retest review Flashcards by Brandon Griffin

Documentation of a competent adult patients refusal of acre must include

1 physical and mental assessment findings
2 any care given by the eat
3 must be signed by spouse if married
4 facts related to the patient refusal

2 and 4
1, 2, and 4
1, 2
1, 2, 3, 4

1, 2, and 4

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the blood vessel that originates in the right ventricle and carries oxygen poor blood to the lungs is the

superior and inferior vena cava
aorta
pulmonary vein
pulmonary artery

pulmonary artery

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you are called for a 67 year old patient complaining of difficulty breathing the patient is placed on your stretcher with the head end raised at a 45 degree angle this position is called the ______ position

recovery
shock
trendelenburg
fowler

fowler

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which of hte following blood components is responsible for carrying oxygen to and carbon dioxide away from organs

plamsa

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abnormally dry skin may indicate

dehydration
excessive fluid intake
extreme exposure to cold
diabetic ketoacidosis
severe breathing difficulty
heat stroke

4 and 6
1, 3, 6
1, 2, 5
1, 4, 5, 6
1, 4, 6

1, 4, 6

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all of the following would justify an emergency except

moving a less injured patient to get tp a more injured patient
removing a MVC victim from a car with a tension pneumothorax
fire explosion and or smoke
need to preform CPR on a non supine patient

removing a MVC victim from a car with a tension pneumothorax

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a rapid trauma assessment is preformed to

determine the presence of life threatening injuries

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you are evaluating a 22 year old involved in a motor vehicle crash during evaluation of the patients neck which of the following would be considered an abnormal findings

crepitation is not felt or heard during assessment of the neck
a carotid pulse is present strong regular at 80 beats per min
when asking the patient to swallow the throat moves in a rhythmic motion
jugular venous distention is present at a 45 degree angle
teh trachea is in a midline positon

jugular venous distention is present at a 45 degree angle

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the detailed physical exam

is a head to toe assessment that should be performed in 90 sec

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the term indication refers to

the most common uses of a drug in treating a specific illness

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you are called for a patient complaining of severe chest pain and dizziness baseline vital signs are bp 80/50 p 118 r 18 this patient should be placed in

trenelbregs position
fowlers position
recovery position
supine position

supine position

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which of the following are trade names for albuterol

brokosol bronkometer
Proventil Ventolin
alupent metaprel
theodur brethren

brokosol bronkometer

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which of the following statements regarding operation of an AED is correct

when using the AED continue shocking until the patient coverts to a perfusing rhythm
the AED should only be used when the patient is unresponsive apneic and pulseless
when using the AED always shock in sets of four
when using the AED a pulse should be assessed after each shock and CPR preformed for 2 min

the AED should only be used when the patient is unresponsive apneic and pulseless

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which of the following is not a link in the chain of survival for an adult cardiac arrest victim

early CPR
early transport
early advanced care
early access

early transport

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carbon monoxide

is invisible colorless tatesless
has characteristic smell like that of garlic
has characteristic smell like that of ammonia
has characteristic smell like that of almonds

is invisible colorless tatesless

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medical conditions that may increase a patient’s risk of hypothermia include

high bp asthma seizure
burns diabetes shock
seizures asthma heart attack
stroke heart attack high bp

burns diabetes shock

its a cold Dec. night when u receive a call for a man down the patient is unresponsive pale cold to the touch and has barley palpable pulse u should

apply the AED and defibrillate asap
avoid rough handling and wrap the patient with blankets
massage the patients extremities
apply heat packs or hot water bottles to the groin axillary and cervical areas

avoid rough handling and wrap the patient with blankets

you are called to the scene of a submersion incident which of the following statements regarding this situation is incorrect

firm pressure should be applied to the abdomen of a submersion victim to expel stomach content as soon as rescuers reach the victim
if the patient is unconscious or a victim of a diving accident spinal injury should always be suspected and the patient immobilized
any pulseless non breathing patient who has been submerged in cold water should be resuscitated
the safety of the rescuers must be ensured before attempting a water rescue
when evaluating if a pulse is present the rescuer should feel for 30-45 seconds

firm pressure should be applied to the abdomen of a submersion victim to expel stomach content as soon as rescuers reach the victim

a 34 yow is crowning you note the amniotic fluid is greenish in color a blue limp non breathing infant with a heart rate of 80 beats per minute is delivered your first action will be to

dry the infant throughly and wrap in warm blanket
stimulate the infant by slapping the butt
give 100% o2 with bvm
suction the mouth and nose before stimulating the infant

suction the mouth and nose before stimulating the infant

which of the following is an early sign of shock

altered mental status
shallow rapid breathing
decreasing bp
weak or absent peripheral pulses

altered mental status

a large open neck injury may cause if not promptly treated

a hematoma resulting in shock
an air embolism resulting in subcutaneous emphysema
a concussion resulting in memory loss
a flail chest interfering with respiration

an air embolism resulting in subcutaneous emphysema

according to current national testing guidelines the ___ straps should be secured last when immobilizing a patient to a short spine board

head
torso
groin
chin

head

u have a 27 yow that’s complaint of a dull pain in her right upper abdominal quadrant she has not had an appetite for a few days and has slight fever what’s she most likely experiencing

pancearities
meningitis
stomach ulcer
hepatitis

hepatitis

all of the following can result in abnormal unequal pupils except

brain tumor
drugs or toxins
stroke
injury to the brain

drugs or toxins

your next patient was in a MVC and is 23 y/o c/c is chest pain with onset after the accident took place upon DCAP-BTLS u note a round ring contusion to the anterior mid thorax are resembling the steering wheel column breath sounds are clear with bilateral expansion bp at the scene was 140/80 and p was 110 while en route the patent is complaining of shortness of breath and is restless repeat vitals reveal a bp of 122/96 p 120 breath sounds are clear bilaterally what's the victims most likely suffering from tension pneumothorax cardiac tamponde flailed chest pneumothorax

cardiac tamponde

JVD can result from 1 cardiac tamponde 2 tension pneumothorax 3 traumatic asphyxia 4 hemothorax 5 aortic aneurysm 6 simple pneumothorax 1, 2, 3 4, 5, 6 1, 2, 3, 4 2, 3, 5, 6

1, 2, 3

your patient was playing softball and was struck in left anterior thorax just above the nipple line with a hit call at close range the patient states it feels like the wind was knocked outta her and I can't breath vitals are bp 110/68 p 98 Resp 24 with guarding chest has equal rise but breath sounds are diminished on the left JVD is noted at a 45 degree angle and the patient refuses to be placed in a supine position repeat vitals bp 108/60 p 110 Resp 28 shallow and guarding what condition does the patient have flailed chest COPD cardiac tamponde tension pneumothorax traumatic pneumothorax

traumatic pneumothorax

GCS incorporates which of hte following categories 1 respiratory response 2 eye opening 3 verbal 4 motor 5 A&Ox4 6 pupils 1, 2, 4 2, 3, 4 3, 4, 6 1, 3, 4 3, 4, 5

2, 3, 4

all are examples of an emergency move except clothing drag sheet draw blanket drag walking assist

sheet draw

when ventilating a patient with a stoma or tracheotomy an hte chest doesn't rise you should close the mouth and nose then attempt to ventilate perform mouth to stoma breathing attempt to ventilate with no force suction down into the bronchioles through the stoma with a soft tip suction catheter

close the mouth and nose then attempt to ventilate

which of the following doe the EMT have to legally report to the appropriate agencies 1 child abuse and elderly abuse 2 rape 3 automobile accidents 4 animal bite 5 alcohol intoxication 6 gun shot and knife wounds 2, 4, 6 1, 2, 4, 6 1, 2, 4, 5, 6 1, 2, 3, 4, 5, 6

1, 2, 4, 6

when placing a small child in a supine position the head will rotate to a side extend stay neutral flex

flex

your patient is a 70 year old who fell down a flight of stairs and is unresponsive with a hemotma to the left temporal region vitals bp 80/60 p 120 Resp 34 irregular skin cool and clammy breath sounds are present in all fields with paradoxical motion to the left lower thorax what type of shock is it hypovolemic neurogenic cardiogenic psychogenic

hypovolemic

your patient is 38 weeks pregnant and her water broke contractions are 2 min apart upon visible exam you note crowning urge to push and have a bowel movement what stage of labor is she in 3rd 4th 1st 2nd

2nd