mod 3

Question 1

after an advanced airway device has been inserted during 2- person CPR, you should

Answer 1

deliver 1 rescue breath every 6 seconds

Question 2

high flow oxygen w/ nasal cannula during pre oxygenation phase of endotracheal intubation is called

Answer 2

apneic oxygenation

Question 3

gas exchange in lungs is facilitated by

Answer 3

adequate amounts of surfactant

Question 4

the _____ of a med usually dictates the route by which it will be administered

Answer 4

form

Question 5

an oxygen cylinder should be taken out of service when pressure inside is less than

Answer 5

500 psi

Question 6

For which of the following patients is spinal immobilization clearly indicated?

Answer 6

man w/ altered mental status after exposed to blunt force trauma

Question 7

which is not a condition of shock?
ischemic stroke
severe infection
spinal injury
anaphylaxis

Answer 7

ischemic stroke

Question 8

structure of airway include all except..
alveoli
bronchioles
trachea
epiglottis

Answer 8

epiglottis

Question 9

Capnography =

Answer 9

determine how much carbon dioxide is being exhaled

Question 10

In most cases, cardiopulmonary arrest in infants and children is caused by:

Answer 10

respiratory arrest

Question 11

After sizing up the scene of a patient w/ possible infectious disease, next priority is

Answer 11

take standard precautions

Question 12

CPR is in progress on a pregnant woman. Shortly after manually displacing her uterus to the left, return of spontaneous circulation occurs. Which of the following would most likely explain this?

Answer 12

pressure was relieved from her aorta and vena cava, which improved chest compression effectiveness.

Question 13

Patient’s BP reading was 204/120mm Hg, you should ..

Answer 13

obtain a manual bp

Question 14

clinical signs of compensated shock include all of the following except…
absent peripheral pulses
restlessness or anxiety
rapid, shallow breathing
cool and clammy skin

Answer 14

absent peripheral pulses

Question 15

in an acute injury setting, neurogenic shock is commonly accompanied by
diaphoresis
hypothermia
tachycardia
hypovolemia

Answer 15

hypothermia

Question 16

Mucosal atomizer device (MAD) delivers medicine thru

Answer 16

intranasal route

Question 17

The impended threshold device (ITD) may improve circulation during active compression-decompression CPR by:

Answer 17

limiting the amount of air that enters the lungs during the recoil phase between chest compressions which results in negative intrathoracic pressure and improved cardiac filling

Question 18

An infectious disease is most accurately defined as

Answer 18

a medical condition caused by the growth and spread of small harmful organisms within the body

Question 19

A bp cuff too small will

Answer 19

give falsely high systolic and diastolic reading

Question 20

A 23 yr old male experiencing severe head trauma after motorcycle accident. He is unconscious, has atonal gasps, has copious bloody secretions in his mouth. How should you manage airway?

Answer 20

Alternate oropharyngeal suctioning and ventilation. with a bag mask device

Question 21

Capillary sphincters are

Answer 21

circular muscular walls that regulate blood flow through capillaries

Question 22

A patient should be placed in recovery position when he or she

Answer 22

is unresponsive, uninjured, and breathing adequately

Question 23

several attempts to open a trauma patients airway with jaw-thrust maneuver have been unsuccessful. You should…

Answer 23

carefully perform the head tilt -chin lift maneuver

Question 24

A patients short term memory is most likely intact if they can correctly answer

Answer 24

day and event

Question 25

a patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen thru a

Answer 25

nonrebreathing mask

Question 26

27 yr old male was stabbed with knife in chest before you make physical contact it is MOST important to

Answer 26

follow standard precautions

Question 27

Hypovolemic shock caused by severe burns is the result of loss of

Answer 27

plasma

Question 28

flow rate of 6 L/ min thru nasal cannula percentage

Answer 28

44%

Question 29

Early signs of viral hepatitis include all of the following EXCEPT

Answer 29

jaundice and abdominal pain

Question 30

a 70 yr female was discharged from hospital after a hip replacement. She presents tachycardia, restlessness, and bp of 90/64 mm Hg. Skin is moist and hot, She is most likely experiencing

Answer 30

Septic shock

Question 31

An EMT may administer aspirin to a patient if

Answer 31

authorization from med control is obtained

Question 32

Cardiogenic shock may result from all of the following except heart attack poor contractility increased preload increased after load

Answer 32

increased preload

Question 33

distributive shock occurs when

Answer 33

widespread dilation of the blood vessels cause blood to pool in vascular beds

Question 34

the diaphragm is innervated by the _____ nerve which allows it to contract

Answer 34

phrenic

Question 35

Aspirin is beneficial to patients suspects of having a heart attack because it

Answer 35

prevents the aggregation of platelets

Question 36

A 74 yr old woman complains pf heaviness on chest, nausea, sweating. She is conscious and alert, but anxious. Her bp is 144/88 mm Hg, heart rate is 110 bpm. She took 2 nitroglycerin tablets before your arrival but feels heaviness in chest. You should

Answer 36

Recall that geriatric patients often take multiple meds and that interactions can occur with potentially negative effects

Question 37

A 59 yr old male presents with severe vomiting and diarrhea of 3 dats duration. He is confused and diaphoretic, and his radial pulses are absent. BP is 76/50, after giving oxygen you should

Answer 37

prepare for immediate transport

Question 38

A 49 yr old male w/ extensive chest pain and shortness of breath . His meds include nitroglycerin and viagra. his bp is 140/90. After giving Oxygen you should

Answer 38

ask if he took his viagra in the past 24 hrs

Question 39

a palpable pulse is created by

Answer 39

pressure waves thru the arteries caused by cardiac contraction

Question 40

What occurs when a patient is breathing very rapidly and shallow?

Answer 40

air moves primarily in the dead space and does not participate in pulmonary gas exchange.

Question 41

treatment for a mild upper airway obstruction

Answer 41

give oxygen and transfer immediately

Question 42

Nitroglycerin-

Answer 42

relaxes the walls of coronary arteries

Question 43

in contrast to viral hepatitis, toxin induced hepatits:

Answer 43

is not a communicable disease

Question 44

complication with CPR include all of the following except liver laceration gastric distention fractured sternum rib fracture

Answer 44

gastric distention

Question 45

Hep B is more virulent than hep C, this means that

Answer 45

it has a greater ability to produce disease

Question 46

Ex of anti- inflammatory

Answer 46

Aspirin

Question 47

50 yr. old man returning from Africa has fever, cough, muscle aches. You should suspect

Answer 47

influenza

Question 48

RAPID EXAM after primary assessment is to

Answer 48

identify less- obvious injuries that require rapid immediate treatment

Question 49

decrease in bp may state

Answer 49

loss of vascular tone

Question 50

Determination of whether patient is high or low priority is made after

Answer 50

the primary assessment has been completed

Question 51

Hypotension in a child with blunt or penetrating trauma is particular significant because

Answer 51

it often indicates the loss of half of his or her blood volume

Question 52

Emts respond to heroin abuser who is unresponsive. If narcan is given emts should remember

Answer 52

narcan can cause seizures

Question 53

irregualr respirations w/ increasing rate and depth w/ periods of apnea are called

Answer 53

cheyne- strokes

Question 54

71 yr old female fell on rug. Is conscious and confused, complains of severe pelvis pain. Respirations are 22 breaths per min heart rate is 120bpm. What should you do? gently palpate her pelvis transport in seated position' place on her left side treat her for possible shock

Answer 54

treat her for possible shock

Question 55

40 yr old male crashed motorcycle. Is semi-conscious has snoring respirations, laceration to forearm w/ minimal bleeding. You should:

Answer 55

open airway w jaw thrust maneuver

Question 56

Assessment of 6 mo. old male, vomiting and diarrhea. Cap refill is 4 secs. You conclude... systolic bp is normal skin temp is abnormally cold respiratory status is adequate peripheral circulation is decreased

Answer 56

peripheral circulation is decreased

Question 57

hypoxic drive is influenced by

Answer 57

low blood oxygen levels

Question 58

neurogenic shock occurs when:

Answer 58

failure of the nervous system causes widespread vasodilation

Question 59

patients develop a septic shock secondary to .... failure of blood vessels to adequately dilate an infection that weakens cardiac contractions weak vessel tone caused by nervous system damage poor vessel function and severe volume loss

Answer 59

poor vessel function and severe volume loss

Question 60

oxygen toxicity-

Answer 60

cellular tissue damage occurs from excessive oxygen levels in the blood

Question 61

after how many mins w/o oxygen is permanent brain damage possible

Answer 61

4-6 mins

Question 62

51 yr old female w difficulty breathing, conscious and alert able to speak in complete sentences. Respirations are 22/ min and regular. You should:

Answer 62

administer oxygen thru a nonrebreather mask

Question 63

separation is an issue with medicine used as

Answer 63

suspension

Question 64

Nasopharyngeal airway is inserted

Answer 64

with bevel facing the septum if inserted into right nare

Question 65

properly sized blood pressure cuff:

Answer 65

should be 2/3 length from armpit to crease at elbow

Question 66

50 yr old patient found unconscious in car. No witness, when gathering med history, Emt should

Answer 66

determine if patient has a med alert bracelet or wallet card

Question 67

in contrast to assessment of trauma patient, assessment of a med patient is

Answer 67

focused on nature of illness, chief complaint and symptoms

Question 68

Ventilation/perfusion (V/Q ratio) msismatch occurs when:

Answer 68

a disruption in blood flow inhibits the exchange of oxygen and carbon dioxide in lungs, even though the alveoli are filled with fresh oxygen

Question 69

Most indicative of a cardiovascular problem:

Answer 69

Jugular vein distention