EMT chapter 40

You are treating a child who you suspect is a victim of human trafficking. You are unable to transport the child due to hostility at the scene. You should:

Contact law enforcement

Which of these conditions is NOT common among hospice patients?

Crohn's disease

Hydrocephalus is more common in:

Infants

Of these problems, which is second only to smoking as a cause of preventable death?

Obesity

Which of the following may increase the possibility of a person being targeted by a human trafficker?

Runaways

A vagus nerve stimulator is indicated in some patients who suffer from:

Seizures

EMS directs an ambulance to respond to a call for domestic violence. The EMT arrives and notices two adults arguing and being physically violent. There are children noted in the home. Which should the EMT do to protect the child?

Separate the child from the victim

What is the terminology used to refer to a condition of an individual with a disease that is realistically expected to result in the death of the patient despite medical treatment?

Terminal illness

You are assessing a patient which is ventilator-dependent. After evaluating the patients mental status, you should next focus on:

The airway

You are lifting a quadriplegic patient from his wheelchair onto your stretcher. Of which of these possibilities should you be particularly alert?

The patient may have a urinary catheter that can become entangled as you move him.

A patient with a vagus nerve stimulator is experiencing an aura and feels he is about to have a seizure. The stimulator can be activated:

By a special magnet

You should suspect respiratory difficulty in a patient with damage to the spinal cord at or above which level?

C3 to C5

Dysarthria is when a patient:

Cannot pronounce words correctly

_______ is a condition in which the lens of the eyes becomes cloudy.

Cataracts

Which of the following is a common initial complaint with an intraventricular shunt emergency?

Confusion

An abnormal increase in intraocular pressure is:

Glaucoma

Which of these is a philosophy of care aimed at relief of symptoms for patients and support for their families during late stages of a terminal condition?

Hospice care

Because of significant advancements in medicine, which choice BEST describes the trend for the living arrangements of increasing numbers of people with serious chronic illnesses?

In their own or a family members home

Which is NOT a typical reason for EMS to be summoned to the home of a patient who is dependent on medical technology?

Inability of the family to stay with a patient at home because they need to go grocery shopping

Which choice BEST describes a language disorder?

Inability to understand the spoken word

You are treating a patient with an intraventricular shunt emergency. How should you position the patient to help maintain the airway?

Lateral recumbent

With the increase in home-going medical technology, what can the EMT do to help stay abreast of the emerging technologies that are being used within their jurisdiction?

Learn from local specialty hospitals

A 64 year old female patient complains of bleeding around the peripherally inserted central catheter (PICC) line in her left arm. How should you control the bleeding?

Maintain pressure over the site

When treating a patient with an intraventricular shunt emergency, you should first:

Manage the airway

Why should you always try to establish trust with a patient who is known to have a cognitive or verbal disability?

Many of these patients can still interpret body language, tone of voice, and disrespect

Which of the following is a common problem that occurs with gastrointestinal and genitourinary devices?

Misplacement

Which situation is NOT likely to cause a patient to suffer from quadriplegia?

Morbid obesity

Which of these tasks is the lowest priority when you are managing a patient with complicated medical technology devices?

Obtaining a printout of the patients ECG

Which condition does NOT result in impairment of sight?

Paraplegia

Passing a special magnet over a vagus nerve stimulator may:

Prevent a seizure

While on the scene of a suspected domestic abuse call, you should:

Protect your escape route

You are called to render care to a suspected victim of human trafficking. After ensuring scene safety, you should next:

Provide emergency care

You are preparing to transport a patient with a high cervical injury and quadriplegia to the hospital. Which statement is INCORRECT?

The patient can often last without his ventilator until you get to the hospital

Which of the following is the LEAST likely reason why impoverished patients are at an increased risk of medical conditions?

The poor often choose to spend money on alcohol and drugs instead of medical care

Which of the following is TRUE regarding ventilation of obese patients?

The weight of adipose tissue on the chest wall makes ventilation of obese patients more difficult

You are called for a patient who turns out to be a teenage girl. On arrival, you note that the teenager and an older man are living in a rundown apartment and the teenager seems to be afraid to talk to you or answer your questions. The adult does all the talking and tells you the girl seems to have a vaginal infection. You suspect any of the following, EXCEPT:

This is a normal teenager living in a normal household

It appears that the feeding tube has been dislodged in a 42 year old male patient. The patients has no other complaints. You should:

Transport the patient to a hospital

A 63 year old male patient complains of an obstructed ostomy. You should:

Transport to the emergency department

During a continuing education class on hospice care, the presenter uses the term "palliative care." You know this refers to:

Treatment aimed at making the patient more comfortable

Which of the following is accurate regarding the documentation of domestic violence?

Use the patients own words

Which of the following is a possible complication of prematurely removing a patient from a dialysis machine?

Volume overload

Your patient is a toddler who seems to be developmentally much younger than his age. One possible explanation is that the child:

Was shaken or otherwise abused as an infant

Which of the following is accurate regarding most patients with an implanted ventricular assist device?

You will be unable to feel a pulse

You have been called to treat a woman whose injuries resulted from domestic violence. You should also observe any children who are present because:

Your report of suspected abuse may include a suspicion that the abuser may also be harming children or other members of the household.

Which choice will be required for you to be able to ventilate a patient through a tracheostomy tube?

Bag-valve device without the mask

What is the branch of medicine that deals with the management of obese patients?

Bariatrics

The primary assessment for a patient with a ventilator should:

Be conducted in the same sequence as for a patient without a ventilator

A 54 year old female patient has a urinary catheter. She complains of blood-tinged urine and lower abdominal pain. You should suspect:

A urinary tract infection

Which of the following extracts oxygen from the air?

Oxygen concentrator

A vagus nerve stimulator usually provides electrical pulses for a period of:

30 seconds

An oxygen concentrator delivers oxygen at rates less than:

6 liters per minute

More than _____ percent of Americans will live in poverty for at least one year.

90

Which of the following is used for short-term hemodialysis?

AV shunt

A 42 year old man has summoned emergency medical services. As your approach him, you notice that he is probably homeless. This patient needs you as both a health care provider and as an:

Advocate

A 45 year old male patient complains of sudden sharp chest pain. His lung sounds are clear. You notice that he has a PICC line in his right arm. You should suspect:

Air embolism

Which of the following is accurate regarding vascular access devices?

Air may be allowed into the core circulation

A 58 year old male patient recently received an impaled ventricular assist device. He is complaining of issues with the machine. You should:

Allow the caregiver to guide your treatment

A 65 year old male patient has an implanted ventricular assist device. You notice that there is an alarm sounding. You should:

Allow the family to troubleshoot the device

Which of the following is the intended greatest benefit of home medical technology?

Allows increased independence and a more normal living situation

Which of these devices should you anticipate when responding to a patient who is dependent on medical technology?

Dialysis shunts, vascular access devices, urinary catheters, ventilators, CPAP and feeding tubes

Bleeding around a vascular access device may indicate:

Dislodgment

Which of the following is accurate regarding measuring a blood pressure on a dialysis patient?

Do not take a blood pressure on the extremity with an AV fistula

Which of these statements BEST describes the reason why EMS providers should be knowledgeable about patients with special challenges?

EMS may be called when the chronic condition worsens or a medical device fails

While assessing a victim of domestic violence, you should:

Encourage the victim to disclose what happened

The first step in providing care for a human trafficking victim is:

Ensuring scene safety

Which of these statements regarding interaction with patients with developmental disabilities is accurate?

Patients can be just as sensitive to body language and tone of voice as other people can.

Which choice should you keep in mind when interacting with a patient who has a developmental disability?

Patients with developmental disability generally retain the ability to derive meaning from body language and tone of voice

If you must remove the clothing of a domestic violence victim, you should:

Place it in a paper bag

Which of these actions can help open and maintain the airway of an obese patient who must be placed in a supine position?

Place towels behind his shoulders to help open the airway

Which choice is NOT classified as a developmental disability?

Quadriplegia

If a patient is paralyzed to all four extremities, he is said to be a:

Quadriplegic

EMS response to a patient with a ventricular assist device is usually:

Related to secondary infection

A 65 year old female patient is complaining of chest pain. The patient is at a dialysis center and is currently connected to the dialysis machine. You should:

Request the dialysis staff to disconnect the patient

Which of these actions follows withdrawing a suction catheter after suctioning a tracheostomy tube or stoma?

Rinse the catheter with sterile water to clear it out before suctioning again

How should you treat a patient who is homeless and unable to pay for services?

Similar to other patients with the same complaint

Which of the following statements BEST describes morbid obesity?

Weighing 100 pounds more than a persons ideal weight