Small Exam 3 Flashcards
(28 cards)
Worn-out blood cells, foreign substances, and bacteria are filtered from the body by the: Select one: A. Spleen B. Kidney C. Liver D. Pancreas
A. Spleen
You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer, and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:
Select one:
A. Begin chest compressions if she experiences cardiac arrest
B. Provide no interventions and transport to the hospital
C. Make her comfortable and provide emotional support
D. Depart the scene and allow her to die with dignity
C. Make her comfortable and provide emotional support
Your ability to remain awake is a function of the: Select one: A. Pons and medulla B. Limbic system C. Cerebellum D. Reticular activating system
D. Reticular activating system
You are dispatched to a call for a 4-month-old infant with respiratory distress. While you prepare to take care of this child, you must remember that:
Select one:
A. The infant’s proportionately small tongue often causes an airway obstruction
B. An infant’s head should be placed in a flexed position to prevent obstruction
C. Assisted ventilations in infants often need to be forceful to inflate their lungs
D. Small infants are nose breathers and require clear nasal passages at all times
D. Small infants are nose breathers and require clear nasal passages at all times
Which part of the central nervous system is responsible for coordinating bodily movements such as writing or sewing? Select one: A. Cerebrum B. Cerebellum C. Hypothalamus D. Brain stem
B. Cerebellum
You should avoid palpating a patient’s pelvis if:
Select one:
A. The patient is older than 50 years of age
B. The MOI suggests trauma to the pelvis
C. The patient complains of pelvic pain
D. The pelvis does not appear deformed
C. The patriots complains of pelvic pain
Your protocols state that during the first few minutes of working on a cardiac arrest patient, you should provide passive ventilation. This means that you will:
Select one:
A. Ventilate with a bag-valve mask that is not attached to oxygen
B. Allow recoil of the chest between compressions to draw air into the lungs
C. Time your positive-pressure ventilations to occur during chest recoil
D. Deliver positive-pressure ventilation at a rate of only 5 or 6 breaths/min.
B. Allow recoil of the chest between compressions to draw air into the lungs
Your patient’s symptoms include high fever, cough, vomiting, bloody diarrhea, and shortness of breath. Which of the following should you suspect? Select one: A. MERS-CoV B. Hepatitis B C. Influenza D. Whooping cough
A. MERS-CoV
Your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the patient’s circulatory status, you should direct your partner to:
Select one:
A. Retrieve the stretcher and prepare for transport
B. Administer oxygen with the appropriate device
C. Perform head-to-toe secondary assessment
D. Assess her oxygen saturation and blood pressure
B. Administer oxygen with the appropriate device
Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You connect the AED, push the analyze button, and receive a “no shock advised” message. You should:
Select one:
A. Immediately assess the patient’s airway
B. Re-analyze the patient’s cardiac rhythm
C. Determine if a palpable pulse is present
D. Perform CPR for 2 minutes and reassess
D. Perform CPR for 2 minutes and reassess
You respond to a movie theater for a 70-year-old male who is confused. His wife tells you he has type 2 diabetes but refuses to take his pills. Your assessment reveals that the patient is diaphoretic, tachycardic, and tachypneic. Initial management for this patient should include:
Select one:
A. Assisting the patient with his diabetic medication
B. Applying a nonrebreathing mask at 15 L/min.
C. Performing a rapid exam and obtaining vital signs
D. Administering one to two tubes of oral glucose
B. Applying a nonrebreathing mask at 15 L/min.
You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that he had a “bad reaction” the last time he was stung by a scorpion, and carries his own epinephrine auto-injector. You should:
Select one:
A. Assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if he remains stable
B. Apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and transport at once
C. Apply high-flow oxygen, obtain approval from medical control to assist him with his epinephrine, and transport
D. Apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to the hospital
D. Apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to the hospital
Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience? Select one: A. Excessive lacrimation B. A fall in blood pressure C. Dry mucous membranes D. Pupillary constriction
C. Dry mucous membranes
Your unit is dispatched to the county jail for an intoxicated inmate. Upon arrival, you find the patient, a 33-year-old male, lying supine in a jail cell. He is responsive to painful stimuli only and has slow, shallow respirations. You should be most concerned that this patient: Select one: A. Is severely hypoglycemic B. Might experience a seizure C. Might become violent D. Might vomit and aspirate
D. Might vomit and aspirate
Epinephrine is characterized as both:
A vasoconstrictor and bronchodilator
The adult EpiPen system delivers __ mg of epinephrine while the infant-child system (EpiPen Jr) delivers __ mg.
0.3, 0.15
The spring-loaded needle automatically injects the epinephrine when the user firmly presses the device into the:
lateral thigh
With an auto-injector, hold the injector in place until the medication has been injected for at least:
3 seconds
A hypnotic drug is one that: Select one: A. Prevents amnesia B. Increases the pulse C. Increases the senses D. Induces sleep
D. Induces sleep
A patient who presents with rapid breathing, nausea, vomiting, ringing in the ears, and hyperthermia should be suspected of ingesting a significant quantity of: Select one: A. Ibuprofen B. Aspirin C. Cocaine D. Acetaminophen
B. Aspirin
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing: Select one: A. Withdrawal B. Addiction C. Dependence D. Tolerance
D. Tolerance
Activated charcoal may be indicated for a patient who ingested: Select one: A. Aspirin B. Methanol C. Ethanol D. Iron
A. Aspirin
After administering activated charcoal to a patient, it is most important to: Select one: A. Document the intervention B. Monitor the patient's blood pressure C. Be alert for vomiting D. Call medical control
C. Be alert for vomiting
Airborne substances should be diluted with: Select one: A. An alkaline antidote B. Activated charcoal C. Syrup of ipecac D. Oxygen
D. Oxygen
