EMT

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External bleeding from an extremity can usually be controlled by a combination of:

applying direct pressure

A 58 y/o man complains of chest discomfort and nausea. He is conscious and alert; his BP is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED) and he tells you that he does. You should:

ask him what he takes, how much, and when he last took it

When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located you should:

begin resuscitation at once

Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:

drying of the eyes

The EMT certification exam is designed to

ensure that EMTs are competent and have the same level of knowledge and skills.

Patients with uncontrolled diabetes experience polyuria because:

excess glucose in the blood is excreted by the kidneys

If a patient is partially immune to a particular disease, he or she

may develop illness from germs that lie dormant from the initial infection

A 71 y/o is semiconscious following a sudden, severe headache. There is vomitus on his face and his respirations are slow and shallow. The EMT must immediately:

perform a oropharyngeal suctioning

An absence seizure is also referred to as a:

petit mal seizure

The left ventricle has the thickest walls because it:

pumps blood into the aorta and systemic circulation

An EMT's primary responsibility to the patient who has been poisoned is to:

recognize that a poisoning occurred

You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:

requesting a CISM team to provide on-scene peer support

A 70 y/o female was recently discharged from the hospital the following a total hip replacement. Today, she presents with restlessness, tachycardia, and a blood pressure of 100/64 mm Hg. Her skin is hot and moist. You should be MOST suspicious that she is experiencing

septic shock

When asserting for fluid collection in the lungs during auscultation of lung sounds, you should:

start at the lower lung fields and determine at which level you start hearing clear breath sounds

Typical components of an oral patient report include all of the following, EXCEPT:

the set of baseline vital signs taken at the scene

When the shoulder girdle is aligned over the pelvis during lifting:

the weight is exerted straight down the vertebrae

Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:

thoroughly document the entire event

Abdominal thrusts in a conscious child or adult with a severe upper airway obstruction are performed

until he or she loses consciousness

What is the alveolar minute volume of a patient with a tidal volume of 500mL, a dead space volume of 150 mL, and a respiratory rate of 16 breaths/min?

5,600 mL

Which of the following statement regarding the EMS medical director and an EMT's scope of practice is correct?

An EMT's scope of practice may be expanded by the medical director after proper training and state approval.

Which of the following skills or interventions is included at every level of prehospital emergency training?

Automated external defibrillation

Which of the following statements regarding gastrointestinal bleeding is correct?

Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself

Which of the following is NOT a BLS intervention?

Cardiac monitoring

You are treating a middle-aged man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should:

Confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given

A 50 y/o man with diabetes has an altered mental status and is unable to tell you when he last ate or took his insulin. Your glucometer keeps malfunctioning and you are unable to determine his blood glucose level. Which of the following clinical signs would MOST likely lead you to the correct diagnosis?

Deep and rapid breathing

Which of the following statements regarding hepatitis A is correct?

Hep A can only be transmitted by a patient who has acute infection

You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find him in a prone position; his eyes are closed and is not moving. Your FIRST action should be to:

Log roll him as a unit to a supine position

When gathering a patient's medications, you find the following: Isordil, Lasix, Motrin, and Digoxin. Which of these medications can be obtained over-the-counter (OTC)?

Nexium

Which of the following medication routes has the slowest rate of absorption?

Oral

You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused, is in obvious respiratory distress, and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate livesaving treatment, you should:

Perform a detailed head-to-toe exam and prepare for immediate transport

Observations made when forming a general impression of a patient would include all of the following, EXCEPT:

Pulse strength

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

The patient may be eligible to receive thrombolytic therapy.

Which of the following statement regarding the different stages of the grieving process is correct?

The stage of the grieving process may occur simultaneously

If you are exposed oat patient's blood or other bodily fluid, your first action should be to:

Transfer care of the patient to another EMS provider

Which of the following statements regarding ventricular fibrillation is correct?

V-Fib results in an absence of forward blood flow

Which of the following clinical signs is unique to anaphylactic shock?

Wheezing

Which of the following scenarios is an example of informed consent

a patient is advised by an EMT of the risks of refusing care

You are assisting a 49 y/o who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His BP is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced:

a ruptured cerebral artery

You are dispatched to a residence for a 67 y/o female who was awakened by shortness fo breath and sharp chest pain. Her husband tells you that she was recently discharged from the hospital after having a hip surgery. Your assessment reveals dried blood around the mouth, facial cyanosis, and an oxygen saturation of 88%. You should suspect:

acute pulmonary embolism

A 73 y/o man presents with a generalized rash, which he thinks may have been caused by an antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/90, and his pulse is 64 betas/min and regular. You escalate his breath sounds and hear scattered wheezing, although he is not experiencing any respiratory diseases. You should:

administer oxygen if needed, transport the patient, and monitor him for signs of deterioration.

Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices results in:

an ulcer


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