Emergency care and transportation of the sick and injured module 4 exam

Which of the following will most reliably allow you to determine the nature of patient's illness

Asking questions related to the chief of complaint

Narrowing of the coronary arteries caused by a buildup of fatty deposits is called:

Atherosclerosis

The normal blood glucose level is between

80-120 mg/dL

Hyperventilation could be associated with all following expect

A narcotic overdose

When carrying for a patient with documented hypoglycemia you should be most alert for

A seizure

A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called:

A wheal

Common causes of acute psychotic behavior include all of the following, EXCEPT:

Alzheimer's disease

Which of the following most accurately describes an allergic reaction

An exaggerated immune system response to an substance

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include:

Overran abscess and ectopic pregnancy

Airborne substances should be diluted with:

Oxygen

Which of the following statements regarding pelvic inflammatory disease (PID) is correct

PID can scare the fallopian tubes which increases the risk of ectopic pregnancy

Immediately after giving an epinephrine injection you should

Properly dispose of the syringe

Organic brain syndrome is defined as:

a dysfunction of the brain caused by abnormal physical or physiological function

The term behavioral crisis is most accurately defined as

a situation in which a patient of any age exhibits agitated violent or uncooperative behavior

An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are clear and equal on both sides of the chest. These findings are consistent with:

adequate air exchange

Which of the following statements regarding the physical examination of the patient with a behavioral problem is correct

although the physical examination can be difficult the patients emotional state may be determined by noting facial expressions pulse rate and respirations

In what area of the lungs does respiration occur?

alveoli

The MOST common reason that many people experiencing AMI do not seek immediate medical attention is because they:

are in denial

febrile seizures

are usually benign but should be evaluated

Upon initial contact with a patient who appears to be unconscious, you should

attempt to elicit a verbal response by talking to the patient

Your priority in caring for a patient with a surface contact poisoning is to:

avoid contaminating yourself

In anticipation of receiving a fertilized ovum the lining of the of the uterine walls

becomes engorged with blood

Is what you can see of person's response to the environment

behavior

General guidelines for managing a patient with a behavioral emergency include:

being prepared to spend extra time with the patient

The onset of menstruation usually occurs in women who are:

between 11 and 16 years of age

Which of the following conditions is the diabetic patient at an increased risk of developing

blindness

Which of the following most accurately describes in the cause of an ischemic stroke

blockage of a cerebral artery

Alkalosis is a condition that occurs when

blood acidity is reduced by excessive breathing.

The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the:

brain stem

The three major parts of the brain are the:

cerebrum, cerebellum, brain stem

Assessment of a patient with hypoglycemia will MOST likely reveal:

combativeness

esophageal varices most commonly occur in patients who

consume a lot of alcohol

A poison can be introduced into the body in one of four ways:

inhalation absorption ingestion injection

The 2 processes that occur during respiration are

inspiration and expiration

diabetic ketoacidosis occurs when

insulin is not available in the body.

The secondary assessment of a medical patient:

is not practical if the patient is critically ill or your transport time is short.

A patient who is experiencing aphasia is

is unable to produce and or understand speech

The AED is most advantageous to the Emt because

it uses prompt defibrillation to the patient with ventricular fibrillation

When an auto-injector is used to give epinephrine, the primary injection site is the:

lateral portion of the thigh

Which of the following organs would MOST likely bleed profusely if injured

liver

When assessing a patient with medical complaint, which of the following would MOST likely reveal the cause of the problem

medical history

Substance abuse is most accurately defined as

misusing a substance to produce a desired effect

angia pectoris occurs when

myocardial oxygen demands exceeds demand

Which of the following is characteristic of a focal-onset aware seizure

normal level of consciousness

A patients with altered mental status is

not thinking clearly or is incapable of being aroused

Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:

oxycodone

Which of the following organs lies in the retroperitoneal space

pancreas

Upper airway include

pharynx mouth epiglottis and larynx

status epilepticus is characterized by

prolonged seizures without a return of consciousness.

Which of the following blood vessels transport oxygenated blood

pulmonary veins

An EMT's primary responsibility to the patient who has been poisoned is to:

recognized that poisoning occurred

Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:

referred Pain

A technique used to gain insight into a patients thinking, which involves repeating in question form what the patients has said is called

reflective listening

The kidneys help to regulate blood pressure by

removing sodium and water from the body.

Which of the following conditions would most likely affect the entire brain

respiratory failure or cardiopulmonary arrest

Deoxygenated blood from the body returns to the

right atrium

The right coronary artery supplies blood to the

right ventricle and inferior wall of the left ventricle.

The stinger from a honeybee should be:

scraped away from the skin.

Which of the following conditions would be least likely to result in hypoxia

severe anxiety

When a female has reached menarche:

she is capable of becoming pregnant.

In contrast to the sympathetic nervous system, the parasympathetic nervous system:

slows the heart rate and respiratory rate

Which of the following organs assists in the filtration of blood serves as a blood reservoir and produces antibodies

spleen

Solid organs include the

spleen kidneys and pancreas

It's a high pitched sound heard on inspiration as air tries to pass through on obstruction in the upper airway

stridor

Which of the following clinical signs is most suggestive of a ruptured aneurysm

sudden, severe headache

Which of the following statements regarding the acute abdomen is correct

the initial pain associated with the acute abdomen tends to be vague and poorly localized

Most patients are instructed by their physician to take up to _______ doses of nitroglycerin before calling EMS

three

Lower airway include

trachea bronchioles main bronchi pulmonary capillaries

The two MOST common signs of anaphylaxis are:

urticaria and angioedema

When documenting a patient's description of his or her chest pain or discomfort the emt should

use the patients own words

Epinephrine is indicated for patients with an allergic reaction when:

wheezing and hypotension are present

which of the following questions would be least pertinent during the initial questioning of a patient who ingest a substance

why was the substance ingested

In index of suspicion is MOST accurately defined as

your awareness and concern for potential serious underlying and unseen injures or illness

It indicates constriction and or inflammation in the bronchus

wheezing

Typical chief complaints in patients with an infectious disease include:

Fever rash nausea and difficulty breathing

In general, oral glucose should be given to any patient who:

Has an altered mental and history of diabetes

Urticaria is the medical term for:

Hives

In contrast to the assessment of a trauma patient, assessment of medical patients

Is focused on the nature of illness, the patient's chief of complaint, and his or hers symptoms.

A 28 year old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours based on this patients clinical presentation you should suspect that she

Is significantly hyperglycemia

It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem.

Neurological

When preparing to obtain a 12-lead ECG, the "LL" and "RL" electrodes should be placed:

On the thighs and ankles

Herion is an example of a

Opioid

Sounds of air trying to pass through fluid in the alveoli

Crackles

Each ovary produces an ovum in alternating months and releases it into the:

fallopian tubes

The iliac arteries immediately subdivide into the

femoral arteries

The spinal cord exits the cranium through the:

foramen magnum

Hemoglobin is

found within the red blood cells and is responsible for carrying oxygen

As a women approaches menopause:

her menstrual periods may become irregular and vary in severity.

The MOST significant risk factor for a hemorrhagic stroke is:

hypertension

Asthma is caused by a response of the:

immune system

Muscle control and body coordination are controlled by the:

Cerebellum

Low pitched ratting sounds caused by secretions or mucus in the larger airway

Rhonchi

Dyspnea is MOST accurately defined as:

Shortness of breath or difficulty breathing.

electrical impulses generated by the heart originates in the

Sinoatrial nodes

Cardiogenic shock following a AMI is caused caused by

decreased pumping force of the heart muscle

Diabetes is most accurately defined

disorder of glucose metabolism

Prior to attaching the AED to a cardiac arrest patient, the EMT should:

dry the chest if its wet

Common signs and symptoms of an allergic reaction include all of following except

drying of the eyes

The first step in assessing a patient with a behavioral emergency is to

ensure your safety

It is common for young females who experience their first menstrual period to:

experience abdomen cramping which may misinterpreted