EMT Test 8 CH. 20-22

Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated:

Upper airway swelling

The goal of invaders such as bacteria and viruses is to:

Use the human body as a home

The effects of epinephrine are typically observed within _________ following administration.

1 minute

Signs and symptoms of a sympathetic drug overdose include

Tachycardia

Before giving activated charcoal, you should:

obtain approval from medical control.

Substance abuse is most accurately defined as

knowingly misusing a substance to produce a desired effect

The stinger from a honeybee should be

scraped away from the skin.

A technique used to gain insight into a patient's thinking, which involves repeating in question form what the patient has said, is called:

Reflective listening

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived the patient became violent and was placed in handcuffs. When you assess the patient he tells you that killing someone will make his abdominal pain go away. His vital signs are stable how should you manage this situation?

Request a police officer to accompany you in the ambulance

A raised, swollen, well-defined area on the skin that is a result of an insect bite or sting is called:

A Wheal

A 4 year-old, 15kg male ingested an unknown amount of Tylenol. The mother does not know when it occurred. The child is conscious and alert, no apparent distress, you should:

Administer 15g of activated charcoal

Foreign substance responsible for causing an allergic reaction is

Allergen

Which of the following conditions or factors would be the LEAST likely to result in a chance in behavior?

Anti hypertensive medications

in general, injected poisons are impossible to dilute or remove because they

Are usually absorbed quickly into the body

A 66 year old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious and has a patient airway with adequate breathing. You should:

Ask how her father normally behaves

Activated charcoal may be indicated for a patient who ingested

Aspirin

When administering an epinephrine injection you should hold in place for

At least 10 seconds

You respond to a college campus for a young male who is acting strange. After law enforcement secured the scene, you enter the patients room and find him sitting on the edge of his bed, he appears agitated. As you approach him you note that he has dried blood in both nostrils. He is breathing adequately, his pulse is rapid, and BP is 200/110 mm hg. Treatment should include:

Attempting to calm him and give him oxygen if tolerated

Your priority in caring for a patient with a surface contact poisoning is

Avoid contaminating yourself

When assessing a patient with a behavioral crisis you should:

Be direct and clearly state your intentions

In contrast to a behavioral crisis, a psychiatric emergency occurs when a person:

Becomes agitated or violent and is a threat to him or herself or others

... is what you can see of a persons response to the environment

Behavior

The major side effect of activated charcoal is

Black stools

The single most significant factor that contributes to suicide is

Depression

In addition to ensuring his or her own safety, the EMT's responsibility when caring for a patient with a behavioral emergency is to:

Diffuse and control the situation and safely transport the patient

Common side effects of epinephrine include all of the following Except:

Drowsiness

Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?

Dry mucous membranes

The first step in assessing a patient with a behavioral emergency is to:

Ensure your own safety

Common names for activated charcoal include all of the following, EXCEPT:

Fructose

Of the four avenues of poisoning, which is the most worrisome for the EMS provider

Injection

A 25-year-old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardia. He has track marks on both arms. The EMT should:

Insert a nasal airway and ventilate with a BVM

The poison control center will be able to provide you with the most information regarding appropriate treatment for a patient with drug overdose if the center

Is aware of the substance that is involved

Because the stinger of a honeybee remains in the wound following a sting:

It can continue to inject venom for up to 20 minutes

People at a higher risk for suicide include all of the following except:

Married males older than 30 years old

After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However, she is still anxious and tachycardic. You should:

Monitor her closely but recall that anxiety and tachycardia are a side effect

A 22-year-old male with a history of depression called 911 and stated attempted suicide. Your unit and law enforcement arrive on scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanosis. An empty bottle of hydromorphone (dilaudid) is found on the adjacent table. You should:

Open the patients airway and assess his respiration's

Airborne substances should be diluted with

Oxygen

Immediately after giving a epinephrine injection you should:

Properly dispose of the syringe

organic brain syndrome

Temporary or permanent dysfunction of the brain, caused by a disturbance in the physical or physiologic functioning of brain tissue.

Which of the following statements regarding epinephrine administration via the intramuscular route is correct

The 1:1000 concentration should be used

You are dispatched to a local nursery for a 39 year old female who is sick. When you arrive you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. Her pulse is very slow. Immediate management for this patient should include:

Thoroughly suctioning the oropharynx

Epinephrine is indicated for patients with an allergic reaction when:

Wheezing and hypotension are present

Most poisonings occur via the __________ route.

ingestion

A functional disorder is

physiological disorder in the absence of a structural abnormality.