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3rd Quarter Final

ch. 1-23 and 33-36

Question	Answer
Basic life support (BLS) is noninvasive, meaning that it:	does not involve penetration of the body.
After ___ minutes without oxygen, some brain damage is almost certain.	6
Which of the following is NOT a BLS intervention?	Cardiac monitoring
Most out-of-hospital cardiac arrests occur as the result of:	a cardiac dysrhythmia.
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
What percentage of exhaled oxygen is delivered during mouth-to-mask breathing without supplemental oxygen? Responses	16%
Which of the following is NOT an indication to stop CPR once you have started?	Care is transferred to a bystander.
CPR will NOT be effective if the patient is: Responses	prone.
In two-rescuer adult CPR, you should deliver a compression to ventilation ratio of: Responses	30:2
When ventilating an apneic patient with a pocket face mask, you should deliver each breath:	while watching for adequate chest rise.
Which of the following techniques should you use to dislodge a foreign body airway obstruction in a patient who is in an advanced stage of pregnancy or who is very obese?	Chest thrusts
The preferred initial treatment to attempt to dislodge a foreign body airway obstruction in an infant is:	back blows.
EMT-Basic training in nearly every state follows or exceeds the guidelines recommended by the:	EMT-Basic training in nearly every state follows or exceeds the guidelines recommended by the:
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:	state office of EMS.
Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are functions of the:	EMT-Paramedic.
First responders, such as firefighters, law enforcement officers, and park rangers, are an integral part of the EMS system because:	the presence of a person trained to initiate BLS care cannot be ensured.
As an EMT-B, you may be authorized to administer aspirin to a patient with chest pain based on:	your local EMS protocols.
The continuous quality improvement (CQI) process is designed to:	identify areas of improvement and provide remedial training if needed.
The self-control needed to perform effectively when confronted with a horrifying event or life-threatening situation is developed through all of the following, EXCEPT:	an effective partner.
Which of the following statements is MOST consistent with the bargaining phase of the grieving process?	“I will be compliant with all my medications if I can just see my grandson graduate.”
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:	distrust of the EMT-B.
The general adaptation syndrome is characterized by which of the following phases?	Alarm response, reaction and resistance, and recovery
The chemical and physical reactions commonly referred to as the “fight or flight” response involve interaction of the:	respiratory and nervous systems.
Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?	An EMT-B becomes distracted at the scene of a motor-vehicle crash involving the same type of car that a child was previously killed in.
What type of stress reaction occurs when an EMT-B is exposed to many insignificant stressors over a period of several months or years?	Cumulative stress reaction
A critical incident stress debriefing (CISD) should be conducted no longer than ____ hours following the incident.	72
Quid pro quo, a type of sexual harassment, occurs when the harasser:	requests sexual favors in return for something else.
It is MOST important for EMS personnel to develop nonadversarial relationships with their coworkers because they:	depend on each other for their safety.
The MOST serious consequence of drug or alcohol abuse among EMS personnel :	substandard or inappropriate patient care.
Vector-borne transmission of an infectious organism occurs via:	a living object.
The transmission of a communicable disease from one person to another by physical contact describes which mechanism of transmission?	Direct contact
Which of the following communicable diseases is BOTH a sexually transmitted disease and a bloodborne disease?	Syphilis
You should wear a high-efficiency particulate air (HEPA) respirator when you suspect that your patient may be infected with:	tuberculosis.
Vaccination against the hepatitis A virus is unnecessary if you:	have been infected in the past.
The typical incubation period for hepatitis B is:	4 to 12 weeks.
High fever, headache, and a stiff neck are common signs of:	meningitis.
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:	requesting a CISM team to provide on-scene peer support.
At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should:	mark off a danger zone around the downed lines.
The EMT-B's scope of practice within his or her local response area is defined by the:	medical director.
As an EMT-B, the performance of your duties will be compared to that of:	another EMT-B
Which of the following MOST accurately defines negligence?	Deviation from the standard of care that may result in further injury
What type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?	Expressed
Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?	Implied
In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:	is married and lives independent of his or her parents.
Acting in such a way as to make another person fear immediate bodily harm is called:	assault.
You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death?	Dependent lividity
A patient partially regains consciousness en route from his office to the emergency department. Although somewhat confused, the patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should:	assess whether or not the patient's mental condition is impaired
The topographic term used to describe the location of body parts that are closer toward the midline or center of the body is:	medial.
A patient has fractured both femurs. Anatomically, these injuries would be described as being	bilateral.
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:	distal forearm.
Which of the following anatomic terms is synonymous with the word dorsal?	Posterior
Relative to the kidneys, the liver is:	unilateral
The brain connects to the spinal cord through a large opening at the base of the skull called the:	foramen magnum.
Which of the following is NOT a facial bone?	Mastoid
The firm cartilaginous ring that forms the inferior portion of the larynx is called the:	cricoid cartilage.
The areas of the spinal column, in descending order, are the:	cervical, thoracic, lumbar, sacral, coccyx.
The most superior portion of the sternum is called the:	manubrium.
Which organ lies in the lateral and posterior portion of the left upper quadrant (LUQ) of the abdomen?	Spleen
Which of the following organs or structures lies within the retroperitoneal space?	Kidneys
Each pelvic bone is formed by the fusion of the:	ilium, ischium, and pubis
The bony ridge of the pelvis, commonly referred to as the “pelvic wing,” is called the:	iliac crest.
The femoral head forms a ball-and-socket joint with the	acetabulum.
The distal aspect of the tibia forms the:	medial malleolus.
The elbow is an example of a _________ joint.	hinge
The _______ is the most superior portion of the lung.	apex
Movement or motion away from the body's midline is called:	abduction.
Which of the following is an example of a symptom?	Headache
Which of the following MOST accurately describes the term “chief complaint”?	The major signs or symptoms that the patient reports when asked
Pain that moves from its point of origin to another body location is said to be:	radiating.
Baseline vital signs are referred to as such because they:	are the initial vital signs that will allow you to trend the patient's condition by comparing them to future vital signs.
The ________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.	sacrum
Despite your attempts to coach a conscious young female's respirations, she continues to hyperventilate with a marked reduction in tidal volume. You should:	explain to her that you will assist her ventilations.
Structures of the lower airway include all of the following, EXCEPT the:	pharynx.
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes:	encouraging him to cough and transporting.
The pressure of gas in a full cylinder of oxygen is approximately ______ pounds per square inch (psi). Responses	2,000
caring for a critically injured patient. Your partner is controlling severe bleeding from the patient's lower extremities as u use BVM. After repositioning the mask several times, you are unable to effectively ventilate the patient. You should:	begin ventilations using the mouth-to-mask technique.
When administering supplemental oxygen to a patient over a prolonged period of time, you should:	consider attaching an oxygen humidifier.
Which of the following is the MOST reliable indicator of adequately performed BVM ventilations in an apneic adult with a pulse?	Adequate rise of the chest when squeezing the bag
Which of the following structures is NOT found in the upper airway?	Bronchus
What normally occurs when the level of carbon dioxide in the blood becomes too high?	The brain stem sends messages to the diaphragm and intercostal muscles and respirations increase.
Which of the following is a LATE sign of hypoxia?	cyanosis
The "Golden Hour" begins when an injury occurs and ends when:	the patient receives definitive care.
Diminished perfusion manifests with skin that is:	pale
A 50-year-old male presents with an AMS. His wife tells you that he had a “small stroke” 3 years ago, but has otherwise been in good health. The patient is responsive, but unable to follow commands. After administering oxygen, you should:	prepare for immediate transport.
If a pulse cannot be palpated at the radial artery, you should:	assess the carotid pulse.
Which of the following statements regarding the mechanism of injury (MOI) is correct?	The MOI may allow you to predict the severity of a patient's injuries.
motor-vehicle collision. Upon arrival, a young F sitting on the curb. a small abrasion to forehead, she does not appear to be seriously injured. performing ur initial assessment on the pt, a LEO advises u that her husband was killed. ur MOST appropriate n	Complete the initial assessment and perform a rapid trauma assessment.
The goal of the initial assessment is to:	identify and rapidly treat all life-threatening conditions.
When auscultating the blood pressure in a patient's upper extremity, you should place the diaphragm (head) of the stethoscope over the _________ artery.	brachial
A 39 y/o M has stab to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious, screaming in pain, and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should:	apply direct pressure to the wound.
The presence of subcutaneous emphysema could indicate all of the following conditions, EXCEPT:	myocardial rupture.
Which of the following is NOT a function of the Federal Communications Commission (FCC)?	Maintaining communications equipment on the ambulance
Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:	elevating the tone of your voice and exaggerating word pronunciation.
Your unit and another ambulance are responding to the scene of a major motor vehicle crash involving at least three patients, the conditions of which are unknown. In order to facilitate access to definitive care for all of the patients, you should:	notify the hospital while en route to the scene.
After delivering your patient to the hospital, you sit down to complete the patient care report. When documenting the pt last BP reading, you inadvertently write 120/60 instead of 130/70—the pts actual BP. To correct this mistake, you should:	draw a single horizontal line through the error, initial it, and write the correct data next to it.
Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:	base station.
Which of the following data is typically NOT included in a prehospital care report?	Blood pressure for patients older than 1 year of age
General guidelines for effective radio communication include all of the following, EXCEPT:	using 10 codes to ensure radio traffic confidentiality.
While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio, but are unsuccessful. You should:	use the mobile radio in the ambulance to contact dispatch.
You are transporting a 54-year-old male in cardiac arrest. A first responder is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital?	Have the driver contact dispatch and relay the patient information to the hospital.
In the eyes of the law, a poorly written patient care form indicates that:	patient care was inadequate or haphazard.
When given to patients with cardiac-related chest pain, nitroglycerin:	relaxes the walls of the coronary arteries.
Which of the following statements regarding the epinephrine auto-injector is correct?	The epinephrine auto-injector delivers a preset amount of the drug.
Activated charcoal is an example of a/an:	suspension.
With the flowmeter set at 6 L/min, the nasal cannula will deliver up to ___% oxygen.	44
Epinephrine may be administered by the EMT-B through all of the following routes, EXCEPT:	IV
Which of the following is an example of a brand (trade) name of a drug?	Tylenol
You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of an allergic reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it to you. After 100% oxygen, you should:	contact medical control.
A 40-year-old female is found unconscious by her sister. The patient has a history of diabetes and has been treated for hypoglycemia in the past. You should:	administer 100% oxygen and transport her at once.
A subcutaneous injection is given by pinching the skin and inserting a ___ needle at a ___ degree angle.	½”, 45
Advil, Nuprin, and Motrin are brand (trade) names for:	ibuprofen.
An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are bilaterally clear and equal. These findings are MOST consistent with:	adequate air exchange.
Dyspnea is MOST accurately defined as	shortness of breath or difficulty breathing.
Which of the following statements regarding the hypoxic drive is MOST correct?	The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels.
In order for efficient pulmonary gas exchange to occur:	oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary membrane.
Harsh, high-pitched inspiratory sounds are MOST characteristic of:	stridor
Common signs and symptoms of acute hyperventilation syndrome include:	tachypnea and tingling in the extremities.
A 59 Y/O M with a history of emphysema complains of an acute worsening of dyspnea, pleuritic chest pain following a forceful cough, barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. the MOST likely cause of this pt condition?	Spontaneous pneumothorax
A pleural effusion is MOST accurately defined as:	fluid accumulation outside the lung.
A 60-year-old male presents with acute respiratory distress. He is conscious and alert, has pink and dry skin, and respirations of 24 breaths/min with adequate depth. Which of the following treatment modalities is MOST appropriate for this patient?	Oxygen via a nonrebreathing mask and a focused history and physical exam
Which of the following conditions would be the LEAST likely to result in hypoxia?	Abdominal pain
The right coronary artery supplies blood to the:	right ventricle and inferior wall of the left ventricle.
Deoxygenated blood from the body returns to the:	right atrium.
Which of the following medications is commonly given to patients with chest pain to prevent the formation of blood clots?	Aspirin
A 67 y/o F presents w/ difficulty breathing + chest discomfort that awakened her from sleep. she has CHF, had 2 previous heart attacks, has nitroglycerin. conscious and alert w/ adequate breathing. BP is 94/64 and HR is 120 bpm. Tx for this pt includes	placing her in an upright position.
An acute myocardial infarction occurs when:	myocardial tissue dies secondary to an absence of oxygen.
When transporting a stable stroke patient with unilateral hemiparalysis, it is best to place the patient in a:	recumbent position with the paralyzed side down.
You are dispatched to a residence for a 66-year-old male who, according to family members, has suffered a massive stroke. Your initial assessment reveals that the patient is pulseless and apneic. You should	initiate CPR and attach an AED as soon as possible
A patient with an altered mental status is:	not thinking clearly or is incapable of being aroused
The left cerebral hemisphere controls:	the right side of the body.
Which of the following conditions is NOT a common cause of seizures?	Severe hypovolemia
Patients with acute abdominal pain should not be given anything by mouth because:	a full stomach may make emergency surgery dangerous.
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:	cholecystitis.
When assessing a patient with right lower quadrant pain, you should first palpate the	left upper quadrant.
Which of the following organs lies in the retroperitoneal space?	Pancreas
The parietal peritoneum lines the:	walls of the abdominal cavity.
20-y/o M with a Hx of diabetes. Pt states that he is not feeling well. vitals are stable; he is confused/ skin is cool and clammy. You attempt to obtain a BG reading with your glucometer; it reads “error” after 3 attempts. After 100% oxygen, you should	administer oral glucose as needed and transport.
Which of the following statements regarding diabetic coma is correct?	Diabetic coma typically develops over a period of hours or days.
Diabetic ketoacidosis occurs when:	insulin is not available in the body
When obtaining a SAMPLE history from a diabetic patient, it would be MOST important to determine	if he or she has had any recent illnesses or excessive stress.
Insulin shock tends to develop more often and more severely in children because:	they do not always eat correctly and on schedule
You have administered one dose of epinephrine to a 40-year-old female to treat an allergic Rx that she developed after scorpion sting. reassessment shows still difficulty breathing, has a decreasing mental status, and has a BP 80/50 mm Hg. You should	request permission from medical control to give another dose of epinephrine.
Phosphorus or elemental sodium should be brushed off of the skin prior to irrigating with water because:	these chemicals may ignite upon contact with water.
You respond to a young female who was sexually assaulted. Pt is conscious but confused. the last thing she remembers was drinking beer at a club with her friends the night before. she awoke in the bed of a motel room. be MOST suspicious that this patient:	was given Rohypnol.
a man found his wife unconscious on the couch. pt is unresponsive, has a resp of 8 bpm with reduced tidal volume, and a HR of 40 beats/min and weak. husband hands you an empty bottle of Vicodin, which was refilled the day before. You should:	initiate ventilatory assistance.
When a warm hand is immersed in water that is 70°F, heat is transferred from the hand to the water through a process called:	conduction.
Heat cramps are MOST likely the result of:	a loss of water and electrolytes.
An air embolism associated with diving occurs when:	the diver holds his or her breath during a rapid ascent.
High humidity reduces the body's ability to lose heat through	evaporation.
Drowning is MOST accurately defined as:	death from suffocation after submersion in water.
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:	4 weeks
The term behavioral crisis is MOST accurately defined as:	any reaction that interferes with activities of daily living or is deemed unacceptable by others.
Which of the following terms is defined as a manner in which a person responds to his or her environment?	behavior
In contrast to a behavioral crisis, a psychiatric emergency occurs when a person:	demonstrates agitation or violence or becomes a threat to self or others.
A 78-year-old female presents with an acute change in her behavior. Pts son says his mother has a Hx of type II diabetes and diagnosed with Alzheimer's disease 6 months ago. Pts speech is slurred and she is not alert to her surroundings. You should:	inquire about the possibility of head trauma.
The first step in assessing a patient with a behavioral emergency is to:	ensure your safety.
A 22-y/o M w/ a Hx of clinical depression said he has tried to kill himself. You + LEO arrive at same time. You find the pt supine on the floor, unconscious, cyanotic, and has snoring resp. empty bottle of Dilaudid is found on an adjacent table.You should	open the patient's airway and assess his respirations.
Risk factors for suicide include all of the following, EXCEPT	married males over 30 years of age.
you respond to a call for an “unknown emergency.” Pts husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He tells you that his .45-caliber handgun is in the bedroom. You should:	remain in a safe place and request law enforcement
After a baby is born, it is important to	ensure that it is thoroughly dried and warmed.
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.
During delivery of the baby's head, you should suction the mouth before the nose because:	suctioning the nose first may cause the baby to gasp and aspirate fluid
While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:	push the infant's head away from the cord.
When determining the frequency of contractions, you should:	time the contractions from the start of one to the start of the next
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for	an ectopic pregnancy.
When the mother is experiencing a contraction, you should instruct her to	take quick short breaths
You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His HR 110 beats/min and resp are rapid and irregular. has a weak cry after stimulated and resists attempts to straighten his legs. His APGAR score is	8
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:	pregnant patients have an overall increase in blood volume.
Which of the following is NOT a component of the APGAR score	body size
Which of the following statements regarding gunshot wounds is MOST correct?	The speed of a bullet has the greatest impact on producing injury.
Airbags are designed to:	decrease the severity of deceleration injuries.
A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she:	is ejected or partially ejected.
Following a blunt injury to the head, a 22-year-old female is confused and complains of a severe headache and nausea. On the basis of these signs and symptoms, you should be MOST concerned with the possibility of	intracranial bleeding.
The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is known as	cavitation
When caring for an occupant inside a motor vehicle equipped with an airbag that did not deploy upon impact, it is MOST important to	remember that it could still deploy and seriously injure you.
With regard to a motor-vehicle collision, which of the following statements regarding collision #1 is MOST correct?	It is the most dramatic part of the collision and may make extrication difficult.
The energy of a moving object is called:	kinetic energy.
When assessing an elderly patient who fell, it is important to remember that:	osteoporosis can cause a fracture that may have resulted in the fall.
An infant with a total blood volume of 800 mL would start showing signs of shock after what amount of blood loss?	100 to 220 mL
Following blunt trauma to the abdomen, a 21-year-old female complains of LUQ abdominal pain with referred pain to the left shoulder. assessment reveals that her abdomen is distended and tender to palpation. you should be MOST suspicious of injury to the:	spleen
External bleeding from a vein is relatively easy to control because:	veins are under a lower pressure.
Significant vital sign changes will occur if the typical adult acutely loses greater than ____ percent of his or her total blood volume.	20
Blood stasis, changes in the vessel wall, and certain medications affect the:	ability of the blood to effectively clot
As red blood cells begin to clump together to form a clot, __________ reinforces the clumped red blood cells	fibrinogen
When using a stick and square knot as a tourniquet to control severe bleeding from an amputated arm, the EMT-B should	stop twisting the stick when the bleeding stops.
A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2 days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST suspicious that this pati	gastrointestinal bleeding
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him epinephrine via subcutaneous injection. Upon reassessment, you determine that his condit	repeat the epinephrine injection after consulting with medical control.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and hi	assisted ventilation, thermal management, and elevation of the lower extremities.
When assessing a patient with signs and symptoms of shock, it is MOST important to remember that:	blood pressure may be the last measurable factor to change in shock.
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is ac	apply direct pressure to the wound.
A 45-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused, diaphoretic, and has a weak and rapid radial pulse. His blood pressure is 88/50 mm Hg. After applying 100% supplemental oxygen, you should:	prepare for immediate transport.
You are dispatched to a residence for a 40-year-old female who fainted. Upon your arrival, the patient is conscious and alert and states that she is fine. Her husband tells you that she fainted after receiving news that her sister was killed in a car cras	determine if she was injured when she fainted.
Capillary sphincters are	circular muscular walls that regulate blood flow through the capillaries.
Which of the following statements regarding the dermis is MOST correct?	the dermis contains hair follicles, sweat glands, and nerve endings
A closed soft-tissue injury characterized by swelling and ecchymosis is called a/an:	contusion
Critical burns in an infant or child include:	partial-thickness burns to more than 20% of the body surface area.
A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his airway and assessing him for other life-threatening injuries, you should care for his wo	covering it with moist, sterile dressings secured in place with bandages
A partial-thickness burn involves the outer layer of skin and a portion of the:	dermal layer
A 30-year-old male experienced a crushing injury when his arm was trapped between the back of a truck and a loading dock. Upon your arrival, the man's arm has been freed. Your assessment reveals that his arm is obviously deformed and swollen and is cold a	compartment syndrome.

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