EMT Exam 3
Posttraumatic stress disorder can happen after:
exposure to or injury from a traumatic occurrence.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
becomes engorged with blood.
Which of the following MOST accurately defines an allergic reaction?
An exaggerated immune system response to any substance
An EMT's primary responsibility to the patient who has been poisoned is to:
recognize that a poisoning occurred.
A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He presents with respiratory distress, facial swelling, and hypotension. After placing him on oxygen and administering his epinephrine via auto-injector, you note that his breathing has improved. Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action should be to:
record the time and dose of the injection and transport promptly.
The effects of epinephrine are typically observed within _________ following administration.
1 minute
Which of the following statements regarding rape is correct?
Rape is a legal term, not a medical diagnosis.
A patient who presents with rapid breathing, nausea and vomiting, ringing in the ears, and hyperthermia should be suspected of ingesting a significant quantity of:
aspirin.
Activated charcoal may be indicated for a patient who ingested:
aspirin.
Your priority in caring for a patient with a surface contact poisoning is to:
avoid contaminating yourself.
As you enter the residence of a patient who has possibly overdosed, you should:
be alert for personal hazards.
The major side effect associated with administration of activated charcoal is:
black stools.
Patients with rib fractures will commonly:
breathe rapidly and shallowly.
A construction worker complains of intense pain after a bag of dry powder was spilled on his arm. The EMT should:
brush the chemical from his arm and then flush the skin with water.
Signs of excited delirium include:
diaphoresis, tachycardia, and hallucinations.
The thoracic cavity is separated from the abdominal cavity by the:
diaphragm.
Common side effects of epinephrine include all of the following, EXCEPT:
drowsiness.
You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system?
Rapid eye movement
Which of the following is an example of a functional behavioral disorder?
Schizophrenia
It is MOST important for the EMT to remember that suicidal patients may:
be homicidal as well.
Each ovary produces an ovum in alternating months and releases it into the:
fallopian tube.
When documenting a call in which a female was sexually assaulted, you should:
keep the report concise and record only what the patient stated in her own words.
When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to:
maintain her ABCs and transport without delay.
Potentially life-threatening consequences of pelvic inflammatory disease (PID) include:
ovarian abscess and ectopic pregnancy.
Which of the following drugs is not a sedative-hypnotic?
oxycodone (Percocet)
Two of the MOST common signs of anaphylaxis are:
urticaria and angioedema.
Epinephrine is indicated for patients with an allergic reaction when:
wheezing and hypotension are present.
You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should:
immediately request ALS support.
You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be most suspicious that this patient has experienced a:
laceration of the aorta.
When an auto-injector is used to give epinephrine, the primary injection site is the:
lateral portion of the thigh.
If a patient with a chest injury only inhales small amounts of air per breath, he or she:
must increase his or her respiratory rate to maintain adequate minute volume.
A rapid, irregular pulse following blunt trauma to the chest is most suggestive of a:
myocardial contusion.
While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear bilateral wheezing over all lung fields. This indicates:
narrowing of the bronchioles in the lungs.
Atropine sulfate and pralidoxime chloride are antidotes for:
nerve gas agents.
Immediately after physically restraining a violent patient, the EMT should:
reassess the patient's airway and breathing.
Bacterial vaginosis is a condition that occurs when:
normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.
Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:
oxycodone (Percocet).
Airborne substances should be diluted with:
oxygen.
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.
The stinger from a honeybee should be:
scraped away from the skin.
When caring for a patient experiencing excited delirium, the EMT should remember that:
sudden death can occur if the patient's violence is not controlled.
Signs and symptoms of a sympathomimetic drug overdose include:
tachycardia.
Elevation of the rib cage during inhalation occurs when:
the intercostal muscles contract.
The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the infant-child auto-injector delivers ______ mg.
0.3; 0.15
When administering epinephrine via auto-injector, you should hold the injector in place for:
3 seconds.
Most patients who die of anaphylaxis do so within the first ____ minutes following exposure.
30
You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease?
A shuffling gait when walking
Which of the following patients would MOST likely have a delayed onset of an allergic reaction?
A 45-year-old male who ingested penicillin
EMTs are dispatched for a teenage male who is "not acting right." When they arrive, they are informed that the patient was huffing. Several cans of Freon are found near the patient. Which of the following is a unique consideration for this patient?
A sudden adrenaline release can cause a fatal dysrhythmia.
A 37-year-old male is having a severe allergic reaction to penicillin. He does not have an epinephrine auto-injector, and your protocols do not allow you to carry epinephrine on the ambulance. How should you proceed with the treatment of this patient?
Administer oxygen, transport at once, and request a paramedic intercept.
Which of the following conditions or situations would MOST likely make excited delirium worse?
Alcohol withdrawal
What type of poisoning will cause burns around the mouth in children?
Alkaline poison.
Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct?
Although the physical exam can be difficult, the patient's emotional state may be determined by noting facial expressions, pulse rate, and respirations.
Common causes of acute psychotic behavior include all of the following, EXCEPT:
Alzheimer's disease.
You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation?
Ask the patient if she has developed a suicidal plan.
Which of the following sets of vital signs would the EMT most likely encounter in a patient with acute cocaine overdose?
BP, 200/100 mm Hg; pulse, 150 beats/min
____________ is what you can see of a person's response to the environment.
Behavior
The phrenic nerves control the diaphragm and exit the spinal cord at:
C3, C4, and C5.
Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated?
Chlamydia
You are transporting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is most likely causing this patient's deterioration?
Compression of the aorta and vena cava
During your assessment of a 30-year-old woman with abdominal pain, she tells you that she has been experiencing vaginal bleeding. Her vital signs are stable, and there are no signs of shock. What should you do?
Defer the vaginal examination until she is at the hospital.
Which of the following medications blocks the release of histamines?
Diphenhydramine (Benadryl)
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
Which of the following statements regarding fire ants is correct?
Fire ants often bite a person repeatedly.
Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade?
Engorged jugular veins
Common names for activated charcoal include all of the following, except:
Fructose.
During your assessment of a 50-year-old male who was found unresponsive in an alley, you note that he has slow, shallow respirations; bradycardia; facial cyanosis; and pinpoint pupils. As your partner begins assisting the patient's ventilations, he directs your attention to the patient's arms, which have multiple needle tracks on them. Which of the following would most likely explain the patient's presentation?
Heroin overdose
You receive a call for a domestic dispute. When you arrive at the scene, you find a young male standing on the front porch of his house. You notice that an adjacent window is broken. The patient has a large body, is clenching his fists, and is yelling obscenities at you. Which of the following findings is LEAST predictive of this patient's potential for violence?
His large body size
Which of the following findings should make the EMT especially suspicious that a woman was sexually assaulted?
Inability to remember the event
Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)?
Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge
Which of the following statements regarding inhaled poisons is correct?
Lung damage might progress after the patient is removed from the environment.
Which of the following organs or structures does not reside within the mediastinum?
Lungs
Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
Which of the following statements regarding gonorrhea is correct?
Painful urination is a common symptom of gonorrhea in men and women.
A 24-year-old woman complains of an ache in her abdomen that gets worse when she walks. She has a fever and chills and tells you that it burns when she urinates. Which of the following should you suspect?
Pelvic inflammatory disease
A patient with a chest injury has a blood pressure of 100/60 mm Hg and a pulse rate of 120 beats/min. Which of the following additional findings should make you suspect a pericardial tamponade?
Repeat BP of 90/68 mm Hg
A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent, necessitating the placement of 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.
Which of the following drugs is commonly referred to as "roofies"?
Rohypnol
Which of the following sounds indicates swelling of the upper airway?
Stridor
In which position should you restrain a physically uncooperative patient?
Supine
Which of the following statements regarding epinephrine administration via the intramuscular (IM) route is correct?
The 1:1000 concentration should be used.
Which of the following statements regarding the Salmonella bacterium is correct?
The Salmonella bacterium itself causes food poisoning.
Which of the following would MOST likely provide clues regarding the source of a patient's allergic reaction?
The environment in which the patient is found
Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
Untreated PID can lead to an ectopic pregnancy or an abscess.
Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated immediately?
Upper airway swelling
Which of the following physiologic actions does epinephrine produce when given for an allergic reaction?
Vasoconstriction and bronchodilation
A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what most likely occurred?
Ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
Which of the following questions would be least pertinent during the initial questioning of a patient who ingested a substance?
Why was the substance ingested?
Organic brain syndrome is defined as:
a dysfunction of the brain caused by abnormal physical or physiological function.
A flail chest occurs when:
a segment of the chest wall is detached from the thoracic cage.
The term "behavioral crisis" is MOST accurately defined as:
a situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior.
A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called:
a wheal.
A 4-year-old, 15-kg male ingested an unknown quantity of acetaminophen (Tylenol). The child's mother states that she does not know when the ingestion occurred. The child is conscious and alert and in no apparent distress. The EMT should:
administer 15 g of activated charcoal.
Pneumothorax is defined as:
accumulation of air in the pleural space.
It is most important to determine a patient's weight when asking questions pertaining to a toxic ingestion because:
activated charcoal is given based on a patient's weight.
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should:
administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
A 19-year-old female was stung multiple times on the legs by fire ants. She states that she is allergic to fire ants, but does not carry her own epinephrine. The patient is conscious and alert and complains of pain to the area of the bites. Her blood pressure is 122/70 mm Hg, her pulse is 100 beats/min and strong, and her respirations are 18 breaths/min and unlabored. You should:
administer oxygen and transport her to the hospital.
While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:
administer oxygen and transport to the hospital.
A 73-year-old man presents with a generalized rash, which he thinks may have been caused by an antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94 mm Hg, and his pulse is 64 beats/min and regular. You auscultate his breath sounds and hear scattered wheezing, although he is not experiencing respiratory distress. You should:
administer oxygen if needed, transport the patient, and monitor him for signs of deterioration.
Subcutaneous emphysema is an indication that:
air is escaping into the chest wall from a damaged lung.
A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. You should:
aggressively manage his airway.
Delirium tremens (DTs) is a syndrome associated with withdrawal from:
alcohol.
The most frequently used date rape drug is:
alcohol.
The foreign substance responsible for causing an allergic reaction is called a(n):
allergen.
An open pneumothorax is:
an open chest wound through which air moves during breathing.
You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that he had a "bad reaction" the last time he was stung by a scorpion, and carries his own epinephrine auto-injector. You should:
apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to the hospital.
In general, injected poisons are impossible to dilute or remove because they:
are usually absorbed quickly into the body.
You respond to the residence of a 55-year-old woman with a possible allergic reaction to peanuts that she ate approximately 30 minutes ago. The patient is conscious and alert, but has diffuse urticaria and the feeling that she has a lump in her throat. As your partner applies oxygen to the patient, you should:
ask her if she has prescribed epinephrine.
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 patent airway and adequate breathing. You should:
ask the daughter how her father normally behaves.
After ensuring his or her own safety, the EMT's next priority when caring for a patient with a behavioral emergency is to:
assess the patient's response to his or her environment.
A 38-year-old woman was bitten by fire ants while at the park. Your primary assessment reveals that she is semiconscious; has labored breathing; and has a rapid, thready pulse. She has a red rash on her entire body, and her face is swollen. You should:
assist her ventilations with 100% oxygen.
During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should:
assist her ventilations with a bag-mask device.
During your assessment of a patient with blunt chest trauma, you note that the patient has shallow breathing and paradoxical movement of the left chest wall. You should:
assist ventilations with a bag valve mask.
You and your paramedic partner are caring for a patient who ingested codeine, acetaminophen (Tylenol), and hydrocodone (Vicodin). The patient is unresponsive, his breathing is slow and shallow, and his pulse is slow and weak. Treatment for this patient should include:
assisted ventilation and naloxone (Narcan).
You respond to a college campus for a young male who is acting strangely. After law enforcement has secured the scene, you enter the patient's dorm room and find him sitting on the edge of the bed; he appears agitated. As you approach him, you note that he has dried blood around both nostrils. He is breathing adequately, his pulse is rapid and irregular, and his blood pressure is 200/110 mm Hg. Treatment for this patient includes:
attempting to calm him and giving him oxygen if tolerated.
After administering activated charcoal to a patient, it is most important to:
be alert for vomiting.
When assessing a patient with a behavioral crisis, you should:
be direct and clearly state your intentions.
In contrast to a behavioral crisis, a behavioral health emergency occurs when a person:
becomes agitated or violent and is a threat to him- or herself or others.
General guidelines for managing a patient with a behavioral emergency include:
being prepared to spend extra time with the patient.
The onset of menstruation usually occurs in females who are:
between 11 and 16 years of age.
Activated charcoal is given to patients who have ingested certain substances because it:
binds to the substance and prevents absorption.
A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should:
calmly identify yourself to the patient.
General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:
carefully removing any foreign bodies from the vagina.
Signs and symptoms of a tension pneumothorax include all of the following, except:
collapsed jugular veins.
When assessing a patient who is displaying bizarre behavior, the EMT should:
consider that an acute medical illness may be causing the patient's behavior.
A 3-year-old female ingested several leaves from a plant in the living room. The child's mother is not sure what type of plant it is, stating that she bought it simply because it was pretty. After completing your primary assessment of the child, you should:
contact the regional poison control center.
Hemoptysis is defined as:
coughing up blood.
A 49-year-old male presents with confusion, sweating, and visual hallucinations. The patient's wife tells you that he is a heavy drinker and that he might have had a seizure shortly before your arrival. This patient is most likely experiencing:
delirium tremens.
The single most significant factor that contributes to suicide is:
depression.
Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:
drying of the eyes.
The first step in assessing a patient with a behavioral emergency is to:
ensure your safety.
It is common for young females who experience their first menstrual period to:
experience abdominal cramping, which may be misinterpreted.
Anaphylaxis is MOST accurately defined as a(n):
extreme allergic reaction that may affect multiple body systems.
A physiologic disorder that impairs bodily function when the body seems to be structurally normal is called a:
functional disorder
The most common presenting sign of pelvic inflammatory disease (PID) is:
generalized lower abdominal pain.
Whenever possible, a female sexual assault victim should be:
given the option of being treated by a female EMT.
When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she:
has gathered patient history information.
Common signs and symptoms of a chest injury include all of the following, except:
hematemesis.
As a woman approaches menopause:
her menstrual periods may become irregular and vary in severity.
Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include:
histamines and leukotrienes.
Urticaria is the medical term for:
hives.
Naloxone (Narcan) would reverse the effects of:
hydromorphone (Dilaudid).
A hypnotic drug is one that:
induces sleep.
Most poisonings occur via the __________ route.
ingestion
A 78-year-old female presents with an acute change in her behavior. The patient's son tells you that his mother has type 2 diabetes and was diagnosed with Alzheimer's disease 6 months ago. The patient's speech is slurred, and she is not alert to her surroundings. You should:
inquire about the possibility of head trauma.
A 25-year-old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardic. He has track marks on both arms. The EMT should:
insert a nasal airway and ventilate with a bag-mask device.
The most critical treatment for a tension pneumothorax involves:
inserting a needle through the rib cage into the pleural space.
When caring for a known alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that:
internal bleeding might be profuse because prolonged alcohol use might impair the blood's ability to clot.
Because the stinger of a honeybee remains in the wound following a sting:
it can continue to inject venom for up to 20 minutes.
The poison control center will provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if the center:
is aware of the substance that is involved.
A simple pneumothorax:
is commonly caused by blunt chest trauma.
If a woman with vaginal bleeding reports syncope, the EMT should assume that she:
is in shock.
Law enforcement personnel request your assistance for a 30-year-old man who was pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a Taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should:
limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.
The physical examination of a sexual assault victim should be:
limited to a brief survey for life-threatening injuries.
An overdose of acetaminophen, the active ingredient in Tylenol, will most likely cause:
liver damage and failure.
Pregnant women with bacterial vaginosis might have:
low birth weight babies.
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at the scene and assess the man, you find that he is unresponsive, has labored breathing, and has hives over his entire trunk. You should:
maintain his airway and assist his ventilations.
People at risk for suicide include all of the following, EXCEPT:
married males older than 30 years.
In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:
may be relatively painless.
When a person is lying supine at the end of exhalation, the diaphragm:
might rise as high as the nipple line.
Your unit is dispatched to the county jail for an intoxicated inmate. Upon arrival, you find the patient, a 33-year-old male, lying supine in a jail cell. He is responsive to painful stimuli only and has slow, shallow respirations. You should be most concerned that this patient:
might vomit and aspirate.
If a person's tidal volume decreases, but his or her respiratory rate remains unchanged:
minute volume will decrease.
Substance abuse is most accurately defined as:
misusing a substance to produce a desired effect.
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 resolution of her hives. However, she is still anxious and tachycardic. You should:
monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
Before giving activated charcoal, you should:
obtain approval from medical control.
A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should:
open the patient's airway and assess his respirations.
Heroin is an example of a(n):
opioid
A spinal cord injury at the level of C7 would most likely result in:
paralysis of the intercostal muscles.
You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should:
partially remove the dressing.
The ________ nerves supply the diaphragm.
phrenic
When caring for a female patient who has been sexually assaulted, you should:
place any bloodstained clothing or other articles in separate paper bags.
Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called:
pleurisy.
To avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:
pneumothorax.
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should:
prepare for immediate transport.
Immediately after giving an epinephrine injection, you should:
properly dispose of the syringe.
Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should:
provide emotional support and visually assess her for obvious trauma.
Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, shallow breathing, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should:
provide ventilation assistance with a bag valve mask.
A man called EMS 12 hours after injuring his chest. Your assessment reveals a flail segment to the right side of the chest. The patient is experiencing respiratory distress, and his oxygen saturation is 78%. His breath sounds are equal bilaterally, and his jugular veins are normal. You should suspect:
pulmonary contusion.
A man with a prolonged history of alcohol abuse fell from a second-story balcony. His blood pressure is 80/60 mm Hg, his heart rate is 120 beats/min, and his skin is cool and pale. When caring for this patient, the EMT should recall that:
reduced blood clotting worsens internal bleeding.
You respond to a call for an unknown emergency. When you arrive at the scene, the patient's husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He further tells you that he keeps his handgun in the bedroom. You should:
remain in a safe place and request law enforcement.
You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You should:
request permission from medical control to give another dose of epinephrine.
A patient who presents with profound cyanosis following a chest injury:
requires prompt ventilation and oxygenation.
A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law enforcement officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The MOST appropriate way to manage this situation is to:
restrain the patient with appropriate force in order to treat his injuries.
In an apparent suicide attempt, a 19-year-old female ingested a full bottle of amitriptyline (Elavil). At present, she is conscious and alert and states that she swallowed the pills approximately 30 minutes earlier. Her blood pressure is 90/50 mm Hg, her pulse is 140 beats/min and irregular, and her respirations are 22 breaths/min with adequate depth. When transporting this patient, you should be most alert for:
seizures and cardiac dysrhythmias.
Signs of absorbed poison exposure include all of the following, except:
severe nausea, vomiting, and diarrhea.
Injury to the labia would most likely occur following:
sexual abuse.
When a female has reached menarche:
she is capable of becoming pregnant.
When assessing a patient with a hemothorax, you will most likely find:
signs and symptoms of shock.
EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I can't remember anything, but I know I was raped." The EMTs should suspect that:
the patient was given a drug prior to the incident.
Very young children tend to breathe predominantly with their diaphragm because:
their intercostal muscles are not fully developed.
Injuries to the vagina and external genitalia are serious because:
these areas are rich with blood vessels and nerves.
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. You quickly feel her pulse and note that it is very slow. Immediate management for this patient should include:
thoroughly suctioning her oropharynx.
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:.
tolerance.
Immediate death from blunt chest trauma following a motor vehicle crash is most often the result of:
traumatic aortic rupture.
If you are uncertain how to treat a patient who has been poisoned or exposed to a specific substance, you should:
try to find the container the substance was in.
Pelvic inflammatory disease (PID) typically does NOT affect the:
urinary bladder.
The outermost cavity of a woman's reproductive system, which forms the lowest part of the birth canal, is called the:
vagina
You receive a call to a residence where a man found his wife unresponsive on the couch. The patient's respiratory rate is 8 breaths/min, her breathing is shallow, her heart rate is 40 beats/min, and her pulse is weak. The husband hands you an empty bottle of hydrocodone (Vicodin), which was refilled the day before. You should:
ventilate her with a bag-mask device.
You may not be able to determine whether a person has a mental illness, but you can predict the person's likelihood of becoming:
violent.
Pleural fluid is contained between the:
visceral and parietal pleurae.
You respond to a local motel for a young female who was sexually assaulted. The patient is conscious but confused. She tells you that the last thing she remembers was drinking beer at a club with her friends the night before. When she awoke, she was in the bed of the motel room. You should suspect that this patient:
was given flunitrazepam (Rohypnol).
