EMT Final Review!!!

Which of the following best describes blunt-force trauma?

An object strikes the body but does not penetrate the body tissues

What is another term for the frontal aspect of the body?

Anterior

You have arrived at the scene of a call for a "man down." As you enter the residence you note that your patient is a male in his mid-60s who is awake but does not seem to acknowledge your presence. He is perspiring profusely, has cyanosis of his ears and lips, and has rapid, shallow respirations. Which of the following should you do first?

Assist ventilations with a bag-valve mask and supplemental oxygen

How is activated charcoal, which is carried by some EMS systems, supplied for use in emergency situations?

As a powder, which is mixed with water before administration

Why would an EMT give aspirin to a patient?

As an EMT, you will be trusted to administer medications in emergency situations; many of these may be lifesaving, but there is potential to do harm

Where should you position the weight of the object being lifted?

As close to the body as possible

At which of the following points should you begin your scene size-up?

As you approach the scene in the ambulance

Where do baseline vital signs fit into the sequence of patient assessment?

At secondary assessment

At what point is the scene size-up complete?

At the end of the call

Your patient is a 15-year-old male with a history of multiple prior hospitalizations for asthma. Upon your arrival, the patient responds only to painful stimuli and is making very weak respiratory effort. Which of the following should you do next?

Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen

Your patient is a 15-year-old male with a history of multiple prior hospitalizations for asthma. Upon your arrival, the patient responds only to painful stimuli and is making very weak respiratory effort. Which of the following should you do next?

Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen.

The method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is called:

Auscultation

When giving a radio report to the hospital, which of the following would be the first patient-specific information provided? a) The patient is having a heart attack. b) The patient is a 55-year-old male c) The patient has taken nitroglycerin d) The patient is complaining of chest pain.

B

Which of the following information does not need to be provided to the dispatcher? a) Which hospital you are transporting to b) Estimated time of arrival at the hospital c) When you arrive at the hospital d) When you depart from the hospital

B

Which of the following is not an objective element of documented patient information? a) Patient's blood pressure b) Patient's complaint of nausea c) Position in which the patient was found d) Patient's age

B

You are treating a 32-year-old man who is deaf. You need to find out why he called for an ambulance. What is the best way to communicate with this patient? a) Call for an interpreter to meet you at the hospital. b) Make sure the patient can see your lips when you speak c) Speak very loudly in case he has a little hearing d) Use hand gestures to act out what you are trying to say

B

Which of the following inhalers would not be used to reverse an asthma attack?

Beclomethasone

Which of the following is not part of a medical radio report? a) Unit identification b) Patient's response to medical care provided c) Address at which the patient was located d) Estimated time of arrival

C

Which of the following should be documented as subjective patient information? a) Description of the surroundings b) Medications c) Symptoms d) Vital signs

C

Which of the following statements regarding eye contact with a patient is not true? a) It shows you are attentive b) Eye contact is always appropriate. c) Failure to make eye contact may signal uneasiness to the patient d) It shows you are interested in the patient.

C

What are the two most easily injured portions of the spine?

Cervical and lumbar

If a hole is created in the chest wall, air could escape or be drawn in, or if bleeding develops within the chest, air and blood can accumulate in the pleural space. This would force the lung to:

Collapse

What is a surgical opening in the wall of the abdomen with a plastic bag in place to collect digestive waste?

Colostomy

You are called for a patient who was discovered unconscious in his bed this morning. You immediately complete a primary assessment and determine that he is breathing and has a good pulse. What should you do next?

Complete a rapid physical exam

While transporting a patient to the hospital who has a history of terminal brain cancer, the patient says, "I know I'm going to die, but first I want to see my grandson graduate from high school." What stage of death and dying describes this patient's current condition?

Bargaining

Which of the following behaviors would be considered a common sign of stress rather than an acute psychological problem?

Irritability with friends, family, and coworkers

Which of the following structures do not form part of the thorax?

Ischium

Which of the following statements regarding angina pectoris is true?

It can be brought on by exertion or stress.

How does nitroglycerin decrease the level of chest pain that a patient experiences?

It dilates the blood vessels, allowing more blood to enter the heart muscle

You and your EMT partner are preparing to ventilate an elderly non-trauma patient who has a stoma. Your partner performs the head-tilt, chin-lift maneuver and you ask him to return the patient's head to a neutral position. "Why? This is not a pediatric patient!" your partner protests. What would you say?

It is not necessary to position the airway of a stoma breather when providing ventilations.

Concerning the use of humidified oxygen, which of the following is true?

It is not of great benefit during short transports but can make the patient more comfortable

Which of the following best defines adenosine triphosphate (ATP)?

It is the form of energy produced in the mitochondria and is the cell's internally created fuel responsible for powering all cell function

Which of the following is an advantage of using a nasopharyngeal airway (NPA)?

It may be tolerated by many patients with a gag reflex

The paramedic is intubating a patient and asks you to assist by gently pressing your thumb and index finger to either side of the throat just over the patient's Adam's apple. As you press, you gently direct the throat upward and to the patient's right. What is the purpose of this maneuver?

It pushes the patient's vocal cords into the paramedic's view

Which of the following is the beneficial action of nitroglycerin in some cardiac emergencies?

It relaxes blood vessels throughout the body

Why is inhalation described as an active process?

It requires chest muscles to contract and use energy to move, creating a negative pressure

Which of the following is one advantage of using heuristics?

It speeds up the process of diagnosis

What is the reason for giving an epinephrine auto-injector in a life-threatening allergic reaction?

It will help constrict the patient's blood vessels and relax the airway passages

The EMT's role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing your education, and which of the following?

Maintaining your equipment

What is the normal response of the pupils when exposed to bright light?

Constriction

Which of the following is a desired action of epinephrine delivered by auto-injector?

Constriction of blood vessels

When using the memory aid OPQRST, which of the following questions would help you find out about P?

Does anything make the pain better or worse?

When the body's water moves from the bloodstream into the interstitial space, this can often be seen as:

Edema

You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move would you perform to get the patient to a hard surface so you can perform chest compressions?

Emergency move

An infection of the brain is called:

Encephalitis

Your patient is a 14-year-old male who was run over by a tractor and is now unresponsive. During the rapid assessment, you should look for clear drainage coming from the patient's ________ indicating a serious injury

Ears

According to Dr. Hans Selye, the third stage of the body's response to stress is known as the ________ stage.

Exhaustion

Which of the following is not a consideration that should be used by the EMT in establishing the size of the danger zone?

Fire

What are some signs and symptoms that a coworker may be experiencing a delayed stress reaction (PTSD)?

Flashbacks, nightmares, and feelings of detachment

You respond to a cafeteria to find an unconscious person with gurgling sounds upon exhalation and inhalation. What is the probable cause of the respiratory sounds?

Fluids in the airway

Your patient has been hit in the arm with a baseball during practice. He is alert and oriented, complaining of pain to his left arm with obvious black discoloration of the skin. What type of assessment is called for in this situation?

Focused exam

You are on the scene with a 72-year-old male patient with chest pain. The patient is complaining of shortness of breath but also refuses to go to the hospital, even after multiple attempts urging him to go. Which of the following should you do next?

Fully inform the patient about his situation and the implications of refusing care.

As you approach the scene of a motorcycle accident, you see an EMR trying to stop the bleeding on the patient's left arm. You notice that the EMR has blood covering the front of his shirt and running down his arms. What Standard Precautions are needed?

Gloves, gown, and face mask with eye shield are needed.

What is the most important medication that should be administered to a patient experiencing chest pain with difficulty breathing?

Nitroglycerin

Which of the following is often prescribed for a patient with a heart condition?

Nitroglycerin

Which of the following is an example of a medication's trade name?

Nitrostat

Which of the following patients does not necessarily have inadequate breathing?

Patient with an irregular respiratory rhythm

Which of the following findings is generally not used to assess an adult's circulation?

Patient's capillary refill time

The mnemonic AVPU is used to evaluate which of the following?

Patient's level of responsiveness

You are first on the scene of a 61-year-old female in need of assistance with her respirations. You have a pocket mask with supplemental oxygen. How can you determine that your artificial ventilation is effective?

Patient's pulse returns to normal

Your patient is a 59-year-old woman with a history of emphysema. Per protocol, you have assisted the patient in using her medication inhaler. Which of the following must be documented?

Patient's response to the medication

Which of the following is the only movable bone of the face?

Mandible

Your 15-year-old patient was playing baseball today and was struck in the face by a baseball bat. As you assess his injuries and manage spinal immobilization, you note that several of his teeth are broken and he seems to have deformity and pain isolated to his lower jaw. The lower jaw bone is also known as the:

Mandible

You are called to an assault on a homeless male. Dried blood from the trauma is visible around the patient's mouth and nose. During assessment, you note the patient has a productive cough. The patient says, "Don't worry, I'm not contagious. I've had this cough for a year." Describe the best approach regarding respiratory isolation.

Mask yourself and the patient.

Which of the following best describes an urgent move?

Moving a patient from a car directly to a long spine board

When the potential exists for exposure to exhaled air of a person with suspected or confirmed TB, a(n) ________ mask should be worn by the EMT.

N-95

Which of the following is a sign of an inadequate airway?

Nasal flaring

Which of the following agencies is responsible for establishing EMS system assessment programs?

National Highway Traffic Safety Administration (NHTSA)

The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following?

National standards for emergency medical services personnel

Contraindications for the use of continuous positive airway pressure (CPAP) can include which of the following?

Nausea and vomiting

You are transporting a victim of domestic violence, a 25-year-old female, who was struck on the head several times with a baseball bat. On the scene, she was responsive to verbal stimuli and was bleeding profusely from an open head wound. During transport, the patient becomes unresponsive. Which of the following should you do next?

Primary assessment

Which of the following describes the chief complaint?

Reason why the patient summoned EMS

The EMT, after administering any medication, must do which of the following?

Reassess the patient, document the medication, and report to the receiving facility

You are transporting a patient who has had her neck slashed from side to side. You and your partner are caring for the patient while a police officer drives you to the hospital, which is minutes away. You are focusing all of your efforts to maintain her airway and your partner is controlling her bleeding. Which of the following will you be unlikely to obtain?

Reassessment results

Your patient is a 30-year-old female who may have overdosed on antidepressant medications. On your arrival, she is lying supine on her bed with her head on a pillow. She is unresponsive to painful stimuli and is snoring. She appears to be pale and her skin is cool and clammy. What should you do first?

Remove the patient's pillow

You respond to a laceration call. When you arrive on-scene, you walk into the house and find a person suffering from a severe wrist laceration from a broken window. Without thinking, you immediately grab the wrist and apply direct pressure to the wound. You then realize that, in your hurry to save a life, you forgot to put on your gloves. You look down to see your hand is covered in blood. When practical, you immediately wash your hands thoroughly. What is your next best action?

Report the exposure so you can protect yourself from any accidental infection.

"If it looks like a duck and quacks like a duck, it must be a duck except when it isn't" is a way to summarize which of the following?

Representativeness

What system is a group of organs and glands designed for the specific purpose of reproduction?

Reproductive system

You respond to a motor vehicle collision and find a patient with an altered mental status and angulated left femur; the other driver is deceased. Your closest trauma center is 45 minutes away. Which of the following would you do next?

Request ALS

Which of the following structures receives deoxygenated blood from the body via the venae cavae?

Right atrium

Which of the following best describes the five rights?

Right patient, right medication, right time, right dose, right route

When considering the potential for injury from a fall, which of the following is least important?

Patients weight

Which of the following terms refers to swelling of the lower extremities seen in many cardiac patients?

Pedal edema

According to the signs of systemic inflammatory response syndrome (SIRS), which of the following infection patients has an increased risk of sepsis? a) A patient with a temperature of 95.4°F and a respiratory rate of 28 b) A patient with a heart rate of 88 and a temperature of 99.6°F c) A patient with respiratory rate of 19 and a heart rate of 112 d) A patient with a systolic blood pressure of 75 mmHg and a respiratory rate of 18

a

In which of the following circumstances should a helmet be removed? a) Spinous process b) Dermatome c) Vertebrae d) Foramen magnum

a

In which of the following zones is the EMT expected to be staged at the scene of a hazardous materials incident? a) cold zone b) hot zone c) ground zero d) warm zone

a

Inexperienced ambulance drivers tend to ________ while driving with the siren operating. a) speed up b) stop c) pull to the left d) pull to the right

a

Which of the following BEST describes status epilepticus? a) Two or more seizures with tonic-clonic activity without an intervening period of consciouness b) A period of drowsiness following tonic-clonic seizures c) A seizure that occurs without a known cause d) A seizure involving convulsions on only one side of the body

a

Which of the following is acceptable in the management of a patient stung by a honey bee? a) Remove jewelry from any affected limbs b) Treat for shock if you see signs it is developing c) Take care not to pull the stinger out using tweezers d) Encourage the patient to move around.

a

Which of the following is adequate protection for the EMT's head while at the scene of an auto extrication? a) NFPA standard rescue helmet b) Nomex hood c) Watch cap d) Firefighting helmet

a

Which of the following is an action of insulin? a) It helps the movement of sugar from the bloodstream to the cell. b) It blocks the uptake of sugar by the body's cells c) It assists the transfer of sugar from the stomach and small intestine to the bloodstream. d) It increases the circulating level of glucose in the blood

a

Which of the following is another name for the condition of shock? a) hypoperfusion b) internal bleeding c) hemorrhage d) hypotension

a

Which of the following is appropriate when assessing an emotionally disturbed patient? a) Both A and B b) Establish eye and verbal contact. c) Use assertive body language to show you are in control. d) Listen to the patient without being judgmental.

a

You respond to a call at a park where you find a 550-pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift?

You place one person on each corner of the stretcher to balance the weight and share in the lifting

A hormone called insulin is secreted by the a) islets of Langerhans in the pancreas b) gallbladder found in the pancreas. c) islets of Langerhans in the liver d) None of the above.

a

A patient who is lying on cold ground is losing the most amount of heat by what mechanism? a) Conduction b) Convection c) Radiation d) Shivering

a

A patient who is lying on cold ground is losing the most amount of heat by what mechanism? a) conduction b) convection c) radiation d) shivering

a

A pillow is frequently used to splint an ankle or foot injury. It is effective, rapid, and can be used for most patients. Its main weakness is: a) you are not immobilizing the knee and the joint adjacent to the ankle b) it requires three people to apply c) you might not have a pillow on your ambulance d) it is hard to access distal pulses after application.

a

A seizure that occurs spontaneously from an unknown cause is called: a) idiopathic b) hypoglycemic c) tonxinic d) hypoxic

a

Which of the following is appropriate when caring for a premature baby? a) Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90°F and 100°F b) Encouraging family members to hold the infant c) Deeply suctioning the airway with a rigid tonsil-tip d) Applying high-concentration oxygen with a neonatal nonrebreather mask

a

Which of the following is not a benefit of splinting an injury to bones and connective tissues? a) It restricts blood flow to the site of the injury to prevent swelling. b) It may prevent a closed injury from becoming an open injury. c) It reduces pain. d) It prevents neurological damage due to movement of bone ends or fragments

a

Which of the following is not a classification of localized cold injury? a) hypothermia b) frostnip c) frostbite d) all of the above

a

Which of the following is not a common field finding in spinal injuries? a) deformity b) pain with movement c) impaired breathing d) tenderness

a

Which of the following is not a phase of the extrication process? a) Simplification b) Disentanglement c) Gaining access to the patient d) Terminating the rescue

a

Which of the following is not a principle of splinting that must be considered by the EMT? a) Gently replace protruding bone ends back beneath the skin to prevent further contamination. b) Check the distal neurovascular function before and after splinting. c) Immobilize the site of an extremity injury from the joint above it to the joint below it. d) Splint an isolated extremity injury before moving the patient to the stretcher

a

Which of the following is not a sign or symptom of an allergic reaction involving the skin? a) cyanosis b) flushing c) itching d) hives

a

Which of the following is not part of the treatment for a 15-year-old female who has swallowed drain cleaner? a) Administer activated charcoal. b) Administer milk or water. c) Call medical control. d) Maintain the airway.

a

Which of the following is one of the most common characteristics of a stroke? a) weakness on one side of the body b) sudden, severe headache c) sudden onset of violent behavior d) projectile vomiting

a

Which of the following is the EMT's key role at the scene of an auto extrication? a) patient advocate b) rescue technician c) incident commander d) safety officer

a

Which of the following is the best initial intervention for a patient who has inhaled a poison? a) Provide a patent airway, ventilation, and high-concentration oxygen. b) Provide plenty of fresh air and monitor pulse oximetry readings c) Transport in a position of comfort and provide oxygen for patients with a decreased level of consciousness. d) Perform abdominal thrusts to clear the airway, followed by high-concentration oxygen.

a

Which of the following is the highest priority for the EMT when delivering an infant with meconium-stained amn a) Being prepared to suction the infant immediately before he takes a breath b) Vigorously rubbing the infant's back immediately upon delivery to stimulate breathing c) Checking for fever d) None of the above

a

Which of the following is the most important means of managing a patient who has inhaled a poison, after the airway has been established? a) High concentrations of oxygen b) Hyperventilation c) Administering a specific antidote d) Monitoring pulse oximetry

a

The term priapism means ________ and may be found in injuries of the ________.

a persistent penile erection; spine

With regard to medical terminology, a prefix is

added to the beginnings of roots or words to modify or qualify their meaning.

Patients in late adulthood are likely to face which of the following challenges?

Self-worth

You are assessing a 6-month-old female patient who, according to the parents, is not acting normally. At this stage of development, the patient should be able to do which of the following?

Sit upright in a high chair

Which of the following describes the Fowler position?

Sitting upright with the legs straight

When assessing a patient who has been stabbed, which of the following information should the EMT gain first?

Size and type of the knife

When the EMT checks the pupils, he or she is checking for what three things?

Size, equality, and reactivity

As you arrive at the scene of a house fire, a very upset man screams at you to help his young son, who is trapped under a piece of burning wood on the ground. Which of the following should you do first?

Size-up the scene before acting.

The metabolism that creates large amounts of carbon dioxide and lactic acid but generates little energy is called:

anaerobic

While an EMT forms a field diagnosis on the scene of an emergency, how do the steps differ from the traditional approach to diagnosis?

The EMT must rule in or out the most serious conditions associated with the patient's presentation.

Which of the following is true concerning the primary assessment?

The EMT should perform a sternal rub on all patients to test for response to painful stimuli

When a stretcher with a patient secured to it is elevated, what occurs?

The center of gravity is raised and this causes a tip hazard

What is the larger bone of the lower leg?

Tibia

What two measurements are multiplied to calculate the minute volume?

Tidal volume and respiratory rate

Which of the following is the purpose of the primary assessment?

To find all of the patient's signs and symptoms

Which of the following is not a purpose of a rapid trauma assessment?

To focus care on specific injuries

Why is it important for EMTs to participate in quality improvement programs?

To identify problems and develop a plan to prevent their recurrence

What is the primary reason for an EMT to change gloves between contacts with different patients?

To prevent spreading infection to the next patient

At which of the following stages is toilet-training most likely to begin?

Toddler

A child's ________ takes up proportionally more space in the pharynx than does an adult's.

Tongue

In 1966 the National Highway Safety Act charged which of the following agencies with the development of emergency medical service standards?

U.S. Department of Transportation

Your patient is a 65-year-old male with a history of COPD. He is sitting up and complaining of a severe shortness of breath. You should:

apply a nonrebreather mask giving 15 lpm of oxygen.

A contraindication for giving Nitrostat is a drug interaction with what medications?

Viagra, Levitra, or medication for erectile dysfunction

Critical Incident Stress Debriefings (CISDs):

are now less common than they once were

You are approaching a young adult male lying supine on the ground with his eyes closed. You should:

ask him if he is okay

Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a 10-point scale. As part of your care, you assist him with taking his nitroglycerin per medical direction. After waiting a few minutes for the medication to take effect, you should

ask him what his pain is like now

When the EMT is assessing compromise to an extremity, perhaps due to an orthopedic injury, the EMT should initially check what "six Ps"? a) Pain, pallor, paresthesia, pulses, placement, and pressure b) Pain, pallor, paresthesia, pulses, paralysis, and pressure c) Pain, pallor, position, pulses, placement, and pad d) Pain, pallor, position, pulses, placement, and pressure

b

When the body is in water, how many times faster does it lose heat than when it is in still air? a) 100 b) 25 c) 2 d) 10

b

You are transporting a patient to the hospital from a motor vehicle crash. Your patient's initial blood pressure was 88/52. You should reassess blood pressure:

at least every 5 min

When transporting a patient who is morbidly obese to the hospital, it is important to monitor which of the following vital signs? a) blood pressure b) oxygen saturation c) pulse rate d) blood glucose level

b

When transporting patients from the scene of a mass-casualty incident, who should be responsible for contacting the receiving hospital? a) Transporting EMT b) Transportation supervisor c) Incident commander d) Triage officer

b

As pressure within the cranium increases, which of the following is the result? a) Increased blood pressure, increased pulse b) Increased blood pressure, decreased pulse c) Decreased blood pressure, increased pulse d) Decreased blood pressure, decreased pulse

b

At 0330, you respond to the scene of an overturned tanker truck. What organization could you contact to obtain information about the liquid the truck is carrying? a) CHEM-TEL b) CHEMTREC c) Environmental Protection Agency (EPA) d) Regional poison control center

b

At which point may manual stabilization of the cervical spine be terminated? a) After a short immobilization device has been applied b) When the patient is secured to a long backboard c) After a cervical collar has been applied d) Only when directed to do so by medical control

b

Bariatrics is defined as the branch of medicine that deals with the cause, prevention, and treatment of which of the following diseases? a) diabetes b) obesity c) sleep apnea d) blindness

b

Biologic warfare is most effective when the agent can gain access through which of the following routes? a) blood b) respiratory tract c) skin d) gastrointestinal tract

b

Blunt and penetrating injuries can damage chambers of the heart or cause conditions like: a) ventricular fibrillation b) pericardial tamponade c) ventricular tachycardia d) asphyxial cardiac arrest

b

By definition, a premature infant is one who is born before how many weeks of pregnancy? a) 40 b) 37 c) 34 d) 28

b

The PASG may be used as a splinting device for patients with which of the following suspected injuries? a) None of the above b) Fractured pelvis c) Hip dislocation d) Compression fracture of the lumbar or sacral spine

b

When treating a patient with acute abdominal pain, you should do which of the following? a) Administer sips of water if patient complains of thirs b) Have the patient lie still and assume a position of comfort c) Have him drink milk to coat the stomach and reduce the pain d) Have him take antacids in an attempt to decrease the pain

b

When a person acts in a manner that is unacceptable to himself or those around him, this would be considered which of the following? a) Mental illness b) Behavioral emergency c) Psychotic episode d) Psychosomatic reaction

b

When assessing a conscious patient for a possible stroke using the Cincinnati Prehospital Stroke Scale, which of the following three functions should be tested by the EMT? a) Ability to walk, ability to hold both arms in an extended position for 10 seconds, and ability to name common objects b) Control of facial muscles, ability to speak, and ability to hold both arms in an extended position for 10 seconds c) Memory, ability to speak, and ability to track movement with the eyes d) Ability to walk, control of facial muscles, and balance

b

When caring for patients with autism spectrum disorders (ASD), it is a good idea to do all of the following except a) provide simple, precise instructions about what you need the patient to do b) gather repeat vital signs at five-minute intervals even if the patient seems very stable c) ask short, closed-ended questions whenever possible d) turn off as many pagers, radios, and noisy pieces of equipment as possible.

b

When using the rule of palm to estimate the approximate body surface area burned, the patient's palm equals about what percentage of the body's surface area (BSA)? a) 5 percent b) 1 percent c) 2 percent d) 3 percent

b

Where are automatic implanted cardiac defibrillators typically placed in patients who require one? a) In the lower left chest b) In the upper left chest c) In the lower right chest d) In the upper right chest

b

Which of the following actions is the most appropriate for the EMT to take when managing a patient with a behavioral emergency? a) Establish control of the situation by a show of force. b) Remain calm and reassure the patient. c) Quickly perform a head-to-toe exam and transport without delay. d) Find out if the patient's insurance covers psychiatric treatment.

b

Which of the following actions may need to be taken by the EMT when treating and transporting a patient who was exposed to, and contaminated by, a hazardous material? a) Placing towels on the floor of the ambulance to soak up contaminated runoff water b) Disposing of patient care equipment such as blood pressure cuffs and backboards c) Wearing heavy cloth gloves d) Wearing a gown, mask, and goggles to prevent secondary contamination

b

Which of the following activities should not occur during the scene size-up? a) Determining the extent of the patient's entrapment b) Providing airway management c) Determining the need for additional resources d) Determining the mechanism of injury

b

Which of the following best describes a disease such as deafness? a) Acquired disease b) Either a congenital or acquired disease c) Neither a congenital nor acquired disease d) Congenital disease Question 2

b

Which of the following best describes the events that occur during the first stage of labor? a) Rupture of the amniotic sac b) Thinning and dilation of the cervix c) Expulsion of the placenta d) Expulsion of the fetus through the birth canal

b

Which of the following best describes the function of blood? a) It flows from the heart with the vital gases and nutrients needed to maintain a lack of perfusion. b) It transports gases and nutrients, aids in excretion, and provides protection and regulation c) It clots, flows, transports, protects, and excretes on a daily basis. d) It is a life-giving liquid that supports all the body's functions to maintain hypoperfusion

b

Which of the following best describes the origins of chronic obstructive pulmonary disease (COPD)? a) Congenital disease b) Acquired disease c) Neither a congenital nor acquired disease d) Either a congenital or acquired disease

b

Which of the following best describes the potential benefit of a three-sided occlusive dressing over a four-sided occlusive dressing for an open chest wound? a) It eliminates the need to continue monitoring the patient's respiratory status b) It may reduce the chances of developing a tension pneumothorax. c) It allows easy access for reexamination of the wound en route to the hospital d) It prevents the development of a hemothorax by allowing blood to escape

b

When delivering a baby, you should do all of the following except a) position your gloved hands at the vaginal opening b) place your fingers in the armpit to assist with delivery by pulling on the baby c) have someone stay at the mother's head if possible d) suction the mouth first, then the nose

b

Which of the following blood vessels cannot stop bleeding by constricting? a) veins b) capillaries c) arterioles d) arteries

b

When disconnecting a battery cable to disrupt a vehicle's electrical system, the EMT should disconnect the: a) negative cable from the alternator b) negative cable from the battery c) positive cable from the battery d) positive cable from the alternator

b

When engaged in a nonemergency transport in an authorized vehicle while functioning as an EMT for an authorized emergency service, the actions you take while driving are: a) packaging b) loading c) immobilizing d) wrapping

b

Which of the following causes worsening of the damage in a brain injury? a) Allowing seepage of cerebrospinal fluid (CSF) from the ears or nose b) Improper management of airway and ventilation c) Failure to keep the patient awake and talking d) Administration of 100% oxygen

b

Which of the following chemical agents prohibits the use of oxygen in the cells? a) Blister agents b) Cyanide c) Nerve agents d) All of the above

b

Which of the following conditions may be mimicked by hypoglycemia? a) heart attack b) intoxication c) respiratory distress d) all of the above

b

Which of the following contributes most significantly to the occurrence of ambulance crashes? a) Time of day b) Speed of the vehicle c) Size of the vehicle d) Weather conditions

b

Which of the following describes the normal appearance of amniotic fluid? a) Thick fluid, greenish-black in color b) Clear and colorless fluid c) Thin fluid, greenish-yellow in color d) A fluid containing blood and mucus

b

Which of the following does not have an impact on the behavior of a chemical in a mass-casualty incident? a) Physical state of the agent b) Whether it was an intentional or accidental exposure c) Route of entry into the body d) Volatility of the agent

b

Which of the following does not indicate that a patient may be about to become violent? a) Rapid pulse and breathing b) Crying c) Rapid speech and movement d) Tense body posture or clenched fists

b

When grossly decontaminating a patient who is not wearing personal protective equipment in a hazardous materials incident, which of the following techniques should be used? a) Scrubbing with a long-handled brush b) Taking a low-pressure decontamination shower c) Sponging with a dilute solution of water and white vinegar d) Using a high pressure water jet system

b

When managing a patient who may hurt himself or others, you should do all of the following except: a) retreat if the patient becomes threatening b) make sure only you and the patient are in the room c) keep bystanders a safe distance away d) watch for sudden changes in the patient's behavior.

b

When responding to a multiple-casualty incident, staging refers to which of the following? a) Keeping a log of all patients transported b) Waiting in a designated location until called upon by the designated section officer c) Setting up a triage center from the back of your ambulance d) Staying on station until called upon to receive a patient

b

When someone is experiencing hypoglycemia, the body attempts to compensate by using the fight-or-flight mechanism of the autonomic nervous system. Which of the following is NOT one of the fight-or-flight responses? a) the heart pumps faster b) the skin is hot and dry c) blood vessels constrict d) breathing accerlerates

b

Which of the following explains why a patient may experience difficulty breathing during anaphylaxis? a) Allergens clump together and block blood flow through the lungs. b) Swelling of the airway tissues causes difficulty breathing. c) Swelling in the brain decreases the respiratory drive. d) Allergens bind to hemoglobin, preventing it from carrying oxygen.

b

Which of the following features increases the appeal of an infectious agent for use in terrorist attacks? a) Low potency b) High infectivity c) Instability d) Low virulence

b

Which of the following groups is the most susceptible to the effects of a poison? a) teenager b) elderly c) pre-teens d) adults

b

Which of the following happens to blood vessels during an anaphylactic reaction? a) constriction b) dilation c) spasm d) no change

b

Which of the following individuals is likely in the incubation period of chickenpox? a) A patient who was vaccinated last year, exposed 4 weeks ago, and shows no signs b) A patient who was exposed 6 days ago but does not yet have a fever or rash c) A patient whose rash and fever went away a week ago d) A patient with a fever and a rash on the abdomen and back that began 3 days ago

b

Which of the following is a characteristic of child abusers of special need patients? a) They usually identify with the child's pain and suffering b) They may be inappropriately unconcerned about the child c) Alcohol and drug abuse are uncommon d) They usually want the child's injuries treated

b

Which of the following is a common hazard associated with the inner circle of a typical auto extrication? a) Penetrating injury from extrication tools b) Shield of a Firefighter's helmet c) Face conforming goggles d) Plastic face shield of the type used for Standard Precautions

b

Which of the following is a common sign of a pre-delivery emergency? a) The amniotic sac ruptures b) There is profuse vaginal bleeding c) A sensation of lightening as the baby drops into the birth canal d) Contractions become more intense and closer together.

b

Which of the following is a potential complication of hyperventilating a patient with a brain injury? a) Increasing blood flow to the brain b) Decreasing blood flow to the brain c) Decreasing the patient's blood pressure d) Increasing the amount of carbon dioxide in the blood

b

Which of the following is a purpose for carrying an aluminum foil roll on an ambulance? a) o control major arterial bleeding b) To keep a newborn warm c) To care for amputated parts d) None of the above

b

Which of the following is a reason that the vehicle doors are removed to extricate the patient rather than pulling the patient through an open window? a) To make the interior of the vehicle less accessible b) To allow a patient with life-threatening injuries to be removed quickly c) To avoid criticism from bystanders d) To avoid being cut by glass

b

Which of the following is a resource for specific actions to be taken by personnel dealing with a hazardous materials incident? a) Food and Drug Administration (FDA) tollfree hotline b) Emergency Response Guidebook c) Medical dictionary d) Medical protocols

b

Which of the following is a standardized test to evaluate a conscious patient for possible stroke? a) Michigan TIA Assessment b) Cincinnati Prehospital Stroke Scale c) The Functional Analysis Stroke Test d) The Numbness-Aphasia-Paralysis (NAP) Test

b

Which of the following is a typical cause of seizures in children 6 months to 3 years of age? a) asthma b) fever c) administration of glucose to a hyperglycemic patient d) chest pain

b

Which of the following is a vascular organ in the abdomen that can produce blood loss quickly enough to result in life-threatening hemorrhage following high mechanism of injury blunt trauma? a) kidneys b) liver c) pancreas d) intestines

b

Which of the following is an accurate definition of a flail chest? a) Lung that has been punctured by a fractured rib, resulting in a buildup of air b) Section of the chest wall that is unstable, leading to breathing problems c) Fracture of one rib in two or more consecutive places d) Fracture of at least four ribs in two or more places

b

Which of the following is an injury that commonly occurs in alcoholic patients with even minor head injuries? a) skull fracture b) subdural hematoma c) intracerebral hematoma d) concussion

b

Which of the following is characteristic of a patient with hyperglycemia? a) Pale and sweaty skin, confusion, and increased heart rate b) A "fruity" odor of the breath c) Use of excessive amounts of insulin or lack of adequate food intake d) Sudden onset of altered mental status

b

Which of the following is classified as an open head injury? a) Contusion without a skull fracture b) Laceration with a skull fracture c) Laceration without a skull fracture d) Both A and B

b

Which of the following is controlled by the left side of the brain? a) Movement of the left arm b) Sensation of the right leg c) Sensation in the left arm d) Movement of both lower extremities

b

Which of the following is defined as an area of the body surface that is innervated by a single spinal nerve? a) maxilliae b) dermatome c) malar d) spinous process

b

Which of the following is indicated in the prehospital management of a prolapsed umbilical cord? a) Encourage the mother to push forcefully in order to speed delivery b) Place the mother in a head-down position with pillows under her hips c) Use your gloved hand to push the umbilical cord back up through the cervix d) Immediately clamp the cord in two places and cut it between the clamps.

b

Which of the following is not a consideration in the general protection against agents used in terrorist attacks? a) Shielding from the agent b) Immunization c) Distance from event d) Duration of exposure

b

Which of the following is not a role of dialysis in a renal failure patient? a) Remove waste from the body b) Stimulate blood cell production c) Filter and detoxify the blood d) Remove fluid from the body

b

Which of the following is not a significant mechanism of injury for a driver in a vehicle accident according to CDC guidelines? a) Encroachment greater than 12 inches of the driver's compartment b) Spidering of the windshield c) Ejection from the vehicle d) Death of a passenger in the same vehicle

b

Which of the following is not a way in which poisons can access the body? a) inhalation b) radiation c) injection d) absorption

b

Which of the following is not an open tissue injury? a) avulsion b) contusion c) abrasion d) amputation

b

Which of the following is not essential equipment on an ambulance? a) Portable oxygen tanks b) Automatic transport ventilator c) Portable suction unit d) Pediatric oxygen administration devices

b

Which of the following is not traditionally a responsibility of an EMT on the scene of a hazardous materials incident caused by terrorism? a) Activation of the notification process b) Identification of any indicators of a particular agent c) Establishing perimeter control d) Scene size-up

b

Which of the following is not true concerning lacerations? a) They may indicate deeper underlying tissue damage. b) They may involve degloving injuries to the skin or tissue. c) They may be caused by blunt trauma. d) They may be caused by penetrating trauma.

b

Which of the following is part of the body's compensatory response to blood loss? a) Blood vessels constrict and the heart rate decreases. b) Blood vessels constrict and the heart rate increases c) Blood vessels dilate and the heart rate increases d) Blood vessels dilate and the heart rate decreases.

b

Which of the following is required in the management of all open soft-tissue injuries? a) Application of a disinfectant solution b) Use of Standard Precautions by the EMT c) Cervical spine precautions d) Provision of high-concentration oxygen

b

Which of the following is the MOST critical piece of equipment to have immediately available for the seizure patient who has just stopped convulsing? a) glucometer b) suction c) bite block d) cervical collar

b

Which of the following is the cause of most strokes? a) a ruptured cerebral artery due to hypertension b) Blockage of an artery supplying part of the brain c) A spasm in an artery supplying part of the brain d) A ruptured cerebral artery due to an aneurysm

b

Which of the following is the most common type of multiple-casualty incident that EMS providers will respond to? a) structure fire b) automobile collisions c) outbreaks of influenza d) hazardous materials incidents

b

Which of the following is the most important reason for controlling external bleeding? a) To make clean-up of the ambulance and your equipment easier after the call b) To prevent and manage hypoperfusion c) To prevent the spread of infectious diseases d) To prevent the patient from becoming upset at the sight of blood

b

Which of the following is the role of glucose in the body? a) It is an essential building block for body tissues, such as muscle and bone. b) It provides energy for brain cells and other cells in the body. c) It allows the body to use insulin. d) It assists the pancreas in the manufacture of insulin.

b

Which of the following is the rule of thumb for determining the stability of a vehicle that has been involved in a collision? a) It is stable if the ignition is turned off. b) It should only be considered stable after assessment by trained rescue personnel. c) It is stable if it is upright on all four wheels d) It is stable if the transmission is in "Park" or the parking brake is on.

b

Which of the following is the correct way to time the frequency of contractions in the pregnant woman? a) From the beginning of a contraction to the end of the same contraction b) From the end of one contraction to the beginning of the next c) From the beginning of one contraction to the beginning of the next d) After counting the number of contractions in a 15-minute period, multiply by 4

c

Which of the following is the least effective method of controlling bleeding? a) direct pressure b) hemostatic agent c) elevation d) tourniquet

c

Which of the following is the main advantage of peritoneal dialysis over hemodialysis? a) Peritoneal dialysis is more effective b) Peritoneal dialysis is much faster. c) Peritoneal dialysis is likely to be done at the patient's home. d) Peritoneal dialysis is less prone to infection.

c

Which of the following is the major cause of shock that the EMT will encounter? a) excessive sweating b) vomiting c) hemorrhage d) high blood pressure

c

Which of the following is the most common cause of seizures in adults? a) Withdrawal from alcohol b) Head trauma c) Failure to take prescribed medication d) Fever

c

Which of the following is the opening at the base of the skull? a) Spinous process b) Temporomandibular joint c) Foramen magnum d) Orbits

c

Which of the following is the underlying cause of neurogenic shock? a) Failure of the heart to adequately pump blood b) Blood loss from damaged spinal blood vessels c) Failure of the nervous system to control the diameter of blood vessels d) Extreme emotional response to paralysis

c

Which of the following is true concerning a stillborn baby? a) Resuscitation must always be attempted b) Infants born in cardiopulmonary arrest should not be resuscitated. c) The death may occur weeks before delivery d) The parents should never be allowed to see the baby, especially if it has begun to deteriorate.

c

Which patient would most likely benefit from the administration of activated charcoal? a) 48-year-old man who attempted suicide by drinking Drano® b) 28-year-old male who is suffering from food poisoning after eating eggs contaminated with salmonella c) Alert 16-year-old female who overdosed on Tylenol® d) Unresponsive 28-year-old female who overdosed on sleeping pills

c

Which safety device prevents car doors from opening during a collision? a) Safety pin b) Safety lock c) Nader pin d) Nader jam

c

Which two types of terrorism does the Federal Bureau of Investigation define as occurring in the United States? a) Chemical and biologic b) Violence and intimidation c) Domestic and international d) Psychological and economic

c

Which type of wound has a small opening into the skin, but may be quite deep, and is often caused by instruments such as nails, ice picks, or pencils? a) incision b) avulsion c) puncture d) laceration

c

While assessing a 78-year-old male patient who escaped an apartment fire with partial thickness burns to both arms, the EMT must be aware of which of the following? a) The patient may need to be questioned by police and fire officials about the cause of the fire. b) Being involved in a crime makes the patient part of the chain of evidence, requiring a police officer to ride with you to the hospital. c) Medical conditions may be aggravated by the burn. d) The burn is the most serious injury to the patient.

c

While palpating the radial pulses of a patient who was involved in a motor vehicle crash, you notice a difference in the strength of the pulses bilaterally. This is a finding that you suspect may be associated with: a) commotio cordis. b) tension pneumothorax c) aortic dissection d) flail chest.

c

While staffing an emergency services dispatch center, an Emergency Medical Dispatcher (EMD) receives a call from someone who is very upset and screaming that her friend was just shot. Which of the following does the EMD need to do in this situation? a) Provide the caller with information about local hospitals. b) Notify the victim's family of the incident. c) Ask the caller for her phone number d) Determine the location of the shooter.

c

Who is the person in charge of tracking the patient's final destination? a) Staging officer b) Incident Commander c) Transportation supervisor d) Treatment officer

c

Why is it important to remove constricting items such as rings before thawing a frozen extremity? a) Because thawing leaves clots behind in the veins b) To prevent damage to the property such as rings and watches c) Because thawed areas often swell d) All of the above

c

Why should an EMT utilize a local poison control center in managing a poisoning patient? a) They can activate a specialty team to come and treat the patient. b) It prevents the EMT from having to do training on poisons. c) They can assist in finding out important information about the poison d) It places any legal liability on the poison control center.

c

Why would an EMT give activated charcoal to a patient who overdosed on a medication? a) Activated charcoal is the antidote to medication poisoning. b) Activated charcoal coats the intestinal tract, preventing absorption by the body c) Activated charcoal binds to the medication, preventing absorption by the body d) Activated charcoal prevents the patient from vomiting.

c

Which of the following is true concerning prehospital delivery of twins? a) There are always two placentas b) The umbilical cord of the first infant must not be cut until the second infant is born c) The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm d) This is a true emergency and cannot be managed outside the hospital setting without additional help

c

Which of the following may be a source of ignition when rescuing people who are trapped in a car that has stopped off the roadway in a field of dried grass? a) Battery b) Leaking coolant c) Catalytic converter d) Mobile radio

c

Which of the following must be treated by the EMT if present in a patient with an apparent behavioral emergency? a) Acute alcohol intoxication b) Severe clinical depression c) Hypoglycemia d) Suicidal ideology

c

Which of the following operational reasons warrant the use of helicopter transport from the scene to a medical fac a) The patient is in cardiac arrest b) The patient may go into shock shortly. c) The patient is located in a remote area. d) The distance to the medical facility is 15 minutes away

c

Which of the following patients is at the lowest risk of developing sepsis? a) An elderly patient who is recovering from abdominal surgery b) A patient with a compromised immune system who has a permanent gastrostomy tube c) A college-aged patient who breaks his arm in a skateboard crash d) A pediatric patient who has developed pneumonia in both lungs

c

Which of the following personal protective items must be used by EMS personnel caring for patients in a hazardous materials emergency? a) HEPA mask b) HEPA mask c) Tyvek or other chemical impermeable coveralls d) Chemical permeable gloves

c

Which of the following preventive measures is useful against all communicable diseases? a) Vaccination b) Covering sneezes and coughs c) Standard Precautions d) Hand washing

c

Which of the following refers to a condition that interferes significantly with a person's ability to engage in activities of daily living? a) handicapped b) terminal c) disability d) disabled

c

Which of the following signifies a failure in the patient's compensatory response to blood loss? a) pale, cool skin b) tachycardia c) hypotension d) tachypnea

c

Which of the following situations generally allows the EMT to transport a patient with a behavioral emergency against his or her wishes? a) The patient's personal physician gives you permission b) A family member gives consent and is willing to accompany the patient c) The patient is a threat to himself or others d) The patient's insurance company agrees to pay, even though the patient has not given consent.

c

Which of the following statements about bacteria is false? a) Over time, bacteria have developed resistance to some antibiotics. b) Sepsis is a serious and sometimes deadly complication of bacterial infection c) Bacteria need to be inside the body in order to reproduce. d) Some bacteria inside the body are good and necessary to survival.

c

Which of the following statements about neurogenic shock is true? a) Neurogenic shock is caused by the blood vessels overfilling with blood, causing leaking into the nerves. b) Neurogenic shock is the result of the blood vessels decreasing in size c) Neurogenic shock is sometimes caused by spinal injuries d) Neurogenic shock is the most common type of shock

c

Which of the following statements about seizures is NOT true? a) A generalized seizure affects the entire brain b) The most common seizure that EMTs are likely to be called on is a tonic-clonic seizure c) Many seizures are followed by an aura d) A partial seizure affects one part, or one side, of the brain

c

Which of the following statements about sepsis is true? a) Patients who use urinary catheters are at a decreased risk of sepsis because catheter use makes it harder for microbes to enter the urinary tract. b) Treatment of sepsis has changed and improved over time, but the definition of the condition has remained relatively unchanged c) The exact pathway for the development of sepsis remains unclear, and most cases do not have a clearly defined source d) Infections of the lungs commonly lead to sepsis, but sepsis is not typically associated with cases of pneumonia.

c

Which of the following statements concerning a concussion is true? a) It is a bruising of the brain tissue b) It is accompanied by recurrent episodes of unconsciousness. c) The patient may not have any symptoms of the injury d) All of the above

c

Which of the following is true in regard to touching a patient who is being shocked with an automatic implanted cardiac defibrillator (AICD)? a) It depends on the AICD model as to whether or not the EMT can feel the shock. b) The EMT cannot feel the shock of an AICD when delivered to the patient. c) The EMT will feel the shock, and it is very dangerous to the EMT. d) The EMT will feel the shock, but it is not very painful.

b

Which of the following is true of patients with autism spectrum disorders (ASD)? a) They respond well to gentle, reassuring contact from EMTs b) They may have very high pain thresholds and tolerate excruciating injuries c) They find faint background noise comforting d) They cope well with change when that change occurs quickly.

b

You respond to a 65-year-old patient complaining of abdominal pain. Your physical exam reveals a nonpulsating mass in the lower left quadrant. You suspect: a) splenic rupture b) hernia c) aortic abdominal aneursym d) appendicitis

b

You respond to a boat dock for a diving injury. You find a 24-year-old male patient unresponsive with frothy blood in the mouth and lung sounds absent on the right side. The patient is breathing 28 times a minute. The patient's friends state they were diving when he unexpectedly came out of the water complaining of chest pains and then collapsed. What is your first action? a) Transport the patient b) Suction the airway. c) Place the patient on high-concentration oxygen by nonrebreather mask. d) Insert an oropharyngeal airway.

b

You respond to a construction site on a very hot summer day for a person "not acting right." You find a 38-year-old male patient seated in a work vehicle with the air conditioner on maximum. Coworkers state the patient was working for the last 2 hours pouring concrete when he started "speaking gibberish" and nearly collapsed. The patient is responsive to verbal stimuli. Your initial vital signs are blood pressure 90/60, pulse 136, and respiratory rate 24. The patient's skin is hot to the touch and dry, but his shirt is wet with visible salt rings. Which is the best treatment for the patient? a) Have the patient sip water slowly to replace what he has lost. b) Apply high-concentration oxygen and rapidly transport to the nearest medical facility. c) Cool the patient with tepid water. d) Have the patient drink at least 1 liter of water to replace what he has lost.

b

You respond to a construction site on a very hot summer day for a person "not acting right." You find a 44-year-old male patient seated in a work vehicle with the air conditioner on maximum. Coworkers state the patient was working for the last 2 hours pouring concrete when he started "speaking gibberish" and nearly collapsed. The patient is responsive to verbal stimuli. Your initial vital signs are blood pressure 90/60, pulse 136, and respiratory rate 24. The patient's skin is cool to the touch and moist, and his shirt is wet with visible salt rings. You suspect: a) myocardial infarction b) heat exhaustion c) heat stroke d) heat cramps

b

You respond to assist law enforcement with a 35-year-old male patient who, according to them, is "high as a kite." The patient is anxious, tachycardic, and angry. What condition do you suspect? a) marijuana overdose b) cocaine overdose c) alcohol overdose d) GHB overdose

b

Your patient is a middle-aged man who appears to be in distress and is clutching his chest. These observations lead you to suspect which type of problem?

cardiac

An artery is a blood vessel that only

carries blood away from the heart

The first set of vital sign measurements obtained are often referred to as which of the following?

baseline vital signs

f the baby's umbilical cord is noted to be wrapped around his neck after the head is delivered, which of the following should be done? a) Immediately cut the cord before delivering the baby. b) Try to slip the cord over the baby's head and shoulder c) Clamp the cord in two places, but do not cut it until the baby is delivered d) Transport emergently without further intervention

bb

Mr. Green is complaining of severe difficulty breathing after being stung by a bee. His wife states he has had reactions to bee stings before, but not quite this severe. Which medications should you specifically ask him about?

beta-blockers

35-year-old female has just eaten lobster and is now complaining of itchy, watery eyes. Her blood pressure is beginning to fall, but she denies difficulty breathing. Which of the following best describes her condition? a) mild allergy b) dyspnea c) anaphylaxis d) shock

c

A 37-year-old male was hit by a trolley and his foot was almost severed. It is only connected by some skin and crushed bone. What should you do? a) Complete the amputation. It will make the injury much easier to handle b) Immediately apply a tourniquet to control bleeding. c) Apply a pressure dressing to control bleeding, stabilize the foot by splinting, apply oxygen, and transport as a priority patient. d) Because of the seriousness of the injury, wait for ALS before providing any care.

c

A method of assessing compromise to an extremity when a musculoskeletal injury is suspected is to learn and follow the six Ps. Which of the items below is not one of the six Ps? a) pallor b) pain c) parenthesis d) paresthesia

c

A patient who demonstrates any one of the three symptoms from the Cincinnati Prehospital Stroke Scale has a(n) ________% chance of having an acute stroke. a) 50 b) 80 c) 70 d) 60

c

A patient who has abused "uppers" will display which of the following signs and symptoms? a) Slurred speech, constricted pupils, and frequent urination b) Constricted pupils, hypotension, and blurred vision c) Excessive talkativeness, dilated pupils, and dry mouth d) Dilated pupils, excessive salivation, and food cravings

c

A patient with jugular vein distention is most likely suffering from which of the following injuries? a) Hemopneumothorax b) Hemothorax c) Pneumothorax d) Tension pneumothorax

c

A respiratory rate of less than ________ in infants is a significant finding and indicates a critical patient who should be immediately transported to a trauma center if secondary to trauma. a) 18 b) 25 c) 30 d) 20

c

A traction splint may be used on which of the following musculoskeletal injuries? a) Suspected multiple fractures of the femur, tibia, and fibula b) Possible fracture of the humerus c) Possible fracture of the femur d) Possible fracture of the cervical spine

c

According to CDC guidelines, a systolic blood pressure (BP) of less than ________ indicates a patient should be transported to a trauma center. a) 100 b) 80 c) 90 d) 110

c

According to coworkers, your 25-year-old female patient suddenly began acting aggressively and being verbally abusive. She tells you she is "starving" and you notice that she is pale and diaphoretic. Which of the following would be an appropriate general impression? a) Sudden onset of schizophrenia b) Alcohol withdrawal c) An underlying physical illness d) Alcoholic intoxication

c

According to the systemic inflammatory response syndrome (SIRS) system, which of the following criteria would not contribute to a patient's likelihood of developing sepsis? a) Systolic blood pressure of 76 b) Respiratory rate of 32 c) Heart rate of 87 d) Temperature of 95.3°F

c

After administering epinephrine per medical control via an auto-injector to an unresponsive anaphylactic adult patient, your partner reassesses the lung sounds. He tells you that the patient is now wheezing loudly in all fields whereas before the injection they were diminished in the upper fields and absent in the lower. What is your suspicion regarding the patient's condition? a) The patient's condition is worsening. b) The patient's condition is improving. c) The patient is about to go into cardiac arrest d) There is no change in the patient's condition

c

Allowing a patient's body temperature to increase by preventing further heat loss is referred to as which of the following? a) Core rewarming b) Natural rewarming c) Passive rewarming d) Active rewarming

c

Assessing blood pressure on a patient with an AV shunt, fistula, or graft could lead to which of the following? a) Nothing, because there is no need to avoid assessing blood pressure in a patient's arm with an AV fistula, shunt, or graft. b) Inaccurate blood pressure readings c) Damage to the AV shunt, fistula, or graft, requiring surgery d) Uncontrollable hemorrhage in the extremity

c

Concerning the threat of nuclear devices used in terrorist attacks, which of the following is most likely to be used in such an attack? a) Military nuclear device b) Improvised nuclear weapon c) Sabotage of facilities for nuclear research d) Radiologic dispersal device

c

Disaster plans are a predefined set of instructions that should be written to address the events that are conceivable for a particular location. They should also be: a) written, multijurisdictional, and rehearsed. b) written, realistic, and rehearsed c) well publicized, realistic, and rehearsed d) well publicized, multijurisdictional, and rehearsed.

c

During transport, where should the catheter bag be after loading the patient and stretcher into the ambulance if the patient has an indwelling urinary catheter? a) In the patient's lap, but not higher than his heart b) On the ambulance floor c) Lower than the patient, but not on the floor d) Hanging from the ceiling of the ambulance or IV pole higher than the patient

c

During your primary assessment, you find your patient has an altered mental status. This could indicate which of the following? a) The need to complete a secondary assessment b) Problems with the RAS due to hypertension c) Failing respiratory system d) The need for suctioning of the airway

c

EMS operations generally include which six areas? a) Extrication, Staging, Triage, Air operations, Transportation, and Rehabilitation b) Extrication, Operations, Logistics, Triage, Finance, and Transportation c) Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation d) Extrication, Staging, Logistics, Triage, Operations, and Transportation

c

Eduardo is an EMT for a major metropolitan fire department. He is assigned to a station within an industrial complex. On the scene of a hazardous materials incident, Eduardo functions on a team where he plugs a leaking drum. Eduardo's level of hazardous materials training is at the ________ level. a) First Responder Operations b) Hazardous Materials Specialist c) Hazardous Materials Technician d) First Responder Awareness

c

For the EMT, which of the following is the most important question to ask of a diabetic patient or his family members? a) Do you have a family history of diabetes? b) Do you have a fruity taste in your mouth? c) When was the last time you had something to eat? d) What kind of insulin do you take?

c

For the reticular activating system (RAS) to work correctly, what three substances are needed? a) Oxygen to perfuse brain tissue, insulin to nourish brain tissue, and sodium to keep the brain hydrated b) Oxygen to perfuse brain tissue, insulin to nourish brain tissue, and water to keep the brain hydrated c) C. Oxygen to perfuse brain tissue, glucose to nourish brain tissue, and water to keep the brain hydrated d) Oxygen to perfuse brain tissue, glucose to nourish brain tissue, and sodium to keep the brain hydrated

c

For which of the following patients should the EMT carefully continue to monitor the patient's ventilatory status throughout treatment and transport due to the greatest risk of respiratory failure? a) 17-year-old male with a blistering sunburn on his face b) 28-year-old male who spilled a strong industrial acid on his legs c) 16-year-old male whose shirt caught on fire, resulting in circumferential burns of his chest d) 34-year-old male who opened the radiator of his car and had hot fluid spray on his chest, resulting in redness and pain in an area about the size of the patient's hand

c

For which of the following wounds should the EMT apply an absorbent dressing moistened with sterile saline? a) Stab wound to the chest b) Laceration to the neck c) Gunshot wound to the abdomen from which a loop of intestine is protruding d) A hemothorax from an object impaled into the chest

c

Glasgow Coma Scale (GCS) is a neurological assessment that looks at which of the following? a) Motor response, arm movement, and speech b) Grip strength, verbal response, and eye opening c) Eye opening, verbal response, and motor response

c

If an EMT is tasked with managing the family of a patient who is deceased after termination of resuscitation, what is an effective care strategy? a) Minimize the family's time with the deceased patient. b) Prevent the family from seeing the deceased patient c) Be straightforward and use direct language d) Tell the family the EMT knows how they feel.

c

If the baby's head is delivered with the amniotic sac still intact, which of the following should be done first? a) Call medical control before taking action b) Leave the sac intact until the entire body is delivered. c) Use your fingers to tear the sac away from the baby's face d) Use the scissors in the obstetrics kit to cut the sac away from the baby's head.

c

If you do not have a commercial tourniquet available, what common supply found on the ambulance can be used as a substitute? a) cold pack b) air splint c) triangle bandage d) rope tie-down

c

In mild cases, what may overcome acute mountain sickness? a) Vigorous exercise b) Positive-pressure ventilations c) Rest and rehydration at altitude d) Moving the patient to a higher altitude

c

In most cases, which of the following is the correct way to provide initial management of a suspected cervical spine injury? a) Provide approximately 15 pounds of upward cervical traction b) Maintain the patient's head and neck in the position they are found. c) Hold the patient's head still in a neutral, "eyes forward" position d) Gently apply pressure to the top of the patient's head

c

It is a chilly fall morning and you are called to an RV campground for three patients who are complaining of headache, dizziness, and nausea. Your primary assessment reveals that they are cyanotic and have an altered mental status. You suspect: a) food poisoning b) bee sting c) carbon monoxide poisoning d) snake bit

c

Which of the following statements is false regarding an electrical injury? a) Treatment of a source burn is the same as for other thermal burns. b) Patients with burns that appear insignificant are treated as having critical injuries. c) Injury is usually limited to the area around the source and ground burns. d) Patients with electrical burns may be treated with the automated external defibrillator (AED) and CPR.

c

The senior EMT on the first vehicle that arrives on a scene with multiple patients should assume which of the following roles until relieved by a senior official? a) Triage supervisor b) Commander of the entire incident c) Incident Command of the scene d) Transportation supervisor

c

The type of radiation that requires lead shielding for your protection is: a) alpha b) delta c) gamma d) beta

c

To determine the appropriate depth an EMT should insert a catheter tip into a tracheostomy tube in order to clear a blocked airway, the EMT should: a) insert the catheter until the tip is no longer visible. b) measure from the stoma to the carina c) measure against the length of the obturator. d) multiply the internal diameter of the tracheal tube by 10

c

To rescue someone who has fallen through the ice, which of the following is the safest device to use? a) Jet-ski b) Ring buoy c) Flat-bottomed aluminum boat d) Ladder

c

Traditionally an APGAR score is taken at what time intervals after birth? a) 1 and 6 minutes b) 2 and 7 minutes c) 1 and 5 minutes d) 5 and 10 minutes

c

Using START triage guidelines, a patient on the scene of a mass-causality incident who is not breathing initially, but begins breathing when the airway is open, is deemed a ________ patient. a) Priority 3 b) Priority 0 c) Priority 1 d) Priority 2

c

What clinical finding is most suggestive of an inhaled poison? a) Altered mental status b) Tachypnea c) Black-colored sputum d) Swollen tongue

c

What criterion based on the CDC guidelines allows a discretionary approach to trauma triage? a) Motorcycle crash greater than 20 mph b) Partial ejection from automobile c) EMS provider judgment d) Fall greater than 20 feet

c

What does ventricular fibrillation do? a) Forces the heartbeat to become quite rapid b) Causes asphyxial cardiac arrest c) Prevents the heart muscle from contracting normally d) Initiates commotio cordis

c

What is another name for the zygomatic bone? a) maxillae b) temporal c) malar d) mandible

c

What is the correct terminology for a wound in which a vacuum has been created within the chest, drawing air into the thorax through a penetration of the chest wall with each breath? a) Closed tension pneumothorax b) Open chest wound c) Sucking chest wound d) Paradoxical motion

c

What is the definition of multisystem trauma? a) Trauma in which the patient has more than one serious injury b) A trauma in which there are multiple casualties c) One or more injuries that affect more than one body system d) A trauma that requires the response of multiple agencies

c

What is the highest Glasgow Coma Scale (GCS) measurement indicating altered mental status according to CDC guidelines? a) 14 b) 8 c) 13 d) 12

c

What is the underlying cause of bluish or reddish facial discoloration following traumatic asphyxia? a) The physiological strain of the body results in a flushed appearance and increased risk of a hypertensive event. b) The bluish or reddish facial discoloration is not associated with traumatic asphyxia; a pale discoloration is usually present. c) High pressure on the chest leads to blood being forced from the right atrium into the face and neck. d) The patient has become hypoxic due to a chest injury, and the finding suggests central cyanosis.

c

What type of trauma triage criteria regarding transport would a finger amputation receive? a) Trauma center b) Any hospital, as long as on-line medical direction approves the facility's capabilities c) Any hospital with surgical facilities d) Patient's choice of destination

c

When log-rolling a patient with a suspected spinal injury, which of the following EMTs directs the move? a) EMT with the most seniority b) EMT at the heaviest portion of the patient c) EMT at the head of the patient d) EMT with the highest level of training

c

When managing an electrical burn, the EMT should: When managing an electrical burn, the EMT should: a) never attempt CPR unless it is within 4 minutes of contact. b) check for a source and ground burn injury c) always attempt to remove the patient from the electrical source d) quickly check the pulse, even if the patient is still in contact with the electrical source

c

When restraining a patient, which of the following is not a consideration? a) Number of people available to carry out the required actions b) Patient's size and strength c) Patient's informed consent d) How to position the patient

c

When should the EMT calculate a GCS with a patient who suffered a fall of 20 feet from his apartment building? a) At the hospital before writing the care report b) Before departing from the scene c) En route to the hospital d) As he approaches the patient

c

When the gallbladder is diseased, the pain is not only felt in the right upper quadrant (RUQ) but also in the right shoulder. This is known as a) parietal pain b) tearing pain c) referred pain d) visceral pain

c

Which of the following allows for smooth movement of bone surfaces against one another at joints? a) tendons b) smooth muscle c) cartlige d) ligaments

c

Which of the following best describes an evisceration? a) A penetrating chest wound in which air is "sucked" into the chest cavity b) Movement of ribs opposite to the direction of movement of the rest of the chest wall c) Open wound of the abdomen from which organs protrude d) Fracture of two or more adjacent ribs in two or more places

c

Which of the following best describes placenta previa? a) The umbilical cord is the presenting part b) The pregnancy is lost before the 20th week of gestation. c) The placenta is implanted over the opening of the cervix d) The placenta prematurely separates from the uterine wall.

c

Which of the following best describes why it is important for the EMT to understand the extrication process? a) To take over the extrication process if requested by the rescue technicians b) To provide direction to the rescue technicians if they appear to be making errors c) To anticipate any dangerous steps in the extrication process d) All of the above

c

Which of the following describes an open extremity injury? a) A gunshot wound has penetrated the skin and then fractured the bone. b) Bone ends have lacerated the soft tissues and skin from the inside c) Both A and B d) The joint capsule has been torn open during a dislocation.

c

Which of the following describes any substance produced by a living organism that is poisonous to human beings? a) antigen b) acid c) toxin d) antibody

c

Which of the following describes the EMT's MOST important role in the ideal provision of emergency cardiac care? a) Postarrest care following advanced life support b) Recognition and activation of emergency response system c) Immediate high-quality CPR and rapid defibrillation d) Early advanced cardiac life support

c

Which of the following describes the condition of having an abnormally high body temperature? a) Perspiration b) Heat exhaustion c) Hyperthermia d) Heat shock

c

Which of the following describes the proper position of the patient's head for spinal immobilization? a) Chin tilted upward for airway maintenance b) The "sniffing" position c) Neutral, inline position d) Stabilized in position found

c

Which of the following does not commonly lead to anaphylaxis? a) penicillin b) wasp stings c) cat dander d) peanuts

c

Which of the following hazards may arise from properly splinting an injured extremity? a) Compromising circulation to the extremity b) Converting a closed fracture to an open one c) Ignoring life-threatening problems while focusing on an extremity injury d) All of the above

c

Which of the following injuries is considered an indirect brain injury? a) Depressed skull fracture with cerebral penetration by bone fragments b) Cerebral laceration c) Concussion d) Gunshot wound to the head

c

Which of the following is NOT a sign or symptom of stroke? a) vomiting b) sudden impairment of vision c) chest pain d) seizure

c

Which of the following is a common reason that EMTs are struck by motor vehicles at the scene of motor vehicle collisions on roadways? a) EMTs sometimes lose track of what they are doing and wander into traffic b) Drivers who are angry at being delayed deliberately take out their frustrations on rescue workers c) Drivers are distracted by the scene of the collision and do not pay attention to what they are doing d) All of the above

c

Which of the following statements regarding behavioral emergencies is false? a) Patients experiencing a behavioral emergency are not always dangerous to themselves or others b) Cultural differences may cause a patient's behavior to initially appear abnormal to the EMT c) It is unusual to find a person with schizophrenia outside a mental health facility. d) Apparent behavioral emergencies may be due to an underlying medical cause

c

Which of the following is not relevant in determining whether or not delivery is imminent for a woman in labor? a) Finding out how many times the patient has been pregnant b) Determining whether the patient feels as if she needs to move her bowels c) Phoning the patient's obstetrician for advice d) Asking how long ago the contractions began

c

Which of the following is not the role of the first arriving EMT at the scene of a possible hazardous materials emergency? a) Establishing a safe zone b) Requesting special resources to respond c) Rescuing any victims still in the area of the spill d) Recognizing a hazardous materials emergency

c

Which of the following is optional equipment? a) flashlights b) disinfectant solution c) infant oxygen masks d) lubricating jelly

c

Which of the following systems includes the pairs of nerves that enter and exit the spinal cord between each pair of vertebrae? a) Central nervous system b) Autonomic nervous system c) Peripheral nervous system d) All of the above

c

Which of the following types of vessels have valves to maintain one-way blood flow? a) capillaries b) arteries c) veins d) arterioles

c

Which of the items below is NOT part of the Cincinnati Prehospital Stroke Scale? a) Have the patient repeat a simple sentence b) Ask the patient to smile. c) Test for equal grip strength. d) Test the patient for arm droop or lack of movement.

c

Which of the following is the LEAST important question in obtaining the history of a seizure patient in the prehospital setting? a) Did the patient lose control of his bladder? b) What was the patient doing before the seizure? c) Does the patient have a family history of seizures? d) How did the patient behave during the seizure?

c

Which of the following is the best protection for an EMT's upper body during an extrication operation? a) Nylon jacket with asbestos lining b) Thick fireproof blanket draped around the shoulders c) Firefighting turnout coat d) Thick wool coat

c

Which of the following is the cause of the black residue found in a patient's mouth and nose following smoke inhalation? a) tar b) cyanide c) carbon d) carbon monoxide

c

Which of the following is the correct position to use when transporting a patient who has a tracheostomy tube a) shock position b) prone c) head slightly elevated d) supine

c

Which of the following is the correct technique to check for crowning in the assessment of a woman in labor? a) Place your hand on the woman's abdomen, just above the umbilicus, and check for the firmness of the uterus during contractions b) Ask the woman to "push" or "bear down" as you inspect the vaginal opening c) Cover her with a sheet, have her remove her underwear, wait for a contraction, and then visualize the vaginal opening. d) None of the above

c

Which one of the following is not a key decision for the EMT when faced with a multisystem or multiple trauma patient? a) Do I need to minimize on-scene time? b) Should I transport to a trauma center? c) Should I allow police to interview the patient on scene? d) Is the patient seriously injured?

c

Which patient is experiencing visceral pain? a) 19-year-old female complaining of severe cramps in the lower abdominal quadrants b) 24-year-old male complaining of severe left flank pain c) 45-year-old female complaining of abdominal pain "all over" d) 28-year-old male with sharp pain in the right lower quadrant

c

Which patient requires transport to a trauma center? a) Patient who responds to verbal stimuli b) Patient responsive with a respiratory rate of 10 c) Unresponsive patient with hypotension d) Responsive patient with tachycardia

c

A 36-year-old man has accidentally shot a nail into his thigh while using a nail gun. Under which of the following circumstances should the EMT remove the nail from the injury site? a) The patient's distal pulse, motor function, and sensation are intact. b) Bleeding from the wound is minima c) The nail is less than 2 inches in length. d) None of the above

d

A 44-year-old male involved in a collision at 50 mph struck the windshield of his vehicle with his face. Which of the following injuries should you prepare to treat? a) Brain injury b) Cervical spine trauma c) Airway obstruction d) All of the above

d

A condition that interferes significantly with a person's ability to engage in activities of daily living is referred to a) special need b) developmental disability c) physical handicap d) disability

d

A new EMT who is treating a suspected femur injury asks his partner, "How much traction should I pull?" The partner's best reply is which of the following? a) The amount of traction applied should be 15 pounds. b) Pull enough traction to give the patient some relief from the pain c) No traction splint applied in the field pulls true traction; they must pull 20 pounds of countertraction. d) The amount of traction applied should be roughly 10% of the patient's body weight and not exceed 15 pounds.

d

A terrorist incident may have features in common with which of the following types of incidents? a) Infectious disease b) Hazardous materials c) Mass casualty d) All of the above

d

You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the truck, that there are several bystanders passed out on the ground near the cab of the truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You should:

consult the Emergency Response Guidebook

What is (are) the first organ(s) perfused by blood leaving the heart?

coronary arteries

Which of the following is a condition that can result from fatty deposits forming in the inner lining of the arteries?

coronary artery disease

A 36-year-old male was accidentally shot with a nail gun into the chest. You see the nail, which protrudes about 2 to 3 centimeters from the thorax, when you visualize the injury site. Under which of the following circumstances should you remove the nail from the injury site? a) The patient begins to complain of shortness of breath b) Bleeding from the patient's wound is minimal c) The patient develops a tension pneumothorax. d) None of the above

d

You suspect that your patient is suffering from angina pectoris. What signs or symptoms would you expect to see with this condition?

chest pain that is relieved with nitroglycerin

A 36-year-old male was accidentally shot with a nail gun into the head. You see the nail, which protrudes about 2 to 3 centimeters from the skull, when you visualize the injury site. Under which of the following circumstances should you remove the nail from the injury site? a) Bleeding from the patient's wound is minimal. b) The patient develops excessive intracranial pressure (ICP) c) The patient begins to complain of shortness of breath. d) None of the above.

d

A young female was injured in an automobile wreck, striking her head on the windshield. She is unconscious and her breathing is irregular. She is bleeding from a scalp wound, but your assessment shows that her cranium is intact. Her vital signs are pulse 68 and blood pressure 148/90, and her pupils are unequal. You should suspect a(n): a) concussion b) contusion c) open head injury d) closed head injury

d

According to the National Highway Traffic Safety Administration, many ground ambulance collisions occur: a) during inclement weather b) at intersections c) on wet roads d) at night.

d

After responding to the scene of a patient complaining of difficulty breathing, you and your partner determine that the patient's condition is not life threatening based on a thorough assessment. You should transport the patient to an appropriate medical facility with: a) the emergency lights on, but without activating the siren. b) the emergency lights off, but activating the siren when traffic builds c) both lights and siren activated. d) neither lights nor siren activated.

d

In which of the following vessels does the vital exchange of oxygen, nutrients, and wastes take place? a) venules b) veins c) arterioles d) capillaries

d

In which of the following ways does the body produce heat in response to being cold? a) Excreting more urine b) Increasing the respiratory rate c) Burning fewer calories d) Shivering

d

Which of the following is included in the primary assessment of a conscious patient suffering from anaphylactic shock? a) Looking for hives and swelling b) Determining whether the patient's systolic blood pressure is over 100 mmHg c) Finding out how the patient was exposed to the substance to which she is allergic d) Assessing whether the patient is able to speak without difficulty

d

Three methods for minimizing exposure to harmful incidents are: a) time, decontamination, and serum b) time, decontamination, and shielding c) technique, distance, and serum d) time, distance, and shielding

d

To which of the following sections of the spine are the ribs attached? a) lumbar b) sacral c) cervical d) thoracic

d

Treatment of someone with a seizure disorder includes all of the following EXCEPT a) loosening restrictive clothing. b) removing objects that might harm the patient. c) placing the patient on the floor or ground d) placing a bite block in the patient's mouth so that he does not bite his tongue.

d

Which of the following is least often seen in carbon monoxide poisoning? a) headache b) nausea c) altered mental status d) cherry red lips

d

Two elements that differentiate a hazardous materials incident from a terrorist incident are: a) targeting responders and weapons of mass destruction (WMD). b) weapons of mass destruction and a political agenda c) targeting responders and a political agenda. d) crime scene considerations and targeting responders.

d

Under which of the following conditions are safety vests with reflective trim effective in increasing the visibility of the EMT a) On sunny days b) On cloudy days c) At night d) All of the above

d

WWhich of the following signs is least likely to indicate a traumatic brain injury? a) Irrational behavior b) Irregular breathing pattern c) Vomiting d) Low blood pressure

d

What are three elements of successful trauma care that field practitioners can use that will ultimately translate into greater rates of survival? a) Lights, sirens, and diesel b) Physiological determinants, anatomic criteria, and mechanism of injury c) Ground ambulances, air helicopters, and trauma centers d) Teamwork, timing, and transport

d

What role do health care workers play in handling public crises related to newly recognized infectious diseases? a) They work closely with local health departments to determine the microbes responsible for the disease and how to treat them b) They report information about the outbreaks to the public and share information about the prevalence and spread of the conditions c) They disseminate information about diseases and their treatment to health care providers and institutions d) They implement the steps outlined by the CDC and other agencies to reduce the number of people who become infected.

d

What term is used to describe delivery of the fetus and placenta before the 20th week of pregnancy? a) eclampsia b) induced abortion c) stillbirth d) spontaneous abortion

d

Which of the following is most likely to be a complaint of a patient suffering from anaphylaxis? a) "My legs are numb and I can't move them." b) "I am having severe muscle pains." c) "I can't remember what happened." d) "My throat feels like it is closing."

d

Which of the following is not a cause of parietal pain? a) inflammation b) bleeding into the abdominal cavity c) infection d) muscle pain

d

Which of the following is not a consequence of hypoperfusion? a) Cells are not supplied with nutrients. b) Cells are not supplied with oxygen. c) Cellular waste products are not removed. d) Acid buildup decreases and body pH increases

d

What trauma triage guidelines did the Centers for Disease Control and Prevention (CDC) release in order to guide the most injured patients into trauma centers? a) Lights, sirens, and diesel b) Patient priority, amount of time on scene, and transport destination c) Teamwork, timing, and transport d) Physiological determinants, anatomic criteria, and mechanism of injury

d

When a substance enters the body through unbroken skin, it has entered the body by which of the following routes? a) consumption b) ingestion c) injection d) absorption

d

When assisting with a delivery in the field, which of the following should be done as the baby's head begins to emerge from the vagina? a) Check for crowning. b) Pull on the baby c) Advise the mother not to push or strain d) Apply gentle pressure to the head with your gloved hand.

d

Which of the following conditions should be present before the umbilical cord is cut? a) Which of the following conditions should be present before the umbilical cord is cut? b) The cord is no longer pulsating. c) The cord is clamped in two places d) all of the above

d

Which of the following considerations should be determined when conducting a scene size-up at night of a single vehicle collision involving a rollover? a) How many EMS supervisors are needed for command b) Which patient is the least injured c) Make and model of the vehicle involved d) Mechanism of injury

d

Which of the following describes a breech presentation? a) The infant presents buttocks first. b) The infant presents with both feet first c) The infant presents face first. d) Both A and B

d

Which of the following does a physician not take into consideration when writing a prescription for a patient to obtain an epinephrine auto-injector? a) Severity of previous allergic reactions b) Patient's medical history c) Patient's known allergies d) How far the patient lives from medical attention

d

Which of the following effects may occur due to chronic abuse of alcohol? a) poor nutrition b) abnormal for gastrointestinal bleeding c) potential for gastrointestinal bleeding d) all of the above

d

Which of the following factors suggest that a patient is at risk for suicide? a) Sudden improvement in depression b) Alcohol and drug abuse c) Recent emotional trauma d) All of the above

d

Which of the following injuries may produce distended neck veins? a) Traumatic asphyxia b) Tension pneumothorax c) Cardiac tamponade d) All of the above

d

Which of the following injuries requires the use of an occlusive dressing? a) open would to the neck b) open would to the chest c) open wound to the abdomen from which a loop of intestine is protruding d) all of the above

d

Which of the following is LEAST important for the patient who has stopped seizing before the EMT's arrival at the scene? a) checking for mechanism of injury b) administering oxygen c) suctioning d) requesting advanced life support

d

Which of the following is NOT a reason that an AED may indicate that there is "no shock advised"? a) The patient's heart has no electrical activity; he is "flat line," or in asystole b) The patient's heart rhythm is normal c) The patient has organized electrical activity in the heart but no pulse d) The patient is in ventricular fibrillation or ventricular tachycardia

d

Which of the following is NOT a sign of a hypoglycemic diabetic emergency? a) combativeness b) cold, clammy skin c) anxiety d) slow heart rate

d

Which of the following is a cause of gynecological emergencies? a) Sexual assault b) Soft-tissue trauma to the external genitalia c) Disorders of the female reproductive organs d) All of the above

d

Which of the following is a characteristic of arterial bleeding? a) dark red color b) spurting under pressure c) both b and c d) steady flow

d

Which of the following is a characteristic of referred pain? a) It is caused by psychological stress b) It is usually described as "crampy" or "colicky." c) It is only felt in hollow organs d) It is felt in a location other than the organ causing it

d

Which of the following is a complication of bone fractures? a) swelling b) nerve damage c) hemorrhage d) all of the above

d

Which of the following is a concern when caring for the patient with abdominal pain? a) patient comfort b) airway management c) shock d) all of the above

d

Which of the following is a consideration in determining a burn's severity? a) Other illnesses or injuries the patient may have b) Body surface area (BSA) involved in the burn c) The type of agent that caused the burn d) All of the above

d

Which of the following is a feature of a good disaster plan? a) It has been practiced in mock disasters b) It is specific to the geographical location c) It is based on the availability of resources in a particular area d) All of the above

d

Which of the following is a function of the autonomic nervous system? a) Solving complex math problems b) Running or walking c) Speaking d) Constriction of blood vessels

d

Which of the following is a function of the rehabilitation area in a hazardous materials incident? a) Performing medical assessment of rescue crews b) Taking baseline vital signs before rescuers enter the operations area c) Providing for hydration of rescue crews d) All of the above

d

Which of the following is a good choice for preventing further injury to a patient during auto extrication? a) sheet b) disposable blanket c) placing your body over the top of patient d) aluminized blanket

d

Which of the following is a hallmark of irreversible shock? a) Delayed capillary refill time b) Pale, cool skin c) Altered mental status d) Cell damage and death in the vital organs

d

Which of the following is a sign of possible brain injury? a) Projectile vomiting b) Irregular breathing patterns c) Deep laceration of the scalp d) All of the above

d

Which of the following is a sign or symptom of withdrawal from alcohol? a) seizures b) sweating c) hallucinations d) all of the above

d

Which of the following is a trade name for an epinephrine auto-injector? a) Anajector® b) Autodrenalin® c) AllerPen® d) EpiPen®

d

Which of the following is an advantage of removing the roof of a vehicle that has sustained major damage in a collision? a) It creates a large exit through which to remove the patient. b) The EMT can better access the patients. c) It makes the entire interior of the vehicle accessible d) All of the above

d

Which of the following is an appropriate question to ask while evaluating a woman in labor? a) Do you know who the father is and his medical history? b) Is this your first pregnancy? c) When was the last time you were sexually active? d) None of the above

d

Which of the following is an important early indicator of hypoperfusion? a) Dilation of the pupils b) Delayed capillary refill c) Increased heart rate d) Altered mental status

d

Which of the following is an important reason for controlling spectators at the scene of an extrication incident? a) Spectators may get injured b) Spectators may create problems for passing motorists. c) Spectators may interfere with rescue efforts d) All of the above

d

Which of the following is appropriate in caring for a patient with closed soft-tissue injuries and a significant mechanism of injury (MOI)? a) Treat for shock if you think there are internal injuries even if the patient's vital signs are normal b) Splint any swollen, deformed extremities c) Anticipate vomiting d) All of the above

d

Which of the following is not a desirable characteristic of the rehabilitation area of a hazardous materials incident? a) It allows for rapid reentry to the emergency operation. b) It is protected from weather elements. c) It is large enough to accommodate multiple rescue crews. d) It is located in the warm zone.

d

Which of the following is not a major function of the skin? a) Protection from the environment b) Temperature regulation c) Excretion of wastes d) Regulates the pH balance of the body

d

Which of the following is not a mechanism of musculoskeletal injury? a) indirect force b) direct force c) twisting or rotational forces d) extensive force

d

Which of the following is not a responsibility of the Emergency Medical Dispatcher? a) Prioritizing calls that come in b) Providing emergency instructions to the caller c) Coordinating with other public safety agencies d) Providing medical direction to the responding units

d

Which of the following is not a side effect of epinephrine? a) chest pain b) vomiting c) pallor d) bradycardia

d

Which of the following is not advisable following complete birth of the infant? a) Dry the infant and wrap him in a blanket b) Place the infant on his side with his head slightly lower than his body c) Keep the infant at the level of the mother's vagina until the cord is clamped and cut. d) Hold the infant by the ankles to allow the airway to drain.

d

Which of the following is not generally recognized as a form of terrorist incident a) Biologic weapons b) Explosion c) Industrial sabotage d) Harassment

d

Which of the following is not part of a basic obstetrics kit? a) Baby blanket b) Surgical scissors c) Umbilical cord clamps or hemostats d) Packet of suture material

d

Which of the following is appropriate in the examination of a painful, swollen extremity of a conscious patient? a) Gently attempting to flex the mid-portion of the bone to check for angulation b) Comparing the injured side to the uninjured side c) Seeing if you can elicit crepitus on palpation d) Asking the patient to see if he can bear weight on the extremity

d

Which of the following is not true concerning abdominal pain in geriatric patients? a) Medications may mask signs of shock associated with an abdominal complaint b) The older person may not be able to give a specific description of the pain. c) Older adults have a decreased ability to perceive pain d) The causes of abdominal pain in geriatric patients are rarely serious

d

Which of the following is not used to calculate a patient's GCS? a) Verbal response b) Eye movement c) Motor response d) Work of breathing

d

Which of the following methods should the EMT use first to attempt to access a patient in a vehicle while awaiting arrival of a rescue crew? a) Use a pry-bar to release the Nader pin in the door latch. b) Use a spring-loaded punch to break the rear window. c) Use a heavy tool to break the window closest to the patient d) Try all of the vehicle's doors to see if they will open

d

Which of the following occurs when gases leave a damaged lung in a diving accident and enter the bloodstream? a) Arterial thrombosis b) Arterial blood gases c) Hyperbaric arterial injury d) Arterial gas embolism

d

While on the scene of an emergency call involving a patient who is dependent upon a medical device for survival, the EMT can ask which of the following individuals about the specifics of the device? a) patient b) patient's home health aide or nurse c) patient's family d) all of the above

d

While transporting a patient who has an indwelling Foley catheter, it is important to keep the collection bag: a) level with the patient. b) with the patient's caregiver. c) higher than the level of the patient d) lower than the level of the patient

d

Not all inspired air reaches the alveoli; 150 mL is stopped in the airway leading to the alveoli. This is called:

dead air space

Which type of consent must be used by the EMT when seeking to treat a mentally competent adult?

expressed consent

You are about to apply a blood pressure cuff to an unconscious patient when you notice that she appears to have a tube underneath the skin of her arm. The tube feels like it has fluid going through it. You should:

find another site to measure her blood pressure

The basic nutrient of the cell and the building block for energy is:

glucose

A patient with bilateral femur fractures would have which of the following?

fractures of both femurs

You are on the scene of a blast from an incendiary device. You notice that several patients are walking around with minor injuries, but they do not respond when you ask the "walking wounded" to follow you to a specific location for treatment. What should you do? a) Speak louder. b) Start checking vital signs and tagging each patient c) Ignore them and start treating other patients. d) Use signs to give directions

d

You are treating a male patient with chest pain caused by the complete occlusion of one of the coronary arteries. What would you most likely expect with this patient?

his pain will not be alleviated with any of the above medications

You are on the scene of a home ventilator patient whose ventilator has experienced a mechanical failure. The patient is conscious and you have taken over the function of the ventilator with a bag-valve mask. As an EMT, you should verify the patient's comfort level for which of the following? a) ventilation rate b) ventilation volume c) ventilation pressure d) all of the above

d

You are on the scene of a possible overdose. You find a 30-year-old man pacing around his living room. There is evidence of illicit drug use and the apartment is in disarray. The patient seems agitated and nervous. Attempts at calming the patient should include which of the following? a) Speak quickly to give the patient all of the important information without delay. b) Sit close to him with your arm around his shoulders to show that you are truly concerned. c) Stand still with your arms crossed to instill a sense of control and authority d) Repeat part of what the patient is saying to show that you are listening to him.

d

You are on the scene where a 23-year-old female has attempted suicide by cutting her forearms with a razor. She is sitting in the front yard and has lost a large amount of blood. She is conscious and holding a small razor blade, and she tells you to get away from her. Which of the following should not be done? a) Use Standard Precautions b) Call law enforcement for assistance c) Keep bystanders away from the patient. d) Take the razor blade away from her by force

d

You are treating a 5-year-old for extensive burns. You know that burns pose a greater risk to infants and children. The reason for this is: a) the parents' interference with your assessment and treatment can delay your response b) child abuse is usually the reason for the burns. c) the child will likely be upset and crying and therefore hard to evaluate. d) their body surface area is greater in relation to their total body size.

d

You are treating a 54-year-old female patient who was involved in a domestic dispute; you notice an abrasion to the side of her head. The patient is unresponsive with a blood pressure of 200/110, a pulse of 60 beats per minute, and slightly irregular breathing. The patient's presentation is most likely caused by which of the following a) Coup-contrecoup injury b) Closed head injury c) Increased arterial pressure d) Increased intracranial pressure

d

You are treating a patient with paradoxical motion on the left side of the chest. He is breathing is shallow at a rate of 4 breaths per minute. You should: a) administer 15 lpm oxygen via mask b) roll the patient onto his left side c) tape the chest to restrict movement. d) begin positive pressure ventilation.

d

You are treating an unresponsive homeless patient found in an alley. During your assessment you notice the Battle sign, which is bruising a) on the back of the head. b) on the back of the neck. c) between the eyes d) behind the ear

d

You are unsure whether a patient's condition requires the administration of an epinephrine auto-injector. Which of the following actions is most appropriate? a) Administer the epinephrine, just in case. b) B. Ask a family member if this is the type of situation when the patient usually takes his auto-injector. c) Consult with a paramedic on your service for advice d) None of the above

d

You respond to a major automobile collision involving multiple patients. Which of the following patients would receive Priority 1 transport? a) 68-year-old with mild respiratory distress and seat belt burns b) 6-year-old with lower leg fracture and normal vital signs c) 45-year-old with no vital signs d) 25-year-old with abdominal bruising and signs of shock

d

You respond to an abdominal pain call. Your partner suspects that the patient is having an abdominal aortic aneurysm (AAA). What type of pain is the patient most likely experiencing? a) visceral b) parietal c) referred d) tearing

d

Your patient is a 37-year-old male sitting on the kitchen floor. His wife is attempting to talk with him, but he does not look at her or answer. He is fidgeting and has apparently thrown some dishes against the wall. What should be your first consideration? a) Ask the wife to step outside with you so you can get information from her. b) Ask the wife to step into the other room so you can speak with the patient alone c) Quickly check the patient's carotid pulse d) Stay a safe distance away.

d

Your patient is a 3-year-old girl who is unable to move her elbow after her mother picked her up by the forearm. Proper splinting of this injury would be to immobilize from the ________ to the ________. a) wrist; shoulder b) wrist; elbow c) fingertips; shoulder d) forearm; humerus

d

Your patient is a 30-year-old female involved in a motorcycle crash. She was not wearing a helmet and struck her head on the pavement. She is unresponsive and has a blood pressure of 152/110 mmHg. Her pulse is 60 beats per minute and respirations are 8 breaths per minute and shallow. Which of the following is an appropriate intervention? a) Hyperventilate at a rate of 24 breaths per minute using supplemental oxygen b) Log-roll the patient onto a short spine board c) Carefully rotate the patient's head to check for trauma. d) Provide cervical spine immobilization.

d

Your patient is a 35-year-old female with abdominal pain. Which of the following findings cannot be attributed to the patient experiencing pain? a) shallow respirations b) increased respiratory rate c) increased heart rate d) decreased level of consciousness

d

You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a middle-aged man who appears to be unconscious. A police car pulls in behind you. You should:

wait for the police officer to assess the safety of the scene.

You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would be most effective in clearing the airway?

using a large bore suction tubing without the tip or catheter attached

The abdominal quadrants include all of the following except the:

right medial

Perhaps the simplest way to determine if a patient has a patent airway is to

say hello

An EMT involved in an especially difficult call, such as one in which a coworker was killed, should be urged to:

seek help from a trained mental health professional

You are called for an alert patient with respiratory distress. As part of your primary assessment, you place the patient on oxygen via nasal cannula at 2 liters per minute. You continue with the rest of your assessment including taking a set of vital signs. During your reassessment, you notice that the patient's respiratory rate has increased to 24 times per minute and he is having increasing trouble breathing. You should:

switch your patient to a nonrebreather mask at 15 liters per minute.

Which of the following is the most reliable means of determining whether a patient has any immediately life-threatening conditions?

systematic approach to assessment

When the heart contracts and forces blood into the arteries, the pressure created is known as the:

systolic blood pressure

Damage to the electrical system of the heart can cause it to beat too fast, a condition called:

tachycardia

If an EMT is enlisted to help set up the IV administration set, the first step is to:

take out and inspect the fluid bag.

Which of the following is the most proper dose of inhaled medication the EMT can assist the patient with administering?

the number of sprays directed by medical control

In which of the following situations would the administration of aspirin to a cardiac patient be prohibited?

the patient has a gastrointestinal ulcer

The disruption of lung tissue by mechanical forces or medical problems can upset diffusion, which is defined as:

the process of gas exchange between the alveoli and the capillaries

The volume of air that is moved in and out of the chest in a normal breath cycle is called

tidal volume

What term describes a surgical incision in the neck that is held open by a metal or plastic tube through which a patient can breathe or be placed on a ventilator?

tracheostomy

Which of the following best describes inadequate breathing?

the minute volume is less than normal

The net result of respiratory challenges is low oxygen, also called ________, within the body.

hypoxia

Your 89-year-old male patient has called for help because he almost passed out after bringing in his garbage cans from the curb. The patient lives alone and says that he became panicked when he started feeling so lightheaded and dizzy. Patients in this age group often undergo all of the following changes to their health except:

increase in metabolism

Bronchodilator inhalers have several common side effects, which include

jitteriness and increased heart rate

If the weight being pulled is below the level of the EMT's waist, he should be in a(n) ________ position

kneeling

When lifting a patient, a basic principle is to:

know your lifting limits

An increase in the work of breathing is reported as

labored breathing

When pupils are dilated, they are:

larger than normal.

Which of the following is the result of a portion of the heart muscle dying due to a lack of oxygen?

myocardial infarction

You observe a coworker telling a terminal cancer patient and her family, "Everything will be okay." Making false reassurances is considered:

naive and uncompassionate

Urgent moves are required when:

life threats exist but there is time for precautions for spinal injuries.

Which of the following is not an indicator that a patient's nervous system has been impaired?

pale, sweaty, skin

The study of the effects of medications on the body in relation to patient-specific factors such as age and weight is called:

pharmacodynamics

You find a middle-aged unresponsive man lying prone on the ground near a ladder. You should:

manually immobilize his head.

Which of the following is the name given to the condition in which fluid accumulates in the lungs?

pulmonary edema

The movement of oxygen and carbon dioxide between the alveoli and circulating blood is called:

pulmonary respiration

You respond to the report of an unconscious female patient. You can acquire important medical information about the patient through which of the following?

medical identification device

You enter a room to find a 16-year-old female sitting upright in a chair with her back straight, leaning forward, and her arms supporting her. She is having a hard time talking to you. You should suspect:

respiratory distress

A patient whose mental status can be described as verbal is able to

respond to speaking or shouting by opening the eyes

Which of the following is a normal respiratory rate for an adult at rest?

12-20 breaths per min

In what position should the patient complaining of severe abdominal pain be placed if there are no signs or symptoms of shock? a) left lateral recumbent b) one of comfort c) supine with feet elevated d) Semi-Fowler with knees bent

b

When a poison attaches to the chemical structure of activated charcoal, which of the following best describes this mechanism of action? a) incorporation b) inactivation c) adsorption d) absorption

c

When arriving as the first unit at the location of a motor vehicle collision on an interstate highway, you should position the ambulance so that: a) it is at the bottom of the nearest on-ramp. b) you are nearest to the command post for easy communications with the incident commander c) the crash is blocked by traffic with your vehicle as a barrier. d) it is between the damaged vehicles.

c

When controlling the scene of an emergency involving damaged power poles and downed electrical wires, the EMT must remember to: a) use nonconductive implements to make a safe path to victims. b) render the scene safe before entering the danger zone c) request appropriate personnel to cut the power source d) use double-thickness gloves to insulate the body from electrocution

c

Which of the following is not indicated in the management of a patient in shock? a) Managing the patient's airway and preventing hypoxia b) Considering proper positioning of the patient c) Preventing loss of body heat by covering the patient with a blanket d) Engaging in high-speed ambulance transportation

d

________ is the response agency, established in Washington, DC, as a service of the Chemical Manufacturers Association that can provide either you or your dispatcher with information about the hazardous material and contact the shipper to provide you with information about the material. a) OSHA b) ERG c) EPA d) CHEMTREC

d

what is the most important thing you can do for a stable septic patient? a) Attempt to lower the patient's temperature b) Assess the patient using capnography. c) Open and maintain the patient's airway d) Notify the emergency department that the patient is septic.

d

Dangerous organisms that grow inside of living cells and reproduce are known as: a) biologics b) toxins c) bacteria d) viruses

d) viruses

The ambulance is called for an assaulted patient. While transporting the patient to the hospital, the EMT notes the patient's jugular veins are flat (nondistended). Which of these is most likely the cause of this finding?

Blood loss

The sympathetic nervous response causes which of the following to occur?

Breathing becomes faster and deeper, blood vessels constrict, heart beats stronger and faster, skin sweats, pupils dilate, and skin becomes pale

Which of the following best defines inadequate breathing?

Breathing that is insufficient to sustain life

Which of the following devices is best suited for maneuvering a patient through a narrow hallway?

Flexible stretcher

What is not the priority of an EMT at the scene of a hazardous materials incident?

Identification of hazardous materials

What is the first thing the EMT does during the primary assessment?

Forms a general impression

How does aspirin actually reduce the chances that a patient suffering a heart attack will die?

It reduces the ability of the blood to form clots.

In the assessment of a responsive medical patient, which of the following will provide you with the most important information?

Patient's medical history

What is the contraindication for the use of a scoop or orthopedic stretcher?

Spinal injury

Which of the following parts of the nervous system is responsible for the fight-or-flight response experienced in response to a stressor?

Sympathetic nervous system

Which of the following is not assessed during the breathing phase of the primary assessment?

The pulse oximetry reading

Which of the following is the process in which heat is lost from the body as wind passes over it? a) condensation b) convection c) hydrodynamic cooling d) exposure

Which of the following is the process in which heat is lost from the body as wind passes over it? a) condensation b) convection c) hydrodynamic cooling d) exposure

When should the EMT most likely expect to hear wheezes in a patient complaining of shortness of breath secondary to an asthma attack?

While breathing out

Which of the following is not an open tissue injury? a) contusion b) abrasion c) laceration d) avulsion

a

Chloe was born with a cardiac problem that she will have to manage the rest of her life. This disease is considered a) acquired b) congenital c) autoimmune d) genetic

b

Cold is sometimes used to help control bleeding. When using cold, the following guidelines and statements are true except: a) it should not be used alone but rather in conjunction with other manual techniques. b) it should be applied directly to the skin and will not be effective if anything is between the cold agent and the wound. c) it should not be left in place for more than 20 minutes. d) it will reduce pain.

b

Common signs and symptoms following an injury to a hollow abdominal organ include: a) absence of unilateral pulses. b) irritation and peritonitis c) . massive hemorrhage d) increasing intrathoracic pressures. Question 330 / 1 point

b

Concerning attempted suicide, which of the following statements is true? a) Attempted suicide is a matter for law enforcement, not EMS. b) All suicide attempts must be taken seriously c) There is always an indication that a suicide attempt is imminent. d) Truly suicidal patients nearly always leave a note.

b

Tests have shown that ________ ambulance operators tend to speed up by 10 to 15 miles per hour when the siren is sounding. a) privately employed b) inexperienced c) all d) experienced

b

Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal bleed a) Obtaining a thorough gynecological history b) Monitoring for hypovolemic shock c) Finding out if the patient is currently sexually active d) Preventing infection

b

Which of the following is the correct order of operations when transferring a stable patient from his or her house to the ambulance? a) Package the patient for transport, select the proper patient-carrying device, move the patient to the ambulance, and load the patient into the ambulance. b) Select the proper patient-carrying device, package the patient for transport, move the patient to the ambulance, and load the patient into the ambulance c) Select the proper patient-carrying device, move the patient to the ambulance, package the patient for transport, and load the patient into the ambulance. d) Package the patient for transport, move the patient to the ambulance, select the proper patient-carrying device, and load the patient into the ambulance.

b

Which of the following is the highest priority during extrication? a) Gaining access to the patient b) Ensuring your personal safety c) Controlling major bleeding d) Maintaining the patient's airway

b

Which of the following is within the EMT's scope of practice for the treatment of the diabetic patient? a) Assisting the patient with the administration of his insulin b) Administration of oral glucose c) Rectal administration of glucose d) Both A and B

b

Which of the following may cause a patient to exhibit abnormal behavior? a) Allergic reaction b) Hypoxia c) Gastroenteritis d) Gastroenteritis

b

Which of the following statements about the application of a tourniquet is incorrect? a) The tourniquet should be placed approximately 2 to 3 inches above the bleeding b) If possible, the tourniquet should be placed on a joint. c) Commercial tourniquets are preferable to improvised tourniquets d) The tourniquet should be at least 2 inches wide

b

Which of the following statements concerning behavioral emergencies is true? a) A person with a behavioral emergency is mentally ill. b) It may be difficult to determine what behavior is abnormal for a given person in a given situation. c) Emotional outbursts are considered behavioral emergencies. d) The person with a behavioral emergency requires prolonged institutionalization.

b

Which of the following statements concerning forcible restraint of patients is true? a) It causes irreparable emotional harm to most patients. b) This is normally considered to be within the jurisdiction of law enforcement. c) This is necessary only with mentally ill individuals. d) It is easily accomplished by two EMTs with a good plan.

b

Which of the following statements concerning people who have made prior suicide attempts is true? a) They are usually just making a cry for help but do not want to die b) They are at an increased risk for a subsequent successful suicide c) They should be allowed to sign a release if their injuries are not serious d) They do not require psychological counseling like a person who is depressed.

b

Which of the following statements regarding syrup of ipecac is not true? a) It can cause a patient to aspirate stomach contents into the lungs. b) It has an immediate action c) It removes only about one-third of stomach contents. d) It causes vomiting in all patients with a single dose

b

Which of the following structures connect bone ends and allow for a stable range of motion? a) periosteum b) ligaments c) cartilage d) tendons

b

Which of the following types of snake is not a pit viper? a) water moccasin b) coral snake c) rattlesnake d) copperhead

b

Which of the following would you expect to see in a patient with severe hypothermia? a) Tachycardia b) Irrational behavior c) Rapid respirations d) Loss of muscle tone

b

Which patient would most likely benefit from the administration of activated charcoal? a) 45-year-old patient suffering from insecticide poisoning b) 14-year-old female who overdoses on her grandfather's cardiac medication c) 8-year-boy who has a headache from carbon monoxide poisoning d) 18-year-old patient who is passed out from drinking too much beer

b

Which portions of the spine are the most vulnerable to injury? a) Thoracic and lumbar b) Cervical and lumbar c) Thoracic and sacra d) Cervical and sacra

b

By definition, a systemic poison causes harm to which of the following? a) Specific organ b) . Stomach and intestines c) Entire body d) Localized areas of tissue

c

If a patient is having a myocardial infarction not an allergic reaction and receives an epinephrine auto-injection, which of the following will most likely occur? a) no reaction if administered inadvertently b) bradycardia c) stronger and faster heartbeat d) relief of shortness of breath

c

Which of the following pieces of equipment is acceptable for use in the prehospital stabilization of suspected cervical spine injuries? a) soft cervical collars b) pair of pillows c) rigid cervical collas d) long spine board

c

Which of the following types of radiation emits the most powerful rays? a) delta b) beta c) gamma d) alpha

c

Which patient is the highest priority? a) Patient with a Revised Trauma Score of 12 b) Patient with a Glasgow Coma Scale of 15 c) Patient with a penetrating chest injury d) Patient with a broken femur

c

What is the purpose of a tracheostomy in an ill patient? a) To assist the patient with feedings b) To assist the patient with sleeping c) To assist the patient with waste removal d) To assist the patient with breathing

d

Which of the following best describes an EMS provider's "sixth sense"?

scene safety

The administration of oxygen and the application of spinal immobilization are part of which of the following for the EMT?

scope of practice

What is not a result of a mechanical malfunction of the heart?

dysrhythmia

Which of the following is not a cause of unequal pupils?

Fright

Posttraumatic stress disorder may be described as a(n):

delayed stress reaction.

What is another name for the shoulder blade?

Scapula

Which of the following is a personal trait an EMT should demonstrate?

Self-starter

When you give patients nitroglycerin, they sometimes develop a headache. This would be called a(n):

Side effect

What is the inferior-most portion of the sternum?

Xiphoid process

Which of the following bones is found in the chest? a) sternum b) ilium c) tarsals d) metacarpals

a

The transition from childhood to adulthood is known as which of the following?

adolescence

Obesity is defined as a body mass index greater than: a) 35 b) 30 c) 25 d) 40

b

Which of the following is a trade name for activated charcoal? a) actifed b) actidose c) charcoal d) mesquite

b

When suctioning the airway, you should try to limit suctioning to no longer than ________ seconds at a time.

10

How far apart should your hands be when using a power grip?

10 inches

The normal range for blood glucose is between 70 mg/dL and

100 mg/dL

The safe residual for an oxygen cylinder is ________ psi

200

Vital signs should be reassessed at least every ________ minutes for a stable patient.

15

You are transporting a 20-year-old soccer player who injured his ankle during a match. His injury appears to be isolated and he has no significant past medical history. How frequently should you perform a reassessment on this patient?

15 min

Your patient has a heart rate of 82, a respiratory rate of 16, and a blood pressure of 120/80 and does not appear to be in any distress. You should repeat vital sign measurements at least every:

15 min

What is not one of the basic parts of a bag-valve-mask system?

15/25 respiratory fitting

Which of the following respiratory rates should be cause for alarm in a 2-month-old child?

16 breaths per minute

Which of the following respiratory rates should be cause for alarm in a 2-month-old child?

16 breaths/min

When ventilating a child with inadequate respirations, which of the following is the maximum rate at which artificial respirations should be delivered?

20 per minute

During the primary assessment of an unresponsive two-month-old infant, which pulse should be palpated?

Brachial

When inserting an oropharyngeal airway, how many degrees do you need to rotate the airway so the tip is pointing down into the patient's pharynx?

180

Infancy is defined as the stage of life from birth to:

2 months

If capillary refill is assessed in a child patient, how long should it take the normal pink color to return to the nail bed?

2 seconds

A fall is considered severe anytime an adult patient has fallen more than ________ feet.

20

When ventilating a child with inadequate respirations, which of the following is the maximum rate at which artificial respirations should be delivered?

20 breaths per minute

A patient breathing in room air should be receiving ________ percent oxygen.

21

Which of the following is a potential side effect of nitroglycerin?

Decreased blood pressure

For which of the following patients would capillary refill be a reliable sign of circulatory status?

3-year-old child with a fever and cough

While caring for a 3-year-old child, you should be concerned if his respiratory rate exceeds ________ breaths per minute

30

While caring for a 3-year-old child, you should be concerned if his respiratory rate exceeds ________ breaths per minute.

30

When taking blood pressure manually, the cuff should be inflated to what point?

30 mmHg beyond the point where the pulse disappears

To be effective, a suction unit must be able to generate air flow of at least ________ liters per minute and create a vacuum of no less than ________ mmHg.

30, 300

The oxygen flow rate for a nasal cannula should not exceed ________ liters per minute.

6

Your patient is warm, dry, pink, and denies shortness of breath. Which of the following should the EMT expect to find when evaluating the patient's oxygen saturation?

98%

Which of the following best describes a contraindication to a medication?

A reason why you should not give a medication to a patient

Assuming your protocol allows the administration of nitroglycerin when certain conditions exist, what is the maximum number of tablets to be administered in the prehospital setting?

4

Middle adulthood is the stage of life from ________ to ________ years

41, 60

An approximate normal systolic blood pressure can be calculated for infants and children by using which of the following formulas?

90 plus 2 times the age in years

What is the percentage of oxygen provided by connecting a high flow of oxygen to the oxygen inlet found on a pocket mask?

50%

Which of the following may be a sign or symptom of a problem with the heart?

All of the above. fainting or near fainting. nausea, with or without vomiting. chest discomfort

The human body is made up of ________ percent water

60

What is a normal heart rate for a school age child?

65-120/minute

Where should the EMT assess for injury when caring for a patient who had a 10-foot fall and landed square on his feet?

All of the above. pts. femur, pts. ankles, pts. pelvis

How many pounds are most battery-powered hydraulic systems rated to safely lift?

700

Which of the following respiratory rates is considered an abnormal respiratory rate for an adult?

8 breaths/min

A nonrebreather mask at 12 to 15 liters per minute will generally provide the patient what percentage of oxygen?

80-90

Janie is having difficulty breathing. Her current tidal volume is 350 mL, and she is breathing at 28 times per minute. What would be her minute volume?

9,800 mL

An objective statement made in a prehospital patient care report meets all of the following criteria except which one? a) Biased b) Verifiable c) Observable d) Measurable

A

Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do next? a) Repeat the order back to the physician to make sure you understood correctly b) Prepare the medication and then call the hospital back to verify the order. c) Document the order in writing before carrying it out d) Administer the medication without delay

A

Which of the following agencies assigns and licenses radio frequencies? a) Federal Communications Commission b) United States Department of Transportation c) Transportation Security Administration d) Federal Trade Commission

A

Which of the following best describes the position you should take when dealing with a cooperative patient who is sitting in a chair? a) Sit or kneel at the same level as the patient. b) Sit on the floor at the patient's feet c) Stand behind the patient's chair. d) Stand next to the chair.

A

Which of the following is not appropriate for inclusion in the radio report to the receiving hospital? a) Major past illnesses of the patient b) Pertinent physical exam findings c) Pertinent past illnesses d) Name of the patient's health insurance provider

A

Which of the following is not appropriate to document on your patient care report? a) Patient's attitude b) Patient's race c) Patient's mental status d) All should be documented

A

You are transporting a city councilman to the hospital after he injured his shoulder playing basketball at his gym. His left shoulder is swollen, deformed, and bruised. There is pain and tingling when the patient attempts to use his hand. He has a pulse of 92 per minute, a respiratory rate of 20 per minute, and a blood pressure of 132/88 mmHg. Which of the following should not be included in the radio report? a) Notification that extra security is needed for a VIP b) The appearance of the shoulder c) Vital signs d) How the injury occurred

A

Which of the following patients does not require the administration of supplemental oxygen?

A 24-year-old woman who is breathing 28 times per minute after being in an argument with her husband

For which of the following patients is a focused physical examination appropriate?

A 25-year-old female with a history of asthma and who is complaining of difficulty breathing

Which of the following patients should not have their airway opened using a head-tilt, chin-lift maneuver?

A homeless person of undetermined age found lying unresponsive in an alley with no bystanders.

Why does a patient involved in an auto crash who has major internal abdominal bleeding require oxygen to maintain internal respiration?

A lack of circulating volume decreases the oxygen and carbon dioxide transport capability of the blood

Which of the following best describes the location of the midaxillary line?

A line from the center of the armpit extending vertically down the side of the chest

An EMT should consider wearing protective eyewear when caring for which of these patients?

A patient who is actively coughing

Which of these patients would require a tracheostomy mask for supplemental oxygen administration?

A patient with a stoma

Which of the following situations will not require additional resources at the scene?

A patient with emphysema who is on oxygen therapy at home

What is the main benefit of using a stair chair with a tracklike system over a traditional stair chair?

A stair chair with a tracklike system prevents the patient from having to be lifted down stairs.

Which of the following best describes the medical condition of shock?

A state of inadequate tissue perfusion

What is a patent airway?

A term used by EMS practitioners to indicate that the patient has a secured and opened airway necessary for life

Which of the following is an accurate statement regarding tuberculosis (TB)?

A tuberculin skin test can detect TB exposure.

You are on the scene at a local park where a 51-year-old male is reported to be confused and having difficulty walking. Your partner notes that the patient is wearing a bracelet indicating he is diabetic. Upon questioning, the patient is able to report that he has not eaten in 8 hours. Your knowledge of pathophysiology suggests that the patient may be suffering from a diabetic emergency. Glucose is a building block for what form of energy in the cell?

ATP

Which of the following is a physical trait necessary for performing the duties of an EMT?

Ability to speak clearly

To be compassionate and empathetic, to be accurate with interviews, and to inspire confidence are all examples of which of the personal traits of a quality EMT?

Able to listen to others

A(n) ________ set of vital signs is important for critical decision making for the EMT

Accurate

What is the type of metabolism that occurs when energy is created with a balance of adequate oxygen and nutrients?

Aerobic

You are on the scene of a 44-year-old female patient who has attempted suicide by taking all 30 pills of her antidepressant medication at once. You are ordered by medical control to administer activated charcoal. How will activated charcoal reduce the effects of the medication?

Activated charcoal will bind to the medication, reducing absorption

While assessing the past medical history of a 68-year-old male patient involved in a fall from a 4-foot stepladder, you use the acronym SAMPLE. What does the A refer to?

Acute

The body's three-stage response to a stressful stimulation is known as general ________ syndrome.

Adaptation

Patients in which age group tend to be very concerned with body image?

Adolescence

Which of the following patients is a high priority for transport?

Adult male with difficulty breathing

Today, patients with cystic fibrosis are surviving to:

Adulthood

What best describes the level of EMS training that emphasizes use of advanced airway devices and some prehospital medication administration?

Advanced EMT

Which of the following best describes a person who speaks up on behalf of the patient and supports his cause?

Advocate

A patient who has shallow, slow, irregular, gasping breaths is said to have ________ respirations

Agonal

A patient who has shallow, slow, irregular, gasping breaths is said to have ________ respirations.

Agonal

Which of the following may be seen just prior to respiratory arrest?

Agonal respirations

Which of the following statements best describes the exchange of gas in the alveoli?

Air moves into the alveoli, blood is transported by the pulmonary capillaries, and diffusion occurs

An EMT is confronted by an armed gunman who is threatening to kill the EMT and his partner. An elevation in the EMT's heart rate and blood pressure occurs in which stage of the body's response to stress?

Alarm Reaction Stage

Albuterol and epinephrine both have bronchodilation properties that improve the amount of oxygen that a person can inhale and absorb. However, albuterol is administered only for asthma, whereas epinephrine is administered for both asthma and anaphylaxis. Why is epinephrine, and not Albuterol, the first choice for anaphylaxis?

Albuterol is not a vasoconstrictor

Who is responsible for on-scene safety of EMS providers?

All crew members

Which of the following signs of inadequate breathing is more prominent in children than in adults?

All of the above

Which of the following signs of inadequate breathing is more prominent in children than in adults?

All of the above nasal flaring. seesawing of the chest and abdomen. grunting respirations

Which of the following indicates a possible circulatory problem?

All of the above weak, thready pulse that is normal in rate. slow pulse. rapid pulse

You have been called to a private residence where a 16-year-old female patient is reported by her parents to be "acting strangely" and possibly "on something." Upon your arrival, the patient is locked in her bedroom refusing to open the door. The patient refuses to speak to you and will only come out if her best friend is present. Your knowledge of life-span development indicates that the following characteristics are common with a patient of this age.

All of the above Self-destructive behaviors such as tobacco, alcohol, and drug use. Depression and suicide. Preoccupation with body image

On which of the following types of calls should you bring your portable suction unit to the patient's side upon arrival on the scene?

All of the above motor vehicle collision. seizure. cardiac arrest

Which of the following techniques is used when formulating the general impression?

All of the above. Detecting odors, looking for visual clues, listening for unusual sounds.

Which of the following may be a hazard at the scene of a vehicle collision?

All of the above. Electrocution. Hazardous materials. Other emergency vehicles

Where might you find a patient's medical alert identification jewelry?

All of the above. bracelet, ankle bracelet, necklace.

Which of the following situations best illustrates the act of abandonment by the EMT?

An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff.

When should the EMT evaluate the need for Standard Precautions?

An evaluation should be made throughout the call.

Which of the following describes the midline of the body?

An imaginary line dividing the body into equal right and left halves

Which of the following descriptions best defines the term pathogen?

An organism that causes infection and disease

In which of the following patients should you check for the possibility of spinal injury?

An unresponsive diabetic who appears to have fallen down

Which of the following is true concerning the potential for violence at the scene of an EMS call?

An unusual lack of activity at the scene may signal impending violence against the EMT

What is the distinction between anatomy and physiology?

Anatomy is the study of body structure, and physiology is the study of body function.

A decreased number of red blood cells is a condition called

Anemia

When responding to the scene of a patient who was discovered to be unresponsive, not breathing, and without a pulse, family members state that the patient has been suffering from cancer for several years. One of his sons is cursing at you and your partner, saying that you are not moving fast enough. Which stage of grief is the patient's son experiencing in response to his father's death?

Anger

At which of the following locations could you palpate a malleolus?

Ankle

Your 4-month-old patient is reported to be irritable and lethargic after feeding poorly for two days. One method for assessing the patient's level of hydration is to look at one of the soft spots on the surface of the skull. This soft spot is known as the:

Anterior fontanelle

Mrs. Butler is a 66-year-old woman who is complaining of chest pain. Which of the following questions would be best in helping you determine if the pain is radiating?

Are you having pain anywhere beside your chest?

When you begin interviewing your patient, he tells you that he has not felt well for several months, ever since he had his gallbladder removed. He goes on to tell you that he cannot get his wife to schedule a doctor's appointment for him and when she remembers to call, the office is always closed. Which of the following is the best way to proceed?

Ask him why he decided to call 911 today

Your patient is a 72-year-old female who has "twisted her ankle" coming down some steps. She is alert and complaining of pain in her right ankle, but she jokes about her "clumsiness." Which of the following should you do next?

Ask if the patient has pain anywhere beside her ankle

Your patient is a 22-year-old college student complaining of abdominal pain. She is alert and oriented, although somewhat uncomfortable. Which of the following should be your first action?

Ask the patient to describe the pain and find out if she has other complaints

When using the memory aid SAMPLE, which of the following would you do to determine L?

Ask, "When was the last time you had anything to eat or drink?"

Your elderly patient reports having stomach cramps for several hours. He denies any trauma and he hasn't eaten for several hours. Which of the following is most important to your assessment of this patient?

Asking him if he is able to walk

Which of the following is the commonly accepted list of medications an EMT can assist the patient in taking or administer under the direction of the Medical Director?

Aspirin, oral glucose, oxygen, prescribed bronchodilator inhalers, nitroglycerin, epinephrine auto-injectors, and naloxone

Which of the following terms describes the heart muscle's ability to generate its own electrical impulses?

Automatically

In which of the following circumstances is a fully documented prehospital care report not necessary? a) A patient says that someone else called EMS and he does not want any assistance b) Multiple patients come from an office building evacuation c) A patient is treated but not transported. d) A fully documented patient care report is required for all of the above.

B

The QI manager calls your partner into his office after your shift. The QI managers pulls out your partner's EMS report on a call he ran last month on a 45-year-old driver of a single-vehicle motor vehicle collision. There were several empty beer cans in the patient's vehicle, and your partner detected an odor of alcoholic beverages on the patient's breath. The QI manager, however, critiques your partner about calling the patient an alcoholic and giving opinions in the report. He tells your partner to never write opinions in the EMS report. Your partner is confused because he is sure the patient was drunk, and he was actually arrested for suspicion of driving while intoxicated. Your partner believes his assessment is supported by facts and not just his opinion. How can you help your partner understand the QI manager's concerns? a) The QI manager is afraid the patient will sue the EMS service for libel. b) Documenting that the patient is an alcoholic is an unverifiable opinion of the patient that is not supported by available facts and could negatively influence other medical providers c) Calling the patient an alcoholic is not polite, even if it is true. d) The patient is assumed to be innocent until proven guilty. He is not an alcoholic until he is convicted of drinking and driving by a court of law

B

The portion of the patient care report in which the EMT writes his description of the patient's presentation, assessment findings, treatment, and transport information is called the: a) text. b) narrative. c) deposition. d) data set.

B

Two EMTs are on the scene of a behavioral call at a psychiatric facility. The medical personnel state that the patient had a psychotic episode and slashed his wrists. During the call, the patient claims to hear the voice of God and says that the voice is hurting his ears. The patient refuses to be transported to the emergency department, becomes combative, and bites one of the EMTs. Which of the following should not be documented on the EMS report? a) The fact that the patient hears voices b) The fact that the EMT had an exposure incident c) The fact that the patient was violent and bit the EMT d) The fact that the patient slashed his wrists

B

If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, which of the following is the best decision?

Begin resuscitative measures

Your patient is a 24-year-old woman with asthma who is struggling to breathe and is very agitated. She has cyanosis of her lips and nail beds, and is cool and clammy to the touch. When you attempt to assist her ventilations with a bag-valve mask device, she becomes combative and repeatedly pushes the mask away from her face. Which of the following is the best option?

Begin transport immediately and contact medical control for advice

Your 76-year-old female patient is having trouble breathing. When you auscultate her lungs, you hear crackles (rales), and you are concerned that she may have pulmonary edema. Her oxygen saturation is 92%, so you place her on 100% oxygen via a nonrebreather mask. Her breathing gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do next?

Begin ventilating her with a bag-valve mask.

Which of the following behaviors would demonstrate that an EMT understands reactions to death and dying?

Being tolerant of angry reactions by patients and family members

Which of the following is not an appropriate statement for the EMT to make on a patient care report? a) The patient has a history of asthma. b) The patient had wheezes that were audible without using a stethoscope c) The patient was having an asthma attack d) The patient complains of difficulty breathing

C

Which of the following is a physiologic effect of the stress triad as described by the physician Hans Selye?

Bleeding gastric ulcers

What color is the patient's skin if it is described as being cyanotic?

Blue-grey

Slight movement of the chest during respiration is usually indicative of which of the following?

Bradycardiac

Which of the following are the components of the complete nervous system?

Brain, spinal cord, and nerve tissue

Which of the following is a component of patient advocacy?

Building rapport with the patient during transport to the hospital

Which of the following will deliver a medium velocity impact?

Bullet from a handgun

During your radio report to the hospital, which of the following pieces of information should not be relayed? a) Patient's mental status b) Baseline vital signs c) Patient's name d) Patient's age

C

The Health Insurance Portability and Accountability Act (HIPAA) requires ambulance services to do all of the following except: a) safeguard patient confidentiality. b) place patient care reports in a locked box. c) report child abuse. d) All of the above are required by HIPAA.

C

When you arrive at the receiving facility, the nurse asks your partner for a verbal report of the patient's condition. This is in addition to the radio report your partner gave to the hospital en route. Afterwards, you ask your partner why you must give a second verbal report and a written report to the receiving nurse. What is the best reason to provide both reports? a) The patient's condition may have changed since the first radio report. b) The nurse may not have heard the first radio report. c) The nurse may have to perform critical interventions on the patient before you complete your written report d) The nurse may be too busy to read the written report

C

Which of the following best describes a mobile radio? a) A two-way radio that can be carried on a belt clip b) A two-way radio at a fixed site c) A two-way radio that is mounted in a vehicle d) A device that receives and amplifies signals that must be sent over a long distance

C

Which of the following is not a reason for routine review of prehospital care reports in a quality improvement program? a) Reveal excellent patient care b) Review poor patient care. c) Satisfy requirements of the shift supervisor. d) Assess conformity to patient care standards

C

You have responded to a call at a government office building. One of the office workers became very upset during a fire drill and experienced an episode of difficulty breathing. As your partner is speaking with the patient, who is not sure she wants to be transported, an individual wearing civilian clothes approaches you and states she is a security guard in the building. She asks you for the "yellow copy" of your prehospital care report. Which of the following should you do? a) Provide the documentation if the individual shows proper identification. b) Get permission from medical control c) State that you are unable to comply with the request due to patient confidentiality. d) Ask the patient if it is alright with her if you provide the individual with a copy of the prehospital care report

C

Mr. Hughes is a 49-year-old man complaining of chest pain. To find out about the quality of his chest pain, which of the following questions is most appropriate?

Can you describe how the pain in your chest feels?

A(n) ________ device works by blowing oxygen or air continuously at a noninvasive pressure to prevent a patient's alveoli from collapsing

CPAP

A(n) ________ device works by blowing oxygen or air continuously at a noninvasive pressure to prevent a patient's alveoli from collapsing.

CPAP

Which of the following is not part of the upper extremities?

Calcaneus

You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do which of the following?

Call for additional manpower to move the patient

Your patient is a 10-year-old boy who suffered a possible fractured arm while rollerblading at a friend's house. Which of the following is the best way to obtain consent for treatment?

Call the patients mother at work

You are on the scene of a 5-year-old patient who is in respiratory distress. The mother states that the patient has been making a "seal bark"-sounding cough for the past 24 hours. The child is very scared. The patient has stable vital signs. He is leaning forward in the tripod position and is drooling profusely. After performing your primary assessment, what is your best treatment option?

Calm the child as much as possible and provide high-concentration oxygen.

What type of blood vessels surround the alveoli?

Capillaries

Which of the following types of blood vessels allow the exchange of substances directly between the blood and the cells of the body?

Capillaries

A 19-year-old male is reported to have taken too many narcotic pain pills that were prescribed for his recent knee surgery. He is extremely sleepy with very shallow breathing. His color is pale and his SpO2 reading is 84 percent. His body is probably attempting to compensate for his poor level of ventilatory effort by stimulating the respiratory system to increase rate and tidal volume. Normally, respiratory drive is triggered by changing levels of:

Carbon dioxide

The normal urge to breathe is stimulated by chemoreceptors that measure changing levels of what two gases?

Carbon dioxide and oxygen

Our blood transports oxygen from the lungs to the cells and returns with what byproduct of metabolism?

Carbone dioxide

Which of the following is a general term used to refer to a problem with the heart?

Cardiac compromise

The trachea branches at the ________ and forms two mainstem bronchi.

Carina

What are the small bones that make up the wrist called?

Carpals

Which of the following is not part of the lower extremity?

Carpals

Your unit has arrived on the scene of a multiple vehicle collision where several vehicles have rear-ended each other. You are directed by the incident commander to care for a 23-year-old female in the first vehicle. The firefighter on-scene holding manual spinal immobilization indicates that her primary complaint is back pain from her head whipping back and forth from the impact. Your understanding of the anatomy of the spinal column and vertebrae suggests that this type of mechanism of injury results in frequent injuries to which part of the spinal column?

Cervical spine

You are treating a 15-year-old boy who apparently broke his right arm when he fell while skateboarding with his friends. You have completed your primary and secondary assessment including splinting his arm, but you found no other injuries or problems. Which of the following is the most important step to do during the reassessment?

Check distal circulation on his right arm

Your patient is a 15-year-old female complaining of shortness of breath. Which of the following is not appropriate during the focused exam?

Checking her pupils for reactivity to light

Which of the following is the primary function of the stomach?

Chemical breakdown of food by acidic secretions

Your patient is an 86-year-old male with congestive heart failure. He called for help tonight because he cannot breathe and feels like he is "drowning in his own lungs." The patient has had several heart attacks in the past and he tells you his "heart is shot." What is not a likely reason the patient's cardiac output is diminished?

Chemoreceptors are signaling that he has high levels of carbon dioxide in his bloodstream

Nitroglycerin is indicated for which of the following chief complaints?

Chest pain

Which of the following is not determined in a scene size-up?

Chief complaint

In which of the following situations should the EMT consult the Emergency Response Guidebook?

Chlorine gas leak at a public swimming pool

Which of the following is the primary cause of COPD?

Cigarette smoke

You are on the scene in the bad part of town for an unresponsive 18-year-old type 1 diabetic patient. His mother states that he is very noncompliant with his diabetes management and often goes unresponsive due to low blood sugar. After performing the primary assessment, you believe that this is the most likely cause of his unresponsiveness. However, after taking a capillary glucose reading you are surprised to see that the patient's sugar level is normal. How will you now determine the field diagnosis?

Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment.

To determine blood pressure by auscultation, the EMT should position the cuff over the upper arm and place the stethoscope over the brachial artery. Next, she should inflate the cuff, then slowly deflate the cuff, listening for clicks or tapping sounds while remembering the number at the first sound. What is the next step in taking a blood pressure?

Continue releasing pressure until the clicks or tapping stop, and record both numbers

You are alone in the back of the ambulance where you are ventilating an apneic patient. Which of the following is the best way to manage the reassessment?

Continue ventilating the patient during transport and skip the reassessment

Which of the following best describes training that supplements the EMT's original training and that is usually taken in regular intervals?

Continuing education

Which of the following is a personality trait required of EMTs?

Control of personal habits

Your patient is a 23-year-old male with a stab wound to the abdomen. You have bandaged the wound and are transporting the patient to a trauma center. During your reassessment, you note that the bandage has become soaked with blood. What should your priority be with this patient?

Control the bleeding.

In medical terms, bruises are known as which of the following?

Contusion

You are caring for a 47-year-old male patient with classical chest pain suggestive of a myocardial infarction. Based on your understanding of the cardiovascular system, you know he could be suffering from damage, narrowing, or blockage of what arteries?

Coronary arteries

The cardiac muscle receives its supply of oxygenated blood by which of the following mechanisms?

Coronary arteries that branch off the aorta

What condition of immediate concern results from a loss of red blood cells due to hemorrhage?

Decreased oxygen delivery to the tissues

What are the signs of hypoxia?

Cyanosis (blue or gray skin) and deterioration of the patient's mental status

Which of the following describes the importance of effective communication of patient information in the verbal report? a) Additional information that was not given in the radio report can be provided b) Changes in the patient's condition can be communicated. c) Patient treatment can be based on this information d) All of the above

D

Which of the following does not need to be documented regarding a patient refusal of treatment? a) Patient's mental status b) That you informed the patient of the consequences of refusing care c) That you advised the patient to call back if he changed his mind d) Any insulting remarks the patient made to you

D

Which of the following is part of the minimum data set developed by the National Highway Traffic Safety Administration (NHTSA) for purposes of data collection in conducting research? a) Patient's insurance coverage b) Amount charged for ambulance services c) Patient's name d) Time of arrival at the patient's location

D

Which of the following should not be included in a patient care report?

D

Why is it important that your radio report to the receiving facility be concise? a) You want to appear professional. b) You do not want to bore the nurse receiving your report. c) You want to make sure the doctor approves your medical order request d) The emergency department needs to know quickly and accurately the patient's condition

D

Recording and documenting your patient's first set of vital signs is very important because, when combined with reassessments, it allows you to do which of the following?

Discover trends and changes in the patient's condition

You are dispatched to a "man down" with no further information. As your unit arrives on-scene, you see a crowd of bystanders looking at a man lying in an alleyway. The bystanders begin screaming to you, "Help him, he's been shot! He's bleeding real bad!" What would be the best course of action?

Dispatch law enforcement and wait until the scene is secure.

The wrist is ________ to the elbow.

Distal

The term burnout is also known as a(n) ________ stress reaction

Cumulative

Which hormone helps the body control stress, regulate metabolism, and influence an immune response?

Cortisol

Which of the following best describes the proper placement of the blood pressure cuff?

Covering two-thirds of the upper arm

The two major portions of the skull are the:

Cranium and face

What is the feeling of bone ends rubbing together called?

Crepitation

You are performing a rapid trauma assessment on an unresponsive 30-year-old male. As you evaluate his head, which of the following should you check for?

Crepitation

Because EMS personnel are often exposed to both acute and chronic stressors, ________ management may be helpful to cope with on-the-job experiences.

Critical incident stress

The process by which an EMT forms a field diagnosis is known as:

Critical thinking

You are on a call of a minor vehicle accident. Your patient is a 22-year-old male who was the driver of a moderate T-bone collision. The patient was not wearing a seat belt, and there was spidering of the windshield. The patient complains of neck pain and has a scalp laceration. After performing the primary assessment, you take vital signs and bandage the patient's scalp. When you tell him you need to backboard him, he refuses care and ambulance transport. Because the person is alert and oriented to time, place, and person, you have the patient sign the separate patient refusal form provided by your service. How should you document this incident in your EMS report? a) You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal. Anything extra is unnecessary and wastes time. b) No report is needed because the patient refused transport and signed the refusal. c) You should only document what treatment you performed before the patient refused treatment. d) You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal.

D

You are responding to a nursing home for an 85-year-old patient complaining of difficulty breathing. How would you initiate contact with this patient? a) Pick up the patient's wrist and begin taking her pulse. b) Stand near the head of the bed and shout to make sure the patient can hear you. c) Sit on the foot of the bed and ask the patient what's up. d) Place yourself at eye level, identify yourself, and ask the patient for her name.

D

You are treating a patient with a possible fractured ankle. The patient appears to be in a lot of pain and is uneasy. As you are getting ready to splint the patient's leg, he asks you if it is going to hurt. Which of the following is the best response? a) "Relax, this is not a painful procedure." b) "If you're stressed out like this, it's going to hurt a lot more." c) "It doesn't matter, we have to do it anyway." d) "I will do my best, but it may hurt while we put the splint on."

D

You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do? a) Carry out the order but document that you disagreed with it b) Contact your supervisor for advice c) Call a different hospital for orders d) Politely question the physician.

D

You have received the following order from medical control: "Administer one tablet of nitroglycerin under the patient's tongue." Which of the following is the best response? a) "Clear. Will advise of any changes in patient's condition." b) "Copy. Administering medication now." c) "Roger, order received." d) "Order received. One nitroglycerin tablet under the patient's tongue."

D

A 16-year-old patient presents with labored breathing and increased respiratory rate, increased heart rate, and leaning forward with his hands on his knees. His skin is a normal color and his pulse oximetry is 96. This patient is suffering from respiratory:

Distress

Which of the following is the form of stress that can cause immediate and long-term problems with an EMT's health and well-being?

Distress

A family member who keeps pleading with a deceased loved one to "wake up" is experiencing which reaction to death and dying?

Denial

You are dispatched for a patient with chest pain. Your patient tells you that she has had shortness of breath and chest pain for about 20 minutes. Which of the following questions will give you the best information regarding your patient's chest pain symptoms?

Describe how the pain feels

What is the first step in administering a prescribed aerosol medication?

Determine that the inhaler actually belongs to the patient.

A description of a patient's condition that assists a clinician in further evaluation and treatment is known as which of the following?

Diagnosis

Which of the following does not occur during inspiration?

Diaphragm relaxes

What is the pressure remaining in the arteries after the pulse wave has passed through?

Diastolic blood pressure

A list of potential diagnoses compiled early in the patient's assessment is known as which of the following?

Differential diagnosis

Nausea, vomiting, and diarrhea are common ________ disorders

Digestive

What is the primary effect on the body when an EMT assists a patient with a prescribed inhaler if the patient is short of breath?

Dilation of the air passages

Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher?

Direct ground lift

The pulse palpated on the top of the foot is called the ________ pulse

Dorsalis pedis

For a patient without a possibility of spinal injury, which of the following carries should be used to move him from a bed to a stretcher?

Draw-sheet method

Which of the following oxygen cylinders would normally run out after 50 minutes when flowing at 10 liters per minute? Assume a pressure of 2,000 psi displayed on the pressure gauge.

E cylinder

During the new employee orientation, the training officer meets with the new EMTs and explains to them the monthly training schedule and the classes they must attend for EMT recertification. One of the new EMTs asks the training officer why they have to keep taking EMT courses if they already passed the EMT examination. What is the best answer?

EMS is constantly evolving in response to evidence-based research.

What stimulates a mechanical contraction of the cells of the heart, creating a mechanical squeeze used to push blood?

Electrical energy

What substances, when dissolved, separate into charged particles?

Electrolytes

What best describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems?

Emergency Medical Responder

What is the minimum level of certification required of ambulance personnel responsible for direct patient care?

Emergency Medical Technician

What reference provides important information regarding hazardous materials, emergency care, and procedures in case of accidental fire or release; supplies definitions of placard colors and identification numbers; and should be standard issue on board all ambulances and rescue units?

Emergency Response Guidebook

Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance?

Emergency department

What type of move should the EMT use to move a patient who is in a car that has started to burn?

Emergency move

You have responded to a multiple casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus, and several are piled on top of each other. What type of move would you perform to gain access to the most critically injured patients?

Emergency move

Which of the following can cause respiratory depression?

End-stage COPD changes the stimulus to breathe from high carbon dioxide levels to low oxygen levels, causing breathing to become depressed when oxygen is administered

Which of the following body systems primarily produces hormones?

Endocrine

The cellular structure that is responsible for synthesizing proteins is the:

Endoplasmic reticulum

Which of the following best describes a communication system capable of identifying the number and location of the phone from which a caller is calling?

Enhanced 911

You are approaching the scene of a motor vehicle crash. Which of the following would be the first way to safeguard your well-being as an EMT?

Ensure scene safety

Which layer of the skin is exposed to the environment?

Epidermis

Which of the following structures closes over the trachea to protect it during swallowing?

Epiglottis

Your patient is a 6-year-old male who appears very anxious, is using increased effort during expiration, and has a fever. He is wheezing and has a respiratory rate of 34. The patient's skin is very warm and dry. He does not have any cyanosis. The child is drooling and his mother states that he complained of a sore throat and pain on swallowing earlier in the afternoon. Which of the following conditions is most likely causing the patient's distress?

Epiglottis

You are on the scene of a 3-year-old patient who is in respiratory distress. The mother states that the patient has been making a harsh, high-pitched, barking cough for the past 24 hours. The child is very scared and upset. He is crying inconsolably. The patient has tachypnea, but his vital signs are normal otherwise. He is leaning forward in the tripod position and is drooling profusely. What condition do you suspect?

Epiglottitis

Which of the following structures allows food to move from the mouth to the stomach?

Esophagus

You respond to a bus accident with multiple patients. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT?

Ethical

Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively?

Eustress

How often should a patient's vital signs be reassessed during transport to the hospital after the pulse has been restored with CPR and the use of an AED?

Every 5 min

You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall?

Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her

Which of the following should you use when you want to move a patient from a wheelchair to a stretcher?

Extremity lift

Which of the following structures or tissues is not part of the musculoskeletal system?

Fat

What mode of transmission most accurately describes the route of spreading hepatitis A?

Fecal-oral

Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end?

General impression, mental status, airway, breathing, circulation, patient priority

Which of the following colors identifies an oxygen cylinder?

Green

Which of the following has specific requirements for storing, accessing, and sharing patient information?

HIPPA

Which of the following is proper when assisting a patient with the use of a prescribed inhaler?

Have the patient hold the inhaled medication in his lungs as long as possible

Which of the following is proper when assisting a patient with the use of a prescribed inhaler?

Have the patient hold the inhaled medication in his lungs as long as possible.

Which of the following methods should be used to have a patient rate the amount of pain he is having?

Have the patient rate the pain on a scale of 0 (no pain) to 10 (worst pain).

When assessing a patient's pertinent past history, you should ask which of the following questions?

Have you been having any medical problems?

Your patient is a 16-year-old female who is reporting abdominal pain and nausea. She says it came on when she woke up this morning. Her mother says that her daughter has been tired and cranky lately and has not been eating well for a couple of weeks. In fact, every time you ask a question, the patient's mother answers. What should you do next?

Have your partner interview the mother in the next room

You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You and your partner are the first to arrive and note two middle-aged men and a woman on the front lawn with burns and cuts on their faces and arms. The fire department is en route. Which of the following resources would be the least important to request during the scene size-up?

Hazardous material clean-up crew

Which of the following is not true regarding a patient who has a mental status of less than alert?

He is in a state of rapid eye movement sleep

You are first on the scene of a vehicle collision where a vehicle has gone off a bridge and is partially submerged. You are told that a person is still trapped in the vehicle. Your partner starts to take off his shoes and prepares to go in to save the victim. You stop your partner and tell him it is too dangerous. He tells you he is prepared to die to save a life. What is the best response to him?

He is not only putting his life at risk, but also placing the lives of the professional rescuers unnecessarily at risk.

You are called to a kindergarten class where a boy has fallen while climbing on playground equipment. The teacher saw him fall and hit his stomach on a step. He is sobbing and holding his abdomen. As you assess him, you find his skin cool and moist to the touch, his pulse is 132, and his respiratory rate is 28. Why is the boy acting this way?

He possibly has internal injuries and is in shock.

Which of the following would be a normal set of vitals for a 4-year-old male patient?

Heart rate 110/minute, respiratory rate 24/minute, and systolic blood pressure of 98 mmHg

Due to the high risk of an unstable work environment, EMTs responding to a motor vehicle crash may consider using ________ in addition to standard PPE. Question options:

Heavy duty gloves

A 12-year-old female patient is having an asthma attack after participating in some strenuous activity during recess at school. She's taken several doses of her own bronchodilator with little relief. Your partner immediately administers oxygen. Providing supplemental oxygen will increase the amount of oxygen molecules carried by the ________ in her blood, helping oxygenate critical organs like the brain.

Hemoglobin

Which of the following pathogens can live in dried blood for days and should be a major concern for EMS providers even while cleaning contaminated equipment?

Hepatitis B

In the normal drive to breathe, chemoreceptors are stimulated by

High carbon dioxide

When a patient describes how he feels, he is telling you which of the following?

His symptoms

Your patient is a 22-year-old female who accidentally ate some shellfish and is now having a severe reaction. She tells you that the last time she ate shellfish, "They had to put a breathing tube in my throat and I almost died." Her face is starting to swell up and you can hear audible wheezing when she breathes. The chemical that produces edema and narrowing of the airways during hypersensitivity reactions like this is called:

Histamine

What has the modern emergency medical services (EMS) system been developed to provide?

Hospital-quality care at the emergency scene and during transport

What is not one the common settings that an EMT may work in?

Hospitals

You are assessing a patient who has been involved in a motor vehicle crash. Which of the following questions would be the most important to ask him?

How fast was the vehicle going?

Which of the following information may be important to law enforcement officers investigating a crime scene?

How you gained access to the scene

Which of the following instructions should you give to a patient whom you are about to assist with administering epinephrine?

I am going to inject medication into your thigh

What is the long bone of the upper portion of the arm?

Humerus

When a person has an exaggerated response to a body invader, the person is said to have

Hypersensitivity

You are called to a 72-year-old patient with weakness and headache and an initial blood pressure of 140/92. Her repeat blood pressure at 5 minutes is unchanged. Her condition is called

Hypertension

For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called:

Hypoxia

Which of the following is true regarding proper hand cleaning? Question options:

If the EMT's hands are visibly dirty, an alcohol-based hand cleaner is not sufficient

What is the large, wing-shaped bone on either side of the pelvis?

Ilium

Which one of these groups is at greatest risk of contracting and transmitting tuberculosis?

Immunosuppressed patients

Your patient is a 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this patient?

Implied consent

In which of the following locations is the femoral pulse palpated?

In the crease between the abdomen and the groin

Failure of the liver would result in which of the following?

Inability to detoxify harmful substances in the bloodstream

What signs and symptoms would indicate inadequate breathing in a patient?

Increased effort to breathe, cyanosis, clammy skin, altered mental status

You should have a keen awareness that there may be injuries based on your scene size-up. This is known as which of the following?

Index of suspicion

The symptoms or circumstances for which a medication is given are called:

Indications

You and your EMT partner are assigned to spend a day at the senior center where you are to inspect the rooms and common areas for fall hazards. Your partner is upset that he is not in the ambulance where the "action is." He complains that "looking for loose rugs" is a waste of his time. What would be the best response to his complaints?

Injury prevention in the community is an important component of EMS

Before applying a nonrebreather mask, the EMT should take what action?

Inflate the reservoir bag and make sure the bag does not deflate during inspiration

Which of the following respiratory processes requires the active use of muscles?

Inhalation

Venturi masks are designed to mix oxygen with:

Inhaled air

Which of the following is another term for trauma?

Injury

A(n) ________ is a situation that may lead to an acute stress reaction.

Injury of a coworker

Which of the following is the correct method of suctioning?

Insert the catheter or tip to the desired depth prior to applying suction

Water that is found in the space between cells and blood vessels is called:

Interstitial

A drug's form refers to which of the following?

Its physical state, such as powder, liquid, or gas

Your patient is in late stages of liver failure and has requested to be transported to the emergency department. You notice his skin is warm and dry with a yellow color. Your radio report to the hospital should state your patient is:

Jaundiced

Which organ is the principal organ of the renal system?

Kidney

Injuries to the brain and spinal cord, sepsis, and systemic allergic reactions can cause what similar cardiovascular problem?

Loss of tone

Plasma oncotic pressure is created by the movement of which of the following?

Large proteins

What does distention refer to when describing your patient's abdomen?

Larger than normal

What is the stage of development where there are several physiological and psychosocial changes, second only to those seen in infancy or adolescence?

Late adulthood

Which of the following stages is commonly referred to as "the twilight years"?

Late adulthood

Which law of physics explains why a patient's liver can be injured from the impact of his car with a tree?

Law of inertia

What should you not do when using a stair chair?

Lean forward from the waist.

You are on the scene of an "unknown medical" call. The patient is a 26-year-old, 250-pound male patient who suddenly becomes violently angry. Everything you say to the patient only makes him angrier. Offended by your questions, he screams that he is going to "cut your tongue out" and hurries into the kitchen. What should you do?

Leave immediately to a safe area and then call for police assistance

You are dispatched to a female with altered mental status. Once inside the home, you find a female who appears to have been beaten unconscious. A man, who smells of alcohol, says that she is his wife and that he does not know what happened: "I just found her this way!" The husband is behaving suspiciously, appears paranoid, and is pacing erratically around the room. What would be the safest course of action?

Leave the house and call for law enforcement.

As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty breathing, her husband enters the home through a back door and shouts, "Get your hands off her; she doesn't need your help. She needs to be taught a lesson about her smart mouth." Which of the following is the best course of action?

Leave the scene and the patient, and then notify police

When discussing left and right in terms of anatomic locations, what do they refer to?

Left and right from the patient's perspective.

What is the strongest and most muscular part of the heart?

Left ventricle

Your patient is an 84-year-old male with difficulty breathing and peripheral edema. He tells you he has been suffering for many years with "heart failure," and his condition is worsening, especially with trouble breathing at night. Your knowledge of cardiovascular physiology suggests that his condition could have resulted from the failure of either the right or left side of his heart. Which chamber of the heart is the strongest, most muscular part of the heart and is primarily responsible for pumping oxygenated blood to the rest of the body?

Left ventricle

While documenting a call, you add a false statement that was made about a local doctor. This could constitute which of the following?

Libel

You have just worked a cardiac arrest call on a 48-year-old father of three. Despite your best efforts, the patient died in the emergency department. As you are getting your ambulance in service, the patient's wife rushes out of the emergency department. She finds you and begins screaming at you that her husband's death is your fault. She blames you for not getting on the scene fast enough, taking too long at the house, and not shocking her husband back to life like she has seen on television. What response should you have to her anger?

Listen empathetically to all of her complaints and let her know she can contact you for any additional assistance.

Which of the following is used to immobilize a patient with a suspected spinal injury?

Long backboard

What is the best way to determine that you are getting adequate ventilation with a bag-valve mask?

Look for chest rise and fall

What do chemoreceptors found in the body and vascular system measure?

Low oxygen and high carbon dioxide

You respond to a patient who is choking on a foreign object. This would indicate that the problem is most likely in the ________ airway

Lower

You have just administered nitroglycerin to a 68-year-old patient. Within a few minutes, she complains of feeling faint and lightheaded, but states that she is still having some chest pain. Which of the following would be the best sequence of actions?

Lower the head of the stretcher and take the patient's blood pressure.

An inaccurate oxygen saturation reading can result from all of the following except:

Lying very still

What system is composed of organs, tissues, and vessels that help maintain the fluid balance of the body and contribute to the body's immune system?

Lymphatic system

Which of the following is the primary responsibility of the EMT?

Maintain personal health and safety.

Your patient is a 24-year-old female who swallowed a handful of pills of unknown type. Although she was initially alert and oriented with no complaints, you note that she is now beginning to slur her words and is becoming progressively lethargic. What is the highest priority in dealing with this patient?

Maintaining an open airway

Which of the following is typical of angina pectoris?

May subside with rest

The inside of a person's thigh is also known as its ________ aspect.

Medial

Who assumes the ultimate responsibility for patient care rendered by the EMT?

Medical Director

What is the primary reason for an EMT to use specific and proper medical terminology?

Medical communication needs to be exact and consistent.

In which of the following circumstances is medical direction necessary when assisting a patient with the use of a prescribed inhaler?

Medical control is necessary in all situations in which an EMT assists with a prescribed inhaler

You are caring for a 25-year-old male patient who has been shot once in the head. The patient is in extremis (near the point of death) with a noticeable breathing pattern that alternates between no breathing and fast breathing. Your understanding of pathophysiology leads you to believe the breathing pattern may be due to damage to the section of his brain responsible for respiratory control, also known as the:

Medulla oblongata

The most vulnerable part of the cell is the:

Membrane

An infection of the protective covering for the brain and spinal cord is called:

Meningitis

You are assessing a female patient with depression. She tells you that her psychologist said that she is dealing with "empty-nest syndrome." What age group is this associated with?

Middle adulthood

You have a 38-year-old patient who has fainted. Following your local protocol, you use a pulse oximeter to determine the SpO . You attach the device to the patient's finger; it gives you a reading of 91 percent. What does that reading indicate?

Mild hypoxia

The abbreviation mmHg indicates that the blood pressure is measured by which of the following comparisons?

Millimeters of mercury

Production of energy occurs in what part of the cell?

Mitochondria

During an emergency move, which of the following techniques should be used, whenever possible, to minimize the possibility of further aggravating a possible spinal injury?

Move the patient in the direction of the long axis of the body.

You respond to the scene of a two-vehicle T-bone vehicle collision. The driver's side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extricate the passenger by which technique?

Move the patient out of the car as quickly as possible, in the direction of the long axis of the body

When you startle a 4-month-old, he throws his arms out, spreads his fingers, then grabs with his fingers and arms. The reaction is known as the:

Moro reflex

You are called to care for a child who has fallen out of a third-story window. You arrive to find the child in his mother's arms. As you approach, you notice the child's skin is pale with dark spots of cyanosis. You would report this uncommon condition of blotchy skin as:

Mottling

You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck. The driver of the delivery truck is standing outside his vehicle talking to police when you arrive, but the driver of the car is still seated in the driver's seat. You have noted moderate damage to the rear of the car. For which of the following injuries should you have the highest level of suspicion?

Neck injury

Which of the following statements concerning oxygen is true?

Never withhold oxygen from any patient who needs it.

What best defines the evaluation of the patient's condition in order to provide emergency care?

Patient Assessment

You respond to a 30-month-old patient who has passed out. Is the patient's blood pressure important to your treatment? Why?

No, blood pressure is difficult to obtain in children younger than age 3 and has little impact on the patient's field management

Your patient is a 60-year-old female with a sudden onset of severe difficulty breathing. She has no prior history of respiratory problems. Which of the following should be done before applying oxygen by nonrebreather mask?

None of the above

Which of the following patients with difficulty breathing should not receive supplemental oxygen?

None of these patients should have oxygen withheld

An oxygen saturation of 97 percent is considered which of the following?

Normal

Which of the following patients should not be transported in a stair chair?

Patient with a suspected spinal injury

What is the correct order of air flow from the nose to the alveoli in the lungs?

Nose, nasopharynx, hypopharynx, larynx, trachea, bronchi, alveoli

You are ventilating a 6-year-old child and note that his heart rate has decreased from 70 to 54. Which of the following is not appropriate?

Notify medical control that the patient's condition has improved

Which of the following techniques of physical examination must an EMT master?

Observation, palpation, and auscultation

When covering a patient's mouth and nose with a mask of any kind, which of the following is the primary risk?

Obstructing the ability to visualize and protect the airway

Immediately following a rapid physical exam on an unresponsive medical patient, which of the following should you do next?

Obtain baseline vital signs

You have performed a rapid trauma assessment on a patient with multiple long-bone injuries. Your next assessment step should be which of the following?

Obtain baseline vital signs and past medical history

Which of the following is not performed during the airway phase of the primary assessment?

Obtaining the respiratory rate

Which of the following is not a function of the skin?

Removal of old blood vessels

Your patient is a 33-year-old man who has been ejected from his vehicle during a high-speed collision. During your primary assessment it is discovered that he is not moving, does not appear to have adequate respirations, and has suffered moderate external bleeding. Which of the following should be done first?

Open the airway

You have arrived on the scene at a high school football field where a 17-year-old male is lying on the ground. He is unresponsive and cyanotic, and he is making obvious respiratory effort without moving adequate amounts of air. Which of the following should be done first?

Open the patient's airway using a manual maneuver

In normal exhalation, the diaphragm and intercostal muscles relax to contract the chest, which creates a positive pressure. This is what type of process?

Passive

What is another name for the eye socket?

Orbit

What medication is given when a patient suffers from a medical or traumatic condition called hypoxia?

Oxygen

What two components are directly related to aerobic metabolism?

Oxygen and glucose

You are on the scene of a 68-year-old patient with a history of COPD who is breathing 44 times per minute and has a diminished level of consciousness. His wife states he has an albuterol inhaler and nitroglycerin tablets for angina. What is the most important drug you can administer to the patient?

Oxygen by bag-valve mask

You are on-scene with a 48-year-old unresponsive male patient. Bystanders state he complained of chest pain and then suddenly collapsed. Vital signs are blood pressure 68/42, pulse 36, and respiratory rate 3. He is unresponsive to painful stimuli. After performing the primary assessment and treating all life threats, what is your next intervention?

Package the patient for rapid transport

When you place your finger in an infant's palm, she grasps it with her fingers. This is an example of which reflex?

Palmar

You have been dispatched to a shopping mall to assess a 1-month-old female patient that tumbled out of her stroller while her mother was shopping. Upon your arrival, the baby is awake, alert, and happily smiling and cooing at her mom. The mother reports that the child did not appear to suffer any injuries as a result of the fall. As you assess the patient and place your finger in her hand, she grasps it tightly. This is known as the:

Palmar reflex

If a patient complains of abdominal pain localized to a specific area of the abdomen, which of the following techniques should be used to assess the abdomen?

Palpate the painful area last

What are the three ways to take blood pressure?

Palpation, auscultation, and blood pressure monitor

Which of the following best describes a fluttering sensation in the chest?

Palpations

In Type 1 diabetes, which gland does not secret enough of the hormone insulin?

Pancreas

Which organ secretes insulin after a person eats a large meal?

Pancreas

The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following best describes this finding?

Paradoxical motion

What level of emergency medical training provides the most advanced pre-hospital care?

Paramedic

The epinephrine auto-injector is given via the ________ route.

Parenteral

An injury caused by an object that passes through the skin or other body tissue is known as which of the following?

Penetrating trauma

A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants the Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best prove the worth of the special bandages?

Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.

Your patient is an unresponsive 40-year-old woman. Which of the following should you do first?

Perform a rapid physical exam

Your patient is the 18-year-old male driver of a vehicle that struck a tree. He is conscious and complaining of neck pain. The passenger is obviously dead. You have performed your primary assessment. Which of the following is the next step?

Perform a rapid trauma assessment

The respiratory system moves air in and out; however, to ________ cells, the air that is inhaled must meet up with the circulatory system.

Perfuse

What is a common term used to describe the items needed for Standard Precautions or body substance isolation precautions?

Personal protective equipment

Nitroglycerin (Nitro) is used for patients with recurrent chest pain or a history of heart attack. Nitro is most commonly supplied in what two forms?

Pills and spray

Which of the following is not correct when performing a log roll?

Place both feet flat on the ground.

Which of the following is the best way to assess a patient's skin temperature?

Place the back of your hand against the patient's forehead

Which of the following is the proper position for maintaining the airway in a child with a decreased level of consciousness?

Placing the head and neck in a neutral position; using a folded towel under the shoulders if necessary

Carbon dioxide is transported back to the lungs via:

Plasma

Which of the following makes up more than half of the volume of blood in the body?

Plasma

A clot cannot form without which of the following blood components?

Platelets

You have been dispatched to the site of a construction accident where a 36-year-old male patient was moderately cut by some machinery. His left arm has a 4" deep laceration that appears to have stopped bleeding with the gauze and direct pressure applied by his coworkers. Your knowledge of physiology suggests that which component of blood was partially responsible for forming clotting factors to stop the bleeding?

Platelets

The potential space between the lung and chest wall is called the:

Pleural space

You are called to the scene of a 45-year-old nonsmoker male with a history of asthma in respiratory distress. You find him lying supine on the couch. The patient is lethargic but can answer all your questions appropriately. He is diaphoretic, and complains of being cold, coughing, and having difficulty breathing for the past 3 days. His vital signs are blood pressure of 110/70, heart rate of 116, respiratory rate of 24, oxygen saturation of 93%, and temperature of 100.6 F. You hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum. What condition do you suspect?

Pneumnonia

What condition is when there is an infection in one or both lungs caused by bacteria, viruses, or fungi?

Pneumonia

You are called to the scene of a 45-year-old nonsmoker male with a history of asthma in respiratory distress. You find him lying supine on the couch. The patient is lethargic but can answer all your questions appropriately. He is diaphoretic, and complains of being cold, coughing, and having difficulty breathing for the past 3 days. His vital signs are blood pressure of 110/70, heart rate of 116, respiratory rate of 24, oxygen saturation of 93%, and temperature of 100.6 F. You hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum. What condition do you suspect?

Pneumonia

When placing all fingers and the palm in contact with the object being lifted, you are using which of the following?

Power Grip

Which of the following is another name for the squat-lift position?

Power lift

What category would include a patient with a blood pressure of 134/84 mmHg?

Prehypertension

When checking breath sounds in a trauma patient, what should the EMT assess for first?

Presence and equality

Which of the following should you not do when reaching for something?

Prolong the reach for as long as necessary

Which of the following best describes body mechanics?

Proper use of the body to facilitate lifting and moving objects

Which of the following best describes a list of steps the EMT should perform while assessing and managing emergency medical situations?

Protocols

You arrive on the scene of a 55-year-old male patient. The patient's wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?

Provide emergency care under implied consent.

Which of the following is the EMT's primary responsibility at a secured crime scene?

Providing patient care

What is a public health initiative that is likely to involve the participation of EMTs?

Public vaccination programs.

What vessel carries deoxygenated blood to the lungs?

Pulmonary artery

In what condition does fluid accumulate in the lungs, preventing them from breathing adequately?

Pulmonary edema

You are assessing a 55-year-old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse?

Pulse 40 and weak

A device that uses wavelengths of light to measure oxygen saturation (SpO ) is called a(n):

Pulse oximeter

Which of the following is a sign of adequate artificial ventilations in a pediatric patient?

Pulse rate increases

Which of the following are vital signs that need to be recorded for virtually every EMS patient?

Pulse; respiration; skin color, temperature, and condition; pupils; and blood pressure

After delivering a patient to the emergency department, you discuss with hospital staff the details of your care and ask for suggestions to improve your care. This is an example of your role in which of the following?

Quality improvement

Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system?

Quality improvement

In a conscious adult patient, which of the following pulses should be assessed initially?

Radial

What is the bone on the thumb side of the forearm?

Radius

The jaw-thrust maneuver is the only ________ airway procedure for an unconscious patient with possible head, neck, or spine injury or an unknown mechanism of injury.

Recommended

You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the best position for transporting the patient?

Recovery position

________ are signs or symptoms that suggest the possibility of a particular problem that is very serious

Red flags

Which of the following provides the greatest personal safety for an EMT working at a motor vehicle collision?

Reflective outer clothing

You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation?

Reflective triangles

What is a positive, healthy way to help deal with stress?

Regular physical exercise

Which of the following is necessary to deliver oxygen to patients at a safe pressure?

Regulator

You are called to assist a 25-year-old female patient who is in profound respiratory distress. The patient has a history of asthma and a severe allergy to peanuts. She has a prescribed albuterol inhaler and an epinephrine auto-injector. The patient states she was working in her garden when she accidentally stirred up a hornets' nest and was stung multiple times. The patient has wheezing in all fields, and is breathing at 28 times per minute. She states that she triggered her asthma by running across the yard to the safety of her home. As you apply oxygen, you notice that she is now speaking in two- to three-word sentences, her skin has splotches, and her tongue and neck appear to be swelling. Your next action is to call medical control and then do what?

Request to assist the patient with her epinephrine pen for anaphylaxis

Why is research published in a medical journal more authoritative than the information in a typical article published in an EMS magazine?

Research in medical journals is original and peer reviewed.

Centralized coordination of emergency medical access, transportation, and care most refers to which of the following?

Resource management

What two body systems are critical for the life support chain?

Respiratory and cardiovascular systems

Which of the following presentations would be considered normal during the breathing phase of the primary assessment?

Respiratory rate of 28 with adequate depth

Which three "Rs" are essential for the EMT to practice when reacting to danger?

Respond, radio, reevaluate

What is the name of the federal act that mandates a procedure by which emergency healthcare providers can find out if they have been exposed to potentially life-threatening diseases while on the job?

Ryan White CARE Act

You are assessing a 12-year-old male patient who has been involved in a bicycle accident. This patient would be classified as being in which stage of life?

School age

Which of the following refers to the set of regulations that defines the legal actions expected of and limitations placed on the EMT?

Scope of practice

Which of the following situations is most likely to result in hidden or unsuspected injury?

Seat belt use by the vehicle occupants

You are assessing a 76-year-old male patient who has been involved in a fall from a standing position. You have completed the scene size-up and primary assessment. What should you do next?

Secondary assessment

Which of the following is not a common psychosocial challenge of late adulthood?

Self destructive behaviors

Epinephrine delivered by auto-injector may be indicated for patients with which of the following conditions?

Severe allergies to peanut butter, shellfish, penicillin, or bee stings

As you arrive at the emergency department with an unresponsive trauma patient, the nurse asks for your trending assessment. Why is this information important to the nurse?

She can evaluate whether or not the patient is improving

Which of the following is the correct position of an EMT's feet when lifting?

Shoulder-width apart

You and your new EMT partner arrive first on the scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door open, steps out of the truck, and begins jogging through the scattered debris toward the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later, as you are restocking in the ambulance bay of the local trauma center, your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond?

Shouting was an attempt to protect the EMT from a potentially unsafe scene

When assessing a 14-year-old male patient that has been involved in a bicycle accident, you notice that he has a small amount of blood coming from his left forearm. This observation is known as which of the following?

Sign

What type of muscles control the size of the bronchioles in the lungs?

Smooth

What is the sound of the soft tissue of the upper airway creating impedance or partial obstruction to the flow of air?

Snoring

The movement of ions across the cell membrane is needed to accomplish repolarization. What cell structure is used to prepare for depolarization?

Sodium and potassium pump

An unconscious trauma patient should always be assumed to have which of the following types of injury?

Spine

Which of the following organs functions as a reservoir for blood that can be used in case of blood loss?

Spleen

During which of these situations would the EMT be least likely to experience a body substance exposure?

Splinting a sprained ankle

When the lung collapses without injury or any other obvious cause, it is called which of the following?

Spontaneous pneumothorax

While transporting a patient to the hospital, the EMT repeats his reassessment including vital signs every 15 minutes until he arrives at the emergency department. According to this information, which of the following best describes your patient's current status?

Stable

What is the main benefit of using a stair chair with a tracklike system over a traditional stair chair? A. There is no benefit of a tracklike stair chair over a traditional stair chair. B. A stair chair with a tracklike system can be manipulated to lift into an ambulance using a hydraulic system. C. Only one EMT is required to operate a stair chair with a tracklike system. D. A stair chair with a tracklike system prevents the patient from having to be lifted down stairs. Which of the following devices should be used to carry a patient down the stairs whenever possible?

Stair chair

A written authorization for an EMS provider to perform a particular skill in a specific situation is a(n):

Standing order

The application of oxygen for a patient who is short of breath without having to contact the physician in the emergency department because of existing protocols is an example of which of the following?

Standing orders

What term describes a permanent surgical opening in the neck through which a patient breathes?

Stoma

Which of the following terms is best defined as "a state of physical and/or psychological arousal to a stimulus"?

Stress

The high-pitched sound caused by an upper airway obstruction is known as:

Stridor

Which of the following statements provides reasons for the disruption of respiratory control?

Stroke, infection, brain trauma, toxins and drugs, and neurologic disorders can interrupt this control

Nitroglycerin is given via the ________ route

Sublingual

During reassessment, you notice that your patient is making gurgling sounds. Which of the following should you do immediately?

Suction the airway

You are assessing a 48-year-old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next action?

Suction the airway

What is not one of the symptoms of a pulmonary embolus?

Sudden calmness

You are on the scene at an office building where a 32-year-old male is described as having difficulty breathing and chest pain. The patient is allergic to peanuts and thinks he may have accidentally ingested some cookies with peanuts in them this afternoon during his break. He is pale with a pulse rate of 158 and a respiratory rate of 36. You understand that a fight-or-flight response may have been activated in this patient, involving which nervous system and which hormone?

Sympathetic nervous system and epinephrine

The pressure against the walls of the blood vessels as blood is ejected from the heart and circulates through the body is the ________ blood pressure.

Systolic

In a blood pressure reading of 120/80, what body process does the 120 measure?

Systolic blood pressure; when the left ventricle contracts and the blood is forced into the arteries

You respond to a childcare center for a report of an injured 4-year-old. Her pulse is 130 beats per minute. Which of the following best describes this finding?

Tachycardic

Which word has a prefix that means rapid?

Tachypnea

You are called for a patient who is complaining of being weak and dizzy. He reports that he does not have enough money to pay for his medications so he has not gotten them refilled. Your service has an automatic blood pressure machine and you use it to measure the patient's blood pressure while you count his respirations. The blood pressure machine reports a blood pressure of 280/140. What should you do next?

Take a manual blood pressure

In the primary assessment, which of the following is not an acceptable method of assessing the patient's circulatory status?

Taking a blood pressure reading

In EMS, which of the following best describes the term intervention?

Taking steps to correct a problem

An EMT's assessment differs from an assessment made in the emergency department in which way?

The EMT is working with limited resources

When determining possible injuries suffered from a gunshot wound, which of the following is true?

The EMT must be aware that bullets cause damage in more than one way.

You and your newly hired EMT partner arrive on the scene of a bicycle collision at the local community park. One cyclist stands by and says that she has no injuries. The other is lying on his side on the bike path, guarding his ribs and holding the lower part of his left leg. Your partner kneels next to the man, introduces herself, and asks, "Can you ambulate?" The patient looks up, confused and in obvious pain. "Can you ambulate? You know...walk?" Your partner says, a little louder. After transporting the patient, you discuss the call with your partner and suggest that she avoid using medical terms unnecessarily when talking with patients. She seems insulted and says, "Why?" What would you say?

Tell her that the point of communicating with patients and other providers is so there is clear understanding; using medical terms when not necessary can cause confusion.

You and another EMT are discussing a call he previously ran. The EMT said the patient had classic chest pain symptoms and he treated it as a possible heart attack, but he later found out the patient just had indigestion and was discharged 2 hours later. The EMT was concerned that his patient assessment skills were not as good as they should be, and that the ED physician will no longer trust his judgment. How should you respond to his concerns?

Tell him that his misdiagnosis is a result of limited information

An off-duty EMT is driving down the road when she sees a major vehicle accident. There are no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT is late for a doctor's appointment, so she decides that she will not stop and help. The driver of the vehicle dies before help arrives. One of the Good Samaritans notices her EMT license plates and writes them down as she passes by. The Good Samaritan is angry that the EMT did not stop and help and tries to get the EMT fired for not helping. Which of the following statements is true?

The EMT is not negligent because she did not have a duty to act.

Two EMTs respond to the scene of a syncopal episode. They evaluate a 50-year-old male patient who passed out and cut his upper lip. The EMTs examine the patient and his vital signs are normal. The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later. Which of the following statements is true?

The EMTs are negligent because there was proximate causation.

A postal worker has been attacked by a dog during her mail delivery route. The patient is a 54-year-old female with several dog bites on her lower extremities and left arm. The worst of these bites is located on the back of her right leg just above the ankle. How can you explain the location of this injury using anatomical landmarks?

The bite is located on the posterior aspect of the calf distal to the knee

Which of the following is true concerning the procedure for inserting a nasopharyngeal airway (NPA)?

The bevel should be turned toward the nasal septum or the base of the nostril

What is the best description of the chest's mechanical functions?

The chest is a closed space with only one opening; the trachea, to inspire air; the diaphragm contracts down and the intercostal muscles expand the ribs, causing a negative pressure that fills the lungs with air

What is FiO2?

The concentration of oxygen in our inhaled air, which is referred to as the fraction of inspired oxygen

At the scene of a vehicle collision in which there are no apparent hazards, which of the following guidelines should be followed for establishing a danger zone?

The danger zone should be 50 feet in all directions

Which of the following statements concerning expiration is true?

The diaphragm moves upward

Which of the following factors least needs to be considered before lifting any patient?

The distance to cover

Which of the following groups is credited with developing the earliest documented emergency medical service?

The french

You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom. As you approach the scene, you notice a large crowd outside the front door holding beer bottles. The group has pulled the patient outside. As you approach the scene, people from the group start yelling, "Do something! She's not breathing." What concerns you the most about this scene?

The large crowd that has been drinking and is now yelling at you

While transporting a patient with a traumatic wound to the back, you call in a report to the receiving hospital over the radio. Due to radio static and background noise in the Emergency Department, the physician has had to ask you twice to repeat if the wound was superior or inferior. Why would this distinction be important?

The location of the wound is important in determining which types of resources to have available when the patient arrives

When you hear wheezes while auscultating your patient's breath sounds, which of the following is most likely the cause?

The lower air passages in the lungs are narrowed

When you hear wheezes while auscultating your patient's breath sounds, which of the following is most likely the cause?

The lower air passages in the lungs are narrowed.

Which of the following describes why fast respiration may decrease minute volume?

The lungs may not have adequate time to fill and exchange gas.

Which of the following describes the sublingual route of medication administration?

The medication is placed under the tongue

With regard to anatomical locations, which of the following is not true?

The mouth is proximal to the nose

Which of the following is true concerning scene size-up?

The need for additional resources must be determined on both medical and trauma calls

Which of the following differences should be expected when assessing a pediatric patient, as compared to an adult patient?

The normal respiratory rate is faster

Which of the following is the most proper dose of inhaled medication the EMT can assist the patient with administering?

The number of sprays directed by medical control

In EMS, what does mental status refer to?

The patient's level of awareness of his surroundings

The term body mechanics describes the proper use of your body to lift without injury. What are the three considerations to review before any lift?

The object, your limitations, and communication

Which of the following is a good indication of a partially occluded airway?

The patient has snoring respirations

Which of the following statements regarding the administration of nitroglycerin tablets is true?

The patient may complain of a headache following administration

What condition must be present before you give oral glucose?

The patient must be conscious and able to swallow with an altered mental status and history of diabetes

Which of the following is not required to prove a claim of negligence against an EMT?

The patient was in fear of bodily harm at the time of the incident.

Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in the passenger's side door by another vehicle that ran a red light. Which of the following is most likely to have occurred?

The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine

In which of the following situations should an EMT withhold resuscitative measures from a patient in cardiac arrest?

The patient's caregiver presents a DNR order signed by the patient and his physician.

Your patient's initial vital signs were a pulse of 120 per minute and weak, a blood pressure of 90/50 mm Hg, and a respiratory rate of 24 per minute. Upon reassessment, you note that the patient now has a weak pulse of 100 per minute, a blood pressure of 110/60 mm Hg, and a respiratory rate of 20 per minute. Which of the following can you conclude from this information?

The patient's condition may be improving

You and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him?

The physician wants to be sure it is appropriate for the patient.

The CDC recommends using an alcohol-based hand sanitizer in all except which of the following situation(s)?

The provider's hands come into contact with fecal matter.

Which of the following statements is true concerning protection by Good Samaritan laws?

The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency

You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him?

The recording of three sets of vital signs demonstrates that you were trending the patient's condition.

Which of the following situations requires additional action by the EMT during scene size-up?

The sound of a barking and growling dog upon approaching the door to a residence

Which of the following should be kept in mind when assessing and managing the airway of a pediatric patient?

The trachea is easily obstructed by swelling.

While assessing the airway of a pediatric patient, you will notice that it is different than that of an adult. Which of the following is one of those differences?

The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed.

In which of the following situations is it legal to share information about treatment you provided to a patient?

The triage nurse at the emergency department asks about the care you provided to the patient.

Why should an EMT avoid the use of acronyms and abbreviations when communicating?

There is a chance that they can lead to errors in continued care for the patient.

In which of the following situations would it be preferable to determine blood pressure by palpation rather than by auscultation?

There is too much noise to use a stethoscope

What is the likely impact of power stretchers on EMS?

There will be a decrease in the number of injuries among EMTs

Which of the following is a benefit of using small-volume nebulizers for the treatment of respiratory problems?

They allow greater exposure of the patient's lungs to the medication

Which of the following is a disadvantage of oropharyngeal airways (OPAs)?

They cannot be used in a patient with a gag reflex

What causes the "seesaw" breathing pattern of young children?

They rely more on the diaphragm during breathing difficulty

One's "cognitive ability" refers to his or her ability to do which of the following?

Think and solve problems

You are on the scene of a 16-year-old patient in respiratory distress. The patient has a history of asthma. After placing the patient on oxygen and performing the primary and secondary assessments, you are confident that the patient is indeed having an asthma attack. How can you be sure your field diagnosis is accurate?

Think of all possible causes of respiratory distress and rule them in or out as potential diagnoses based on your clinical findings.

What is the preferred number of rescuers when using a stair chair?

Three: two lifting and one spotting

What are the names given to each medication listed in the U.S. Pharmacopoeia?

Trade, chemical, and generic

Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This process is known as which of the following?

Transfer of care

Your patient fell out of a tree while putting the roof on a tree house. A 15-foot ladder is required to enter the tree house and there is enough room for an adult to stand up inside. Your patient should be transported to:

Trauma center

________ is reassessing and recording findings of the reassessment so they can be compared to earlier findings.

Trending

Your patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the care he needs?

Try to find out why the patient does not want to go to the hospital

You are treating a patient who has a productive cough and who reports weight loss, loss of appetite, weakness, night sweats, and fever. Which of the following diseases is most likely the cause of these signs and symptoms?

Tuberculosis

What is not one of the primary organs for the female reproductive system?

Urethra

You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is agitated, anxious, and refuses to have a nonrebreather mask applied. Which of the following is the best option?

Use a nasal cannula instead.

Which of the following statements regarding body mechanics is true?

Use your legs to lift

Healthcare employers are required by law to make a hepatitis B ________ available to employees free of charge.

Vaccine

A 21-year-old patient presents with labored breathing and audible wheezes, heart rate of 124, respiration 36; he has significantly altered mentation. What is the treatment for this patient?

Ventilate with a bag-valve mask with high oxygen or FROPVD

The process of air moving in and out of the chest is called:

Ventilation

Upon assessment of your patient, you notice that he has cool, sweaty skin. This finding is best described as which of the following?

Vital sign

What element does the cell need in order to not dehydrate and die?

Water

Which of the following is not a typical indication of congestive heart failure (CHF)?

Weight loss

Which of the following questions will most likely elicit your patient's chief complaint?

What made you call 911 this evening?

Which of the following is another name for an ambulance cot?

Wheeled ambulance stretcher

When does respiratory distress change to respiratory failure?

When continuation of a respiratory challenge results in the systems being unable to keep up with the demand, and the skin color and mental status change

When is a heparin or saline lock used in IV administration?

When medication or IV access might be needed later on

You and your EMT partner are responding to a medical aid call in the rural West County area. The dispatcher advises that the caller is reporting the patient as having a history of "plegia." Why would it be beneficial to have the dispatcher clarify a prefix for the word plegia?

Without a clarifying prefix, it is difficult for the EMTs to effectively prepare for the type of patient they may encounter.

To check the distal pulse of a patient with an injury to the forearm, the EMT would check for a pulse in which location?

Wrist

Which of the following is a role of the EMT in the quality improvement process?

Writing complete patient care reports

You respond to a medical call for a 59-year-old female complaining of tightness in her chest. You place her on a high concentration of oxygen and prepare for a short 5-minute transport to the hospital. The patient tells you she is on nitroglycerin, which she has not taken. Your partner tells you that you can give aspirin per protocol. Should you delay the patient transport to give the medication, and why?

Yes, the nitroglycerin will cause the blood vessels to dilate and restore some blood flow, and the aspirin will slow the clotting process

You are treating an elderly male patient in the back of your ambulance. En route, the patient becomes unresponsive. Upon arrival, the ED nurse asks you several questions about his condition. What should you do?

You should answer her questions because you may legally share the patient's medical condition with other pertinent health care providers.

Your patient is a 55-year-old man with a history of chronic bronchitis. You have been called to his home today because of an increase in his level of respiratory distress. The patient is on 2 liters per minute of oxygen by nasal cannula at home. Your assessment reveals difficulty speaking due to shortness of breath, leaning forward to breathe, a productive cough, and a respiratory rate of 32 per minute. Which of the following is true concerning the best course of action for this patient?

You should increase the patient's oxygen flow rate to deliver adequate amounts of oxygen to his tissues. If his respiratory rate decreases, you can assist him with a bag-valve-mask device.

You are providing care to a 54-year-old male patient complaining of chest pain. The patient asks to speak to you privately. He tells you he is taking Cialis for erectile dysfunction and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMS bags back in the ambulance, the wife corners you and insists that you tell her what her husband said. What should you do?

You should not tell her. By law, your conversation with your patient is confidential

For the last few days, your regular EMT partner has been having trouble sleeping, has been on edge, and has had trouble concentrating on his job during EMS calls. Luckily, your call volume has been low with no serious calls since the infant cardiac arrest you both worked last month. You ask him if anything is bothering him and he states he is fine in every way. He states that he has been going to the bars lately to relax and invites you to come along for some drinks after work. Choose the best answer for this situation

Your partner is suffering from a delayed stress reaction and you should recommend that he seek professional counseling.

Which of the following incidents might the EMT be legally required to report to law enforcement?

Your patient has facial and head injuries and states that her husband beat her with a telephone receiver

A 65-year-old man was doing some work on his roof when he lost his footing and fell to the ground, approximately 15 feet. He is unconscious but his respirations are normal. You note an obviously angulated left leg. You are more concerned about a possible head injury. Which of the following would indicate a possible head injury? a) Increased blood pressure b) Increased pulse rate c) Glasgow Coma Scale (GCS) of 15 d) Constricted pupils

a

A burn extending into the subcutaneous fat would be classified as which type of burn? a) full thickness b) superficial partial thickness c) superficial d) deep partial thickness

a

Although it can be difficult to definitively determine hip dislocation in the field, certain signs and symptoms are usually there. Which of the following statements is false? a) An anterior hip dislocation would probably present with the entire lower limb rotated inward b) The posterior hip dislocation is the most common. c) Often there is lack of sensation in the limb d) A posterior hip dislocation presents with a bent knee and the foot may hang loose.

a

An infant's birth weight is considered low if it is less than ________ pounds a) 5.5 b) 2.5 c) 4.5 d) 3.5

a

An unresponsive patient is found sitting in the front seat of a vehicle with his legs pinned under the dash. Once his legs have been freed, which of the following methods should be used for removal of the patient? a) Rapid extrication technique b) Quick extraction c) Scoop stretcher d) Rapid take-down

a

At which point should you complete your prehospital care report (PCR)? a) As soon as you are free from patient duties b) As soon as you arrive at the hospital c) En route to the hospital d) At the end of your shift

a

Barbiturates may be referred to as which of the following? a) downers b) meth c) uppers d) acid

a

Bleeding from open abdominal injuries should initially be controlled with which one of the following techniques? a) Applying direct pressure to the wound b) Applying an ice pack or chemical cold pack c) Packing the wound with rolled gauze d) Applying a sterile dressing

a

Bleeding from soft-tissue injuries should initially be controlled with which one of the following techniques? a) direct pressure b) Running cold water over the wound c) Elevation of the injured part d) Application of an ice pack or chemical cold pack

a

Blood at the meatus of the penis (opening of the urethra) is a sign of: a) pelvic trauma/fracture b) spinal fracture or injury c) pelvic dislocation syndrome d) priapism

a

Blunt and penetrating injuries can You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the AED has been applied. The AED advises shock. After defibrillating the patient, what is your next intervention? a) Continue CPR b) Check for a pulse c) Place in the recovery position. d) insert a Combitube

a

Blunt trauma is the leading cause of internal injuries and bleeding. Which of the following are mechanisms of blunt trauma that may cause internal bleeding? 1. Falls 2. Motor vehicle or motorcycle crashes 3. Auto-pedestrian collisions 4. Blast injuries a) 1, 2, 3, 4 b) 2, 3 c) 1, 2, 3 d) 1, 4

a

Burns pose a greater risk to infants and children for which of the following reasons? a) Pediatric patients have a greater risk of shock from the burn b) Pediatric patients have a greater risk of heart problems associated with the burn c) Infants and children have a greater risk of infection from the burn. d) None of the above

a

By which of the following means does the fetal blood pick up nourishment from the mother? a) Diffusion b) Indirect circulation c) Direct circulation d) Osmosis

a

Distinguishing between a knee dislocation and a patella dislocation can sometimes be difficult. Which of the following statements is not true? a) In a patellar dislocation, the knee will be stuck in flexion but the knee cap will not be displaced. b) In a knee dislocation, the tibia is forced anteriorly or posteriorly in relation to the distal femur. c) You should always check for a distal pulse d) The lack of a distal pulse could be a signal of a real emergency

a

External bleeding may be classified according to types. Which of the following is one of those types? a) capillary bleeding b) cardiac bleeding c) liver bleeding d) brain bleeding

a

Failure to formally transfer the patient to medical staff in the emergency department could place the EMT in danger of being held liable for: a) abandonment b) patient endangerment c) false imprisonment d) unlawful consent

a

For which of the following reasons are newborns, infants, and the elderly more readily affected by the heat than other age groups? a) Poor ability to regulate body temperature b) Inadequate salt intake c) Faster metabolism d) Increased body mass

a

How does the pain felt by a patient when receiving a shock from a pacemaker compare to the pain felt when receiving a shock from an automatic implanted cardiac defibrillator (AICD)? a) Pacemakers are painless and AICDs are painful b) Both are painful. c) Pacemakers are painful and AICDs are painless. d) Both are painless

a

If you are first on scene, what should you do first in determining where and how you should park your apparatus? a) Establish Command and confirm the exact location of the incident with the dispatch center before parking. b) Immediately park in the same direction and in single file. c) Provide downstream blocking if you are driving one of the larger units. d) se apparatus to institute "downstream blocking" of the scene to protect the work area

a

In caring for a 27-year-old male who has a large laceration on his anterior forearm, you have noticed that your pressure dressing has become saturated with blood. Which of the following should you do next? a) Apply additional dressing material over the top of the original dressing and bandage it in place. b) Apply a tourniquet. c) Remove the saturated dressings and apply a large trauma dressing d) Apply an ice pack over the original dressing.

a

In cases of extreme hypothermia, you will find the patient unconscious, with no discernible vital signs, and skin cold to your touch with stiff joints as if they appear dead. What is the emergency care for these patients? a) Assess the carotid pulse for at least 60 seconds; if there is no pulse, start CPR immediately and prepare to apply the AED pads. b) Check distal CSM, apply warming packs to the extremities, and transport the patient. c) Call the coroner as indications are the patient is cold and deceased, which is a definitive sign of death d) Contact medical control for input into the best treatment for this patient.

a

In which of the following circumstances should a helmet be removed? a) If the helmet interferes with airway management b) If the helmet fits so snugly that you cannot inspect the ears for the presence of blood or fluid c) If you suspect a skull fracture and need to palpate the head d) f you want to place a nasal cannula on the patient but cannot because his ears are covered by the helmet

a

Looking at the following list, which of the items does NOT correctly compare the signs and symptoms of hypoglycemia and hyperglycemia? a) The hypoglycemic patient usually complains of a headache, whereas the hyperglycemic patient does not. b) Hyperglycemic patients often have warm, red, dry skin, whereas hypoglycemic patients have cold, pale, moist, or clammy skin c) The hyperglycemic patient often has acetone breath, whereas the hypoglycemic patient does not d) Hyperglycemia usually has a slower onset than hypoglycemia.

a

Many stroke patients are candidates for thrombolytic drugs. One of the most important things that an EMT can do to optimize the care of a stroke patient who is a candidate for the drugs is: a) determine the exact time of onset of symptoms. b) transport to the closest hospital because the patient must go to the operating room as soon as possible. c) do a thorough physical exam of the patient d) transport the patient to a Level I trauma center

a

Messages from the body to the brain are carried by which of the following types of nerves? a) sensory b) skeletal c) motor d) cranial

a

Multiple trauma and multisystem trauma patients are situations in which the EMT is expected to perform which of the following? a) Make decisions beyond what is usually called for. b) Provide the best quality care possible, including definitive care on scene c) Practice outside the scope of practice in order to provide the greatest good. d) Respond above and beyond the call of duty.

a

Normal maternal blood loss during delivery of an infant usually does not exceed how much? a) 500 cc b) 1000 cc c) 250 cc d) 100 cc

a

On arrival at a vehicle collision, you observe a small fire in the engine compartment. A bystander is attempting to smother the fire with a jacket as you approach with an A-B-C extinguisher from your ambulance. Which of the following is the best method of extinguishing the fire? a) Aim at the base of the fire and use short bursts until the fire is out. b) Sweep the nozzle of the extinguisher left and right using short bursts until you are out of extinguishing agent c) Aim the nozzle to the side of the fire and, with a sweeping motion, push the fire at its base d) Close the hood to contain the fire within the engine compartment

a

Once access to the patient is gained, which of the following is the next goal during an auto extrication? a) Primary assessment and rapid trauma exam b) Extrication of the patient from the vehicle c) Disentanglement of the patient d) Stabilization of the vehicle

a

One of the more serious conditions that EMTs are confronted with would occur as follows: A fracture or crush injury causes bleeding and swelling within the extremity. Pressure and swelling caused by the bleeding within the muscle compartment become so great that the body can no longer perfuse the tissues against the pressure. Cellular damage occurs and causes additional swelling. Blood flow to the area is lost. The limb itself may be lost if the pressure is not relieved. What is this condition called? a) Compartment syndrome b) Crushing syndrome c) Fracture syndrome d) Perfusing syndrome

a

Reducing the pain of a marine animal sting can be accomplished by rinsing the affected area with which of the following? a) Vinegar b) Sterile saline solution c) Cold water d) Gasoline or kerosene

a

Regarding drowning in adults, which of the following statements is true? a) The colder the water, the better the chances of survival in either saltwater or freshwater drowning b) Water temperature makes no difference in the chances of survival in either saltwater or freshwater drowning c) The warmer the water, the better the chances of survival in saltwater drowning. d) Colder water improves survival chances in saltwater drowning but not in freshwater drowning.

a

Signs and symptoms of alcohol abuse include all of the following except: a) an acetone or ketone odor to the breath. b) swaying and unsteadiness of movement. c) confusion. d) nausea and vomiting.

a

Supine hypotensive syndrome is easily prevented by transporting all third-trimester patients in which of the following positions? a) Lying on the left side b) Tilted slightly onto the right side c) On the hands and knees with the hips elevated d) Supine with the head lower than the hips

a

The bony bumps you feel along the center of a person's back are known as which of the following? a) Spinous process b) Dermatome c) Vertebrae d) Foramen magnum

a

The condition in which the placenta separates from the uterine wall is known as which of the following? a) Abruptio placentae b) Ectopic pregnancy c) Preeclampsia d) Placenta previa

a

The drug ecstasy is classified as what type of drug? a) hallucinogen b) depressant c) tranquilizer d) barbiturate

a

The medical term for fainting is a) syncope b) vertigo c) dehydration d) altered RAS status

a

The muscle contraction mechanism that moves an egg down the fallopian tube toward the uterus is the same mechanism that moves: a) food from the esophagus to the stomach b) air down the bronchial tubes to the alveoli c) sweat to the surface of the skin d) fluid into and out of the cell

a

The muscular organ in which a baby develops during pregnancy is called the: a) uterus b) placenta c) amniotic sac d) fetal membrane

a

The signs and symptoms of a transient ischemic attack (TIA) may last up to: a) 24 hours b) 1 hour c) 30 minutes

a

The sound or feeling of the ends of broken bones rubbing together is called: a) crepitus b) parethesia c) angulation d) deformity

a

The strong white fibrous material called the periosteum: a) covers the bones b) surrounds the heart. c) surrounds the abdominal cavity. d) protects the perineum.

a

The term blanching, used to describe localized cold injury, means the tissue has turned to which of the following colors? a) white b) red c) blue or purple d) black

a

To respond to a hazardous materials incident, the EMT should be trained at which level? a) awareness b) specialist c) operations d) technician

a

Which of the following traumatic conditions could account for signs and symptoms of a behavioral emergency? a) Hemorrhage b) Partial thickness burn c) Fractured tibia d) Fractured lumbar vertebra

a

Upon delivering a patient to the emergency department, you remove your gloves and find that your hands are red and itchy. Which of the following is most likely? a) You are having an allergic reaction to the latex in the gloves b) You have been exposed to an infectious disease through contact with the patient. c) You have come into contact with poison ivy in the patient's yard d) ou are showing early signs of an anaphylactic reaction

a

Volatile chemicals are agents that are able to change easily from a ________ into a ________. a) liquid; gas b) solid; liquid c) gas; liquid d) solid; vapor

a

What are the three elements of the Revised Trauma Score? a) GCS, systolic blood pressure, and respiratory rate b) Level of consciousness, systolic blood pressure, and pulse rate c) GCS, systolic blood pressure, and pulse rate d) GCS, pulse rate, and respiratory rate

a

What is a drawback to using sterile aluminum foil as an occlusive dressing? a) The foil may lacerate eviscerated organs. b) A flutter valve is difficult to create with foil c) Sterility cannot be ensured unless the foil was autoclaved d) Foil cannot create an airtight seal.

a

What is epilepsy? a) A condition in which a person has multiple seizures usually controlled by medication b) A condition in which a person has an aura followed by seizure usually caused by infection c) A condition caused by congenital brain abnormalities that causes seizures only twice a year d) A condition in which a person has generalized seizures that start in childhood

a

What is the definition of multiple trauma? a) A trauma in which the patient has more than one serious injury b) Multiple injuries that affect more than one body system c) A trauma in which there are multiple casualties d) A trauma that requires the response of multiple agencies

a

What is the most important treatment for a patient who has inhaled a poison? a) Administer high-concentration oxygen b) Administer the correct antidote c) Administer activated charcoal. d) Administer epinephrine via auto-injector.

a

What source will provide first aid information about hazardous materials for employees at a work site? a) safety data sheets b) bill of lading c) placard d) shipping manifest

a

When a chemical substance is taken for reasons other than therapeutic use, this action is called: a) substance abuse b) tolerance c) psychological dependence d) addiction

a

When a patient has a serious open wound to the neck, you are concerned about the possibility of an air embolism. The reason an air embolism can occur is because of: a) pressure in the large neck veins that is lower than atmospheric pressure b) the negative pressure in the chest c) the higher pressure in the vessels of the neck d) damage to the trachea.

a

When actively rewarming a frostbitten extremity in warm water, you should change the water when the temperature falls below ________ °F. a) 100 b) 60 c) 85 d) 115

a

When attempting to extinguish a fire inside the passenger compartment, it is important to: a) use the extinguishing agent sparingly to avoid creating a cloud of powder b) aim the nozzle of the extinguisher away from the patient to avoid hitting the patient c) apply the extinguishing agent liberally to speed up the extinguishing process. d) resist the urge to extinguish the fire and focus on extricating any patients.

a

When blood accumulates between the brain and the dura mater, what is the result? a) Subdural hematoma b) Epidural contusion c) Epidural hematoma d) Subdural contusion

a

When deciding where to transport a patient who has internal bleeding or who has the potential for internal bleeding, which of the following is the most important service to be provided by the receiving hospital? a) immediate surgical capabilities b) rehabilitation services c) availability of a chaplain d) critical-care nursing

a

When extrication will involve cutting the roof off a vehicle, stabilization of the vehicle should include: a) deflating all tires by pulling the valve stems b) deflating all tires by slashing them c) placing wheel chocks on both sides of all wheels. d) placing chocks on both sides of at least two wheels

a

When placing cribbing: a) always squat, so you can move away quickly. b) kneel or squat as necessary. c) kneel on one knee only so you can move away quickly d) kneel on both knees for stabilization.

a

When seeking expert advice on how to proceed at a hazardous materials incident, which of the following information is important to provide? a) An estimate of the amount of the substance involved b) Your level of EMS certification c) Your background in chemistry

a

When several agencies work independently but cooperatively, rather than one agency exercising control over the others, this is called: a) unified command b) ICS c) single incident command d) NIMS

a

When submerged in water, biological death may be delayed if the water temperature is below ________°F.70 a) 70 b) 50 c) 98.6 d) 32

a

When using an AED, which of the following people is responsible for calling to "clear" the patient before delivering a shock? a) EMT operating the defibrillator b) EMT doing chest compressions c) EMT managing the airway d) EMT supervising bystanders

a

Where could you find the phalange bones? a) hands and feet b) legs c) arms d) skull and neck

a

Where is the decontamination corridor located where patients, personnel, and equipment are decontaminated? a) warm zone b) hot zone c) cool zone d) cold zone

a

Where should constricting bands be placed to reduce lymphatic flow after a venomous snake bite? a) 2 inches above and below the bite b) 4 inches above and below the bite c) Directly over the bite d) None of the above

a

Which body system is most likely to be affected by exposure to radiologic material? a) Central nervous system b) Respiratory system c) Urinary system d) Integumentary system

a

Which of the following vessels contain blood under the highest amount of pressure? a) arteries b) veins c) capillaries d) venules

a

Which of the following BEST describes the continued need for prehospital advanced cardiac life support, even when EMTs in the community carry AEDs? a) Not all cardiac arrests are due to problems that respond to defibrillation b) The patient may need medications to support his cardiac rhythm and blood pressure prior to attempting defibrillation. c) Before attempting defibrillation, it may be necessary to obtain a 12-lead ECG on the patient d) All of the above

a

Which of the following agencies have developed regulations for dealing with hazardous materials emergencies? a) OSHA and EPA b) NHTSA and NRC c) NAEMT and NHTSA d) DOT and FCC

a

Which of the following animals is the direct source of exposure to the bacterium that causes the plague in humans? a) fleas b) bees c) rats d) squirrels

a

Which of the following best defines domestic terrorism? a) Groups or individuals directing violent acts at their own population or government b) Acts of violence perpetrated by American citizens against the government of another country c) Politically motivated act of violence that occurs within the United States d) Interpersonal violence between family members

a

Which of the following best describes a difference between the systemic inflammatory response syndrome (SIRS) and the quick sepsis-related organ failure assessment (qSOFA)? a) SIRS is used to predict the likelihood a patient will develop sepsis, whereas qSOFA is used to predict the likelihood of patient death from sepsis. b) SIRS creates a score based on the number of abnormal findings, whereas qSOFA uses the presence of two or more specific criteria. c) SIRS relies on the measurement of exhaled carbon dioxide to detect sepsis, whereas qSOFA uses a variety of measures. d) SIRS is more commonly used in the intensive care setting, whereas qSOFA is more commonly used in field assessments.

a

Which of the following best describes the compartment syndrome? a) A serious condition caused by the bleeding and swelling from a fracture or crush injury that becomes so strong that the body can no longer perfuse the tissues against that pressure b) A serious condition caused by the amount of equipment that must be carried in the ambulance compartments c) A non-life-threatening condition caused by orthopedic injuries in which blood flow is stopped when the bone ends compress the blood vessels d) A life-threatening condition caused by trapping the blood flow by a fracture when the bone ends cut the blood vessels

a

Which of the following best describes the term crowning? a) presenting part of the baby being visible at the vaginal opening b) Discharge of bloody mucus c) Delivery of the head during a breech birth, completing delivery d) Complete dilation of the cervix

a

Which of the following best explains the reason for minimizing scene time for the trauma patient with significant hemorrhage or the potential for significant hemorrhage? a) It is essential to get the shock patient to more definitive care. b) The clock for the "golden hour" of trauma begins at the time of your arrival. c) There is nothing the EMT can do for a patient in shock d) It gives the EMT less opportunity to make mistakes in the patient's care.

a

Which of the following blood glucose levels is considered normal for an adult? a) 80 mg/dL b) 180 mg/dL c) 40 mg/dL d) 150 mg/dL

a

Which of the following choices is not a justifiable reason for delaying transport of a critical trauma patient? a) Awaiting arrival of police on scene b) Suctioning the airway c) Ventilating a patient in respiratory distress d) Immobilizing the patient to a long spine board

a

Which of the following could worsen the effects of a snake bite? a) Application of ice b) Constricting bands above and below the bite c) Cutting and suctioning out the venom d) Having the patient lie still

a

Which of the following describes the proper application of an occlusive dressing for an open chest wound? a) Apply an occlusive dressing to each penetrating wound. b) Trim the dressing so that it is the exact size of the wound. c) Traditional gauze dressings create the best seal over open wounds d) Use a porous material such as a 4" by 4" gauze pad.

a

Which of the following describes vehicle glass that is designed to break into small pieces rather than shattering into sharp fragments? a) tempered glass b) plexiglass c) alloy glass d) leaded glass

a

Which of the following does not make infants and children more prone to hypothermia? a) Inefficient metabolism b) Little body fat c) Large body surface area d) Small muscle mass

a

Which of the following groups of people makes up the largest portion of the homeless population? a) veterans b) females c) families d) children

a

Which of the following increases a scuba diver's risk of decompression sickness? a) Flying within several hours after a dive b) Breathing 100% oxygen before a dive c) Taking cold or sinus medications before a dive d) Diving on a full stomach

a

Which of the following is a common sign and symptom in poisonings of all types? a) Nausea and vomiting b) Pain and diaphoresis c) Headache and diaphoresis d) Dizziness and palpitations

a

Which of the following is a desirable characteristic of dressings used in the prehospital management of most open wounds? a) sterile b) occlusive c) adherent d) absorbent

a

Which of the following is a general term for a substance to which the body may have an anaphylactic reaction? a) allergen b) antibody c) pyrogen d) pathogen

a

Which of the following is a principle of effective Incident Command? a) Command is most effective when one person is responsible for no more than seven other people b) Police, fire, and EMS must establish separate command locations c) The command location must not be revealed to anyone on the scene d) None of the above

a

Which of the following is a substance that will neutralize a poison or its effects? a) antidote b) deactivator c) antibody d) vaccine

a

Which of the following is a type of chemical weapon? a) Vesicants b) Bomb containing radioactive material c) Plastic explosives d) Bacterial toxin

a

Which of the following vessels has thick muscular walls that allow constriction and dilation? a) arteries b) capillaries c) veins d) lymphatic vessels

a

Which of the following is the most important thing you can do when treating patients during a public crisis related to a newly recognized infectious disease? a) Follow the recommendations of the CDC and your local health department b) Tell patients not to worry because new reports exaggerate the severity of these diseases c) Gather data about patient signs and symptoms and report them to the local health department. d) Share information with patients about the prevalence of the disease

a

Which of the following is the proper method of disposing of a used epinephrine auto-injector? a) Place the device in a rigid biohazardous sharps disposal container b) Bend the needle at an angle to prevent accidental punctures and place it in the trash c) Leave it at the scene for the patient or his family to dispose of d) Take it to the hospital for disposal in the emergency department

a

Which of the following is the reason why infants rarely experience anaphylactic reactions? a) Infants have not yet developed antibodies to allergens b) Infants have received natural immunity to allergens from their mothers before birth c) Allergens do not affect infants d) None of the above

a

Which of the following is true concerning a patient's reaction to toxic gases from smoke inhalation? a) Signs and symptoms may be delayed b) Inhalation of the toxic gases will cause cherry-red skin or lips c) The patient will present with vague, flulike symptoms d) If the patient is feeling fine, they do not need to see a physician.

a

Which of the following is true concerning parietal pain? a) It is generally localized to a particular area b) It is often described as "crampy" or "colicky." c) It arises from solid organs. d) It is usually intermittent in nature.

a

Which of the following is true concerning trauma in the pregnant woman? a) She may lose up to 35 percent of her blood volume before exhibiting signs of shock b) She may lose up to 15 percent of her blood volume before exhibiting signs of shock. c) The increase in blood volume during pregnancy makes shock an unlikely cause of death. d) The mother's body will preferentially protect the life of the fetus over that of the mother.

a

Which of the following is true regarding helicopter transport and safety? a) Helicopter crew should direct the loading of the patient. b) Approach a parked helicopter from the uphill side when the aircraft is on a hill. c) Keep traffic and vehicles at least 30 feet from the helicopter. d) Always walk around the back of the helicopter near the tail rotor.

a

Which of the following may result from the application of a cervical collar that is too large for the patient? a) Hyperextension of the neck b) Excessive lateral movement of the mandible c) Rotation of the head and neck d) Hyperflexion of the neck

a

Which of the following measures can the EMT take to create a safer extrication scene? a) Setting up road flares every 10 feet for a safe distance to divert traffic away from the collision b) Setting up road flares around hazards such as spilled fuel c) Dropping road flares from the ambulance as you are approaching the scene d) Both B and C

a

Which of the following most affects the extent of damage a poison does to the body? a) Patient's age, weight, and general health b) Patient's race, age, and medications taken c) Patient's genetics, height, and medications taken d) Patient's nutritional status, genetics, and strength of the immune system

a

Which of the following organs is located in the retroperitoneal space? a) kidneys b) uterus c) stomach d) liver

a

Which of the following patients should have an automated external defibrillator applied? a) A 19-year-old college athlete who collapsed during football practice and is pulseless and apneic b) A 6-month-old in severe respiratory distress c) A 67-year-old man with severe, crushing chest pain that is not relieved by nitroglycerin d) A 40-year-old female in cardiac arrest due to chest injuries sustained in a motor vehicle crash

a

Which of the following phases of extrication follows the other three phases? a) Immobilizing and extricating the patient b) Gaining access to the patient c) Recognizing and managing hazards d) Stabilizing the vehicle

a

Which of the following serious health problems is related to homelessness? a) tuberculosis b) heart disease c) hypertension d) liver disease

a

Which of the following should be used to protect a patient during extrication? a) goggles b) plastic blanket c) netting d) none of the above

a

Which of the following statements about treating a patient who appears to be in shock is false? a) Spend time on scene to correct the causes of the shock so it does not worsen. b) Airway management is a top priority c) The patient should be promptly put on high-concentration oxygen. d) Prompt transportation is a very high priority

a

Which of the following statements is not true concerning a pelvic wrap? a) It should not be used unless the patient shows signs of shock b) It can be used if the pelvis shows instability c) It can be used if the pelvis shows deformity. d) You can consider its use based on mechanism of injury (MOI).

a

Which of the following statements is not true concerning the proper transport of an avulsed ear? a) It should be in a dry sterile dressing b) It should not be immersed in cooled water or saline. c) It should be kept as cool as possible d) It should be labeled with the patient's name, as well as the date and time it was bagged

a

Which of the following substances may be ordered by medical control to dilute a poison? a) milk or water b) water with syrup of ipecac c) milk of magnesia citrate d) milk or milk of magenisa

a

Which of the following terms refers to the delivery of oxygen and nutrients and the removal of wastes at the body's cellular level? a) perfusion b) cardiopulmonary response c) compensation d) circulation

a

Which of the following trauma triage criteria would justify transportation to a trauma center based on mechanism of injury alone? a) Auto versus pedestrian b) Intrusion into the occupant area greater than 8 inches c) Vehicle crash-generated telemetry data d) Vehicle rollover

a

Which one of the following patients would justify the need to directly transport to a trauma center based on special patient considerations? a) A pregnant female in the third trimester who is spotting (showing small amounts of vaginal bleeding) following a low mechanism of injury MVC b) An elderly patient who slipped out of her wheelchair and is complaining of pelvic pain c) An unlicensed teenage driver who has a pulse rate of 120 after a MVC and a 4 minute EMS response d) An end-stage renal disease (ERSD) patient who tripped and fell and is complaining of shoulder pain on the same side as his shunt

a

While caring for a patient known to have hepatitis B, you are splattered across the face with blood. You were not wearing eye protection at the time and some of the blood got onto your eyeball. You have never received your hepatitis B vaccination. Which of the following postexposure actions would not lower your risk of developing hepatitis B? a) Taking antiviral medication b) Having the vaccination c) Washing your eye with water d) Receiving immune globulin

a

While performing night operations, which of the following combinations of lights provide maximum visibility? a) Red/amber warning lights ON, headlights OFF, fog lights OFF, and traffic directional boards ON b) Red/amber warning lights ON, headlights ON, fog lights ON, and traffic directional boards ON c) Red/amber warning lights ON, headlights ON, fog lights OFF, and traffic directional boards ON d) Red/amber warning lights ON, headlights OFF, fog lights OFF, and traffic directional boards OFF

a

Why are infants and young children more prone to hypothermia than adults? a) They have less fat than adults b) They shiver more than adults c) They are unable to recognize how cold they are d) Their immune system is not fully developed.

a

Why is it important to keep patients at rest when they are hypothermic? a) Because the blood is coldest in the extremities, exercise or unnecessary movement could quickly circulate the cold b) Because the blood is coldest in the extremities, exercise or unnecessary movement could quickly circulate the cold c) Because the blood is warmest in the extremities, exercise or unnecessary movement could quickly circulate the war d) None of the above.

a

You are assessing a 30-year-old male patient that had his arm caught in a piece of machinery. By the time you arrive, he has been freed. The patient tells you that he does not understand why you were called, but as you inspect the injured limb you notice a small puncture wound. You should have a high index of suspicion of which of the following injuries? a) high-pressure injection b) puncture c) chemical burn d) crush injury

a

You are at the scene of a vehicle collision and have found that there is one patient who is in stable condition. At this point, the call can be categorized as: a) no longer a true emergency. b) a non-incident c) an unfounded call d) triaged.

a

You are beginning triage at the scene of a mass-casualty incident in which a commuter train has derailed. Which of the following should you do first? a) Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building. b) Identify all Priority 1 patients c) Do a quick pulse check on all patients at the scene d) Check the airway status of all patients who do not appear to be moving.

a

You are called for a possible imminent delivery. Your patient is a 15-year-old girl who is, by your estimation, about 8 months pregnant. She tells you that she has been hiding her pregnancy. You are especially concerned about problems she might have during the delivery. Which of the following are findings indicate that there may be a need for neonatal resuscitation? a) The mother has not had prenatal care b) The mother's water has already broken c) The mother does not intend to breastfeed d) The mother has a blood pressure of 130/82.

a

You are called to a residence for a 50-year-old male complaining of difficulty breathing. He is alert and oriented to time, place, and person. The patient presents with hives over the chest, stridor, a swollen tongue, and wheezing in the upper fields. He is breathing 32 times per minute. He is speaking in two- to three-word sentences. What is the best treatment for the patient? a) Administering epinephrine with consent from medical control b) Rapid transport to the nearest facility c) Oxygen at 15 liters per minute by nonrebreather mask d) Oxygen at 15 liters per minute by bag-valve mask

a

You are called to the local park on a hot summer day for an 8-year-old child in respiratory distress. The child can barely speak and appears to be getting sleepy. Vital signs are blood pressure 90/60, pulse 120, and respiratory rate 32. Your physical exam reveals a swollen tongue, inspiratory stridor, wheezing, and hives on the neck and chest. What condition do you suspect? a) anaphylaxis b) heat exhaustion c) allergic reaction d) asthma

a

You are called to the scene of a 17-year-old female patient who is unresponsive. Her mother suspects that she tried to commit suicide by taking her pain pills. The patient is unresponsive to painful stimuli, has agonal respirations, and has vomited. She has a weak carotid pulse. After securing the airway and providing oxygen by bag-valve mask, what is your next action? a) Perform a secondary assessment of the patient b) Perform a focused assessment. c) Question the mother about the patient's suicidal tendencies. d) . Ask the mother the name of her pain medication.

a

You are dispatched to a motorcycle crash with one patient involved. What on-scene intervention is inappropriate for this patient? a) Extensively splint the patient's injuries. b) Suction vomit and secretions from the airway c) Manually stabilizing the cervical spine. d) Begin chest compressions.

a

You are dispatched to a suicide attempt. You arrive to find a 16-year-old who is extremely agitated and pacing up and down in the living room of his house. Apparently, he threatened to go out, get a gun, and shoot himself. His parents called it in as an attempted suicide. The scene is safe and there are apparently no weapons accessible to the patient. Which of the following would not be appropriate in caring for this patient? a) Make certain the patient gets between you and the door. The patient should always feel he has an escape route. b) Always be on the watch for weapons c) Do not take any action that may be considered threatening by the patient; doing so may bring about hostile behavior directed against you or others. d) Do not isolate yourself from your partner or other sources of help

a

You are en route to the trauma center with a patient who was injured when he was thrown from a horse. You suspect multiple trauma injuries including a closed head injury. You will monitor his mental status using the Glasgow Coma Scale (GCS) per your protocols. Which of the following will you check? a) Eye opening, motor response, and verbal response b) Motor response, verbal response, and attentiveness c) Verbal responses, motor skills, and mental status d) Speech patterns, motor patterns, and mental status

a

You are examining a 24-year-old female patient with lower quadrant abdominal pain. What is the most lethal possibility? a) ectopic pregnancy b) pelvic inflammatory disease c) cholecystitis d) menstrual irregularity

a

You are on an EMS standby for a boxing tournament. During one of the matches, one of the female boxers delivers a forcible uppercut to the chest of her opponent, who falls to the ground. The match is declared over on the basis of a TKO. However, the opponent fails to arise following a 1- to 2-minute interval. EMS is summoned to the ring. You find the patient pulseless and breathing agonal gasps. You suspect which of the following traumatic conditions? a) Commotio Cordis b) tension pneumothorax c) aortic dissection d) cardiac tamponade

a

You are on the scene of a 40-year-old male patient who is anaphylactic and still unresponsive following a single epinephrine injection. Prior to giving the injection, you inserted an oral airway and administered oxygen at 15 liters per minute by bag-valve mask and your partner found diminished lung sounds. Following the epinephrine administration, your partner reassesses lung sounds and tells you that the patient is now wheezing loudly in all fields. What is the next action you should perform? a) Contact medical control and request to administer another dose of epinephrine. b) Hyperventilate the patient. c) Discontinue bagging the patient d) Place the patient on a nonrebreather mask.

a

You are on the scene of a church bus roll-over collision. There are 30 passengers involved. As triage officer, which one of the following patients should you assign the highest priority? a) 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side b) Unresponsive 9-year-old male with an open skull fracture who is in cardiac arrest c) 35-year-old pregnant woman with a cut on her head, neck pain, and numbness and tingling in her arms d) 30-year-old man with multiple lower extremity fractures who is awake, has a strong radial pulse, and is complaining of severe pain

a

You are the first on the scene of a 72-year-old patient in cardiac arrest. You have your medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality CPR has been provided by the police officer who arrived before you. You have confirmed an open airway, apnea, and pulselessness. Which of the following should you do next? a) Apply the defibrillator pads and shock as indicated. b) Contact medical direction before taking any action c) Perform one-rescuer CPR until additional personnel arrive d) Perform bag-valve mask ventilations with supplemental oxygen for 30 seconds before applying the defibrillator pads.

a

You are transporting a patient who is experiencing frequent discharges of her automatic implanted cardiac defibrillator (AICD). You are caring for the patient in the back of the ambulance en route to the hospital. To protect yourself from being shocked if the defibrillator discharges, you should: a) not worry; the defibrillator does not pose a danger to others b) limit direct contact with the patient c) wear protective gloves that cannot conduct electricity d) make sure you do not touch the patient directly.

a

You have been called for a 32-year-old female who is in active labor. During your assessment and interview, you note that she is 37 weeks along, this is her first child, and her contractions are 5 minutes apart. She also tells you that her pregnancy is considered "high risk." Your first concern should be: a) getting to the hospital. b) assembling your delivery kit. c) calling for a back-up unit. d) preparing for the delivery

a

You have been called to the scene of a single vehicle crash. The victim lost control of the vehicle on an icy road and hit a tree. He shows signs of facial injury with bleeding, but is conscious and aware of his surroundings. Before you begin providing care to him, he tells you that he has HIV and is currently taking medication that has helped suppress his viral load. Based on this information, which of the following actions should you take? a) Take Standard Precautions while providing care for the patient b) Avoid direct contact with the patient but provide him with dressings he can apply himself c) Call medical direction and ask how you should proceed d) Provide care without using precautions because his viral load is suppressed.

a

You have responded to a local pool for a drowning patient. Lifeguards have pulled the patient out of the pool prior to your arrival. You find a 22-year-old male patient unresponsive with agonal respirations and a weak carotid pulse. Bystanders state the patient was not using the diving board and was found in the shallow end. Why are cervical spine precautions necessary? a) The patient may have suffered a spinal injury by jumping in shallow water b) The patient may have hit his head on the side wall while swimming laps. c) The patient may have suffered a cervical spine injury when pulled out of the water d) The patient may have been using the diving board after all and injured his cervical spine

a

You have responded to a woman who has possible premature labor. She is 8 months pregnant and is experiencing labor pains. During your assessment, you note that the baby is not yet crowning. You need to determine whether delivery is imminent or not. You should next: a) time her contractions. b) check the level of the fundus c) check for cervical dilation. d) complete a set of vital signs.

a

You respond to a 32-year-old male who fell 20 feet off a ladder. He is responsive to painful stimuli. He has snoring respirations at 20 a minute with decent chest rise and fall. He has a broken femur, a broken wrist, and a lacerated radial artery that is bleeding profusely. Which of these injuries is the highest priority? a) Arterial bleed b) Broken wrist c) Snoring respirations d)femur fracture

a

You respond to a 75-year-old female who is complaining of epigastric pain that feels like heartburn and radiates to the right shoulder. Her vital signs are stable and she has a previous history of myocardial infarction. She has prescription nitroglycerine tablets. An ALS unit is en route. After performing a physical examination and applying oxygen by nasal cannula, you should: a) contact medical control regarding the administration of the patient's nitroglycerin b) cancel the ALS unit: this is just gallstones and BLS can transport c) apply the AED and prepare for imminent cardiac arrest from a myocardial infarction d) transport the patient in the supine position for shock

a

You respond to a call for a patient in active labor with her second child. Your interview with the patient shows that she is 40 weeks pregnant and has been in active labor for several hours. You determine that her vital signs are all within normal limits. After your physical exam, you determine the baby is crowning. You should next: a) prepare to deliver the baby on-scene. b) contact medical direction for orders. c) delay delivery until arrival at the hospital d) begin transport and plan to deliver in the ambulance.

a

You respond to a local swim park for a 29-year-old male who was stung by a bee and "passed out." Upon arrival, you find the patient unresponsive to all stimuli with agonal respirations at 6 per minute. You insert an oral airway and administer oxygen at 15 liters per minute by bag-valve mask. You notice that it is difficult to bag the patient. Your partner listens to lung sounds and states they are very diminished in the upper fields and absent in the lower fields. What is the best action? a) Request orders from medical control to administer epinephrine. b) Request an ALS unit. c) Request orders from medical control for an emergency cricothyroidotomy d) Hyperventilate the patient.

a

You respond to the scene of a 50-year-old male complaining of severe abdominal pain. He has a history of alcohol and drug abuse. His vital signs are stable and he presents with epigastric pain that radiates to the back. He has guarding and point tenderness in the upper quadrants. You suspect: a) pancreatitis b) myocardial infarction c) gastroesophageal reflux disease (GERD) d) cholecystitis

a

You respond to the scene of a motor vehicle collision involving a small pickup truck that struck the rear of a moving tractor-trailer. The driver of the tractor-trailer is walking around and complains of neck pain. The driver of the pickup truck is conscious but cannot exit the vehicle because the door is stuck and the steering wheel is displaced onto his lap. The passenger of the pickup truck is sitting upright in the passenger seat, is unconscious, but has radial pulses. Access to the passenger is not obstructed. A fourth patient, who was sitting in the pickup truck bed, is found about 10 feet away and responds to commands appropriately. Assuming your ambulance is the only emergency vehicle on the scene currently, which of the following patients should be packaged for transport first by the next arriving ambulance? a) Passenger in the pickup truck's front seat b) Pickup truck driver c) Passenger ejected from the pickup truck bed d) Tractor trailer driver

a

Your patient has a history of severe anaphylaxis and carries several auto-injectors. You have administered one of the auto-injectors, but the patient's condition continues to worsen. Which of the following is the next best course of action? a) Contact medical control. b) Divert transport to a hospital with critical care capabilities. c) Immediately administer a second auto-injector. d) Continue supportive care en route to the hospital.

a

Your patient has sustained a serious laceration to his neck. He appears to have lost a lot of blood, and you are considering how you will control the bleeding. Your primary treatment should be to: a) place your gloved hand over the wound before placing an occlusive dressing b) pack the wound with bulky dressings while avoiding placing pressure on the wound c) apply a dry, sterile dressing to the wound and then wrap with gauze d) transport the patient immediately in the supine position

a

Your patient is a 16-year-old centerfielder on his high school baseball team. He was injured when he and the left fielder collided trying to catch a fly ball. He is disoriented and is unable to tell you what happened. His vital signs are pulse 88, blood pressure 132/86, respiratory rate 16, and pupils equal. As you assess his head, you do not see any cuts or bleeding, but you feel a spongy, depressed area over his left ear. You should suspect a(n): a) open head injury b) laceration injury c) closed head injury d) indirect injury

a

Your patient is a 16-year-old male who was ejected from an all-terrain vehicle and struck his head on a large rock. He was not wearing a helmet. He is unresponsive with shallow, irregular respirations; a blood pressure of 170/110 mmHg; and a heart rate of 50 beats per minute. Which of the following interventions would be most appropriate? a) Insert an oropharyngeal airway and ventilate via bag-valve mask at 10 to 12 breaths per minute b) Insert an oropharyngeal airway (OPA) and ventilate via bag-valve mask (BVM) at 30 breaths per minute c) Insert an oropharyngeal airway and give oxygen by nonrebreather mask at 10 lpm. d) Insert a nasopharyngeal airway and give oxygen by nonrebreather mask (NRB) at 15 lpm

a

Your patient is a 17-year-old with a history of asthma. She is complaining of pain in her lower abdomen. Assessment reveals that her breath sounds are clear and equal, she has a respiratory rate of 28 breaths per minute, a heart rate of 96 beats per minute, and a blood pressure of 112/74 mmHg. Which of the following is the most appropriate next step? a) Provide high-concentration oxygen b) Insert a nasopharyngeal airway in the patient's nose c) Assist the patient in the administration of her metered-dose inhaler d) Have the patient breathe into a paper bag to rebreathe some of her carbon dioxide

a

Your patient is a 25-year-old female with a history of diabetes. She is confused, agitated, and verbally abusive to you, and she is very sweaty. Although she refuses to give a history of the present illness, which of the following should you suspect as the likely cause of the patient's presentation? a) Failure to intake sufficient sugar b) Excessive intake of foods high in sugar, such as soda or candy c) Failure to take her insulin d) A nondiabetic-related problem, such as a head injury or mental illness

a

Your patient is a 25-year-old man who picked up an iron skillet with a very hot handle. He has a reddened area with blisters across the palm of his hand. Which of the following must be avoided in the prehospital management of this wound? a) Application of antibiotic ointment b) Application of a dry sterile dressing c) Keeping the site clean d) Removing rings

a

Your patient is a 28-year-old male who was ejected from his motorcycle after striking a parked vehicle. He has multiple deformities to his upper and lower extremities on both sides. Which of the following would be the best way to immobilize this patient's extremities prior to transport? a) Immobilize the patient to a long backboard without splinting the extremities individually b) Use moldable splints for the upper and lower extremities, padding any voids to fully stabilize the fractures c) Use traction splints for the lower extremities and allow the upper extremities to be immobilized by the long backboard. d) Use padded board splints for the upper extremities and a PASG for the lower extremities.

a

Your patient is a 35-year-old woman who was driving a minivan that was struck in the driver's side door by another vehicle. You notice that when you apply pressure to her sternum with your knuckles she extends her legs and flexes her arms and wrists. When giving your radio report, which of the following terms should you use to describe this? a) posturing b) Cushing reflex c) tonic-clonic activity d) Battle sign

a

Your patient is a 40-year-old male who has been exposed to a dry chemical powder and is complaining of severe pain on both of his hands, the site of the contact. He is working in an illegal chemical manufacturing plant and there is no decontamination shower on site. Which of the following would be the best way to manage this situation? a) Brush away as much of the powder as possible and then have the patient hold his hands under running water from a faucet or regular garden hose. b) Have the fire department connect to a hydrant and spray down the patient from head to toe. c) Brush away the powder and bandage the hands in a position of function d) Brush away as much powder as possible and then pour a bottle of sterile saline solution over his hands.

a

Your patient is a 45-year-old female who is allergic to sesame seeds, which she accidentally ingested when she ate a deli sandwich. She is having difficulty breathing and she has hives, watery eyes, a weak pulse of 120 per minute, and swelling of the face and tongue. Which of the following is the best course of immediate action? a) Contact medical control for orders to administer the patient's epinephrine auto-injector b) Insert an oropharyngeal airway (OPA) c) Transport immediately d) Contact dispatch to see where the closest ALS unit is.

a

Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that he was assaulted and robbed by three individuals. He is complaining of being "hit in the face and kicked and punched in his ribs and stomach." Your examination reveals contusions and swelling around both eyes, bleeding from the nose, a laceration of his upper lip, and multiple contusions of the chest, abdomen, and flanks. Which of the following should cause the greatest concern regarding the prehospital care of this patient? a) The potential for serious internal damage b) The presence of any defensive wounds the patient may have sustained c) Reducing the swelling around his eyes by applying a cold pack d) The possibility of commotio cordis

a

Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that he was assaulted and robbed by three individuals. He is complaining of being "hit in the face and kicked and punched in my ribs and stomach." Your examination reveals contusions and swelling around both eyes, bleeding from the nose, a laceration of his upper lip, and multiple contusions of the chest, abdomen, and flanks. Which of the following should cause the greatest concern regarding the prehospital care of this patient? a) Potential internal injuries b) The swelling around his eyes, which may be reduced by applying a cold pack c) Getting a description of the assailants d) The presence of any defensive wounds the patient may have sustained

a

Your patient is a 6-year-old child who has fallen down while running on a sidewalk. She has abrasions on both knees and the palms of both hands, which are oozing blood. This is an example of bleeding from which of the following types of vessels? a) capillaries b) arteries c) venules d) veins

a

Your patient is a 7-year-old male who ate an unknown type of mushroom on a dare by his friends. You should ask all of the following questions except: a) Why did you eat the mushroom? b) When did you eat the mushroom? c) How much did you eat? d) Are there any more of the mushrooms?

a

Your patient is a 70-year-old man whose wife called EMS because her husband began exhibiting unusual behavior. Upon your arrival you introduce yourself to the patient, who responds, "Not until nine o'clock." This phenomenon is BEST described as: a) receptive aphasia b) disorientation to time c) unresponsive to verbal stimuli d) expressive aphasia

a

Your patient is an unresponsive 30-year-old male wearing a Medic-Alert bracelet indicating that he is a diabetic. The patient's coworkers came by his house to check on him when he did not show up for work and did not call in sick. Your assessment does not clearly indicate to you whether the patient may be hypoglycemic or hyperglycemic. Which of the following should you do next? a) Apply oxygen and begin transport without taking further action b) Use your glucometer to check his blood sugar level. c) Administer oral glucose, as it will not cause additional harm in hyperglycemia but may prevent brain damage if the patient is hypoglycemic. d) Use the patient's glucometer to check his blood sugar level.

a

Your patient is exhibiting bizarre and aggressive behavior; he starts shouting and becomes violent. He has extra strength and appears insensitive to pain. Drug paraphernalia is visible on-scene. This behavior is known as: a) excited delirium b) delusions c) sensory excitement. d) chemical delirium

a

Your patient is waking up from a seizure; it was the patient's first seizure ever. When you ask what happened, the patient tells you she had the smell of fresh mown grass just before she seized. This sensation is known as a(n): a) aura b) clonic phase c) postictal phase d) tonic phase

a

You respond to the scene of a motor vehicle crash to find a middle-aged man on a long spine board being cared for by first responding firefighters. He appears to be bleeding from his head and he is unconscious. You should check the car for:

a bent steering wheel or starred windshield

Which of the following are the abdominal regions created by drawing two imaginary lines intersecting at the navel?

abdominal quadrants

A weakened area of an artery that balloons out and may rupture, causing catastrophic bleeding, is called:

an aneurysm

During the primary assessment of a responsive adult patient, where should the pulse be checked?

at the radial artery

Covering two-thirds of the upper arm

attempt to find the carotid pulse

A 17-year-old girl was injured when her car was struck from behind while she was stopped at a red light. She is complaining of a headache with neck and back pain. You suspect she has sustained a(n): a) extension injury b) whiplash injury. c) compression fracture d) distraction injury.

b

A painter falls from his ladder and tells you he has dislocated his shoulder again. When you attempt to splint the shoulder, it "pops back into place." What should your next step be? a) Report the popping sound to the receiving physician when you arrive at the hospital. b) Check distal CSM, apply a sling and swathe, and transport the patient. c) Contact medical control for input into the best treatment for this patient d) Check distal CSM, apply a traction splint, and transport the patient.

b

A patient has a dry powder poison covering both upper extremities and chest. You should: a) cover the patient's arms with a burn sheet to preserve the powder for the emergency room b) brush the powder off and irrigate the contaminated area with large amounts of water. c) immediately wash the powder off to prevent further exposure. d) flush the area with large amounts of water and then brush the remaining poison off.

b

A patient uses a home ventilator connected to his tracheostomy tube to breathe. Which of the following is the correct procedure to use when moving this patient to the ambulance? a) Ventilate the patient's nose and mouth with a bag-valve mask at a normal rate and volume while the patient is disconnected from the ventilator. b) Ventilate the patient's tracheostomy tube via a connected bag-valve mask at a normal rate and volume while the patient is disconnected from the ventilator. c) Ventilate the patient with mouth-to-mask ventilations at a normal rate and volume while the patient is disconnected from the ventilator d) Do nothing; there is no need to ventilate the patient between the house and the ambulance

b

A patient-carrying device should have at least ________ straps to hold the patient securely a) 2 b) 3 c) 5 d) 1

b

A respiratory rate of less than ________ or greater than ________ in cases of trauma is a criterion for immediate transportation to a trauma center according to the CDC physiologic guidelines. a) 5; 45 b) 10; 29 c) 12; 20 d) 8; 32

b

A suspected musculoskeletal injury of the shoulder is best managed by which of the following techniques? a) Placing two long padded board splints on either side of the extremity, extending from the shoulder to the wrist b) Placing the arm in a sling and using a triangular bandage to secure it to the body c) Using an upper extremity traction splint d) Using a long-arm air splint

b

A wound in which the epidermis is scraped away with minimal bleeding, such as commonly occurs when a child falls on his knees on a sidewalk, is called a(n): a) avulsion b) abrasion c) laceration d) contusion

b

According to the rule of nines for infants and young children, the patient's head and neck account for what percentage of the total body surface area? a) 14 percent b) 18 percent c) 1 percent d) 9 percent

b

After activating the EpiPen auto-injector, how long should it be held in place before removing it from the patient's thigh? a) 30 seconds b) 10 seconds c) it should be removed from the injection site immediately d) 1 minutes

b

All of the following are elements of adult high-performance CPR, EXCEPT: a) compression rate of at least 100 per minute b) compressing the patient's chest to no more than 1 inch in depth before allowing full relaxation. c) placing the heel of one hand on the center of the victim's chest d) maintaining a 2:30 ratio of ventilations to compressions

b

All of the following are general rules for dealing with a psychiatric patient except: a) make eye contact with the patient. b) do not be judgmental; instead, show pity, because he needs to know that you understand him. c) speak slowly and clearly, and use a calm and reassuring tone d) listen to the patient, showing you are listening by repeating part of what the patient says back to him

b

All of the following are signs of adequate breathing and circulation in the newborn except: a) heart rate greater than 100 b) relaxation of the extremities. c) vigorous crying d) cyanosis of only the hands and feet.

b

An area near a hazardous materials incident that is upwind from the incident and on the same level is a good locatio a) treatment zone b) safe zone c) hot zone d) danger zone

b

An injury caused by heavy pressure to the tissues, such as when an extremity is trapped under a fallen tree, that results in damage to underlying structures, bleeding, and inflammation is called a(n): a) abrasion b) crush injury c) contusion d) avulsion

b

Andrea is an EMS supervisor with a combined EMS/Fire department. On the scene of a hazardous materials incident, she acts as a liaison with federal, state, and local authorities. Andrea's level of hazardous materials training is at the ________ level. a) Hazardous Materials Technician b) Hazardous Materials Specialist c) First Responder Awareness d) First Responder Operations

b

As it pertains to hazardous materials, the Occupational Safety and Health Administration requires employers to: a) ensure there is at least one person on-site trained at the technician level b) document the appropriate level of training for each employee c) train employees to handle any type of hazardous materials incident d) have knowledge of all hazardous materials on the premises

b

Terrorist incidents typically involve all of the following agents except: a) nuclear agents. b) allergens c) biologic agents. d) explosives

b

EMTs may come across a situation where a patient begins to act extremely agitated or psychotic. Uncontrolled psychiatric illness and sometimes drug intoxication may be present. The patient may suddenly cease struggling, and often within minutes the patient develops inadequate or absent respirations and subsequently dies. It is important for the EMT to be alert for this sequence of events in a patient who exhibits this behavior and monitor the patient constantly throughout the call. This condition is called: a) bipolar disorder. b) excited or agitated delirium c) excited psychosis d) psychotic delirium

b

Full immobilization of a trauma patient, including placing a cervical collar and securing the patient to a backboard, should take place at which of the following points in time? a) En route to the hospital b) Before moving the patient to the ambulance c) Before the primary assessment d) After checking for cervical range of motion

b

Gamma hydroxybutyrate (GHB) is an example of which of the following types of drugs? a) volatile spirit b) depressant c) stimulant d) cannabis

b

Heat stroke is caused by which of the following mechanisms? a) Extreme dilation of all the blood vessels b) Failure of temperature regulation mechanisms c) Blockage of blood flow to the brain d) Heat-induced swelling of brain tissue

b

How does carbon monoxide cause toxic effects? a) Prevents red blood cells from releasing carbon dioxide b) Prevents red blood cells from carrying oxygen c) Causes red blood cells to clump together d) Prevents the blood from clotting

b

If the blood sugar level is very high, which of the following may result? a) Excessive insulin, excessive glucose, and excessive urination b) Excessive urination, excessive thirst, and excessive hunger c) Hyperactivity, excessive thirst, and polyuria d) Polyuria and hyperactivity

b

If the steering wheel must be displaced during extrication and the airbag has not deployed, which of the following actions is recommended by airbag manufacturers? a) Firmly strike the hub of the steering wheel with a mallet to deactivate the airbag before displacing the steering wheel b) Disconnect the battery cables c) No action is required; only frontal impact will deploy airbags d) Secure a long backboard across the steering wheel to deflect the airbag from the patient should it deploy

b

Immediate effects of alcohol are due to effects on which body system? a) gastrointestinal system b) central nervous system c) cardiovascular system d) respiratory system

b

In which of the following situations would a person lose heat by conduction? a) Wearing wet clothing in windy weather b) Breathing c) Sitting on cold metal bleachers at a football game d) Going outside without a coat during a cold but calm day

b

In which of the following ways does cardiac arrest in children differ from cardiac arrest in adults? a) Ventricular fibrillation is not common in adults b) Cardiac arrest in children is more likely to be due to respiratory failure c) Cardiac arrest in adults is more likely to be due to respiratory failure d) Ventricular fibrillation is common in children

b

Localized cold injury occurs due to vasoconstriction and: a) loss of calcium. b) ice crystal formation in the tissues c) blood clots d) chemical imbalance in the tissues

b

Many diabetics today have an insulin pump. Which of the following statements about insulin pumps is NOT true? a) They are usually worn on the belt. b) They are usually worn around the ankle c) They have a catheter that enters into the abdomen or thigh d) They are about the size of a deck of cards.

b

Most radiant heat is lost through which part(s) of the body? a) Hands and feet b) Head and neck c) Torso d) Buttocks

b

Of the following venomous snakes, which one usually has the highest incidence of a "dry bite"? a) Water moccasin b) Coral snake c) Copperhead d) Rattlesnake

b

Once you have established with reasonable certainty that your patient is suffering from a behavioral emergency, which of the following is the best course of action? a) Establish the best way to restrain the patient before he has the opportunity to become violent b) Attempt to determine whether there is a possible physical cause for the patient's behavior. c) There is no need to assess for medical conditions if the patient does not have a history of past medical problems. d) Begin intense individual counseling with the patient.

b

One of the greatest hazards associated with EMS highway operations is a) sharp objects b) traffic flow c) power lines. d) explosion.

b

Operators of emergency vehicles must drive with the safety of others in mind. This is known as driving: a) as a public servant b) with due regard. c) defensively. d) with emergency privilege

b

OxyContin is an example of which of the following types of drugs? a) Appetite suppressant b) narcotic c) antidepressant d) barbiturate

b

Pain felt in the epigastric region of the abdomen is of concern because of the possibility of which of the following? a) kidney stones b) myocardial infarction c) extreme diarrhea with dehydration d) influenza

b

Pain that originates in an organ, such as the intestines, is called ________ pain. a) visceral b) acute c) referred d) parietal

b

Signs that identify the hazardous material contained within a transport vehicle are called: a) indicators b) placards c) panels d) warnings

b

Simple Triage and Rapid Treatment (START) is a system that relies on some simple commands and what three physiologic parameters? a) Respiration, pain, and mental status b) Respiration, pulse, and mental status c) Circulation, sensory, and motor status d) Respiration, sensory, and motor status

b

Stabilizing a vehicle is unnecessary when a vehicle is on its roof with: a) the trunk lid in contact with the ground b) all roof supports collapsed c) the vehicle horizontal and resting entirely on the roof. d) the front edge of the hood in contact with the ground.

b

Studies have shown that drivers of other vehicles do not usually see or hear ambulances or other emergency vehicles until they are within ________ feet of it. a) 250 b) 100 c) 150 d) 200

b

The best way for a terrorist to weaponize and disseminate a chemical nerve agent to expose a large number of people would be to: a) throw a Molotov cocktail loaded with nerve agent into a windshield of a passenger bus b) steal a truck that sprays for mosquitos and aerosolize the nerve agent into a crowded subdivision. c) put it in a paper bag in a crowded mall and puncture the bag with a stick d) throw a paper bag loaded with nerve agent onto a busy subway train

b

The condition in which there is an insufficient amount of sugar in the blood is called: a) hyperglycemia b) hypoglycemia c) tachycardia d) diabetic ketoacidosis

b

The mechanism of injury in which a patient's chest has struck an immovable object, such as a steering wheel, may most accurately be described as a(n): a) penetrating injury b) compression injury c) open chest injury d) tension pneumothorax

b

The most common fatal primary injury from a blast is a) a liver laceration b) a lung injury c) an extremity fracture d) an impaled object

b

The most common form of hemostatic agent is: a) granules b) gauze or dressings c) discs d) powders

b

The most common medical emergency for the diabetic is hypoglycemia, or low blood sugar. Which of the factors below is NOT a cause of hypoglycemia? a) Takes too much insulin b) Reduces sugar intake by eating too much c) Over-exercises or over-exerts himself d) Vomits a meal

b

The technique for central rewarming requires the application of heat to which of the following areas of the patient's body? a) Head, neck, chest, and back b) Lateral chest, neck, armpits, and groin c) Head, neck, chest, and groin d) Chest, back, neck, and armpits

b

The term for a baby developing inside the mother's womb after 8 weeks is: a) neonate b) fetus c) infant d) embryo

b

There are general rules that apply to all types of splinting. Which of the following is not a general rule of splinting? a) Assess distal CSM b) In order to avoid loss of use of a limb, it is important to splint before moving, even if the patient is unstable. c) Expose the injury. d) Align long-bone injuries to anatomical position.

b

There are two types of seizures; if your patient is having a seizure that affects only one body part and does not cause her to lose consciousness, it is called a: a) generalized seizure b) partial seizure c) postictal seizure d) tonic-clonic seizure

b

To assess skin temperature for a possibly hypothermic patient, the EMT should place the back of his hand against which part of the patient's body? a) Forehead b) Abdomen c) Cheek d) Inner wrist

b

Upon arrival at the scene of a motor vehicle collision, you find a vehicle that is on fire. The fire is confined to the engine compartment and the hood is tightly closed. Of the following, which is the best course of action? a) Wet the interior of the vehicle to keep the fire from spreading. b) Let the fire burn and concentrate on extricating the patient c) Discharge a dry chemical fire extinguisher onto the patient's clothing to protect him from the fire d) Use a long-handled pry-bar to open the hood and put out the fire with a fire extinguisher

b

Using START triage guidelines, a patient on the scene of a mass-causality incident who has no pulse is deemed a________ patient. a) priority 1 b) priority 0 c) priority 2 d) priority 3

b

Using START triage guidelines, a patient on the scene of a mass-causality incident who is alert and able to walk is deemed a ________ patient. a) priority 0 b) priority 3 c) priority 2 d) priority 1

b

What are some of the most important critical decisions an EMT can make on the scene of a serious trauma? a) Diagnosing the causes for a patient's presentation and identifying a course of definitive care b) Determining patient severity, amount of time on scene, and transport destination c) Determining the potential liability involved in performing life-saving interventions d) Deciding whether to treat life-threatening injuries on scene or to load and go

b

What constitutes a multiple-casualty incident (MCI)? a) An event that unfolds over a long period of time and requires federal, state, and local response b) An event that places a great demand on EMS equipment and personnel resources c) Any event that requires additional ambulances to adequately transport the patients from the scene d) An incident with 3 to 15 patients that the service handles without calling for additional resources

b

What is a common sign or symptom of high-altitude cerebral edema? a) Paresthesia b) Altered mental status c) Peripheral edema d) Nosebleed

b

What is a primary problem when treating musculoskeletal injuries? a) Most musculoskeletal injuries are simply splinted and not a life threat to the patient b) Many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-threatening conditions by a deformed limb c) Splints do not adequately fit the patient's extremities and must be modified with padding to ensure immobilization. d) All musculoskeletal injuries are life threatening due to the bone bleeding leading to hypoperfusion.

b

What is another name for a severe allergic reaction? a) respiratory distress b) anaphylaxis c) stridor d) urticaria

b

What is the Glasgow Coma Scale (GCS) of your adult male patient who has fallen off a horse, has his eyes open, and can follow your commands to squeeze his hands, but is confused about what happened and his whereabouts? a) 12 b) 14 c) 15 d) 13

b

What is the process that removes the biological (etiological) contamination hazards because it destroys microorganisms and their toxins? a) dilution b) disinfection c) absorption d) emulsification

b

What is the temporary organ of pregnancy, which functions to supply the developing fetus with oxygen and nu a) amnion b) placenta c) cervix d) uterus

b

When a patient or bystander at the scene of an emergency displays fear, anger, or grief, this is best described as which of the following? a) Post-traumatic stress disorder b) Stress reaction c) Neurosis d) Catharsis

b

Which of the following is true of patients with autism spectrum disorders (ASD)? a) They respond well to gentle, reassuring contact from EMTs. b) No action beyond transport is required because the patient already has an implanted defibrillator c) CPR should be started, but the AED should not be used while on-scene or transporting the patient. d) CPR and an AED should be used as indicated while on-scene and transporting the patient.

b

Which of the following is true regarding a pregnant woman? a) Her blood pressure is usually higher during pregnancy. b) Diabetes may be made worse during pregnancy. c) Her respirations usually remain the same during pregnancy. d) Her pulse rate should be lower than normal.

b

Which of the following is true regarding ectopic pregnancies? a) It may cause painless bright red bleeding b) The fallopian tubes cannot stretch to accommodate a fetus. c) It usually occurs during the second trimester. d) The fertilized egg usually implants in the wall of the uterus.

b

Which of the following may result in hypoglycemia in the diabetic patient? a) lack of exercise b) Vomiting after eating a meal c) Failure to take insulin or oral diabetes medications d) Overeating

b

Which of the following most accurately describes the pathophysiology of sepsis? a) More than one type of infectious agent invades the body, limiting the immune system's response to each agent. b) The body overreacts to an infection and secretes substances that hurt cells, tissues, and organs c) An infectious agent in the body multiplies very rapidly, overwhelming the body's natural immune response d) Vasoconstriction and internal fluid retention lead to shock that does not respond to intravenous fluids

b

Which of the following patients would be considered to be at the greatest risk for suicide? a) 44-year-old woman who has just recovered from a serious illness b) 22-year-old man who has lost his job and is getting divorced c) 30-year-old married man who has just learned that his employer is transferring him to a different state d) 35-year-old female who has a child with a serious illness

b

Which of the following poses the greatest danger to the pregnant woman and her fetus when trauma occurs? a) Neurogenic shock b) Hemorrhagic shock c) Distributive shock d) Supine hypotensive

b

Which of the following questions is inappropriate when taking the history of a female patient with abdominal pain? a) Are you having vaginal bleeding or discharge now? b) What is your sexual orientation? c) If you are menstruating, is the flow normal? d) Have you had sexual intercourse since your last menstrual period?

b

Which of the following refers to difficulty in using words or understanding speech as a result of a stroke? a) ischemia b) aphasia c) ataxia d) hemiparesis

b

Which of the following should the EMT do during the treatment of localized cold injury? a) Encourage the patient to use the affected part. b) Gradually warm the affected area c) Massage the affected area. d) Rub the affected area with snow.

b

Which of the following signs would you least expect to see in a patient suffering from severe hypothermia? a) Numbness b) Heavy shivering c) Skin cool to the touch d) Drowsiness

b

Which of the following situations are frequently problematic for patients who have tracheostomy tubes? a) tracheal tears b) mucus buildup c) tube malplacement d) air embolism

b

Which of the following statements is true regarding abuse and neglect of adults and elders with special needs a) Caregivers rarely interfere with assessment, treatment, or transport of patients b) Signs of hunger and malnourishment are common signs of neglect. c) Sexual abuse is never seen among elder patients with special needs d) The signs of abuse and neglect in adult and elder patients are easy to spot.

b

While assessing a patient with a laceration to the neck, the EMT must be aware that which of the following conditions may develop? a) concussion b) air embolus c) increasing intracranial pressure d) contusion

b

While assessing a patient with partial thickness burns to his chest and neck, what should be your highest priority (even if there are no symptoms presently)? a) bleeding b) airway c) hypothermia d) blood pressure

b

While on the scene with an elderly chest pain call, you notice that your partner gets on one knee when talking to the seated patient. What is the best reason for an EMT to kneel down beside the patient? a) The EMT can examine the patient's chest better b) The EMT does not want to appear threatening or intimidating to the patient c) The EMT is kneeling to protect himself d) The younger EMT is acknowledging that the older patient is his elder

b

Why is Lyme disease not considered a communicable disease? a) A person can only pass the disease to another via contact with blood b) A person with the disease cannot pass it to other people c) The condition is not fatal. d) It is spread by an insect, not a bacteria, virus, or microbe

b

With START triage, when you arrive on the scene, you ask all the patients who can walk to move to one area. These patients are categorized as: a) Priority 4 walking wounded b) Priority 3 walking wounded. c) yellow tagged d) red tagged

b

With advances in clot-busting (thrombolytic) drugs, the patient has a window of ________ hours to receive treatment. a) 4 b) 3 c) 5 d) 6

b

You are assessing a pregnant woman whose chief complaint is vaginal bleeding. She is 8 months pregnant and has moderate, bright red bleeding with no abdominal pain. She says that her doctor was concerned about the location of the placenta. This condition is known as: a) unstable placenta b) placenta previa c) placenta disruption d) abruptio placentae

b

You are at the scene of a vehicle collision on an interstate highway. There are two cars involved and both are out of the lanes against the median wall. As an EMS provider, what is your primary safety concern? a) Searching for sharp edges of broken glass and torn metal b) Watching for distracted drivers who are driving past the scene c) Evaluating the risk of fire caused by ruptured fuel lines d) Ensuring the patient is properly packaged for transport

b

You are called for a man who is not acting right. His wife says he was outside working in the garden but didn't come in for lunch when he was called. She went to check on him and found him sitting next to a stump, confused. You assessment shows a pulse rate of 58, blood pressure of 186/82, respirations of 16, and one of his pupils is dilated. You are unable to detect any signs of trauma and you don't see any obvious indication that he has fallen. You should suspect a(n): a) insecticide poisoning b) nontraumatic brain injury c) open head injury d) closed head injury.

b

You are called for a woman who is about to deliver. During the labor process, your patient's water breaks. She experiences a rush of amniotic fluid and an increase in uterine contractions. The purpose of this amniotic fluid is to: a) 1 b) 7 c) 3 d) 12

b

You are called to a 25-year-old male complaining of right lower quadrant (RLQ) pain. His other symptoms are nausea and vomiting, fever, and decreasing pain in the umbilicus area. As an EMT, you feel this patient might have: a) peritonitis b) appendicitis c) cholecystitis d) pancreatitis

b

You are called to a farmhouse on a sunny spring afternoon. Upon arrival, a frantic mother tells you that her 3-year-old daughter was playing in the yard, accidentally stepped on a hornets' nest, and was stung repeatedly. The patient is alert, screaming and crying, and can follow her mother's commands. Her arms and legs are swollen and show the marks of several stings. Her body is covered in hives. Her vital signs are blood pressure 90/40, pulse 110, respiratory rate 24, and oxygen saturation 99 percent. Her lung sounds are clear and equal bilaterally. Her mother states she put "nox-a-sting" on the bites but the bites only seemed to get worse. What condition is the patient suffering from? a) Moderate anaphylactic reaction b) Allergic reaction from the hornets' stings c) Minor anaphylactic reaction d) Anaphylactic reaction from the "nox-a-sting" swabs

b

You are called to a garden center where four shoppers have collapsed after a section of shelving fell and dumped hazardous products on the floor. When you arrive on the scene, you should: a) secure the scene quickly, triage each patient, and move to fresh air b) recognize a HAZMAT incident, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request HAZMAT response c) recognize a HAZMAT incident, dress in a Tyvek suit, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request HAZMAT response. d) recognize a HAZMAT incident, dress in a Tyvek suit, access the scene to identify the spilled product, secure the MSDS sheets, and remove victims to fresh air.

b

You are called to a nursing home for an 85-year-old patient complaining of abdominal pain. The patient has a history of dementia and cannot describe the pain to you. The nurse states the patient has been vomiting for about an hour, and the vomit looks like dark coffee grounds. His blood pressure is 90/40, pulse 100, and respiratory rate of 24. Aside from the airway, what is your greatest concern? a) The patient will have a myocardial infarction b) The patient will go into shock. c) The patient will have a stroke d) The patient will become dehydrated

b

You are called to a nursing home for an 85-year-old patient complaining of abdominal pain. The patient has a history of dementia and cannot describe the pain to you. The nurse states the patient has been vomiting for about an hour, and the vomit looks like dark coffee grounds. His blood pressure is 90/40, pulse 100, and respiratory rate of 24. In what position should you transport the patient? a) Trendelenburg b) Left lateral recumbent c) Supine d) Supine with knees bent

b

You are called to a nursing home for an 85-year-old patient complaining of abdominal pain. The patient has a history of dementia and cannot describe the pain to you. The nurse states the patient has been vomiting for about an hour, and the vomit looks like dark coffee grounds. His blood pressure is 90/40, pulse 100, and respiratory rate of 24. Why should the EMT use an oxygen mask with caution? a) The oxygen will cause the patient to start vomiting again. b) The patient cannot clear any additional vomit c) The patient may hyperventilate d) The patient may become unresponsive

b

You are called to a residence for a 48-year-old male patient. He is lying in bed, groaning in pain and curled into a fetal position. His blood pressure is 88/50, pulse 136, and respiratory rate of 32. His wife states that he complained of lower right abdominal pain for several days that got progressively worse, until about an hour ago when it became suddenly unbearable. The wife states the husband had been refusing to see a doctor, but she finally called 911. You suspect appendicitis and are concerned about the subsequent onset of: a) splenic rupture b) peritonitis c) renal colic d) pancreatitis

b

You are called to a residential neighborhood at 12:30 A.M. Your patient has just finished eating a super-sized meal of deep fried fish. He is now complaining of a "crampy" pain in the right upper quadrant and has had two episodes of nausea and vomiting with green vomit. What condition do you suspect that your patient is experiencing? a) intestinal obstruction b) cholecystitis c) appendicitis d) peptic ulcer

b

You are called to the scene of a 13-year-old male with a fever and cough. Upon assessment, you note a red blotch rash on the face and trunk, and small bluish-white spots on the inside of the cheeks. Based on this presentation, the patient likely has: a) shingles. b) measles c) hepatitis A d) chickenpox

b

You are called to the scene of a 14-year-old female patient who is unresponsive. Her mother states she has been teased and bullied at school and she suspects that she tried to commit suicide by taking her pain pills. The patient is unresponsive to painful stimuli, with agonal respirations, and has vomited. She has a weak carotid pulse. Your first action is to: a) administer oxygen by bag-valve mask (BVM). b) suction the patient's airway c) administer oxygen by nonrebreather mask (NRB). d) administer an oropharyngeal airway (OPA)

b

You are called to the scene of a 21-year-old female patient who is unresponsive. Her boyfriend suspects that she tried to commit suicide by overdosing on her depression medications. The patient is unresponsive to painful stimuli, with agonal respirations, and has vomited. She has a weak carotid pulse. After securing the airway and providing oxygen by bag-valve mask, what is the most important question the EMT can ask regarding the medication? a) Were the medications new? b) What medication did she take? c) Why is she on that particular depression medication? d) How many pills did she take?

b

You are dispatched to a 42-year-old male who was shot in the abdomen and thrown from a vehicle. The patient is critical and high-category trauma; however, due to the mechanism of injury, it is necessary to backboard the patient prior to transport. What is an important assessment before securing the patient? a) Searching for presence of diaphoresis, tachycardia, and hypotension b) Examining the patient for entrance and exit wounds c) Verifying trauma center ER bed availability d) Performing a distal neurological assessment

b

You are dispatched to an auto repair shop for an "accident." You arrive and are told by the owner that one of the workers apparently got his hand in the way while using a high-pressure grease gun and injected the grease into his hand. You find the patient seated in a chair with a coworker applying ice to the injured hand. Your examination reveals a minor round laceration in the hand. The patient is complaining of pain in the area but wants to let the wound take care of itself and go back to work. What should you do? a) Continue to apply cold, elevate and splint the limb, and transport the patient high priority. b) Remove the ice from the wound, then elevate and splint the limb. Transport the patient high priority. c) The patient is correct. This type of wound will heal on its own and he can go back to work. d) Tell the patient that if it does not get better within the next few days he should consult his own doctor.

b

You are dispatched to the local elementary school for an injured student. Upon arrival, you find that two 7-year-olds got into a fight and one of them jabbed a pencil in the other's cheek. The pencil is still sticking out of the child's cheek. When you examine the patient, you cannot see the end of the pencil that went through the cheek, as it appears to be stuck in the palate. There is not significant bleeding, and the child is not having any difficulty breathing. The child is very upset and wants you to pull the pencil out. What should you do? a) Let the child carefully pull the object out. b) Stabilize the object, but do not try to remove it. c) Call the parents and see what they want you to do d) Remove the object and put a bandage on the outside of the cheek

b

You are in charge of your department's personnel at the scene of a mass-casualty incident. As the incident progresses, you request additional resources, and a neighboring department assists you. As part of this department's response, a battalion chief responds to oversee operations. At the command post, you and the battalion chief work together to manage the incident. This cooperative management effort is known as a) dual command b) unified command c) incident command d) redundant command

b

You are managing a patient who is being extricated from a vehicle by a rescue crew using hydraulic tools. Which of the following items should you use in order to protect your patient during the extrication process? a) Oxygen mask to prevent inhalation of noxious fumes b) Short spine board to prevent debris from contacting the patient c) Aluminized rescue blanket to protect the patient from sharp edges d) Wool blanket to protect the patient from broken glass

b

You are on the scene of a 22-year-old female patient who is unresponsive. The patient's mother states that she is deathly allergic to peanuts and accidentally ate stir fry cooked in peanut oil. The patient is unresponsive with agonal respirations at 6 per minute. What is your first action? a) Insert an oral airway and apply oxygen at 15 liters per minute by nonrebreather mask b) Insert an oral airway and apply oxygen at 15 liters per minute by bag-valve mask. c) Perform a complete assessment and confirm that the patient is actually in anaphylaxis d) Administer epinephrine with medical control consent

b

You are on the scene of a 68-year-old male patient complaining of severe chest pain for the last 20 minutes. He has a previous history of myocardial infarction and states it feels "just like the last time." You have applied oxygen and assisted him in administering aspirin and nitroglycerin with no reduction in the chest pain. Your nearest facility is 5 minutes away, a Level III Trauma Center is 10 minutes away, and a hospital with cardiac catheterization capabilities is 20 minutes away. The patient is requesting to be transported to his cardiologist's hospital, which is 30 minutes away. Which hospital is the best destination? a) the nearest facility b) the nearest hospital with cardiac catheterization c) the hospital the patient requests d) the trauma center

b

You are on the scene of a riot following a decision in a controversial court case. A large group of people have set fire to vehicles, broken windows, and assaulted people in the area. Which of the following would be the best method of incident command? a) Single incident command by law enforcement b) Unified command by police, fire, and EMS c) Single incident command by fire service d) Single incident command by EMS

b

You are on the scene of a vehicle collision involving a downed power line. You are walking in an area you feel is a safe distance from the line and begin to feel a tingling sensation in your feet. Which of the following would be a proper method of ensuring your safety while exiting the area? a) Turn 90 degrees to the direction you are walking and shuffle away from the danger area. b) Turn 180 degrees to the direction you are walking and shuffle away from the danger area c) Turn 90 degrees to the direction you are walking and hop to a safe place on one foot d) Turn 180 degrees to the direction you are walking and quickly run to a safe location

b

You are preparing a patient in cardiac arrest for an AED when you palpate a small lump below the patient's right clavicle. How should this modify your placement of the AED? a) Place the AED pads over the patient's abdomen. b) While placing the pads in the general area you need them, keep them several inches away from the lump. c) Do not place the AED but transport the patient immediately d) Place the AED as you would for any patient

b

You are responding to a 52-year-old male patient complaining of heartburn with epigastric pain. The patient's vital signs are stable and he does not have any pain upon palpation. He has a history of reflux disease and is on several medications for heartburn and acid reflux. What is your greatest concern with this patient? a) His appendix will rupture. b) He is suffering from a myocardial infarction. c) He will develop peritonitis. d) He will aspirate on vomit.

b

You are transporting a 41-year-old female suffering from severe anaphylaxis. Her respiratory rate is 42 per minute, she is cyanotic, and she has a decreased level of responsiveness. Which of the following is the highest priority of care for this patient? a) Search for an epinephrine auto-injector. b) Assist ventilations with a bag-valve mask. c) Elevate the patient's head d) Transport rapidly

b

You are transporting a 50-year-old male patient whom you successfully defibrillated at the scene. You are 5 minutes away from the hospital when the patient goes back into cardiac arrest. Which of the following is the BEST course of action? a) Initiate CPR and continue transporting b) Tell the driver to stop, analyze the cardiac rhythm, and deliver a shock as necessary c) Analyze the cardiac rhythm and deliver shocks as necessary d) Tell the driver to stop and assist you with CPR, and request another unit for assistance

b

You are transporting a resident of a nursing home to the hospital for a complaint of abdominal pain that has lasted for 3 days. During your assessment, you note a tube protruding from the patient's nose, which is connected to a bag of milky-white fluid. This tube is known as a(n): a) endotracheal tube b) nasogastric tube c) J-tube d) gastric tube

b

You are transporting a stable patient who was involved in a minor fall from a ladder at a height of about 10 feet to a local community hospital. You assumed full spinal precautions not only because the patient has midline back pain in the sacrum, but also because he was knocked unconscious. While transporting, the patient begins to become increasingly confused, develop an irregular respiratory rate, and experience a drop in heart rate with an increase in blood pressure. You just called in a radio report and are about 7 minutes from the hospital. A trauma center is about 10 minutes away. Which of the following is the best transport decision? a) Continue transporting to the local hospital because you've already given your report and they accepted the patient. b) Divert to the trauma center because the patient is becoming symptomatic. c) Continue transporting to the local hospital because it's the closest facility. d) Call medical control for advice from the trauma center

b

You are treating a 16-year-old skateboarder who has fallen at the skate park. She has an angulated left forearm that she has in a guarded position. When do you splint this injury? a) En route to the hospital b) During the secondary exam c) Immediately d) During the primary exam

b

You are treating a 38-year-old female patient with abdominal distress. The patient's vital signs are stable and you are getting ready to transport. What is the best position to transport the patient? a) supine b) position of comfort c) right lateral d) semi-Fowler's

b

You are treating a 61-year-old who is a chronic alcohol abuser. He is complaining of "snakes slithering around his ankles," and he tells you that he had only two drinks tonight. You notice that he is sweating, trembling, and anxious. Before you can complete your assessment, he begins to have a seizure. Which of the following is the most likely cause of this situation? a) The patient drank mouthwash instead of beverage alcohol. b) The patient is suffering from alcohol withdrawal c) The patient could not find an alcoholic beverage and drank antifreeze instead d) The patient is suffering from acute alcohol poisoning.

b

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #1 is a 16-year-old female with the following vital signs: respirations 28, pulse 132, and altered mental status with cool clammy skin. a) Priority 4, black tag b) Priority 1, red tag c) Priority 3, green tag d) Priority 2, yellow tag

b

You assess a 35-year-old female patient with a chemical burn to her right forearm and hand. As you assess the burn, you notice a white powder on the burn. What should be your next step? a) Brush off the powder, bandage the arm, and transport the patient to the closest trauma center b) Brush the powder off the patient's arm and hand, and then flush with copious amounts of water c) Transport the patient immediately to the closest burn center d) Flush the arm and hand with copious amounts of water.

b

You have arrived on the scene of a call for a possible stroke. On your arrival, the patient denies signs and symptoms, is alert and oriented, and moves all extremities well. Her husband states that before you arrived the patient could not move her right arm and the left side of her face seemed to be "slack." Which of the following has most likely occurred? a) The patient suffered a stroke. b) The patient suffered a transient ischemic attack c) The patient is suffering from aphasia d) The patient has had a subarachnoid hemorrhage

b

You have been called for a young female in labor. She is lying on the floor in obvious distress from labor pains. While you are assessing her for crowning, your partner is getting a set of vital signs. She tells you that she is getting dizzy and nauseated. Vital signs are pulse rate 120, respiratory rate 22, and blood pressure 98/62. You should be concerned that she has: a) Braxton-Hicks contractions. b) supine hypotensive syndrome c) placenta previa. d) contracted food poisoning

b

You have been called to the scene of an 83-year-old woman with a high fever who reports chills and shortness of breath. She is tachypneic and showing signs of pain upon inspiration. You talk with her a bit and she seems confused and unaware of where she is, who she is, or who you are. Based on this presentation, the patient likely has: a) tuberculosis b) pneumonia c) pertussis d) croup.

b

You have responded to a park where you find a 23-year-old female sitting on a bench near a running trail. She states that she has been running for the past 30 minutes and suddenly cannot catch her breath. She states that this has never happened before and she usually runs 5 miles a day. Your assessment reveals that she is flushed, her pulse is fast and weak, her respirations are fast and she is wheezing, and she has hives on her arms and chest. She is most likely suffering from which of the following? a) hyperventilation syndrome b) anaphylaxis c) allergic reaction d) heat stroke

b

You have transported a patient to the emergency department and are in the process of cleaning the ambulance while your partner is completing all required paperwork. At what point is the final phase of an ambulance call complete? a) As soon as you put the stretcher back in the ambulance with a clean sheet and you notify your dispatch center you are available b) After all required paperwork is complete and the ambulance has been completely cleaned and restocked c) As soon as your partner completes the patient care report and you are restocking the supplies used during the call d) As soon as you get back to the station and notify your dispatch center you are in quarters

b

You respond to a 32-year-old female who is having a seizure. You arrive on the scene to find the patient drowsy, confused, and complaining of a headache. This patient is demonstrating the: a) clonic phase b) postictal phase c) tonic phase d) aura phase

b

You respond to the scene of a 14-year-old patient found outside in a cold environment. He is unresponsive and hypothermic. Emergency Medical Responders have moved the patient inside and secured the airway prior to your arrival. What is your next action? a) Actively rewarm the patient. b) Passively rewarm the patient. c) Assess for signs of frostbite and treat immediately d) Vigorously rub the patient to increase the body temperature.

b

You respond to the scene of a private residence for a patient who is known to have insulin-dependent diabetes. The patient is combative and cursing as you approach. Should this patient be restrained? a) No, this patient is not likely experiencing a behavioral emergency b) There is not enough information to answer this question. c) Yes, he is combative and all combative patients can be restrained d) . \\\\Yes, he likely has a medical condition that requires treatment.

b

You're an off-duty EMT who encounters a patient sitting behind the wheel of a vehicle that ran off an isolated county road. It appears the patient was not wearing a seat belt and struck the steering wheel with his chest. On assessment, you notice a paradoxical motion to the patient's chest on inspiration and expiration. When you radio for dispatch of an ambulance, which of the following pieces of information would you be sure to include? a) The patient is showing signs of an open chest injury. b) The patient may have a flail chest. c) The patient may have an abdominal evisceration. d) The patient is showing signs of abdominal bleeding.

b

Your patient has an open abdominal wound with intestines protruding. You should: a) cover the entire abdomen with a blanket b) cover the organs with moist sterile dressings c) leave them alone and transport rapidly. d) attempt to place the organs back into the abdomen.

b

Your patient has been injured by a fall down a flight of steps. He is alert and oriented but complains of back and neck pain. You immobilize him on a long spine board with a cervical collar on his neck as a precaution because you know that the: a) thoracic spine is especially vulnerable to injury. b) cervical spine is not supported by other bony structures c) coccyx is easily dislocated. d) lumbar area is rarely injured due to the rib support.

b

Your patient is a 15-year-old female who has been diagnosed with a personality disorder. She has no history of violent behavior. The staff at her residential care facility wants her to be transported for evaluation of a possible urinary tract infection. Which of the following is the best way to handle this situation? a) Ask that the patient be given a tranquilizer injection prior to transport. b) Have a female EMT attend to the patient c) Transport the patient, but do not speak to her or perform an assessment d) Refuse to transport the patient without a police escort

b

Your patient is a 17-year-old male who is spitting and coughing after swallowing some gasoline while siphoning from a gas tank. Which of the following should you do first? a) Have the patient drink a glass of milk b) Contact medical control. c) Insert a Combitube or another blind insertion device, if you are trained to do so. d) Administer syrup of ipecac.

b

Your patient is a 21-year-old male who has a sucking gunshot wound to the chest. Which of the following is the highest priority in managing this patient? a) Placing a pressure dressing over the wound to control bleeding b) Placing an occlusive dressing over the wound c) Placing the patient in the shock position d) Performing a rapid trauma assessment

b

Your patient is a 22-year-old male who has ingested a large amount of alcohol and is vomiting. He is conscious but uncooperative. He allows you to examine him but refuses transport to the hospital. You have sought assistance from law enforcement on scene. Which of the following is the best action? a) Obtain a witnessed refusal. b) Contact medical direction for further advice c) Find a relative or neighbor to come over and stay with the patient d) Stay with the patient until he has stopped vomiting

b

Your patient is a 23-year-old male who is unresponsive in the restroom of a bar. His respirations are slow and shallow, he has a heart rate of 50 beats per minute, he is sweating profusely, and he has constricted pupils. Which of the following substances is most likely responsible for the patient's condition? a) PCP b) Heroin c) LSD d) Ecstasy

b

Your patient is a 3-year-old female who has taken an unknown quantity of aspirin. She is conscious and alert. Which of the following orders is likely to be given by medical control? a) Induce vomiting by placing your finger in the child's throat. b) Administer activated charcoal c) Administer syrup of ipecac. d) Administer one to two glasses of milk.

b

Your patient is a 30-year-old construction worker who fell from scaffolding and has been impaled through the right orbit by a 36-inch piece of concrete reinforcement bar. The patient responds to verbal stimuli and appears to have multiple other injuries. Which of the following is the best course of action? a) Remove the reinforcement bar and pack the orbit with sterile moist dressings to keep the scene time under 10 minutes. b) Firmly stabilize the reinforcement bar in place so that the rescue crew can cut it short c) Test the reinforcement bar for stability and remove it only if it is loose enough to be easily pulled from the wound. d) Transport with the reinforcement bar in place to prevent delay at the scene

b

Your patient is a 32-year-old man with a fish hook that has perforated his hand between the thumb and index finger. Which of the following is the best way to manage the situation in the prehospital setting? a) Push the hook through the wound to avoid further damage from the barbed end. b) Leave the hook in place and try not to disturb it. c) Apply a pressure dressing over the hook. d) Pull the hook out from the same direction in which it entered the hand.

b

Your patient is a 35-year-old female who spilled a cup of hot coffee on herself. She has an area about twice the size of the palm of her hand on her right thigh that is red and painful, but without blisters. When caring for this injury in the prehospital setting, which of the following is appropriate? a) Apply a lotion containing a topical anesthetic and aloe vera. b) Apply a dry sterile dressing. c) Apply an antibiotic ointment. d) Apply a plastic bag full of ice to the skin

b

Stretchers that are designed to carry obese patients weighing up to 800 pounds (or more) are called

bariatric stretchers

Your patient is a 38-year-old male who has taken an overdose of several different medications and has consumed some household cleaning agents as well. On your arrival, the patient only responds to painful stimuli and has a heart rate of 90 beats per minute with a respiratory rate of 12 breaths per minute. Medical control orders you to give the patient two to three glasses of milk to drink to dilute the contents of the stomach. Which of the following actions should you do? a) Assist the patient in drinking only one glass of milk to reduce the risk of aspiration. b) Refuse the order and explain why c) Ask medical control if you can substitute water for the milk since water will not damage the lungs if aspirated. d) Assist the patient in drinking as much of the two to three glasses of milk as he can.

b

Your patient is a 40-year-old man who was burned when he spilled gasoline on his pants as he was standing near the pilot light of his hot water heater. He has partial thickness burns from his feet to just above his knees, and circumferentially around both legs. Using the rule of nines, which of the following most accurately represents the extent of body surface area burned? a) 4.5 percent b) 18 percent c) 36 percent d) 9 percent

b

Your patient is a 44-year-old female who has collapsed while jogging. She has been unresponsive for 4 to 5 minutes by the time you arrive. Her husband appears to be performing high-quality CPR. Which of the following should be your FIRST action? a) Insert an oropharyngeal airway and begin ventilations. b) Apply the AED c) Stop CPR and check for a pulse d) Load the patient into the ambulance for further assessment

b

Your patient is a 44-year-old female with a history of alcoholism. She has been walking around at an outdoor fair on a hot, sunny day. She is disoriented to time; has hot, dry skin; and appears to be generally weak. Which of the following is the appropriate sequence of treatment for this patient? a) Get as much ice as possible from the food vendors at the fair, place the patient in a large container of ice, and apply b) Give oxygen by nonrebreather mask, remove heavy clothing, and place cold packs on her neck, armpits, and groin. c) Have the patient stand outside the ambulance and slowly drink an electrolyte solution or sports drink d) Give oxygen by nonrebreather mask and have the patient rest, monitoring the patient's improvement over time

b

Your patient is a 44-year-old male with a history of diabetes. He is lying on the living room floor, unresponsive to all stimuli. He has a respiratory rate of 12 breaths per minute and heart rate of 112 beats per minute, and is pale and sweaty. Which of the following should you do to treat this patient? a) Place the patient in the recovery position to protect the airway and place oral glucose solution under the patient's tongue b) Place the patient in the recovery position, administer oxygen, and monitor his airway status c) Encourage the patient's family to administer his insulin d) Apply oral glucose solution to a tongue depressor and insert it between the patient's cheek and gums.

b

Your patient is a 7-year-old girl who was prescribed an antibiotic for an ear infection. After 4 days on the antibiotic, the patient is experiencing hives and itching on her face, throat, and neck. Which of the following should you do? a) Advise the parents to call the pediatrician for a different antibiotic b) Provide supportive care and monitor the patient's condition during transport to the hospital c) Immediately administer EpiPen Jr. ® d) Advise the parents that these symptoms are related to the ear infection and the antibiotic will take care of these symptoms if taken as directed.

b

Your patient is a conscious 16-year-old female who has ingested an unknown number of sleeping pills. Which of the following questions is least pertinent to the care of this patient? a) How much do you weigh? b) Who do these sleeping pills belong to? c) Has anyone tried to treat you with anything? d) Over what period of time did you take the pills?

b

Your patient is an 11-year-old male who has a swollen, painful, and angulated right lower arm after falling from his bicycle onto his hands. Which of the following should be considered in the immobilization of his injured extremity? a) Do not attempt to realign the extremity before splinting. b) Check pulse, movement, and sensation distal to the injury before and after splinting c) Use an upper extremity traction splint. d) Immobilize from the shoulder to the wrist.

b

Your patient is an infant who has just been delivered 3 weeks before her due date. She is breathing adequately, has a heart rate of 140 beats per minute, and has cyanosis of her face and chest. Which of the following interventions should be done first? a) Begin CPR with a compression rate of 120/minute. b) Place oxygen tubing near the infant's face at a flow rate of 10 to 12 liters per minute c) Perform ventilations with a bag-valve-mask device and supplemental oxygen. d) Place a neonatal nonrebreather mask on the infant's face.

b

our patient is a 10-year-old male whose jacket hood caught on a branch as he jumped out of a tree. He was momentarily suspended about 12 inches off the ground but was immediately lowered to the ground by his brothers. Which of the following injuries should you suspect? a) Thoracic spine injury b) Cervical spine injury c) Soft-tissue injury of the neck only d) Lumbar spine injury

b

Choose the correct completion to this statement regarding intravenous (IV) administration: This route is used to administer medication into the body directly or through the bloodstream and is:

beyond the scope of the EMT level

The balance between oncotic pressure and hydrostatic pressure is critical to regulating:

blood pressure and cell hydration

Physiology is the study of

body function

Which of the following is the feeling infants get when they know all their needs will be met?

bonding

You are assessing a 21-year-old female who was assaulted by an unknown person. She is complaining of abdominal pain. As you perform a rapid assessment of her abdomen, you should check for all of the following except:

bowel sounds

Sharing information about a patient's medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?

breach of confidentiality

Which of the following structures is found in the lower airway?

bronchi

It is important that, as an EMS provider, you avoid creating a situation where positional asphyxia could occur. Which of the following is positional asphyxia? a) Positional asphyxia is the position the person is seated in when you approach him b) Positional asphyxia is a birth defect that causes psychiatric issues and is initiated because of the way the fetus was positioned in the uterus. c) Positional asphyxia is inadequate breathing or respiratory arrest caused by a body position that restricts breathing d) Positional asphyxia is the name for the position someone assumes after she has been hit with a taser.

c

Johnny is an EMT with a local ambulance service. As part of his job, he is trained to recognize the existence of a potentially dangerous scene involving hazardous materials and know when to request a HAZMAT response. Johnny's level of hazardous materials training is at the ________ level. a) First Responder Operations b) Hazardous Materials Technician c) First Responder Awareness d) Hazardous Materials Specialist

c

Many factors that cause dizziness and syncope are generally related to the: a) heart b) lungs c) brain d) kidneys

c

Mechanical CPR devices are used by EMS agencies in order to provide: a) a 100% success rate b) better quality of care with less training. c) high-quality compressions d) a faster response time to the scene.

c

Most cases of accidental poisoning involve which of the following? a) adolescents b) infants c) young children d) adults

c

Most epinephrine auto-injectors contain how many doses of epinephrine? a) two b) three c) one d) none of the above

c

Most of the diabetic emergencies that you will be called to deal with will be related to hypoglycemia. However, occasionally you will experience an instance of hyperglycemia. In the list below, which item is NOT likely to be a sign or symptom of hyperglycemia? a) nausea b) chronic thirst c) reduced rate of breathing d) excessive urination

c

Most state statutes allow an emergency vehicle operator to do which of the following on emergency calls? a) Drive around lowered cross-arms at a railroad crossing. b) Be exempt from liability in the event of a collision. c) Exceed posted speed limits if life and property are not endangered d) Pass a stopped school bus with its red flashers on.

c

Mumps infection is primarily spread through a) blood and saliva b) all body fluids c) saliva and droplets d) airborne droplets and direct contact.

c

Of the following patients, which injury is the highest priority to receive bag-valve mask ventilations? a) 70-year-old male who struck his head when he fell in the parking lot, has a large laceration on his forehead, and is disoriented b) 25-year-old male who regained consciousness one or two minutes after being struck on the head by a baseball bat and is now asking repetitive questions c) 15-year-old female who was ejected from a vehicle, struck her head on a tree, and displays decerebrate movements in response to painful stimuli d) 25-year-old female victim of battery who is awake but complains of a headache and has bloody fluid draining from her nose and left ear

c

Pain that the patient feels in a body part or area of the body that has nothing to do with a diseased organ is termed: a) retroperitoneal pain. b) abdominal pain. c) referred pain. d) epigastric pain.

c

Regarding activated charcoal, which of the following is not true? a) It can reduce the amount of poison absorbed by the gastrointestinal system. b) Ingestion of strong acids or alkalis is a contraindication to its use. c) It is an antidote to many poisons d) It does not work on all poisons.

c

Regarding ambulance warning devices, which of the following statements is not true? a) It is a good idea for the light package of the ambulance to combine several types of lights b) In most states it is illegal to drive at night with only one headlight c) The large lights on the outermost corners of the ambulance box should blink alternately. d) Four-way flashers should not be used as emergency lights.

c

Regarding the use of emergency sirens, which of the following is false? a) Dense shrubbery may block the sound of the siren. b) The sound of the siren may increase the patient's anxiety c) Ambulance operators are not affected by siren noise d) EMTs should assume that other drivers cannot hear the siren.

c

Rough handling of a patient with severe hypothermia may result in which of the following? a) rewarming shock b) heart attack c) Ventricular fibrillation d) Seizures

c

Smoke inhalation can result in all of the following except: a) cardiac arrest b) respiratory arrest c) lung contusion d) carbon monoxide poisoning

c

The K-Specs standards deal with: a) training and education of field personnel. b) air evacuation of trauma victims. c) ambulance design. d) minimum standard medical protocols

c

The chest cavity can hold up to ________ liter(s) of blood in an adult, leading to the possibility of massive internal hemorrhage without any external blood loss a) 5 b) 1 c) 3 d) 0.5

c

The meatus is: a) in a male, the area between the scrotum and the anus. b) the canal through which urine is discharged from the bladder to the exterior of the body. c) the external opening of the urethra d) the tube that carries urine from the kidney to the bladder

c

The opioid triad includes all of the following except: a) respiratory depression b) coma c) hypertension d) pinpoint pupils

c

The part of the skeleton that includes the skull and spinal column is called the: a) torso b) appendicular skeleton c) axial skeleton d) boney skeleton

c

The pathophysiology of ________ is one in which the pericardial sac fills with blood to the point that the chambers of the heart no longer fill adequately, usually secondary to trauma. a) commotio cordis b) cardiac tamponade c) pericardial effusion d) hemopneumothorax

c

The purpose of a constricting band after a venomous snake bite is to impede the spread of which of the following? a) lymph b) arterial blood c) venom d) both a and c

c

Which of the following is a description of the rule of nines for an adult? a) The rule of nines assigns 9 percent to the head and neck, each upper extremity, the chest, the abdomen, the upper back, and the lower back and buttocks; 8 percent to the front of each lower extremity; and 10 percent for the back of each lower extremity, then 1 percent to the genital region b) The rule of nines assigns 9 percent to the head and neck, as well as each upper extremity; 10 percent to the chest, the abdomen, and the upper back; 8 percent to the lower back and buttocks, the front of each lower extremity, and the back of each lower extremity, then 1 percent to the genital region. c) The rule of nines assigns 9 percent to the head and neck, each upper extremity, the chest, the abdomen, the upper back, the lower back and buttocks, the front of each lower extremity, and the back of each lower extremity, then 1 percent to the genital region d) The rule of nines assigns 9 percent to the head and neck; 6 percent to each upper extremity; 12 percent to the chest and abdomen; 9 percent to the upper back, the lower back and buttocks, the front of each lower extremity, and the back of each lower extremity, then 1 percent to the genital region

c

Which of the following is a muscle injury caused by overstretching or overexertion of the muscle? a) fracture b) sprain c) strain d) luxation

c

Which of the following is a strategy to maintain adherence of an occlusive dressing to bloody or diaphoretic skin? a) Do not use occlusive dressings in this case b) Do not use adhesive tape c) Manually maintain pressure. d) Wrap the dressing circumferentially with gauze.

c

Which of the following is acceptable when actively rewarming a hypothermic patient? a) Encouraging the patient to exercise b) Giving the patient hot coffee c) Avoid rewarming the limbs d) Warming the patient as quickly as possible

c

Which of the following is acceptable when managing the patient with a behavioral or psychiatric emergency? a) Sit as close to the patient as you can to reassure him that you will not abandon him. b) Allow family members to confront the patient about his behavior c) Make supportive statements such as, "That must have been very hard for you." d) Go along with the patient's hallucinations or false beliefs.

c

Which of the following is an action caused by epinephrine in anaphylaxis? a) bronchoconstriction b) decreased heart rate c) vasconcstriction d) all of the above

c

Which of the following is an unreliable sign for determining the presence of a tension pneumothorax? a) distended neck veins b) signs and symptoms of shock c) trachea that shifts to the side opposite the injury d) shortness of breath

c

Which of the following is caused by trapped nitrogen gas in the tissues due to a rapid ascent from a scuba dive? a) pulmonary embolism b) arterial gas embolism c) decompression sickness d) myocardial infarction

c

Which of the following is not a cause of abdominal pain? a) food poisoning b) diabetes c) stroke d) heart attack

c

Which of the following is not a contraindication for the use of a traction splint? a) Injury to the lower third of the leg that would interfere with the ankle hitch b) Avulsion or partial amputation where traction could separate the extremity c) Severe swelling and redness at a midshaft femur d) Pelvis, hip, or knee injury

c

Which of the following is not a mechanism of decontamination from hazardous materials? a) disinfection b) disposal c) deodorization d) emulsification

c

Which of the following is not a purpose for making airway management the highest priority in shock patients with nonmassive bleeding? a) It allows for improved elimination of carbon dioxide. b) It allows for oxygenation of the lungs. c) It promotes bronchoconstriction of the smaller airways d) It minimizes the chances of aspiration of blood or vomit

c

Which of the following is not a responsibility of an EMT at the scene of a hazardous materials emergency? a) Staying in the cold zone b) Rehabilitating the HAZMAT team c) Decontaminating injured victims d) Treating injured patients

c

Which of the following is not a type of avulsion? a) The skin is stripped off the hand, like removing a glove. b) An ear is partially torn away from the head c) A finger is cut off with a butcher's saw d) The skin is partially torn away from the foot.

c

Which of the following is not an acceptable method or adjunct in restraining a patient? a) Restraining the patient face-up b) Securing all four limbs with leather restraints c) Hog-tying the patient d) Placing a surgical mask over the patient's face to prevent spitting

c

Which of the following is not an acceptable way of attempting to identify a hazardous material? a) Asking the driver of the tractor-trailer truck involved in the incident b) Using binoculars to obtain information from the placard on a container c) Collecting a sample of the material for laboratory analysis d) Checking the safety data sheet

c

Which of the following is not an example of a specialty rescue team? a) High-angle rescue b) Water rescue c) Advanced cardiac life support d) Confined-space rescue

c

Which of the following is not an indication that epinephrine is helping the anaphylaxis patient's condition? a) increased blood pressure b) increased heart rate c) increased dyspnea d) both B and C

c

Which of the following is not considered a principle of proper radio usage in EMS? a) Speak with your lips 2 to 3 inches from the microphone. b) Use plain English. c) Speak as quickly as possible d) Make sure the radio is on before speaking.

c

Which of the following is not considered soft tissue? a) the skin b) muscles c) cartilage d) membranes

c

Which of the following is not part of the circulatory system? a) blood b) blood vessels c) brain d) heart

c

Which of the following is not recommended when controlling epistaxis? a) Placing the unconscious patient in the recovery position b) Pinching the nostrils together c) Having the patient tilt the head backward to elevate the nose d) Keeping the patient calm and quiet

c

You are an EMT on the scene of a mass-casualty incident in which there are 50 patients from a bus roll-over. Incident Command has been established and EMS, law enforcement, and rescue sectors are established. You have just discovered that one of the bus passengers was carrying a suspicious package that is now leaking a white powdery substance. Which of the following entities should you contact about this? a) incident commander b) dispatch c) EMS officer d) rescue officer

c

You are assessing a 27-year-old female who is 9 months pregnant with her first child. She has been having contractions for the past 6 hours. As you are about to assist her to your cot, she asks you to wait because she feels the need to use the bathroom. Which of the following is the best course of action? a) Allow the patient to use the bathroom because it will make transport and delivery more comfortable b) Tell the patient she needs to be transported immediately and using the bathroom will have to wait until she arrives at the hospital. c) Advise the patient that this could be an indication that the baby is ready to be born and you need to check to see if the baby's head is visible d) Advise the patient that this could be a sign of a serious complication, have her lie on her left side, apply high-concentration oxygen, and transport immediately

c

You are assessing a patient in the front seat of a vehicle that was involved in a head-on collision. As you examine the interior of the vehicle, you notice the airbags have not deployed. What action should you take in order to render the scene safe to work? a) Disconnect the battery and continue assessing the patient b) Use a long spine board to shield yourself from the undeployed airbag c) Disconnect the battery and wait 2 minutes before entering the vehicle d) Turn the ignition to the "off" position and wait 2 minutes before entering the vehicle

c

You are at the scene of a motor vehicle collision in which a single vehicle has collided with a tree. You note that the driver's side airbag has deployed. Which of the following is recommended by airbag experts? a) Cut away the fabric portion of the airbag to get it out of the way b) Sharply strike the front bumper to make sure the second airbag has deployed c) Lift the airbag and inspect the steering wheel for damage d) Use a portable fan to ventilate the car to remove the powder from the airbag.

c

You are called to a farm for a possible insecticide poisoning of one of the workers. Your first action is to: a) decontaminate the patient. b) call for an ALS unit c) call for specialized hazardous materials units d) bag the patient before he dies.

c

You are called to a residence for a 60-year-old male complaining of chest pain. You find the patient seated in bed. His past medical history includes hypertension and high cholesterol. The patient presents with hives over the chest, stridor, a swollen tongue, and wheezing in the upper fields. He denies any shortness of breath or respiratory distress, but does so in short two- to three-word statements. What condition do you suspect? a) angina pectoris b) asthma c) anaphylaxis d) acute myocardial infarction

c

You are called to the residence of a 78-year-old widow who lives alone with no children. She was found by neighbors on the floor of the living room. She has fallen and fractured her left humerus. She is disoriented and responds to verbal stimuli only. She has a blood pressure of 78/40 and a pulse of 48. She has a history of high blood pressure and takes medication for it. She also takes medication for high cholesterol and a medication to slow down a fast heart rate. Emergency Medical Responders find the medication bottles in the medicine cabinet and they are empty. Your partner suspects that she overdosed on her medications. Do you agree or disagree? a) Methamphetamine b) GHB c) Volatile chemicals d) Carbon monoxide poisoning

c

You are called to the scene of a local night club for a 21-year-old female patient who is bradycardic and in respiratory arrest. The patient's airway is patent and the chest easily rises with bag-valve-mask ventilation. The patient's friends state the patient had only one or two drinks when she suddenly complained of dizziness and "seeing things." Her friends state that she then passed out, started twitching like she was seizing, and then stopped. Her friends adamantly state that she does not do drugs. What situation do you suspect? a) alcohol overdose b) anaphylactic reaction to the alcoholic drink c) GHB overdose d) cocaine overdose

c

You are called to the scene of a patient with abdominal pain. Upon arrival, you find a 38-year-old Asian man on the floor next to his desk writhing in pain. He is complaining of severe right-sided flank pain. His blood pressure is 140/90, pulse 100, and his skin is ashen and diaphoretic. You suspect: a) myocardial infarction b) cholecystitis c) renal colic d) mid-cycle pain

c

You are called to the scene of a patient with influenza. She tells you her symptoms started about 5 days ago and that she began taking antiviral medication 2 days ago. Her symptoms have not improved since taking the medication. What is the most likely reason the medication has been ineffective? a) Antiviral medications are not effective against the flu because it is caused by bacteria rather than a virus. b) Antiviral medications for the flu work against the strains of the virus that are expected to be prevalent that year, and the medication isn't effective against the strain this patient has c) Antiviral medications for the flu must be started within 2 days of symptom onset to be effective. d) Antiviral medication is often ineffective because the flu virus is capable of rapidly mutating inside the body.

c

You are called to the scene of an attempted suicide. You arrive to find a 25-year-old man sitting on the sofa who apparently cut his wrists. Family members have bandaged them, and there does not appear to be any bleeding risk at this time. The scene is secure. Which action would not be appropriate in treating this patient? a) As soon as possible, perform a history and physical exam and provide emergency care on the wrist, if necessary. b) Watch for sudden changes in the patient's behavior and physical condition c) Take charge of the situation; let the patient know that what he has done is wrong and tell him he is coming with you whether he likes it or not d) Contact the receiving hospital and report on current mental status and other essential information.

c

You are palpating the abdomen of a motor vehicle collision patient when you feel a pulsating mass. You should: a) apply cold packs to the abdomen b) ask your partner to verify your findings c) defer further abdominal palpation. d) bind the abdomen with an elastic bandage.

c

You are responding to a suspected terrorist incident, and first reports indicate this is a biologic incident. Which PPE will you need? a) Lead shielding b) Fire-protection clothing c) HEPA mask d) Self-contained breathing apparatus

c

You are caring for a 23-year-old female who fell off of a bicycle and sustained a severe laceration on the inside of her upper thigh. Her slacks are torn, and you can see most of the wound. What is the next step? a) You need to make sure the wound is very clean before trying to control bleeding by exposing the wound completely and cleaning it with alcohol. b) You can treat the wound without total exposure as exposing a wound in that area of the body could be embarrassing. c) You need to expose the wound completely, control bleeding, clean the surface by simply removing large pieces of foreign matter if any, and dress and bandage the wound. d) You need to expose the wound completely because you need to clear away any embedded particles and debris from the wound.

c

You are caring for a 27-year-old male who has a puncture wound to the right upper chest. The patient was stabbed with a serrated steak knife by his ex-girlfriend. You have placed an occlusive dressing on the site and begun emergent transport to the closest trauma center. However, while en route the patient begins to complain of increasing shortness of breath. You notice a decrease in ventilatory volume and an increase in thoracic diameter. Which of the following options would be the best step to perform next? a) Call dispatch for an ALS intercept en route to the hospital b) Begin providing CPR to the patient. c) Begin providing BVM-assisted ventilations to the patient d) Free a corner or edge of the dressing to release pressure buildup.

c

You are confronted with a patient experiencing personality changes ranging from irritability to irrational behavior, altered mental status, amnesia or confusion, irregular respirations, elevated blood pressure, and decreasing pulse. It appears to be a psychiatric emergency. What else could cause this behavior? a) Lack of oxygen b) Stroke c) Head injury d) Low blood sugar

c

You are dispatched to a motor vehicle crash on a rural mountain highway. You have a patient who was unconscious on arrival, had a seizure, and is currently awake but combative. You suspect he may have a head injury. What is the best approach regarding transport of this patient? a) Contact the community hospital to ask them if they think they can take this patient b) Begin transport to the trauma center on the ground, which is 1.5 hours' driving time c) Dispatch and await the medical helicopter, which is 20 minutes away

c

You are dispatched to a psychiatric emergency for a 68-year-old male. Dispatch provides no other information and, when questioned by you, they do not have any more information. Although all steps are important for dealing with this situation, which step is the most important? a) Secondary assessment b) Vital signs and SAMPLE history c) Scene size-up d) Primary assessment

c

You are dispatched to the local high school for a "person struck with a baseball." You arrive on the scene and find a 16-year-old male sitting on the bench. Apparently he was the pitcher and was struck in the abdominal area by a line drive ball that was hit very hard. He states that nothing is hurting except he has some mild pain in the area where he was struck. He is upset that the ambulance was called and wants to go back into the game and continue pitching. Your exam reveals nothing remarkable except mild pain when you palpate the injured area. Vital signs are normal. What is the next step? a) Tell the coach the patient is okay and he can go back into the ball game b) Have the patient walk to the ambulance and take him to the ED. No other care needs to be provided, as there is really no significant sign of any injury c) Take appropriate Standard Precautions, apply high-concentration oxygen by nonrebreather mask, and transport the patient ASAP, carefully monitoring the patient during transport. d) Have the coach apply cold to the area and let the pitcher back in the game if he does not get worse in the next 15 minutes.

c

You are enjoying some time at the beach on your day off when you hear a swimmer crying for help. As you spot the swimmer about 30 feet from shore, she cries out again but appears to be getting weaker. Although there is no lifeguard on duty, there is a rowboat and a ring buoy available. Assuming you do not know how to swim or consider yourself a poor swimmer, which of the following should you do first? a) Row the boat out to the swimmer b) Use the buoy to float out to the swimmer c) Call for help and try to throw the buoy to the swimmer d) Find someone who can swim to try to swim out and save the swimmer

c

You are just leaving the scene of a multiple-casualty incident with two Priority 1 patients. Which of the following is appropriate regarding communication? a) Notify the receiving facility by radio of the nature of the patients' injuries b) Have dispatch relay your patient reports to the receiving facility c) Allow the transportation supervisor to notify the receiving facility d) Notify the receiving hospital by cellular phone of the nature of the patients' injuries

c

You are on an ambulance responding to a mass-casualty incident at a shopping mall on a warm Saturday afternoon. En route, you listen to the incident commander broadcast information to dispatch and all inbound units about 20 patients complaining of respiratory difficulty and a burning sensation in their eyes. Your suspicions of a potential terrorist incident are the result of: a) the location of the call b) on-scene warning signs c) the type of event d) the timing of the event.

c

You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the AED has been applied. The AED does not advise shock. What is your next intervention? a) Insert a Combitube b) Replace the malfunctioning AED c) Continue CPR d) Stop CPR and place the patient in the recovery position

c

You are on the scene of a mass-casualty incident in which the grandstand at a race track has collapsed. As the triage officer, you have encountered a 14-year-old male whose leg has been amputated above the knee. He is responsive to verbal stimuli, and he has an open airway, shallow rapid breathing, and a weak, rapid carotid pulse. This patient would be classified as a Priority ________ for treatment and transport a) 3 b) 4 c) 1 d) 2

c

You are on the scene of a pediatric patient who is on a specialized home monitoring system. This situation was not specifically addressed in your EMT class and your EMT partner has not encountered this situation, either. What is an advisable course of action? a) Contact medical control and ask to speak to a specialist for advice. b) Load the patient and rapidly transport the patient to the closest hospital for evaluation c) Ask the parent or caregiver what has been done in the past to correct the situation d) Request an advanced life support ambulance crew to respond for assistance

c

You are stabilizing a patient who has just been stabbed in the chest to the right of the mediastinum. After placing the patient on supplemental oxygen, his shortness of breath resolves. You also cover the wound with an occlusive dressing. The patient is asymptomatic at the time you're making the decision to transport. Which of the following best encapsulates the correct strategy for transport? a) Transport the patient non-emergently because he's complaint free. b) The patient does not necessarily need transport, so allow him to refuse if he wants. c) Transport the patient emergently because of the high index of suspicion for a serious injury d) Begin transport non-emergently and upgrade if the patient's condition deteriorates

c

You are treating a 28-year-old female who is 34 weeks pregnant. She has a history of bee sting anaphylaxis and was stung by a bee while in the garden. She is having severe respiratory distress and her blood pressure is 72/50 mmHg. Which of the following is the best option for the EMT? a) Transport rapidly, bypassing the emergency department and taking the patient directly to the obstetrics unit of the hospital b) Immediately administer the patient's EpiPen . ® c) Administer the EpiPen only on the advice of medical control. d) Do not administer the EpiPen under any circumstances.

c

You are treating the amputation of three fingers on a 40-year-old male. The fingers were torn off while he was cleaning his snow blower. You have stopped the bleeding. What should you do with the amputated fingers? a) Because it is cold out, you merely need to wrap them in a 5 9 dressing and give them to the staff at the ED. b) Place the fingers directly on ice or use cold packs, as they must be kept very cold. c) Wrap them in a sterile dressing, put them in a plastic bag, and keep them cool d) Fingers cannot be reattached so you can discard them in a biohazard bag.

c

You arrive on the scene to find a scuba diver on board a boat slumped over in the captain's chair with frothy blood in his mouth. The captain states that the diver was down no more than 15 feet when he ascended rapidly and called for help. Which of the following is most likely? a) The bends b) Pnemothorax c) Air embolism d) Decompression sickness

c

You arrive on the scene to find an approximately 60-year-old male patient writhing on the floor. He is complaining of a tearing pain radiating to his lower back. He has absent femoral pulses and has a pulsatile mass just superior to his umbilicus. You suspect which of the following conditions? a) myocardial infarction b) Ruptured appendix c) abdominal aortic aneurysm d) acute pancreatitis

c

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #3 is a 38-year-old female with the following vital signs: respirations 0, pulse 0, and nonresponsive. a) Priority 3, green tag b) Priority 2, yellow tag c) Priority 4, black tag d) Priority 1, red tag

c

You encounter an accident on a busy intercity street while on duty. Calling into dispatch, you make note that the occupants of both vehicles are outside, and you request additional units to proceed non-emergently. You approach an elderly male who is rubbing his back and left shoulder. During secondary assessment of past medical history, you make note of several important details: the patient is on high blood pressure medications and has had a heart attack in the past. He is complaining of midline thoracic pain on palpation of his spine and left shoulder pain, which may have been from the seat belt, but is refusing care and transport. The patient did not lose consciousness. Based on this information, which transport decision would be most appropriate for this patient? a) Level I Trauma Center b) The nearest community facility c) Level II Trauma Center d) Nowhere, because the patient is an adult and refusing care

c

You have covered an open chest wound with your gloved hand, and the patient's breathing has improved. In order to free your hand to provide further care, you should: a) cover the wound with an occlusive dressing b) cover the wound with a sterile dressing c) remove your hand to see if the wound has closed. d) apply a bulky dressing over the wound.

c

You have just arrived on the scene of an agricultural business and see three men coming out of a building, choking and holding their heads. One of the men tells you there are two workers still inside. What should you do next? a) Get the assistance of the men who made it out of the building to prevent delay in finding the workers inside. b) Cover your nose and mouth with a wet towel and check on the status of the two workers inside the building c) Call for properly trained assistance and stay a safe distance away from the scene. d) Evaluate the three men and administer high-concentration oxygen, then help them get a safe distance away from the scene

c

You have just delivered a full-term baby girl and she is doing well. You have dried her off and wrapped her in a warm blanket. You are preparing to cut the umbilical cord. Which of the following is normally true regarding cutting the umbilical cord? a) You should hold the baby above the level of the mother when cutting the cord b) You must try to cut the cord before it stops pulsating. c) The infant must be breathing on his or her own before you cut the cord. d) The cord should be cut immediately following delivery.

c

You respond to a 22-year-old male patient who fell while exiting the local bar. Bystanders state he drank at least 10 beers and could not keep his balance. Physical exam reveals that the patient is alert to verbal stimuli only. He has Glasgow Coma Scale scores of 3, 4, and 6; slurred speech; and an obvious scalp laceration to the back of his head. He is refusing treatment and transport and wants his friends to drive him home. The nearest hospital is 5 minutes away, a Level II Trauma Center is 10 minutes away, and a Level I Full Service Trauma Center is 30 minutes away. Which of these is the most appropriate facility for the patient? a) Level I Trauma Center b) The nearest community facility c) Level II Trauma Center d) Nowhere, because the patient is an adult and refusing care

c

You respond to a boat dock for a diving injury. You find a 22-year-old female patient unresponsive with frothy blood in the mouth and lung sounds absent on the right side. The patient is breathing 28 times a minute. The patient's friends state they were diving when she unexpectedly came out of the water complaining of chest pains and then collapsed. The nearest hospital is 25 minutes away and the nearest specialty resource center with a hyperbaric chamber is 30 minutes away. What is the best decision when determining transport? a) Transport the patient by air medical to the nearest facility. b) Transport the patient to the nearest facility c) Transport the patient by ground to the specialty center d) Transport the patient by air medical to the specialty center

c

You respond to a farm for a possible snake bite. You find a 36-year-old male patient seated against a tree. Bystanders state the patient was bitten on the arm by a rattlesnake and is "really sick." As you approach, you notice that the patient appears to be in obvious distress and is diaphoretic and holding his right wrist. Which of the following is your highest priority? a) Immediately apply a constricting band to minimize the spread of the venom. b) Confirm the type of snake and contact medical control for specific instructions. c) Confirm the location and status of the snake. d) Perform a primary assessment and identify any potential life threats.

c

You respond to a professional volleyball tournament for a potential heat stroke. Upon arrival you find a 28-year-old male patient seated inside the air-conditioned first aid trailer. He is alert and in obvious distress. He is complaining of severe cramping of his arms and legs. His vital signs are stable. What is the most likely cause of the cramping? a) Cooling off too quickly b) Drinking too many sports drinks c) Sweating too much d) Heat exhaustion

c

You respond to the county jail for a 48-year-old inmate arrested two days ago for public intoxication. Guards state the patient is a known alcoholic and "frequent flier." The guards state that for several hours the patient was "acting crazy" and seeing "bugs on the walls." The patient then began seizing and they called for an ambulance. You notice the patient is no longer seizing, diaphoretic, or confused. What condition do you suspect? a) alcohol poisoning b) acute episode of paranoid schizophrenia c) delirium tremens d) LSD abuse

c

You respond, along with fire department Emergency Medical Responders, to a 48-year-old female having a syncope episode in the bathroom. You find the patient sitting on the commode vomiting into the trash can. The vomitus appears to look like coffee grounds and has a foul smell. The patient is pale and has been weak for the past few days. She has: a) peritonitis b) abdominal aortic aneurysm c) GI bleeding d) hernia

c

Your 38-year-old male patient has been injured in an assault. He has several facial lacerations and a large knot on his head. Bystanders say that he was thrown over a large table and landed on his head and shoulder. As part of your scene size-up and primary assessment, you should: a) wait for ALS to treat the patient b) complete an initial set of vital signs c) immobilize his cervical spine d) splint any other bone or joint injuries

c

Your patient has eaten a casserole that may have contained seafood. The patient is worried because he has a seafood allergy. Upon assessment, you find no signs or symptoms of anaphylaxis. The patient's vital signs are stable and he has an epinephrine auto-injector prescribed to him. Which of the following actions is most appropriate? a) Transport the patient rapidly before the onset of anaphylaxis. b) Assist him with the administration of his epinephrine auto-injector c) Try to find out if the casserole contained seafood. d) Advise the patient that he does not require treatment and transport at this time.

c

Your patient is a 19-year-old female who is 7 months pregnant. She just experienced a seizure. Although she has no previous history of seizures or any other medical condition, she was just diagnosed with pregnancy-induced hypertension. Which of the following is the most likely cause of the seizure? a) hypoglycemia b) trauma c) eclampsia d) any of the above

c

Your patient is a 24-year-old male who is severely depressed. He tells you that he can't "handle the pressure" anymore and that he wants to die. He is refusing transport. Which of the following is the most appropriate decision regarding this patient's care? a) Leave the scene and allow law enforcement to handle the situation b) Contact the patient's family to find out what their wishes are c) Transport the patient against his will with the assistance of law enforcement d) Respect the patient's wishes; he is alert, oriented, and capable of giving consent

c

Your patient is a 33-year-old man who has a gunshot wound to his right leg and has active, steady, dark red bleeding. He is awake, pale, and diaphoretic. He has a strong radial pulse of 112 per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 122/82 mmHg. He has no other injuries or complaints. Which of the following is the best sequence of steps in the management of this patient? a) High-concentration oxygen, elevation of the extremity, and application of ice b) High-concentration oxygen, tourniquet, PASG, and elevation of the extremity c) Direct pressure, high-concentration oxygen, and splinting the leg d) Cervical spine immobilization, high-concentration oxygen, direct pressure, and pressure point compression

c

Your patient is a 34-year-old male complaining of pain "in his right side." He is pale and diaphoretic with a heart rate of 90 beats per minute, a respiratory rate of 28 breaths per minute, and a blood pressure of 132/80 mmHg. The patient is very agitated and anxious. Which approach is most appropriate? a) Insert an oropharyngeal airway b) Try to determine the cause of his pain c) Reassure him that you will make him as comfortable as possible and get him to the hospital for additional care. d) Tell the patient that you cannot transport him

c

Your patient is a 38-year-old male driver of a vehicle that left the roadway and struck a bus stop shelter and a tree. He is sitting in the driver's seat and conscious and alert, he has some abrasions on his forehead, his skin is warm and dry, and he has a strong radial pulse and no difficulty breathing. After applying a cervical collar, which of the following actions represents the most appropriate way for removing the patient from the vehicle? a) Have the patient stand up and then do a standing takedown onto a long backboard b) Perform rapid extrication onto a long spine board. c) Place a long spine board under the patient's buttocks and then carefully lower the patient to the board in a supine position d) Place the backboard on the stretcher and have the patient stand, turn, and lie down on the backboard while you maintain manual inline stabilization of the cervical spine

c

Your patient is a 40-year-old female who has been experiencing abdominal pain and vomiting for 2 days. She is now responsive to verbal stimulus; has cool, dry skin; a heart rate of 116; respirations of 24; and a blood pressure of 100/70. Which of the following is the best position for transporting this patient? a) Supine with the knees bent b) Sitting up at a 90-degree angle c) Left lateral recumbent with the legs bent d) Sitting up at a 45-degree angle

c

Your patient is a 48-year-old male who has been exposed to a toxic powder that can be absorbed through the skin. Which of the following measures should be taken by the EMT? a) Brush off the powder and flush the patient's skin with a solution of baking soda and water. b) Flush the patient's skin with copious amounts of water c) Brush off the powder and flush the patient's skin with copious amounts of water d) Wipe the powder away with a damp cloth

c

Your patient is a 59-year-old female with a sudden onset of slurred speech and weakness on her right side. Which of the following measures is appropriate? a) Keep the patient in a supine position b) Administer oral glucose and then assess the patient's blood sugar c) Immediately transport the patient to a hospital with specialized treatment for stroke patients. d) Test the patient's sensation with a series of pinpricks, beginning at the feet and working upward.

c

Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her left ankle is swollen and painful. Which of the following should you do? a) Explain to the patient that her ankle is fractured, and you must splint her ankle to prevent further injury and reduce pain. b) Explain to the patient that her ankle is sprained and transport her with her ankle elevated on a pillow and a cold pack applied to the injury. c) Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is X-rayed at the emergency department, then splint the ankle. d) Transport the patient immediately to a trauma center, applying high-concentration oxygen en route.

c

Your patient is a 66-year-old female who has regained a pulse after a shock with an AED; however, she remains unresponsive and is not breathing adequately. Which of the following should be done next? a) Apply a nonrebreather mask with high-concentration oxygen and keep reassessing the pulse. b) Remove the AED, assist the patient's ventilations with a bag-valve mask and supplemental oxygen, and keep reassessing the pulse. c) Ventilate the patient with high-concentration oxygen and transport immediately d) Deliver a fourth shock to improve the patient's respiratory status

c

Your patient is a conscious 4-year-old female who has ingested a medication prescribed for her grandfather. To determine appropriate treatment, which of the following information is not necessary to provide to medical control? a) Patient's weight and the amount of medication taken b) Any home remedies attempted by the patient's family c) Grandfather's name and the name of the physician who prescribed the medication d) Patient's vital signs and the time the medication was taken

c

Your patient is an 18-year-old male who fell into a neighbor's swimming pool but was pulled out by bystanders. The neighbors report that the patient wandered into their yard and that he said he had a "funny numb feeling" in his head and his chest hurt before stumbling into the pool. As you are performing CPR, you notice that the mucous membranes in his mouth and nose are swollen. Which of the following would account for the patient's behavior and current condition? a) Methamphetamine b) GHB c) Volatile chemicals d) Carbon monoxide poisoning

c

Your patient is pregnant at 30 weeks' gestation and has been thrown from a horse. She is complaining of back pain. Which of the following is the correct procedure for immobilizing her spine? a) Place the patient supine on the backboard b) Use a short immobilization device and transport the patient in a sitting position c) Place the patient supine on the backboard, then put a pillow under the right side of the backboard d) Place the patient on her left side on the backboard.

c

Your patient was ejected from his motorcycle when he struck a deer late at night on a deserted highway. He is drowsy and unable to communicate clearly. As you immobilize him on the long spine board, you find that you are unable to obtain neutral alignment of his spine due to the large helmet he has on. You should: a) pad under his shoulders to straighten his neck. b) tip his head back to gain neutral alignment c) remove the helmet to better manage proper alignment. d) place towels on either side of the helmet to stabilize it.

c

You respond to the scene of a 56-year-old obese female complaining of respiratory distress. She states that she has been feeling weak and a "little sick" for the past two days, but the respiratory distress has been getting progressively worse for the past several hours. She states she has "heart problems," suffers from high blood pressure, and takes a "water pill." She is afebrile and has coarse crackles bilaterally. What is most likely the cause of her respiratory distress?

congestive heart faliure

A 59-year-old male has suffered a severe laceration from a circular saw while cutting wood in his garage. Upon your arrival, you find the patient sitting on the floor in a pool of blood. He is extremely pale. Based on your knowledge of pathophysiology, you would expect his body to try to compensate for the blood loss in all of the following ways, except:

constricted pupils

You are called to an elementary school for an 8-year-old female patient who is experiencing respiratory distress. The school nurse states the patient has an epinephrine auto-injector for a possible anaphylactic reaction to bee stings. The patient also has an albuterol inhaler for exercise-induced asthma. The patient is breathing 30 times a minute, is in the tripod position, and is speaking in two- to three-word sentences. The nurse states the patient was playing basketball in the gym when she started having difficulty breathing. The patient has wheezing in all lung fields. An ALS unit is en route but it is 10 minutes away. You are 20 minutes away from the nearest hospital. After placing the patient on oxygen, your next intervention should be to

contact medical control and request to assist the patient with her albuterol

Once you have reached a possible diagnosis for a patient, you should:

continue to look for data that will help rule in or rule out other conditions

Stroke volume depends on a series of factors: one is the force the myocardial muscle exerts to move the blood. This is known as

contractility

You are approaching a 16-year-old male with bright red spurting blood coming from his leg. He is screaming and he begs you to help him. You should:

control the bleeding

Although many of the signs and symptoms of shock are the same no matter what the cause, the symptoms follow a logical progression as shock develops and worsens. Arrange the following signs and symptoms in the order that they will most likely appear. 1. Altered mental status 2. Dropping blood pressure 3. Nausea and vomiting 4. Pale, cool, and clammy skin 5. Increased pulse 6. Increased respirations a) 1, 3, 4, 5, 6, 2 b) 2, 5, 6, 3, 4, 1 c) 5, 3, 4, 2, 6, 1 d) 1, 4, 3, 5, 6, 2

d

An adult fall meets trauma triage criteria set forth by the CDC if it is greater than: a) 15 feet. b) 10 feet. c) 25 feet. d) 20 feet.

d

An injury in which the epidermis remains intact, but blood vessels and cells in the dermis are injured, is called a(n): a) hematoma b) abrasion c) avulsion d) contusion

d

An oxygen level of ________ is required for normal breathing. a) 16.5 percent b) 10.5 percent c) 25.5 percent d) 19.5 percent

d

Anthrax can infect an individual through which of the following routes of exposure? a) skin b) inhalation c) ingestion d) all of the above

d

Applying an external source of heat to the patient's body to rewarm him is called ________ rewarming. a) central b) peripheral c) passive d) active

d

As an EMT, your best clue indicating the possibility of internal bleeding may be the presence of: a) a tender, rigid, or distended abdomen. b) painful, swollen, or deformed extremities. c) bruising, swelling, or pain over vital organs. d) the mechanism of injury.

d

As you prepare to enter a patient's room in a nursing home, you see a sign posted on the door indicating that the patient has a latex allergy. Which of the following is the best way to care for the patient? a) Ask the nursing staff if the patient has an epinephrine auto-injector available in case of a reaction to your gloves b) Put on latex gloves anyway; you must protect yourself with BSI c) Only perform a history on this patient, not a physical exam, so you can avoid contacting him with your gloves d) Ask the nursing facility staff to find synthetic exam gloves to wear for contact with this patient

d

At which of the following locations is an EMT likely to encounter a patient using an advanced medical device? a) nursing home b) private residence c) specialty care facilites d) all of the above

d

At which of the following sites should the EMT administer an epinephrine auto-injector? a) upper arm b) buttocks c) abdomen d) thigh

d

Based on the following presentations of patient injuries, which one would be considered most severe according to the anatomic criteria of the CDC trauma triage guidelines, justifying immediate transportation to a trauma center? a) Open (compound) midshaft femur fracture b) Midline cervical spine pain c) Closed head injury d) Flail chest

d

Because of the extra equipment now placed on ambulances for specialty rescue, advanced life support, and hazardous materials operations, their gross vehicle weight has been easily exceeded in some communities. This has necessitated introduction of a ________ truck chassis built for rugged durability and large storage and work areas. a) lightweight b) heavy-duty c) specialty weight d) medium-duty

d

Carbon monoxide poisoning occurs by which of the following routes? a) radiation b) absorption c) aspiration d) inhalation

d

Carbon monoxide poisoning should be suspected when a patient has been in an enclosed area and has which of the following signs and/or symptoms? a) Breathing difficulty and altered mental status b) Headache, dizziness, and nausea c) Flu-like symptoms d) All of the above

d

Cleaning fluid, glue, and model cement are common examples of which of the following? a) roofies b) narcotics c) hallucinogens d) volatile chemicals

d

Compared to hypoglycemia, which of the following is TRUE of hyperglycemia? a) Its onset is more sudden b) It is more easily treated in the prehospital environment than hypoglycemia. c) Its onset is preceded by an aura, such as hallucinations or detecting unusual odors d) Its onset is more gradual.

d

Dangerous organisms that can grow in a variety of environments and are capable of producing toxic substances are known as a) biologics b) viruses c) toxins d) bacteria

d

During which stage of labor is the baby born? a) first b) third c) primary d) second

d

EMTs arrive at the scene of a cardiac arrest to see a police officer beginning to defibrillate the patient. At what point should the EMTs take over? a) Only if the EMTs feel the police office is incompetent to administer the AED correctly b) After a "no shock indicated" message is received but otherwise not until the patient is resuscitated c) Immediately, even if interrupting the police office in the middle of shocking the patient d) After the shock is delivered or a "no shock indicated" message is received

d

Heat cramps occur due to loss of which of the following substances? a) Water and potassium b) Magnesium c) Water d) Salt

d

How many cervical vertebrae are there? a) 5 b) 12 c) 4 d) 7

d

ICS recognizes that the manageable span of control is: a) 18 people b) 12 people c) 24 people d) 7 people

d

If assisting in a prehospital delivery while off-duty, which of the following would be the best choice for tying or clamping the umbilical cord? a) Pair of shoelaces b) White cotton thread c) Clothespin d) Section of wire coat hanger

d

In a hypothermic patient the coldest blood is found in what part of the patient's body? a) intestines b) head c) heart and lungs d) extremities

d

In a patient with extreme hypothermia who appears to be in cardiac arrest, you should assess the pulse for how long? a) 15 to 20 seconds b) 20 to 30 seconds c) at least 10 seconds d) at least 60 seconds

d

In which of the following settings should the EMT be alert to the possibility of hazardous materials emergencies? a) Manufacturing industries b) Farm service agencies c) Shipping ports d) All of the above

d

It can sometimes be difficult to determine whether someone who is showing unusual behavior is having a psychological emergency or is showing an altered mental status due to a physical issue. Which of the following statements are true? 1. Consider patients who are exhibiting crisis or unusual behavior to be having an altered mental status from a nonpsychiatric cause until proven otherwise. 2. Many medical and traumatic conditions are likely to alter a patient's behavior. 3. Lack of oxygen may cause restlessness and confusion, cyanosis (blue or gray skin), and altered mental status. 4. Stroke or inadequate blood to the brain may cause confusion or dizziness and what appears to be erratic behavior a) 1, 2, 3 b) 1, 3, 4 c) 1, 2 d) 1, 2, 3, 4

d

Jarl is a male who is 5 foot 7 inches tall and weighs 250 pounds. What is Jarl's body mass index (rounded to the nearest tenth)? a) 36.5 b) 38,4 c) 35.2 d) 39.1

d

Neurotransmitters are chemicals within the body that transmit the message from the distal end of one neuron (presynaptic neuron) to the proximal end of the next neuron (postsynaptic neuron). While it sounds like a complicated process, it takes only milliseconds. Which one of the following sentences is false? a) This is the mechanism by which the impulse is moved along the nervous system. b) The receptors on the postsynaptic neuron receive the neurotransmitter c) Neurotransmitters are released from a neuron, then travel across the synapse to the next neuron d) After the impulse is transmitted, the neurotransmitter goes through a process called reuptake, in which the neurotransmitter is returned to the postsynaptic neuron.

d

Normal consciousness is regulated by a series of neurologic circuits in the brain that compose the reticular activating system (RAS). The RAS has simple requirements to function properly. Which one of the following items is NOT one of those requirements? a) water b) glucose c) oxygen d) sodium

d

Obesity increases the risk for which of the following health problems? a) Type 2 diabetes b) Respiratory problems c) Liver disease d) All of the above

d

On assessment of the midsection of a 32-year-old male who was struck by a car, you find an abdominal evisceration with several loops of his large intestine exposed. The abdomen appears to have a clean-cut laceration, and the bleeding is controlled. Which of the following is the best approach toward managing the exposed intestines? a) Leave the abdominal contents in the place in which they were found and transport immediately. b) Gently replace the intestines after moistening with sterile saline solution. c) Cover the abdomen with an occlusive dressing of aluminum foil. d) Moisten a sterile dressing with saline solution and cover the abdominal contents.

d

Once an EMT has begun resuscitative efforts, when may the EMT cease those efforts? a) The patient has no pulse after 1 minute b) No other rescuer is available to relieve the EMT c) The EMT's partner gives the order to cease d) Spontaneous circulation and breathing occur

d

Organs of the right upper quadrant include: a) most of the liver, gallbladder, and part of the large intestine b) small intestine, stomach, and spleen c) pancreas, spleen, and part of the liver. d) most of the liver, spleen, and gallbladder.

d

Seizures due to complications of pregnancy generally occur during which of the following time periods? a) Before the mother even knows she is pregnant b) In the second trimester c) In the first trimester d) Late in pregnancy

d

Shock is the circulatory system's failure to provide sufficient blood and oxygen to all the body's tissues. Which of the following is not a major type of shock? a) hypovolemic b) cardiogenic c) hemorrhagic d) hypervolemic

d

Someone who has more hair than average on his body is at a higher risk than someone with less hair to be exposed to a toxin by which of the following routes? a) ingestion b) injection c) inhalation d) absorption

d

Soraya is an EMT who volunteers for a local fire department. On the scene of a hazardous materials incident, she helps prevent the incident from becoming larger and ensures bystanders remain safe. Soraya's level of hazardous materials training is at the ________ level. a) First Responder Awareness b) Hazardous Materials Technician c) Hazardous Materials Specialist d) First Responder Operations

d

The death of brain tissue due to deprivation of oxygen because of a blocked or ruptured artery in the brain is known as which of the following? a) aphasia b) stroke c) transient ischemic attack d) seizure

d

The detection of a bulging mass through the belly button that is not pulsating should make the EMT suspicious that the patient may be suffering from which of the following? a) Abdominal aortic aneurysm - Triple A b) Ulcer c) Gastroenteritis d) Hernia

d

The extent of radiation depends on which of the following factors? a) Distance from the source b) Shielding from the source c) Duration of exposure d) All of the above

d

The formula dose multiplied by time represents which of the following? a) Lethal dose b) Critical level c) Concentration d) Exposure

d

The maxillae form which of the following structures? a) cheek bones b) lower jaw c) forehead d) upper jaw

d

The patient complaining of parietal abdominal pain who would concern you the most is the one who: a) is rolling about on the floor complaining of pain. b) walks out to the ambulance informing you he has the worst "belly ache." c) is sitting upright in a chair, moaning in pain, and drinking antacid. d) is lying on the floor very still and quiet with his knees drawn up to his chest

d

The term gangrene means localized tissue: a) swelling b) infection c) discoloration d) death

d

The term poison is best described as any substance that can do which of the following? a) Deactivate nerve transmission b) Increase cellular activity c) Depress the body's respirations d) Harm the body

d

There are general rules for dealing with psychiatric emergencies. Which of the following is not one of those rules and would not be considered appropriate? a) Speak slowly and clearly, using a calm and reassuring tone. b) Identify yourself and your role. c) Listen to the patient. You can show you are listening by repeating part of what the patient says back to him d) Never make eye contact with the patient, as it will just increase his nervousness

d

When dealing with a psychiatric emergency, which one of the following would generally be inappropriate behavior on your part? a) Let the patient know that you are listening to what he is saying, and explain things to the patient honestly. b) Act in a calm manner, giving the patient time to gain control of his emotions. c) Stay alert for sudden changes in behavior. d) Be as hurried as you can. It is extremely important to resolve the call and get the patient to the hospital as soon as possible.

d

When documenting the administration of an epinephrine auto-injector, which of the following should be included? a) Time the medication was administered b) Site of medication administration c) Patient's response to the medication d) All of the above

d

When heading back to quarters, on what should you place your emphasis? a) Documenting the cal b) Refueling the ambulance for the next call c) Reorganizing the ambulance d) Returning safely

d

When performing chest compressions on a pregnant patient who has gone into cardiac arrest, what change do you need to make in the placement of your hands? a) 0.5 to 1 inch lower on the sternum b) 0.5 to 1 inch higher on the sternum c) 1 to 2 inches lower on the sternum d) 1 to 2 inches higher on the sternum

d

When preparing to move a patient who is using a specialty medical device from his house to the ambulance, which of the following questions would be appropriate to ask the family? a) What worked best for moving the patient the last time he was transported by ambulance? b) How do you normally move the patient? c) Can you carry the patient to the ambulance since you know the best way to move the patient? d) Both A and B are correct.

d

When providing emergency care to an aggressive or hostile patient, what is the highest priority? a) Finding out if the patient is oriented to person, time, and place b) Calming the patient down c) Checking the patient for possible physical causes of the behavior d) Performing a scene size-up

d

When responding to an attempted suicide, which of the following is the EMT's primary concern? a) Managing the patient's airway b) Determining whether the patient suffers from clinical depression c) Contacting law enforcement because suicide is illegal d) Personal safety

d

When responding to an emergency located on an interstate highway in a medium-duty ambulance, the vehicle should be positioned: a) in a safe location in the emergency lane of the interstate. b) across as many lanes as possible to block oncoming traffic c) to one side of the damaged vehicles for easy egress d) in the same direction as other response vehicles in a single line.

d

When using a short spine immobilization device, which part of the body is secured last? a) legs b) torso c) arms d) head

d

When working at a nighttime emergency on a roadway, which of the following safety considerations should the prudent EMS provider do to increase safety? a) Keep all available response lights on to warn oncoming traffic. b) Keep only the fog lights on to keep the light out of drivers' vision. c) Switch the headlights to the "high beam" position for maximum lighting. d) Operate amber warning lights only, if the option is available.

d

Which abdominal quadrant contains the appendix? a) left upper b) left lower c) right upper d) right lower

d

Which is NOT one of the steps in managing a patient experiencing dizziness and syncope? a) Lay the patient flat b) . Loosen any tight clothing around the neck c) Administer oxygen d) Apply cold packs to the patient's head

d

Which of the following BEST describes an appropriate shock sequence for the patient in ventricular tachycardia? a) Shock, pulse check, shock, pulse check, shock, pulse check b) Shock, shock, shock, pulse check, 2 minutes of CPR, shock, shock, shock c) Shock, shock, shock, shock d) Shock, 2 minutes of CPR, reanalyze, shock again if indicated

d

Which of the following are desirable characteristics of the "safe or cold zone" in a hazardous materials incident a) Downwind, downhill from the spill b) Downwind, uphill from the spill c) Upwind, uphill from the spill d) Upwind, on the same level as the spill

d

Which of the following best describes a localized cold injury with a clear line of demarcation of its limits? a) Late frostbite b) Hypothermia c) Deep frostnip d) Early frostnip

d

Which of the following best describes a partial thickness burn? a) The skin is red, but dry and painful b) The skin is white and dry with no sensation of pain. c) The skin is charred or blackened and lacks sensation d) The skin is red and moist with blister formation.

d

Which of the following best describes an avulsion? a) An injury caused by a sharp, pointed object b) Accumulation of blood beneath the skin, resulting in swelling c) Epidermis that is scraped away by a rough surface d) Flap of skin that is partially or completely torn away from the underlying tissue

d

Which of the following can cause a wound with a characteristic lesion with a bite that is often painless? a) Hornet b) Scorpion c) Black widow spider d) Brown recluse spider

d

Which of the following changes commonly occurs in the cardiovascular system during anaphylaxis? a) High blood pressure due to tachycardia b) High blood pressure due to vasoconstriction c) Low blood pressure due to bradycardia d) Low blood pressure due to vasodilation

d

Which of the following circumstances may result in hypoperfusion? a) The heart is damaged. b) There is external bleeding. c) Blood vessels are dilated. d) All of the above.

d

Which of the following communication strategies should be used when dealing with a patient with a behavioral emergency? a) Interrupt the patient if he appears to be going off on a tangent about something not concerning the immediate situation. b) Play along with any visual or auditory hallucinations the patient is experiencing c) Stay 2 to 3 inches from the patient at all times to make him feel secure. d) Acknowledge the patient's feelings.

d

Which of the following conditions can mimic the signs of alcohol intoxication? a) diabetes b) epilepsy c) head injuries d) all of the above

d

Which of the following is of concern in a patient who received burns to his hand when he grabbed a live electrical wire? a) Which of the following is of concern in a patient who received burns to his hand when he grabbed a live electrical wire? b) Toxic gases were inhaled. c) The patient remains an electrocution hazard to rescuers for several minutes after being removed from the source of electricity d) The extent of tissue damage may be much greater than it appears on the surface

d

Which of the following is of concern with a puncture wound? a) Strong possibility of contamination b) An object that remains impaled in the body c) Hidden internal bleeding with minimal external bleeding d) All of the above

d

Which of the following is often associated with water-related emergencies? a) Cardiac arrest b) Hypothermia c) Alcohol use d) All of the above

d

Which of the following is one of the most common inhaled poisons associated with fire suppression? a) Carbon dioxide b) Hydrogen sulfide c) Chlorine gas d) Carbon monoxide

d

Which of the following is recommended in situations in which a tourniquet must be used? a) Apply a bulky dressing and bandage over the tourniquet b) Remove the tourniquet as soon as bleeding is controlled to minimize further damage to the limb. c) Apply the tourniquet over the elbow or knee. d) Use a material that is wide and thick

d

Which of the following is recommended when caring for an amputated part? a) Care for the amputated part before worrying about the patient bleeding. b) Rinse away debris with saline solution and place the part in a container of ice c) Wrap the part in aluminum foil to preserve body temperature. d) Seal the part in a plastic bag and keep it cool.

d

Which of the following is responsible for most of the early signs and symptoms of shock? a) Dilation of the peripheral blood vessels b) Increased respirations of the patient c) Constriction of the peripheral blood vessels d) The body's attempts at compensation for blood loss

d

Which of the following is the best course of action for the EMT to take when caring for a patient with an AICD who goes into cardiac arrest? a) The AED should be applied and used, but CPR should not be started while on-scene or transporting the patient. b) No action beyond transport is required because the patient already has an implanted defibrillator c) CPR should be started, but the AED should not be used while on-scene or transporting the patient. d) CPR and an AED should be used as indicated while on-scene and transporting the patient.

d

Which of the following is the easiest way for an EMT to communicate with a patient with drastic hearing loss? a) Use a TDD/TYY telephone b) Speak loudly and directly into the patient's ear c) Slow down your speech so that the patient can read your lips d) Write your questions using paper and pen

d

Which of the following is the first concern when you are caring for a patient who has been in a vehicle collision? a) Helping law enforcement get the driver's name and insurance information b) Preserving evidence, such as alcohol beverage bottles and vehicle positioning c) Treating life-threatening injuries d) Your own safety

d

Which of the following is the main focus of the EMT's assessment and history taking of the patient with abdominal pain? a) Determining if the patient meets criteria to refuse treatment and transport b) Determining the cause of the pain c) Determining the presence of shock d) Determining the possible need for immediate surgery

d

Which of the following is the most common type of rescue across the United States? a) Water rescue b) Hazardous materials response c) Farm rescue d) Vehicle rescue

d

Which of the following is the most effective way of controlling external bleeding in superficial wounds? a) Elevating the affected part b) Running cold water over the wound c) Using an ice pack d) Using direct pressure with a dressing

d

Which of the following is the outermost layer of the skin? a) dermis b) adipose tissue c) fascia d) epidermis

d

Which of the following is the result of histamine and other chemicals in the body during anaphylaxis? a) Bronchodilation occurs, blood vessels dilate, and swelling appears in areas around the vocal cords b) Blood vessels constrict, capillaries become leaky, and bronchoconstriction occurs. c) Urticaria occurs due to fluid being shunted from the skin, causing dehydration of tissue. d) Capillaries become leaky, bronchoconstriction occurs, and swelling appears in areas around the vocal cords.

d

Which of the following is true concerning lacerations? a) They may be caused by blunt trauma. b) They may be caused by penetrating trauma. c) They may indicate deeper underlying tissue damage. d) All of the above

d

Which of the following is true of premature infants? a) They are more susceptible to infection. b) They can easily develop hypothermia c) They are at risk for respiratory difficulty. d) all of the above

d

Which of the following layers of the skin is the most important in insulating the body against heat loss? a) epidermis b) subdural layer c) parietal layer d) subcutaneous layer

d

Which of the following may be a clue that an incident is the result of terrorist violence? a) Function of the target b) Number of people present c) Occurrence on the anniversary of a significant or symbolic historical event d) All of the above

d

Which of the following may be a hazard of an improperly fitting cervical collar? a) Allows flexion of the neck b) Prevents the patient from opening his mouth c) Allows hyperextension of the neck d) All of the above

d

Which of the following may result from a woman in her third trimester of pregnancy lying in a supine position? a) Maternal hypotension b) Maternal compensation for a decrease in blood pressure c) Fetal compromise d) All of the above

d

Which of the following medical conditions could be the underlying cause of an apparent behavioral emergency? a) mental illness b) stroke c) hypoglycemia d) all of the above

d

Which of the following patients has the greatest likelihood of being cared for in a burn center? a) 12-year-old male with a partial thickness burn involving his forearm as a result of making a torch by lighting aerosol from a can of hairspray b) 45-year-old man who has a partial thickness burn about 3 inches long by 1/2 inch wide on his posterior arm from backing into a barbecue grill c) 16-year-old female who came into contact with a motorcycle exhaust pipe and has a superficial burn on her leg about 2 inches in diameter d) 30-year-old woman who has full thickness burns on her hand and arm as a result of spilling hot cooking oil on herself

d

Which of the following people is allowed to continue providing patient care when the patient is to be "cleared" for delivery of a shock via the defibrillator? a) The EMT performing bag-valve mask ventilations b) The provider who is ventilating the patient, so long as the patient has been intubated by a paramedic so that the provider does not directly touch the patient c) Anyone in contact with the patient below the level of the patient's knees d) None of the above

d

Which of the following provides the best protection for the EMT's hands during a vehicle rescue operation? a) Fabric work gloves with non-slip palms b) Elbow-length chemical-proof gloves c) Double-thickness latex gloves d) Leather gloves

d

Which of the following questions may help the EMT assess a patient with abdominal pain? a) Do you have any allergies to foods or medicines? b) What medications are you taking? c) Do you have any medical problems, such as diabetes or heart problems? d) All of the above

d

Which of the following represents best practice when responding to a highway incident? a) Using emergency lighting rather than cones or flares to warn traffic of the incident b) Parking immediately behind the first unit on scene when you are a secondary unit c) Using the crossover on a limited-access highway during peak traffic hours d) Keeping the ambulance on the same side of the road as the incident

d

Which of the following should NOT be done during defibrillation? a) Pressing the defibrillation pads firmly to the chest to ensure good contact b) Shaving the chest before placing the defibrillation pads to improve contact c) Performing CPR while the AED is being attached d) Continued ventilation during the analysis phase to prevent hypoxia

d

Which of the following should be checked with the vehicle engine turned off? a) Warning lights b) Dash-mounted gauges c) Windshield wiper operation d) Battery

d

Which of the following should be considered during the scene size-up of a hazardous materials emergency? a) Identification of the substance b) The properties and potential dangers of the substance c) Potential for spread of the substance d) All of the above

d

Which of the following should be done when the infant's head has been delivered? a) Check to see if the umbilical cord is around the neck b) Suction the mouth. c) Suction the nose. d) All of the above

d

Which of the following should increase the EMT's suspicion of internal bleeding? a) Fall from a height two or more times the patient's height b) Penetrating trauma to the chest or abdomen c) High-speed motor vehicle collision d) All of the above

d

Which of the following should the EMT consider when protecting a patient during extrication? a) noise b) weather c) debris d) all of the above

d

Which of the following should the EMT do to control maternal bleeding after delivery of the baby? a) Allow the infant to nurse, if possible. b) Apply direct pressure with a sanitary napkin over the vaginal opening. c) Massage the uterus until it is firm d) All of the above

d

Which of the following statements is not true? a) A greenstick break is an incomplete break in a bone b) A fracture is any break in a bone c) An angulated break is when the broken bone segments are at an angle to one another. d) A comminuted break is when a bone is broken in only one place

d

Which of the following steps of extrication comes before the other three steps? a) Recognizing and managing hazards b) Gaining access to the patient c) Sizing up the situation d) Preparing for the rescue

d

Which of the following structures is (are) not located in the abdominal cavity? a) spleen b) stomach c) liver d) kidneys

d

Which of the following terms describes the temperature of the surrounding air? a) shell temperature b) core temperature c) wind chill d) ambient temperature

d

Which of the following types of drugs may induce sleep or stupor? a) Hallucinogens b) Tranquilizers c) Narcotics d) Both A and B

d

Which of the following would you expect to hear when auscultating the lungs of a patient having an anaphylactic reaction? a) fine, wet crackles or rales b) clear, adequate air movement c) coarse-sounding rhonchi d) wheezing

d

Which one of the following definitions is not true? a) Which one of the following definitions is not true? b) Joints are places where bones articulate. c) Another name for manual traction is tension d) Tendons connect muscles to ligaments.

d

Which one of the following statements is not true concerning a knee injury? a) Fractures can occur to the proximal tibia and fibula b) Fractures can occur to the patella. c) There could be pain and tenderness. d) Fractures can occur to the proximal femur.

d

Which one of the following statements is not true? a) Ligaments are connective tissues that connect bone to bone b) Muscles are the tissues or fibers that cause movement of body parts or organs. c) Cartilage is connective tissue that covers the outside of the bone end and acts as a surface for articulation d) Tendons are bands of connective tissue that bind the ligaments to muscles.

d

Which phase of an ambulance call is characterized by receiving a report from the off-going shift and checking the functionality of equipment? a) Receiving and responding to a call b) Terminating the call c) Transferring the patient to the ambulance d) Preparing for the ambulance call

d

While treating a patient of sexual assault, which of the following sequences should your treatment follow? a) Maintain scene safety, treat immediate life threats, allow the patient to shower if the patient is capable to help treat psychological needs, and transport. b) Treat immediate life threats, treat psychological needs, and protect criminal evidence c) Maintain scene safety, treat immediate life threats, and treat only the secondary injuries that may become life threats in order to protect criminal evidence. d) Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence

d

While treating a pregnant patient in cardiac arrest, which of the following is the best way to keep the fetus alive a) Do an emergency cesarean section of the fetus b) Transport the patient to the closest pediatric center c) Do not use an AED to defibrillate the patient d) Attempt to resuscitate the patient as you would any other cardiac arrest patient

d

Why is it important to gather a detailed medical history when dealing with a psychiatric emergency? a) It will help you to determine whether you need to restrain the patient. b) It is not. You want to get the call resolved as quickly as possible and this will just delay it c) It will help you to determine whether the police are needed d) It will alert you to past issues as well as medication

d

With the exception of the ________, most abdominal organs are not able to sense tearing sensations a) colon b) ovaries c) liver d) aorta

d

You are assessing a newborn patient 1 minute after delivery. You notice the patient has blue extremities with a pink trunk, a pulse of 120, and strong crying with good movement of all extremities. What is the newborn's APGAR score? a) 10 b) 7 c) 8 d) 9

d

You are assessing a patient in labor. Her contractions are 2 minutes apart, lasting 30 seconds with increasing pain. She states that she does not yet feel the urge to push. These signs indicate she has reached which stage of delivery? a) Fourth stage b) second stage c) third stage d) first stage

d

You are called for a woman with severe abdominal pain. During your assessment and interview, she tells you that she is sexually active and there is a chance she could be pregnant. Her vital signs are pulse 122, respirations 22, blood pressure 96/62, and skin cool and pale. You should immediately suspect: a) internal bleeding b) placenta previa c) appendicitis d) ectopic pregnancy

d

You are called to a local hardware store for a male patient complaining of difficulty breathing. As you pull into the parking lot, you notice several people in front of the building coughing and in obvious distress. What would be an appropriate course of action at this point? a) Locate the patient for whom you were requested and begin treatment while another ambulance is en route for the other patients. b) Move the people with respiratory difficulties to a distant corner of the parking lot and set up a treatment sector c) Request a hazardous materials incident response and begin treating all patients displaying respiratory difficulties. d) Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response.

d

You are dispatched to a local fast-food restaurant for a "nature unknown" call. You arrive on-scene and find a 47-year-old male in front of the counter repeatedly singing "Happy Birthday" to himself. Police are on-scene and the scene is safe. Which of the following would be considered appropriate care? a) Have the police take charge, restrain the patient, and have him brought into your ambulance b) Quickly approach the patient and take charge. Tell him he has to come with you to be evaluated. c) Have your partner join you in approaching the patient and explain to him that he has to stop singing or you will have him arrested. d) Quietly and carefully evaluate the situation and keep your emotions under control. Be as unhurried as you can.

d

You are dispatched to a local industrial plant for an "electrical injury." You arrive on-scene and find a 46-year-old male lying supine in front of an electrical panel. You are told he was attempting to make a repair and somehow received an electrical shock and was thrown to the ground. The scene is safe and the electricity is off. Your initial exam reveals a conscious person, breathing adequately. Vital signs are normal and there are no obvious signs of burns. Coworkers state that he was unconscious until your arrival. What is the next step? a) Put the patient on oxygen and help him into your ambulance. b) Load and go conduct any other care in the ambulance en route due to the potential seriousness of the burns. c) Stay with the patient awhile, and if he does not appear to be in distress, encourage him to refuse care. d) While on the scene, rapidly do a complete assessment, provide oxygen, provide care for potential spine injuries, and transport as soon as possible after the exam

d

You are dispatched to an industrial plant for a burn. You arrive and find a 60-year-old male who came in contact with a broken steam line and appears to have partial thickness burns on both hands and arms. He is lying on the ground and coworkers are gently spraying him with water from a nearby hose. What should you do? a) Because of his age, immediately put him in your ambulance and transport him to a burn center. b) Before doing treatment, call the local burn center for instruction. c) Call for air transport and continue to pour water on the burns until transport arrives. d) Care for the burn and do a complete patient assessment, including cervical spine precautions.

d

You are examining a 48-year-old patient who has been burned. You decide to use the rule of palm to measure the extent of the burn. What does this mean? a) The palm of the patient's hand equals 9% of the body's surface area b) The palm of your hand represents 1% of the body's surface area c) You can only use the rule of palm for children, so you would use the rule of nines instead d) The palm of the patient's hand equals about 1% of the body's surface area.

d

You are on a stand-by at a local high school football game. One of the football players comes over to the ambulance and complains that his face feels numb and he has a burning sensation in his fingers. You notice that the patient's cheeks and fingers are bright red. How should you treat the patient? a) Tell the patient that his condition is superficial and allow him to return to the game b) Warm the affected areas with gentle rubbing. c) Place the patient inside the ambulance and begin active rewarming measures d) Allow the patient to warm up inside the ambulance by passive rewarming measures.

d

You arrive on the scene and find an unresponsive homeless man lying in the alleyway clutching a wine bottle. He is wearing a long-sleeved shirt but does not have pants on. His skin feels cold to the touch. The week's temperatures have not been above 50 F. Which of the following should you do immediately after ensuring the patient has an adequate airway? a) Provide manual stabilization of the cervical spine. b) Apply the AED c) Begin passive rewarming. d) Check the carotid pulse.

d

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #2 is an 8-year-old male with the following vital signs: respirations 22, pulse 102, and alert mental status with warm dry skin a) Priority 2, yellow tag b) Priority 4, black tag c) Priority 1, red tag d) Priority 3, green tag

d

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #4 is a 13-year-old female with the following vital signs: respirations 8, pulse 124, and nonresponsive with blood from the ears and nose. a) Priority 4, black tag b) Priority 2, yellow tag c) Priority 3, green tag d) Priority 1, red tag

d

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #5 is a 17-year-old male with the following vital signs: respirations 18, pulse 104, alert, crying, and wanting his mother; he is ambulatory. a) Priority 4, black tag b) Priority 1, red tag c) Priority 2, yellow tag d) Priority 3, green tag

d

You find a middle-aged male sitting against a wall in obvious distress. The patient appears to be extremely short of breath and has an open wound to his chest that is making a sucking sound. You should: a) place a trauma dressing over the wound b) cover the wound with an occlusive dressing. c) place the patient on high-concentration oxygen. d) place your gloved hand over the wound.

d

You have arrived at the scene of a motor vehicle collision to find that there are several critically injured patients. Which of the following should you do first? a) Begin to care for the patient closest to your vehicle b) Begin triage of all patients before deciding on additional resources c) Begin extrication of the most critically injured patient. d) Call for additional rescue units and transporting ambulances

d

You have arrived at the scene of a vehicle collision in which there are utility wires down around the vehicle. The three occupants appear dazed and other responding units have not yet arrived. Which of the following is the best course of action? a) Push the wires out of the way with a long pry-bar in order to access the patients. b) Cool the wires with large amounts of water to prevent a fire from starting. c) Encourage the occupants to exit the vehicle by jumping free of the vehicle before touching the ground d) Stay at a distance and caution the occupants to stay inside the vehicle.

d

You have assisted in the delivery of a full-term infant by suctioning the mouth and nose as the head was delivered and again following complete delivery. The infant is not yet breathing. Which of the following is the correct sequence of interventions? a) Begin bag-valve-mask ventilations, suction the airway with a rigid tonsil tip, and begin CPR b) Perform a series of back blows and chest thrusts interposed with mouth-to-mouth ventilation. c) Transport without further intervention d) Rub the infant's back, tap the bottom of his foot, begin bag-valve-mask ventilations, and check the pulse.

d

You have been called to the scene of a 19-year-old college student who is at his parents' house for the weekend. The patient complains of sensitivity to light and nausea. He also has a headache and is covered in what appears to be a red rash that does not blanch when pressed. Your partner asks the patient to sit up straight and then bring his chin down to his chest. For which of the following diseases is your partner assessing this patient? a) Hepatitis C b) Tuberculosis c) Shingles d) Meningitis

d

You have delivered a newborn and wrapped the baby in a dry blanket. During your reassessment of the mother, you note continued moderate vaginal bleeding. Care for this bleeding may involve all of the following except: a) massaging the uterus to control bleeding b) elevating the mother's feet. c) applying firm pressure with a sanitary napkin over the vaginal opening d) having the mother squeeze her legs together to provide direct pressure

d

You respond for an imminent delivery of a baby in the breech position. As you examine the mother, you see that the umbilical cord is protruding from the opening of the cervix. You realize that the most important care you can provide for this baby is to: a) gently push the cord back into the vaginal space. b) wrap the cord to prevent heat loss c) provide oxygen to the mother d) keep the baby off of the cord.

d

You respond to a 75-year-old female who is complaining of epigastric pain that feels like heartburn. The pain radiates to the right shoulder. Her vital signs are stable and she has a previous history of a myocardial infarction. She has prescription nitroglycerin tablets. She is most likely suffering from: a) ectopic pregnancy b) abdominal aortic aneurysm c) renal colic d) cholecystitis

d

You respond to a boat dock for a diving injury. You find a 24-year-old male patient unresponsive with frothy blood in the mouth and lung sounds absent on the right side. The patient's friends state they were diving when he came out of the water complaining of chest pains and then collapsed. What condition do you suspect? a) Near drowning b) Decompression sickness c) Myocardial infarction d) Air embolism

d

You respond to a landing zone to pick up a skier who was lost in the woods for 36 hours and found by the search-and-rescue helicopter. Your patient is a 19-year-old male patient. He is alert and oriented to time, person, place, and event. He is covered in blankets and shivering. He complains of not being able to feel his fingers. Physical exam reveals that the fingers of both extremities have a waxy appearance and feel "frozen" on the surface. After treating the patient for potential hypothermia and rapid transport, your next action is to: a) keep the digits frozen on ice until they can be properly rewarmed at the hospital. b) . actively rewarm the digits c) gently warm the digits by slowly massaging them d) gently bandage the digits.

d

You respond to the scene of a local campground. Your patient is a 15-year-old female patient who was stung in the arm by a bee. The patient is anxious and hyperventilating at 28 times a minute. The patient is alert and oriented to time, place, person, and event. Lung sounds are clear bilaterally. The left arm is swollen and the stinger is not present. Blood pressure is 118/72 and pulse is 110. The patient's mother states the patient is allergic to bee stings and has an epinephrine auto-injector. She called 911 because she was afraid the patient would stop breathing. Which of the following is the best treatment plan? a) Place a constricting band around the arm to minimize the spread of the venom b) Place the patient in the Trendelenburg position c) Assist the patient in administering her epinephrine auto-injector. d) Treat the patient for shock and transport

d

Your patient has come in contact with a strong acid substance. Using an alkaline solution to treat the patient may result in which of the following? a) Neutralization of the acid substance b) Production of heat when the acid and alkali interact c) Further damage to the patient's tissues d) All of the above

d

Your patient has had his throat slashed during a robbery attempt. You are concerned because it is apparent that the vessels in his neck have been lacerated. A breach in which of the following vessels would be most likely to lead to an air embolism? a) capillaries b) arteries c) arterioles d) veins

d

Your patient is a 12-year-old boy who ran his arm through a glass window and has an 8-inch laceration on his anterior forearm. You have applied a pressure dressing and bandage, but these have become saturated due to continued bleeding. Which of the following should you do now? a) Remove the pressure dressing and bandage, apply an ice pack to the wound, and bandage it in place with an elastic bandage b) . Remove the pressure dressing and bandage, apply direct pressure with your gloved hand, and elevate the arm c) Apply additional dressing material, bandage it in place, and apply pressure to the brachial artery d) Elevate the arm and prepare to apply a tourniquet or consider administering a hemostatic agent.

d

Your patient is a 12-year-old female who fell onto her outstretched hands while rollerblading. She has a deformity of her forearm, about 2 inches proximal to her wrist. This injury is a result of which of the following mechanisms? a) direct force b) twisting motion c) sudden acceleration d) indirect force

d

Your patient is a 14-year-old male who crashed his bicycle, landing prone and sliding along a gravel trail. He has deep abrasions to his hands, arms, chest, and knees. The patient has small pieces of gravel, twigs, and dirt embedded in the abrasions. Which of the following is the best way to manage this situation after taking cervical spine immobilization? a) Use a tongue depressor to scrape large pieces of debris out of the wounds, place the patient on high-concentration oxygen, and transport. b) Use your fingers to pick embedded debris from the wound, bandage with moist saline dressings in place, and transport. c) Do not attempt to remove any debris, apply pressure dressings over the embedded material if necessary, apply high-concentration oxygen, and transport d) Assess for additional injuries, flush away large pieces of debris with a sterile dressing, place dressings on the abrasions, bandage them in place, and transport.

d

Your patient is a 17-year-old male baseball player found pulseless and apneic after being struck in the chest by a baseball 6 minutes ago. He is surrounded by other players and staff but no one is providing care. You should: a) elevate the patient's legs. b) place him on a backboard. c) attach the AED and analyze. d) begin chest compressions

d

Your patient is a 20-year-old college student who has fallen from a third-level balcony onto a wooden deck below. The patient responds to verbal stimuli, is pale in color with moist skin, and has a very obvious deformity with protruding bone ends of his right forearm. Which of the following is the best sequence of intervention for this patient? a) Provide immediate manual in-line stabilization of the cervical spine; apply high-concentration oxygen by nonrebreather mask; perform a focused history and assessment; apply the cervical collar; apply a padded board splint, sling, and swathe to the forearm injury; and transport. b) Provide manual in-line stabilization of the cervical spine along with assessment of breathing, pulse, and the presence of significant hemorrhage; apply high-concentration oxygen; perform a rapid trauma exam; immobilize to a long backboard; and check with medical control about the need to splint the forearm injury prior to transport c) Provide manual in-line stabilization of the cervical spine along with assessment of breathing, pulse, and the presence of significant hemorrhage; apply high-concentration oxygen; perform a rapid trauma exam; immobilize to a long backboard; transport; and splint the extremity en route if time and resources allow. d) Open the airway; assess breathing; check the carotid pulse; splint the forearm injury; immobilize the patient to a long backboard; apply high-concentration oxygen; and transport.

d

Your patient is a 21-year-old female with a history of epilepsy. She is having a convulsion upon your arrival. Which of the following should you do? a) Restrain the patient's extremities to prevent injury from flailing of the arms and legs b) Insert a bite block, cloth, wallet, or similar item between the patient's teeth to prevent her from biting her tongue c) Place a tongue depressor or spoon in the back of the mouth to prevent the patient from swallowing her tongue. d) Move furniture and other objects away from the patient to prevent injury.

d

Your patient is a 24-year-old man who smoked a cigarette dipped in formaldehyde and then went outside with no shoes on and walked in the snow for about an hour. He has deep local cold injuries to both feet. Which of the following should be included in your management of this patient? a) Keep the patient cool to avoid rewarming the feet too quickly b) Break blisters before wrapping both feet in sterile dressings c) Massage the feet briskly d) Gradually rewarm both feet

d

Your patient is a 27-year-old male who has been involved in a motorcycle collision in which he was not wearing a helmet. He does not respond when you speak to him, but he makes incomprehensible sounds when you press your knuckles on his sternum. Which of the following best describes his level of consciousness? a) alert b) verbal c) unresponsive d) painful

d

Your patient is a 28-year-old male who cut his thigh with a chain saw. It appears that he has lost about 600 cc of blood. Which of the following is not part of the proper management of this patient? a) Using direct pressure to control the bleeding b) Using a tourniquet c) Administering oxygen d) Replacing fluid level by giving the patient adequate amounts of water

d

Your patient is a 37-year-old man who tripped while walking down a hill and now has a painful, deformed right leg. Your assessment reveals that the foot is cold and mottled in appearance. You cannot detect a pulse in the foot or ankle. Which of the following is the best course of action? a) Splint the leg in the position in which it was found and transport without delay b) Transport rapidly to the nearest trauma center. c) Explain to the patient that, because you cannot detect circulation in his foot, his leg will most likely have to be amputated above the site of the injury d) Gently attempt to straighten the leg to regain a pulse before splinting

d

Your patient is a 50-year-old female with a history of alcoholism. She is found unresponsive in bed by her son. Which of the following possibilities should you keep in mind during your assessment? a) head injury b) low blood sugar c) heart attack d) all of the above

d

Your patient is a 60-year-old male who is complaining of severe epigastric abdominal pain and difficulty breathing. He is pale, sweaty, and pleads with you, "Don't let me die, I think I'm going to die." Which of the following measures is not part of your initial treatment of this patient? a) Placing the patient in a position of comfort b) Determining whether you should assist the patient in taking nitroglycerin c) Giving 15 lpm of oxygen by nonrebreather mask d) Applying the defibrillator pads to his chest

d

Your patient is a 70-year-old male whose tractor rolled over onto him. Your assessment makes you suspicious that the patient has a fractured pelvis. Which of the following signs and symptoms should you anticipate? a) Patient feels the need to empty his bladder b) Patient cannot lift legs when lying supine c) Patient demonstrates signs of shock. d) All of the above.

d

Your patient was diagnosed with cholecystitis (gallbladder inflammation) three days ago. The patient now presents with nausea, vomiting, and pain in the right shoulder. The pain in the shoulder can be classified as: a) pancreatic pain b) visceral pain c) somatic pain d) referred pain

d

Your patient was working on a car when it fell off the jack and trapped him between the tire and ground. His face is very blue and his eyes are bloodshot. Which of the following has the patient most likely suffered? a) Flail chest b) Pneumothorax c) Hemothorax d) Traumatic asphyxia

d

Daniel has been performing landscaping on a hot, humid summer day when he suddenly becomes dizzy and feels like he might faint. This disruption of fluid balance is most likely caused by:

dehydration

________ blood returns to the right side of the heart.

deoxygenated

Your patient is a 45-year-old female who complains of "twisting her ankle" when she slipped on a patch of ice. Which of the following is not appropriate?

detailed physical exam

The tuberculin skin test (TST), formerly known as the purified protein derivative (PPD) test, is used to:

detect a person's exposure to tuberculosis.

All of the following are ways that an EMT can increase both physical and mental well-being, except:

drinking caffeine instead of alcohol

You are caring for a 4-month-old male patient who is reported to have vomited five times today. His parents describe no other associated symptoms or complaints. The patient is lying on the couch with a pacifier in his mouth, smiling at you. Developmentally, you would expect a patient of this age to be able to:

drool without swallowing

The EMT's obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following?

duty to act

During which age group is the body in peak physical condition?

early adult

You have performed a head tilt-chin lift maneuver on a 17-month-old boy and are attempting to ventilate him with a bag-valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilations again, you should:

ease the head forward a little

In relation to anatomy, the term topography means:

external landmarks of body structures

You have been dispatched to a local shopping mall where a 63-year-old female patient has slipped and fallen in a department store. Upon your arrival, you find her supine on the ground, conscious and oriented with stable vital signs, complaining of severe pain in the upper portion of her left leg and hip. Her left leg is slightly shortened and rotated outward. The bone most commonly fractured with a "broken hip" is the

femur

Which of the following is the correct manner for checking for responsiveness in an apparently unresponsive infant?

flicking the soles of the feet

Which of the following is acceptable for maintaining a seal between an oxygen cylinder and regulator?

gasket

Which term refers to the EMT's initial sense of the patient's condition, based on immediate assessment of the patient's environment, appearance, and chief complaint?

general impression

Digestive disorders can seriously impact nutrient transfer and:

hydration levels

The pressure that is created within the blood vessels when the heart beats is called:

hydrostatic pressure

When carbon dioxide is not exchanged, the net result is high carbon dioxide, a condition called ________, within the body.

hypercapnia

Which of the following describes skepticism about one thing causing another?

illusory correlation

You are transporting a patient whom you are treating for chest pain. You have completed all of your assessments and are writing down some of his personal information such as his address and phone number. As the patient is speaking, you notice that he is having increasing difficulty breathing. You should:

immediately repeat your primary assessment.

Your patient is an 18-year-old female whom you believe may have had a miscarriage and is bleeding heavily. You have completed your primary and secondary assessments and now you need to reassess her to see if the bleeding has stopped. You should

in a reassuring tone, explain what you need to do

You respond to a middle school for a 12-year-old male patient who has been hit by a car. You get consent to treat the patient from the school principal. What concept allows the principal to speak for the parents?

in loco parentis

Shock occurs as a result of which of the following?

inadequate perfusion

The movement of oxygen and carbon dioxide across the cell membranes from the capillaries is called:

internal respiration

When assessing a patient's breathing, what is your first question?

is he breathing?

In which age group do you anticipate seeing patients who have less efficient cardiovascular systems and a reduction of previous blood volume?

late adulthood

You are ventilating an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should:

leave the dentures in place

What is a normal capillary refill time in a pediatric patient?

less than 2 seconds

You have a patient who is unresponsive on the floor. What is the best way to rule in or rule out trauma as a cause of the patient's unresponsiveness?

look for bystanders and ask them if they witnessed the incident

What is the danger that an altered mental status can pose to a patient's breathing?

loss of muscle tone and airway collapse

An EMT is on the scene of a 48-year-old male patient complaining of chest pain. He has nitroglycerin prescribed and available. After performing the primary and secondary assessments, the EMT contacts medical control and is ordered to assist the patient in taking his nitroglycerin. Carefully, the EMT performs the "five rights" and checks the expiration before administering the medication. The patient states the medicine is not helping his pain. The patient also states he does not have a headache. Reassessment of the patient's vital signs shows no change in blood pressure. The EMT suspects the nitro is not working because the:

medication was somehow rendered inert

The seat of respiratory control is found in the:

medulla oblongata

The process by which glucose and other nutrients are converted into energy is called:

metabolism

You and your EMT partner respond to a local shipping warehouse for a worker who was hit by a falling crate. Upon arrival, you find the man lying on the concrete floor of the facility, alert and oriented but unable to move or even feel his legs below the waist. Based on the mechanism of injury and the symptoms, which of the patient's body systems would you suspect has been impaired?

nervous system

Your patient is a 60-year-old female with a sudden onset of severe difficulty breathing. She has no prior history of respiratory problems. Which of the following should be done before applying oxygen by nonrebreather mask?

none of the above

You are attempting to assess the blood pressure of a 35-year-old male at the scene of a multiple vehicle collision. The scene is very noisy and you are unable to clearly hear the patient's heartbeat. You should:

obtain the blood pressure by palpation

Name the type of medical direction consisting of standing orders and protocols

off-line

You are approaching an adult female lying supine on the ground with snoring respirations. You should:

open her airway with a jaw-thrust maneuver

You are at the scene where a 19-year-old female college student has been drinking large quantities of alcohol throughout the evening. On your arrival, the patient is lying on her back with no signs of trauma; has vomited; and has slow, wet sounding respirations. Which of the following should you do next?

open the patient's airway using a head-tilt, chin-lift maneuver

What is the first medication that should be administered to a patient experiencing chest pain with difficulty breathing?

oxygen

A ________ is not typically used in the prehospital setting for oxygen administration

partial rebreather mask

Of the following, which would most likely give the best information regarding your patient's mental status?

patient's ability to know person, place, time, and purpose

What device is used to perform mouth-to-mask ventilation?

pocket face mask

Which of the following is not part of the general impression?

position in which the patient is found

Of the three types of oxygen flowmeters, which one can only be used upright?

pressure compensated flowmeter

You respond to a large concert venue where a number of spectators are reported to be severely intoxicated. You are directed to an area where several patients appear to be unconscious, lying face down on the ground. The position of these patients is described as:

prone

You are transporting a patient down a bumpy road. Your patient's blood pressure has just been measured by the monitor at 190/110. The patient's blood pressure on scene was 130/80. You should:

re-measure the blood pressure manually

You have a long transport of a patient who may have sustained a spinal injury. The patient has been stable throughout your transport. During one of your reassessments, your patient tells you that he is losing the feeling in his feet and toes and his fingers are tingling. At this point you should:

reassess him every 5 minutes

Your 79-year-old female patient appears to show all signs and symptoms of a stroke. Her level of consciousness has rapidly deteriorated, she is now unconscious, and she can no longer control her own airway. While you intervene to manage her airway, the best position in which to keep fluid or vomitus from occluding her airway would be the:

recovery position

You are aggressively ventilating an adult patient with a bag-valve mask when you notice that his previously strong pulse is getting weaker. You should:

reduce the volume of the ventilations

You are called to a motor vehicle collision where the car is on fire. You should ensure safety by

remaining a safe distance from the car until the fire is out

You are attempting to replace the oxygen cylinder in your truck. After removing the regulator from the old cylinder, removing the old cylinder, and placing the new cylinder in the oxygen compartment, you attempt to connect the regulator. The new cylinder is yellow rather than green, but it was stored with the green cylinders. You are unable to get the regulator to seat properly and it will not turn. You should:

remove the yellow cylinder and get a green cylinder

Your patient is breathing 4 shallow breaths per minute due to overdosing on his pain medication but he has a palpable radial pulse. He vomited prior to your arrival and is choking. You should:

roll him onto his side to clear the airway

You are on the scene of a 48-year-old male patient complaining of chest pain. He has nitroglycerin prescribed and available. After performing your physical examination, you contact medical control and are ordered to assist the patient in taking his nitroglycerin. Five minutes after taking his nitroglycerin, the patient complains of being dizzy and having a headache. You lie the patient down on the stretcher and reassess his vital signs. He is now hypotensive. The patient is suffering from a(n):

side effect of nitroglycerin

All of the following are common techniques for measuring blood pressure except:

sphygmomanometer

Which of the following is the beneficial action of a beta blocker medication?

slows the heart rate

Breathing sounds that should concern the EMT are:

snoring, gurgling, wheezing, and crowing

When the lung collapses without injury or any other obvious cause, it is called which of the following?

spontaneous pneumothorax

Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation?

standard of care

Certain blood vessels that contain specialized sensors that detect the level of internal pressure and transmit messages to the nervous system, which then triggers the smooth muscle in the vessel walls to make any needed size adjustments. These sensors are called:

stretch receptors

Expert clinicians may use different approaches of thinking through problems, but which of the following will they have in common?

strong foundation of knowledge

Your patient was struck in the chest with a baseball bat during a bar fight. A crackling or crunching sensation that is felt when air escapes from its normal passageways and is trapped under the skin is called

subcutaneous emphysema

You find a teenage male lying supine in his bedroom. You hear gurgling sounds from the patient's mouth and see vomit with pill fragments on the floor. You should:

suction the airway

What is not one of the symptoms of a pulmonary embolus?

sudden clamness

Which of the following is the term used to describe an infant's reaction to his environment?

temperament

You have responded for a patient with shortness of breath. He reports that his breathing problems began this morning and have gotten worse over the last few hours. You ask if he has taken anything to help his symptoms and he tells you that he has used his inhaler several times in the last hour. The information you have just gathered can be classified as:

the history of present illness

You are on the scene at a fancy hotel room for a 60-year-old male patient who calls 911 at 10 p.m. for chest pains. He states he was about to go to bed when he suddenly had chest pain that would not go away. He rates his pain as a 7 out of 10 and is diaphoretic. His vital signs are stable, and he takes medications for hypertension, high cholesterol, and erectile dysfunction. The patient is allergic to morphine. After placing the patient on oxygen, you contact medical control and request:

to administer aspirin to the patient

The term lateral is best defined as:

to the side

All of the following can result in airway obstructions except:

tongue

Graves' disease is an example of a condition caused by:

too many hormones

A 26-month-old toddler is reported to have fallen and lacerated his chin. His mother did not witness the fall. As you proceed through your assessment, your partner reports that she's concerned about his heart rate, which she measures as 64. She's checked it twice. Your knowledge of normal vital signs for a patient this age suggests that his heart rate is:

too slow

Your patient is a 42-year-old woman who fell two feet from a ladder and is complaining of pain in her ankle. Which of the following are you unable to determine from the information given?

transport priority

Which of the following is the EMT's role in caring for a patient presenting with symptoms of anxiety, irritability, a short temper, and chest pain with shortness of breath?

treat the patient is though he were having a heart problem

Which of the following is a possible side effect of a prescribed inhaler for respiratory problems?

tremors

You are caring for a woman who sustained a head injury as a result of a domestic dispute. You suspect she has a closed head injury since she cannot remember what happened and one of her pupils is slightly larger than the other. You have been monitoring her vital signs every 5 minutes and you see that her blood pressure is rising and her pulse is dropping. This part of the assessment is called:

trending

Your patient is a motorcyclist who was ejected after striking a guard rail. The patient is unresponsive to painful stimuli and is breathing shallowly six to eight times per minute. Which of the following should you do first?

use a bag-valve mask with supplemental oxygen

You are assessing an 82-year-old female who has been lost in the woods behind her nursing home for several hours on a crisp fall evening. Your pulse oximeter shows her oxygen saturation to be 82 percent even though she appears to be breathing adequately. In order to ensure an accurate reading, you should:

warm the patient's hands and try again

While treating a patient involved in a shooting at the patient's vacation home, which of the following actions will NOT interfere with the investigation of a crime scene?

wearing gloves at the scene

Which of the following sounds is high pitched and almost musical, and may be heard in lower respiratory obstruction?

wheezing

When should the EMT most likely expect to hear wheezes in a patient complaining of shortness of breath secondary to an asthma attack?

while breathing out

You are called for a 58-year-old male who is concerned that his blood pressure is too high. He tells you that he has had a headache and is feeling a little dizzy. You notice that his skin is flushed and feels warm to the touch. As you finish taking his vital signs, you should:

write down the patient's vital signs