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Flashcards in Updated EMT EXAM questions Deck (145):
1

3rd stage of labor

ends w/ delivery of the placenta

2

Best position for a pt in labor with limb presentation

left lateral trendelenburg

3

S/S of pregnant-induced hypotension (preclampsia) include all except:

blood in the urine

4

30 yr. old pregnant female, gravida - 3 para - 2. This means she has:

given birth to 2 live babies

5

Visualization of the vertex at the vaginal orifice is known as

crowning

6

Meconium

devlops in the intestine of the baby during gestation

7

Placenta will be delivered:

15-30 min in most instances

8

Average length of labor for primipara

18-24 hrs

9

The condition that occurs when the placenta detaches itself from the uterine wall before baby is delivered

Placentia Abruptio

10

EMT intervention for a pt who's bleeding from an obstetrical condition include:

maintain open airway and high flow oxygen

11

Delivery- emt priority action

drying and warming of newborn

12

Ovum fertilized in

Fallopian tube

13

Pregnant patient may not show signs of blood loss bc they

have double blood volume

14

Ectopic pregnancy

ovum is attached outside of uterus

15

Fundus

superior 1/3 of uterus

16

Supine hypotensive syndrome

the gravid uterus compresses the inferior vena cava

17

Pulseless umbilical cord from signal orifice

insert hand into vagina to make space for cord

18

Priority question for pregnant patient

what baby is this for you

19

Priority sign of imminent delivery is

"visualization of the presenting part"

20

Emt treatment for ectopic pregnancy

position of comfort, high flow o2

21

Respond to a call for 14 year old pregnant patient,postical & BP of 240/120

eclampsia

22

cut cord before drying the baby

FALSE

23

membranes always rupture immediatley befor delivery

FALSE

24

in a prehospital delivery EMT should always transport code 3

FALSE

25

Rapid death do to a snake bit is because of

anaphylaxis

26

What is SIDS

Infant death unexplained

27

Most common cause of dehydryan in child is due to

vomitting and diarrhea

28

Triage is necessary when

when you have 2 or more patients

29

Most supcious for child abuse

bruises in various stages of healing

30

In infants and toddlers common cause of seizures is

high fever

31

care for SIDS

CPR, Trans, Emotional support for Family

32

EMT Primary action for pediatric w/ resp problems

establish and maintain an open airway, provide O2, transport

33

Which is true for SIDS

devastating for family

34

Submerssion injuries in the adolescent age groups are most commonly associated with

alcohol

35

assesment of 8 year old

talk to child and caregiver

36

triage

to sort

37

EMT priority w/ rattlesnake bite (LA)

immobilize

38

Triage

sort according to priority of illness

39

Abdominal pain in the pediatric patients is best cared for by :

transport patient in position of comfort & with oxygen as tolerated

40

33yr Male, gathering wood w/ sharp pain to hand. Abdom pain, weak, nausea

black widow

41

Which is more common in children than in adults following head injury?

nausea and vomitting NOT spinal cord

42

The venom of a black widow spider is toxic to the:

nervous system

43

When faced with a hazardous material the emt should

deny entry to authorized personel

44

The primary mechanism that a childs body uses to compensate for decreased profusion is?

increase heartrate

45

S/S of meningitis in an infant/child includes which of the folliwing:

headache and fever, stiff and painful neck, ALOC, EXCEPT sunken fontanels

46

Child may begin to show signs of stranger anxiety as early as:

12 months

47

EMT treatment for pediatric patient with high fever includes:

Passively cooling patient to near normal temperatures without chilling

48

Pale Skin in a child indicates that the ..

blood vessels near the skin are constricted

49

which of the following finding is least suggestive of child abuse

consistency in the method of injury reported by the caregiver

50

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

51

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

52

Which statement regarding ICS is MOST correct?

The ICS is designed for use in daily EMS operations

53

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

54

A MCI is the most accurately defined as ..

an incident that greatly taxes or depletes a systmes avaliable resources

55

What medical problem can present similar to a patient under alcoholic influence?

All of the above (epilepsy, diabetes, head injury)

56

A patient who has expierenced a back injury with or without spinal cord damage would be arranged with:

yellow

57

Exposure to _____ would most likely result in immediate respiratory distress

chlorine

58

A person who routinely uses a substance and requires increasing to achieve the same effect is expierencing

tolerance

59

Possible drug abuse patient who is seeing and hearing things you cannot might indicate

use of PCP

60

The bombing of Alfred P. Murrah Federal Building in 1995 is an example of :

domestic terrorism

61

Amphetamines & cocaine are in the drug category:

stimulants

62

Irritated nose/mouth, numbness, & altered state of consciousness may indicate abuse of

hydrocarbons

63

The EMT priority in caring for a patient with surface contact poisoning is to

avoid contaminating yourself

64

Botulinum is a

potent bacterial neurotoxin

65

A WMD (weapon of mass destruction) is MOST accurately defined as:

any agent used to bring about mass death, casualties, or massive infrastructural damage

66

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

67

Skin lesions associated with smallpox:

are identical in their development

68

Codeine, heroin, & morphine are examples of:

narcotics

69

The ovum is usually fertilized in the

fallopian tube

70

A substance abuse patient demonstrating pinpoint pupils & depressed respirations has most likely taken

narcotics

71

Delirium tremens (DT's) is a syndrome associated with withdrawl from

alcohol

72

Which of the following chemicals is a nerve agent

soman (GD)

73

An overdose on acetamophine (tylenol) will most likely cause

liver failure

74

To date, the preferred weapon of mass destruction for terrorists

explosive weapons

75

multiple patients. First young female unconscious&apneic open head injury weak pulse&thready

give her low priority and continue triaging

76

Which of the following drug is not a sedative

cocaine

77

Arrive at scene, Green liquid leaking from tank

remain at a safe distance and notify the hazard materials

78

Which of the following statements regarding inhaled poison is most correct

lung damage may progress after the patient is removed from the enviorment

79

EMT intervention for a patient who has ingested corrosives include

discouraging patient from vomiting

80

All of the following biological agents or disease can be transmited from a person to person except

Ricin

81

The process of moving or neutralizing and properly disposing of a hazerdous material is called

decontamination

82

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

roofies

83

Which one of the following is NOT a rout by which poison may enter the body

interfusion

84

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

Small pox

85

An excited sweaty patient with elevated pulse and blood pressure may indicate use of

Stimulants

86

When vicitms of a mass casualty are moved to the treatment area

A thorough assesment is preformed and further treatment is rendered

87

The signs and symptoms of a indigested poison can include

All of the above: signs and symptoms of shock, ALOC, burns or strains

88

A poison that enters the body by ___is the most difficult to treat

Injection

89

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

90

Which is priority for describing imminent child delivery?

Visualization of the infant's head / Crowning

91

Best position for a patient during labor ?

Left Lateral trendelenberg

92

Meconium is a substance which:

Develops in the intesting of the baby during gestion

93

Umblical cord is clamped and cut before drying and warming the baby?

FALSE

94

The primary mechanism that a childs body uses to compensate for decreased perfusion:

increased cardiac contraction

95

When treating a patient that has been contaminated with a hazardous substance, the emt should:

arrange for decontamination before treating the patient

96

After performing an initial assessment & treating any immediate life threats, you should next:

decide if immediate transport is indicated

97

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

98

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

99

reffered pain

Pain felt at a location other than its origin

100

Communicable diseases can be best decribed as?

Not all people who are infected with these diseases show signs or symptoms of illness

101

Ulcer

epigastric pain

102

BSI is designed to:

approach all bodily fluids as being potentially infectious

103

Tx you receive following exposure to an infection disease depends on:

The type of disease

104

Digestive juices from the stomach

hydrochloric acid

105

What is the proper treatment for death in vehicle?

Rapid trauma asessment

106

When assessing the moto function in a conscious patient's lower extermities, you should expect the paitnet to:

Wiggle toes

107

Which of the following activities would NOT be performed during the scene size up

rapidly assessing a patient's respiratory status

108

perform a rapid physical exam on patients with MOI and are unresponsive True or False?

TRUE

109

Bodily fluids such as vomitus, tears & saliva may transmit an infectious disease if they

contains visible amounts of blood

110

Patient is unconscious, ineffective breathing, blood secretions in mouth. What to do?

suction her oropharynx

111

The chief complaint is most accurately described as:

most serious thing that patient is concerned about

112

Traumatic neck pain

ensure patient can see you approaching

113

Spread of HIV can be blamed on:

Careless handling of sharps

114

While using sirens most state laws permit

carefully exceed the posted speed limit

115

What is a disease the causes GI bleeding?

Esophageal varices

116

Symptoms of GI bleed may include

coffee ground emesis

117

Abnormal breath sounds least suggestive of fluid in lungs?

stridor

118

Which following patient does NOT have an altered mental status?

a patient with an acute reaction & dizziness

119

When driving code 3 and behind a school bus:

stop and wait until the warning lights stop flashing

120

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

121

Appendicitis

associaed with rebound tenderness

122

Bowel obstruction

stoppage of forward flow of intestinal contents

123

Chloecystitis

pain in right upper quadrant; referred pain to right shoulder

124

Blood supply for heart muscle itself comes from?

coronary arteries

125

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

126

Left ventricle pumps blood in

aorta

127

Pulmonary artery orginates at?

right ventricle

128

An incarcerated hernia is one that ?

connot be pushed back within respective body cavity

129

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

130

Ectopic pregnancy signs usually present within

the 1st 6-8 weeks of pregnancy

131

Substance which bonds with oxygen for transportation to the tissue is?

hemoglobin

132

Largest artery

aorta

133

Gas exchange takes place at level of arterioles?

FALSE capillaries are where gas diffusions occur

134

Stridor is caused by

narrowing of UPPER airway

135

Functions of the upper airway

filters air; warms and humidifies air; provides sense of smell

136

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

137

Pain from an MI my radiae to?

one or both arms; jaw;epigastric region

138

Priority EMT intervention for patient suspected of MI?

high flow oxygen

139

In what area of the lungs do respirations occur?

Alveoli

140

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

141

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

142

symptoms of congestive heart failure?

pedal edema

143

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:

cardiogenic shock

144

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

145

Shock is result of

hypoperfusion