EMT online quiz 5

Signs and symptoms of a hypertensive emergency would most likely be delayed in patients who:

have chronic hypertension

Prior to assisting a patient with his or her prescribed nitroglycerin, the EMT must:

obtain authorization from medical control

You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a 2-year-old male. The child is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You should:

Transport the child to the hospital and reassure the mother en route

Your patient answers your questions appropriately, although her eyes remain closed the entire time. She moves each extremity on command, although her left side is weaker than the right. You should assign a Glasgow Coma Scale (GCS) score of:

12

Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of:

8

You should attempt to maintain a chest compression fraction of at least:

80%

Risk factors for AMI that cannot be controlled include:

family history

Nitroglycerin is contraindicated in patients:

who have experienced a head injury.

Which of the following statements regarding the use of an AED in children is correct?

AEDs can be used safely on infants and children by using pediatric pads and an energy reducer

When assessing a patient with signs and symptoms of shock, it is important to remember that:

Blood pressure may be last measurable factor to change in shock

Which of the following is not an indication to stop CRP once you have started?

Care is transferred to a bystander

you arrive at the residence of a 33-year-old woman who is experiencing a generalized (tonic-clonic) seizure. She has a small amount of vomitus draining from the side of her mouth. After protecting her from further injury, you should:

Maintain her airway with manual head positioning, suction her airway to remove the vomitus, insert a nasopharyngeal airway, and administer high flow oxygen

You arrive at a local grocery store approximately 5 minutes after a 21-year-old female stopped seizing. She is confused and disoriented; she keeps asking you what happened and tells you that she is thirsty. Her brother, who witnessed the seizure, tells you that she takes valproate (Depakote) for her seizures, but has not taken it in a few days. He also tells you that she has diabetes. In addition to administering oxygen, you should:

Monitor her airway and breathing status and assess her blood glucose level

While rescuer one is finishing his or her fifth cycle of 30 compressions, rescuer two should:

Move to the opposite side of the patients chest

Prompt transport of a patient with a suspected AMI is important because:

The patient may be eligible to receive thrombolytic therapy

You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:

apply direct pressure to the wound

A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respiration's. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry, In addition to spinal immobilization and rapid transport, the most appropriate treatment for this patient includes:

assisted ventilation, thermal management, and elevation of the lower extremities

You are off duty at a park when you witness an apparently healthy 12-year-old child suddenly collapse. There are no bystanders around and your mobile phone is in your car. After confirming that the child is in cardiac arrest, you should:

call 911 and then return to begin CPR on the child

Rapid, labored breathing in a patient with signs and symptoms of AMI should make you suspicious for:

congestive heart failure

You arrive at a grocery store shortly after a 35-year-old male stopped seizing. Your assessment reveals that he is confused and incontinent of urine. The patient's girlfriend tells you that he has a history of seizures and takes topiramate (Topamax). When obtaining further medical history from the girlfriend, it is MOST important to:

obtain a description of how the seizure developed

Patients develop septic shock secondary to

poor vessel function and severe volume loss

Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes:

psychogenic shock

You are transporting a 33 year old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 min, you should:

reassess his condition in 5 min

Your partner is performing one-rescuer CPR on a middle-aged woman in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area where one of the AED pads will be placed. You should:

remove the medication patch, wipe away any medication residue, and apply the AED pad

Most AEDs are set up to adjust the voltage based on the impedance, which is the:

resistance of the body to flow of electricity.