final exam parkers practice

Question 1

Rank the following in order from 1-5 (1 being first and five being last)

Anger
Acceptance
Bargaining
Denial
Depression

Answer 1

2
5
3
1
4

Question 2

Select all that would qualify as “critical incidents”

Spouse Abuse
Child abuse
Explosive Birth
MCI

Answer 2

Spouse Abuse
Child abuse
MCI

Question 3

be able to trace a drop of blood through heart

Question 4

Select all of the places gas exchange occurs at:

Dura Mater
Bone Marrow
Capillaries
Fovea
Pia Mater
Alveoli

Answer 4

Capillaries
Alveoli

Question 5

The main function of bile is to:

Work in conjunction with the pancreas to begin digestion
Break down fat
Break down food
Break down protein
Neutralize stomach acid

Answer 5

Break down fat

Question 6

Select all of the following that is in the upper airway:

Epiglottis
Nasopharynx
Oropharynx
Thyroid Membrane
Bronchus

Answer 6

Epiglottis
Nasopharynx
Oropharynx

Question 7

Select all that is needed to prove negligence:

Causation
Battery
Breech of duty
Damage
Abandonment
Duty to act
Violating medical directions instructions
Assault

Answer 7

Causation
Breech of duty
Damage
Duty to act

Question 8

What does it mean for your patient to be “legally competent”?

It means they are under legal age and can refuse care
Another term for implied consent
They are A&Ox4 and can refuse care at any point
They are not A&Ox4 but can refuse care at any time

Answer 8

They are A&Ox4 and can refuse care at any point

Question 9

Select all the following that is true about when minors are treated as legal adults:

If you get parental consent
They are engaged
They are legally emancipated
They are pregnant

Answer 9

They are legally emancipated
They are pregnant

Question 10

Select all the following that you need for a refusal of care:

Medical control must agree
Do a patient assessment
Patient needs to be A&Ox4
Have your patient and ideally partner sign

Answer 10

Medical control must agree
Do a patient assessment
Patient needs to be A&Ox4

Question 11

A DNR is:

Used when a patient’s heart is beating, can be overturned by only the patient
Used when a patient’s heart is not beating, can be overturned by only the patient
Used when a patient’s heart is not beating, can be overturned by the patient or close family member
Used when a patient’s heart is beating, can be overturned by the patient or close family member

Answer 11

Used when a patient’s heart is not beating, can be overturned by the patient or close family member

Question 12

What position is the patient at a 45 degree angle

Semi-Fowlers
Assessment Position
Exam Position
Fowlers

Answer 12

Semi-Fowlers

Question 13

The diamond carry is:

1 at head, 2 at legs, 1 at each hip. 5 total
1 at head, 1 at legs, 2 at each hip. 6 total
2 at head, 1 at legs, 1 at each hip. 5 total
1 at head, 1 at legs, 1 at each hip. 4 total people

Answer 13

1 at head, 1 at legs, 1 at each hip. 4 total people

Question 14

What is the minimum number of straps needed for a long-back board?

Answer 14

3

Question 15

Wheeled Stretcher definition

Answer 15

most commonly used

Question 16

Portable Stretcher

Answer 16

not commonly used but when in use its for multiple patients

Question 17

Short Board

Answer 17

also known as KED

Question 18

Select all of the following that is emergency moves:
Extremity Lift
Draw Sheet
Walking assist
Direct ground carry
Carry

Answer 18

Walking assist
Carry

Question 18

Scoop Stretcher

Answer 18

for hip and pelvic injury

Question 19

Stair Chair

Answer 19

for narrow hallways

Question 20

Long Back Board

Answer 20

preferred for full body immobilization

Question 21

What is biological death and when does it take place?

Biological death is when necrosis begins; about 10 minutes
Biological death is when the heart stops; about 4-6 minutes
Biological death is when necrosis begins; 4-6 minutes
Biological death is when the heart stops; about 10 minutes

Answer 21

Biological death is when necrosis begins; 4-6 minutes

Question 22

Select all of the following complications for poor mask seals:

Orbital fracture
Fluid around the mouth
Over inflation of lungs
Missing teeth
Too forceful of breaths
Facial deformity

Answer 22

Fluid around the mouth
Missing teeth
Facial deformity

Question 23

How do you measure an NPA?

Measure From mouth to nose
Measure From corner of mouth to ear
Measure From ear to nose
Measure from corner of mouth to nose

Answer 23

Measure From ear to nose

Question 24

Scene Size Up

Answer 24

Done Immediately upon arrival

Question 25

primary assessment

Answer 25

ABCDE

Question 26

On going assessment

Answer 26

every 5 min

Question 27

The normal range of breathing for the following is: Adult: Child: Infant:

Answer 27

Adult: 12-20 Child: 15-30 Infant:25-50

Question 28

A whistling noise while breathing inward is: Stridor; reversible narrowing of the upper airway Wheezing; reversible narrowing of the lower airway Wheezing; reversible narrowing of the upper airway Stridor; reversible narrowing of the lower airway Wheezing; irreversible narrowing of the lower airway Stridor; upper airway obstruction

Answer 28

Wheezing; reversible narrowing of the lower airway

Question 29

Rales is a sign of: Pulmonary Embolism Narrowing of the airway Pulmonary Edema Collapse of the alveoli

Answer 29

Pulmonary Edema

Question 30

Capillary refill can be used instead of BP in patients under 3 years of age? True False

Answer 30

True

Question 31

When assessing level of consciousness, you would use what scale? AVPU GCS BSI AEIOU-TIPS

Answer 31

AVPU

Question 32

How many seconds should it take to do the detailed assessment?

Answer 32

90

Question 33

The L in DCAPBTLS stands for:

Answer 33

lacerations

Question 34

The quickest way to see how a patient is trending is to reassess: Skin color and temperature AVPU Pulse Blood pressure

Answer 34

AVPU

Question 35

You must suction frothy secretions from the mouth and pharynx of a 31-year-old male patient whose respiration rate is 4 breaths/min. Which process to do so is most appropriate given the patient's condition? Suction for no more than 15 seconds at a time, followed by 2 minutes of positive pressure ventilation Place the patient into a side-lying position and alternate 30 seconds of suctioning and ventilation Forego suctioning and continue to provide positive pressure ventilation, as frothy secretions rarely complicate the airway Use a soft-tip catheter and suction for no more than 30 seconds before providing additional oxygen with a nonrebreather face mask

Answer 35

Suction for no more than 15 seconds at a time, followed by 2 minutes of positive pressure ventilation

Question 36

Select all of the following drugs an EMT-B is allowed to administer? CPAP Glucose Albuterol Oxygen Activated Charcoal Epi-Pen Nitroglycerin

Answer 36

Glucose Oxygen Activated Charcoal

Question 38

Activated Charcoal (adult dose)

Answer 38

25-50g

Question 39

Nitro

Answer 39

.4mg

Question 40

Oral Glucose

Answer 40

.5g to 1g/kg

Question 41

Epinephrine

Answer 41

.3mg or .15mg

Question 42

Albuterol Nebulized

Answer 42

2.5mg in 3ml

Question 43

What is the minimum amount of times to recheck a drug before giving it?

Answer 43

1

Question 44

What is the mechanism of action for nitroglycerin? Beta antagonist Alpha agonist Alpha-Beta antagonist Smooth muscle dilator

Answer 44

Smooth muscle dilator

Question 45

What does it mean for a patient to have a COPD exacerbation? The patient is currently being affected by it The patient's COPD is currently "dormant" When COPD becomes a medical emergency It is worse than normal

Answer 45

It is worse than normal

Question 47

Select all of the following are lethal rhythms? Asystole Junctional Tachycardia A-Fib V-Fib

Answer 47

Asystole V-Fib

Question 48

Put in order the chain of survival for an adult patient: Early defib Early ALS Early 911 Early CPR

Answer 48

Early defib 3 Early ALS 4 Early 911 1 Early CPR 2

Question 49

Select all that is true regarding MI's: Most common cause is CHF Pain goes away with nitroglycerin Atherosclerosis of the aortic arch Epi release Arteriosclerosis of the aortic arch Palpitations

Answer 49

Most common cause is CHF Epi release Palpitations

Question 50

Select all that is true regarding when pulse ox can be misleading: CO poisoning Bronchitis that reoccurs once a year Inhaled benzodiazepine poisoning Emphysema Smoke inhalation

Answer 50

CO poisoning Emphysema

Question 51

When evaluating severity of diabetes, insulin level is a key indicator true false

Answer 51

false

Question 52

A moderate allergic reaction: Runny nose, itching, tearing eyes, with a cough All of mild symptoms with an affected blood pressure All of mild symptoms with an affected blood pressure and airway compromise Runny nose, itching, tearing eyes, rash

Answer 52

Runny nose, itching, tearing eyes, with a cough

Question 53

In a submersion incident, what is occurring with the vocal cords? Nothing, they are unaffected by a submersion incident They will deviate from the midline Laryngospasms They dilate

Answer 53

Laryngospasms

Question 54

You have a patient who is severely hypothermic with a GCS of 8. How will you manage this patient? You will actively warm your patient with warm blankets, warm IV, warm oxygen Correct Answer You will provide supportive care for this patient without actively rewarming You will passively warm your patient using warm blankets, warm IV, warm oxygen You will actively warm your patient by assisting with pumping warm water in and out of stomach and retroperitoneal area

Answer 54

You will provide supportive care for this patient without actively rewarming

Question 56

Simplex

Answer 56

Transmits and receives on same frequency. Old fashion toy walkie-talkies

Question 57

Duplex

Answer 57

One for transmitting, one for receiving, like a phone

Question 58

Multiplex

Answer 58

several functions on one line

Question 59

Facsimile

Answer 59

often used to transmit patient info

Question 60

What is the number one cause of suicide? Have one or more other psychological disorders Previous suicide attempts Depression Chronic feelings that nothing will get better

Answer 60

Depression

Question 61

Select all of the following that is true regarding questions you should ask all poisonings: How quickly did the patient take it? Where was it taken? Did anyone witness the patient take it? What was the patient's reason for taking? How was it taken? How much does the patient weigh?

Answer 61

How was it taken? How much does the patient weigh?

Question 62

On an infant you should suction the mouth first and then the nose because infants are "mouth breathers" true false

Answer 62

false

Question 63

What distinguishes pre-eclampsia from eclampsia? If they are having signs/symptoms such as nausea, vomiting, headache, etc If they are having a seizure or not Clinical imaging Clinical blood work

Answer 63

If they are having a seizure or not

Question 64

Abruptio Placentae

Answer 64

placenta separates prematurely

Question 65

Pre-mature

Answer 65

under 36 wks

Question 66

Therapeutic Abortion

Answer 66

medically needed

Question 67

Put in the numerical number for the amount of blood loss that makes it significant: (answer in mL) Adult: Child: Infant:

Answer 67

Adult: 1000 Child: 500 Infant: 250

Question 68

Select examples that can cause pump failure shock? RCHF Drugs Damages valves MI LCHF

Answer 68

RCHF Drugs Damages valves MI LCHF

Question 69

When considering the severity of a crash, what is the most important factor? Size Patient history Time of day Velocity Road conditions

Answer 69

Velocity

Question 70

Your patient is a 21 y/o female with burns to the front of the head, abdomen, right arm and right leg. What percentage BSA burns does she have?

Answer 70

40.5

Question 71

What is a contusion? Collection of blood under bone Collection of blood in the arachnoid space Collection of blood under the skin Collection of blood in the pleural space

Answer 71

Collection of blood under the skin

Question 72

Bones have a relatively low supply of blood True False

Answer 72

False

Question 73

Which of the following vital signs are consistent with a hemothorax? BP: high / pulse: high BP: normal to low / pulse: high BP: normal / pulse: elevated BP: low / pulse: low

Answer 73

BP: normal to low / pulse: high

Question 74

Select all that is true of Beck's triad: Muffled Heart Sounds Widening pulse pressure Tachycardia JVD Tracheal deviation

Answer 74

Muffled Heart Sounds JVD

Question 75

Glucose makes brain vessels constrict True False

Answer 75

False

Question 76

In a significant MOI, one of the first things done should be: Leave the scene within 10 minutes Start high flow oxygen Maintaining C-Spine Extricate patient if necessary

Answer 76

Maintaining C-Spine