Exam 4

the full-body scam of a patient that occurs following the primary assessment should take no longer than:

90-120 sec

a palpable pulse is created by:

A pressure of circulating blood against the walls of the arteries

To select the proper size oropharyngeal airway, you should measure from the:

Angle of the jaw to the center of the mouth

After performing a head tilt chin lift maneuver to open the airway of a patient who is unresponsive and has a pulse, you should:

assess respiratory rate, depth, and regulatory

If a patient develops difficulty breathing after your primary assessment, you should:

assist breathing

you respond to a call for a female pedestrian who has been struck by a car. As your partner maintains manual stabilization of her head you perform a primary assessment. She is unconscious, has ineffective breathing, and has a bloody secretions in her mouth. You should:

assists her breathing with a bag-mask device

Which of the following findings indicates that your patient has a patent airway?

audible breathing

An EMT may administer aspirin to a patient if:

authorization from medical control has been obtained

When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes simvastatin and plavix. This medication regimen suggests a history of;

bacterial infection

an adult patient who is NOT experiencing difficulty breathing will:

be able to speak in complete sentences without unusual pauses

An adult at rest should have respiratory rate that ranges between:

8-5 breaths/min

typical methods of assessing a patients breathing include all of the following, EXCEPT:

adequate chest rise and fall

You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of an allergic reaction. As you are assessing her, she pulls an epi-pen out of her purse and hands it to you . after administering 100% oxygen, you should:

administer the drug

You are dispatched to a state park for a young female experiencing an allergic reaction. Your assessment reveals that her breathing is severly labored and her blood pressure is very low. You carry epi-pens on your ambulance and have been trained and aproved by your medical director to administer them. As your partner gives the patient high-flow oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should:

administer the epinephrine to the patient, begin immediate transport

A 62-year-old male presents presents with crushing chest pain, which he describes as being the same king of pain that he had with a previous heart attack. He has prescribed nitro but states that he has not taken any. 100% oxygen and contacting medical control, you should:

administer up to three doses of nitro before assessing his blood pressure

irregular respirations characterized by am increasing rate and depth of breathing followed by periods of apnea of called

agonal respirations

Which of the following patients is breathing adequately

an unconscious 52-year-old female with snoring respirations and cool, pale skin

Which of the following is a late sign of hypoxia

anxiety

the actual exchange of oxygen and carbon dioxide occurs in the:

apex of the lung

a 71-year-old male is semi conscious following a sudden, serve headache. There is vomits of his face and his respirations are slow and shallow. The EMT must immediately:

apply oxygen via nonrebreather mask

You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:

ask the family id the patient has a terminal disease

which of the following actions would not be preformed during the scene size-up

asking a neighbor to secure the patients dog.

you are dispatched to the county jail for an inmate who is "sick." when you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:

asses his BP

the NP is the MOST beneficial because it:

effectively maintains the airway of a patient in cardiopulmonary arrest

you are treating a middle-aged man with chest discomfort. He has a history of three heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should:

ensure that the patients systolic blood pressure is at least 100 mm Hg since aspirin dilates the blood vessels and can cause a drop in blood pressure

What medication form does oral glucose come in>

fine powder

a patient with profuse sweating is referred to as being

flushed

When you inspect a patients pupils with a penlight, the pupils should normally react to the light by

fluttering

in patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:

forehead and neck

An elderly patient had fallen and hit her head. you assess her level of consciousness as unresponsive using the AVPU scale. Your initial care should focus on:

gathering medical history data.

a 74 year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. She took two of her prescribed nitro tabs before you arrive, but she still feels heaviness in her chest. You should:

give her high flow oxygen, avoid giving her anymore nitro because it may cause a drop in her blood pressure, and transport.

a 37-year-old male is found unconscious in his car His airway is patent and his respirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication named alupent, which is found in the back seat of the patient's car. This medication suggests that the patient ha s history of:

heart disease

The medical term for an extremely low blood glucose level is:

hyperglycemia

during an EMS call, you should take standard precautions:

immediately after completion of your primary assessment

If you cannot palpate a pulse in an unresponsive patient, you should:

immediately begin CPR

subcutaneous injectors deliver the medication:

in the mucosa under the tounge

When given to patients with cardiac-related chest pain, nitro:

increase blood return to the right atrium

which of the following medications routes has the slowest rate of absorption

inhalation

A 50-year-old male presents with an altered mental status. His wife tells you that he had a "small stroke" 3 years ago but has otherwise been in good health. The patient is responsive but unable to follow commands after administering oxygen, you should:

inquire about his family history

a 23-year-old male experienced severe head trauma after his motorcycle colided with an oncoming truck. He is unconscious, has rapid and shallow breathing and has copious bloddy secretions in his mouth. How should you manage his airway?

insert an NP and provide suction and assisted ventilations

a 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an OP, she begins to gag violently. You should:

insert the airway no further but leave it in place as a bite block

a mucosal atomizer device is used to deliver certain medications via the:

intranasal route

A pulse with a consistent pattern is considered to be:

irregular

Which of the following conditions would MOST likely cause the pupils to remains significantly constricted?

locomotion nerve pressure

You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. you find him in a prone position; his eyes are closed and he is not moving. Your first action should be to:

log roll him as a unit to a supine position

Which of the following is the MOST effective method of assessing the quality of air movement in the lungs

looking for the presence of accessory muscle use

The hypoxic drive is influenced by:

low blood carbon dioxide levels

A patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen

nasal canula

upon arriving at a potentially unsafe scene, you should:

remove all bystanders

The diaphragm functions as an involuntary muscle when a person:

sleeps

Which of the following medications routes delivers a drug through the skin over an extended period of time, such a nitroglycerin or nicotine patch?

subcutaneous

which of the following is the MOST rapidly acting medication administration route

subcutaneous

how is nitro usually given by an EMT?

subligually

proper technique for suctioning the OP of an adult patient includes

suctioning for up to 1 min if the patient is well oxygenated

Which of the following statements regarding normal gas changes in the lungs is correct?

the actual exchange of oxygen and carbon dioxide occurs in the cappilaries

Which of the following statements regarding the mechanism of injury is correct?

the exact location of a patient's injuries can be determined by the MOI.

what is the MOST common cause of airway obstruction in an unconscious patient?

the tounge

when testing a mechanical suctioning unit, you should turn on the device, clamp the tubing, and ensure that it generates a vacuum pressure of more than:

100 mm Hg

The normal respiratory rate for an adult should range from:

24-28 breaths

In the adult, bradycardia is defined as a pulse rate less than _____ beats/min, and tachycardia is defined as a heart rate greater than ____ beats/min.

30,130

You arrive at a residence approximately 20 min after a 7 year-old boy, who weighs 22 kg, ingested a bottle of Advil. He is conscious and alert and has a stable vital signs. Medical control orders you to administer activated charcoal and oxygen and then transport the child at once. The approximate maximum dose o activated charcoal for this child is:

44 g.

with the flowmeter set at 6 L/min, the nasal cannula will deliver up to _____ oxygen.

44%

For an adult, the normal resting pulse should be between:

50-70 beats/min

The pressure of gas in a full cylinder of oxygen is approximately _____ psi

500 psi

which of the following statements regarding the epi-pen is correct?

EMT's do not need physician authorization to use the auto-injector

you are treating a 45-year-old woman who was stung by a hornet and has a rash. She tells you that she is allergic to hornets and has her own epi-pen. She also tells you that she takes medication for hypertension. Her breath sounds do not reveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94 mm Hg. What should you do if you're unable to make contact medical control?

Give her half the dose of her epinephrine in case her allergic reaction is delayed.

Which pf the following conditions would be LEAST likely to cause an altered level of consciousness?

Inadequate perfussion

Shortly after assessing a 65-year-old female with her prescribed nitro, she begins complaining of dizziness and experiencing a drop of 30 mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. You should:

Wait 5 and reassess her BP

Which of the following patients should you place in the recovery position?

a 31-year-old semiconscious male with a low blood sugar and adequate breathing

which of the following patients would MOST likely require the insertion of an orpharyngeal airway

a 33-year-old semiconscious patient with reduced tidal volume

In which of the following patients would the head tilt-chin lift maneuver be the MOST appropriate method of opening the airway.

a 45-year-old who is semiconscious after falling 20'

Which of the following patients does NOT have an altered mental status?

a patient who has overdosed and moans when you touch

Which of the following statements regarding breathing adequacy is correct?

a patients breathing shallowly may require assisted ventilation's despite a normal respiratory rate

The jaw thrust maneuver is used to open the airway of patients with suspected:

cervical spine injuries

a patient who does not respond to your questions but moves or cries out when his or her trapezious muscle is pinched, is said to be:

conscious and alert

a 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but obvious respirations distress. After assisting her with her MDI, you should:

contact medical control

When assessing the skin of an unconscious patient, you note that it has a bluish tint to it. This finding is called:

cyanosis

Which of the following is an example of a symptom

cyanosis

Poor peripheral circulation will cause the skin to appear

cyanotic

Which of the following is NOT a characteristic of epinephrine

decreases heart rate and blood pressure

the goal of the primary assessment is to;

determine if the patient's problem is medical or trauma

When you shine a light into one pupil, the normal reaction, should be:

dilate

When a patient's respirations are shallow:

oxygenation occurs more effectively

The MOST serious complication associated with using a NP in a patient with trauma to the face is:

penetrating the cranium

You have inserted an oral airway and are ventilating an apneic woman with a bag-mask device. She suddenly begins regurgitating large amounts of vomit. You should:

perform a finger sweep of her mouth

normal skin color, temperature, and condition should be:

pink, warm, and moiste

a 49-year-old male with extensive cardiac history presents with 2 hours of crushing chest pain and shortness of breath. He is pale and diaphoretic, and tells you that he feels like hes going to die. His medications include nitro, Viagra, and Vasotec. His blood pressure is 140/90 mm Hg and his heart rate is 110 beats/min. In administering 100% oxygen, you should:

place him in a supine position and transport at once

during the primary assessment, circulation is elevated by assessing:

pulse quality, external bleeding, and skin conditions

general impression include all of the following except:

race and gender

an unconscious patient found in the prone position must be placed in the supine position in case

regains consciousness

a 40-year-old male crashed his motorcycle into a tree. He is semi conscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should;

tilt the patients head back and lift up on his chin

what maneuver should be used to open the airway of an unresponsive patient with suspected trauma?

tongue-jaw lift

When assessing a 62-year old female with crushing chest pain, you note that her pulse is rapid and irregular. In addition to administering high-flow oxygen, you should:

transport at once and consider requesting a paramedic unit

a 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of severe pelvic pain Which of the following wouldn't be an appropriate intervention?

treat for shock

Clinical signs of labored breathing include all of the following, EXCEPT:

use of accessory muscle

The leaf-shaped structure located superior to the larynx is called the:

vallecula

The MOST significant complication associated with and oropharyngeal airway suctioning is:

vomiting from stimulating the anterior airway

supplemental oxygen via nonrebreathing mask should be administered to patients

with rapid respirations and a reduced tidal volume

A nasalpharyngeal airway is inserted:

with the beveling facing the septum if inserted into the right nare.

A patient with spontaneous respirations is breathing:

without difficulty