
    C. ensure that his airway is patent
    D. apply direct pressure to the wound
    D. apply direct pressure to the wound
    (this multiple choice question has been scrambled)
  18. common signs and symptoms of diabetic coma include all the following except:

    A. rapid thready pule
    B. acetone breath odor
    C. cool clamy skin
    D. warm dry skin
    C. cool clamy skin
    (this multiple choice question has been scrambled)
  19. injury to a hollow abdominal organ would most likely result in:

    A. profound shock due to severe internal bleeding
    B. leakage of contents into the abdominal cavity
    C. pain secondary to blood in the peritoneum
    D. impairment in the bloods clotting abilities
    B. leakage of contents into the abdominal cavity
    (this multiple choice question has been scrambled)
  20. dyspnea is most accurately defined as?

    A. a marked increase in the exhalation phase.
    B. shortness of breath or difficulty breathing
    C. labored breathing with reduced tidal volume
    D. a complete cessation of respiratory effort
    B. shortness of breath or difficulty breathing
    (this multiple choice question has been scrambled)
  21. which of the following would the emt most likely not perform on a responsive pt with a headache and no apparent life threatening conditions?

    A. systemic head to toe examination
    B. assessment of oxygen saturation
    C. noninvasive blood pressure monitoring
    D. focused secondary assessment
    A. systemic head to toe examination
    (this multiple choice question has been scrambled)
  22. if you are exposed to a patients blood or other bodily fluid your first action should be to:

    A. report incident to the infectin control officer
    B. vigorously clean the area with soap and water
    C. transfer care of your pt to another EMS provider
    D. abandon patient care and seek medical attention
    C. transfer care of your pt to another EMS provider
    (this multiple choice question has been scrambled)
  23. which of the following conditions is the diabetic pt at an increased risk of developing?

    A. hepatitis b
    B. alcoholism
    C. blindness
    D. depression
    C. blindness
    (this multiple choice question has been scrambled)
  24. while en route to the scene of a shooting the dispatcher advises u that the caller states the perpetrator has fled the scene.  you should:

    A. request law enforcement personnel if the scene is unsafe upon arrival
    B. confirm this information with law enforcement personnell at the scene
    C. ask the dispatcher if he or she knows the location of the perpetrator
    D. proceed to the scene as usual but exercise extreme caution upon arrival
    B. confirm this information with law enforcement personnell at the scene
    (this multiple choice question has been scrambled)
  25. the respiratory distress that accompanies emphysema is caused by:

    A. chronic stretching of the alveolar walls
    B. actue fluid accumulation in the aveoli
    C. repeated exposure to cigarette smoke
    D. massive constriction of the bronchioles
    A. chronic stretching of the alveolar walls
    (this multiple choice question has been scrambled)
  26. basic life support is defined as:

    A. noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest
    B. any form of emergency medical treatment that is performed by advanced EMT's, paramedics, physicians, and emergency nurses
    C. basic lifesaving treatment that is performed by bystanders while EMS providers are en route to the scene of an emergency
    D. invasive emergency medical interventions such as IV, manual defibrillation, and advanced airway management
    A. noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest
    (this multiple choice question has been scrambled)
  27. a patient should be placed in the recovery position when he or she:

    A. is semiconscious injured and breathing adequately
    B. has experience trauma but is breathing effectively
    C. is unconscious uninjured and breathing adequately
    D. has a pulse but is unconscious and breathing shallowly
    C. is unconscious uninjured and breathing adequately
    (this multiple choice question has been scrambled)
  28. you are dispatched to the reseidence of an asian family for a child with a high fever.  when you assess the child, you note that he has numerous red marks on his back.  the child's parents explain that these marks represent coining - a traditional aisan healing practice in which hot coins are rubbed on the back.  you should:

    A. acknowledge and respect this practice as a cultural belief, but advise the parents that it has no healing power
    B. advise the emergency department physciain that you feel as though the chid was intentionally abused by the parents
    C. advise the child's parents that this is a harmful practice and is considered a form of child abuse in the US
    D. document this on your patient care report and advise the emergency department staff of what the parents told you
    D. document this on your patient care report and advise the emergency department staff of what the parents told you
    (this multiple choice question has been scrambled)
  29. gastic distention will most likely occur:

    A. if you ventilate a pt too fast
    B. when you deliver minimal tidal volume
    C. in patients who are intubated
    D. when the airway is completely obstructed
    A. if you ventilate a pt too fast
    (this multiple choice question has been scrambled)
  30. you are dispatched to an apartment complex where a 21 year old female has apparently overdosed on several narcotic medications.  she is semiconscious and has slow shallow respirations.  you should:

    A. insert an oropharyngeal airway and perform oral suctioning
    B. apply oxygen via a nonrebreathing mask and transport at once
    C. insert a nasopharyngeal airway and begin assisted ventilations
    D. place her in the recovery position and monitor for vomiting
    C. insert a nasopharyngeal airway and begin assisted ventilations
    (this multiple choice question has been scrambled)
  31. the determination of whether a medical patient is a high priority or low priority transport is typically made:

    A. after primary assessment has been completed
    B. upon completion of detailed second assessment
    C. as soon as the pt voices his or her chief complaint
    D. once the pt baseline vital signs are known
    A. after primary assessment has been completed
    (this multiple choice question has been scrambled)
  32. whch of the following anatomic terms is synonymous with the word "dorsal"

    A. palmar
    B. anterior
    C. posterior
    D. medical
    C. posterior
    (this multiple choice question has been scrambled)
  33. when ausculating the lungs of a pt with respiratory distress, you hear adventitious sounds.  this means that the pt has:

    A. abnormal breathing sounds
    B. an absence of breath sounds
    C. normal breathing sounds
    D. diminished breathing sounds
    A. abnormal breathing sounds
    (this multiple choice question has been scrambled)
  34. you are dispatched to a residence where a middle aged man found unconscious in his front yard.  there are no witnesses who can tell you what happened.  you find him in a prone position; his eyes are closed and he is not moving.  your first action should be to:

    A. open his airway with a jaw-thrust meneuver
    B. log roll him as a unit to a supine position
    C. palpate for the presence of a carotid pulse
    D. assess the rate and quality of his breathing
    B. log roll him as a unit to a supine position
    (this multiple choice question has been scrambled)
  35. trendelenburg's position is most accuratley defined as:

    A. recumbent position with the head elevated at a 25 degree to 45 degree angle
    B. recumbent position with the head lower than the legs
    C. supine position with the legs elevated approx 6" to 12"
    D. supine position with legs elevated 6" to 12" higher than head
    D. supine position with legs elevated 6" to 12" higher than head
    (this multiple choice question has been scrambled)
  36. which of the following statements regarding HIV is correct

    A. HIV is far more contagious than hep b and is easily transmitted in the health care setting
    B. the risk of HIV infection is high, even if an infected person's blood comes in contact with your intact skin
    C. most pt's who are infected with HIV experience chronice symptoms that vary in duration and severity
    D. the risk of HIV infection is greatest when deposited on a mucous membrane or directly into the blood stream
    D. the risk of HIV infection is greatest when deposited on a mucous membrane or directly into the blood stream
    (this multiple choice question has been scrambled)
  37. the most significant risk factor for a hemorrhagic stroke is:

    A. heavy exertion
    B. hypertension
    C. diabetes mellitus
    D. severe stress
    B. hypertension
    (this multiple choice question has been scrambled)
  38. shock is the result of

    A. temporary dysfunction of a major organ
    B. widespread constriction of the blood vessels
    C. the body's maintenance of hemostasis
    D. hypoperfusion to the cells of the body
    D. hypoperfusion to the cells of the body
    (this multiple choice question has been scrambled)
  39. the simpest yet most effective method of preventing the spread of an infectious disease is to

    A. wash your hands in between pt contact
    B. undergo an annual physical exam
    C. undergo HIV testing at least twice a year
    D. ensure that your immunizations are up to date
    A. wash your hands in between pt contact
    (this multiple choice question has been scrambled)
  40. when you begin an oral report you should state the pt's age, sex, and:

    A. chief complaint
    B. any known allergies
    C. past medical history
    D. the emergency care given
    chief complaint
  41. in contrast to the assessment of a trauma pt assessment of a medical pt

    A. is focused on the nature of the illness the pt chief complaint and his or her symptoms
    B. requires a thorough head to toe exam that involves a detailed assessment of all body systems
    C. almost exclusively focuses on physcial signs that indicate the pt is experiencing a problem
    D. is not as complex for an EMT because most pt typically present with classic symptoms
    A. is focused on the nature of the illness the pt chief complaint and his or her symptoms
    (this multiple choice question has been scrambled)
  42. muscle control and body coordination are controlled by the:

    A. brain stem
    B. cerebellum
    C. cerebrum
    D. cerebral cortex
    B. cerebellum
    (this multiple choice question has been scrambled)
  43. which of the following is the most effective strategy for managing stress:

    A. frequently reflect on troublesome calls
    B. avoid friends and interests outside of EMT
    C. request overtime to increase income
    D. focus on delivering high quality patient care
    cus on delivering high quality patient care
  44. which of the following is an example of a primary prevention strategy:

    A. community awareness programs that emphasize the dangers of drinking and driving
    B. the construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
    C. protecting a pts spine from further injury after a fall from a significant height
    D. teaching a group of new parents how to perform one and two rescuer infant CPR
    community awareness programs that emphasize the dangers of drinking and driving
  45. dead space is the portion of the repiratory system that

    A. includes the alveoli and capillaries surrounding the alveoli
    B. must be filled with air before gas exchange can take place
    C. recieves oxygen but is unable to release carbon dioxide
    D. contains no aveoli and does not participate in gas exchange
    contains no aveoli and does not participate in gas exchange
  46. an adult at rest should have a respiratory rate that ranges between:

    A. 8 - 15
    B. 10 - 18
    C. 12 - 20
    D. 16 - 24
    12 - 20
  47. distributive shock occurs when

    A. an injury causes restriction of the heart muscle and impairs its pumping function
    B. severe bleeding causes tachycardia in order to distribute blood to the organs faster
    C. temporary but severe vasodilation causes a decrease in blood supply to the brain
    D. widespread dilation of the blood vessels causes blood to pool in the vascular beds
    widespread dilation of the blood vessels causes blood to pool in the vascular beds
  48. your best protection against legal liability when a competent pt refuses EMS care and transport is to

    A. advise medical control of the situation
    B. err on the side of caution and transport
    C. ensure that the family is aware of the risks
    D. thoroughly document the entire event
    thoroughly document the entire event
  49. which of the following is a late sign of hypoxia

    A. anxiety
    B. cyanosis
    C. tachycardia
    D. restlessness
    cyanosis
  50. while assisting a paramedic in the attempted resuscitation of a 55 year old male in cardiac arrest you should expect the paramedic to

    A. give the pt nitro to increase BP
    B. administer drugs via IV route to achieve the fastes effect
    C. give the pt activated charcoal to rule out a drug overdose
    D. withhold drug therapy until an intraosseous catheter is in place
    administer drugs via IV route to achieve the fastes effect

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