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EMT
| Question | Answer |
|---|---|
| A patient is in the anatomic position when he or she is | Standing facing you with arms at the sides and the palms of the hands facing outward. |
| During your assessment of a 21 year old man who fell from a roof, you note the presence of bruising on the medical side of the anterior trunk. What part of the body is this describing? | Toward the midline of the front part of the torso |
| A 40 year old women had an injury to the midshaft humerus following a motor vehicle crash. What major joints is immediately distal to her injury | Elbow |
| The circulatory system is responsible for | Pumping blood through the body |
| After blood picks up oxygen in the lungs it | Is received by the right atrium |
| The function of the right ventricle is to | Pump blood to the lungs |
| The left ventricle is the most muscular chamber of the heart because it | Must pump blood throughout the entire body |
| In contrast to veins, arteries | Carry blood away from the heart under high pressure |
| A man sustained a stab wound to the artery in the neck. To control the bleeding from this injury, you should apply pressure to the | Carotid artery |
| The ___________ artery produces a pulse at the groin | Femoral |
| A pulse is felt | When a wave of pressure is created by the heart as it forces blood through the arteries |
| True or False: Some capillaries are so small that only one blood cell at a time can pass through them | True |
| Thin-walled vessels that carry blood back to the heart are called | veins |
| what is the oxygen-carrying component of the blood | Red blood cells |
| White blood cells are responsible for | Attacking disease causing organisms |
| While you treat an elderly patient he tells you that he bleeds easily. What could most likely cause this | Inadequate platelet count |
| What are some of the functions of the skeletal system | Supporting the body, protecting vital structures, and producing red blood cells |
| What are some of the functions of the circulatory system | Heart, blood, and blood vessels |
| Under normal conditions, when the cells of the body receive blood, they | Absorb oxygen and produce carbon dioxide |
| The function of the right atrium is to | Receives blood from the veins of the body |
| Which chamber of the hear pumps deoxygenated blood to the lungs | Right ventricle |
| The left ventricle is the most muscular chamber of the heart because it | Must force blood to all parts of the body |
| Oxygen passes from the blood cells into the cells of body tissues | At the capillary level |
| What is the color of plasma | Straw colored |
| a 70 year old who was found unresponsive. When you assess the patient, you note that his muscles are stiff and the areas of his body closest to the ground is purple. The neighbor tells you that he last spoke to the patient 12 hours earlier. you should | not initiate resuscitation efforts |
| What most accurately describes an emergency medical responder (EMR) | The first medically trained person to arrive at the scene |
| Problems that occur in the prehospital phase of the EMS operation are most often related to | A lack of control and coordination of resources and personeel |
| A cardiac arrest patients most crucial contact with the EMS system occurs w | A trained EMRs arrive at the patients's side |
| Which of the following interventions would the EMR most likely perform at the scene of a cardiac arrest | CPR and defibrillation |
| Fire units are often a crucial part of the EMS system because they | Provide specialized rescue such as patient extrication |
| The EMS system can be considered a component of public health because | The services it provides are available to all people in a community |
| A patient requires rapid transport to the hospital when | EMS personnel are unable to give the patient adequate life saving care in the field |
| A 33 year old women has a possible broken left ankle. She is in significant pain but is conscious and otherwise stable. This patient needs | Prompt transport |
| Roles and responsibilities of the EMR include what | transporting the patient to the hospital |
| Which of the following would be the EMR's most important initial responsibility when arriving at the scene of a multiple-patient incident | Assessing the environment to detect possible threats to his or her safety |
| You are the first medically trained person to arrive at the scene of a motor vehicle crash. The patient is conscious and is bleeding heavily from a wound of his head. He is still in the vehicle, which has power lines draped across the hood. You should: | Advise the patient to remain still and immediately contact the powers company |
| Which of the following functions would the EMS medical director be the least likely to perform? | Responding to the scene of an emergency |
| In order to keep his or her certification current, the EMR must | Attend continuing education classes. |
| Components of the quality improvement process, as identified by the Institute of Medicine, include what | Teamwork |
| When documenting the events of an emergency call, the EMR should include the | Treatment provided before EMS arrival |
| In addition to ensuring your own safety, the most important guideline to follow when moving a patient is to | Do no further hard to the patient |
| When moving a patient, who typically gives the command to begin the move | The rescuer at the patient's head |
| what is something you should not do when moving a patient | Moving the patient before treating him or her if the scene is safe |
| You and your partner are the first to arrive to a man who fell approximately 20' from a second story balcony. The patient is found lying in his side. He is conscious and alert with adequate breathing. A paramedic unit is 5 minutes away. You should | Keep the patient's head and neck stabilized, tell the patient not to move until the paramedics arrive |
| With regard to lifting and moving, good body mechanics include | Using your legs and not your back when lifting |
| You are the first emergency medical responder to arrive at the scene of a 49 year old in cardiac arrest. The patient clearly weight most than you do and is in an area that makes it extremely difficult for you perform CPR. You should | Tie the patient's wrists together, place his arms around your neck, and drag the patient to an area where you can begin CPR |
| A 60 year old msn if found sitting in his car alongside the road. There is no apparent damage to his vehicle. Your assessment reveals that the man is in cardiac arrest. You should | Grasp the patient under his arms, cradle his head between your arms, and remove him from the vehicle |
| What is is a correct statement regarding direct ground lift | It results in poor body mechanics and is generally discourages |
| What is something that is the same with all ambulance stretchers | It is best to use four people if the ambulance stretcher must be carried |
| In which of the following situations would the use of a stair chair be ideal | A patient with shortness of breath and no history of trauma |
| Long backboards are most appropriate to use for patient who | Require stabilization of the head and neck |
| Short backboards or vest style devices are most appropriate to use for patients who | Require rapid movements from an unsafe scene |
| A device that separate into left and right halves and is helpful when moving a patient from a small place is called a | Scoop stretcher |
| Any time a patient has suffered a traumatic injury, you should | Suspect injury to the head, neck , or spine |
| An appropriately sized cervical collar is designed to | Minimize head and neck movement and precent further injury |
| What are some concepts that are the most important when providing patient care | Render proper treatment, maintain your composure, and provide your care in good faith |
| True or False: an uninvolved citizen who encounters a motor vehicle crash does not have to stop | True |
| An EMR has a legal duty to act | While employed by an agency that designates you as an EMR |
| To comply with the standard care, the EMR must | Treat the patient to the best of his or her ability and provided care that a reasonable prudent person with similar training would provide under similar circumstances |
| As part of your ethical responsibilities, you are expected to | Conform to accepter professional standards of conduct |
| In general, you should never change or alter a patient care report, unless | You need to correct an error to ensure that the information is accurate |
| A patient who verbally or nonverbally lets you know that he or she is willing to accept treatment is giving you what kind of consent | Expressed |
| The principle of implied consent assumes that an unconscious patient | Would wish to receive treatment |
| Your the first to arrive at the scene of a vehicle crash. A paramedic crew is about 10 minutes away. The patient is outside of her car, sitting on the curb. As you approach her, she tells you what happened and want her blood pressure taken. This patient | Is giving you actual consent to treat her and you should do so promptly |
| If a patient refuses emergency medical care but is not thinking rationally and appears to be a threat to self or others, the EMR's best course of action is to | Involve law enforcement |
| True or False: Patients may not refuse treatment at any time, even if treatment has begun | False they can refuse treatment whenever |
| An advanced directive is most accurately defined as a | Legal document that indicates the care to be provided if the patient is incapacitated |
| What is not considered an advanced directive | EMS system protocols |
| The best way to avoid being accused of abandonment is to | Never leave a patient alone after you have begun care |
| Several hours following death, a patient develops red or purple colored areas on the parts of the body that are closest to the ground. This is called | Dependent lividity |
| Upon arriving at the scene of a major motor vehicle crash, you determine that there are multiple patients. You should | Immediately request additional resources using the mobile radio in your response vehicle |
| Advance life support providers often use _________ to transmit electrocardiograms and other patient data to online medical control | Telemetry |
| Is the EMR usually involved in transporting a patient to the hospital? | No |
| You have arrived at the scene of a patient with respiratory distress. A responding ambulance is approximately 10 minutes away. After performing assessment and correcting any life threatening conditions, you should | Updater the responding EMS unit on the patient's present condition |
| What is a piece of information that least critical to relay to the responding EMS unit about your patient? The Chief complaint, status of the airway, past medical history, or the level of responsiveness | Past medical history |
| True or False: Brain cells can be replaced once they have been destroyed | False they can not be replaces once destroyed |
| What is the main purpose of the respiratory system | Provide oxygen to and remove carbon dioxide from the red blood cells |
| The oropharynx is also known as the | Mouth |
| "Adam's apple" and "voicebox" are other terms used to describe the | Larynx |
| The alveoli in the lungs are surrounded by very small blood vessels called | Capillaries |
| True or False: cardiac arrest is infants and children is often not the result of heart diseases | True |
| If a patient speaks to you when you ask if her or she can hear you | You may assume that the airway is open |
| The purpose of the jaw-thrust maneuver is to | Open a patient's airway without manipulating the neck |
| What following situations should you perform the jaw-thrust maneuver? 29-year-old patient found semiconscious on her couch, 40-year-old unresponsive patient who fell from a ladder, 55-year-old semiconscious patient with low blood sugar | 40-year -old unresponsive patient who fell from a ladder |
| A 70-year-old woman was found unconscious in her bed. She has a pulse, but is gurgling when she breathes. You should | Roll the patient onto her side, carefully sweep out her mouth with your finger, and reassess her breathing |
| A child’s airway should be suctioned for no longer than _____ seconds at a time. | 10 |
| The purpose of the recovery position is to | Prevent secretions from entering the trachea |
| True or False: Use of an oral airway is contraindicated in patients who are not conscious | False they are conscious |
| When determining the correct size oral airway, you should measure from the | Earlobe to the corner of the mouth |
| Nasal airways can be used | In both conscious and unconscious patients |
| It is usually best to obtain a medical history on a patient who is experiencing a medical problem: | Before you perform a secondary patient assessment |
| You are dispatched to a residence for a patient with an altered mental status. Your initial action should be to | Assess the scene for safety hazards |
| After completing your assessment and providing patient care, what should you do if the responding EMS unit is delayed | Perform ongoing reassessment |
| If you are unable to determine what is causing a patient’s altered level of consciousness, you should | Treat the patient based on his or her signs and symptoms |
| True or False: Generalized seizures generally last between 1 and 2 minutes | True |
| If a patient is actively seizing, your treatment should focus on | Restraining the patient |
| The heart receives its oxygen supply from the | Coronary arteries |
| Atherosclerosis is most accurately defined as | Narrowing of the arteries. |
| True or False: Nitroglycerin usually relieves anginal chest pain within 10 - 15 minutes | False it usually relieves the pain within 5 minutes |
| Acute blockage of a coronary artery most often causes the patient to experience | Immediate and severe chest pain. |
| You arrive at a scene of a 56-year-old woman complaining of chest discomfort. The woman says she took one of her nitroglycerin tablets about 15 minutes ago, but she still has chest discomfort. Responding paramedics are about 10 minutes away. You should | Place her in a comfortable position, assist her in taking another nitroglycerin tablet, and administer oxygen. |
| True or False: a Patient with CHF will not commonly have flat neck veins | True |
| You go to a nursing home for a patient with difficult breathing. When you enter the room, you find her lying in bed with dried blood around her mouth and making gurgling sound when breathing. The patient has had two heart attacks. What should you do first | Place the patient in a sitting position |
| A condition characterized by acute spasm of the smaller air passages in the lungs is called | Asthma. |
| A stroke is most accurately defined as | Damage or death of a portion of the brain as a result of a lack of oxygen. |