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Flashcards in Wrong Answers Deck (53):
1

An EMTs primary responsibility to the patient who has been poisoned is to:
A. Administer the appropriate antidote
B. Recognize that a poisoning occurred
C. Administer 25 g of activated charcoal
D. Contact poison control immediately

B

2

A 73-year-old man presents with a generalized rash, which she thinks may have been caused by an antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94 mm hg, and his pulse is 64 bpm and regular. You also take his breath sounds in here scattered wheezing, although he is not experiencing respiratory distress. You should:
A. Administer oxygen if needed, transport the patient, and monitor him for signs of deterioration
B. Ask him if he has epinephrine and request approval from medical control to administer it to the patient
C. Avoid the use of epinephrine because of his cardiac history, even if his symptoms become severe
D. Begin transport and request to administer epinephrine if his systolic blood pressure falls below 110 mm hg

A

3

You are dispatched to a resident for a 67-year-old female who was awakened by shortness of breath and sharp chest pain. Her husband tells you that she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and in oxygen saturation of 88%. You should suspect:
A. Acute pulmonary edema
B. Right-sided heart failure
C. Acute pulmonary embolism
D. Spontaneous pneumothorax

C

4

Typical components of an oral patient report include all of the following, except
A. The chief complaint or MOI
B. Important medical history not previously given
C. The set of baseline vital signs taken at the scene
D. The patient's response to treatment you provided

C

5

Common signs and symptoms of an allergic reaction include all of the following, except:
A. Abdominal cramps
B. Drying of the eyes
C. Flushing of the skin
D. Persistent dry cough

B

6

Patients with uncontrolled diabetes experience polyuria because:
A. They drink excess amounts of water due to dehydration
B. Excess glucose in the blood is excreted by the kidneys
C. Low blood glucose levels result in cellular dehydration
D. High blood sugar levels cause permanent kidney damage

B

7

Which of the following patients does not have an altered mental status
A. A patient with an acute allergic reaction and dizziness
B. A diabetic who opens his eyes when you ask questions
C. A patient with a head injury who is slow to answer questions
D. A patient who overdosed and moans when he is touched

A

8

A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she presents with the restlessness, tachycardia, and a blood pressure of 100/64 mm HG. Her skin is hot and moist. You should be most suspicious that she is experiencing:
A. Septic shock
B. Pump failure
C. A local infection
D. Decompensated shock

A

9

A 50-year-old man with diabetes has an altered mental status and is unable to tell you when he last ate or took his insulin. Your glucometer keeps malfunctioning and you are unable to determine his blood glucose level. Which of the following clinical signs would most likely lead you to the correct diagnosis:
A. Rapid and weak pulse
B. Deep and rapid breathing
C. Restlessness and irritability
D. Hypotension and tachycardia

B

10

Which of the following statements regarding gastrointestinal bleeding is correct?
A. In the majority of cases, bleeding within the gastrointestinal tract occurs acutely and is severe
B. Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself
C. Lower gastrointestinal bleeding results from conditions such as Mallory Weiss syndrome
D. Chronic bleeding within the gastrointestinal tract is usually more severe than bleeding that occurs acutely

B

11

The most serious complication associated with using in nasopharyngeal airway in a patient with trauma to the head or face is:
A. Fracturing the septum
B. Damaging the turbinates
C. Penetrating the cranium
D. Causing severe bleeding

C

12

The most significant complication associated with oropharyngeal suctioning is
A. Oral abrasions from vigorous suctioning
B. Hypoxia due to prolonged suction attempts
C. Clogging of the catheter with thick secretions
D. Vomiting from stimulating the anterior airway

B

13

A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway?
A. Suction his oropharynx with a rigid catheter until all secretions are removed
B. Insert a nasopharyngeal airway and provide suction and assisted ventilations
C. Alternate 15 seconds of oral suctioning with two minutes of assisted ventilation
D. Provide continuous ventilations with a bag mask device to minimize hypoxia

C

14

When the body senses a state of hypo-perfusion, The sympathetic nervous system releases epinephrine, the effects of which include
A. Tachypnea
B. Tachycardia
C. Vasodilation
D. Restlessness

B

15

Which of the following statements regarding hepatitis A is correct
A. Hepatitis A can only be transmitted my a patient who has an acute infection
B. Infection with hepatitis A causes chronic illness with a high mortality rate
C. Hepatitis A is primarily transmitted via contact with blood or other body fluids
D. Although there is no vaccine against hepatitis A, treatment is usually successful

A

16

Which of the following medication routes has the slowest rate of absorption?
A. Oral
B. Rectal
C. Inhalation
D. Sublingual

A

17

Which of the following statements regarding anaphylactic shock is most correct
A. Anaphylactic shock occurs immediately after a person is sensitized to an allergen
B. Sensitized people will experience less severe reactions upon subsequent exposure
C. Anaphylactic shock is the result of immune system failure due to toxic exposure
D. Each subsequent exposure following sensitization often produces a more severe reaction

D

18

Which of the following statements regarding ventricular fibrillation is correct
A. V-fib is the state of rapid ventricular contraction
B. Most patients in v fib have a weak carotid pulse
C. Defibrillation is only indicated for witness to v-fib
D. V fib results in absence of forward blood flow

D

19

An absence seizure is also referred to as:
A. Petit mal seizure
B. Grand mal seizure
C. Total bod seizure
D. Generalized motor seizure

A

20

You arrive at the home of a 50 year old female with severe epistaxis. As you're treating her, it's MOST important to recall that:
A. The patient may be significantly hypertensive
B. The patient is at risk for vomiting and aspiration
C. A detailed exam is needed to determine the cause
D. Many medications interfere with blood clotting

B

21

Prompt transport of a patient with a suspected AMI is important because
A. The patient may be eligible to receive thrombolytic therapy
B. 90% of the cardiac cells will die within the first 30 minutes
C. Nitroglycerin can only be given in the emergency department
D. Many patients within AMI die within six hours

A

22

You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female sitting on the curb. She's confused, in obvious respiratory distress, and has pale moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate life-saving treatment, you should:
A. Perform a detailed head to toe exam and prepare for immediate transport
B. Assess her vital signs, secure her to a backboard, and transport her immediately
C. Fully immobilize her spine, load he the ambulance, and assess her vital signs
D. Identify the specific areas of her injuries and focus your assessment on those areas

A

23

You are dispatched to a residence where a Middle Aged man was found unconscious in his front yard. There are no witnesses that can tell you what happened. You find him in a prone position, his eyes are closed and he's not moving. You're FIRST action should be to
A: palpate for a carotid pulse
B: log roll him as a unit to a supine position
C: assess the rate and quality of his breathing
D: open his airway with a jaw thrust maneuver

B

24

Gathering a patient's medications, can you find the following: idordil, nexium, lasix, and digoxin. Which of these can be obtained over the counter
A: lasix
B: digoxin
C: nexium
D. Isordil

C

25

Which of the following steps is not proper procedure when performing an emergency move
A. Using a long axis body drag during the move
B. Lifting the patient by the belt to move him or her
C. Pulling the patients clothing in the shoulder area
D. Pulling the patient on a blanket or similar object

B

26

Skeletal muscle is also referred to as _____ muscle

A. Striated
B. Involuntary
C. Smooth
D. Connective

27

Which of the following scenarios is an example of informed consent?
A. A patient advises an EMT of why he or she is refusing care
B. And EMT initiates immediate care for an unconscious adult
C. A patient is advised by an EMT of the risks of refusing care
D. An EMT advises a patient of the risks of receiving treatment

D

28

Infants are often called belly breathers because
A. Their intercostal muscles aren't functional
B. And infants ribs are brittle and are less able to expand
C. There rib cage is less rigid and the ribs sit horizontally
D. Their diaphragm does not receive impulses from the brain

C

29

Vasovagal reactions that occur in patients receiving IV therapy are most often the result of
A. Too much iv fluid being administered
B. The pain associated with venipuncture
C. The fear of needles or the sight of blood
D. An unexpected reaction to the iv fluid

C

30

The hearts primary pacemaker is the
A. Internodal pathway
B. Ventricular bundle of his
C. Atrioventricular node
D. Sinoatrial node

A

31

Burns are classified according to..

Depth and extent

32

After ______ minutes without oxygen, brain damage is likely

6

33

Weakening of the airway in patients with chronic bronchitis is the result of..

Destruction of the protective mechanisms that remove foreign particles

34

A 71-year-old male is semi conscious following a sudden, severe headache. There is vomit is on his face and his respirations are slow and shallow. The EMT must to immediately

Perform oropharyngeal suctioning

35

The ability of cardiac muscle cells to contract spontaneously without a stimulus from a nerve source is called

Automaticity

36

When an electrical impulse reaches the AV node, it is slowed for a brief period of time so that

Blood can pass from the atria to the ventricles

37

The Myocardium receives oxygenated blood from the _______ , which originates from the _______

Coronary artery's, aorta

38

The right coronary artery supplies blood to the

Right ventricle and inferior wall of the left ventricle

39

What is the principal symptom in both infectious and noninfectious gastrointeritis

Diarrhea

40

Why is it most important to determine a patient's weight when asking questions pertaining to a toxic ingestion

Activated charcoal is given based on a persons weight

41

Which of the following is an example of a functional behavior disorder
A. Alzheimer's disease
B. Schizophrenia
C. Drug addiction
D. Head trauma

B

42

Potentially life-threatening consequences of pelvic inflammatory disease include
A. Uterine rupture with severe bleeding
B. Ovarian abscess and ectopic pregnancy
C. Ovarian cysts and gonorrhea
D. Bacterial vaginosis and chlamydia

B

43

During your assessment of a patient who is experienced a blast injury, you know that he has a depressed area to the front of his skull. This injury most likely occurred:
A. When the patient was hurled against the stationary object
B. By inhaling toxic gases
C. As a direct result of the pressure wave
D. As a result of flying debris

A

44

An effective team leader should:
A. Help the team accomplish goals
B.

A

45

A teenage boy Who was involved in a bicycle accident has a puncture wound where the bicycle kickstand impaled his leg. The most appropriate method for treating this injury is:
A. Cut the kickstand off just above the skin and stabilize it with sterile dressings
B. Unbolt the kickstand from the bike and stabilize it with bulky dressing's
C. Remove the kickstand in a circular motion and apply a dry, sterile dressing
D. Leave the kickstand attached to the bike until the physician can remove it safely

B

46

A 40-year-old male was it his woodworking shop when he felt a sudden, sharp pain in his left side. Your assessment reveals a smaller splinter of wood embedded in his cornea. You should:
A. Scrape the splitter away with moist, sterile gauze
B. Cover both of his eyes and transport to the hospital
C. Cover his right eye and flush the left eye with saline
D. Remove the object with a cotton tipped applicator

B

47

A 21-year-old male was thrown over the handlebars of his motorcycle when he rear ended a car that was stopped at a red light. He was wearing a helmet, which he removed prior to your arrival. He is conscious, but restless, and as close deformities in each of his fevers. His skin is pale, his heart rate is rapid week, his respirations are rapid and shallow. You should:
A. Bind his legs together on the backboard, keep them warm, and transport without delay
B. Splint each of his deformed femurs with longboard splints and transport without delay
C. Split each of his deformed femurs with air splints, elevate his lower extremities, and transport
D. Apply traction splints to both of his legs, keep him warm, and transport without delay

A

48

A 20-year-old man was pulled from Coldwater by his friends. The length of his submersion is not known it was not witnessed. You perform a primary assessment and determine the patient is apnea can has a slow, weak pulse. You should
A. Suction his airway for 30 seconds, provide rescue breathing, keep him warm, and transport at once
B. Provide rescue breathing, remove his wet clothing, immobilize his entire spine, keep him warm, and transport carefully
C. Apply high flow oxygen via non-rebreather mask, immobilize his spine, keep him warm, and transport rapidly
D. Ventilate with a bag valve mask, apply a rigid cervical collar, remove his wet clothing, and transport rapidly

B

49

Most ominous sign of impending cardiopulmonary arrest in infants and children is

Bradycardia

50

You are assessing a 25-year-old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately three minutes apart and states that her amniotic sac broke two hours ago. After taking the standard precautions, you should

Assess her for crowning

51

As many as 40% of patients with down syndrome have

A heart condition

52

Which of the following statements regarding a dirty bomb is correct
A. The affectedness of a dirty bomb is solely dependent on the amount of alpha radiation that it emits
B. Dirty bombs contain a significant amount of radioactive material and are capable of being delivered via a missile
C. The dirty bomb, because of its ability to cause massive damage over a large geographic area, is it effective WMD
D. Dirty bombs could injure victims with both radioactive material and the explosive material used to deliver it

D

53

Which of the following statements regarding the EMS medical director in an EMT scope of practice is correct
A. The EMS medical director can expand or limit in individual EMT scope of practice without state approval
B. An emt's scope of practice may be expanded by the medical director after proper training and state approval
C. An EMTs scope of practice is exclusively regulated by the state EMS office, not the EMS medical director
D. The EMS medical director can expand the EMT scope of practice but cannot limit it without state approval

B