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EMT BASIC2
EMT basic questions part 2
Question | Answer |
---|---|
Which of the following items is NOT required standard precautions an EMT should take during intubation? | Gown |
Assuming each of the following patients meets all other criteria for the insertion of a CombiTube, which if the only one who is a candidate for insertion of a CombiTube? | A 32-year-old female who has overdosed on antidepressants and alcohol |
Which of the following is a disadvantage of oropharyngeal airways? | They cannot be used in a patient with a gag reflex |
Which of the following situations might necessitate the use of an advance airway? | Respiratory arrest, Traumatic brain injury, Pulmonary edema |
Which of the following is a proper use of a stylette during endotracheal intubation? | It is used to allow greater control in directing the tube during placement |
Which of the following is the proper method of confirming nasogastric tube placement? | inject air though the tube and listen for gurgling over the epigastrium |
What is the expected response of an Esophageal Intubation detection device (EIDD) attached to correctly placed endotracheal tube? | An EIDD should spring back to its initial position after being placed on the endotracheal tube |
You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is agitated and anxious and refuses to have a non-rebreather applied. Which of the following is the best option? | Use a nasal cannula instead |
When providing airway management a ventilation procedure, which of the following is required for body substance isolation? | Gloves, mask, and goggles |
You are ventilating a 55 year old male patient with a stoma. Which of the following is NOT necessary? | Head-tilt, chin-lift |
Which of the following statements is true concerning pediatric airway and breathing? | Swelling can more easily occlude the airway |
As a general rule, when placing an endotracheal tube in an average sized adult, which of the following is the proper depth of insertion as measured at the teeth? | 22 cm |
You have arrived at the scene of a call for a “man down.” As you enter the residence you note that your patient is a male in his mid-60s who is awake but does not seem to acknowledge your presence. He is perspiring profusely, has cyanosis of his ears and | Assist ventilations with a bag-value-mask and supplemental oxygen |
Ideally, a malleable stylette is used to form an endotracheal tube into which of the following configurations to facilitate insertion? | Hockey stick |
The structures within the lung that allow exchange of gasses with the bloodstream are known as: | alveoli |
Which of the following is the greatest advantage of endotracheal intubation? | helps to control the airway |
Which of the following distances is the correct measurement for insertion of a nasogastric tube? | |
Capnometry is a useful tool that measures the amount of _______ in the patient’s lungs during different stages of the ventilation. | Carbon dioxide |
To be effective, a suction unit must be able to generate air flow of ______ liters per minute and create a vacuum of ______mmHg. | 30; 300 |
The oxygen flow rate for a nasal cannula should not exceed ______ liters per minute. | 6 |
Which of the following is necessary to deliver oxygen to patients at a safe pressure? | Regulator |
Which of the following is NOT a sign of inadequate breathing? | Carping |
Which of the following indicates inadequate breathing in an adult? | Use of accessory muscles |
Which of the following muscles is a sign of inadequate breathing? | Nasal flaring |
Of the following, which is the most reliable indication of proper placement of an endotrachel tube? | seeing the tube pass through the epigartrium |
You are ventilating a 3 year old near drowning patient. Signs that your ventilation is adequate include all of the following EXCEPT: | the patient begins to exhibit retraction of the muscles between the ribs. |
When using a straight laryngoscope blade, it is properly positioned when its tip is in which of the following area? | Beneath the epiglottis |
Which of the following may result from delivery of ventilations that are more forceful than necessary? | Vomiting, worsening of an injury to the lung, gastric distention |
When suctioning the airway, suction should never be applied for longer than _____ seconds. | 15 |
A 55yearold man has a hx of chronic bronchitis. You been called because of an increase level's of respiratory distress. He's on 2 L/minute of O2 by nasal cannula @ home. Your assessment reveals difficulty speaking due to shortness of breath, lean forward | You should increase the patient’s oxygen flow rate to deliver adequate amounts of oxygen to his tissues. If his respiratory rate decreases, you can assist him with a bag-value-mask device. |
Your patient is a 25yearold motorcyclist who was not wearing a helmet when he crashed into the corner of a house. He is unresponsive a making only weak respiratory effort. You have attempted to incubate the patient while an assistant maintains neutral, in | insert a CombiTube |
Which of the following patients does NOT require the administration of supplemental oxygen? | A 6 year old male with a history of asthma whose breath sounds are silent and who is drowsy |
You have just incubated a 48 year old cardiac arrest patient. Upon auscultation of the lungs, you hear breath sounds on the right, no breath sounds on the left, and no sounds over the epigastrium. Which of the following is the best course of action? | deflate the cuff and pull the tube back slightly until equal breath sounds are heard. |
You have arrived at a roller skating rink for a report of a seizure. Your patient is a 17 year old female whom bystanders witness having a seizure that lasted about three minutes. At the time of your initial assessment she is unresponsive to all stimuli, | suction the mouth and pharynx, apply a non-rebreather mask with 12 liters per minute of oxygen, and continue your assessment |
When using a curved laryngoscope blade, its tip is properly placed when it is in which of the following locations? | In the vallecula |
Which of the following is an advantage of using a dual lumen airway device, such as a CombiTube? | It will work even if it is placed in the esophagus |
Your patient is a motorcyclist who was ejected from his vehicle due to striking a guard rail. The patient is unresponsive to painful stimuli and is breathing six to eight times per minute. Which of the following should you do first? | use a bag-value-mask with supplemental oxygen |
To deliver high-flow oxygen to a breathing patient, which of the following is the best device? | Non-rebreather mask |
Your patient is a 25 year old female who is of average height. She required intubation as a result of a drug overdose. Of the following, which is the most appropriate choice of laryngoscope blade size? | 3 |
You have been ordered by medical control to insert a dual lumen airway. Which of the following devices should you use? | CombiTube |
Which of the following techniques is correct when applying cricoids pressure? | The index finger and thumb are placed on the cricoids cartilage |
Your patient is a 70 year old man in cardiac arrest. He weighs 160 pounds and is 5 feet 10 inches tall. Which of the following endotracheal tube sizes would be most appropriate for him? | 8.0 mm |
The point at which the trachea divides into the two main stem bronchi is called the: | carina |
An endotracheal tube inserted too far will usually end up in which of the following locations? | The right mainstream bronchus |
On which of the following types of calls should you bring your portable suction unit to the patient’s side upon arrival on the scene? | Motor vehicle collision, seizure, cardiac arrest |
Your patient, in whom you have inserted an oropharyngeal airway, is beginning to regain consciousness and develop a gag reflex. Which of the following is the proper way of managing this situation? | turn the patient on her side and remove the airway. |
Your patient is a 3 year old whom you have incubated. Although you have confirmed proper placement, ventilation is restricted due to gastric distention. Which of the following is the best course of action? | decompress the stomach with a nasogastic tube |
When estimating eh size of the endotracheal tube needed for a pediatric patient, which of the following methods is acceptable? | estimating by choosing tube the diameter of the patient’s little finger, adding 16 to the patients age in years and dividing the result by four, the use of a length-based resuscitation tape, such as a Broslow Tape |
Which of the following should be kept in mind when assessing a managing the airway of a pediatric patient? | The trachea is easily obstructed by swelling |
Which of the following is the correct method of suctioning? | insert the catheter or tip to the desired depth prior to applying suction |