Test1 part 2

Question 1

What best describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems ?

A) emergency medical dispatcher
B) EMT
C) emergency medical responder
D) cardiac care responder

Answer 1

C) emergency medical responder

Question 2

you have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move with you before him to get the patient to a hard surface so you can perform chest compressions?

A) emergency move
B) urgent move
C) non-urgent move
D) clothing drag

Answer 2

A) emergency move

Question 3

A 21 year old patient presents with Labored breathing and audible wheezes, heart rate of 124, respirations to 36; he has significantly altered mentation. What is the treatment for this patient?
A) Give mouth to mouth breathing with a nasal cannula. Provide the patient with an increase of oxygen.
B) supplement the breaths with high concentration and oxygen through a nonrebreather mask.
C) use a pocket mask, which will provide adequate oxygen to improve the patient’s condition.
D) Ventilate with a bag valve mask with a high oxygen, or FROPVD.

Answer 3

D) ventilate with a bag valve mask with high oxygen, or FROPVD.

Question 4

Patient is a motorcyclist who is ejected after striking a guard rail. The patient is unresponsive to painful stimuli and his breathing shallowly 6 to 8 times for a minute. Which of the following should you do first?

A) give mouth mouth breathing with nasal cannula, providing the patient with an increase of oxygen.
B) perform a rapid trauma assessment.
C) apply a cervical collar.
D) use a bag valve mask with supplemental oxygen

Answer 4

D) use a bag valve mask with supplemental oxygen

Question 5

You are dispatched to a female with altered mental status. Once inside the home, you find a female, who appears to have been beaten unconscious. A man, who smells of alcohol, says that she is his wife, and that he does not know what happened: “I just found her this way!” The husband is behaving, suspiciously, appears, paranoid, and is pacing a frantically around the room. What would be the safest course of action?

A) have your partner call for help or you stay with the patient.
B) leave the house and call for law enforcement.
C) evacuate the patient and begin treatment.
D) continue to question the man and begin treating the patient.

Answer 5

B) leave the house and call for law enforcement.

Question 6

What is NOT the priority of an EMT at the scene of a hazardous materials incident?

A) patient care
B) safety of bystanders
C) personal safety
D) identification of hazardous materials

Answer 6

D) identification of hazardous materials

Question 7

To be effective a suction unit must be able to generate airflow of at least _____ liters per minute, and create a vacuum of no less than______ mmHg.

A) 300; 30
B) 30; 300
C) 30; 30
D) 300; 330

Answer 7

B) 30; 300

Question 8

While ventilating an intubated patient with a bag valve mask unit, you noticed increased resistant to the ventilation’s. This may indicate that.

A) air is escaping through a hole in the lung and filling the pleural space.
B) cardiac arrest is imminent.
C) the patient is becoming more alert and his breathing independently.
D) the gag reflex is returning.

Answer 8

A) air is escaping through a hole in the lung and filling the florals please.

Question 9

Which of the following has specific requirements for storing, accessing, and sharing patient information?

A) POLST
B) HIAPA
C) DNR
D) HIPAA

Answer 9

D) HIPAA

Question 10

A 12 year old female patient is having an asthma attack after participating in some strenuous activity during recess at school. She’s taken several doses of her own bronchodilator with little relief. Your partner immediately administers oxygen. Providing supplemental oxygen will increase the amount of oxygen molecules carried by the______ in her blood, helping oxygenate critical organs like the brain..

A) White blood cells
B) plasma
C) hemoglobin
D) albumin

Answer 10

C) hemoglobin

Question 11

Sharing information about a patient’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?

A) slander
B) libel
C) Breach of confidentiality
D) violation of patient privacy

Answer 11

C) breach of confidentiality

Question 12

Which of the following is NOT part of the lower extremity?

A) patella
B) carpals
C) pelvis
D) femur

Answer 12

B) carpals

Question 13

Which of the following is true concerning the procedure for inserting a nasal pharyngeal airways (NPA) ?

A) if a water soluble lubricant is not available, I silicon spray can be substituted.
B) the length of the device is not as important as it is with the orpharyngeal airways.
C) the bevel should be turned toward the nasal septum, or the base of the nostril.
D) it can only be placed in the right nostril.

Answer 13

D) the bevel should be turned toward the nasal septum, or the base of the nostril.

Question 14

Perhaps the simplest way to determine if a patient has a patent airway is too?

A) ausculate for breath sounds
B) say “Hello”
C) check for appropriate chest rise
D) determine the respiratory rate.

Answer 14

B) say “Hello”

Question 15

What is the danger that an altered mental status can pose to a patient’s breathing?

A) depressed alveolar function
B) hyperoxia
C) bronchospasms
D) loss of muscle tone and airway collapse

Answer 15

D) loss of muscle tone and airway collapse

Question 16

Which of the following describes why fast respiration may decrease minute volume?

A) The rate does not decrease minute volume; it actually increase is it.
B) The lungs may not have adequate time to fill and exchange gas.
C) The rate causes turbulence in the trachea that will increase the friction and decrease the amount of air movement.
D) it is due to the delay in the movement of the intercostal muscles and the pleural space.

Answer 16

B) The lungs may not have adequate time to fill in exchange gas

Question 17

You and your EMT partner are responding to a medical aid called in the world West County area. The dispatcher advises that the caller is reporting the patient as having a history of “plegia”. why would it be beneficial to have the dispatcher clarify a prefix for the word plegia?

A) there is actually no need to clarify the word.
B) because a dysplegiac, patient generally requires an EMT paramedic level of care, and it may change the level of response.
C) without a clarifying prefix, it is difficult for the EMTs to effectively prepare for the type of patient that they may encounter.
D) the patient with plegia is potentially contagious, and the EMTs need to know what precautions are required.

Answer 17

C) without a clarifying prefects, it is difficult for the EMTs to effectively prepare for the type of patient that they may encounter.

Question 18

Patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the car he needs?

A) try to find out why the patient does not want to go to the hospital
B) tell the patient that has chest pain is most likely caused by his diet, have him take an anti-acid and go to bed,
C) informed the patient that if he does not agree to treatment, you will have to take him against his will because he has a potentially life-threatening problem.
D) ask the patient’s daughter for the number of another family member you can call to convince him to consent to care.

Answer 18

A) try to find out why the patient does not want to go to the hospital.

Question 19

Which of the following Colors identifies an oxygen cylinder?

A) Green
B) Blue
C) Black
D) Orange

Answer 19

A) Green

Question 20

What signs and symptoms would indicate inadequate breathing in a patient?

A) increased effort to breathe, cyanosis, clammy skin, altered mental status
B) increased effort to breathe, increased depth of respiration, normal skin, normal mental status
C) rapid, breathing, pale skin, and normal mental status
D) decrease depth of respiration, decreased rate of breathing, clammy skin, normal mental status

Answer 20

A) increased effort to breathe, sinuses, clammy skin, altered mental status

Question 21

For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called.

A) hypoperfusion
B) hyperventilation
C) hypoxia
D) hypercapnia

Answer 21

C) hypoxia

Question 22

The trachea branches at the _____ and forms the mainstem bronchi.

A) glottic opening
B) alveoli
C) bronchioles
D) Carina

Answer 22

D) Carina

Question 23

What is the main benefit of using a stair chair with a track like system over a traditional stair chair?

A) there’s no benefit of a track like stair chair over a traditional stair chair.
B) the stair chair with a track like system, prevents the patient from having to be lifted down the stairs.
C) only one EMT is required to operate a stair chair with a track like system
D) a stair chair with a track like system can be manipulated to lift into an ambulance using a hydraulic system.

Answer 23

B) the stair chair with a track like system, prevents the patient from having to be left it down the stairs.

Question 24

Which of the following patients does NOT require the administration of supplemental oxygen?

A) A 31-year-old male who is unresponsive due to an overdose of narcotics.
B) a 60 year old woman with a history of chronic obstructive pulmonary disease who can speak up to her three words at a time without a breath.
C) a six year old male with a history of asthma, whose breath sounds are silent and who is drowsy.
D) a 24 year old a woman who is breathing 28 times per minute after being in an argument with her husband.

Answer 24

D) a 24-year-old woman who is breathing 28 times per minute after being in an argument with her husband.

Question 25

All of the following can result in an airway obstruction, except? A) infections B) the tongue C) facial trauma D) Burns

Answer 25

B) the tongue

Question 26

Which of the following describes inadequate breathing ? A) the respiratory rate is faster than normal. B) the minute volume is less than normal C) the minute volume is greater than normal D) the respiratory rate is slower than normal

Answer 26

B) the minute volume is less than normal

Question 27

Which of the following best describes the location of the midaxillary line? A) a line drawn vertically from xiphoid process to the pubic bone. B) a line drawn diagonally from the outer end of the clavicle to the navel C) a line drawn horizontally from one Armpit, to the other across the front of the body. D) a line from the center of the arm pit, extending vertically down the side of the chest.

Answer 27

D) a line from the center of the armpit, extending vertically down the side of the chest.

Question 28

When suctioning the airway, you should try to limit suctioning to no longer than____ seconds at a time. A) 60 B) 10 C) 30 D) 45

Answer 28

B) 10

Question 29

What system is a group of organs and glands designed for the specific purpose of reproduction? A) reproductive system B) respiratory system C) renal system D) lymphatic system

Answer 29

A) reproductive system

Question 30

You're ventilating, an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should. A) leave the dentures in place B) tape the dentures in place C) remove the dentures D) use an infant mask over the nose

Answer 30

A) leave the dentures in place

Question 31

What is the best description of the chests, mechanical function? A). The chest is closed space with only one opening, the trachea, to inspire air; the diaphragm contracts down, and the intercostal muscles, expand the ribs, causing a negative pressure that fills lungs with air. B) the diaphragm contracts, causing the intercostal muscles that are attached to the lungs to also contract, which move the air into the lungs. C) with the chest, being an airtight space, the act of breathing occurs when the diaphragm and intercostal muscles relax, which causes a loss to expand an aero flow into the lungs. D) the chest is a close space, and the pleural space surrounds the lungs; when the diaphragm contracts and the intercostal muscles expand, the chest, and lungs move outward and downward, allowing expiration and gas exchange in the lungs.

Answer 31

A) the chest is a closed space with only one opening, the trachea, to inspire air; the diaphragm, contracts, down, and intercostal muscles, expand the ribs, causing a negative pressure that feels lungs with air.

Question 32

Which of the following is the EMTs primary responsibility at a secured crime scene? A) preserving evidence B) providing patient care C) taking notes that may be needed during court testimony D) identifying any potential suspects in countered at the scene.

Answer 32

B) providing patient care

Question 33

Patients in which age group tend to be very concerned with body image? A) early adulthood B) middle adulthood C) school-age D) adolescence

Answer 33

D) adolescence

Question 34

Potential space between the lung and the chest wall is called the? A) Dead space B) pleural space C) lung space D) carina space

Answer 34

B) pleural space

Question 35

When inserting an oral pharyngeal airway, how many degrees do you need to rotate the airway so the tip is pointing down into the patient's pharnyx? A) 180 B) 45 C) 270 D) 90

Answer 35

A) 180

Question 36

You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would most be effective in clearing the airway ? A) using large bore suction tubing without a tip or catheter attached B) using a rigid pharyngeal suction tip C) irrigating the mouth with sterile water to dilute the materials before suctioning D) using a 14 French suction catheter

Answer 36

A) using a large bore suction tubing without a tip or catheter attached.

Question 37

Which of the following structures is found in the lower airway? A) tonsils B) bronchi C) uvula D) pharnyx

Answer 37

B) bronchi

Question 38

The EMTs role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing your education, and which of the following? A) writing protocols and standing orders B) providing quality care C) maintaining your equipment D) being a member of the QI committee

Answer 38

B) providing quality care

Question 39

To check the distal pulse of a patient with an injury to the forearm, the EMT would check for a pulse in which location? A) wrist B) throat C) upper arm D) armpit

Answer 39

B) wrist

Question 40

Which of the following structures or tissues is not part of the musculoskeletal system? A) tendons B) ligaments C) fat D) acetabellum

Answer 40

C) fat

Question 41

You were caring for a 25-year-old male patient who has been shot once in the head. The patient is in Extremis (near the point of death) with a noticeable breathing pattern that alternates between no breathing and fast breathing. Your understanding of pathophysiology leads you to believe the breathing pattern may be due to the damage to the section of the brain responsible for respiratory control, also known as the? A) frontal lobe B) medulla oblongata C) thalamus D) Cerebellum

Answer 41

B) medulla oblongata

Question 42

Middle adulthood is the stage of life from ______ to ______ years. A) 41; 60 B) 31; 60 C) 35; 65 D) 35; 55

Answer 42

A) 41; 60

Question 43

You have arrived at the scene of a call for a "man down". As you enter the residence, you know that your patient is a male in his mid-60s, who is awake, but does not seem to acknowledge your presence. He is perspiring profusely, has cyanosis of ears and lips, and has rapid, shallow, respirations. Which of the following should you do first? A) check for a radial pulse B) obtain the patient's medical history C) assist ventilation's with a bag valve, mask and supplemental oxygen. D) listen to his lung sounds

Answer 43

C) assist ventilations with a bag valve, mask and supplemental oxygen

Question 44

What are the 6 steps to "Scene Size up"

Answer 44

1). Scene Safety 2). BSI 3). # of patients 4). MOI/NOI 5) Additional Resources 6). C-Spine restrictions

Question 45

6 Steps to Primary Assessment

Answer 45

1). General Impression 2). Level of consciousness 3). Airway 4). Breathing 5). Circulation 6). Notification to incoming crew

Question 46

What does SAMPLE stand for

Answer 46

Signs/symptoms Allergies Medications Pertinent prior history Last oral intake Events prior

Question 47

what does OPQRST stand for

Answer 47

Onset Provokes Quality Radiates Severity Time

Question 48

Name the 4 Vitals

Answer 48

1) Pulse = Rate & quality 2) Respirations= rate & quality 3) Blood Pressure 4) Skin= color, temp & condition