Chapter 14: Medical Overview
In which of the following situations it would be MOST appropriate to utilize an air medical transportation service
61 year old man with signs and symptoms of a stroke and a ground transport time of 50 minutes
Which of the following patients is a greatest risk for complications caused by the influenza virus?
68 year old woman with type 2 diabetes
Most patients with an infectious disease will have _____.
a fever
The BEST way to prevent infection from whooping couhgh is to:
Get vaccinated against diptheria, tetanus, and pertussis
Which of the following assessment findings is MOST indicative of a cardiovascular problem?
Jugular venous distention
Which of the following is bacterium resistant to most antibiotics and cause skin abscesses?
MRSA
Which of the following statements regarding methicillin-resistant staphuloccus aureus (MSRA) is correct?
MRSA is a bacterium that causes infections and is resistant to most antibiotics
An infectious disease is MOST accurately defined as:
a medical condition caused by the growth and spread of harmful organisms within the human body
When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem?
Medical History
Which of the following conditions is NOT categorized as a psychiatric condition?
Substance abuse
Most treatments provided in the prehospital setting are intended to ______.
address the patient's symptoms
Your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the patient's circulatory status, you should direct your partner to:
administer oxygen with the appropriate device
The determination of whether a medical patient is a high-priority or low-priority transport is typically made:
after the primary assessment has been completed
In addition to looking for severe bleeding, assessment of circulation in the conscious patient should involve:
checking the radial pulse an noting the color, temp, and condition of the skin
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:
combination of a medical and trauma emergency
Patients with tuberculosis pose the greatest risk of transmitting the disease when they:
cough
When performing a secondary assessment on a conscious patient with non traumatic abdominal pain and stable vital signs, you should:
focus on his or her chief complaint
Hepatitis B is more virulent than hepatitis c, which means that it:
has a greater ability to produce disease
Which of the following medication would the EMT be LEAST likely to administer to a patient with a medical complaint?
ibuprofen
In contrast to viral hepatitis, toxin-induced hepatitis:
is not a communicable disease
The secondary assessment of a medical patient:
is not practical if the patient is critically ill or your transport time is short
When caring for a patients with an altered mental status and signs of circulatory compromise, you should:
limit your time at the scene to 10 minutes or less, if possible
You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:
manage all threats to airway, breathing, and circulation and consider requesting an ALS unit
Assessment of the medical patient is usually focused on the ______.
nature of illness
It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem.
neurolgic
Assessment of a patient's blood pressure with an automatic BP cuff reveals that it is 204/120mm Hg. The patient is conscious and alert and denies any symptoms. The EMT should
obtain a manual blood pressure
In 2009, the H1N1 virus accounted for over 200,00 deaths worldwide in the form of the swinge
pandemics
Reassessment of a patient with a medical complaint should begin by:
repeating the primary assessment
End-tidal carbon dioxide (ETCO2) monitoring is clearly indicated for patients who present with:
respiratory distress
When caring for a patient who takes numerous medications, it is best to:
take all of the patient's medication with you to the hospital and document them on your patient care report
After sizing up the scene of a patient with a possible infectious disease, your next priority should be to
take standard precautions
When forming your general impression of a patient with a medical complaint, it is important to remember that:
the conditions of many medical patients may not appear serious at first
Ten days after treating a 34 year old patient with tuberculosis, you are given a tb skin test, which yields a positive result. This MOST likely indicates:
you were exposed to another infected person prior to treating the 34 year old patient