Module 5 Quiz

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 implantable cardiac defibrillator (AICD). The AED advises that a shock is indicated. What should you do? Continue CPR and transport the patient to the closest appropriate hospital. Deliver the shock followed by immediate resumption of CPR. Contact medical control and request permission to defibrillate. Avoid defibrillation because this will damage the patient's AICD.

Deliver the shock followed by immediate resumption of CPR.

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? He is currently not prescribed any medications. His Glasgow Coma Scale (GCS) score is 15. His wife states that this was his "usual" seizure. He has experienced seizures since he was 20.

He is currently not prescribed any medications.

Which of the following findings should concern the EMT the MOST when assessing a patient who complains of a headache? History of migraines Sinus congestion Slow onset of symptoms Neck stiffness or pain

Neck stiffness or pain

Albuterol is a generic name for: Alupent. Ventolin. Atrovent. Singulair.

Ventolin.

When caring for a patient with documented hypoglycemia, you should be MOST alert for: a seizure. a febrile convulsion. an acute stroke. respiratory distress.

a seizure.

A sign of respiratory distress seen in the neck is: muscular twitches. muscular definition. accessory muscle use. muscular atrophy.

accessory muscle use.

A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED), and he tells you that he does. You should: avoid giving him nitroglycerin and transport him at once. administer his nitroglycerin and then reassess his blood pressure. recall that erectile ED drugs can cause significant hypertension. ask him what he takes, how much, and when he last took it.

ask him what he takes, how much, and when he last took it.

A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You should: administer up to 324 mg of baby aspirin. administer up to three doses of nitroglycerin. obtain vital signs and a SAMPLE history. assess the adequacy of his respirations.

assess the adequacy of his respirations.

Alkalosis is a condition that occurs when: blood acidity is reduced by excessive breathing. slow, shallow breathing eliminates too much carbon dioxide. the level of carbon dioxide in the blood increases. dangerous acids accumulate in the bloodstream.

blood acidity is reduced by excessive breathing.

A percutaneous transluminal coronary angioplasty (PTCA) restores blood flow to the ischemic myocardium by: scraping fatty deposits off of the lumen of the coronary artery. placing a stent inside the coronary artery to keep it from narrowing. bypassing the coronary artery with a vessel from the chest or leg. dilating the affected coronary artery with a small inflatable balloon.

dilating the affected coronary artery with a small inflatable balloon.

A 29-year-old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken numerous different medications, but none of them seems to help. His blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations are 20 breaths/min. Treatment should include: dimming the lights in the back of the ambulance and transporting without lights and siren. assisting him with his migraine medication and transporting without lights and siren. applying warm compresses to the back of his neck and transporting with lights and siren. placing him in a supine position and transporting with lights and siren to a stroke center.

dimming the lights in the back of the ambulance and transporting without lights and siren.

A 30-year-old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all lung fields. His blood pressure is 90/50 mm Hg, and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen, the MOST important treatment for this patient is: epinephrine. a beta-antagonist. an antihistamine. albuterol.

epinephrine.

The BEST way to prevent infection from whooping cough is to: routinely place a surgical mask on all respiratory patients. ask all patients if they have recently traveled abroad. get vaccinated against diphtheria, tetanus, and pertussis. wear a HEPA mask when treating any respiratory patient.

get vaccinated against diphtheria, tetanus, and pertussis.

Assessment of a patient's blood pressure with an automatic BP cuff reveals that it is 204/120 mm Hg. The patient is conscious and alert and denies any symptoms. The EMT should: obtain a manual blood pressure. conclude that she has hypertension. reassess her blood pressure in 5 minutes. prepare for immediate transport.

obtain a manual blood pressure.

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: position her on her left side and transport at once. provide reassurance and give oxygen as needed. request a paramedic to give her a sedative. have her breathe into a paper or plastic bag.

provide reassurance and give oxygen as needed.

After assisting your patient with prescribed nitroglycerin, you should: place the patient in a recumbent position in case of fainting. reassess his or her blood pressure within 5 minutes to detect hypotension. perform a secondary assessment before administering further doses. avoid further dosing if the patient complains of a severe headache.

reassess his or her blood pressure within 5 minutes to detect hypotension.

After sizing up the scene of a patient with a possible infectious disease, your next priority should be to: take standard precautions. contact medical control. quickly access the patient. notify law enforcement.

take standard precautions.

A dissecting aortic aneurysm occurs when: all layers of the aorta suddenly contract. a weakened area develops in the aortic wall. the inner layers of the aorta become separated. the aorta ruptures, resulting in profound bleeding.

the inner layers of the aorta become separated.

A patient with atherosclerotic heart disease experiences chest pain during exertion because: the coronary arteries suddenly spasm and cause a marked reduction in myocardial blood flow. the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow. tissues of the myocardium undergo necrosis secondary to a prolonged absence of oxygen. the ragged edge of a tear in the coronary artery lumen causes local blood clotting and arterial narrowing.

the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.

Acute pulmonary edema would MOST likely develop as the result of: an upper airway infection. severe hyperventilation. right-sided heart failure. toxic chemical inhalation.

toxic chemical inhalation.