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Flashcards in EMT B Deck (172)
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0

Which of the following is the EMT's primary responsibility at a crime scene?
A. Identify any potential suspects encountered at the scene
B. His or her own safety
C. Preservation of evidence
D. Taking notes that may be needed later doing court testimony

His or her own safety

1

Which of the following conditions would be most likely to create liability for an EMT-B who allows refusal of care and transport
A. The patient states he is fully aware of the consequences of not seeking medical care
B. The patient and EMT B do not share a common language
C. The patient willingly signs a release of liability form
D. None of the above would create liability; The EMT/B is protected by the good Samaritan law

The patient willingly signs a release of liability form

2

Which of the following situations best illustrates the act of abandonment by the EMT?
A. The EMT resuscitates a patient Who has a DNR order signed by his physician
B. An EMT who is off duty sees a motor vehicle collision with probable injuries but does not stop to help
C. An EMT transports a patient to the emergency department and has the patient wait in the waiting room, but does not tell anyone the patient is there
D. An EMT begins care of a patient, then turns the patient over to a paramedic

An EMT transports a patient to the emergency department and has the patient wait in the waiting room but does not tell anyone the patient is there

3

The blood vessels surrounding the alveoli are
A. Veins
B. Arteries
C. Arterioles
D. Capillaries

Capillaries

4

The two most easily injured portion of the spine are the
A. Lumbar and sacral
B. Cervical and Thoracic
C. Cervical and lumbar
D. Sacral and coccygeal

Cervical and lumbar

5

A patient had a seizure that lasted about 3 minutes. At the time of your initial assessment she is unresponsive to all stimuli, is breathing deeply at about 20 times per minute and has gurgling noises on respiration due to an accumulation of secretions in the mouth and the pharynx.
A. Immediately apply a non-rebreather mask with 12 L per minute of oxygen, take a set of vital signs, suction in the secretion from the mouth and pharynx
B. Suction the mouth and pharynx, apply a non-breather mask with 12 L per minute of oxygen, continue your assessment
C. Suction the mouth and Pharynx, assist ventilation with a bag valve mask using supplemental oxygen, continue assessing the patient
D. Assist ventilations with a bag valve mask using supplemental oxygen, suction the mouth and pharynx, obtain information about the patient's medical history

Suction in the mouth and the pharynx, apply a non-breather mask with 12 L per minute of oxygen, continue your assessment

6

A 45-year-old man who is suffering from chest pain. On your arrival the patient is pale and sweaty and seems short breath. The patient is angry with the daughter for calling 911. He says he has some spicy sausage for breakfast and had indigestion. Which of the following is not an appropriate means of getting the patient the care he needs?
A. Tell the patient that his chest pain may be related to a heart problem, and there is a risk that he could die if he does not go to the hospital for diagnosis and treatment
B. Try to find out why the patient does not want to go to the hospital
C. Informed the patient that if he does not agree to treatment you will have to take him against his will because he has a potentially life-threatening problem
D. Call the patient's wife to see if she can persuade the patient to seek medical attention

Tell the patient that he has chest pain maybe related to a heart problem and there is a risk that he could die if he does not go to the hospital for diagnosis and treatment

7

The two major portions of the skull are the
A. Frontal bone and ilium
B. Atlas and axis
C. Manubrium and mandible
D. Cranium and face

Cranium and face

8

Concerning the use of humidified oxygen, which of the following is true
A. It should only be used when assisting ventilation with a bag valve mask device
B. It is not of great benefit during short transports
C. The water reservoir should be changed on a weekly basis
D. The water in the reservoir should be treated with chlorine tablets to prevent the growth of bacteria

It is not a great benefit doing a short transports

9

In which of the following situations is not legal to share information about treatment you provided to a patient
A. You are ordered to testify in a court of law
B. The patient signs a release of information form
C. The triage nurse at the emergency department ask about the care you provided to the patient
D. The patient's lawyer request the information over the phone

The patients lawyer requests information over the phone

10

Which of the following is not required to prove a claim of negligence against an EMT
A. The EMT fails to act according to the standard of care
B. The patient suffers harm as a result of what the EMT did or did not do
C. The patient suffers harm as a result of what the EMT did or did not do
D.The EMT had a duty to act

C. The patient suffers harm as a result of what the EMT did or did not do

11

The bone on the thumb side of the forearm is the
A. Fibula
B. Radius
C. Acromion
D. Ulna

Radius

12

Which of the following is necessary to deliver Oxygen to patients at a safe pressure
A. Flowmeter
B. Float ball
C. Regulator
D. Filter

Regulator

13

You are ventilating an adult patient with a bag-valve mask when you notice that his abdomen is getting
bigger. You should:
a. apply cricoid pressure.
b. decrease the flow of oxygen.
c. apply pressure to the abdomen.
d. suction the airway.

a. apply cricoid pressure.

14

20. Which of the following colors identifies an oxygen cylinder?
a. Orange
b. Black
c. Blue
d. Green

D. Green

15

19. Which of the following oxygen cylinders would be the closest to last no longer than 50 minutes flowing
at 10 liters per minute?
a. M tank
b. D tank
c. G tank
d. E tank

D. E tank

16

16. A nonrebreather mask at 12-15 liters per minute can deliver to the patient what percent of oxygen?
a. 80- 90
b. 16-21
c. 24- 44
d. 90- 100

A. 80–90

17

15. Which of the following describes why fast respiration may decrease minute volume?
a. The lungs may not have the time to fill and exchange gas.
b. The rate causes turbulence in the trachea that increases the friction and decreases the amount of air
movement.
c. It is due to the delay in the movement of the intercostal muscles and the pleural space.
d. The rate does not decrease minute volume; it actually increases.

a. The lungs may not have the time to fill and exchange gas.

18

14. The oxygen flow rate for a nasal cannula should not exceed ________ liters per minute.
a. 8
b. 4
c. 6
d. 2

C. 6

19

13. You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is
agitated, anxious, and refuses to have a nonrebreather mask applied. Which of the following is the best
option?
a. Use a nasal cannula instead.
b. Have her breathe into a paper bag to control her hyperventilation.
c. Do not make further attempts to administer oxygen as it will only agitate the patient further.
d. Consult with medical control about restraining the patient.

a. Use a nasal cannula instead.

20

12. Which of the following patients does NOT require the administration of supplemental oxygen?
a. A 60-year-old woman with a history of chronic obstructive pulmonary disease (COPD) who can speak
two or three words at a time without a breath
b. A 6-year-old male with a history of asthma whose breath sounds are silent and who is drowsy
c. A 31-year-old male who is unresponsive due to an overdose of narcotics
d. A 24-year-old woman who is breathing 28 times per minute after being in an argument with her husband

d. A 24-year-old woman who is breathing 28 times per minute after being in an argument with her husband

21

11. Why is inhalation described as an active process?
a. It requires the diaphragm to relax and use energy to move, creating a positive pressure.
b. It requires chest muscles to relax and use energy to move, creating a positive pressure.
c. It requires chest muscles to contract and use energy to move, creating a negative pressure.
d. It uses oxygen to assist chest muscles to contract, creating a negative pressure.

c. It requires chest muscles to contract and use energy to move, creating a negative pressure.

22

10. For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen
levels are low is called:
a. hypotension.
b. hypercarbia.
c. hyperventilation.
d. hypoxia.

d. hypoxia

23

9. Which of the following is acceptable for maintaining a seal between an oxygen cylinder and regulator?
a. A pop-off valve
b. A flexible gasket
c. A light coating of lubricant
d. Medical grade adhesive tape

b. A flexible gasket

24

8. Concerning the use of humidified oxygen, which of the following is true?
a. It should only be used when assisting ventilations with a bag-valve-mask device.
b. The water in the reservoir should be treated with chlorine tablets to prevent the growth of bacteria.
c. It is not of great benefit during short transports but can make the patient more comfortable.
d. The water reservoir should be changed on a weekly basis.

c. It is not of great benefit during short transports but can make the patient more comfortable.

25

7. What signs and symptoms would indicate inadequate breathing in a patient?
a. Increased effort to breathe, increased depth of respiration, pink dry skin, normal mental status
b. Rapid breathing, pale skin, and a normal mental status
c. Decreased depth of respiration, decreased rate of breathing, hot clammy skin, normal mental status
d. Increased effort to breathe, cyanosis, cool clammy skin, altered mental status

d. Increased effort to breathe, cyanosis, cool clammy skin, altered mental status

26

6. The movement of oxygen and carbon dioxide between the alveoli and circulating blood is called:
a. internal respiration.
b. osmosis.
c. cellular respiration.
d. external respiration.

d. external respiration.

27

5. Your patient is a 55-year-old man with a history of chronic bronchitis. You have been called to his home
today because of an increase in his level of respiratory distress. The patient is on 2 liters per minute of
oxygen by nasal cannula at home. Your assessment reveals difficulty speaking due to shortness of
breath, leaning forward to breathe, a productive cough, and a respiratory rate of 32 per minute. Which
of the following is true concerning the best course of action for this patient?
a. Because increased blood levels of carbon dioxide are the primary stimulus to breathe, you should
encourage the patient to rebreathe his exhaled air from a paper bag.
b. 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-valve-mask device.
c. You should increase the patient's oxygen flow rate until his respiratory rate decreases and then resume
oxygen administration at 2 liters per minute.
d. You should not increase the patient's oxygen flow rate because of his likely dependence on a hypoxic
drive to stimulate breathing. 5. b. 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-valve-mask device.

b. 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-valve-mask device.

28

4. The safe residual for an oxygen cylinder is ________ psi.
a. 200
b. 300
c. 500
d. 1,000

a. 200

29

3. What is the percentage of oxygen provided by connecting a high flow of oxygen to the oxygen inlet
found on a pocket mask?
a. 50 percent
b. 21 percent
c. 100 percent
d. 16 percent

a. 50 percent