Flashcards in Updated EMT EXAM questions Deck (145):
3rd stage of labor
ends w/ delivery of the placenta
Best position for a pt in labor with limb presentation
left lateral trendelenburg
S/S of pregnant-induced hypotension (preclampsia) include all except:
blood in the urine
30 yr. old pregnant female, gravida - 3 para - 2. This means she has:
given birth to 2 live babies
Visualization of the vertex at the vaginal orifice is known as
devlops in the intestine of the baby during gestation
Placenta will be delivered:
15-30 min in most instances
Average length of labor for primipara
The condition that occurs when the placenta detaches itself from the uterine wall before baby is delivered
EMT intervention for a pt who's bleeding from an obstetrical condition include:
maintain open airway and high flow oxygen
Delivery- emt priority action
drying and warming of newborn
Ovum fertilized in
Pregnant patient may not show signs of blood loss bc they
have double blood volume
ovum is attached outside of uterus
superior 1/3 of uterus
Supine hypotensive syndrome
the gravid uterus compresses the inferior vena cava
Pulseless umbilical cord from signal orifice
insert hand into vagina to make space for cord
Priority question for pregnant patient
what baby is this for you
Priority sign of imminent delivery is
"visualization of the presenting part"
Emt treatment for ectopic pregnancy
position of comfort, high flow o2
Respond to a call for 14 year old pregnant patient,postical & BP of 240/120
cut cord before drying the baby
membranes always rupture immediatley befor delivery
in a prehospital delivery EMT should always transport code 3
Rapid death do to a snake bit is because of
What is SIDS
Infant death unexplained
Most common cause of dehydryan in child is due to
vomitting and diarrhea
Triage is necessary when
when you have 2 or more patients
Most supcious for child abuse
bruises in various stages of healing
In infants and toddlers common cause of seizures is
care for SIDS
CPR, Trans, Emotional support for Family
EMT Primary action for pediatric w/ resp problems
establish and maintain an open airway, provide O2, transport
Which is true for SIDS
devastating for family
Submerssion injuries in the adolescent age groups are most commonly associated with
assesment of 8 year old
talk to child and caregiver
EMT priority w/ rattlesnake bite (LA)
sort according to priority of illness
Abdominal pain in the pediatric patients is best cared for by :
transport patient in position of comfort & with oxygen as tolerated
33yr Male, gathering wood w/ sharp pain to hand. Abdom pain, weak, nausea
Which is more common in children than in adults following head injury?
nausea and vomitting NOT spinal cord
The venom of a black widow spider is toxic to the:
When faced with a hazardous material the emt should
deny entry to authorized personel
The primary mechanism that a childs body uses to compensate for decreased profusion is?
S/S of meningitis in an infant/child includes which of the folliwing:
headache and fever, stiff and painful neck, ALOC, EXCEPT sunken fontanels
Child may begin to show signs of stranger anxiety as early as:
EMT treatment for pediatric patient with high fever includes:
Passively cooling patient to near normal temperatures without chilling
Pale Skin in a child indicates that the ..
blood vessels near the skin are constricted
which of the following finding is least suggestive of child abuse
consistency in the method of injury reported by the caregiver
Scene: bicycle crash involving a car-- 10 yr old patient riding bike, concious and has a great deal of bleeding from leg wound
assure and open airway and immobilize the spine
Which of the following statements regarding hazardous material is most correct?
some substances are not hazardous in themselves but become toxic when mixed w/ another chemical
Which statement regarding ICS is MOST correct?
The ICS is designed for use in daily EMS operations
Multi-people in a small town began expierencing abdominal cramps, excessive salivation and urination & muscle twitiching shortly after a small crop duster plane made several passes over the community
atropine & pralidoxine chloride
A MCI is the most accurately defined as ..
an incident that greatly taxes or depletes a systmes avaliable resources
What medical problem can present similar to a patient under alcoholic influence?
All of the above (epilepsy, diabetes, head injury)
A patient who has expierenced a back injury with or without spinal cord damage would be arranged with:
Exposure to _____ would most likely result in immediate respiratory distress
A person who routinely uses a substance and requires increasing to achieve the same effect is expierencing
Possible drug abuse patient who is seeing and hearing things you cannot might indicate
use of PCP
The bombing of Alfred P. Murrah Federal Building in 1995 is an example of :
Amphetamines & cocaine are in the drug category:
Irritated nose/mouth, numbness, & altered state of consciousness may indicate abuse of
The EMT priority in caring for a patient with surface contact poisoning is to
avoid contaminating yourself
Botulinum is a
potent bacterial neurotoxin
A WMD (weapon of mass destruction) is MOST accurately defined as:
any agent used to bring about mass death, casualties, or massive infrastructural damage
Which of the following is NOT a factor in determing how to protect yourself aggainst the effects of radiation?
radiation type (remember TDS: time, distance, and shielding
Skin lesions associated with smallpox:
are identical in their development
Codeine, heroin, & morphine are examples of:
The ovum is usually fertilized in the
A substance abuse patient demonstrating pinpoint pupils & depressed respirations has most likely taken
Delirium tremens (DT's) is a syndrome associated with withdrawl from
Which of the following chemicals is a nerve agent
An overdose on acetamophine (tylenol) will most likely cause
To date, the preferred weapon of mass destruction for terrorists
multiple patients. First young female unconscious&apneic open head injury weak pulse&thready
give her low priority and continue triaging
Which of the following drug is not a sedative
Arrive at scene, Green liquid leaking from tank
remain at a safe distance and notify the hazard materials
Which of the following statements regarding inhaled poison is most correct
lung damage may progress after the patient is removed from the enviorment
EMT intervention for a patient who has ingested corrosives include
discouraging patient from vomiting
All of the following biological agents or disease can be transmited from a person to person except
The process of moving or neutralizing and properly disposing of a hazerdous material is called
You respond to a local motel for a you confused female who was sexually assulted. The last thing she remebered was drinking at a bar when she woke up she was at a motel what happened
Which one of the following is NOT a rout by which poison may enter the body
A 52 year old male presents himself with a fever of 102.5'F with multiple blisters with identical shape and size. This patients clinical presentation most consist with
An excited sweaty patient with elevated pulse and blood pressure may indicate use of
When vicitms of a mass casualty are moved to the treatment area
A thorough assesment is preformed and further treatment is rendered
The signs and symptoms of a indigested poison can include
All of the above: signs and symptoms of shock, ALOC, burns or strains
A poison that enters the body by ___is the most difficult to treat
Patient has GRAVIDA - 3 and PARA - 2. Which is accurate about the patient?
The patient has had 2 live births. GRAVIDA means # of times pregnant and PARA means # of live births
Which is priority for describing imminent child delivery?
Visualization of the infant's head / Crowning
Best position for a patient during labor ?
Left Lateral trendelenberg
Meconium is a substance which:
Develops in the intesting of the baby during gestion
Umblical cord is clamped and cut before drying and warming the baby?
The primary mechanism that a childs body uses to compensate for decreased perfusion:
increased cardiac contraction
When treating a patient that has been contaminated with a hazardous substance, the emt should:
arrange for decontamination before treating the patient
After performing an initial assessment & treating any immediate life threats, you should next:
decide if immediate transport is indicated
When evaluating a patient with multiple complaints, the EMT-B's responsibility is to determine
which complaint poses the greatest threat to patient's life
Which of the following MOST accurately describes paradoxical movement of chest wall?
only one section of the chest rises on inspiration while other area falls
Pain felt at a location other than its origin
Communicable diseases can be best decribed as?
Not all people who are infected with these diseases show signs or symptoms of illness
BSI is designed to:
approach all bodily fluids as being potentially infectious
Tx you receive following exposure to an infection disease depends on:
The type of disease
Digestive juices from the stomach
What is the proper treatment for death in vehicle?
Rapid trauma asessment
When assessing the moto function in a conscious patient's lower extermities, you should expect the paitnet to:
Which of the following activities would NOT be performed during the scene size up
rapidly assessing a patient's respiratory status
perform a rapid physical exam on patients with MOI and are unresponsive True or False?
Bodily fluids such as vomitus, tears & saliva may transmit an infectious disease if they
contains visible amounts of blood
Patient is unconscious, ineffective breathing, blood secretions in mouth. What to do?
suction her oropharynx
The chief complaint is most accurately described as:
most serious thing that patient is concerned about
Traumatic neck pain
ensure patient can see you approaching
Spread of HIV can be blamed on:
Careless handling of sharps
While using sirens most state laws permit
carefully exceed the posted speed limit
What is a disease the causes GI bleeding?
Symptoms of GI bleed may include
coffee ground emesis
Abnormal breath sounds least suggestive of fluid in lungs?
Which following patient does NOT have an altered mental status?
a patient with an acute reaction & dizziness
When driving code 3 and behind a school bus:
stop and wait until the warning lights stop flashing
Which of the following statments regarding the mechanism of injury is correct?
The MOI may allow you to predict the severity of patient's injuries
associaed with rebound tenderness
stoppage of forward flow of intestinal contents
pain in right upper quadrant; referred pain to right shoulder
Blood supply for heart muscle itself comes from?
PID is an inflammation of the:
fallopian tubes, NOT the bladder, rectum, or testes. This is a disease found in women and is based on STDs
Left ventricle pumps blood in
Pulmonary artery orginates at?
An incarcerated hernia is one that ?
connot be pushed back within respective body cavity
A 59 year old male presents with a sudden onset of severe lower back pain. He is conscious and alert, but very restless & diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should
administer oxygen & prepare for immediate transport
Ectopic pregnancy signs usually present within
the 1st 6-8 weeks of pregnancy
Substance which bonds with oxygen for transportation to the tissue is?
Gas exchange takes place at level of arterioles?
FALSE capillaries are where gas diffusions occur
Stridor is caused by
narrowing of UPPER airway
Functions of the upper airway
filters air; warms and humidifies air; provides sense of smell
You receive a call for a 70 year old female with respiratory distress. Her husband tells you that she has congestive heart failure; however, he does not think she has been taking her medications as prescribed. The patient is laboring to breathe, appears tired, and has cyanosis around her lips. You should:
begin assisting her ventiliations with a BVM
Pain from an MI my radiae to?
one or both arms; jaw;epigastric region
Priority EMT intervention for patient suspected of MI?
high flow oxygen
In what area of the lungs do respirations occur?
Your 71 year old patient complains of chest pain. He has a pulse rate of 140 & his respirations are 5 per min. You should immediately:
support patients ventilations with BVM
A 60 year old male presents with acute respiratory distress. He is conscious and alert, has pink and dry skin, and respirations of 24 breaths/min with adequate depth. Which of the following treeatment modalities is MOST appropriate for this patient?
O2 via a nonrebreather mask, and focused history and physical exam
symptoms of congestive heart failure?
A 56 year old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 911. Most likely the cause of this patient's present condition is:
Patient who has diarrhea and vomitting 3 days, weak pulse, applied 100% O2, should receive what appropriate tx from an EMT?
Prepare for immediate transport since he has indications of shock