Week 5

Réussis tes devoirs et examens dès maintenant avec Quizwiz!

Which of these actions should you and your partner take when you arrive on the scene at a large factory where an unresponsive patient was subjected to a powdered chemical that contacted large portions of his unprotected skin?

Do not enter the scene until all buildings that make up the factory complex have been evacuated Correct! Ensure that you are properly protected with gloves and protective gear to prevent the powder from contacting your skin Wrap the patient up in a large sheet of plastic to minimize the risk of the powder contaminating other surfaces Allow your partner to enter the scene while you remain behind so as to offer "buddy-rescue" should he become overwhelmed by the toxic powder

Any substance—liquid, solid, or gas—that impairs health or causes death by its chemical action when it enters the body or comes into contact with the skin is called a(n)

Correct! poison. allergen. antigen. caustic.

Pain that is felt in a body part removed from its point of origin is called:

Correct! referred pain. ghost pain. parietal pain. provoked pain.

The condition encountered by habitual drug users in which they require a larger dose to produce the same desired effect is called

Correct! tolerance. toxicity. physical dependence. psychological dependence.

pain is felt when the abdominal organ itself is involved.

Correct!Visceral

While he was changing the battery on a truck, acid from the battery splashed into a 66-year-old man's right eye. The patient now complains of burning pain to his right eye and is having a hard time keeping it open. He is alert and oriented and has no problems with his airway, breathing, or circulation. Your next action would be to:

Cover both eyes and provide immediate and rapid transport Rinse the eye with a mixture of sterile water and sodium bicarbonate Place a cold pack to the eye and immediately transport the patient to the hospital Correct! Irrigate the eye with water for a minimum of 20 minutes

is an artificial process used to remove water and waste substances from the blood when the kidneys fail to function properly.

Dialysis

Describe four psychological effects of sexual assault.

Severe anxiety Depression Fear Inappropriate feeling of guilt Flashbacks or nightmares Emotional withdrawal Numbness Irritability

A female patient has developed bacterial peritonitis after sustaining blunt trauma to the abdomen. Damage to which organ was most likely responsible for this condition?

Spleen Correct! Small intestine Liver Ovary

At the side of a distressed patient with active and severe esophageal varices, you realize that the priority of care will be:

Stopping the hemorrhage Correct! Airway management Rapid transportation Monitoring the blood pressure

Which of these assessment findings would increase the EMT's suspicion of a gastrointestinal bleed that is likely occurring slowly?

Sudden onset of constipation Watery and foul-smelling diarrhea Correct! Black semi-formed stool Sharp left lower quadrant pain

Generally speaking, which technique should the EMT use first when confronted with a patient in a drug or alcohol abuse situation who is experiencing a "bad trip" and expressing some potentially violent tendencies?

The "take down" technique The "assessment down" technique The "patient restraint" technique Correct! The "talk down" technique

What type of dialysis does the picture represent and briefly describe how it works.

This is peritoneal dialysis, the waste stays in the abdomen to absorb the waste and then drained through a tube. It goes through the disconnecting tubing and down into the drain line where the waste is then stored in a bag.

Pancreatitis, or inflammation of the ________ , may cause severe pain in the middle or the upper quadrants (epigastric area) of the abdomen.

pancreas

While assessing a patient, you note hematochezia. This means that the patient had a(n) _________ onset of gastrointestinal bleeding.

slow Correct! rapid frank retrograde

The ovaries are the primary sex glands and are located on either side of the ______ in the abdominal cavity.

uterus

All of the following vital organs are located in the abdominal cavity except the

Correct! lungs. stomach. gallbladder. liver.

THC is the principal psychoactive drug in

Correct! marijuana. methamphetamine. bath soaps. methylenedioxymethamphetamine.

The effects of opiate overdoses can be combated by blocking the opioid receptor sites with

Correct! naloxone. activated charcoal. carfentanil. ethanol.

When using the region method of dividing up the abdomen, instead of the quadrant system, how many regions are there?

Correct! nine. six. three. five.

In treating patients who have inhaled poisons, the drug of first choice is

Correct! oxygen. glucose. activated charcoal. syrup of ipecac.

Of these statements, which best demonstrates that the EMT has an accurate understanding of acute abdominal pain?

"Abdominal pain is more of an emergency when the patient has a medical history related to the abdominal organs." "If the abdominal pain is not sharp in nature, it is most likely not a life-threatening condition." Correct! "Sometimes the cause of abdominal pain will be obvious, but often the cause will not be that apparent." "If the patient complains of 'crampy' or colicky pain, the EMT should suspect that a solid organ has ruptured and is bleeding."

Firefighters have pulled a 62-year-old male patient from a bedroom that was on fire. According to the firefighters, the patient was smoking in bed and fell asleep. They found him supine on the floor. Assessment reveals him to be responsive to painful stimuli, with soot in his airway. He is breathing rapidly, but has no evidence of burns to his body. His pulse is 124 beats/min, respirations are 24 breaths/min, blood pressure is 146/90 mmHg, and SpO2 is 95%. After providing the appropriate care, which of these questions would be the most important to ask the firefighters prior to transport?

"How did the fire start?" Correct! "How long was the patient trapped in the room?" "Which materials were burning in the room?" "How fast was the patient breathing when you found him?"

You are by the side of an 80-year-old male patient whose wife called EMS because he had tearing-type abdominal pain. The patient states that he was just discharged from the hospital this morning after being treated for gastroenteritis. When questioned further, he states that he remains nauseated, but the medications for the vomiting and diarrhea seem to be working, as he is no longer experiencing either of those symptoms. Since he was just in the hospital, the patient states that he would like to refuse transport and continue his recovery at home. What is your best response?

"I agree that the medications are working, but be safe and call your family doctor." Correct Answer "I don't know; your symptoms don't seem to be related to gastroenteritis." "I think you are right about getting better; it is up to you if you want to go back." "I am not comfortable with this; it sounds as if your gastroenteritis is not any better."

Which of these statements made by the patient would most likely be associated with parietal or somatic pain?

"I feel as though I have to throw up but can't." "It seems to hurt all over my belly and back." Correct! "It really hurts right here, beside my belly-button." "The pain seems to be dull and achy."

The EMT has an accurate understanding of the solid organs contained within the abdomen when she states:

"Solid organs contain less blood than hollow organs, but will still bleed if injured." "Solid organs like the gallbladder are covered by a thick fibrous capsule for protection." "Solid organs are structures in the abdomen that break down and absorb nutrients into the blood." Correct! "Solid organs may receive a lot of blood flow and may bleed excessively if injured."

The EMT accurately understands alcoholism when he states:

"The diagnosis of alcoholism is applied to a person who drinks hard liquor, not beer or wine." "Surprisingly, in the late stages of their condition, persons with alcoholism are very functional and able to hold down a job and maintain good family relations." "Alcohol is classified as a drug on which the addict becomes psychologically dependent, not physically dependent." Correct! "Aside from the excessive amounts of alcohol, much of the health deterioration that accompanies alcoholism comes from malnutrition."

You are transporting a visibly upset female patient who was raped after she let a male stranger into her house. Which of these questions would be appropriate for the EMT to ask?

"Why would you let someone in your house you did not know?" "Do you have any history of a sexually transmitted disease?" "Have you ever been sexually assaulted or raped before?" Correct! "Please tell me where you are hurting."

A patient with a history of renal failure, among other things, has an impairment in the ability to:

Control urination Retain adequate fluids Correct! Regulate electrolytes Maintain a normal blood sugar

After performing a Markle test on a 31-year-old female patient with abdominal pain, she locates pain to her left lower quadrant. How would the EMT interpret this result?

A positive result indicating appendicitis as the cause of the patient's pain Correct! Additional evidence that the patient has peritonitis A negative result indicating that the patient's condition is not life-threatening Realization that the gallbladder is the cause of the patient's discomfort

Which of these statements about poisonings is correct?

Correct Answer A poison is any substance that impairs a person's health by its chemical action All toxins are poisonous when in contact with the human body The majority of poisonings are intentional and result in homicide or suicide The number one cause of poisoning in the United States is medications

A 31-year-old female patient was stung by a hornet while golfing. Your assessment reveals her to be confused with stridorous respirations. Her skin is warm and flushed and covered with hives. A stinger is located on the back of her neck. Based on this information, you would recognize that the route of poisoning for this patient is:

Absorption Anaphylactic Topical Correct! Injection

The family of a 31-year-old female patient reports that she has taken an overdose of her father's diabetes medication. Assessment reveals her to be unresponsive, lying on the floor, with snoring respirations. Her pulse is rapid and her skin is cool to the touch. The patient has no history of diabetes but is allergic to penicillin. It is believed that she took the medication within the past hour. Your initial intervention in caring for this patient would be to:

Administer activated charcoal Induce vomiting Correct! Perform a jaw-thrust maneuver Administer glycogen or intranasal naloxone

Carbon monoxide is an example of an

Correct! inhaled poison. ingested poison. absorbed poison. injected poison.

You have been called to a dilapidated residence for a 26-year-old female patient complaining of generalized weakness. After applying gloves, you enter the home and find the patient on a couch in minimal distress. Your assessment reveals no life threats, but you do note track marks to both hands and arms. When asked about the marks, she states that she is an IV drug user and has hepatitis C. Given this information, you would:

Apply goggles Apply goggles and a gown Place a HEPA mask on yourself Correct! Continue care with gloves

You have been dispatched for a male patient who is "sick." While you are en route, Emergency Medical Responders inform you via radio that the patient has esophageal varices, which appear to have ruptured. You would inform your partner to prepare which materials or piece of equipment?

Automated external defibrillator Correct! Suction machine Trauma dressings Long spinal board

If a patient missed his last dialysis appointment, which complaint would you anticipate?

Bleeding from the fistula Hypotension Generalized abdominal pain and fever Correct! Shortness of breath

You are caring for a patient who intentionally drank a compound containing a high percentage of methanol. He is confused and lethargic, but has no obvious deficits to his airway, breathing, or circulation. En route to the hospital, the patient states that he is very nauseated and thinks that he is going to vomit. Your immediate action would be to:

Check the patient's breath sounds Correct! Turn the patient on his side Assess the patient's abdomen Prepare the suction

You have arrived at a home where the parents found their 13-year-old son in the garage inhaling propane from the family grill. Your assessment reveals the patient to be alert and oriented, with an open airway. His breathing is labored, and his pulse is rapid for his age. When conducting the secondary assessment, which of these findings or history would be of the greatest concern?

Chemical burn to the right hand Abdominal pain Correct! Bilateral wheezing Suicide attempt two years ago

You are a new EMT in a very busy urban EMS system. Before joining this agency, you worked as a volunteer in a rural EMS system, where you did not experience many EMS calls. You are working with a seasoned EMT when you are requested to respond to a residential home for an unresponsive 13-year-old male patient. Upon your arrival, the family escorts you into the garage, where the boy is being cradled by his crying mother. The boy is unresponsive. As you draw nearer to the boy, your partner says to you, "Hey, you smell that moth ball smell? I know what might be going on." Given your partner's statement, how might the odor be related to the patient's condition?

Chloral hydrate overdose Correct Answer Camphor overdose Organophosphate overdose Acetone overdose

You have been called for a 31-year-old male patient who experienced sudden left lower quadrant pain while lifting and moving a friend's couch to an upstairs bedroom. The EMT would recognize this history as suggestive of which type of abdominal pathology?

Cholecystitis Appendicitis Aortic aneurysm Correct! Hernia

All of the following are part of the urinary system except the

Correct! liver. kidneys. bladder. urethra.

A 42-year-old female patient is crying and states that she has sharp abdominal pain that she localizes to her right lower quadrant. When assessing this patient's abdomen, the EMT would:

Correct Answer Start palpating in the left upper quadrant Avoid palpating the entire abdomen Start palpating in the right lower quadrant Avoid palpating the right lower quadrant

Abdominopelvic pain in the middle of a patient's menstrual cycle is known as

Correct Answer mittelschmerz. dysmenorrhea. endometrial. referred.

A female patient, who has been sexually assaulted, has called 911 for assistance. She states that she does not know the assailant and showered immediately after the assault. The police have not yet been notified. Which of these statements would be appropriate in the care of this patient?

Correct! "Where are the clothes that you were wearing?" "Why did you feel the need to shower?" "Do you think that you can identify the person who assaulted you?" "It is unfortunate that you showered; it will be harder to get evidence now."

You are preparing to administer activated charcoal to a patient who has ingested a poison. The activated charcoal authorized by your medical director also contains a cathartic. Which of these statements would you make to the patient regarding this additive?

Correct! "You may experience diarrhea after taking the charcoal." "This charcoal will most likely give you a slight headache." "The additive in the charcoal may cause you to vomit." "If you have a heart condition, I cannot give you this medication."

When treating a patient with an absorbed poisoning, if the poison is a liquid, you should irrigate all parts of the patient's body for at least

Correct! 20 minutes. 5 minutes. 10 minutes. 45 minutes.

Endometriosis is most commonly diagnosed in patients between the ages of

Correct! 25 and 35. 35 and 45. 15 and 25. 45 and 55.

The usual dose of activated charcoal for an adult is

Correct! 30-100 grams. 12.5-25 grams. 3 grams/kg of body weight. 10 grams/kg of body weight.

Which of these guidelines would the EMT follow when talking down a patient with a drug-related emergency?

Correct! Calmly explain to the patient that this is a consequence of abusing drugs Be authoritative and tell the patient to follow your directions Inform the patient that restraints will be used if he does not listen to you Make frequent physical contact with the patient to establish trust

When differentiating chronic renal failure from acute renal failure, the EMT realizes:

Correct! Chronic renal failure often requires long-term dialysis Acute renal failure is often permanent Chronic renal failure is reversible with IV fluid administration Acute renal failure is treated with a kidney transplant

An 11-year-old boy with a history of mild developmental delays has possibly ingested parts of a household plant; his mother states that she found him eating the plant, then immediately called 911. You note that the plant has been overturned and is missing a considerable number of leaves. Assessment reveals the boy to be lethargic and confused; he complains of abdominal pain, accompanied by nausea and vomiting. His airway is patent and his respirations are adequate. Which of these assessment findings would be most suggestive that the poison from the plant leaves has been absorbed into the patient's body?

Correct! Confusion and lethargy Nausea and vomiting Abdominal pain Leaves missing from the plant

Which of the following is the least common poison ingested by children?

Correct! Fetilizers. Cleaning products. Plants. Toiletries

You are called to a long-term care facility for a patient with abdominal pain per staff. On scene, you find an 81-year-old female patient whom staff said complained of abdominal pain and then began to vomit several times. The patient has dementia and is occasionally confused and sometimes lethargic, which staff says is her normal status. Assessment reveals her to be confused, breathing 22 times a minute, with a pulse rate of 88 beats per minute. Her blood pressure is 118/68 mmHg and she has an SpO2 of 97% on room air. Staff states that her temperature is 100.8°F and she did not get her medication for dementia today. When treating and transporting this patient, what would most likely represent the EMT's greatest concern during transport?

Correct! Risk for vomiting Temperature of 100.8°F Respiratory rate of 22 breaths/min Not getting her antidementia medications

Emergency Medical Responders (EMRs) respond to a female patient who was found by her husband in their second-floor bedroom. When the responders arrived, she was lying on her bed, with a tourniquet on her arm. They also found a syringe, with unknown contents, lying on the floor next to the bed. Her husband denies that she abuses any drugs. The EMRs have removed the tourniquet and inserted a nasopharyngeal airway, and they are providing positive pressure ventilations at the rate of 10 breaths/min with a bag-valve-mask device and supplemental oxygen. You note the woman to be unresponsive, with a pulse rate of 52, and apneic. What would your initial proper care include?

Correct! Seek an order to administer naloxone Apply the AED Extricate the patient from the bedroom Immediately move the patient to a firm surface

Which sign or symptom would reinforce the EMT's suspicion that a patient with a history of pancreatitis is having an exacerbation of the disease?

Correct! Upper abdominal pain that radiates to the back Nausea, vomiting, and diarrhea Right upper quadrant pain with referral to the right shoulder Decreased heart rate and elevated blood pressure

While assessing a patient with acute abdominal pain, you note that his abdomen is very rigid. When asked to relax his stomach muscles, he does. The EMT would recognize this patient as demonstrating:

Correct! Voluntary guarding Rebound guarding False rigidity Involuntary rigidity

A confused female patient states that she was intoxicated and accidentally drank a glass of household bleach. When transporting this patient, which complication would you continually assess for?

Correct! Vomiting Chest pain Headache Diaphoresis

The most common sources of injected poisons are

Correct! bites and stings. drugs. plants. over-the-counter medications.

All of the following are common signs and symptoms of a spontaneous abortion except

Correct! increased blood pressure lower abdominal pain vaginal bleeding rapid pulse

Risk factors associated with renal calculi include all of the following except

Correct! increased dairy intake. obesity. hyperthyroidism. dehydration.

What is the greatest risk related to the ingestion of cyanide?

Gastrointestinal damage High fever Correct! Widespread hypoxia Lung damage

You are transporting a patient who wants help to rid herself of an addiction to pain medications. She says she has not taken any pain medications since yesterday, and needs help. Which of these findings would you recognize as a sign of withdrawal?

Her mental status decreases Her body temperature falls Correct! She starts to become agitated She begins to cry uncontrollably

Which of these is the EMT's highest priority when presented with a patient who has been exposed to a poisonous substance?

Identify the poison Induce vomiting Correct! Perform a primary assessment Administer activated charcoal

The EMT would recognize that the pain associated with a kidney stone is caused by:

Inability to empty the bladder of urine Correct! Passage of the stone through the ureter Infection of the bladder and ureter Formation of the stone in the kidney

When you are obtaining a medical history from a female patient with abdominal pain, she tells you that she has endometriosis. As an EMT, you know that this condition describes:

Infection of the uterine lining Bacterial infection of the bladder Infection of the ovaries and/or fallopian tubes Correct! Endometrial tissue located outside of the uterus

List the four ways that poisons can enter the body.

Ingestion Inhalation Injection Absorption

A 44-year-old male patient was using an industrial drain cleaning solvent to clean the drains in his house. The solvent corroded through the pipes on the second floor, spilling into the walls and filling the house with fumes. The patient was in the house for several minutes prior to getting himself out. The primary assessment reveals him to be alert and oriented with a patent airway. He is complaining of dizziness and has rapid respirations. His radial pulse is fast and strong, and his skin is warm and pink. Which action should the EMT take first?

Insert a nasopharyngeal airway Start positive pressure ventilation Correct! Administer supplemental oxygen Provide rapid transport with the patient in semi-Fowler's position

You have been called to a local nursing home for a restless patient with a four-day history of diarrhea. The primary assessment reveals an open airway, rapid breathing, and a weak and rapid radial pulse. Vital signs are pulse, 124; respirations, 24 breaths/min; blood pressure, 100/86 mmHg; and SpO2, 95%. The patient is confused with a history of Alzheimer's dementia. For this patient, it is most important to evaluate for:

Intestinal obstruction Cause of confusion Correct! Dehydration Blood in the diarrhea

Which of these descriptions is most characteristic of carbon monoxide?

It generally takes several days for a toxic level of carbon monoxide to accumulate in the body Carbon monoxide poisoning symptoms mimic the flu, but it tends to cause a higher fever than the flu Correct! Carbon monoxide is an odorless gas that can kill a person by causing severe hypoxia Carbon monoxide is a tasteless gas that is produced by household appliances such as electric furnaces

List the emergency care steps for a conscious patient with acute abdominal pain.

Keep the airway patent Place the patient in a position of comfort Administer oxygen to maintain SpO2 of 94% or greater Never give anything by mouth Calm and reassure the patient If signs and symptoms of hypoperfusion are present, treat for shock Initiate a quick and efficient transport

When transporting a patient with a Foley catheter, what is one of the precautionary steps you should take?

Keep the bag lower than the bladder Drain the bag prior to transport

The ___________ are bean-shaped organs, about the size of a closed fist, located in the retroperitoneal space.

Kidney

When palpating the anterior portion of a patient's abdomen, you note tenderness to the left upper quadrant. As a knowledgeable EMT, you would recognize that which organ is most likely to be involved?

Kidney Gallbladder Correct! Spleen Liver

List the emergency care steps for a patient with a dialysis emergency.

Maintain the airway, breathing, and circulation Support ventilation as needed Provide high-flow, high-concentration oxygen as needed Stop any bleeding from the shunt or access site as needed Position the patient; if the patient has signs of shock, place in a supine position If the patient has pulmonary edema, place in an upright position Transport

NALOXONE Write the information on the medication below in list format. Generic Name: Trade Name: List indications: Contraindication: Medication Form: Dose: List the action of the drug: List seven side effects:

Medication Name:Generic Name: NaloxoneTrade Name: Narcan Indications:Naloxone is indicated for patients with suspected or known opioid intoxication who have CNS depression with respiratory depression, hypotension or bradycardia. Contraindications:The drug Naloxone itself has no real effect on the body unless an opioid substance is present. Therefore, the only contraindication is a known hypersensitivity to Naloxone. Medication Form:The medication is a liquid form that can be administered by an intravenous, subcutaneous, intramuscular, intranasal, or endotracheal route. EMTs typically administer Naloxone by the intranasal route; however, some may also use the intramuscular route. A naloxone auto-injector is available. Follow your local protocol. Dosage:The typical dose if 0.4 mg to 2 mg when given by various routes. When administered by the intranasal route, the typical dose is 2 mg, with 1 mg being administered via a mucosal atomization device (MAD) in each nostril. Action:Naloxone is a pure opioid antagonist with a rapid onset of action. It competitively binds opioid receptors and can reverse all of the receptor actions of the opioid effectively blocking the ability of the drug to bind with the receptor site. Side Effects:Acute opioid withdrawal, increase blood pressure, headache, musculoskeletal pain, nasal dryness, edema, congestion or inflammation.

On scene, a 45-year-old female patient tells you that her current abdominal pain felt similar to a previous small bowel obstruction, so she called for EMS much earlier than the first episode. During your assessment, which signs or symptoms would agree with her assessment?

Nausea and diarrhea for two days Upper abdominal pain with deep inspiration Decreased heart rate and blood pressure Correct! Prominent and high-pitched bowl sounds

The grandfather of an alert and oriented 2-year-old girl found her on the floor playing with pills from his open bottle of Digoxin (a heart medication that slows the heart rate). He cannot remember how many pills were in the bottle, but he thinks that some are missing and suspects that his granddaughter may have eaten them thinking that they were candy. Assessment reveals the patient's airway to be open and breathing adequate. Her pulse is appropriate for a child her age and her skin warm and dry. Her grandfather is not sure of how long ago she may have taken the pills. Given the assessment findings, the EMT would assume:

Not enough Digoxin was taken to harm the child The child apparently did not take any Digoxin The child must have spit the pills out before swallowing them Correct! The Digoxin pills have yet to be absorbed into the body

A 14-year-old female patient has taken an excessive amount of Tylenol with codeine. Family members were asleep when they heard a crash and found her at the bottom of the stairs. When they asked the adolescent if she was okay, she replied that her boyfriend broke up with her and she saw no point in going on with her life, so she took an overdose. When you arrive by the patient's side, you note that she is responsive to verbal stimuli with eye opening and is breathing, has an intact airway, and is breathing somewhat shallow but still adequately. Your first action would be to:

Open the airway with the head-tilt, chin-lift maneuver Determine exactly how much medication she took Start positive pressure ventilation with oxygen Correct! Take manual spine motion restriction precautions

On arrival at a tailgate party in a parking lot near a college, you observe a crowd around a young man who is seizing. As you get equipment from the ambulance and make your way to the patient, his friends tell you that the patient has been up all night "partying" by drinking alcohol and smoking crack cocaine. At the patient's side, you note that he is no longer seizing, but is unresponsive and has snoring respirations. His respirations are labored at 16 breaths/min and his radial pulse is strong. His skin is cool and diaphoretic. Friends also inform you that he has diabetes; about an hour ago, they heard him say that he thought his blood sugar was becoming low. Which of these interventions would most likely be included in your care?

Open the airway, provide oxygen, and administer oral glucose Open the airway, check the blood glucose level, and administer oral glucose Insert an oral airway, provide positive pressure ventilation, and administer oral glucose Correct! Open the airway, provide oxygen, and give rapid transport to the hospital

A 26-year-old female patient complains of abdominal pain. The pain is generalized to her abdomen and worsens when walking. She also tells you that she is having a foul-smelling, yellow-colored vaginal discharge. The primary assessment reveals no threats to the airway, breathing, or circulation. Her vital signs are pulse, 104; respirations, 16 breaths/min; blood pressure, 108/60 mmHg; and oral temperature of 102.1°F. She finished her last menstrual period three days ago. Which condition do you suspect?

Ovarian cyst Correct! Pelvic inflammatory disease Ectopic pregnancy Mittelschmerz

A(n) ___________ cyst is a fluid-filled sac that forms inside of or on an ________ of the female's body.

Ovarian; Ovary

During a normal pregnancy process, within which structure does the sperm and egg typically meet during fertilization?

Ovary Correct! Fallopian tube Vagina Uterus

A drug addict informs you that he has been taking OxyContin and now requires more and more of the drug to take his chronic back pain away. The EMT would recognize this patient as experiencing:

Overdose Dependence Correct! Tolerance Adverse reaction

A 50-year-old female states that she has gone through menopause and no longer experiences menstrual periods. Using appropriate medical terms for documentation, the EMT would describe this status as:

Pre-menses Dysmenorrhea Pro melena Correct! Post menarche

In the human body, the urethra:

Prevents urine from flowing back up and into the kidney Correct! Passes urine from the bladder to the outside of the body Stores urine in the body until it can be eliminated Refines the urine produced by the kidney

List the emergency care steps for treating patients with inhaled poisoning.

Protect yourself Quickly get the patient out of the toxic environment Place the patient in a supine position or position of comfort Establish and maintain an open airway Start positive pressure ventilation with supplemental oxygen immediately Administer a high concentration of oxygen by nonrebreather mask Bring all containers, bottles, labels, or other clues about the poisoning agent to the receiving facility

Pelvic inflammatory disease is an infection of the female ______ tract.

Reproductive

A 42-year-old female patient is lying in bed with anxiety after smoking some bath salts 30 minutes earlier. As you enter the bedroom, which finding poses the greatest danger to rescuers, given the nature of this medication?

Respiratory burns from vapors Residual fumes from the drugs Correct! Patient aggression or violence Potential explosion from materials

This is the third day that a patient is in withdrawal from alcohol. If called to care for this patient, the EMT would recognize the need for:

Restraints Positive pressure ventilation Warm blankets Correct! Seizure precautions

Medication administered using the MAD adapter enters the blood stream and the cerebral spinal fluid of the brain.

True

When treating the victim of a sexual assault, it is extremely important to encourage the patient, not to patient change clothes, bathe, comb, or clean any part of his or her body.

True

A patient states that about two hours following dinner, she developed right upper quadrant abdominal pain that radiated to her shoulder. As a knowledgeable EMT, you would recognize this characteristic pain pattern as most suggestive of:

Urinary tract infection Correct! Gallbladder inflammation Intestinal obstruction Gastric ulcer

The pancreas would best be described as which type of organ?

Vascular Hollow Correct! Solid Perforated

List the three types of abdominal pain.

Visceral Parietal Referred

List at least nine questions that should be asked during assessment of a patient with ingested poisoning.

Was any substance ingested? Was any alcohol ingested with the substance? When did the patient ingest or become exposed to the poison? Over what time was the substance ingested? How much of the substance was taken? Has anyone attempted to treat the poisoning? Does the patient have a psychiatric history that suggests a possible suicide attempt? Does the patient have an underlying medical illness, allergy, chronic drug use, or addiction? How much does the patient weigh?

After determining that a patient intentionally overdosed on blood pressure medications, which of these questions would be most appropriate?

Why did you take so many pills?" Correct! "How many pills did you take?" "Were you confused about the proper dose?" "Are you on other medications?"

Which negative behavioral outcome may happen to some patients with opioid overdose if you administer naloxone and completely reverse the opioid effects?

With Naloxone administration, you may completed reverse the opioid effects in some patients, who may then become combative upon regaining consciousness. Take precautions to ensure your safety prior to administration.

The left lower quadrant of the abdomen contains part of the __________ and the female reproductive organs.

ascending intestines Correct! large intestines patella longada zygomatic arch

After a 911 call hang-up, you are dispatched to the caller's residence. When you enter the room with a police escort, you find an unresponsive female patient with a bag over her head. A person in the neighboring apartment tells you that the patient has depression and warned that "there is going to be a death today." Your immediate action would be to:

emove the bag and assess for airway occlusion Correct! Leave the room until it is cleared by the fire department Move the patient out to the ambulance before initiating care Provide manual spine motion restriction precautions


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