EMT - Chapter 32

How could alcohol place a patient at a greater risk for temperature-related emergencies? - By discouraging good judgement - By slowing down metabolism - By increasing fluid loss - By depleting serotonin levels

By increasing fluid loss

Which of the following conditions show symptoms of headache, loss of appetite, difficulty sleeping, shortness of breath during physical exertion, and a swollen face? - HAPE - HACE - Mountain sickness - None of these answers are correct

Mountain sickness

Heat emergencies commonly occur at athletic events and practices. If the patient is in a cold-water immersion bath upon your arrival, do not remove the patient unless the temperature has normalized to between: - 97 and 98 F - 99 and 100 F - 101 and 102 F - 103 and 104 F

101 and 102 F

In a cold emergency, if you cannot feel a radial pulse, gently palpate for a carotid pulse and wait for up to ____ before you decide whether the patient is pulseless. - 30 seconds - 60 seconds - 90 seconds - 2 minutes

60 seconds

During the coldest month of the winter, you are called to the home of an elderly woman. When you arrive, you immediately note that the house is extremely cold. The patient is lethargic. Her blood pressure is 90/60 mm Hg, her pulse is 48 beats/min, and her respirations are 8 breaths/min and shallow. Suspecting hypothermia, what would you estimate her core body temperature to be? - 90 to 95 F - 89 to 92 F - 80 to 88 F - Less than 80 F

89 to 92 F

What would a 25-year-old, relatively healthy patient who received a bite from a black widow spider mostly likely receive as treatment? - Pain relief - Low-flow oxygen - Antivenin - BLS

Pain relief

You are called to a well-kept home for an 8-year-old girl. She presents with vomiting, headache, and partial paralysis. During the history-taking stage, her mother reports that about 8 days ago they were hiking in the mountains and when they arrived home, the child found a tick on her leg, which the mother removed. What could be affecting the patient? - Lyme disease - Rocky Mountain spotted fever - Allergic reaction - None of these answers are correct

Rocky Mountain spotted fever

Your body needs calories for your metabolism to function. What is the catalyst for much of this metabolism? - Simple sugars - Carbohydrates - Water - Electrolytes

Water

Should you commence CPR on a patient with hypothermia who has no pulse? - Yes, there is evidence that CPR, when done correctly, will increase blood flow to critical parts of the body. - No, many of the body's systems are in too fragile a state - No, cardiac activity may spontaneously recover once the body is warmed - No, the patient is in a "metabolic icebox" and has achieved a balance that CPR can disrupt

Yes, there is evidence that CPR, when done correctly, will increase blood flow to critical parts of the body.

Breath-holding syncope is caused by a decreased stimulus to breathe and occurs when: - a swimmer breathes shallowly before entering the water - a diver holds his or her breather during a staged ascent - a swimmer hyperventilates prior to entering the water - a diver holds his or her breath for a long period of time

a swimmer hyperventilates prior to entering the water

Signs of late heat stroke include: - hot, moist skin - nausea and vomiting - a weak, rapid pulse - a change in behavior

a weak, rapid pulse

You are assessing a 30-year-old woman with a heat-related emergency. Her skin is flushed, hot, and moist, and her level of consciousness is decreased. After moving her to a cool environment, managing her airway, and administering oxygen, you should: - give her ice water to drink - place her in the recovery position - check the blood glucose level if the patient has altered mental status - take her temperature with an axillary probe

check the blood glucose level if the patient has altered mental status

Drowning is most accurately described as: - temporary survival after submersion in water - death from suffocation after submersion in water - water in lungs following submersion in water - death beyond 24 hours after submersion in water

death from suffocation after submersion in water

All of the following terms refer to a body part that is cold but not frozen, EXCEPT: - frostbite - frostnip - immersion foot - trench foot

frostbite

What is the definitive treatment for a patient suffering from air embolism or decompression sickness? - oxygen - hyperbaric chamber - IV fluids - none of these answers are correct

hyperbaric chamber

You are dispatched to a residence for a young female who is sick. The patient complains of a rash to her lower extremities and truncal area. Your assessment reveals a small, painful blister on her inner thigh. As you partner is taking the patient's vital signs, she states that she and her family returned from a camping trip 2 days ago. On the basis of the patient's presentation, you should suspect: - lyme disease - an allergic reaction - exposure to poison ivy - Rocky Mountain spotted fever

lyme disease

Signs and symptoms of an air embolism include all of the following, except: - dysphasia - pale skin - dizziness - joint pain

pale skin

Your assessment of a 23-year-old female reveals a core body temperature of 93.4°F (34°C). She is conscious, answers your questions appropriately, is shivering, and complains of nausea. Her skin is cold and pale, her muscles appear rigid, and her respirations are rapid. In addition to monitoring her ABCs, administering oxygen, and turning up the heat in the back of the ambulance, you should: - apply the AED in case she develops cardiopulmonary arrest, cover her with layers of blankets, and transport carefully - place heat packs to her groin, axillae, and behind her neck; cover her with warm blankets; and avoid rough handling - cover her with warm blankets and let her move about on the stretcher in order to generate body heat and increase her temperature - sit her up and give her small sips of warm water to drink, place heat packs to her axillae and groin, and cover her with blankets

place heat packs to her groin, axillae, and behind her neck; cover her with warm blankets; and avoid rough handling

A patient with a core body temperature of 95°F (35°C) will MOST likely experience: - a slow pulse - rapid breathing - muscle stiffness - loss of consciousness

rapid breathing

Patients with decompression sickness and air embolism must be treated in a(n): - ice-cold water bath - recompression chamber - low-oxygen facility - decompression chamber

recompression chamber

A 13-year-old girl is found floating face down in a swimming pool. Witnesses tell you that the girl had been practicing diving. After you and your partner safely enter the water, you should: - turn her head to the side and give five back slaps - turn her head to the side and begin rescue breathing - rotate her entire body as a unit and carefully remove her from the pool - rotate the entire upper half of her body as a unit, supporting her head and neck

rotate the entire upper half of her body as a unit, supporting her head and neck

Soaking the affected extremity in hot water for 30 minutes would work for injuries from all of the following marine animals, except: - lionfish - urchins - sea anemones - stonefish

sea anemones

As an EMT working a cold environment, you ___ must also be properly maintained and equipped for a cold environment. - supplies - peers - vehicle - None of these answers are correct

vehicle