Mod 2 Flashcards

1
Q

Pain that moves from its point of origin to another body location is said to be:
Select one:
A. referred.
B. palliating.
C. radiating.
D. provoking.

A

C

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2
Q

Normal skin color, temperature, and condition should be:
Select one:
A. flushed, cool, and dry.
B. pale, cool, and moist.
C. pink, warm, and dry.
D. pink, warm, and moist.

A

C

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3
Q

Normal respiratory rates should not exceed _______ breaths per minute in toddlers and _______ breaths per minute in infants.
Select one:
A. 18, 28
B. 40, 60
C. 20, 30
D. 30, 40

A

B

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4
Q

Jugular venous distention suggests a problem with blood returning to the heart if the patient is:
Select one:
A. in a prone position.
B. sitting up at a 45° angle.
C. in a recumbent position.
D. in a supine position.

A

B

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5
Q

In which of the following situations is a pertinent negative identified?
Select one:
A. A 50-year-old woman states that nothing makes her chest pain better or worse.
B. A 59-year-old man complains of crushing chest pain but denies shortness of breath.
C. A 56-year-old woman states that her chest hurts when she takes a deep breath.
D. A 53-year-old man with dizziness also tells you that he has vomited three times.

A

B

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6
Q

In the adult, bradycardia is defined as a pulse rate less than _______ beats/min, and tachycardia is defined as a heart rate greater than _______ beats/min.
Select one:
A. 60, 100
B. 30, 130
C. 40, 120
D. 50, 110

A

A

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7
Q

In responsive patients who are older than 1 year of age, you should palpate the pulse at the ________ artery.
Select one:
A. carotid
B. brachial
C. femoral
D. radial

A

D

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8
Q

If you cannot palpate a pulse in an unresponsive patient whose collapse was not witnessed, you should:
Select one:
A. palpate at another pulse site.
B. immediately begin CPR.
C. apply an AED at once.
D. assess for adequate breathing.

A

B

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9
Q

If a patient develops difficulty breathing after your primary assessment, you should immediately:
Select one:
A. determine his or her respiratory rate.
B. auscultate his or her breath sounds.
C. begin assisting his or her breathing.
D. reevaluate his or her airway status.

A

D

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10
Q

For an adult, the normal resting pulse should be between:
Select one:
A. 70 and 110 beats/min.
B. 60 and 100 beats/min.
C. 50 and 70 beats/min.
D. 50 and 60 beats/min.

A

B

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11
Q

During a 30-minute transport of a stable patient, you should reassess him or her at least ________ times.
Select one:
A. 4
B. 3
C. 6
D. 2

A

D

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12
Q

Cyanosis of the skin is caused by:
Select one:
A. peripheral vasodilation.
B. decreased blood oxygen.
C. increased blood oxygen.
D. venous vasoconstriction.

A

B

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13
Q

Clinical signs of labored breathing include all of the following, EXCEPT:
Select one:
A. use of accessory muscles.
B. gasping attempts to breathe.
C. shallow chest movement.
D. supraclavicular retractions.

A

C

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14
Q

Capnography is used to:
Select one:
A. assess how much oxygen is bound to the hemoglobin.
B. assess how much oxygen is reaching the body’s tissues.
C. trend a patient’s blood pressure and assess for shock.
D. determine how much carbon dioxide is being exhaled.

A

D

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15
Q

As you assess the head of a patient with a suspected spinal injury, your partner should:
Select one:
A. maintain stabilization of the head.
B. look in the ears for gross bleeding.
C. prepare the immobilization equipment.
D. assess the rest of the body for bleeding.

A

A

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16
Q

As time progresses following a significant injury:
Select one:
A. the patient’s blood pressure elevates significantly.
B. the body’s ability to compensate for shock decreases.
C. the patient’s injuries will most likely be irreparable.
D. most patients will die secondary to internal bleeding.

A

B

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17
Q

An adult patient who is NOT experiencing difficulty breathing will:
Select one:
A. exhibit an indentation above the clavicles and in between the ribs.
B. be able to speak in complete sentences without unusual pauses.
C. assume a position that will facilitate effective and easy breathing.
D. have a respiratory rate that is between 20 and 24 breaths/min.

A

B

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18
Q

After performing a primary assessment, a rapid exam of the body should be performed to:
Select one:
A. identify less-obvious injuries that require immediate treatment.
B. find and treat injuries or conditions that do not pose a threat to life.
C. determine the need for spinal motion restriction precautions.
D. look specifically for signs and symptoms of inadequate perfusion

A

A

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19
Q

After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient who has a pulse, you should:
Select one:
A. provide positive-pressure ventilatory assistance.
B. assess respiratory rate, depth, and regularity.
C. place him or her in the recovery position.
D. suction as needed and insert an airway adjunct.

A

D

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20
Q

A pulse with a consistent pattern is considered to be:
Select one:
A. irregular.
B. weak.
C. regular.
D. strong.

A

C

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21
Q

A properly sized blood pressure cuff should cover:
Select one:
A. the entire upper arm between the armpit and the crease at the elbow.
B. one half the length between the armpit and the crease at the elbow.
C. one third the length from the armpit to the crease at the elbow.
D. two thirds the length from the armpit to the crease at the elbow.

A

D

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22
Q

A patient’s short-term memory is MOST likely intact if he or she correctly answers questions regarding:
Select one:
A. date and event.
B. event and person.
C. time and place.
D. person and place.

A

A

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23
Q

A patient with spontaneous respirations is breathing:
Select one:
A. without difficulty.
B. at a normal rate.
C. without assistance.
D. with shallow depth.

A

C

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24
Q

A patient with profuse sweating is referred to as being:
Select one:
A. edematous.
B. diaphoretic.
C. plethoric.
D. flushed.

A

B

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25
A patient with high blood pressure would be expected to have skin that is: Select one: A. mottled and cool. B. cyanotic and dry. C. pale and moist. D. flushed and red.
D
26
A patient who does not respond to your questions, but moves or cries out when his or her trapezius muscle is pinched, is said to be: Select one: A. responsive to verbal stimuli. B. responsive to painful stimuli. C. completely unresponsive. D. conscious and alert.
B
27
A patient is sitting in a chair, leaning forward on his outstretched arms. His head and chin are thrust forward. This position indicates that he: Select one: A. has abdominal muscle spasms. B. is experiencing severe back pain. C. is experiencing difficulty breathing. D. has a decreased level of consciousness.
C
28
A decrease in blood pressure may indicate: Select one: A. arterial constriction. B. increased blood volume. C. loss of vascular tone. D. forceful cardiac contraction
C
29
A crackling sound produced by air bubbles under the skin is called: Select one: A. subcutaneous emphysema. B. rhonchi. C. Korotkoff sounds. D. crepitus
A
30
A blood pressure cuff that is too small for a patient's arm will give a: Select one: A. falsely low systolic but high diastolic reading. B. falsely high systolic and diastolic reading. C. falsely high systolic but low diastolic reading. D. falsely low systolic and diastolic reading.
B
31
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 is NOT indicated for this patient? Select one: A. Gentle palpation of the pelvis B. Rapid head-to-toe exam C. Application of a cervical collar D. Treating her for possible shock
A
32
A 50-year-old male presents with altered mental status. His wife tells you that he had a "small stroke" three years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should: Select one: A. prepare for immediate transport. B. repeat the primary assessment. C. perform a head-to-toe assessment. D. inquire about his family history.
A
33
A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is: Select one: A. 14. B. 10. C. 13. D. 12.
C
34
You should suspect that a patient is experiencing respiratory failure if he or she: Select one: A. is anxious, tachycardic, and leaning forward. B. is restless and is working hard to breathe. C. has an increased heart rate and retractions. D. has bradycardia and diminished muscle tone
D
35
You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should: Select one: A. document the presence of the weapon, including its specific location, and continue your assessment of the patient. B. immediately cease all patient care, carefully back out of the residence, and request law enforcement assistance. C. direct your partner to move the gun to a safe area and then advise the patient that his weapon has been secured. D. position yourself in between the patient and the gun and ask your partner to request law enforcement assistance.
D
36
Which of the following statements regarding the secondary assessment is correct? Select one: A. During the secondary assessment, the EMT's primary focus should be on taking the patient's vital signs and obtaining a SAMPLE history. B. A secondary assessment should always be performed, even if you must continually manage life threats that were identified in the primary assessment. C. The secondary assessment should be performed en route to the hospital, regardless of the severity of the patient's condition. D. The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint.
D
37
Which of the following statements regarding the mechanism of injury (MOI) is correct? Select one: A. The exact location of a patient's injuries can be determined by the MOI. B. A significant MOI always results in patient death or permanent disability. C. A nonsignificant MOI rules out the possibility of serious trauma. D. The MOI may allow you to predict the severity of a patient's injuries
D
38
Which of the following scenarios does NOT involve the presence of any symptoms? Select one: A. A 49-year-old female with blurred vision and ringing in the ears B. A 55-year-old male with a severe headache and 2 days of nausea C. A 44-year-old male with abdominal pain and severe dizziness D. A 61-year-old female who is unconscious with facial cyanosis
D
39
Which of the following conditions would be LEAST likely to cause an altered level of consciousness? Select one: A. Inadequate perfusion B. Acute anxiety C. Poisoning D. Drug overdose
B
40
Which of the following actions would NOT be performed during the scene size-up? Select one: A. Rapidly assessing a patient's respiratory status B. Asking a neighbor to secure the patient's dog C. Notifying the dispatcher to send fire personnel D. Noting the position of a crashed motor vehicle
A
41
When you shine a light into one pupil, the normal reaction of the other pupil should be to: Select one: A. not react. B. become larger. C. become smaller. D. dilate.
C
42
When approaching a 32-year-old male who is complaining of traumatic neck pain, you should: Select one: A. approach him from behind and ask him not to move. B. assess his mental status by having him move his head. C. ensure that the patient can see you approaching him. D. stand behind him and immediately stabilize his head.
C
43
What maneuver should be used to open the airway of an unresponsive patient with suspected trauma? Select one: A. Head tilt-neck lift B. Head tilt-chin lift C. Tongue-jaw lift D. Jaw-thrust maneuver
D
44
Treatment and transport priorities at the scene of a mass-casualty incident should be determined after: Select one: A. a physician arrives at the scene. B. all the patients have been triaged. C. the number of patients is known. D. area hospitals have been notified
B
45
The rapid exam of a patient that occurs following the primary assessment should take no longer than: Select one: A. 30 seconds. B. 120 to 180 seconds. C. 90 to 120 seconds. D. 60 to 90 seconds.
D
46
The chief complaint is MOST accurately defined as the: Select one: A. gross physical signs that you detect on assessment. B. condition that exacerbates an underlying problem. C. most serious thing the patient is concerned about. D. most life-threatening condition that you discover.
C
47
Reassessment is performed to determine all of the following, EXCEPT: Select one: A. the nature of any newly identified problems. B. whether or not the patient is deteriorating. C. the patient's response to your treatment. D. the reason why the patient called EMS.
D
48
In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the: Select one: A. lips or oral mucosa. B. dorsum of the hand. C. forehead and face. D. back of the neck.
A
49
During an EMS call, you should take standard precautions: Select one: A. immediately after completion of your primary assessment. B. before exiting the ambulance and before actual patient contact. C. before you load the patient into the ambulance. D. after it has been determined that the patient is bleeding.
B
50
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? Select one: A. Eyes remain closed, makes incomprehensible sounds, exhibits abnormal extension B. Opens eyes in response to voice, makes incomprehensible sounds, localizes pain C. Opens eyes spontaneously, is confused when spoken to, exhibits abnormal flexion D. Opens eyes in response to pain, uses inappropriate words, withdraws from pain
D
51
An elderly patient has fallen and hit her head. Your initial care should focus on: Select one: A. providing immediate transport. B. gathering medical history data. C. airway, breathing, and circulation. D. obtaining baseline vital signs.
C
52
A palpable pulse is created by: Select one: A. the pressure that is caused when venous blood returns to the heart. B. the pressure of circulating blood against the walls of the arteries. C. pressure waves through the arteries caused by cardiac contraction. D. electrical conduction in the heart producing ventricular contraction.
C
53
A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious. He is screaming in pain and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should: Select one: A. apply direct pressure to the wound. B. ensure that his airway is patent. C. administer 100% supplemental oxygen. D. elevate his legs and keep him warm.
A
54
When there are low levels of oxygen in the blood, the lips and mucous membranes appear blue or gray. This condition is called: Select one: A. ashen. B. jaundice. C. pallor. D. cyanosis.
D
55
The scene size-up consists of all of the following, EXCEPT: Select one: A. determining the mechanism of injury. B. determining level of responsiveness. C. using personal protective equipment (PPE) and standard precautions. D. requesting additional assistance.
B
56
The best indicator of brain function is the patient's: Select one: A. pulse rate. B. papillary response. C. respiratory rate and depth. D. mental status.
D
57
For children younger than 1 year old, you should palpate the _____ artery when assessing the pulse. Select one: A. carotid B. radial C. brachial D. femoral
C
58
An integral part of the rapid scan is evaluation using the mnemonic: Select one: A. DCAP-BTLS. B. OPQRST. C. AVPU. D. SAMPLE.
A
59
A normal respiratory rate for an adult is typically: Select one: A. 12 to 20 breaths per minute. B. 5 to 10 breaths per minute. C. 15 to 30 breaths per minute. D. 20 to 30 breaths per minute.
A
60
An EMT may administer aspirin to a patient if: Select one: A. authorization from medical control has been obtained. B. the patient is believed to be experiencing an acute stroke. C. the patient is currently experiencing hypotension. D. transport time to the hospital is greater than 30 minutes.
A