Module V Exam

Albuterol is a generic name for:

Ventolin

In order for efficient pulmonary gas exchange to occur:

Oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary membrane

When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. This means that the patient has:

Abnormal breath sounds

The MOST common reason that many people experiencing AMI do not seek immediate medical attention is because they:

Are in denial

Which of the following medications is comply given to patient with chest pain to prevent blood clots from forming or getting bigger?

Aspirin

Which of the following is the MOST reliable method of estimating a patient's cardiac output?

Assess the heart rate and strength of the pulse

Upon arriving at the residence of a patient with a possible cardiac problem, it is MOST important to:

Assess the scene for potential hazards

You receive a call for a 70 y/o female with respiratory distress. Her husband tell you that she has congestive heart failure; however, he does not think that she had been taking her medications as prescribed. The patient is laboring to breathe, appears tired, and has a cyanosis around her lips. You should:

Assist her ventilations with a bag-mask device.

Narrowing of the coronary arteries caused by a buildup of fatty deposits is called:

Atherosclerosis

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

Immediately resume CPR

Asthma is caused by a response of the:

Immune system

When obtaining a 12- lead ECG, the patient should be

In a supine position with legs uncrossed

Which of the following statements regarding the hypoxic drive is correct?

The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels

Most patients are instructed by their physician to take up to _______ doses of nitroglycerin before calling EMS

Three

Alkalosis is a condition that occurs when:

blood acidity is reduced by excessive breathing.

Common signs and symptoms of acute hyperventilation syndrome include:

Tachypnea and tingling in the extremities

The AED is MOST advantageous to the EMT because:

it delivers prompt defibrillation to patients with ventricular fibrillation.

Hyperventilation could be associated with all of the following, EXCEPT

A narcotic aotic overdose

At the onset of an acute asthma attack, patients commonly experience difficulty breathing and:

Expiratiry wheezing

A pleural effusion is MOST accurately defined as:

Fluid accumulation is MOST accurately defined as:

Which of the following is most characteristic of adequate breathing

24 breaths/min with bilaterally equal breath sounds and pink skin

An alert patient presents with a. Regular pattern of inhalation and exhalation and breath sounds that are clear and equal on both sides of the chest. There findings are consistent with:

Adequate air exchange

A 66 year old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours' duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and irregular, her respiration's are 22 breaths/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. She should:

Administer oxygen, give her 324 of aspirin, and assess her further.

In what area of the lungs does respiration occur?

Alveoli

The myocardium receives oxygenated from the _______, which originates from the ______.

Coronary arteries, aorta

Ischemic heart disease is defined as:

Decreased blood flow to one or more portions of the myocardium

A conscious and alert 29 y/o female with a history of asthma complains of difficulty breathing that began after her morning jog. The temperature outside if 40 degree F. On exam, you hear bilateral expiration wheezing. After providing supplemental oxygen, you should:

Determine if she has been prescribed a beta-agonist inhaler.

Prior to attaching the AED to a cardiac arrest patient, the EMT should:

Dry the chest if it is wet

You are dispatched to an apartment complex where a 21 y/o female has apparently overdosed on several narcotic medications. she is semiconscious and has slow, shallow respiration's. You should:

Insert a nasopharyngeal airway and begin assisted ventilation

The two processes that occur during respiration are:

Inspiration and expiration

You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient exhales, and before inhaling, the patient should put his or her lips around the inhaler, take a deep breath and depress the inhale. You should:

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

Which of the following statements regarding the pain associated with AMI is correct?

It can occur during exertion or when the patient is at rest

Angina pectorals occur when:

Myocardial oxygen demand exceeds supply

When preparing to obtain a 12-lead ECG, the LL and RL electrodes should be placed:

On the thighs or ankles

A 67 year old female presents with difficultly breathing and chest discomfort that awakened her from her sleep. She states that she has congestive heart failure, has had two previous heart attacks, and has been prescribed nitroglycerin. She is conscious and alert with adequate breathing. Her blood pressure is 94/64 mm Hg. And her heart rate is 120 beats/min. Treatment for this patient includes:

Placing her in an upright position

Which of the following blood vessels transport oxygenated blood?

Pulmonary veins

Which of the following statements regarding pulse oximetry is correct?

Pulse oximetry measures the percentage of hemoglobin that is saturated with oxygen but does measure that actual hemoglobin content of the blood

After assisting your patient with prescribed nitroglycerin, you should:

Reassess his or her blood pressure within 5 minutes to detect hypotension

When the level of arterial carbon dioxide rises above normal:

Respirations increase in rate and depth

Deoxygenated blood from the Boyd returns to the:

Right atrium

Which of the following conditions would be LEAST likely to result in hypoxia

Severe anxiety

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 76/65 mm Hg

In contrast to the sympathetic nervous system, the parasympathetic nervous system:

Slows the heart and respiratory rates

When assessing for fluid collection in the lungs during auscultation of lung sounds, you should:

Start at the lower lung fields and determine at which level you start hearing clear breath sounds

Harsh, high-pitched inspiratory sounds are characteristic of:

Stridor

When documenting a patient's description of his or her chest pain or discomfort, the EMT should:

Use the patient's own words.

An acute myocardial infarction (AMI) occurs when:

myocardial tissue dies secondary to an absence of oxygen.

Dyspnea is MOST accurately defined as:

shortness of breath or difficultly breathing

Defibrillator pads are placed on the patient's chest:

with one pad to the right of the upper sternum and the other pad to the left lower chest below the armpit