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Distension of the abdomen is gauged by:
A. visualization
B. auscultaion
C. palpation
D. the patients complaint of pain around the umbilicus.
A. visualization
B. auscultaion
C. palpation
D. the patients complaint of pain around the umbilicus.
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Question
The kidneys help to regulate blood pressure by:
A. retaining key electrolytes, such as potassium.
B. eliminating toxic waste products from the body.
C. removing sodium, and thus water, from the body.
D. accommodating a large amount of blood volume.
A. retaining key electrolytes, such as potassium.
B. eliminating toxic waste products from the body.
C. removing sodium, and thus water, from the body.
D. accommodating a large amount of blood volume.
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Quiz 4
| Question | Answer |
|---|---|
| Distension of the abdomen is gauged by: A. visualization B. auscultaion C. palpation D. the patients complaint of pain around the umbilicus. | A. visualization |
| The kidneys help to regulate blood pressure by: A. retaining key electrolytes, such as potassium. B. eliminating toxic waste products from the body. C. removing sodium, and thus water, from the body. D. accommodating a large amount of blood volume. | C. removing sodium, and thus water, from the body. |
| A patient who presents with vomiting, sign of shock, and history of eating disorder and alcohol abuse is likely to be suffering from: A. diverticulitis B. Mallory-Weiss Syndrome C. appendicitis D. cholecytitis | B. Mallory-Weiss Syndrome |
| You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should: | A. leave him in a sitting position, keep him warm, and prepare for immediate transport. |
| 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: A. transport him in a supine position. B. be alert for signs and symptoms of shock. C. assess his blood pressure to determine perfusion adequacy. D. determine the exact location and cause of his pain. | B. be alert for signs and symptoms of shock. |
| Elderly patients with abdominal problems may not exhibit the same pain response as younger patients because of: A. chronic dementia, which inhibits communication. B. interactions of the numerous medications they take. C. progressive deterioration of abdominal organ function. D. age-related deterioration of their sensory systems. | . age-related deterioration of their sensory systems. |
| Which of the following is NOT a common disease that produces signs of an acute abdomen? A. Diverticulitis B. Cholecystitis C. Acute appendicitis D. Glomerulonephritis | D. Glomerulonephritis |
| You have been dispatched to the home of a 52-year-old woman with severe flank pain. In addition to the patient's presentation, which of the following would NOT be an additional expected sign or symptom? A. Diarrhea B. Hematuria C. Nausea D. Vomiting | A. Diarrhea |
| Functions of the liver include: A. storage of bile, which is produced in the gallbladder. B. production of substances necessary for blood clotting. C. production of hormones that regulate blood sugar levels. D. release of amylase, which breaks down starches into sugar. | B. production of substances necessary for blood clotting. |
| The _______ are found in the retroperitoneal space. A. stomach and gallbladder B. kidneys, ovaries, and pancreas C. liver and pancreas D. adrenal glands and uterus | B. kidneys, ovaries, and pancreas |
| ______ can be caused by an obstructing gallstone, alcohol abuse, and other diseases A. Appendicitis B. Peptic ulcer C. Pancreatitis D. Diverticulitis | C. Pancreatitis |
| If a patient misses a dialysis treatment, weakness and _____ can be the first in a series of conditions that can become progressively more serious. A. diarrhea B. chest pain C. vomiting D. pulmonary edema | |
| When assessing a patient with abdominal pain, you should: | C. visually assess the painful area of the abdomen, but avoid palpation because this could worsen his or her condition. |
| Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and anorexia are MOST indicative of: A. pancreatitis. B. appendicitis. C. cholecystitis. D. gastroenteritis. | B. appendicitis. |
| _______ occur(s) when there is excess pressure within the portal system and surround vessel; may lead to life-threatening bleeding. A. esophageal rupture B. esophageal varices C. esophageal ulcers D. esophageal reflux | B. esophageal varices |
| _________ commonly produces symptoms about 30 minutes after a particular fatty meal and usually at night. A. Peptic ulcers B. Cholecystitis C. Appendicitis D. Pancreatits | B. Cholecystitis |
| Pain that is localized to the lower back and/or lower abdominal quadrants is MOST suggestive of: A. acute pancreatitis. B. an aortic aneurysm. C. a kidney infection. D. acute appendicitis. | B. an aortic aneurysm. |
| Which of the following organs is part of the lymphatic system and plays a role in regulation of red blood cells and the immune system? A. bladder B. liver C. spleen D. pancreas | C. spleen |
| Pain that initially starts in the umbilical area and then later moves to the lower right quadrant is typically associated with: A. gastroenteritis B. pancreaitis C. appendicitis D. diverticulitis | C. appendicitis |
| A 35-year-old mildly obese woman is complaining of localized pain in the right upper quadrant with referred pain to the right shoulder. The MOST likely cause of her pain is: A. acute cystitis. B. acute cholecystitis. C. appendicitis. D. pancreatitis. | B. acute cholecystitis. |
| Severe back pain may be associated with which of the following conditions? A. Abdominal aortic aneurysm B. PID C. Appendicitis D. Mittelschmerz | A. Abdominal aortic aneurysm |
| The MOST common and significant complication associated with an acute abdomen is: A. peritonitis. B. high fever. C. severe pain. D. internal bleeding. | A. peritonitis. |
| Regulation of acidity and blood pressure is largely attributed to the: A. liver B. kidneys C. gallbladder D. pancreas | B. kidneys |
| 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: A. vigorously palpate the abdomen to establish pain severity. B. administer oxygen and prepare for immediate transport. C. place the patient in a sitting position and transport at once. D. request a paramedic unit to give the patient pain medication. | A. vigorously palpate the abdomen to establish pain severity. |
| Signs and symptoms of a sympathomimetic drug overdose include: A. sedation. B. tachycardia. C. hypotension. D. slurred speech. | B. tachycardia. |
| The EMT's primary responsibility to the patient who has been poisoned is to: A. administer the appropriate antidote. B. recognize that a poisoning occurred. C. administer 25 g of activated charcoal. D. contact poison control immediately. | B. recognize that a poisoning occurred. |
| The usual dose for activated charcoal is up to ______ for a pediatric patient and up to ______ for an adult patient. A. 5 g, 10 g B. 10 g, 20 g C. 12.5 g, 25 g D. 25 g, 50 g | D. 25 g, 50 g |
| A patient who presents with rapid breathing, nausea and vomiting, ringing in the ears, and a high fever should be suspected of ingesting a significant quantity of: A. cocaine. B. aspirin. C. Tylenol. D. ibuprofen. | B. aspirin. |
| Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience? A. pupillary constriction B. excessive lacrimation C. a fall in blood pressure D. dry mucous membranes | D. dry mucous membranes |
| Assessment of a patient with hypoglycemia will MOST likely reveal: A. sunken eyes. B. hyperactivity. C. warm, dry skin. D. combativeness. | D. combativeness. |
| Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include: A. the bee venom itself. B. adrenaline and histamines. C. leukocytes and epinephrine. D. histamines and leukotrienes. | D. histamines and leukotrienes. |
| Common signs and symptoms of an allergic reaction include all of the following, EXCEPT: A. abdominal cramps. B. drying of the eyes. C. flushing of the skin. D. persistent dry cough. | B. drying of the eyes. |
| In contrast to Lyme disease, Rocky Mountain spotted fever: Select one: A. may be confused with rheumatoid arthritis. B. can cause paralysis and cardiorespiratory collapse. C. presents with flu-like symptoms and a bull's-eye rash. D. causes painful joint swelling after a few days or weeks. | B. can cause paralysis and cardiorespiratory collapse. |
| gns and symptoms of heat exhaustion and associated hypovolemia include all of the following, EXCEPT: Select one: A. cold, clammy skin with ashen pallor. B. dizziness, weakness, or faintness. C. normal vital signs. D. normal thirst. | D. normal thirst. |
| ommon signs and symptoms of heat exhaustion include all of the following, EXCEPT: Select one: A. nausea. B. headache. C. tachycardia. D. hot, dry skin. | D. hot, dry skin. |
| The MOST prominent symptom of decompression sickness is: Select one: A. tightness in the chest. B. difficulty with vision. C. dizziness and nausea. D. abdominal or joint pain. | D. abdominal or joint pain. |
| Which of the following is an early sign of pit viper envenomation? Select one: A. Local swelling and ecchymosis B. General weakness and diaphoresis C. Syncope and bleeding at distal sites D. Signs and symptoms of hypoperfusion | . Local swelling and ecchymosis |
| Which of the following is NOT a common factor that would affect a 75-year-old patient's vital signs? Select one: A. Medical conditions B. Overall health C. Medications D. Increased weight | D. Increased weight |
| hich of the following are noticeable characteristics of a 9-month-old infant? Select one: A. Places objects in the mouth, pulls himself or herself up B. Walks without help, becomes frustrated with restrictions C. Responds to his or her name, crawls around efficiently D. Knows his or her name, can walk without any assistance | A. Places objects in the mouth, pulls himself or herself up |
| A normal systolic blood pressure for a 30-year-old is between: Select one: A. 70 and 140 mm Hg. B. 80 and 120 mm Hg. C. 60 and 120 mm Hg. D. 90 and 140 mm Hg. | D. 90 and 140 mm Hg. |
| Which of the following describes the Moro reflex? Select one: A. The neonate opens his or her arms wide, spreads his or her fingers, and seems to grasp at something after being startled. | A. The neonate opens his or her arms wide, spreads his or her fingers, and seems to grasp at something after being startled. |
| Down syndrome patients are at an increased risk for medical complications. Which of the following is NOT one of those potential complications? Select one: A. Respiratory complications | A. Respiratory complications |
| ccording to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube? Select one: A. Look for blood or other secretions in the tube. B. Attempt to pass a suction catheter into the tube. C. Check the mechanical ventilator for malfunction. D. Listen to breath sounds to assess for a pneumothorax. | C. Check the mechanical ventilator for malfunction. |
| A ventricular atrium shunt drains excess fluid from the ventricles of the brain into the: Select one: A. right atrium of the heart. B. left atrium of the heart. C. right ventricle of the heart. D. left ventricle of the heart. | A. right atrium of the heart. |
| 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: Select one: B. remove his hearing aids, turn up the volume, and replace them in his ears. C. try repositioning the hearing aid or remove it and turn down the volume. | C. try repositioning the hearing aid or remove it and turn down the volume. |
| Signs and symptoms of preeclampsia include: Select one: A. headache and edema. B. dyspnea and bradycardia. C. dysuria and constipation. D. marked hypoglycemia. | A. headache and edema. |
| Which of the following occurs during true labor? Select one: A. Uterine contractions last about 10 seconds. B. Uterine contractions become more regular. C. The uterus becomes very soft and movable. D. Uterine contractions decrease in intensity. | |
| Braxton-Hicks contractions are characterized by: Select one: A. pink or red bloody show in conjunction with the contractions. B. alleviation of pain with movement or changing positions. C. a rupture of the amniotic sac just before the contractions begin. D. regular contractions of progressively increasing intensity. | |
| During the attempted resuscitation of an infant with suspected SIDS: Select one: A. give detailed updates to the infant's parents. B. allow the family to observe if they wish. C. a law enforcement officer must be present. D. discourage the family from observing. | |
| The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the posterior fontanelle is typically closed by _____ months of age. Select one: A. 18, 6 B. 12, 4 C. 6, 12 D. 2, 4 | |
| The ONLY indications for placing your gloved fingers in the vagina during delivery are: Select one: A. nuchal cord and presentation of an arm or leg. B. vertex presentation and delivery of the placenta. C. breech presentation and prolapsed umbilical cord. D. limb presentation and severe vaginal hemorrhage. | |
| Early signs of respiratory distress in the child include: Select one: A. restlessness. B. bradycardia. C. decreased LOC. D. cyanosis. | A. restlessness. |
| When immobilizing an injured child in a pediatric immobilization device, you should: Select one: A. secure the torso before the head. B. pad underneath the child's head. C. slide the device under the child. D. secure the head before the torso. | Select one: A. secure the torso before the head. |
| Immediate transport is indicated for a child when he or she: Select one: A. has a possible closed fracture of the radius. B. has a history compatible with a serious illness. C. is experiencing mild to moderate pain. D. is breathing rapidly. | B. has a history compatible with a serious illness. |
| In contrast to abruptio placenta, placenta previa: Select one: A. may not present with heavy vaginal bleeding. B. may present without significant abdominal pain. C. is caused by hypertension or abdominal trauma. D. is typically associated with severe abdominal pain. | A. may not present with heavy vaginal bleeding. |
| You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His Apgar score is: Select one: A. 8 B. 6 C. 9 D. 7 | A. 8 |
| Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: Select one: A. a cough that resembles the bark of a seal. B. a weak cough. C. stridorous breathing. D. wheezing. | D. wheezing. |
| The umbilical cord: Select one: A. carries oxygen to the baby via the umbilical vein. B. separates from the placenta shortly after birth. C. carries blood away from the baby via the artery. D. contains two veins and one large umbilical artery. | A. carries oxygen to the baby via the umbilical vein. |
| Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: Select one: A. experiencing cardiopulmonary arrest. B. immobilized on a long backboard. C. complaining of severe back pain. D. older than 8 to 10 years of age. | D. older than 8 to 10 years of age. |
| When inserting an oropharyngeal airway in an infant or child, you should: Select one: A. ensure that his or her neck is hyperextended. B. place padding under the child's head. C. insert it until the flange rests on the teeth. D. depress the tongue with a tongue depressor. | D. depress the tongue with a tongue depressor. |
| Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: Select one: A. retractions. B. cyanosis. C. abnormal airway noise. D. tachypnea. | B. cyanosis. |
| Which of the following is MORE common in children than in adults following a head injury? Select one: A. Loss of consciousness B. Seizures and hypoxia C. Nausea and vomiting D. Spinal cord injury | C. Nausea and vomiting |
| In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Select one: A. a sudden ventricular arrhythmia. B. severe hypoxia and bradycardia. C. irritability of the left ventricle. D. acute hypoxia and tachycardia. | B. severe hypoxia and bradycardia. |
| While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should: Select one: A. carefully push the cord back into the vagina. B. gently pull on the cord to facilitate delivery. C. push the infant's head away from the cord. D. cover the umbilical cord with a dry dressing. | C. push the infant's head away from the cord. |
| most children, febrile seizures are characterized by: Select one: A. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. B. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. D. unresponsiveness, complete body relaxation, a fever greater than 105°F, and a short postictal phase. | C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. |
| Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct? Select one: A. Suctioning is indicated prior to cutting the cord if respiratory distress is present. B. If the head delivers facedown, the mouth and nose should be suctioned at once. C. Suctioning should be performed on all newborns immediately following delivery. D. Newborns rapidly expel fluid from their lungs and do not require suctioning. | A. Suctioning is indicated prior to cutting the cord if respiratory distress is present. |
| Following delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops. This occurred because: Select one: A. uterine massage increases blood flow to the uterus. B. a portion of the placenta was retained in the uterus. C. breastfeeding causes uterine blood vessels to dilate. D. these actions simulate the production of oxytocin and cause uterine contraction. | D. these actions simulate the production of oxytocin and cause uterine contraction. |
| A 2-year-old child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. You should: Select one: A. perform abdominal thrusts. B. give oxygen and transport at once. C. visualize the child's airway. D. perform a blind finger sweep. | A. perform abdominal thrusts. |
| The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the posterior fontanelle is typically closed by _____ months of age. Select one: A. 18, 6 B. 12, 4 C. 6, 12 D. 2, 4 | A. 18, 6 |
| Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Select one: A. his or her tidal volume is adequate. B. an oral airway has been inserted. C. he or she is breathing inadequately. D. his or her respirations are shallow. | A. his or her tidal volume is adequate. B |
| During the attempted resuscitation of an infant with suspected SIDS: Select one: A. give detailed updates to the infant's parents. B. allow the family to observe if they wish. C. a law enforcement officer must be present. D. discourage the family from observing. | B. allow the family to observe if they wish. |
| When ventilating a pediatric patient with a bag-valve mask, the EMT should: Select one: A. block the pop-off valve if needed to achieve adequate chest rise. B. squeeze the bag 40 times/min when ventilating an infant. C. ventilate the child with sharp, quick breaths at the appropriate rate. D. use a neonatal device for children younger than 12 months. | A. block the pop-off valve if needed to achieve adequate chest rise. |
| Braxton-Hicks contractions are characterized by: Select one: A. pink or red bloody show in conjunction with the contractions. B. alleviation of pain with movement or changing positions. C. a rupture of the amniotic sac just before the contractions begin. D. regular contractions of progressively increasing intensity. | B. alleviation of pain with movement or changing positions. |
| The EMT should be MOST concerned when a child presents with fever and: Select one: A. a headache. B. chills. C. ear pain. D. a rash. | D. a rash. |
| If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Select one: A. 70 B. 60 C. 40 D. 50 | C. 40 |
| Before positioning an infant or child's airway, you should: Select one: A. rule out an injury to the spinal cord. B. thoroughly suction his or her airway. C. put padding behind his or her head. D. place him or her on a firm surface. | D. place him or her on a firm surface. |
| Which of the following groups of people is associated with the lowest risk of meningitis? Select one: A. Females B. Children with HIV/AIDS C. Newborns D. Children with shunts | A. Females |
| Which of the following is NOT a known risk factor of SIDS? Select one: A. Mother smoked during pregnancy B. Mother younger than 20 years C. Low birth weight D. Putting a baby to sleep on his or her back | D. Putting a baby to sleep on his or her back |
| If a newborn's heart rate is less than 60 beats/min following delivery, you should: Select one: A. resuction the mouth only. B. flick the soles of his or her feet. C. begin chest compressions. D. provide ventilations for 30 seconds. | D. provide ventilations for 30 seconds. |
| Most medical models base a pregnant woman's due date: Select one: A. two weeks after her last menstrual cycle. B. two weeks before her last menstrual cycle. C. on the first day of her last menstrual cycle. D. on the last day of her last menstrual cycle. | C. on the first day of her last menstrual cycle. |
| Which of the following assessment findings should concern the EMT the MOST when assessing a child who experienced a seizure? Select one: A. Neck stiffness B. Tachycardia C. High fever D. Short postictal phase | A. Neck stiffness |
| Which of the following an appropriate dose of activated charcoal for a 20-kg child? Select one: A. 12.5 g B. 50 g C. 25 g D. 20 g | D. 20 g |
| Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: Select one: A. 10 years. B. 8 years. C. 6 years. D. 4 years. | C. 6 years. |
| u are dispatched to a local elementary school for an injured child. As you approach the child, you note that he is lying at the base of the monkey bars. He is unresponsive and there are no signs of breathing. You should: Select one: A. begin immediate rescue breathing. B. perform a head tilt-chin lift maneuver. C. stabilize his head and check for a pulse. D. open his airway and look in his mouth. | C. stabilize his head and check for a pulse. |
| Which of the following statements regarding twins is correct? Select one: A. Twins are typically larger than single infants. B. Most twins are born within 45 minutes of each other. C. Fraternal twins have two cords coming from one placenta. D. Identical twins are typically of different gender. | B. Most twins are born within 45 minutes of each other. |
| Death caused by shaken baby syndrome is usually the result of: Select one: A. multiple open fractures. B. intra-abdominal hemorrhage. C. bleeding in the brain. D. fracture of the cervical spine. | C. bleeding in the brain. |
| An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: Select one: A. wheezing. B. grunting. C. retracting the intercostal muscles. D. assuming a tripod position. | B. grunting. |
| After determining that an infant or child has strong central pulses, you should: Select one: A. assume the child is hypertensive. B. not rule out compensated shock. C. assess his or her respiratory effort. D. conclude that the child is stable. | B. not rule out compensated shock. |
| The physical examination of a sexual assault victim should be: Select one: A. limited to a brief survey for life-threatening injuries. B. performed in the presence of at least two police officers. C. as detailed as possible so all injuries can be documented. D. deferred until the patient can be evaluated by a physician | A. limited to a brief survey for life-threatening injuries. |
| tient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Select one: A. Pelvic inflammatory disease B. Chlamydia C. Bacterial vaginosis D. Gonorrhea | A. Pelvic inflammatory disease |
| The EMT should ensure that vaginal bleeding is _________. Select one: A. severe enough to warrant transport B. controlled directly by the patient C. taken seriously and the patient is transported for gynecologic evaluation D. not caused by traumatic injury | C. taken seriously and the patient is transported for gynecologic evaluation |
| A patient with pelvic inflammatory disease will typically complain of _________. Select one: A. abdominal pain associated with menstruation B. nausea and vomiting associated with intercourse C. aches and fever associated with urination D. bleeding associated with stress | A. abdominal pain associated with menstruation |
| When caring for a female patient who has been sexually assaulted, you should: Select one: A. ask the patient for a concise, detailed report of what happened to her. B. allow law enforcement to take her statement before you begin treatment. C. advise her that she will not be allowed to shower or change her clothes. D. place any bloodstained clothing or other articles in separate paper bags. | D. place any bloodstained clothing or other articles in separate paper bags. |
| Which of the following infections, when left untreated, may lead to infection of the blood and brain? Select one: A. Pelvic inflammatory disease B. Chlamydia C. Bacterial vaginosis D. Gonorrhea | D. Gonorrhea |
| An abdominal aortic aneurysm: Select one: A. is usually not repairable, even if discovered early. B. causes dull pain that often radiates to the shoulders. C. is often the result of hypertension and atherosclerosis. D. can sometimes be palpated as a mass in the groin area. | C. is often the result of hypertension and atherosclerosis. |
| You are assessing a 70-year-old female who complains of intense thirst, frequent urination, and dizziness. She has a history of type 2 diabetes, heart disease, rheumatoid arthritis, and gout. Her blood glucose reads "high." She is conscious, but confused. Her blood pressure is 92/52 mm Hg, her pulse rate is 130 beats/min and weak, and her respirations are 22 breaths/min and shallow. This patient's clinical presentation is MOST consistent with: Select one: | C. hyperosmolar hyperglycemic nonketotic syndrome. |
| An 84-year-old male fell a week ago and has been bedridden since then. Today, he presents with an altered mental status. His skin is pale and cold and his respirations are rapid and shallow. The EMT should suspect: Select one: A. acute hyperglycemia. B. hypovolemic shock. C. a subdural hematoma. D. a systemic infection. | D. a systemic infection. |
| The EMT should suspect left-sided heart failure in the geriatric patient who presents with: Select one: A. fever and a cough that produces green sputum. B. tachypnea and paroxysmal nocturnal dyspnea. C. jugular venous distention and peripheral edema. D. swelling of the lower extremities and weakness. | B. tachypnea and paroxysmal nocturnal dyspnea. |
| 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: Select one: A. allow the mother to drive her daughter to the hospital. B. cool the child with tepid water and transport to the hospital. C. place the child in | B. cool the child with tepid water and transport to the hospital. |
| Which of the following findings is LEAST suggestive of child abuse? Select one: A. Evidence of alcohol consumption or drug use at the scene B. Burns to the hands or feet that involve a glove distribution C. Consistency in the method of injury reported by the caregiver D. An unexplained delay in seeking medical care after the injury | C. Consistency in the method of injury reported by the caregiver |
| When a child is struck by a car, the area of greatest injury depends MOSTLY on the: Select one: A. speed at which the car was traveling when impact occurred. B. size of the child and the height of the bumper upon impact. C. age of the child and the size of the car that struck him or her. D. height of the child and the speed at which the car was traveling. | B. size of the child and the height of the bumper upon impact. |
| Pale skin in a child indicates that the: Select one: A. child is in severe decompensated shock. B. oxygen content in the blood is decreased. C. blood vessels near the skin are constricted. D. child's core body temperature is elevated. Next | C. blood vessels near the skin are constricted. |
| Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Select one: A. extreme restlessness. B. drooling or congestion. C. skin that is cool and dry. D. acute respiratory distress. | B. drooling or congestion. |
| When you are performing a scene assessment at an incident involving SIDS, you should focus your attention on all of the following, EXCEPT: Select one: A. signs of illness, including medication, humidifiers, and thermometers. B. the general condition of the house. C. the site where the infant was discovered. D. the temperature of the room. | D. the temperature of the room. |
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