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Flashcards in Test 1: 11/5/15 Deck (102)
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1

When establishing negligence, which of the following factors is Not a consideration?

A) the PT's injury was life threatening
B) the AEMT deviated from the standard of care
C) an injury occurred due to the AEMTs actions
D) the AEMT had a legal duty to act

A

2

Roles and responsibilities of the AEMT include:

A) performing rapid assessment on all PT's
B) identifying pts who are critically ill or injured
C) diagnosing a PTs condition based on assessment
D) providing definitive care for the PTs condition

B

3

The primary waste product of metabolism is :

A)glucose
B) lactic acid
C) glycogen
D) carbon dioxide

D

4

You are caring for a 32 y/o female who does not speak English. The PT is clinically stable and there are no family members present at the scene. What is the most effective way to communicate with her?

A) ask short questions and use simple words
B) use hand gestures when asking questions
C) request the police to act as an interpreter
D) remain silent and simply transport her

A

5

You are assessing a seriously ill PT when he suddenly becomes very angry and starts yelling at you. After ensuring your own safety, you should.

A) remain tolerant and avoid becoming defensive
B) take the PTs anger as a personal attack
C) immediately disengage from care of the PT
D) ask the PT if he has any psychiatric problems

A

6

At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The driver is responsive, but reporting neck pain. You should:

A) don rubber gloves and rapidly extricate the driver
B) remove the wires from the car and continue extrication
C) mark off danger zone around car and downed lines
D) ask the driver to carefully get out and walk to the ambulance

C

7

During an acidification state the kidneys attempt to maintain normal PH by:

A) excreting bicarbonate
B) retaining bicarbonate
C) retaining hydrogen ions
D) secreting hydrogen ions

B

8

Which is Not a typical warning sign of stress?

A) isolation
B) increased appetite
C) Inability concentrate
D) irritability towards coworkers

B

9

Compared to the frontal region of the skull the occiput is:

A) anterior
B) exterior
C) inferior
D) posterior

D

10

You respond to the home of a 75 y/o man who is in cardiac arrest. The family states that the pt is terminally ill and has an advanced directive; however, they are unable to locate it. How should you manage this situation?

A) begin CPR
B) honor the family's wish and call coroner
C) initiate full resuscitative measures and transport promptly
D) allow the family to locate document and then decide on further action

A

11

The shoulder joint is a ball and socket joint where the numeral head articulates with the:

A) acromion process
B) glen pod fossa
C) acetabulum
D) popliteal fossa

B

12

You are dispatched for a young male who, according to witnesses is "not acting right". The patient is found sitting on the ground outside of a grocery store, rocking back and forth. He has blood on his arm from an apparent wound to his wrist. You should:

A) quickly make contact with him and control bleeding from wrist
B) talk to him as you approach him, but be prepared for him to turn violent
C) ask the PT to stand up so you can assess his balance and coordination
D) recognize that his movements are purposeful and do not suggest violence

B

13

You respond to a call for a 16 y/o boy who injured his arm. As you are assessing the child, he tells you that he does not want you to touch him. His mother tells you to begin treatment and transport the child to the hospital if necessary. What should you do?

A)determine if the child is mentally competent
B) ask the mother why she wants her son treated and transported
C) advise the mother that you cannot legally treat her child
D) continue your assessment and transport if necessary

D

14

Which of the following substances are vital in function of the sympathetic nervous system?

A) rip and non-epi
B) aldosterone and dopamine
C) cortisol and epi
D) aldosterone and cortisol

A

15

You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement "he has a gun!". At this point you should:

A) call for law enforcement and carefully enter the apartment
B) carefully enter the apartment to assess for injured PTs
C) stay where you are and ask the person to drop the weapon
D) retreat immediately and call for law enforcement assistance

D

16

Stimulation of alpha receptors of the sympathetic nervous system result in:

A) tachycardia
B) bronchodilator
C) peripheral vasodilation
D) peripheral vasoconstriction

D

17

When writing your pt care form involving an acutely intoxicated PT, you document that the PT was "drunk". What does the statement constitute?

A) libel
B) slander
C) negligence
D) breach of confidentiality

A

18

AEMT training follows National EMS Standards, as recommended by the,

A) NREMT
B) national association of EMTS
C) medical director allows personnel to exceed scope of practice
D) Communication via two-way radios or cellular phones operate optimally

D

19

The axial skeleton is composed of :

A) upper and lower extremities
B) all skeletal structure below the pelvis
C) the skull, face, thoracic cage, and vertebral column
D) the ribs, pelvic girdle, and upper and lower extremities

C

20

Beginning with the outermost layer, the three meningeal layers of the CNS are the:

A) dura mater, pia mater, arachnoid
B) arachnoid, pia mater, dura mater
C) dura mater, arachnoid, pia mater
D) pia mater, dura mater, arachnoid

C

21

Your assessment of 40 y/o male with an AMS reveals the obvious odor of alcohol on his breath. When documenting the events of the call, you should state:

A) The PT appeared to be acutely intoxicated
B) The PT blood alcohol concentration is high
C) Alcohol cannot be ruled out as call of AMS
D) the smell of alcohol was noted on the PT's breath

D

22

Systemic vascular resistance is the resistance to blood flow within all the blood vessels, Except the:

A) cerebral vessels
B) pulmonary vessels
C) coronary vessels
D) mesenteric vessels

B

23

A 16 y/o female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should:

A) obtain the majority of your information from one of her parents
B) inquire about the possibility of pregnancy in private, if possible
C) avoid asking questions that she will feel uncomfortable answering
D) recall that PT's in this age group prefer to be treated as adults

B

24

You suspect that a 75 y/o man has internal injuries after he fell and struck his ribs and abdomen on the corner of a table. When assessing and treating him, it is important to recall that:

A) His ability to physiologically compensate for his injury may be impaired by an inability to increase Cardiac Output
B) It is not uncommon to observe heart rates in excess of 150 beats/min in elderly patients with internal injuries
C) blood pressure is usually adequately maintained because the blood vessels of older people can constrict easily
D) functional blood volume in patients of his age steadily increases due to increased production of red blood cells.

A

25

An elderly woman slipped on the throw rug and fractured her hip. This type of fracture could involve any of the following bony structures except the:

A) iliac crest
B) femoral head
C) femoral neck
D) Trochanter

A

26

When responding to the scene of a mass casualty incident you should:

A) asked the dispatcher to notify all of the hospitals in the area
B) notify medical control and request orders prior to arrival
C) avoid communication with the dispatcher to free up airtime
D)contact the hospital after you know the extent of the incident

A

27

In the pregnant patient the secretion of oxytocin causes:

A) uterine smooth muscle contraction
B) uterine smooth muscle relaxation
C) decreased milk production in the breasts
D) thickening of the uterine wall for implantation

A

28

You were dispatched to a call 4-month-old infant with respiratory distress. while you prepare to care for the child you must remember that:

A)small infants are knows breathers and require and clear nasal passages at all times
B) assisted ventilation's in infants often need to be forceful to inflate their lungs
C) The infants Proportionately small tongue often causes airway obstruction
D) and infants head should be placed in a flexed position to prevent obstruction

A

29

En route to the hospital a diabetic patient regains partial consciousness. He tells you that he feels fine and that he does not want to go to the hospital. Under the circumstances you should:

A) cease further treatment and have the patient sign a release
B) assess whether the patient's mental condition is impaired
C) tell the patient that once care is started it cannot be stopped
D) request that police place the patient under protective custody

B

30

Which layer of the heart would be penetrated during an emergent medical procedure in the order to remove fluid

A) myocardium
B) epicardium
C) Pericardium
D) endocardium

C

31

The normal pH of the human body ranges from:

A) 7.25–7.30
B) 7.35–7.45
C) 7.50–7.55
D) 7.60–7.75

B

32

How many pairs of ribs are attached anteriorly to the sternum?

A) 6
B) 8
C) 10
D)12

C

33

The atrioventricular (AV) valves of the heart include:

A) tricuspid and mitral
B) mitral and aortic
C) bicuspid and aortic
D) tricuspid and pulmonic

A

34

While caring for a 40 y/o male with SOB and a HX of TB, the AEMT should place a:

A) surgical mask on himself and a nasal cannula on the PT
B) HEPA respirator on the PT and a surgical mask on himself
C) surgical mask on himself and NRB mask on the PT
D) HEPA respirator on himself and NRB on the PT

D

35

Neonates are defined as children;

A) who weigh at least 5.5 lbs
B) during the first few hours of life
C) Who are at least 1 month premature
D) between birth and 1 month of age

D

36

The movement of a solvent from an area of low solute concentration to an area of high solute concentration called:

A) osmosis
B) crenation
C) diffusion
D) passive transport

A

37

The process of moving air in and out of the lungs is:

A) respiration
B) oxygenation
C) tidal volume
D) ventilation

D

38

While triaging PT's at a MCI, you encounter a 40 y/o female with obvious fx of her right forearm and multiple abrasions to her face and arms. She is responsive and alert and does not appear to have any airway or breathing problems. You note that she is wearing an organ donor bracelet. You should:

A) give her high flow O2 to keep her vital organs viable
B) apply a splint to her arm injury and continue triaging the other PT's
C) assign her an appropriate triage category and move to the next PT
D) place her in a high priority TX category because of her donor status

C

39

During your assessment of a Trauma PT, you note the presence of bilateral femur FX's. This means that:

A) one femur is broken
B) both femurs are broken
C) one femur is broken in 2 places
D) the lateral aspect of one femur is broken

B

40

The primary function of the antidiuretic hormone (ADH) is:

A) increased renal output of urine
B) facilitation of water excretion
C) promotion of water retention
D) construction of blood vessels

C

41

Which of the following scenarios does NOT involve an ALS skill??

A) administering O2 & starting an IV
B) using an AED and performing rescue breathing
C) applying O2 and injecting medicine
D) performing CPR and using a manual defib

B

42

An appropriate demonstration of professionalism when your PT is frightened, demanding or unpleasant is to,

A) ignore the PTs feelings and focus on his/ her medical complaint
B) continue to be nonjudgmental,compassionate, and respectful
C)reassure your PT everything will be alright, even if it will not be
D) demand that the PT be quiet and cooperative during transport

B

43

An AEMT administers the wrong medication to a PT. This is an example of

A) a rules based error
B) a skills based error
C) a knowledge based error
D) an administrative error

C

44

After successfully completely a state-approved AEMT course, you are:

A) certified to work for an EMS service
B) authorized to function as an AEMT in all 50 states
C) eligible to take your states AEMT certification examination
D) deemed competent to provide advanced emergency medical care

C

45

What physiologic response occurs when a person loses blood?

A) vessels construct and myocardial contra tiling increases
B) the HR increases and cardiac after load decreases
C) the sympathetic nervous system decreases SA node discharge
D) blood vessels dilate in order to increase arterial BP

A

46

You respond to a nursing home's call regarding an older PT who fell. During your assessment, you note injuries that are not consistent with the mechanism described. You should:

A) ask the staff if the PT was abused
B) notify the police before initiating care
C) transport the PT and report your suspicions
D) document that you believe the PT was abused

C

47

You respond to a call for an older woman who has fallen. Upon arrival at the scene you assess the PT, who is responsive and alert to person, place, time, and event. She states that she does not want to go to the hospital; however, her son requests that you take her. What do you do?

A) Honor the son's request and transport the PT to hospital
B) Tx the Pt under the law of implied consent since she is older
C) Contact law enforcement to determine if the pt is mentally competent
D) Ensure the PT is fully aware of the consequences of refusing TX

D

48

During your assessment of a PT, you note he is bradycardic, hypotensive and salivating. These clinical findings suggest:

A) sympathetic nervous system stimulation
B) parasympathetic nervous system stimulation
C) sympathetic nervous system depression
D) parasympathetic nervous system depression

B

49

You arrive at the scene of a shooting. The PT, a young man, was shot in the head and has exposed brain matter. He is pulseless and apneic. What should you do?

A) Provide immediate treatment and transport
B) Take necessary precautions not to disturb the scene
C) Perform a thorough hands-on assessment of the PT
D) Look for the weapon and turn it over to law enforcement

B

50

A normally balanced condition of the body that is resistant to change is called:

A) glycogenolysis
B) gluconeogenesis
C) hemostasis
D) homeostasis

D

51

As an AEMT, you may have to function as an advocate for your patient. This involves:

A) paying for the PT's medical bills
B) determining the PT's primary physician
C) protecting the best interests of the PT
D) transporting the PT to the hospital of your choice

C

52

Tidal volume is defined as the volume of air that:

A) remains in the lungs following expiration
B) is moved into or out of the lungs during a single breath
C) is moved in out of the lungs following maximal expiration
D) is exhaled from the lung following a forceful exhalation

B

53

The pulmonary circulation is responsible for:

A) sending deoxygenated blood to the atria
B) per fusing the vital organs of the body
C) ensuring the blood gets reoxygenated
D) filtering the blood of toxic chemicals

C

54

Agonal respirations can be described as:

A) occasional gasping breaths
B) rapid irregular breaths
C) slow deep breaths
D) slow irregular breaths

A

55

The movement of a solute from an area of higher concentration to an area of lower concentration is called:

A). Osmosis
B) endocytosis
C) exocytosis
D) diffusion

D

56

Which of the following is Not a function of the skin?

A) Temperature regulation
B) Protection from the environment
C) Transmission of info to the brain
D) Production of antibodies to foreign organisms

D

57

In which of the following situations would the AEMT have a legal duty to act?

A) At all times, whether you are on duty or off duty
B) Arriving at a motor-vehicle crash outside your jurisdiction
C) You indicate CPR on a young child outside of your jurisdiction
D) Encountering a man in cardiac arrest while you are off duty

A

58

The Study of the body functions in a diseased state is called:

A) anatomy
B) physiology
C) pathogenesis
D) pathophysiology

D

59

Which of the following scenarios is MOST consistent with abandonment?

A) You give verbal report to the charge nurse in the ED
B) A report is given to a hospital clerk because you must respond to another call
C) a paramedic assumes care of a critical cardiac patient from an AEMT
D) Emergency medical responders provide an AEMT with a PT's vital signs

B

60

What are the functions of the pancreas?

A) Production of renin and regulation of blood pressure
B) storage and movement of food into the small intestine
C) Concentration and storage of bile until it is needed for digestion
D) Production of insulin and certain enzymes that aid in digestion

D

61

After several years in EMS you begin to experience chronic stress. And effective way to deal with this is to:

A) leave EMS and pursue another profession
B) sustained friends and activities outside of EMS
C) maintain zero tolerance for problematic patients
D). Manage the stress in seclusion so you can concentrate

B

62

You're requesting an order to perform an invasive intervention on a critically ill patient from medical control when the radio system suddenly fails. You should:

A) follow standing orders
B) continue BLS and transport
C) reattempt to contact medical control
D) perform the invasive intervention

A

63

Cardiac output is equal to:

A) Systole minus diastole
B) blood pressure multiplied by heart rate
C) heart rate minus systolic blood pressure
D) stroke volume multiplied by heart rate

D

64

If the concentration of H + increases the pH of the blood will:

A) decrease
B) increase
C) remain unchanged
D) increase then decrease

A

65

During an infection white blood cells consume bacteria and foreign particles this process is called

A) Pinocytosis
B) phagocytosis
C) endocytosis
D) exocytosis

B

66

What occurs during the initial phase of hemostasis

A) thrombin converts fibrinogen to fibrin
B) fibrin binds to platelet plug and forms a clot
C) thromboplastin activates clotting proteins
D) local vasoconstriction and platelet activation occur

D

67

An 82-year-old male with a possible hip fracture becomes extremely irritable and confused during your assessment you should:

A) ask the family if he has Alzheimer's disease
B) assume that he is experiencing cerebral hypoxia
C) attribute his behavior to age related dementia
D) tell the patient that his behavior is unacceptable

B

68

You respond to her residence for an 82-year-old female who according to her daughter is not herself today. The patient is conscious but confused and has slurred speech. Her medical history is significant for hypertension peripheral vascular disease hypothyroidism and several strokes. The daughter hands your partner a list of her mother's medications which is extensive. In addition to administering supplemental oxygen you should:

A) treat her for Shockett her systolic BP is less than 110 MM HG
B) access her blood glucose level and administer dextrose if needed
C) request a paramedic unit so they can obtain a 12 lead ECG tracing
D) assist her in taking her prescribe medication if not already taken

B

69

In late adults the amount of air left in the lungs after expiration of the maximum amount of air

A) remains unchanged because along to become accustomed to years of breathing pollution
B) decreases resulting in widespread collapsing of the alveoli And impaired diffusion of gases
C) increases which hampers diffusion of gases because of stagnant air that remains in the alveoli
D) decreases which increases diffusion in the lungs and causes an accumulation of carbon dioxide

C

70

And unconscious adequately breathing patient should be placed in the recovery position which is

A). Supine
B) prone
C). Semi sitting
D) laterally recumbent

D

71

All of the following are facial bones except the

A) maxilla
B) parietal
C) palatine
D) lacrimal

B

72

Which of the following statements would be most appropriate to make to the family member of the patient who just died

A) things will get better in time
B). You're not the only one who suffers
C) this must be hard for you to accept
D)I know exactly what you are experiencing

C

73

What is the cardiac output of a person with a stroke volume of 60 ML and a heart rate of 90 bpm

A) 2.1 L
B) 4.2 L
C) 5.0 L
D) 5.4 L

D

74

The myocardium is the only muscle that can generate its own electrical impulses this process is called

A) automaticity
B) excitability
C) conductivity
D) dromotrophy

A

75

In most states the AEMT has a legal obligation to report

A) an injury to a minor during the high school sporting event
B) an older patient who fell in a nursing home bathroom
C). A man who was shot during an attempt to rob a bank
D) inadvertent overdose by a patient with bipolar disorder

C

76

Molecules that bind to a cells receptor and trigger a response by that cell are called

A) steroids
B) agonists
C) hormones
D) antagonists

B

77

As an electrical impulse travels down the electrical conduction system it transiently slow that the

A) AV node
B). Bundle of his
C) Sinoatrial node
D)interatrial septum

A

78

In addition to facilitating the uptake of sugar into the cell of insulin is also responsible for:

A) The chemical conversion of glycogen to glucose
B) stimulating the liver and kidneys to produce glucose
C) The production of amino acids and carbohydrates
D) The chemical conversion of glucose to glycogen

D

79

The dorsal respiratory group sends signals to the diaphragm via the _______ nerve

A) Vagus
B) oturator
C) abducens
D) phrenic

D

80

While treating a man with severe chest pain and difficulty breathing you're presented with a valid do not resuscitate order by the patient's wife she tells you that her husband does not want any heroics. How do you manage the situation

A) provide supportive care and transport the patient
B) obtain the signed refusal from the wife and return to service
C) provide no treatment and transport the patient to the hospital
D)be prepared to start CPR if the patient develops cardiac arrest

A

81

The term perfusion is defined as

A) The production of waste products from metabolism
B) effective exchange of O2 and CO2 in the lungs
C) adequate circulation of blood to the body cells
D) sufficient removal of waste products from the body

C

82

The epiglottis can be described as

A) cartilage that covers the larynx during swallowing
B) A ligament that closes the trachea during swallowing
C) A ligament that attaches the vocal cords to the glottic opening
D)cartilage that is inferior to the glottis and keeps the esophagus open

A

83

Freshly Oxygenated blood is returned to the left atrium via the

A) pulmonary veins
B) pulmonary arteries
C) superior vena cava
D)inferior vena cava

A

84

The separation of the intracellular and extracellular areas by a selectively permeable membrane helps to maintain:

A) endocytosis
B) homeostasis
C) hemostasis
D) exocytosis

B

85

Ventricular muscle contraction and the pumping of blood throughout the body occur during:

A) systole
B) diastole
C) asystole
D) the cardiac cycle

A

86

You have just established an IV on a critically injured PT. As you prepare to dispose of the needle in the appropriate container, you get stuck with the needle. You should:

A) immerse your wound in water or a sterile saline solution
B) report the incident to your supervisor ASAP
C) ignore the wound, since is was not a significant exposure
D) cease PT care and immediately seek medical attention

B

87

Which of the following statements regarding rescue breathing and disease transmission is correct?

A) The pocket face mask with one way valve provides better rescuer protection than the bag-mask device
B) Although disease transmission is unlikely, mouth-to- mouth rescue breathing is rarely necessary in the field
C) The risk of disease transmission to the rescuer is higher when preforming rescue breathing on older PT's
D) There are numerous documented cases of disease transmission following mouth-to-mouth rescue breathing

B

88

If too much water enters a cell during osmosis, it will burst. The process is called:

A) diffusion
B) crenation
C) lysis
D) viscosity

C

89

The heart muscle lies within a space in the thoracic cavity called:

A) mediastinum
B) hemithorax
C) pericardium
D) endocardium

A

90

What gland lies at the base of the brain and secretes hormones that regulate the function of many other glands in the body?

A) Thyroid
B) Adrenal
C) Pituitary
D) Thalamus

C

91

Which two pairs of cranial nerves do NOT exit from the brainstem?

A) Vagus and trigeminal
B) Optic and olfactory
C) Abducens and trochlear
D) Vestibulocochlear and glossopharyngeal

B

92

The most common solvent in the body, in which solutes or other substances will dissolve is:

A) blood
B) water
C) plasma
D) bile

B

93

In the Pelvis, the descending aorta divides into the:

A) renal arteries
B) popliteal arteries
C) femoral arteries
D) common iliac arteries

D

94

The Primary respiratory stimulus in a healthy adult is a/an

A) decreased arterial O2 level
B) increased arterial CO2 level
C) increased PH level of the venus blood
D) decreased venous level of carbon dioxide

B

95

What happens when systemic vasoconstriction occurs?

A) Preload decreases
B) Afterload increases
C) Afterload and preload increase
D) Afterload and preload decrease

B

96

Insulin and glucagon are produced in specialized groups of cells in the pancreas known as the:

A) adrenal islets
B) islets of Langerhans
C) medullary cortex
D) adrenal medulla

B

97

The hypoxic drive, a backup system to control breathing, is stimulated when:

A) arterial PAO2 levels decrease
B) arterial PACO2 levels increase
C) arterial PaO2 levels increase
D) arterial PaCO2 levels decrease

A

98

You are assessing a middle aged man who complains of nauseas and a headache. Before you physically move closer to him, it is important to remember:

A) he will take this as a sign of your compassion
B) a greater sense of trust must be established first
C) eye contact will likely make him uncomfortable
D) most people's intimate space is between 18" and 4'

B

99

The sypathetic and parasympathetic nerves arise from the:

A) somatic nervous system
B) autonomic nervous system
C) voluntary nervous system
D) Adrenal nervous system

A

100

The upper section of the sternum is called the:

A) jugular notch
B) xiphoid process
C) angle of louis
D) manubrium

D

101

In response to shock or stress, sympathetic nervous system stimulation causes:

A) vasoconstriction
B) slowing of the HR
C) increased gastrointestinal function
D) Shunting of blood to the extremities

A

102

The body's ability to spontaneously cease bleeding by forming a clot is called

A) fibrinolysis
B) hemostasis
C) homeostasis
D) thrombolysis

B