unit 6 part 1 exam Flashcards
Which of the following signs is commonly
observed in patients with right-sided heart failure?
Select one:
a. Pulmonary edema
b. Labored breathing
c. Flat jugular veins
d. Dependent edema
d. dependant edema
You are attending to a 54-year-old female
patient in a homeless shelter. The patient tells you that she had the flu a
couple of weeks ago, and she has not gotten over it. She has been tired and
keeps waking up at night, sweating. She has been coughing up green sputum
occasionally and has been experiencing episodes of chest pain that get worse
when she breathes. Based on this information, your patient is most likely
suffering from:
Select one:
a. tuberculosis
b. influenza Type A
c. pneumonia
d. chronic obstructive pulmonary disease (COPD).
a. tuberculosis
A pleural effusion is MOST accurately defined as
Select one:
a. a bacterial infection of the lung tissue
b. diffuse collapsing of the alveoli
c. fluid accumulation outside the lung
d. a unilaterally collapsed lung
c. fluid accumulation outside the lung
Prior to attaching the AED to a cardiac arrest
patient, the EMT should:
Select one:
a. contact medical control
b. assess for a pulse for 20 seconds
c. perform CPR for 30 seconds
d. dry the chest if it is wet
d. dry the chest if it is wet
Most AEDs are set up to adjust the voltage based
on the impedance, which is the:
Select one:
a. resistance of the body to the flow of
electricity
b. actual amount of energy that the AED will
deliver
c. direction that the electrical flow takes in the
body
d. distance between the two AED pads on the chest
a. resistance of the body to the flow of electricity
The left cerebral hemisphere controls:
Select one:
a. breathing and blood pressure
b. the right side of the face
c. heart rate and pupil reaction
d. the right side of the body
d. the right side of the body
Which of the following patients is at greatest risk for complications caused by the influenza virus?
Select one:
a. 50-year-old woman moderate obesity
b. 68-year-old woman with type 2 diabetes
c. 12-year-old child with a fractured arm
d. 39-year-old man with mild hypertension
b. 68-year-old woman with type 2 diabetes
When you are obtaining medical history from the
family of a suspected stroke patient, it is MOST important to determine:
Select one:
a. when the patient last appeared normal
b. if there is a family history of a stroke
c. the patient’s overall medication compliance
d. if the patient has been hospitalized before
a. when the patient last appeared normal
A patient who is possibly experiencing a stroke is
NOT eligible for thrombolytic (fibrinolytic) therapy if he or she:
Select one:
a. has a GCS score that is less than 8
b. is older than 60 years of age
c. has bleeding within the brain
d. has had a prior heart attack
c. has bleeding within the brain
Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated in which of the following situations?
Select one:
a. Shortness of breath and a blood pressure of
76/56 mm Hg
b. Difficulty breathing, two-word dyspnea, and
tachycardia
c. Pulmonary edema, history of hypertension, and
anxiety
d. Conscious and alert patient with an oxygen
saturation of 85%
a. Shortness of breath and a blood pressure of 76/56 mm Hg
When preparing to obtain a 12-lead ECG, the “LL”
and “RL” electrodes should be placed:
Select one:
a. anywhere on the arms
b. on the lower abdomen
c. on the thighs or ankles
d. on either side of the chest
c. on the thighs or ankles
You are caring for a 68-year-old man with sudden
onset of left-sided paralysis and slurred speech. His airway is patent, his
respirations are 14 breaths/min with adequate depth, and his oxygen saturation
is 98%. Treatment for this patient should include:
Select one:
a. high-flow oxygen and transport
b. ventilatory assistance and transport
c. recovery position and transport
d. oral glucose gel and transport
c. recovery position and transport
After the AED has delivered a shock, the EMT
should
Select one:
a. transport the patient at once
b. assess for a carotid pulse
c. immediately resume CPR
d. re-analyze the cardiac rhythm
immediately resume CPR
An infectious disease is MOST accurately defined
as:
Select one:
a. the invasion of the human body by a bacterium
that cannot be destroyed by antibiotics or other drugs.
b. any disease that enters the body via the
bloodstream and renders the immune system nonfunctional.
c. a disease that can be spread from one person or species to another through a number of mechanisms. Incorrect
d. a medical condition caused by the growth and
spread of small, harmful organisms within the body.
d. a medical condition caused by the growth and spread of small, harmful organisms within the body.
Nitroglycerin is contraindicated in patients:
Select one: a. with a history of an ischemic stroke b. who have experienced a head injury c. with a systolic blood pressure less than 120 mm Hg d. who have taken up to two doses
b. who have experienced a head injury
After sizing up the scene of a patient with a
possible infectious disease, your next priority should be to:
Select one:
a. quickly access the patient
b. contact medical control
c. take standard precautions
d. notify law enforcement
c. take standard precautions
During the primary assessment of a semiconscious
70-year-old female, you should:
Select one:
a. immediately determine the patient’s blood
glucose level
b. ask family members if the patient has a history
of stroke
c. ensure a patent airway and support ventilation
as needed
d. insert a nasopharyngeal airway and assist
ventilations
c. ensure a patent airway and support ventilation as needed
Ten days after treating a 34-year-old patient
with tuberculosis, you are given a tuberculin skin test, which yields a
positive result. This MOST likely indicates that:
Select one:
a. you are actively infected with tuberculosis and
should be treated immediately
b. you were exposed to another infected person
prior to treating the 34-year-old patient
c. you contracted the disease by casual contact
instead of exposure to secretions
d. the disease is dormant in your body, but will
probably never cause symptoms
b. you were exposed to another infected person prior to treating the 34-year-old patient
You are attending to a 27-year-old male driver
of a car. According to his passenger, the patient had been acting strangely
while driving, then slumped forward against the steering wheel, apparently
unconscious. The car drove off the road and struck a telephone pole. The
patient remains unconscious, and physical assessment reveals only a large
hematoma on his right forehead with no other physical signs. Your patient is a
diabetic who had been under a lot of stress lately and may have missed meals. This is an example of a:
Select one:
a. trauma emergency
b. combination of a medical and trauma emergency
c. combination of a psychiatric and trauma
emergency
d. medical emergency
b. combination of a medical and trauma emergency
While auscultating an elderly woman’s breath
sounds, you hear low-pitched “rattling” sounds at the bases of both of her
lungs. This finding is MOST consistent with which of the following conditions?
Select one:
a. Aspiration pneumonia
b. Acute asthma attack
c. Early pulmonary edema
d. Widespread atelectasis
a. aspiration pneumonia
You are attending to a 3-year-old male patient
who is presenting with severe shortness of breath. His parents report that he
has had a cough and cold with a low grade fever for the past two days. They
became worried today, as his level of distress has increased dramatically. On
assessment, the patient is sitting upright and making high-pitched noises with
each breath. Based on this information, the patient is most likely suffering
from:
Select one:
a. inflammation of the bronchioles
b. bacterial infection of the epiglottis
c. inflammation of the lower respiratory tract and
bronchospasm
d. viral infection of the upper respiratory tract
d. viral infection of the upper respiratory tract
The BEST way to prevent infection from whooping
cough is to:
Select one:
a. get vaccinated against diphtheria, tetanus, and
pertussis
b. wear a HEPA mask when treating any respiratory
patient
c. ask all patients if they have recently traveled
abroad
d. routinely place a surgical mask on all
respiratory patients
a. get vaccinated against diptheria, tetanus, and pertussis
When auscultating the lungs of a patient with
respiratory distress, you hear adventitious sounds. This means that the patient
has:
Select one:
a. abnormal breath sounds
b. normal breath sounds
c. an absence of breath sounds
d. diminished breath sounds
a. abnormal breath sounds
A patient tells you that he has a left
ventricular assist device (LVAD). Which of the following conditions should you
suspect that he has experienced?
Select one:
a. Acute myocardial infarction
b. Obstructive lung disease
c. Uncontrolled hypertension
d. Thoracic aortic aneurysm
a. acute myocardial infarction
