EMT Chapters 23-23 Quiz

Common causes of acute psychotic behavior include all of the following, EXCEPT: A. Intense stress B. Schizophrenia C. Mind altering substance abuse D. Alzheimer's disease

Alzheimer's disease

You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation? A. Leave the scene and have a neighbor check in on her. B. Have law enforcement place her in protective custody. C. Ask the patient if she has developed a suicidal plan. D. Encourage the patient to remain quiet during transport.

Ask the patient if she has developed a suicidal plan.

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? A. Ectopic pregnancy B. Ovarian cysts C. Genital herpes D. Chlamydia

Chlamydia

You receive a call for a domestic dispute. When you arrive at the scene, you find a young male standing on the front porch of his house. You notice that an adjacent window is broken. The patient has a large body, is clenching his fists, and is yelling obscenities at you. Which of the following findings is LEAST predictive of this patient's potential for violence? A. His large body size B. His shouting of obscenities C. The broken window D. His clenched fists

His large body size

Which of the following statements regarding pelvic inflammatory disease (PID) is correct? A. The most common presenting symptom of PID is generalized upper abdominal pain. B. The most severe cases of PID occur in women who are not sexually active. C. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy. D. PID most commonly affects women who have had an ectopic pregnancy in the past.

PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.

Which of the following statements regarding rape is correct? A. The EMT should try to determine if rape occurred. B. Rape causes more physical than emotional harm. C. Rape is a legal term, not a medical diagnosis. D. Only a licensed physician can make a diagnosis of rape.

Rape is a legal term, not a medical diagnosis.

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent, necessitating the placement of handcuffs. When you assess the patient, he tells you that killing someone will make his abdominal pain go away. His vital signs are stable. How should you manage this situation? A. Refuse to transport the patient because of his homicidal threat. B. Request that a police officer transport him to the hospital. C.Request a police officer to accompany you in the ambulance. D.Transport the patient in a prone position on the stretcher.

Request a police officer to accompany you in the ambulance

Which of the following drugs is commonly referred to as "roofies"? A. MDMA B. Rohypnol C. GHB D. Ketamine

Rohypnol

Organic brain syndrome is defined as: A. a change in behavior or mental status secondary to decreased cerebral blood flow. B. a dysfunction of the brain caused by abnormal physical or physiological function. C. bizarre behavior secondary to a chemical imbalance or disturbance in the brain. D. a disorder that cannot be traced to the abnormal structure or function of an organ.

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

The term "behavioral crisis" is MOST accurately defined as: A. A sudden, violent outburst of an otherwise mentally stable person toward a family member B. A medical illness with psychological symptoms that may lead to limited motor functioning C. A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior D. A period of severe depression that lasts longer than 2 weeks and cannot be controlled with medications

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

A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. B. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. D. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport.

administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.

A 66-year-old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious, and has a patent airway and adequate breathing. You should: A. conclude that the patient has Alzheimer's disease. B. ask the daughter how her father normally behaves. C. advise the patient that his behavior is unacceptable. D. carefully restrain the patient and transport at once.

ask the daughter how her father normally behaves.

During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should: A. assess her blood pressure and elevate her legs. B. perform a rapid secondary assessmen C. perform a visual assessment of her vaginal area. D. assist her ventilations with a bag-mask device.

assist her ventilations with a bag-mask device.

When assessing a patient with a behavioral crisis, you should: A. spend as little time with the patient as possible. B. be direct and clearly state your intentions. C. ask the police to handcuff the patient for safety. D. frisk the patient for the presence of weapons.

be direct and clearly state your intentions.

It is MOST important for the EMT to remember that suicidal patients may: A. have a definitive plan. B. be self-destructive. C. inject illicit drugs. D. be homicidal as well.

be homicidal as well.

In contrast to a behavioral crisis, a behavioral health emergency occurs when a person: A. experiences feelings of sadness and despair for longer than a month. B. experiences a sudden attack of panic secondary to a stressful situation. C. becomes agitated or violent and is a threat to him- or herself or others. D. exhibits impaired functioning due to a chemical or genetic disturbance.

becomes agitated or violent and is a threat to him- or herself or others.

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A. becomes engorged with blood. B. sheds and is expelled externally. C. diverts blood flow to the vagina. D. thins and begins to separate.

becomes engorged with blood.

____________ is what you can see of a person's response to the environment. A. Psychosis B. Behavior C. Neurosis D. Affect

behavior

General guidelines for managing a patient with a behavioral emergency include: A. firmly identifying yourself as an EMS provider. B. being prepared to spend extra time with the patient. C. allowing the patient to be alone if he or she wishes. D. placing the patient between yourself and an exit.

being prepared to spend extra time with the patient.

The onset of menstruation usually occurs in females who are: A. between 11 and 16 years of age. B. between 25 and 28 years of age. C. between 8 and 10 years of age. D. between 18 and 23 years of age.

between 11 and 16 years of age.

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT: A. carefully removing any foreign bodies from the vagina. B. refraining from placing any dressings into the vagina. C. supplemental oxygen and keeping the patient supine. D. treating external lacerations with sterile compresses.

carefully removing any foreign bodies from the vagina.

The single most significant factor that contributes to suicide is: A. drug abuse. B. depression. C. advanced age. D. a chronic illness.

depression

Signs of excited delirium include: A. slurred speech, bradycardia, and a high fever. B. subdued behavior, crying, and suicidal thoughts. C.diaphoresis, tachycardia, and hallucinations. D. pallor, hypotension, and constricted pupils.

diaphoresis, tachycardia, and hallucinations.

The first step in assessing a patient with a behavioral emergency is to: A. obtain proper consent. B. take vital signs. C.restrain the patient. D. ensure your safety

ensure your safety.

It is common for young females who experience their first menstrual period to: A. experience abdominal cramping, which may be misinterpreted. B. lose up to 500 mL of blood within the first 24 hours. C. have a false positive home pregnancy test result. D. become so emotionally distraught that they contemplate suicide.

experience abdominal cramping, which may be misinterpreted.

Posttraumatic stress disorder can happen after: A. Extended periods of hyperthermia or hypothermia B. Alcohol withdrawal C. A bout with depressions D. Exposure to or injury from a traumatic occurrence

exposure to or injury from a traumatic occurrence

Each ovary produces an ovum in alternating months and releases it into the A. fallopian tube. B. cervical os. C. uterus. D. vagina.

fallopian tube

Whenever possible, a female sexual assault victim should be: A. given the option of being treated by a female EMT. B. encouraged to take a shower and change her clothes. C. thoroughly assessed, even if no signs of injury exist. D. asked to provide a brief description of the perpetrator.

given the option of being treated by a female EMT.

When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she: A. Has gathered patient history information B. Ascertains if the patient was ever pregnant C. Has formed a general impression of the patient D. Has obtained a complete set of vitals

has gathered patient history information.

As a woman approaches menopause: A. she cannot become pregnant because of fluctuating hormone levels. B. her menstrual periods may become irregular and vary in severity. C. she usually experiences abdominal cramping without vaginal bleeding. D. her risk of developing pelvic inflammatory disease lowers significantly.

her menstrual periods may become irregular and vary in severity.

If a woman with vaginal bleeding reports syncope, the EMT should assume that she: A. is pregnant. B. has an infection. C. is in shock. D. has an ectopic pregnancy.

is in shock

When documenting a call in which a female was sexually assaulted, you should: A. record your opinion only if you have reasonable proof to justify the statement. B. keep the report concise and record only what the patient stated in her own words. C. translate the patient's words or statements using proper medical terminology. D. only use quotation marks when recording any statements made by witnesses.

keep the report concise and record only what the patient stated in her own words.

Law enforcement personnel request your assistance for a 30-year-old man who was pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a Taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should: A. suspect that he is acutely hypoglycemic, consider giving him one tube of oral glucose, and transport with lights and siren. B. limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you. C. recognize that he is experiencing a complex psychiatric crisis, quickly load him into the ambulance, and transport without delay. D. quickly rule out any life-threatening conditions and then perform a detailed secondary assessment as he is being restr

limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.

The physical examination of a sexual assault victim should be: A. limited to a brief survey for life-threatening injuries. B. as detailed as possible so all injuries can be documented. C. deferred until the patient can be evaluated by a physician. D. performed in the presence of at least two police officers.

limited to a brief survey for life-threatening injuries.

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)? A. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge B. Upper abdominal cramping, severe headache, and heavy vaginal bleeding C. Left lower quadrant pain, referred pain to the left shoulder, and fever D. Pain around the umbilicus, low-grade fever, and generalized weakness

lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: A. maintain her ABCs and transport without delay. B. keep assessment and treatment to a minimum. C. determine the underlying cause of her problem D. ask questions related to her gynecologic history.

maintain her ABCs and transport without delay.

People at risk for suicide include all of the following, EXCEPT: A. married males older than 30 years. B. children with parents addicted to alcohol. C. substance abusers. D. those with a recent diagnosis of a serious illness.

married males older than 30 years.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: A. can be controlled in the field. B. often presents with acute pain. C. may be relatively painless. D. is typically not as severe.

may be relatively painless.

A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should: A. provide care after determining what Dilaudid is used for. B. wait for the police to examine him before providing care. C. open the patient's airway and assess his respirations. D. ask the police to handcuff the patient for safety purposes.

open the patient's airway and assess his respirations.

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include: A. ovarian abscess and ectopic pregnancy. B. ovarian cysts and gonorrhea. C. bacterial vaginosis and chlamydia. D. uterine rupture with severe bleeding.

ovarian abscess and ectopic pregnancy.

You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system? A. Excessive tearing or crying B. Consistent eye contact C. An irregular pulse D. Rapid eye movement

rapid eye movement

Immediately after physically restraining a violent patient, the EMT should: A. Advise the patient why restraint was needed B. Reassess the patients airway and breathing C. Document the time the restraints were applied D. Inform medical control of the solution

reassess the patient's airway and breathing.

A technique used to gain insight into a patient's thinking, which involves repeating in question form what the patient has said, is called: A. active listening. B. passive listening. C. intuitive listening. D. reflective listening.

reflective listening

You respond to a call for an unknown emergency. When you arrive at the scene, the patient's husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He further tells you that he keeps his handgun in the bedroom. You should: A. Get in your ambulance and leave the scene immediately B. Go upstairs with caution and attempt to talk to the patient C. Ask the husband to attempt to reason with his wife D. Remain in a safe place and request law enforcement.

remain in a safe place and request law enforcement.

A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. Law enforcement officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The MOST appropriate way to manage this situation is to: A. restrain the patient with appropriate force in order to treat his injuries. B. try to gain the patient's trust by telling him that you see the vampires too. C. request that the police officers arrest him and take him to the hospital. D. approach the patient and calm him by placing your hand on his shoulder.

restrain the patient with appropriate force in order to treat his injuries.

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

schizophrenia

In which position should you restrain a physically uncooperative patient? A. Prone B. With arms and legs bound together C. With hands tied behind the back D. Supine

supine

EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I can't remember anything, but I know I was raped." The EMTs should suspect that: A. the patient was given a drug prior to the incident. B. the patient knew her attacker, but is afraid to say. C. the traumatic experience has created a mental block. D. an underlying head injury is causing her amnesia.

the patient was given a drug prior to the incident.

Pelvic inflammatory disease (PID) typically does NOT affect the: A. uterus. B.urinary bladder. C.fallopian tubes. D. ovaries.

urinary bladder

You may not be able to determine whether a person has a mental illness, but you can predict the person's likelihood of becoming: A. diabetic. B. violent. C. suicidal. D. psychotic.

violent