EMS Exam 3 questions

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EMS Exam 3 questions
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2014-04-07 10:27:13
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  1. The letters in SAMPLE will help an EMR to remember the steps of:

    A. conducting a physical examination.
    B. collecting a medical history.
    C. performing CPR.
    D. assessing an accident scene.
    B. collecting a medical history.
    (this multiple choice question has been scrambled)
  2. If a patient is seizing on a hard surface, the EMR can:

    A. control the patient's movements.
    B. keep the patient's airway open.
    C. assess vital signs.
    D. protect the patient from injury.
    D. protect the patient from injury.
    (this multiple choice question has been scrambled)
  3. Once a seizure has stopped, the first action is to:

    A. gather information of medical history.
    B. ensure an open airway.
    C. begin CPR.
    D. assess the level of consciousness.
    B. ensure an open airway.
    (this multiple choice question has been scrambled)
  4. You cannot stop a seizure once it has started. 

    TRUE 
    FALSE
    TRUE
  5. An angina attack:

    a. may cause fright and a sense of doom.
    b. may be treated with nitroglycerin.
    c. may cause pain in the arms, neck, or jaw.
    d. all of the above.
    d. all of the above.
  6. A sudden lessening or loss of consciousness, sensation, and voluntary movement caused by the rupture or obstruction of an artery in the brain:

    a. is called a stroke.
    b. may cause unequal pupil size, convulsions, and the inability to speak.
    c. is a situation that requires maintaining an open airway.
    d. all of the above.
    d. all of the above.
  7. A rapid, weak pulse; deep and rapid breathing; and a history of diabetes are signs and symptoms of:

    A. a diabetic coma.
    B. too little blood sugar in the body.
    C. taking insulin every day.
    d. all of the above.
    A. a diabetic coma.
    (this multiple choice question has been scrambled)
  8. Seizures can be caused by:

    a. trauma.
    b. stroke.
    c. high fevers.
    d. all of the above.
    d. all of the above.
  9. Signs and symptoms of congestive heart failure (CHF) include:

    a. shortness of breath.
    b. profuse sweating.
    c. swollen ankles.
    d. all of the above.
    d. all of the above.
  10. Cardiac arrest is defined as:

    A. absence of respirations.
    B. complete cessation of the heart function.
    C. an acute myocardial infarction.
    d. none of the above.
    B. complete cessation of the heart function.
    (this multiple choice question has been scrambled)
  11. Abdominal pain is usually not life threatening and is a low priority for transport. 

    TRUE 
    FALSE
    FALSE
  12. ___________ is a disease in which the airway becomes narrowed and inflamed, resulting in episodes of shortness of breath due to air being trapped in the small air sacs of the lungs. 

    A. Chronic obstructive pulmonary disease (COPD)`
    B. Dyspnea 
    C. Asthma 
    D. Bronchitis 
    C. Asthma
    (this multiple choice question has been scrambled)
  13. Name five different conditions that may cause an altered level of consciousness.
    • head injury
    • shock
    • decreased level of oxygen to the brain
    • stroke
    • slow heart rate
    • high fever
    • infection
    • Poisoning (including drugs and alcohol)
    • low level of blood glucose (diabetic emergencies)
    • insulin reaction 
    • psychiatric condition
  14. Seizures that produce shaking movements and involve the entire body are called:

    A.  generalized seizures.
    B.  absence seizures.
    C.  tonic-clonic seizures.
    D.  petit mal seizures.
    A.  generalized seizures.
    (this multiple choice question has been scrambled)
  15. Which of the following is not a treatment for a patient exhibiting seizures?

    A. Clear the area of harmful objects.
    B. Restrain the patient.
    C. Place the patient in the recovery position after the seizure is stopped.
    D. Start rescue breathing after the seizure ends if the patient does not start breathing.
    B. Restrain the patient.
    (this multiple choice question has been scrambled)
  16. Some seizures may be caused by stroke or diabetic emergencies.

    A.  True
    B.  False
    A.  True
  17. The EMR should suspect a heart condition if the patient complains of which of the following?

    A. pain or discomfort in the chest, neck, jaw, arm, or back
    B. difficulty in breathing
    C. nausea and vomiting
    D. all of the above
    D. all of the above
  18. Indications that a patient may be suffering from a heart attack include:

    A. chest pain or pressure
    B. dyspnea
    C. nausea
    D. all of the above
    D. all of the above
  19. Why is it important to place a patient with congestive heart failure in a sitting position?
    Having the legs hang down over the edge of a bed or chair helps drain some of the fluid back into the lower parts of the body and may improve breathing. This position helps relieve CHF symptoms until more highly trained EMS personnel arrive on scene.
  20. The proper treatment for the patient with breathing difficulties includes:

    A. ensuring an open airway and administering supplemental oxygen.
    B. placing the patient in a position of comfort, usually sitting up.
    C. loosening any tight clothing.
    D. all of the above.
    D. all of the above.
  21. Signs and symptoms of a stroke include all of the following except:

    A. confusion and dizziness.
    B. slow pulse.
    C. numbness or paralysis on one side of the body.
    D. unequal pupils.
    B. slow pulse.
    (this multiple choice question has been scrambled)
  22. If you are unsure whether a conscious diabetic patient is suffering from insulin shock or diabetic coma, you should:

    A. provide only water.
    B. withhold glucose until you are certain that this is a diabetic problem.
    C. continue questioning the patient until you get an answer.
    D. administer a sugary substance.
    D. administer a sugary substance.
    (this multiple choice question has been scrambled)
  23. If a poison enters the body through the mouth or nose and is absorbed by the mucous membranes lining the respiratory system, it is called:

    A. absorption.
    B. inhalation.
    C. injection.
    D. ingestion.
    B. inhalation.
    (this multiple choice question has been scrambled)
  24. Signs and symptoms of poisoning by ingestion may include:

    A. abdominal pain and diarrhea.
    B. unusual breath odors.
    C. discoloration or burning around the mouth.
    D. all of the above.
    D. all of the above.
  25. Syrup of ipecac:

    A. requires a prescription.
    B. will produce vomiting.
    C. can be administered safely for any type of poisoning.
    D. all of the above.
    B. will produce vomiting.
    (this multiple choice question has been scrambled)
  26. If several members of one household are found at home, all with headache, nausea, disorientation, or unconsciousness, you should:

    A. remove them all from the dwelling.
    B. administer oxygen if available.
    C. suspect carbon monoxide poisoning.
    D. all of the above.
    D. all of the above.
  27. Anaphylactic shock:

    A. may cause itching, hives, and swelling.
    B. may be caused by an allergic reaction to food or insect bites.
    C. may cause rapid, weak pulse and generalized weakness.
    D. all of the above.
    D. all of the above.
  28. Drugs that stimulate the nervous system:.

    A. include amphetamines and cocaine.
    B. are called uppers.
    C. cause restlessness, irritability, and talkativeness.
    D. all of the above.
    D. all of the above.
  29. A person who has been poisoned by absorption:

    A. may have been in contact with insecticides or industrial chemicals.
    B. may have skin irritation.
    C. may exhibit signs and symptoms such as nausea, vomiting, itching, burning, and shock.
    D. all of the above.
    D. all of the above.
  30. Poisons can enter the body by four methods: inhalation, absorption, injection, and:

    A. ingestion.
    B. intentional.
    C. accidental.
    D. none of the above.
    A. ingestion.
    (this multiple choice question has been scrambled)
  31. Animal bites and stings are a major cause of poisoning by injection. 

    TRUE
    FALSE
    TRUE
  32. Improperly vented heating appliances can cause what type of inhaled poisoning?

    A. chlorine gas
    B. ammonia
    C. carbon dioxide
    D. carbon monoxide
    D. carbon monoxide
    (this multiple choice question has been scrambled)
  33. Activated charcoal should not be given to a patient who has ingested:

    A. plants.
    B. acid.
    C. shellfish.
    D. medication.
    B. acid.
    (this multiple choice question has been scrambled)
  34. The only effective treatment for poisonous snake bites is the administration of antivenin in the hospital. 

    TRUE 
    FALSE
    TRUE
  35. What is the most commonly abused drug in the United States?

    A. alcohol 
    B. marijuana
    C. prescription pain medications
    D. cocaine
    A. alcohol
    (this multiple choice question has been scrambled)
  36. Poisons may enter the body through any
    of the following routes except:

    A. excretion.
    B. ingestion.
    C. injection.
    D. inhalation.
    A. excretion.
    (this multiple choice question has been scrambled)
  37. General treatment for a person who has ingested a poison includes all of the following except:

    A. calling the poison control center for instructions.
    B. trying to identify the poison.
    C. trying to get the patient to vomit.
    D. arranging for prompt transport to a hospital.
    C. trying to get the patient to vomit.
    (this multiple choice question has been scrambled)
  38. You respond to a residence for the report of an illness. When you arrive, you find three family members suffering from headache, nausea, and disorientation. The most likely cause of this illness is:

    A. flu.
    B. carbon monoxide poisoning.
    C. food poisoning.
    D. allergies.
    B. carbon monoxide poisoning.
    (this multiple choice question has been scrambled)
  39. The primary concern when responding to a victim of an inhaled poison is to:

    A. contact poison control.
    B. ensure that the patient has an open airway.
    C. determine the inhaled substance.
    D. remove the patient from the source of the gas.
    D. remove the patient from the source of the gas.
    (this multiple choice question has been scrambled)
  40. While cleaning out the crawl space below a house, a patient experiences blotchy skin, redness in the arm, weakness, and localized pain. It is possible that this patient:

    A. is having a diabetic reaction.
    B. was bitten by a poisonous spider.
    C. is having a stroke.
    D. is developing heatstroke.
    B. was bitten by a poisonous spider.
    (this multiple choice question has been scrambled)
  41. You suspect that your patient has been bitten by a snake. You should do all of the following except:

    A. clean the injection site with soap and water. 
    B. capture the live snake and bring it in the ambulance to the emergency department.
    C. have the patient lie down.
    D. arrange for prompt transport.
    B. capture the live snake and bring it in the ambulance to the emergency department.
    (this multiple choice question has been scrambled)
  42. The treatment for insect stings and bites includes:

    A. placing a tourniquet above the site of the
    sting or bite.
    B. placing ice packs at the site of the sting or bite.
    C. having the patient run around to increase the pulse rate and dilute the poison.
    D. attempting to suck the poison from the site of the sting or bite.
    B. placing ice packs at the site of the sting or bite.
  43. If a poisonous powder has contaminated a patient, how should he or she be treated?

    A. Brush off as much powder as possible, then irrigate with water.
    B. Immediately start irrigation with very cold
    water.
    C. Leave the powder in place and transport immediately.
    D. Irrigate with water for 20 minutes.
    A. Brush off as much powder as possible, then irrigate with water.
  44. Delirium tremens (DTs) is a syndrome patients may experience after withdrawal from which substance?

    A. cocaine
    B. PCP
    C. alcohol
    D. LSD
    C. alcohol
    (this multiple choice question has been scrambled)
  45. List the four steps to treat a patient
    suspected of a drug overdose.
    • Provide basic life support (clear the airway and perform mouth-to-mask breathing or CPR, as necessary).
    • Keep the patient from hurting self and others.
    • Provide reassurance and psychological support.
    • Arrange for prompt transport to a medical facility for treatment.
  46. A behavioral emergency: is

    a. a situation where a person behaves in an abnormal and unacceptable manner.
    b. may be caused by situational stress or physical trauma.
    c. calls for appropriate communication, especially body language. 
    d. all of the above.
    d. all of the above.
  47. A person experiencing a situational crisis may go through which emotional phases?

    A. psychosis
    B. denial and anger
    C. anaphylactic shock
    d. all of the above
    B. denial and anger
    (this multiple choice question has been scrambled)
  48. Emotional shock may:

    a. cause cool, clammy skin.
    b. cause vomiting and nausea.
    c. cause a rapid, weak pulse.
    d. all of the above.
    d. all of the above.
  49. Effective communication with a patient requires body language that exhibits interest and a caring attitude. 

    TRUE 
    FALSE
    TRUE
  50. In crisis intervention, the most important factor is that of time. 

    TRUE 
    FALSE
    FALSE
  51. A means of focusing the patient's attention on the immediate situation or crisis is called:

    A. empathy.
    B. restatement.
    C. redirection.
    d. all of the above.
    C. redirection.
    (this multiple choice question has been scrambled)
  52. An EMR who is faced with treating a violent patient should:

    a. place the patient in a corner.
    b.  get more help on the scene to deal with the patient.
    c. try to get the patient to stop talking.
    d. none of the above.
    d. none of the above.
  53. Factors to be considered before applying force to restrain a patient include:

    a. the type of abnormal behavior exhibited.
    b. the method of restraint.
    c. the size, strength, and sex of the patient..
    d. all of the above.
    d. all of the above.
  54. The sex of the disturbed patient and of the EMR need to be considered when attempting to restrain a disturbed patient. 

    TRUE 
    FALSE
    TRUE
  55. Management of a suicide crisis includes:

    a. treatment of injuries, if necessary.
    b. support of the patient's ABCs, as needed.
    c. emotional support for the patient and family.
    d. all of the above.
    d. all of the above.
  56. If you suspect a patient may become violent, you should try to keep the patient talking. 

    TRUE
    FALSE
    TRUE
  57. When caring for a victim of sexual assault, you should:

    a. treat injuries.
    b. convince the patient not to bathe or use the toilet.
    c. have an EMR who is the same sex as the patient administer treatment.
    d. all of the above.
    d. all of the above.
  58. The main objective of a critical incident stress debriefing (CISD) is to:

    A. critique the actions of the EMR.
    B. provide training for future incidents.
    C. help rescuers understand the signs and symptoms of stress and receive recommendations.
    d. all of the above.
    C. help rescuers understand the signs and symptoms of stress and receive recommendations.
    (this multiple choice question has been scrambled)
  59. What is the proper patient assessment for a patient with a behavioral emergency?

    A. __________________________________

    B. __________________________________

    C. __________________________________

    D. __________________________________

    E. __________________________________
    • A. Perform a scene size-up.
    • B. Perform a primary assessment.
    • C. Obtain the patient’s medical history (SAMPLE).
    • D. Perform a secondary assessment.
    • E. Provide ongoing reassessment.
  60. Which of the following is not a phase of a
    situational crisis?

    A. relief
    B. denial
    C. anger
    D. remorse and grief
    A. relief
    (this multiple choice question has been scrambled)
  61. When caring for a patient with a behavioral emergency, how should you position your body?

    A. looking away from the patient so he or she cannot see your facial expressions
    B. standing over the patient to convey dominance
    C. below the patient so the patient feels as though he or she is in charge
    D. at eye level with the patient to convey empathy
    D. at eye level with the patient to convey empathy
    (this multiple choice question has been scrambled)
  62. When you are treating a patient who is screaming with pain from a self-inflicted wound, the best thing to say to him is “I know how you feel.”

    A.  True
    B.  False
    B.  False
  63. Empathy is important to EMRs because:

    A. it can be used to decide to which hospital to transport a patient.
    B.  it allows us to separate our own feelings from the patient’s.
    C.  it allows us to decide whether a patient is being truthful.
    D. it allows us to relate to the patient’s situation, thoughts, and feelings.
    D. it allows us to relate to the patient’s situation, thoughts, and feelings.
    (this multiple choice question has been scrambled)
  64. If a patient is agitated, disruptive, or violent, you should:

    A. be aggressive so the patient will know you are in charge.
    B. ask the family or bystanders for help.
    C. wait for adequate assistance.
    D. approach the patient slowly.
    C. wait for adequate assistance.
    (this multiple choice question has been scrambled)
  65. Which of the following is not included in the treatment for attempted suicide patients?

    A. Show emotional support.
    B. Ask the patient to explain why he or she made the decision to commit suicide.
    C. Treat the patient for spinal cord injuries if indicated.
    D. Determine whether the patient still has a weapon.
    B. Ask the patient to explain why he or she made the decision to commit suicide.
    (this multiple choice question has been scrambled)
  66. Which of the following steps should be taken when caring for a victim of sexual assault?

    A. Have the patient bathe to feel better and relieve stress.
    B. Aggressively question the patient about the incident in case you get called to court.
    C. Exhibit empathy and maintain the patient’s privacy.
    D. Remove the patient’s clothing to rid him or her of reminders of the incident.
    C. Exhibit empathy and maintain the patient’s privacy.
    (this multiple choice question has been scrambled)
  67. How can you best support a family member of a patient who has died?

    A. Tell the family member not to cry—it will only make things worse.
    B. Tell the family member everything will be okay. 
    C. Use touch, such as hand holding or putting an arm around the person’s shoulder.
    D. Explain that the patient is in a better place now.
    C. Use touch, such as hand holding or putting an arm around the person’s shoulder.
    (this multiple choice question has been scrambled)
  68. List four of the signs and symptoms of extreme stress.
    • Depression
    • inability to sleep
    • weight changes
    • increased alcohol consumption or drug abuse inability to get along with family and coworkers
    • lack of interest in food or sex
  69. A person experiencing _______ sweats profusely and becomes light-headed, dizzy, and nauseated.

    A. heat cramps
    B. heatstroke
    C. heat exhaustion
    D. sunstroke
    C. heat exhaustion
    (this multiple choice question has been scrambled)
  70. ________ occurs when the normal mechanisms for getting rid of heat, such as sweating, are overwhelmed.

    A. Sunstroke
    B. Heat cramps
    C. Heatstroke
    D. Heat exhaustion
    C. Heatstroke
    (this multiple choice question has been scrambled)
  71. ________ is/are involuntary spasms of muscles.

    A. Heat exhaustion
    B. Heat cramps
    C. Sunstroke
    D. Heatstroke
    B. Heat cramps
    (this multiple choice question has been scrambled)
  72. Heatstroke is a life-threatening condition. 

    TRUE 
    FALSE
    TRUE
  73. A frostbitten area should be rewarmed by:

    A. using heat packs.
    B. rubbing with snow.
    C. placing it next to a warm body part.
    D. rubbing vigorously.
    C. placing it next to a warm body part.
    (this multiple choice question has been scrambled)
  74. Infants, children, and elderly persons are more susceptible to heat and cold injuries. 

    TRUE 
    FALSE
    TRUE
  75. You should always begin CPR and use an AED on a hypotensive patient you believe to be dead. 

    TRUE 
    FALSE
    TRUE
  76. Which of the following conditions should the EMR be alert for in victims of a lightning strike?

    a. cardiac irregularities
    b. cardiac arrest
    c. burns
    d. all of the above
    d. all of the above
  77. It is not necessary or helpful to obtain a SAMPLE history on a victim of an environmental emergency. 

    TRUE 
    FALSE
    FALSE
  78. Which of the following statements is false regarding drownings?

    A. Drowning can occur in as little as 6'' of liquid.
    B. Drowning is the second leading cause of injury and death among children aged 1 to 14 years.
    C. CPR should never be started on victims who have been submerged in cold water for longer than 10 minutes.
    D.  Alcohol consumption is a contributing factor in many cases of drowning.
    C. CPR should never be started on victims who have been submerged in cold water for longer than 10 minutes.
    (this multiple choice question has been scrambled)
  79. Which condition results from the body’s normal cooling mechanisms becoming overwhelmed?

    A.  heat exhaustion
    B.  heat cramps
    C.  frostbite
    D.  heatstroke
    D.  heatstroke
    (this multiple choice question has been scrambled)
  80. Which of the following is not usually a sign of heatstroke?

    A. sweating
    B. hot and red skin
    C. dry skin
    D. high body temperature
    A. sweating
    (this multiple choice question has been scrambled)
  81. What is the first step in treating a patient with heatstroke?
    Move the patient out of the hot environment.
  82. Your patient has been outside for an extended period and now has deep frostbite on her fingers. You should expect her skin to be:

    A.  white and waxy.
    B.  frozen.
    C.  swollen.
    D.  all of the above.
    D.  all of the above.
  83. Which mechanism is used to generate body heat during hypothermia?
    Shivering
  84. At what core body temperature does the hypothermic patient lose consciousness?
    90°F (32°C)
  85. The treatment of the hypothermic patient who is alert and responsive includes all of the following except:

    A. removal of all of the patient’s wet clothing.
    B. providing care for shock and providing oxygen.
    C. giving the patient plenty of cool liquids to drink.
    D. actively rewarming the patient during transport.
    C. giving the patient plenty of cool liquids to drink.
    (this multiple choice question has been scrambled)
  86. If transport is delayed while you are treating a hypothermic patient in a cold environment with no warm environment nearby, what can you do
    to keep the patient warm?
    • Use your own body heat to warm the patient.
    • Wrap blankets around yourself and the patient or get into a sleeping bag with the patient to use your body heat to start the warming process.
  87. Each year in the United States, more than 3,000 people die from:

    A.  lightning injuries.
    B.  drowning.
    C.  heat exhaustion.
    D.  hypothermia.
    B.  drowning.
    (this multiple choice question has been scrambled)
  88. What is the initial stage in the drowning process?
    Panic as the person realizes that something is wrong

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