Take Home Test 1 (chapts 12-23 excluding 14) Flashcards
(101 cards)
Your patient is a 45-year-old female who is allergic to sesame seeds, which she accidentally ingested when she ate a deli sandwich. She is having difficulty breathing and she has hives, watery eyes, a weak pulse of 120 per minute, and swelling of the face and tongue. Which of the following is the best course of immediate action?
A) Contact medical control for orders to administer the patient’s epinephrine auto- injector.
B) Contact dispatch to see where the closest ALS unit is.
C) Insert an oropharyngeal airway (OPA).
D) Transport immediately.
A) Contact medical control for orders to administer the patient’s epinephrine auto- injector.
Which of the following structures do not form part of the thorax?
A) Ischium
B) Manubrium
C) SternumA
D) Ribs
A) Ischium
Although many of the signs and symptoms of shock are the same no matter what the cause, the symptoms follow a logical progression as shock develops and worsens. Arrange the following signs symptoms in the order that they will most likely appear.
- Altered mental status
- Dropping blood pressure
- Nausea and vomiting
- Pale, cool, and clammy skin
- Increased pulse
- Increased respirations
A) 2, 5, 6, 3, 4, 1
B) 1, 3, 4, 5, 6, 2
C) 5, 3, 4, 2, 6, 1
D) 1, 4, 3, 5, 6, 2
D) 1, 4, 3, 5, 6, 2
You have responded to a patient with shortness of breath. He reports his breathing problems began this morning and have gotten worse over the last few hours. You ask if he has taken anything to help his symptoms and he tells you that he has used his inhaler several times in the last hour. The information you have just gathered can be classified as:
A) relevant past medical history.
B) the history of present illness.
C) part of the SAMPLE history.
D) results of a physical exam.
B) the history of present illness.
There are two main types of dialysis, hemodialysis and peritoneal dialysis. The main difference between them is:
A) hemodialysis filters the urine and peritoneal dialysis filters the blood.
B) hemodialysis filters the blood and peritoneal dialysis filters the urine.
C) hemodialysis is usually done at a special facility and peritoneal dialysis is usually done at home.
D) hemodialysis is usually done at home and peritoneal dialysis is usually done at a special facility.
D) hemodialysis is usually done at home and peritoneal dialysis is usually done at a special facility.
If a patient is having a myocardial infarction-not an allergic reaction-and receives an epinephrine auto- injection, which of the following will most likely occur?
A) Stronger and faster heartbeat
C) Bradycardia
B) Relief of shortness of breath
D) No reaction if administered inadvertently
A) Stronger and faster heartbeat
What is the danger that an altered mental status can pose to a patient’s breathing?
A) Depressed alveolar function
B) Hyperoxia
C) Loss of muscle tone and airway collapse
D) Bronchospasms
C) Loss of muscle tone and airway collapse
8) Which of the following should be kept in mind when assessing and managing the airway of a pediatric patient?
A) Gastric distention is unlikely.
B) Due to their short necks, pediatric patients require a greater degree of hyperextension to open the airway than do adults.
C) The trachea is easily obstructed by swelling.
D) The tongue is not as likely to obstruct the airway as in an adult.
C) The trachea is easily obstructed by swelling.
You respond, along with fire department Emergency Medical Responders, to a 48-year-old female having a syncope episode in the bathroom. You find the patient sitting on the commode vomiting into the trash can. The vomitus appears to look like coffee grounds and has a foul smell. The patient is pale and has been weak for the past few days. She has:
A) GI bleeding.
C) peritonitis.
B) hernia.
D) abdominal aortic aneurysm.
A) GI bleeding.
What system is a group of organs and glands designed for the specific purpose of reproduction?
A) Renal system
B) Lymphatic system
C) Reproductive system
D) Respiratory system
C) Reproductive system
While assessing the airway of a pediatric patient, you will notice that it is different than that of an adult. Which of the following is one of those differences?
A) The tongue is smaller, taking up less room in the mouth and allowing larger objects to occlude the airway.
B) The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed.
C) The chest wall is softer, making it easier for the chest to expand.
D) The cricoid cartilage is less developed, reducing the possibility that it can be completely occluded.
B) The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed.
What two components are directly related to aerobic metabolism?
A) Carbolic acid and air
C) Exercise and water
B) Oxygen and glucose
D) Electrolytes and carbohydrates
B) Oxygen and glucose
13) What is the large, wing-shaped bone on either side of the pelvis?
A) Ischium
B) Pubis
C) Acetabulum
D) Ilium
D) Ilium
You are on the scene of a 48-year-old male patient complaining of chest pain. He has nitroglycerin prescribed and available. After performing your physical examination, you contact medical control and are ordered to assist the patient in taking his nitroglycerin. Five minutes after taking his nitroglycerin, the patient complains of being dizzy and having a headache. You lie the patient down on the stretcher and reassess his vital signs. He is now hypotensive. The patient is suffering from a(n):
A) untoward reaction to nitroglycerin.
B) allergic reaction to nitroglycerin.
C) anaphylactic reaction to nitroglycerin.
D) side effect of nitroglycerin.
A) untoward reaction to nitroglycerin.
Which of the following should increase the EMT’s suspicion of internal bleeding?
A) High-speed motor vehicle collision
B) Penetrating trauma to the chest or abdomen
C) Fall from a height two or more times the patient’s height
D) All of the above
D) All of the above
Patients with a history of chronic sickle cell anemia (SCA) may present signs and symptoms?
A) Yellowing of the skin and dyspnea on exertion
B) Flushed appearance and shortness of breath
C) Bluish discoloration of the skin and shortness of breath
D) Pale appearance and dyspnea on exertion
A) Yellowing of the skin and dyspnea on exertion
Which of the following best describes the function of blood?
A) It is a life-giving liquid that supports all the body’s functions to maintain hypoperfusion
B) It transports gases and nutrients, aids in excretion, and provides protection and regulation
C) It flows from the heart with the vital gases and nutrients needed to maintain a lack of perfusion.
D) It clots, flows, transports, protects, and excretes on a daily basis
B) It transports gases and nutrients, aids in excretion, and provides protection and regulation
You are called to a farmhouse on a sunny spring afternoon. Upon arrival, a frantic mother tells you that her 3-year-old daughter was playing in the yard, accidentally stepped on a hornets nest, and was stung repeatedly. The patient is alert, screaming and crying, and can follow her mother’s commands. Her arms and legs are swollen and show the marks of several stings. Her body is covered in hives. Her vital signs are blood pressure 90/40, pulse 110, respiratory rate 24, and oxygen saturation 99 percent. Her lung sounds are clear and equal bilaterally. Her mother states she put “nox-a-sting on the bites but the bites only seemed to get worse. What condition is the patient suffering from?
A) Minor anaphylactic reaction
B) Allergic reaction from the hornets’ stings
C) Anaphylactic reaction from the “nox-a-sting’ swabs
D) Moderate anaphylactic reaction
B) Allergic reaction from the hornets’ stings
A list of potential diagnoses compiled early in the patient’s assessment is known as which of the following?
A) Differential diagnosis
C) Emergency medical diagnosis
B) Traditional diagnosis
D) Assessment-based diagnosis
A) Differential diagnosis
The symptoms or circumstances for which a medication is given are called
A) indications.
B) contraindications.
C) side effects.
D) untoward effects
A) indications.
What is epilepsy?
A) A condition caused by congenital brain abnormalities that causes seizures only twice a year
B) A condition in which a person has generalized seizures that start in childhood
C) A condition in which a person has multiple seizures usually controlled by medication
D) A condition in which a person has an aura followed by seizure usually caused by infection
C) A condition in which a person has multiple seizures usually controlled by medication
Your patient is a 59-year-old female with a sudden onset of slurred speech and weakness on her right side. Which of the following measures is appropriate?
A) Immediately transport the patient to a hospital with specialized treatment for stroke patients.
B) Administer oral glucose and then assess the patient’s blood sugar.
C) Test the patient’s sensation with a series of pinpricks, beginning at the feet and working
upward.
D) Keep the patient in a supine position.
A) Immediately transport the patient to a hospital with specialized treatment for stroke patients.
You are treating a male patient with chest pain caused by the complete occlusion of one of the coronary arteries. What would you most likely expect with this patient?
A) His pain will be alleviated with nitroglycerin.
B) His pain will be reduced with aspirin.
C) His pain will go away with oxygen.
D) His pain will not be alleviated with any of the above medications.
D) His pain will not be alleviated with any of the above medications.
Mr. Green is complaining of severe difficulty breathing after being stung by a bee. His wife states he has had reactions to bee stings before, but not quite this severe. Which medications should you specifically ask him about?
A) Insulin
B) Beta- blockers
C) Epinephrine
D) Antibiotics
C) Epinephrine