Final review

Question 1

Inadequate tissue perfusion is known as __________
Select one:

a.
hypotension

b.
shock

c.
hypervolemia

d.
anemia

Answer 1

B. Shock

Question 2

Blood loss from both internal and external sites causes hypoperfusion. This is known as ______________
Select one:

a.
cardiogenic shock

b.
neurogenic shock

c.
hypovolemic shock

d.
septic shock

Answer 2

C. hypovolemic Shock

Question 3

Constriction of airways always occurs during the __________.
Select one:

a.
immune response

b.
exposure response

c.
antigen response

d.
leukotriene response

Answer 3

A. Immune response

Question 4

During the assessment of the patient with altered mental status, the EMT should look for __________.
Select one:

a.
Medications

b.
Medical alert/ identification bracelet or necklace

c.
MOI

d.
All the above

Answer 4

D. All the above

Question 5

Gloves, gown, glasses, masks are examples of
Select one:

a.
Body Substance Insulation

b.
Patient Protection Equipment

c.
Personal Protective Equipment

d.
Body System Isolation

Answer 5

C. Personal protective equipment

Question 6

Irregular breathing pattern, contusions, raccoon’s eyes, neurological disability are indicative of a ________________
Select one:

a.
concussion

b.
closed head injury

c.
open head injury

d.
blunt force trauma to the abdomen

Answer 6

B. closed head injury

Question 7

Oral Glucose can take up to _____ minutes to work.
Select one:

a.
45 minutes

b.
5 minutes

c.
25 minutes

d.
10-20 minutes

Answer 7

D. 10-20 Minutes

Question 8

Proper Lifting techniques in include the following _____________________
Select one:

a.
Lift without twisting

b.
Communicate clearly with your partner

c.
Keep the weight close to your body

d.
All of the above

Answer 8

D. All of the above

Question 9

The FROPVD is typically restricted to pressures at or below _______.
Select one:

a.
20

b.
25

c.
30

d.
35

Answer 9

C. 30

Question 10

The ____ ______ receives blood from the inferior/ superior vena cava.
Select one:

a.
right atrium

b.
right ventricle

c.
left atrium

d.
left ventricle

Answer 10

A. right atrium

Question 11

The ______ phase is where the cervix completes dilation with strong, frequent and painful contractions.
Select one:

a.
Initial phase

b.
secondary phase

c.
transition phase

d.
tertiary phase

Answer 11

C. transition phase

Question 12

The _______ nervous system allows the body to function under stress.
Select one:

a.
parasympathetic

b.
autonomic

c.
sympathetic

d.
none of the above

Answer 12

C. sympathetic

Question 13

The ___________ is the cardiac muscle.
Select one:

a.
pericardium

b.
endocardium

c.
viseral layer

d.
myocardium

Answer 13

D. myocardium

Question 14

The ___________ is the force exerted on the arteries during each contraction of the heart.
Select one:

a.
diastolic blood pressure

b.
cardiac cycle

c.
cardiac output

d.
systolic blood pressure

Answer 14

D. systolic blood pressure

Question 15

The adult dose of epinephrine is ___________.
Select one:

a.
0.5mg

b.
0.25mg

c.
0.3mg

d.
0.15mg

Answer 15

C. 0.3mg

Question 16

The collection, review and reporting of data that provides foe discovery of infractions of protocols, and procedures which may require re-testing or remedial training for the service or personnel involved is defined as ______________
Select one:

a.
Quality Assurance

b.
Quality Management

c.
Quality Improvement

d.
Quality Review

Answer 16

D. Quality Review

Question 17

The final stage is _______________ and is where the placenta is delivered.
Select one:

a.
Tertiary phase

b.
Secondary Phase

c.
Third phase

d.
Transition phase

Answer 17

C. Third phase

Question 18

The left ventricle receives blood from the left atrium through the ______ ______.
Select one:

a.
mitral valve

b.
tricuspid valve

c.
AV valve

d.
pulmonic valve

Answer 18

a. mitral valve

Question 19

The most effective way to prevent the spread of infection is ________.
Select one:

a.
Stay home if you are sick

b.
Wash your Hands

c.
Always wear PPE

d.
Bleach the stretcher after every call

Answer 19

B. Wash your hands

Question 20

The technique designed to move a patient in a series of coordinated moves is _______________.
Select one:

a.
KED technique

b.
stabilization and support technique

c.
c-spine immobilization technique

d.
rapid extrication technique

Answer 20

D. Rapid Extrication technique

Question 21

The thin double layered sac that surrounds the heart is the ___________.
Select one:

a.
Visceral Layer

b.
Pericardium

c.
Parietal Layer

d.
myocardium

Answer 21

B. pericardium

Question 23

Upon delivery and 5 minutes after delivery the newborn should be scored using the ______________ scale.
Select one:

a.
APCOR

b.
APGAR

c.
AGPOR

d.
AGARP

Answer 23

b. APGAR

Question 24

Vomiting or coughing up red blood is a symptom of?
Select one:

a.
internal bleeding

b.
external bleeding

c.
sepsis

d.
hypotension

Answer 24

A. internal bleeding

Question 25

You are dispatched to an assault. Upon arrival you do not see law enforcement, however dispatch states the scene is secure. Based on this information the next appropriate action would be _________________________. Select one: a. Approach the scene with caution b. Call the residence to see if the suspect is still on the premises c. Enter the scene, since you have been advised scene is safe d. Advise dispatch you are staging until law enforcement arrives

Answer 25

d. Advise dispatch you are staging until law enforcement arrives

Question 26

You are on the scene of a “sick” call. The patient tell you he has a history of HIVand is taking medicine . He is running afever and wishes transport to the hospital. What type of PPE should you and your partner wear? Select one: a. Gloves b. Eye Protection c. N95 respirator d. Gown

Answer 26

a. Gloves

Question 27

You arrive on scene to a “respiratory distress”call. Upon arrival you find a 57 y/o male,c/o difficulty breathing with a productive cough. He states he has noticed a little blood in the sputum. What is the appropriate PPE to wear during transport? Select one: a. Gloves b. Gown, mask c. Eye protection, mask d. Gloves, N95 respirator

Answer 27

d. Gloves, N95 respirator

Question 28

Your ___________ __________ is the number one priority on the EMT's list Select one: a. Patient safety b. Personal safety c. Partner safety d. Ambulance safety

Answer 28

b. Personal safety

Question 29

__________ is greenish or brownish-yellow substance found in the amniotic fluid. (Fetal Bowl Movement while in utero) Select one: a. Meshioum Staining b. Cecum Staining c. Mecemiom Staining d. Meconium Staining

Answer 29

d. Meconium Staining

Question 30

__________________ accounts for most of the disability and death among children. Select one: a. Cerebral injuries b. abdominal injuries c. thoracic injuries d. all the above

Answer 30

d. all the above

Question 31

A 19-year-old man with Down syndrome presents with a decreased mental status. According to the patient’s mother, this is not normal for him. She further tells you that he had not been feeling well lately and has not had an appetite. As your partner provides appropriate airway management, you should: Select one: a. assess his blood glucose level. b. quickly apply the cardiac monitor. c. look for a site for vascular access. d. perform a detailed physical exam.

Answer 31

a. assess his blood glucose level.

Question 32

Allergic rhinitis and asthma are MOST often the result of exposure to an allergen via the ___________ route. Select one: a. injection b. ingestion c. inhalation d. absorption

Answer 32

c. inhalation

Question 33

Drug abuse is MOST accurately defined as: Select one: a. the habitual use of illicit drugs for the purpose of inducing a euphoric feeling. b. any use of drugs that causes physical, psychological, or legal harm to the user. c. the use of legal medications that is not in accordance with a physician's order. d. inadvertent misuse of a licit or illicit drug that causes physical harm to the user.

Answer 33

b. any use of drugs that causes physical, psychological, or legal harm to the user.

Question 34

Heat cramps are caused by: Select one: a. sodium loss due to sweating. b. failure of the hypothalamus. c. increased potassium levels. d. increased urinary frequency.

Answer 34

a. sodium loss due to sweating.

Question 35

Other than personal safety, your MOST immediate concern when caring for a submersion victim should be: Select one: a. the risk of vomiting and aspiration. b. determining what caused the event. c. to insert an advanced airway device. d. hypothermia-induced dysrhythmias.

Answer 35

a. the risk of vomiting and aspiration.

Question 36

The odor of bitter almonds on a patient's breath should make you MOST suspicious for exposure to: Select one: a. cyanide. b. phosphorus. c. arsenic. d. turpentine.

Answer 36

a. cyanide.

Question 37

Your assessment begins when? Select one: a. At the start of the shift b. With initial dispatch information c. As you arrive on the scene d. When you walk through the door

Answer 37

b. With initial dispatch information

Question 38

The general impression is formed during the ____________ portion of patient assessment. Select one: a. Primary Assessment (Initial Assessment) b. Secondary Assessment c. Detailed Physical d. Reassessment

Answer 38

a. Primary Assessment (Initial Assessment)

Question 39

Which of the following threats for physical violence can the Healthcare Provider see and prepare for? Select one: a. Clinched fists and aggressive body posturing b. lowered voices, somnolence, and depression c. severe depression d. delusions of granduer

Answer 39

a. Clinched fists and aggressive body posturing

Question 40

Which of the following is NOT a sign or symptom of high risk for suicide? Select one: a. Thoughts of death or taking ones life b. Depression c. Delusions of Grandeur d. Sad, tearful.

Answer 40

c. Delusions of Grandeur

Question 41

When the EMT-B transports an overdose patient to the Emergency room, he/she should also transport ____________ with the patient. Select one: a. Law enforcement b. The medications and empty bottles c. Family members d. Bystanders

Answer 41

b. The medications and empty bottles

Question 42

Organs of excretion include all of the following except. Select one: a. Kidneys b. Intestines c. Lungs d. Sweat glands e. Gonads f. Mammary glands g. Salivary glands

Answer 42

e. Gonads

Question 43

If a paramedic or EMT receives orders from an online physician for a medication that is clearly contra-indicated and administers that medication with tragic results, who is responsible for this mistake? Select one: a. The Physician giving the Order b. The Medical director c. The Paramedic or EMT Giving the medication. d. The receiving RN

Answer 43

c. The Paramedic or EMT Giving the medication.

Question 44

What is the specific purpose for drug legislation? Select one: a. To designate what is legal and Illegal. b. To protect the public from adulterated or mislabeled drugs c. To help the dealers make more money. d. To protect medical professionals from litigation.

Answer 44

b. To protect the public from adulterated or mislabeled drugs

Question 45

___________ involves careful handling to prevent contamination. Select one: a. Sterile technique b. Medically clean c. BSI d. Basic PPE

Answer 45

b. Medically clean

Question 46

IM injections should be given at a _____ degree angle. Select one: a. 60 b. 90 c. 45 d. 30

Answer 46

b. 90

Question 47

_______ is defined as free of all forms of life. Select one: a. Medical asepsis b. Sterile c. Medically clean

Answer 47

b. Sterile

Question 48

__________ is a highly infectious disease, caused by a virus, that affects the grey matter of the Central Nervous System (CNS). The virus lives in the throat and intestinal tract. It is most often spread through person-to-person contact with the stool of an infected person and may also be spread through oral/nasal secretions. ________ used to be very common in the United States and caused severe illness in thousands of people each year before the _____ vaccine was introduced in 1955. Select one: a. Spina Bifida b. Poliomyelitis c. Myasthenia Gravis d. Muscular Dystrophy

Answer 48

b. Poliomyelitis

Question 49

Should a legal case be brought against you, your best defense in court is usually: Select one: a. A complete and thorough PCR b. Your immediate recollection of events c. Your partner's supporting testimony d. Dispatch records.

Answer 49

a. A complete and thorough PCR

Question 50

"What were you doing when the pain started" is a question the Healthcare Provider asks to determine ______________. Select one: a. The activities that could have caused the pain to begin b. How bad the pain is c. How many heart attacks the patient has had. d. If the patient could possibly have taken viagra

Answer 50

a. The activities that could have caused the pain to begin

Question 51

Cardiac patients should be transported in which position? Select one: a. Fowlers b. Semi-Fowlers c. Supine d. Position of Comfort

Answer 51

d. Position of Comfort

Question 52

Preparation of the skin before applying the ECG electrodes should include all of the following except: Select one: a. Clean the area with alcohol b. Abrade the skin with sandpaper c. Shave away excess hair d. Spray the area with cologne

Answer 52

d. Spray the area with cologne

Question 53

Shock, if left untreated, results in ______________. Choose ALL correct answers Select one or more: a. cell malfunction b. organ malfunction c. death d. multisystem organ failure

Answer 53

All of the above

Question 54

Some of the everyday hazards associated with working in EMS include_____. Choose ALL Correct! Select one or more: a. Exposures to disease b. Cuts c. Scrapes d. Breaks

Answer 54

All of the above

Question 55

Elements of a properly written EMS document include: Select one or more: a. Accurate b. Legible c. Timely d. Unaltered If alterations are necessary, make sure they have been completed properly and added to all outstanding copies (hospital, billing, etc.) e. Free of non-professional/extraneous information.

Answer 55

All of the above

Question 56

Shock, if left untreated, results in ______________ Choose ALL correct answers Select one or more: a. cell malfunction b. organ malfunction c. death d. multisystem organ failure

Answer 56

All of the above

Question 57

A normal delivery consists of the fetus, membranes, umbilical cord and placenta being delivered outside of the woman's uterus. Select one: True False

Answer 57

True

Question 58

A patient with hypoxia may present with an altered mental status. Select one: True False

Answer 58

True

Question 59

Adults can maintain their blood pressure until their blood volume is more than half gone. Select one: True False

Answer 59

False

Question 60

After personal safety, maintaining an open airway is the highest priority in patient care for all healthcare providers. Select one: True False

Answer 60

True

Question 61

Arteries carry blood to the heart. Select one: True False

Answer 61

False

Question 62

Artificial ventilation for the basic level healthcare provider consists of, in order of preference: Mouth-to-mask with supplemental oxygen, One person bag-valve-mask, Flow restricted, oxygen powered ventilation device, Two person bag-valve-mask Select one: True False

Answer 62

False

Question 63

Bronchitis and Emphysema are classified as COPD. Select one: True False

Answer 63

True

Question 64

EMS should stage and wait for law enforcement for any potentially violent scene. Select one: True False

Answer 64

True

Question 65

If the mother states she feels pressure in the vaginal area the health care provider needs to check for crowning during a contraction and ask if the mother feels the need to push. Select one: True False

Answer 65

True

Question 66

It is always a good idea to use some form of airway adjunct when providing ventilatory assistance for a patient. Select one: True False

Answer 66

False

Question 67

One of the most important things a healthcare provider can do for a newborn is provide blow-by oxygen immediately following delivery. Select one: True False

Answer 67

False

Question 68

Premature births occur before the 37th week of pregnancy. Select one: True False

Answer 68

True

Question 69

The EMT should request any patient with a respiratory illness that may be contagious to wear a mask for everyone. Select one: True False

Answer 69

True

Question 70

The human body must have what is referred to as a primary response to a particular antigen. Select one: True False

Answer 70

True

Question 71

The onset of labor is defined as regular, painful uterine contractions resulting in progressive cervical effacement and dilatation. Select one: True False

Answer 71

True

Question 72

Trauma is the leading cause of death worldwide. Select one: True False

Answer 72

False

Question 73

When suctioning an adult patient the healthcare provider should not suction for more than 15 seconds. Select one: True False

Answer 73

True

Question 74

Anaphylaxis is a severe allergic reaction causing a life threatening response that involves the entire body Select one: True False

Answer 74

True

Question 75

Accurate patient assessment is something the healthcare provider must master in order to make quick decisive decisions to manage each patient and make the appropriate choice to transport the patient to the right facility for definitive care Select one: True False

Answer 75

True

Question 76

Additional areas of circulation assessment include controlling excessive bleeding, skin temperature, color, and condition Select one: True False

Answer 76

True

Question 77

Pertinent negatives are signs and symptoms associated with a particular complaint that should be present but are not. Select one: True False

Answer 77

True

Question 78

The windshield assessment is completed as the unit arrives on the scene. Select one: True False

Answer 78

True

Question 79

While enroute you can start thinking about things such as the time of day, area you are responding too, and temperature outside. Select one: True False

Answer 79

True

Question 80

Chronic psychiatric patients generally have poor appearance and characteristics that are not acceptable to society Select one: True False

Answer 80

True

Question 81

When treating the patient suffering from a behavioral emergency, approach the patient with a calm and sure manner. Don't be overbearing, but also do not allow the patient to control the scene either. Select one: True False

Answer 81

True

Question 82

Some pediatric dosages are based on the patients body surface area. Select one: True False

Answer 82

True

Question 83

The physiological affects of aging will not alter pharmacodynamics and pharmacokinetics of medications. Select one: True False

Answer 83

False

Question 84

When the EMT B administers a medication, the ordering physcian is responsible for the outcome of the patient receiving the medication. Select one: True False

Answer 84

False

Question 85

When withdrawing medications from glass ampules, you should use a Filter Needle, draw up the medication by inserting the needle into the ampule and withdrawing the medication. Select one: True False

Answer 85

True

Question 86

Stridor, snoring, wheezing, and rales are examples of abnormal breath sounds. Select one: True False

Answer 86

True

Question 87

Snoring is the complete upper airway obstruction caused by the tongue. Select one: True False

Answer 87

True

Question 88

Wheezing is the whistling sound caused by narrowing of the airways from edema, bronchospasm, or obstruction. Select one: True False

Answer 88

True

Question 89

Croupe is a rattling sound caused by a lower airway obstruction, found primarily in young children. Select one: True False

Answer 89

False

Question 90

Rales are a buildup of fluid in the smaller airways, caused by CHF and pulmonary edema. Select one: True False

Answer 90

True

Question 91

Status epilepticus is the most serious seizure disorder and a medical emergency because the seizure does not stop. Electrical discharges occur throughout the brain, causing a generalized tonic-clonic seizure. Status epilepticus is diagnosed when a seizure lasts more than 5 minutes or when people do not completely regain consciousness between seizures. People have convulsions with intense muscle contractions and cannot breathe adequately. Body temperature increases. Without rapid treatment, the heart and brain can become overtaxed and permanently damaged, sometimes resulting in death Select one: True False

Answer 91

True

Question 92

People with autistic disorder usually have significant language delays, social and communication challenges, and unusual behaviors and interests. Many people with autistic disorder also have intellectual disability.
Select one: True False

Answer 92

True

Question 93

Cerebral palsy (CP) is a group of disorders that affect the brain and nervous system and affect a person's ability to move and maintain balance and posture. CP is the most common motor disability in childhood.
Select one: True False

Answer 93

True

Question 94

Children diagnosed with Fetal Alcohol Syndrome may be at greater risk for abuse and/or neglect.
Select one: True False

Answer 94

True

Question 95

Handwritten ACRs should be written legibly. Select one: True False

Answer 95

True

Question 96

The accuracy of an ACR/PCR depends on each piece of information on the report. Select one: True False

Answer 96

True

Question 97

Improperly placed electrodes or poorly prepped skin could lead to a poor tracing of the ECG. Select one: True False

Answer 97

True

Question 98

It is acceptable to defibrillate in a moving ambulance. Select one: True False

Answer 98

False

Question 99

Capnography can be used to Detect effective CPR. Select one: True False

Answer 99

True

Question 100

Capnography can be used to detect a disconnection from the BVM or Ventilator. Select one: True False

Answer 100

True

Question 101

To prevent and control postpartum hemorrhage, the healthcare provider should ____________. a. perform a fundal massage b. perform a nuchal massage c. place a transparent film dressing over the vaginal opening d. place a non-adherent wet dressing over the vaginal opening

Answer 101

a. perform a fundal massage