Midterm

Question 1

You are driving in your car and see a crash. You stop to provide care. You are protected by:
a. duty to act
b. scope of practice
c. Good Samaritan law
d. standard of care

Answer 1

c. Good Samaritan Law

Question 2

What is HIPPA?
a. The medical director’s specific instructions for specific medical conditions or injuries
b. Written guidelines that direct the care EMS personnel provide for patients.
c. a law that dictates the extent to which protected health information can be shared.
d. The medical director’s specific instructions for specific medical conditions or injuries

Answer 2

c. a law that dictates the extent to which protected health information can be shared

Question 3

The governmental organization that sets strict standards for reducing the possibility of infectious exposure in the workplace is:
a. OSHA
b. CDC
c. FEMA
d. FDA

Answer 3

a. OSHA

Question 4

You are called to the scene of an overturned tanker truck. Arriving at the scene, you notice a fluid draining from the underside of the truck. You use your binoculars to look on the placard on the back of the vehicle so that you can identify the material from your:
a. Emergency Medical Responder
b. Standard Operations Procedure Manual
c. Emergency Response Guidebook
d. Physician’s Desk Reference

Answer 4

c. Emergency Response Guidebook

Question 5

Bleeding inside the chest that causes the lung to collapse away from the chest wall is called a:
a. pulmonary edema
b. pleural decompression
c. hemothorax
d. pneumothorax

Answer 5

c. hemothorax
(hemothorax is collapsed chest wall, pneumothorax is a collapsed lung)

Question 6

When the diaphragm contracts and the chest expands, the pressure inside the chest:
a. increases
b. decreases

Answer 6

b. decreases
(When the lungs inhale, the diaphragm contracts and pulls downward. This increases the size of the thoracic cavity and decreases the pressure inside)

Question 7

You are moving a stable patient down a narrow hallway with several turns. Your traditional stretcher will not fit. Which type of device should you use?
a. portable stretcher
b. scoop stretcher
c. stair chair

Answer 7

c. stair chair

Question 8

You are called to a house for an elderly male who fell in the bathroom and is complaining of pain to his right hip. The best type of equipment to use would be the:
a. scoop stretcher.
b. stretcher.
c. stair chair.
d. backboard.

Answer 8

a. scoop stretcher

Question 9

You have placed a patient on your stretcher. She has no injuries but has been vomiting for several days. Her blood pressure is 92/60, and she says she feels dizzy. The best position for this patient is the:
a. shock position.
b. semi-Fowler’s position.
c. standard position.
d. recovery position.

Answer 9

a. shock position

Question 10

A device for moving a patient from one level to another or over rough terrain is the:
a. wheeler stretcher.
b. stair chair.
c. spine board.
d. basket stretcher

Answer 10

d. basket stretcher

Question 11

Information on a patient care report that includes details about the call itself is called the:
a. 911 call
b. shift report
c. run data
d. chief complaint

Answer 11

c. run data

Question 12

You have just made two attempts to ventilate an unresponsive child with an airway obstruction. Your next step is to:
a. begin chest compressions
b. continue to ventilate
c. perform 5 chest thrusts
d. provide back slaps

Answer 12

a. begin chest compressions

Question 13

a condition in which there is an insufficient supply of oxygen in the blood and tissues:
a. apnea
b. dyspnea
c. hypoxia

Answer 13

c. hypoxia

Question 14

While attending to an 11-month-old boy who has a suspected severe airway obstruction, you are able to remove a small piece of food from the child’s airway. You give the child some rescue breaths, and the child’s chest rises. The infant now has a pulse and circulation. You continue rescue breaths at the rate of ________ breaths every ________ seconds.
a. 1/2
b. 5/6
c. 3/5

Answer 14

a. 3/5

Question 15

You are caring for a 12 year old patient who is having severe difficulty breathing. Her respirations are 32 times per minute and shallow. The best choice for oxygen therapy for this patient is a:
a. nasal cannula
b. demand valve
c. bag-valve mask
d. nonrebreather mask

Answer 15

c. bag-valve mask

Question 16

Which of the following is NOT a hazard associated with oxygen use?
a. Breathing high concentrations of oxygen can quickly cause damage to the alveoli.
b. Oxygen and oils mixed together can cause an explosion.
c. Oxygen supports combustion and causes fire to burn more rapidly.
d. The oxygen tank is under pressure and can become a missile should the valve break off.

Answer 16

a. Breathing high concentrations of oxygen can cause damage to the alveoli

Question 17

The flow meter:
a. allows the provider to regulate the rate of oxygen delivered to the patient.
b. is where the connection to refill the oxygen bottle is located.
c. allows pressure coming out of the bottle to be reduced to a manageable level.
d. indicates how much oxygen is remaining in the bottle.

Answer 17

*not sure
c. allows pressure coming out of the bottle to be reduced to a manageable level

Question 18

You are caring for a patient who was ejected from a vehicle that rolled over. She is alert and responsive. Her respirations are 20 times per minute with good tidal volume and unlabored. Which device is most appropriate to deliver oxygen to this patient?
a. nonrebreather mask
b. demand valve
c. bag-mask device
d. nasal cannula

Answer 18

a. nonrebreather mask

Question 19

The Emergency Medical Responder is using a “D” cylinder that contains about ________ liters of oxygen.
a. 450
b. 425
c. 630
d. 640

Answer 19

b. 425

Question 20

You are caring for an infant who is unresponsive and not breathing. Your initial attempt to deliver a rescue breath is not successful. Which one of the following is most likely the cause?
a. the child is choking on a foreign object
b. the airway is likely blocked by an airway spasm
c. you probably did not position the airway properly
d. the child has asthma & cannot breathe

Answer 20

c. you probably did not position the airway properly

Question 21

You are at a Little League baseball game & see a parent collapse to the ground. You are the first person to the woman. You should:
a. send someone to call 911
b. check for responsiveness
c. give two rescue breaths
d. place her in recovery position

Answer 21

b. check for responsiveness

Question 22

You are caring for an adult patient who appears unconscious. When you tap on his shoulder and call out his name, he opens his eyes and attempts to respond. This patient would be classified as _______ on the AVPU scale.
a. alert
b. verbal
c. painful
d. unresponsive

Answer 22

b. verbal

Question 23

A patient complains of chest pain but denies any difficulty breathing. The lack of difficulty breathing is considered:
a. superflous information
b. relevant finding
c. a pertinent negative
d. pertinent medical history

Answer 23

c. pertinent negative

Question 24

The nasal cannula can deliver up to ___ percent oxygen and the nonrebreather mask can deliver up to ____ percent oxygen.
a. 40, 85
b. 35, 90
c. 45, 95
d. 50, 90

Answer 24

45, 95

Question 25

The Initial Assesment consists of:

Answer 25

BSI Scene Safety NOI/MOI Additional Resources

Question 26

The Primary Assesment consists of:

Answer 26

General Impression Mental Status (AVPU) Airway and Breathing (ABC's) Patient Priority Life Threatening Hemorrhage

Question 27

Signs vs Symptoms

Answer 27

Signs are something you can see while symptoms are subjective feelings of patients

Question 28

SAMPLE

Answer 28

Signs and Symptoms Allergies Medication Past medical history Events leading up to

Question 29

OPQRST

Answer 29

Onset Provocation Quality Radiation Severity Time of Injury

Question 30

Baseline vs Trending Vitals

Answer 30

Baseline Vitals are the first set of vitals obtained while trending vitals are monitored multiple times

Question 31

What three components do we evaluate with Respirations?

Answer 31

Rate, ease, depth

Question 32

Average Respiration Rate for Adults

Answer 32

12-20

Question 33

Average Pulse Rate

Answer 33

60-100

Question 34

What three components are evaluated with pulse rate?

Answer 34

rhythm, rate, strenght

Question 35

Average Blood Pressure

Answer 35

120/80

Question 36

PEERRL

Answer 36

Pupils Equal Round Reactivity Light

Question 37

All of the following are terms used for the stages of death and dying EXCEPT:

Answer 37

Refusal

Question 38

Battery

Answer 38

Assault

Question 39

Menangitis (symptoms/signs)

Answer 39

stiff neck, fever, neurological

Question 40

A 74-year-old woman feels weak and dizzy, has pale and sweaty skin, and has a fast and weak pulse. The fast and weak pulse of this patient causes you to suspect that her cardiac output has: a. increased b. decreased c. stopped

Answer 40

b. decreased (cardiac output is is the amount of blood ejected from the heart in one minute)

Question 41

The gasket used to seal a regulator to the oxygen cylinder is called a(n): a. "B" ring b. "C" ring c. "D" ring d. "O" ring

Answer 41

d. "O" ring

Question 42

The proper placement of a(n) _____ will help ensure an airtight fit between the regulator and the tank valve. a. cannula b. O ring c. demand valve d. Venturi

Answer 42

b. "O" ring

Question 43

To perform adequate compressions for a child under 8 years of age: a. place one hand on the midsternum and cover it with the other hand. b. place the heel of one hand at the imaginary nipple line over the sternum. c. depress the sternum one-quarter to one-half the depth of the chest. d. use the ring and middle finger of one hand on the middle of the sternum.

Answer 43

b. place the heel of one hand at the imaginary nipple line over the sternum

Question 44

a disorganized electrical activity within the heart that renders the heart incapable of pumping blood: a. bradycardia b. fibrillation c. tachycardia d. asystole

Answer 44

b. fibrillation

Question 45

A patient who is fully alert and oriented will be able to identify: a. person, place, and how many quarters are in a dollar. b. person, event, family history, and who the president is. c. person, place, time, and event. d. person, time, and medical history.

Answer 45

c. person, place, time, and event

Question 46

You and your partner are called to the scene of a motor vehicle accident. Your patient was the unrestrained driver of a vehicle that hit a tree going 55 mph. The Emergency Medical Responder recognizes that this patient has: a. a nonsignificant mechanism of injury. b. no chance of survival. c. a significant mechanism of injury. d. a serious cause of illness.

Answer 46

c. a significant mechanism of injury (the method by which trauma and its associated forces directly or indirectly impacts the human body)

Question 47

The primary assessment begins with:

Answer 47

forming a general impression

Question 48

The American Heart Association recommends administering oxygen to a chest pain patient with an oxygen saturation of less than:

Answer 48

94%

Question 49

Which of the following is a contraindication for administering nitroglycerine?

Answer 49

head injury and diastolic below 80.

Question 50

All of the following are signs and symptoms of congestive heart failure EXCEPT: a. hypertension. b. difficulty breathing. c. headache. d. pedal edema.

Answer 50

c. headache (remember, congestive heart failure causes fluids to build up, therefore edema aka swelling happens)

Question 51

When a blockage of the coronary arteries causes an area of heart muscle to die from lack of oxygen, it is called: a. cardiac arrest b. myocardial infraction c. angina d. pericarditis

Answer 51

b. myocardial infraction

Question 52

You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave, and the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. For you to care for this patient, you must get her consent for treatment and transport. If you treat this patient against her will, you have committed: a. standard of care breach b. negligience c. battery d. abandonment

Answer 52

negligence

Question 53

You are caring for a 6-year-old female who the family says has been very sick since last night. She had a high fever, but they felt it was just the flu. Today the child became worse and complained of her neck hurting and being stiff. The child is now unresponsive and is not breathing. You have been ventilating her with a bag-valve device attached to oxygen until ALS arrives and takes over care and transports. Early on in the call, the child coughed directly into your face. You were not wearing eye protection and think there might have been an exposure. You should: a. do nothing; this patient is contagious b. wash your face with disinfectant c. report the incident to your supervisor

Answer 53

c. report the incident to your supervisor

Question 54

When performing a direct ground lift, it is recommended to have: a. two rescuers b. three rescuers c. four rescuers d. five rescuers

Answer 54

b. three rescuers

Question 55

You are attending to an 11-month-old boy who was choking on some food. You have dislodged the obstruction and are now giving rescue breaths. What can you do to help you maintain the child's airway while performing the rescue breaths? a. place the child on a pillow b. place a rag under the child's head c. place a rolled up towel under the child's shoulders

Answer 55

c. place a rolled up towel under the child's shoulders

Question 56

Your patient is in severe respiratory distress with labored but adequate breathing. The appropriate oxygen delivery device would be a: a. nebulizer mask. b. nonrebreather mask. c. nasal cannula. d. bag-valve mask.

Answer 56

b. nonrebreather mask.

Question 57

Definition: the measurement of the pressure inside the arteries, both during contractions of the heart and between contractions a. systolic b. diastolic c. pulse d. blood pressure

Answer 57

d. blood pressure

Question 58

Your patient is an unresponsive woman with a history of diabetes. You completed a primary assessment. You should: a. obtain vital signs b. ask SAMPLE history c. perform a focused secondary assessment d. perform a quick secondary assessment

Answer 58

d. perform a quick secondary assessment

Question 59

For most patients, an EMR's assessment begins with performing a scene size-up followed by: a. determining the nature of illness b. a secondary assessment c. obtaining vitals d. a primary assessment

Answer 59

d. a primary assessment

Question 60

All of the following are signs and symptoms of cardiac compromise EXCEPT: a. fever b. anxiety c. diaphoresis d. dyspnea

Answer 60

a. fever