Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
EMT-D midterm
yes
| Question | Answer |
|---|---|
| A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He has possibly sustained a fracture of the ____________ forearm. | distal |
| A diabetic patient has polydipsia. This means that she: | is excessively thirsty. |
| An intoxicated 40-year-old male is found lying face down. How would you document his body's position? | Prone |
| A patient has fractured both femurs. Anatomically, these injuries would be described as being: | bilateral. |
| In relation to the chest, the back is: | posterior. |
| "Myo" in the word myocarditis means: | muscle. |
| The topographic term used to describe the location of body parts that are closer toward the midline of the body is: | medial. |
| You are transporting to a 66-year-old patient with a history of heart problems. The patient chart indicates that he has hepatomegaly. The root of the term indicates that: | the problem is with the patient's liver. |
| A fracture of the humerus just above the elbow would be described as a: | distal humerus fracture. |
| A patient has a blood pressure of 130/70 mm Hg. The “130” represents: | ventricular contraction. |
| Each pelvic bone is formed by the fusion of the: | ilium, ischium, and pubis |
| Key hormones of the sympathetic nervous system include: | epinephrine and norepinephrine. |
| Relative to the adult's airway, the child's: | pharynx is smaller and less deeply curved. |
| Which of the following structures does NOT contain smooth muscle? | skeletal system |
| An oxygen cylinder should be taken out of service and refilled when the pressure inside it is less than: | 500 psi. |
| A patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen with a: | nonrebreathing mask. |
| A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should: | remove the airway and be prepared to suction her oropharynx. |
| After ________ minutes without oxygen, brain damage is likely. | 6 |
| CPR should be initiated when: | a valid living will is unavailable. |
| You should deliver chest compressions to an unconscious adult patient in cardiac arrest by: | compressing the sternum between the nipples. |
| You have assessed an unresponsive middle-aged female and determined that she is in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area where one of the AED pads will be placed. You should: | remove the medication patch, wipe away any medication residue, and apply the AED pads. |
| Match the airway sound to its location of origin (upper or lower). | |
| Stridor | upper |
| Wheezing | lower |
| Rales | lower |
| Rhonchi | lower |
| Snoring | upper |
| Gurgling | Upper |
| Match the following airway sound to its description: | |
| Stridor | a hoarse, seal bark caused by soft tissue swelling |
| Wheezing | a type of "whistle" caused by bronchoconstriction |
| Rales | air passing through fine fluid |
| Rhonchi | "lung butter" |
| Snoring | the most common airway obstruction |
| Silence | resp. arrest or FBO |
| Match the following terms: | |
| Hypoxic | low 02 levels |
| Apneic | not breathing |
| Tachypneic | rapid breathing |
| Bradypneic | slow breathing |
| Dyspneic | difficult/labored breathing |
| Match the device to the proper flow rate: | |
| Nasal Cannula | 1-6 L P/M |
| Non-rebreather mask | 10-15 L P/M |
| Bag-valve mask | 15-25 L P/M |
| Please match the following breathing patterns to their effect on tidal volume: | |
| Rapid, shallow breathing | decreased tidal vol. |
| Slow, shallow breathing | decreased tidal vol. |
| Rapid, deep breathing | increased tidal vol. |
| Apnea | decreased tidal vol. |
| Proper BVM ventilation | increased tidal vol. |
| During your assessment of a 6-month-old male with vomiting and diarrhea, you note that his capillary refill time is approximately 4 seconds. From this information, you should conclude that his: | peripheral circulation is decreased. |
| Which of the following scenarios does NOT involve the presence of any symptoms? | a 61-year-old female who is unconscious with facial cyanosis |
| You are dispatched to the county jail for an inmate who is “sick.” When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to: | provide assisted ventilation. |
| Which of the following conditions would be LEAST likely to cause an altered level of consciousness? | acute anxiety |
| You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is pulseless and apneic. You should: | start CPR and attach the AED as soon as possible. |
| Which of the following signs of respiratory distress is seen MOST commonly in pediatric patients? | seesaw breathing |
| When performing a reassessment of your patient, you should first: | repeat the primary assessment. |
| Which of the following statements regarding the secondary assessment is correct? | You may not have time to perform a secondary assessment if you must continually manage life threats that were identified during the primary assessment. |
| Supplemental oxygen via nonrebreathing mask should be administered to patients: | with difficulty breathing and adequate tidal volume. |
| How does positive-pressure ventilation affect cardiac output? | It increases intrathoracic pressure, which decreases venous return to the heart and causes a decrease in cardiac output. |
| You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. You find him in a prone position; his eyes are closed and he is not moving. Your FIRST action should be to: | log roll him as a unit to a supine position. |
| A patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen with a: | nonrebreathing mask. |
| Which of the following medication routes would be the MOST appropriate to use in an unconscious patient when intravenous access cannot be obtained? | intraosseous (IO) |
| Activated charcoal is frequently suspended in sorbitol, a complex sugar that: | facilitates movement through the digestive system. |
| Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a drop of 30 mmHg in her systolic blood pressure. | place her supine and reassess airway |
| A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest pain and shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. | give oxygen, ask him if he took viagra w/i the last 24/h |
| A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. You should: | recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs. |
| How is nitroglycerin usually given by the EMT? | sublingually |
| Match the shock to its main category: | |
| Obstructive | cardiogenic, tamponade, tension pneumo |
| Distributive | psychogenic, neurogenic, septic, anaphylactic |
| Hypovolemic | traumatic and non-traumatic |
| Cardiogenic | pump failure; pulmonary edema |
| Cardiac Tamponade | fluid surrounding the heart obstructing ventricle stretch |
| Septic | loss of tone due to infection |
| Neurogenic | Traumatic loss of vascular tone |
| Anaphylaxis | systemic vasodilation & soft tissue swelling |
| Psychogenic | syncopal episode |
| Hypovolemia | low fluid vol. |
| A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying 100% supplemental oxygen, you should: | prepare for immediate tx. |
| The proper depth of chest compressions on a 9-month-old infant is: | one third to one half the diameter of the chest. |
| After ________ minutes without oxygen, brain damage is likely. | 6 |
| Which of the following statements regarding ventricular fibrillation (V-fib) is MOST correct? | Survival rates decrease by 7% to 10% for each minute that V-fib persists. |
| A patient should be placed in the recovery position when he or she: | has experienced trauma but is breathing effectively. |
| An unconscious, adequately breathing patient should be placed in the recovery position, which is: | laterally recumbent |
| The spread of HIV and hepatitis in the health care setting can usually be traced to: | careless handling of sharps. |
| When writing your patient care form involving an acutely intoxicated patient, you document that the patient was “drunk.” What does this statement constitute? | libel |
| The simplest, yet most effective method of preventing the spread of an infectious disease is to: | wash your hands in between patient contacts |
| Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes: | psychogenic shock |
| Performing to the same level any other person of your licensure would under the same circumstances is called: | Scope of practice |
| You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should: | manage all threats to airway, breathing, and circulation and consider requesting an ALS unit. |
| Hepatitis B is more virulent than hepatitis C, which means that it: | leads to chronic infection after exposure. |
| Which of the following blood vessels transports oxygenated blood? | pulmonary veins |
| A 67-year-old female presents with difficulty breathing and chest p. states that has congestive heart failure, two previous heart attacks, and prescribed nitroglycerin. conscious and alert adequate breathing. 94/64 mm Hg heart rate is 120 beats/min. Rx: | placing her in an upright position |
| Most patients are instructed by their physician to take up to _______ doses of nitroglycerin before calling EMS. | 3 |
| Which of the following is NOT a common sign or symptom associated with malfunction of an implanted cardiac pacemaker? | a rapid h/r |
| What is the function of the left atrium? | It receives oxygenated blood from the lungs. |
| Which of the following cardiac arrhythmias has the greatest chance of deteriorating into a pulseless rhythm? | ventricular tachycardia |
| A 40-year-old man is in cardiac arrest. Your partner is performing CPR. You are attaching the AED when the patient's wife tells you that he has an automatic implanted cardiac defibrillator. The AED advises that a shock is indicated. What should you do? | deliver the shock, resume CPR |
| Which of the following signs or symptoms would you NOT expect to encounter in a patient with congestive heart failure? | hypotension and flat jugular veins |
| When treating a patient with chest pain, you should assume that he or she is having an AMI because: | the cause of the pain cannot be diagnosed in the field. |
| The MOST common error associated with the use of the AED is: | failure of the EMT to ensure the battery is charged. |
| When afterload increases: | it becomes harder for the ventricle to push blood through the blood vessels. |
| The descending aorta divides into the two iliac arteries at the level of the: | umbilicus. |
| The main legal risk in using the AED is: | failing to deliver a shock when one is needed. |
| The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia: | usually have an altered mental status or decreased level of consciousness. |
| Which of the following MOST accurately describes a simple partial seizure? | a seizure that begins in one extremity |
| When assessing arm movement of a patient with a suspected stroke, you should: | ask the patient to close his or her eyes during the assessment. |
| You are assessing the arm drift component of the Cincinnati Prehospital Stroke Scale on a 60-year-old woman. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her sides. You should: | repeat the arm drift test, but move the patient's arms into position yourself. |
| A patient whose speech is slurred and difficult to understand is experiencing: | dysarthria. |
| Weakening of the airway in patients with chronic bronchitis is the result of: | destruction of protective mechanisms that remove foreign particles. |
| When the level of arterial carbon dioxide rises above normal: | respirations increase in rate and depth. |
| Prior to assisting a patient with his or her prescribed nitroglycerin, the EMT must: | obtain authorization from medical control. |
| 66-year-old female with a history of hypertension and diabetes with substernal chest pressure of 2 hours' duration. blood pressure 140/90 mmHg pulse 100 beats/min and irregular, respirations 22 breaths/min adequate depth. | administer oxygen, give her 324 mg aspirin, and assess her further. |
| The MOST common reason that many people experiencing AMI do not seek immediate medical attention is because they: | are in denial |
| Which of the following statements regarding nitroglycerin is correct? | Nitroglycerin usually relieves anginal chest pain within 5 minutes. |
| Which of the following is a major difference between angina pectoris and AMI? | Anginal pain typically subsides with rest. |
| A patient who is experiencing aphasia is: | not able to swallow without choking. |
| When assessing a patient with abdominal pain, you should: | palpate the abdomen in a clockwise direction beginning with the quadrant after the one the patient indicates is painful. |
| Chronic renal failure is a condition that: | occurs from conditions such as dehydration. |
| The MOST common and significant complication associated with an acute abdomen is: | peritonitis. |
| 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: | be alert for signs and symptoms of shock. |
| Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies? | spleen |
| Pain that is localized to the lower back and/or lower abdominal quadrants is MOST suggestive of: | an aortic aneurysm. |
| 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. |
| Peritonitis may result in shock because: | referred pain. |
| Patients with type 2 diabetes usually control their disease with all of the following, EXCEPT: | supplemental insulin |
| Common side effects of epinephrine include all of the following, EXCEPT: | drowsiness. |
| When using an auto-injector to give epinephrine, the primary injection site is the: | lateral portion of the thigh. |
| Immediately after giving an epinephrine injection, you should: | properly dispose of the syringe. |
| Common signs and symptoms of an allergic reaction include all of the following, EXCEPT: | abdominal cramps. |
| You administered one dose of epi to a 40-year-old female to treat an allergic reaction developed after stung by a scorpion. reassessment still difficulty breathing, a decreasing mental status, blood pressure of 80/50 mm Hg. You should: | request permission from medical control to give another dose of epinephrine. |
| 38-year-old female was bitten by fire ants. primary assessment reveals that she is semiconscious, has profoundly labored breathing, and has a rapid, thready pulse. She has a red rash on her entire body and her face is very swollen. You should: | assist her ventilations with 100% oxygen. |
| You are dispatched to a local nursery for a 39-year-old female who is sick. When you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. You quickly feel | thoroughly suctioning her oropharynx. |
| You and your paramedic partner are caring for a patient who ingested codeine, acetaminophen (Tylenol), and propoxyphene (Darvon). The patient is unresponsive, his breathing is slow and shallow, and his pulse is slow and weak. | assisted ventilation, naloxone (Narcan), and rapid transport. |
| Your unit is dispatched to the county jail for an intoxicated inmate. Upon arrival, you find the patient, a 33-year-old male, lying supine in a jail cell. He is responsive to painful stimuli only and has slow, shallow respirations. Be concerned that pt | may vomit and aspirate |
| A hypnotic drug is one that: | induces sleep. |
| The term “behavioral crisis” is MOST accurately defined as: | any reaction that interferes with activities of daily living or is deemed unacceptable by others. |
| Insulin functions in the body by: | enabling glucose to enter the cells. |
| Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include: | histamines and leukotrienes. |
| Which of the following physiologic actions does epinephrine produce when given for an allergic reaction? | vasoconstriction and bronchodilation |
| When using an auto-injector to give epinephrine, the primary injection site is the: | lateral portion of the thigh. |
| Which of the following statements regarding pelvic inflammatory disease (PID) is correct? | PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy. |
| During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should: | assist her ventilations with a bag-mask device. |
| Bacterial vaginosis is a condition that occurs when: | numerous bacteria enter the uterus through the cervix and cause severe tissue damage. |
| Which of the following processes occurs during ovulation? | The inner lining of the uterus thickens in preparation for implantation. |
| You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should: | keep him warm and provide ventilatory assistance. |
| Vigorous suctioning of a newborn's airway is indicated if: | there is meconium in the amniotic fluid |
| Which of the following statements regarding twins is correct? | Most twins are born within 45 minutes of each other. |
| Which of the following statements regarding a breech presentation is MOST correct? | A breech presentation occurs when the buttocks are the presenting part. |
| Following delivery of a full-term baby, you have properly cared for the baby and have clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should: | firmly massage the uterine fundus with a circular motion. |
| A newborn infant will usually begin breathing spontaneously within _______ seconds following birth. | 15-30 |
| The third stage of labor begins when the: | baby is expelled |
| Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should: | puncture the sac and suction the baby's mouth and nose. |
| When the mother is experiencing a contraction, you should instruct her to: | take quick short breaths. |
| If a baby is born at 7:52, the second Apgar score should be calculated at: | 7:57 p.m |
| The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: | the car seat is visibly damaged. |
| The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: | bradycardia. |
| When immobilizing an injured child in a pediatric immobilization device, you should: | secure the torso before the head. |
| After determining that an infant or child has strong central pulses, you should: | not rule out compensated shock. |
| During the attempted resuscitation of an infant with suspected SIDS: | allow the family to observe if they wish. |
| When inserting an oropharyngeal airway in an infant or child, you should: | depress the tongue with a tongue depressor. |
| Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: | intercostal muscles are not well developed. |
| Which of the following statements regarding communications with the elderly is correct? | Older patients have difficulty understanding when they are stressed. |
| Common causes of syncope in older patients include all of the following, EXCEPT: | vasoconstriction. |
| Because hearing-impaired patients typically have more difficulty hearing high-frequency sounds, it is important for you to: | lower the pitch of your voice. |
| In contrast to conductive hearing loss, sensorineural hearing loss is caused by: | nerve damage. |
| When caring for patients with cerebral palsy, it is important to remember that: | their limbs are often underdeveloped and are prone to injury. |
| Patients with autism: | have extreme difficulty with complex tasks that require many steps. |
| Your primary assessment of a 5-year-old male reveals that he has a decreased level of consciousness and slow, shallow breathing. You should: | assist ventilations and perform a rapid assessment. |
| Which of the following patients would require the MOST structured and comprehensive dependent living facility? | A 69-year-old male with Alzheimer disease |
| Which of the following is an example of a developmental disability? | Fetal alcohol syndrome |
| Polypharmacy is defined as the: | simultaneous use of multiple medications. |
| Appropriate management for an unresponsive 6-month-old infant with a severe foreign body airway obstruction includes: | chest compressions. |
| A 5-year-old male presents with respiratory distress. He is conscious, clinging to his mother, has an oxygen saturation of 94% on room air, and will not tolerate a nonrebreathing mask. You should: | allow his mother to hold blow-by oxygen near his face. |
| Elderly patients are at higher risk for food poisoning because: | they may unknowingly eat contaminated food due to sensory decline. |
| Compared to adults, burns in children tend to be more severe because: | children have less subcutaneous (fatty) tissue. |
Created by:
andrew:P
Popular Paramedic/EMT sets