Chapter 37

Obesity is defined as a body mass index greater than:

30

Jarl is a male who is 5 foot 7 inches tall and weighs 250 pounds. What is Jarl's body mass index (rounded to the nearest tenth)?

39.1

Which of the following best describes the origins of chronic obstructive pulmonary disease (COPD)?

Acquired disease

At which of the following locations is an EMT likely to encounter a patient using an advanced medical device?

All of the above

Obesity increases the risk for which of the following health problems?

All of the above

You are on the scene of a pediatric patient who is on a specialized home monitoring system. This situation was not specifically addressed in your EMT class and your EMT partner has not encountered this situation, either. What is an advisable course of action?

Ask the parent or caregiver what has been done in the past to correct the situation

When preparing to move a patient who is using a specialty medical device from his house to the ambulance, which of the following questions would be appropriate to ask the family?

Both A (What worked best for moving the patient the last time he was transported by ambulance?) and B (How do you normally move the patient?)

Which of the following is the best course of action for the EMT to take when caring for a patient with an AICD who goes into cardiac arrest?

CPR and an AED should be used as indicated while on-scene and transporting the patient.

Assessing blood pressure on a patient with an AV shunt, fistula, or graft could lead to which of the following?

Damage to the AV shunt, fistula, or graft, requiring surgery

Which of the following best describes a disease such as deafness?

Either a congenital or acquired disease

Where are automatic implanted cardiac defibrillators typically placed in patients who require one?

In the upper left chest

During transport, where should the catheter bag be after loading the patient and stretcher into the ambulance if the patient has an indwelling urinary catheter?

Lower than the patient, but not on the floor

How does the pain felt by a patient when receiving a shock from a pacemaker compare to the pain felt when receiving a shock from an automatic implanted cardiac defibrillator (AICD)?

Pacemakers are painless and AICDs are painfu

Which of the following is the main advantage of peritoneal dialysis over hemodialysis?

Peritoneal dialysis is likely to be done at the patient's home.

Which of the following statements is true regarding abuse and neglect of adults and elders with special needs

Signs of hunger and malnourishment are common signs of neglect.

Which of the following is not a role of dialysis in a renal failure patient?

Stimulate blood cell production

Which of the following is true in regard to touching a patient who is being shocked with an automatic implanted cardiac defibrillator (AICD)?

The EMT cannot feel the shock of an AICD when delivered to the patient.

Which of the following is a characteristic of child abusers of special need patients?

They may be inappropriately unconcerned about the child

Which of the following is true of patients with autism spectrum disorders (ASD)?

They may have very high pain thresholds and tolerate excruciating injuries

What is the purpose of a tracheostomy in an ill patient?

To assist the patient with breathing

A patient uses a home ventilator connected to his tracheostomy tube to breathe. Which of the following is the correct procedure to use when moving this patient to the ambulance?

Ventilate the patient's tracheostomy tube via a connected bag-valve mask at a normal rate and volume while the patient is disconnected from the ventilator.

Which of the following is the easiest way for an EMT to communicate with a patient with drastic hearing loss?

Write your questions using paper and pen

While on the scene of an emergency call involving a patient who is dependent upon a medical device for survival, the EMT can ask which of the following individuals about the specifics of the device?

all of the above

You are on the scene of a home ventilator patient whose ventilator has experienced a mechanical failure. The patient is conscious and you have taken over the function of the ventilator with a bag-valve mask. As an EMT, you should verify the patient's comfort level for which of the following?

all of the above

Chloe was born with a cardiac problem that she will have to manage the rest of her life. This disease is considered

congenital

A condition that interferes significantly with a person's ability to engage in activities of daily living is referred to

disability

Which of the following refers to a condition that interferes significantly with a person's ability to engage in activities of daily living?

disability

When caring for patients with autism spectrum disorders (ASD), it is a good idea to do all of the following except

gather repeat vital signs at five-minute intervals even if the patient seems very stable

Which of the following is the correct position to use when transporting a patient who has a tracheostomy tube

head slightly elevated

While transporting a patient who has an indwelling Foley catheter, it is important to keep the collection bag:

lower than the level of the patient

To determine the appropriate depth an EMT should insert a catheter tip into a tracheostomy tube in order to clear a blocked airway, the EMT should:

measure against the length of the obturator.

Which of the following situations are frequently problematic for patients who have tracheostomy tubes?

mucus buildup

You are transporting a resident of a nursing home to the hospital for a complaint of abdominal pain that has lasted for 3 days. During your assessment, you note a tube protruding from the patient's nose, which is connected to a bag of milky-white fluid. This tube is known as a(n):

nasogastric tube

You are transporting a patient who is experiencing frequent discharges of her automatic implanted cardiac defibrillator (AICD). You are caring for the patient in the back of the ambulance en route to the hospital. To protect yourself from being shocked if the defibrillator discharges, you should:

not worry; the defibrillator does not pose a danger to others

Bariatrics is defined as the branch of medicine that deals with the cause, prevention, and treatment of which of the following diseases?

obesity

When transporting a patient who is morbidly obese to the hospital, it is important to monitor which of the following vital signs?

oxygen sat

Which of the following serious health problems is related to homelessness?

tuberculosis

Which of the following groups of people makes up the largest portion of the homeless population?

veterans