Medical

Common side effects of nitroglycerin include all of the following, EXCEPT

hypertension.

Gastric distention will MOST likely occur:

if you ventilate a patient too fast.

A 22-year-old female patient is complaining of dyspnea and numbness and tingling in her hands and feet after an argument with her fiancé. Her respirations are 40 breaths/min. You should:

provide reassurance and give oxygen as needed.

When assessing an unconscious diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:

rate and depth of breathing.

A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?

"Do you have any heart problems or take any medications?"

Which of the following statements regarding gastrointestinal bleeding is correct?

Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself.

A 40-year-old man is in cardiac arrest. Your partner is performing CPR. You are attaching the AED when the patient's wife tells you that he has an automatic implanted cardiac defibrillator (AICD). The AED advises that a shock is indicated. What should you do?

Deliver the shock followed by immediate resumption of CPR.

Acute coronary syndrome (ACS) is a term used to describe:

a group of symptoms that are caused by myocardial ischemia.

you are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. his blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. his wife tells you that he has hypertension and diabetes. he has MOST likely experienced:

a ruptured cerebral artery

You are dispatched to a residence for a 67-year-old female who was awakened by shortness of breath and sharp chest pain. Her husband tells you that she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and an oxygen saturation of 88%. This patient's presentation is MOST consistent with:

acute pulmonary embolism.

The MOST appropriate treatment for a patient with a mild upper airway obstruction includes:

administering oxygen and transporting immediately.

When assessing an 80-year old patient in shock, it is important to remember that:

age-related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion.

A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and an oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two- to three-word sentences at a time. You should:

apply a continuous positive airway pressure (CPAP) device, monitor his blood pressure, and observe him for signs of improvement or deterioration.

Kussmaul respirations are an indication that the body is

attempting to eliminate acids from the blood.

You are dispatched to a residence for a 56-year-old male with an altered mental status. Upon arrival at the scene, the patient's wife tells you that he complained of chest pain the day before, but would not allow her to call EMS. The patient is semiconscious; has rapid, shallow respirations; and has a thready pulse. You should:

begin ventilatory assistance.

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

corner of the mouth to the earlobe.

The process of exchanging oxygen and carbon dioxide between the alveoli and the blood of the capillaries is called:

external respiration

You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should:

leave him in a sitting position, keep him warm, and prepare for immediate transport.

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.

A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus on his face and his respirations are slow and shallow. The EMT must immediately:

perform oropharyngeal suctioning.

an absence seizure is also referred to as a

petite mal seizure

You are ventilating a 40-year-old uninjured man who is apneic but has a pulse. When your partner reassesses his blood pressure, he notes that it has decreased significantly from previous readings. You elevate the patient's legs, but this action has no effect. You should:

reevaluate the rate and volume of your ventilations

You are ventilating an apneic woman with a bag-mask device. She has dentures, which are tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen saturation reads 96%. When you reassess the patency of her airway, you note that her dentures are now loose, although your ventilations are still producing adequate chest rise. You should:

remove her dentures, resume ventilations, and assess for adequate chest rise.

You have assessed an unresponsive middle-aged female and determined that she is in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area where one of the AED pads will be placed. You should:

remove the medication patch, wipe away any medication residue, and apply the AED pads.

Dyspnea is MOST accurately defined as:

shortness of breath or difficulty breathing.

When assessing for fluid collection in the lungs during auscultation of lung sounds, you should:

start at the lower lung fields and determine at which level you start hearing clear breath sounds.

you are caring for a 70-year-old female with signs and symptoms of an acute stroke. she is conscious, has secretions in her mouth, and is breathing as a normal rate with adequate depth. you should

suction her oropharynx and apply 100% oxygen

the principle clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia

usually have an altered mental status or decreased level or consciousness

Which of the following statements regarding gastrointestinal bleeding is correct?

Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself

A 40-year-old man is in cardiac arrest. Your partner is performing CPR. You are attaching the AED when the patient's wife tells you that he has an implanted pacemaker. The AED advises that a shock is indicated. What should you do?

Deliver the shock followed by immediate resumption of CPR.

After the AED has delivered a shock, the EMT should:

immediately resume CPR.