Quiz 5

In which of the following situations would it be MOST appropriate to utilize an air medical transportation service?

61-year-old man with signs and symptoms of a stroke and a ground transport time of 50 minutes

Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a GCS score of:

8

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:

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

When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem?

medical history

Assessment of the medical patient is usually focused on the _______

nature of illness

A 30-year-old woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 beats/min and weak; and her BP is 70/50 mm Hg. Your MOST immediate action should be to:

protect her airway from aspiration

You are caring for a 68-year-old man with sudden onset left-sided paralysis and slurred speech. His airway is patent, his respiration are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include:

recovery position and transport

Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated in which of the following situations?

shortness of breath and a blood pressure of 76/56 mm Hg

When you are obtaining a medical history from the family of a suspected stroke patient, it is MOST important to determine:

when the patient last appeared normal

During the primary assessment of a semiconscious 70-year-old female, you should:

ensure a patent airway and support ventilation as needed

For a patient with a GI complaint, it is MOST important for the EMT to _____

identify whether the patient requires rapid transport

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

immediately resume CPR

You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient takes a deep breath and depresses the inhaler, you should:

instruct him to hold his breath for as long as he comfortably can

The determination of whether a medical patient is a high-priority or low-priority transport is typically made:

after the primary assessment has been completed

Crackles(rales) are caused by ______

air passing through fluid

When assessing for arm drift of a patient with a suspected stroke, you should:

ask the patient to close his or her eyes during the assessment

A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You should first.

assess the adequacy of his respirations

A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to:

be alert for signs and symptoms of shock

Which of the following is correct about the secondary assessment for a high-priority patient?

You may not have time to complete a secondary assessment

Which of the following signs is commonly observed in patients with right-sided heart failure?

Dependent edema

You and your partner arrive at the scene of a middle-age man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should:

begin high-quality CPR and apply the AED as soon as possible

Your patient complains of abdominal pain that occurs mostly at night or after eating fatty foods. You should suspect ______

cholecystitis

Which of the following is a genetic disorder that predisposes the patient to repeated lung infections?

cystic fibrosis

A 30-year-old male presents with acute sob, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all the lung fields. His BP 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

Nitroglycerin is contraindicated in patients:

who have experience a head injury