Lesson 19 In-Class Quiz & Self-Assessment

Hepatitis ____ can be transmitted only from a patient who has an acute infection. Select one: A. A B. C C. B D. D

A. A

Which form of hepatitis has an incubation period of 4-12 weeks and a vaccine is available for it? Select one: A. Hepatitis B B. Hepatitis D C. Hepatitis C D. Hepatitis A

A. Hepatitis B

Three months after returning home from West Africa, a 50-year-old man begins experiencing a fever, cough, and muscle aches. The EMT should suspect: Select one: A. influenza. B. Ebola. C. whooping cough. D. hepatitis.

A. influenza.

You have just completed your primary assessment of a 48-year-old man with crushing chest pain and difficulty breathing. The patient has been given 324 mg of aspirin and is receiving supplemental oxygen. As you begin your secondary assessment, you note that his mental status has deteriorated and he is now bradycardia. You should: Select one: A. prepare the patient for immediate transport. B. insert a nasal airway and assist his breathing. C. request an ALS unit to respond to the scene. D. continue with your secondary assessment.

A. prepare the patient for immediate transport.

Ten days after treating a 34-year-old patient with tuberculosis, you are given a tuberculin skin test, which yields a positive result. This MOST likely indicates that: Select one: A. you were exposed to another infected person prior to treating the 34-year-old patient. B. you contracted the disease by casual contact instead of exposure to secretions. C. you are actively infected with tuberculosis and should be treated immediately. D. the disease is dormant in your body, but will probably never cause symptoms.

A. you were exposed to another infected person prior to treating the 34-year-old patient.

Which of the following assessment findings is MOST indicative of a cardiovascular problem? Select one: A. Unequal breath sounds B. Jugular venous distention C. Palpable pain to the epigastrium D. Use of the accessory muscles

B. Jugular venous distention

Which of the following statements regarding the human immunodeficiency virus (HIV) is correct? Select one: A. HIV is far more contagious than hepatitis B and is easily transmitted in the health care setting. B. The risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloodstream. C. The risk of HIV infection is high, even if an infected person's blood comes in contact with your intact skin. D. Most patients who are infected with HIV experience chronic symptoms that vary in duration and severity.

B. The risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloodstream.

A sign of respiratory distress seen in the neck is: Select one: A. muscular definition. B. accessory muscle use. C. muscular atrophy. D. muscular twitches.

B. accessory muscle use.

The determination of whether a medical patient is a high-priority or low-priority transport is typically made: Select one: A. upon completion of a detailed secondary assessment. B. after the primary assessment has been completed. C. once the patient's baseline vital signs are known. D. as soon as the patient voices his or her chief complaint.

B. after the primary assessment has been completed.

In addition to looking for severe bleeding, assessment of circulation in the conscious patient should involve: Select one: A. taking a blood pressure and determining if the patient is alert and oriented or confused. B. checking the radial pulse and noting the color, temperature, and condition of the skin. C. applying a pulse oximeter probe to the finger to determine if peripheral perfusion is adequate. D. palpating the carotid pulse to determine the approximate rate and checking capillary refill time.

B. checking the radial pulse and noting the color, temperature, and condition of the skin.

An outbreak that occurs on a global scale is called a(n): Select one: A. epidemic. B. parasitic infection. C. pandemic. D. uncontrolled outbreak.

C. pandemic.

Early signs and symptoms of viral hepatitis include all of the following, EXCEPT: Select one: A. vomiting, fever, and fatigue. B. pain in the muscles and joints. C. jaundice and abdominal pain. D. loss of appetite and a cough.

C. jaundice and abdominal pain.

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: Select one: A. administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible. B. load him into the ambulance, begin transport, and perform all treatment enroute to the hospital. C. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit. D. perform a detailed secondary assessment, assess his vital signs, and then transport rapidly.

C. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit.

When caring for a patient who takes numerous medications, it is best to: Select one: A. send the patient's medications to the hospital with a family member or other person who will safeguard them. B. let the hospital staff retrieve the patient's medical records, which should show a list of his or her current medications. C. take all of the patient's medications with you to the hospital and document them on your patient care report. D. document the medications on your patient care report but leave them at home so they do not get misplaced.

C. take all of the patient's medications with you to the hospital and document them on your patient care report.

For which of the following patients should the EMT put on gloves and a mask? Select one: A. A 28-year-old male who is HIV positive and complains of flank pain and hematuria B. A 34-year-old female discharged from the hospital a week ago who has a large skin abscess C. A 56-year-old male who has right-upper-quadrant abdominal pain, weakness, and yellow eyes D. A 22-year-old female with fever, headache, neck discomfort, and a red rash on her skin

D. A 22-year-old female with fever, headache, neck discomfort, and a red rash on her skin

Your patients symptoms include high fever, cough, vomiting, bloody diarrhea, and shortness of breath. Which of the following should you suspect? Select one: A . Whooping cough B. Hepatitis B C. Influenza D. MERS-CoV

D. MERS-CoV

Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital? Select one: A. Cardiac arrest and shock B. Seizures and infection C. Diabetes and migraines D. Stroke and heart attack

D. Stroke and heart attack

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: Select one: A. assess her oxygen saturation and blood pressure. B. perform a head-to-toe secondary assessment. C. retrieve the stretcher and prepare for transport. D. administer oxygen with the appropriate device.

D. administer oxygen with the appropriate device.

In contrast to viral hepatitis, toxin-induced hepatitis: Select one: A. is a far more transmittable disease. B. typically does not cause yellow skin. C. can be prevented with a vaccination. D. is not a communicable disease.

D. is not a communicable disease.

The greatest danger in displaying a personal bias or "labeling" a patient who frequently calls EMS is: Select one: A. discouraging the patient from calling EMS in the future. B. demeaning or humiliating the patient and his or her family. C. making the entire EMS system look unprofessional. D. overlooking a potentially serious medical condition.

D. overlooking a potentially serious medical condition.