Chapters 3-4 Quiz Flashcards
(114 cards)
1
Q
After the first 60 minutes of experiencing a significant injury what may or will occur to the body
A
the bodies ability to compensate for shock decrease
2
Q
does a a 61-year-old female who is unconscious with facial cyanosis involve any symptoms
A
no
3
Q
A patient with high blood pressure would be expected to have skin that is
A
flushed and red
4
Q
When assessing the patient would How much Tylenol do you take each day be considered questioning under M in SAMPLE?
A
yes
5
Q
What part of the patient assessment process focuses on obtaining additional information about the patient’s chief complaint and any medical problems he or she may have?
A
History Taking
6
Q
The “Golden Period” begins when an injury occurs and ends when:
A
the patient receives definitive care
7
Q
External bleeding from an extremity can usually be controlled by a combination of:
A
direct pressure and elevation
8
Q
Which of the following would the EMT most likely not perform on a responsive patient with a headache and no apparent life-threatening conditions?
A
systemic head to toe evaluation
9
Q
Which of the following findings indicates that your patient has a patent airway?
A
forceful coughing
10
Q
Palpating the carotid pulse is not recommended in infants because:
A
you may inadvertently compress the trachea
11
Q
A crackling sound produced by air bubbles under the skin is called:
A
subcutaneous emphysema
12
Q
If you cannot palpate a pulse in an unresponsive patient, you should:
A
immediately begin cardiopulmonary resuscitation (CPR)
13
Q
A pulse with a consistent pattern is considered to be
A
regular
14
Q
Which of the following pupillary changes would indicate depressed brain function?
A
both pupils dilate with introduction of a bright light
15
Q
When performing a reassessment of your patient, you should first
A
repeat the primary assessment
16
Q
An elderly patient has fallen and hit her head. You assess her level of consciousness as unresponsive using the AVPU scale. Your initial care should focus on:
A
airway breathing circulation disibility and E ABC’s
17
Q
After performing a primary assessment, a rapid scan of the body should be performed in order to:
A
identify less obvious injury’s that require immediate transport
18
Q
While evaluating a patient with chest pain, your partner tells you that the patient’s blood pressure is 140/94 mm Hg. The lower number represents the pressure from the:
A
ventricles relaxing
19
Q
You respond to a call for a female pedestrian who has been struck by a car. As your partner maintains manual stabilization of her head, you perform a primary assessment. She is unconscious, has ineffective breathing, and has bloody secretions in her mouth. You should:
A
immediately suction he oropharynx
20
Q
Upon arriving at a potentially unsafe scene, you should:
A
ensure that the scene is safe
21
Q
When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:
A
ensure that the patient can see you
22
Q
Normal respiratory rates should not exceed _______ breaths per minute in children and _______ breaths per minute in infants.
A
30/50
23
Q
Palliating factors regarding a patient’s pain involve those that:
A
alleviate the pain
24
Q
would rapidly assessing the patients respiratory functions involve Scene size up
A
no
25
What should does an EMT focus on regarding the secondary assessment
The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint
26
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 respiration are rapid and shallow. Your initial action should be to:
Provided assisted ventilation
27
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
28
Supplemental oxygen via nonrebreathing mask should be administered to patients
with difficulty breathing and adequate tidal volume
29
The diastolic pressure represents the
minimum amount of pressure that is always present in the artieries
30
Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in obvious distress. Your first action should be to:
introduce yourself to the patient
31
When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:
constricting
32
does a patient with an acute allergic reaction have an altered mental satus
NO
33
Poor peripheral circulation will cause the skin to appear:
ashen
34
You receive a call to a local daycare center for an unresponsive 8-month-old infant. Upon arrival, you perform an assessment and determine that the infant is not breathing. After delivering two rescue breaths, you should:
assess for the presence of a brachial pulse
35
Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal?
beta-blocker medication
36
An injured patient is assigned a total score of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score?
opens eyes in response to pain, uses inappropriate words, withdraws from pain
37
In responsive patients that are older than 1 year of age, you should palpate the pulse at the ________ artery.
radial
38
A 50-year-old male is found unconscious in his car. There were no witnesses to the event. When gathering medical history information for this patient, the EMT should:
determine if the patient has a medical alert bracelet or wallet card
39
When auscultating the blood pressure in a patient's upper extremity, you should place the diaphragm (head) of the stethoscope over the _________ artery.
brachial
40
A patient's short-term memory is MOST likely intact if he or she correctly answers questions regarding:
date and event
41
Which of the following statements regarding the mechanism of injury (MOI) is correct?
The MOI may allow you to predict the severity of a patients injuries
42
Which of the following statements regarding the mechanism of injury (MOI) is correct?
the patient does not complain of pelvic pain
43
Clinical signs of labored breathing include all of the following, EXCEPT:
shallow chest movement
44
When assessing the patient does i was mowing the lawn when the pain started conquer with the E in SAMPLE
YES
45
A 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate depth and her heart rate is 120 beats/min. Which of the following would NOT be appropriate for this patient?
gentle palpation of the pelvis
46
Normal skin color, temperature, and condition should be:
Pink, warm, and dry
47
After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient, you should:
suction as necessary, and insert an airway adjuct
48
If a patient develops difficulty breathing after your primary assessment, you should immediately:
reevaluate his or her airway status
49
If a patient has severe chest pain and cool, pale skin what should you do
begin immediate transport
50
You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused, is in obvious respiratory distress, and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate live saving treatment, you should:
preform a rapid scan of her entire body and prepare fo immediate transport
51
You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused, is in obvious respiratory distress, and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate live saving treatment, you should:
What seems to be the matter?
52
When palpating a patient's pulse, you note that it is grossly irregular. You should:
count the pulse rate for a full minute to obtain an accurate reading
53
Which of the following is the MOST accurate guide to palpating a pulse?
Place the tips of your index and long finger over the pulse
54
Jugular venous distention suggests a problem with blood returning to the heart if the patient is:
sitting up at a 45 degree angle
55
Which of the following conditions would MOST likely cause the pupils to remain significantly constricted?
overdose of an opiate durg
56
A 50-year-old male presents with an altered mental status. 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
57
Cyanosis of the skin is caused by:
decreased blood oxygen
58
The pressure exerted against the walls of the artery when the left ventricle contracts is called the:
systolic pressure
59
A properly sized blood pressure cuff should cover:
two thirds the length from the armpit to the crease in the elbow
60
An unstable patient should be reassessed at least every:
5 minutes
61
During the primary assessment, circulation is evaluated by assessing
pulse quality external bleeding and skin condition
62
In infants and small children, skin color should be assessed on the:
palms and soles
63
During a 30-minute transport of a stable patient, you should reassess him or her at least ________ times.
2
64
When you shine a light into one pupil, the normal reaction of the other pupil should be to:
become smaller
65
When you shine a light into one pupil, the normal reaction of the other pupil should be to:
considering your own cultural values as more important when interacting with people of a different culture
66
You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should:
document this on your patient care report and advise the emergency department staff of what the childs parents told you
67
You are assessing a 75-year-old woman with mild shortness of breath. As you are asking her questions regarding her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that:
As you physically get closer to the patient, a greater and greater sense of trust must be established
68
A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?
Do you have any heart problems or take any medication
69
You are interviewing a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate to say?
It is possible that you may be experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow
70
Calming and reassuring an anxious patient can be facilitated by:
Maintaining eye contact when ever possible
71
During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:
Allow him time to think and respond to the question
72
In what manner should you act and speak with a patient?
calm and cofident
73
When communicating with an older patient, it is important to remember that:
Most older people think clearly and are capable of answering questions
74
A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
consider asking the father to hold the child so you can assess him while your patient trys to calm the mother
75
Is standing over a child the proper way regarding communication
No standing over a child will most likely cause anxiety
76
Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:
Elevating the tone of your voice and exaggerating pronunciation
77
When communicating with a visually impaired patient, you should:
Determine the degree of the patients impairment
78
You and your partner are dispatched to a residence for an "ill person." When you arrive, you find that the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:
Use short, simple questions and point to the specific parts of you body to try to determine the source of the patients complaint
79
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should
Respond only after giving a verbal report to a nurse or physician
80
The official transfer of patient care does not occur until the EMT:
Gives an oral report to the Emergency room physician or nurse
81
When you begin an oral report, you should state the patient's age, sex, and:
chief complaint
82
Typical components of an oral patient report include all of the following, EXCEPT:
The set of baseline vital signs taken at the scene
83
The patient care report (PCR ensures
Continuity of care
84
Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:
Complete a througouh and accurate narrative because drop down boxes can not provide all the information that is needed
85
Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
General impression revealed that the patient was intoxicated
86
All information recorded on the PCR must be:
considered confidential
87
After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:
Draw a single line through the data initial it and write the correct data next to it
88
A patient's refusal for EMS treatment and/or transport must be:
an informed refusal
89
A mentally competent adult has the legal right to refuse EMS care and transport is
A correct statement regarding patient refusal to be treated
90
Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:
Ask a family member, law enforcement office, or bystander to sign the form verifying that the patient refused to sign
91
Does a cardiac arrest require a report to be filed with local authorities
No
92
Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:
Base station
93
Which of the following statements regarding a "dedicated line" is MOST correct?
It is a constantly open line that can not be accessed by outside users
94
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
95
Which of the following has the weakest transmission signal and as a result, is least likely to be heard by the party being called
Hand Held portable radio
96
A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
repeater
97
What type of communications equipment functions as a radio receiver and searches across several frequencies?
scanner
98
Two-way communication that requires the EMT to "push to talk" and "release to listen" describes what mode of communication?
simplex
99
Which of the following is NOT a function of the Federal Communications Commission (FCC)?
maintaining communications equipment on the ambulance
100
During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT:
Discouraging the caller to provide care until the EMS unit arrives
101
After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT:
The general geographic location of the incident
102
Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should
Confirm with dispatch that you received the call information
103
When relaying patient information via radio, communications should be:
Brief and easily undrstood
104
You are transporting a 54-year-old male in cardiac arrest. An EMR 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
105
General guidelines for effective radio communications include all of the following, EXCEPT:
Using 10 codes to ensure radio traffic confidentiality
106
When communicating information over the radio, you should:
Use the words affirmative and negative instead of ye or no
107
When providing a patient report via radio, you should protect the patient's privacy by:
Not disclosing hes or her name
108
Information included in a radio report to the receiving hospital should include all of the following, EXCEPT:
A preliminary diagnosis of the patient's problem
109
You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.
Slander
110
When obtaining patient care orders from a physician via a two-way radio, it is MOST important to remember that:
His or her instructions are based on the information you provide
111
After receiving online orders from medical control to perform a patient care intervention, you should:
Repeat the order to medical control word for word
112
Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:
Advise the physician that the order is unclear and ask for clarification
113
Which of the following statements regarding standing orders is MOST correct?
Standing orders should be followed when physician contact is not possible
114
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?
follow locally established protocols or standing orders
