Final study guide summer 1
By definition, infancy begins at
1 month of age
By the age of 1 year, an infants tidal volume ranges from:
10 to 15 mL/kg
What is the target heart rate for a 35 yo man with a resting heart rate of 75 beats per minute?
152 beats/min
What is the total blood volume for a man who weighs 75kg
5.3L
Which of the following is a subject finding
A complaint of chest pressure
When the paramedic observes standard precautions on a call, he or she:
Acknowledges that all bodily fluids are potentially infectious
Repeating the key parts of a patient's responses to your questions demonstrates
Active listening
Which of the following conditions or situations is the BEST example of a critical life threat that needs immediate care
Acute presentation of a chronic condition
Which of the following is an example of secondary injury prevention
Administering epinephrine to a pt in anaphylactic shock
Which of the following is the BEST example of a teachable moment?
Advising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed.
The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is
An error in patient care
A specific action intended to improve health and safety outcomes is called
An intervention
Your entire assessment of a patient should:
Appear to be a seamless process.
Patterns of living that you develop in your youth:
Are hard to modify in later life
The main goal of CQI program is to:
Assess for ongoing improvement before a problem arises
When caring for a critically ill pt, three or more sets of vital signs will allow you to
Assess trends and reassess whether the pt's condition is stabilizing, getting better or getting worse
The decline in cardiac function associated with aging is largely related to
Atherosclerosis
Which of the following statements regarding growth spurts in adolescents is correct
Boys generally experience this stage of growth later in life than girls do
Mobile Army Surgical Hospitals (MASH) saved thousands of soldiers lives during the Korean War by
Bringing the hospital facilities closer to the battlefield
Factors that play a role in determining the outcome or the likelihood of your pts survival include all of the following
Bystander care, dispatch include prearrival directions, Emergency and definitive care...
A major distinction between a paramedic and an EMT is that the paramedic
Carries out advanced pharmacologic skills
The national emergency medical services information system (NEMSIS)
Collects relevant data from each state and uses it for research
Which of the following situations would be the LEAST likely to require a critical incident stress debriefing (CISD)
Death of a 91 yo pt with lung cancer
A pt is found to have a high blood sugar level (hyperglycemia). What is the cause of this
Deficient insulin levels in the blood
________________ Is a way of buffering bad news until a person can mobilize the resources to deal with that news more effectively.
Denial
After gathering information from the patient, scene, and any bystanders, you must next
Determine which information is valid and which may be invalid
The leading cause of kidney failure in Americans 20 years of age and older is
Diabetes
Substances that release ions when dissolved in water are called:
Electrolytes
When a competent adult patient refuses medical care, it is most important for the paramedic to
Ensure that the patient is well informed about the situation at hand
What type of tissue covers and lines internal organs
Epithelial
Effective dispatch will always include accurate scene findings
False
Most states do not require paramedics to complete any education other than their initial training programs
False
Teething is commonly accompanied by:
Fever
The brain and spinal cord are connected through a large opening at the base of the skull called the:
Foramen magnum
During a 20-minute transport of a critical pt, you should make a concerted effort to reassess the pt ___________times.
Four
In EMS, the process of concept formation involves
Gathering information about your patient
When you introduce yourself to your pt and ask why 9-1-1 was called, the pt looks at you, shakes your hand, and answers your questions appropriately. From these findings, you can gather that the pt:
Has a GCS score 15
What instructions or guidance would an emergency medical dispatcher MOST likely provide to a caller
How to control bleeding and perform CPR
A major recommendation made by the 2009 National EMS Education Standards for paramedic training was the:
Inclusion of a college level A&P course as part of the training program
Objective pt information
Is based on fact or observation
Which of the following organs/structures lie(s) in the retroperitoneal space of the abdomen
Kidneys
If you want reliable answers to personal questions, you should
Manage the scene so you can ask such questions quietly and privately
Additions or notations added to a completed patient care report by someone other than the original author
May raise questions about the confidentiality practices of the EMS agency
A paramedic is considered a health care professional, and as such should:
Meet societal expectations whether he or she is on or off duty
Which of the following Actions has the LEAST impact on the paramedics ability to think under pressure
Memorizing all patient care algorithms
Which of the following statements regarding middle adults is correct
Middle adults view crisis as a challenge to be overcome rather than a threat to be avoided
The main disadvantage of patient care algorithms is that they
Only address classic patient presentations
Which of the following structures comprise different types of tissues that work together to perform a particular functions
Organs
On most runs, the two MOST important pieces of pt hx information that you need to obtain initially are the
Patient's name and chief complaint
With regard to injury prevention, effective educational techniques include all of the following, EXCEPT
Penalties
Under the instructions a good EMD, a layperson should be able to
Perform chest compressions
Any cell that ingests microorganisms or other cells is called a(n):
Phagocyte
The most important nerve of the cervical plexus, which innervates the diaphragm, is the:
Phrenic nerve
Thromboxane A2 is a short-lived compound that causes:
Platelet clumping
When responding to an emergency scene, it's MOST important to:
Proceed in a manner that is timely and safe
In order to ensure that all recorded times associated with an incident are accurate, the paramedic should
Radio the dispatcher after an event occurs
If an emergency medical responder is appropriately trained and competent, he or she should be able to:
Recognize the seriousness of a pts condition, provide basic life support care, and relay info to the paramedic
Vascular compensation for changes in blood pressure decreases with age due to
Reduced elasticity of the peripheral vessels secondary to decreases in elastin and collagen
According to the Haddon matrix, which of the following is an example of a pre-event strategy used to prevent injury of a child who is riding in a motor vehicle
Reducing driving during high-risk times
While treating the pt with chest pain, you administer fentanyl. Shortly after, you ask him if his pain has improved. This is an example of
Reflection in action
A________________ receives a weak signal and retransmits it at a higher power on another frequency
Repeater
When examining the anterior abdomen of a pt who complains of abdominal pain:
Routinely palpate the least painful area (s) first.
When reading the scene, the paramedic must remember that
Scene information becomes unavailable once transport is initiated
Which of the following physical changes occurs in adults over 25 years of age
Settling of the disks in the spine
When lifting, the paramedic should spread his or her legs ___________________ apart.
Shoulder width
When communicating medical information via radio, you should be
Simple, brief and direct
A pt with dysarthria has:
Slurred speech
It is important to become involved in a national or state EMS organization, such as the National Association of EMTs (NAEMT) or the National Association of State EMS officials (NASEMO), because:
Such organizations have an impact on the future direction of EMS
Which of the following statements are true of the EMT?
The EMT represents the primary provider level in many EMS systems
Which of the following is a significant benefit of electronic documentation
The ability of the data to be shared between healthcare facilities
When a caller requests EMS in an area that uses an enhanced 911 system
The caller's name and address or automatically display
More often than not, the paramedic will form his or her general impression of a pt based on:
The initial presentation and chief complaint
When defining an injury problem in your community, it is MOST important to determine
The most frequent causes of fatal and nonfatal injuries
The term "frequency", as it applies to radio communications, is most accurately defined as
The number of oscillations per second of the carrier wave
All of the following statements are true of inter-facility transports
The paramedic should provide ongoing assessment, pts may be experiencing acute or chronic medical conditions, transportation may be to and from hospitals, care facilities or the pts residence
Prior to submitting a patient care report to the receiving hospital, it is MOST important for
The paramedic who authored the report to review it carefully
Which of the following statements include the pertinent negative
The patient complains of nausea but denies vomiting
Which of the following statements regarding stress is correct?
The way one person reacts to stress may differ significantly from another person's reaction.
All of the following statements are true of the National EMS education standards for the paramedic
They include a college level anatomy and physiology course, the national average falls between 1000 and 1500 hours of combined classroom, clinical, and field education AND significant changes were made in 2009
Compared to adults, children have
Thinner skin
When communicating with a patient whose cultural backgrounds differs from the paramedic's, the paramedic should
Treat the patient with the upmost respect at all times
States that utilize NREMT as their mechanism require a paramedic student to have attended and successfully completed training at an accredited institution
True
Performing the functions of a paramedic prior to licensure is:
Unlawful
Which of the following hazards would you LEAST likely encounter at the scene of a motor vehicle crash
Unruly patient
When transmitting information via radio, you Should
Use a normal conversational tone of voice
Components of a thorough patient refusal documents include
Willingness of EMS to return to the scene if the patient changes his or her mind
The care plan that you implement based on your working field diagnosis of a pt is almost always defined by
Your EMS system's pt care protocols or standing orders
When providing patient care, it is MOST important that you maintain affective communication with
Your partner
Sonorous respirations are MOST likely caused by:
an anatomic airway obstruction.
The paramedic should address a patient:
as the patient wishes to be addressed.
The kind of stress that motivates an individual to achieve is called?
eustress
In contrast to infants, toddlers
have a slower respiratory rate
When organizing a community Illness or injury program, you should FIRST:
identify a lead person to coordinate the effort
If you have a bad cold, it is MOST appropriate to:
refrain from patient care.
In conventional reasoning, school-age children
seek approval from their peers and society
From an injury prevention standpoint, the term "intervention" is defined as
specific prevention measures or activities designed to increase positive health and safety outcomes
If health care providers show up to work in shape:
they are less likely to get hurt