Midterm 2
A 37-year-old female with a history of diabetes presents with excessive urination and weakness of 2 days' duration. Her blood glucose level reads 320 mg/dL. If this patient's condition is not promptly treated, she will MOST likely develop: Select one: A.acidosis and dehydration. B.hypoxia and overhydration. C.severe insulin shock. D.irreversible renal failure.
A
A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should: Select one: A.ask the father to hold the child so you can assess him while your partner tries to calm the mother. B.reassure the child's mother that seizures in children are very common and that there is nothing to worry about. C.give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability. D.attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety.
A
A 66-year-old woman experienced a sudden onset of difficulty breathing. She has a history of type 2 diabetes and deep vein thrombosis (DVT). On the basis of her medical history, which of the following should the EMT suspect? Select one: A.Pulmonary embolism B.Congestive heart failure C.Severe hypoglycemia D.Diabetic ketoacidosis
A
A patient with a core body temperature of 95°F (35°C) will most likely experience: Select one: A.a slow pulse. B.loss of consciousness. C.rapid breathing. D.muscle stiffness.
A
A physician who specializes in diseases of the nervous system is called a: Select one: A.neurologist. B.nephrologist. C.cardiologist. D.radiologist.
A
Airborne substances should be diluted with: Select one: A.oxygen. B.activated charcoal. C.an alkaline antidote. D.syrup of ipecac.
A
An adult patient who is NOT experiencing difficulty breathing will: Select one: A.be able to speak in complete sentences without unusual pauses. B.assume a position that will facilitate effective and easy breathing. C.exhibit an indentation above the clavicles and in between the ribs. D.have a respiratory rate that is between 20 and 24 breaths/min.
A
An effective team leader should: Select one: A.help the team accomplish goals. B.command his or her team. C.perform all difficult interventions. D.refrain from any direct patient care.
A
Common signs and symptoms of acute hyperventilation syndrome include: Select one: A.tachypnea and tingling in the extremities. B.anxiety, dizziness, and severe bradypnea. C.unilateral paralysis and slurred speech. D.altered mental status and bradycardia.
A
Continuing education in EMS serves to: Select one: A.maintain, update, and expand the EMT's knowledge and skills. B.confirm research and statistical findings in prehospital care. C.enforce mandatory attendance at agency-specific training. D.provide an ongoing review and audit of the EMS system.
A
During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should: Select one: A.assist her ventilations with a bag-mask device. B.assess her blood pressure and elevate her legs. C.perform a rapid secondary assessment. D.perform a visual assessment of her vaginal area.
A
Heroin is an example of a(n): Select one: A.opioid. B.sympathomimetic. C.cholinergic. D.hypnotic.
A
If you use a waterless handwashing substitute in the field, it is important to: Select one: A.wash your hands with soap and water at the hospital. B.wait at least five minutes before touching another patient. C.avoid donning another pair of gloves for at least 10 minutes. D.immediately dry your hands with a paper towel.
A
In an apparent suicide attempt, a 19-year-old female ingested a full bottle of amitriptyline (Elavil). At present, she is conscious and alert and states that she swallowed the pills approximately 30 minutes earlier. Her blood pressure is 90/50 mm Hg, her pulse is 140 beats/min and irregular, and her respirations are 22 breaths/min with adequate depth. When transporting this patient, you should be most alert for: Select one: A.acute respiratory depression. B.a sudden outburst of violence. C.an increase in her blood pressure. D.seizures and cardiac dysrhythmias.
A
Organic brain syndrome is defined as: Select one: A.a dysfunction of the brain caused by abnormal physical or physiological function. B.a disorder that cannot be traced to the abnormal structure or function of an organ. C.bizarre behavior secondary to a chemical imbalance or disturbance in the brain. D.a change in behavior or mental status secondary to decreased cerebral blood flow.
A
Patients with acute abdominal pain should not be given anything to eat or drink because: Select one: A.substances in the stomach increase the risk of aspiration. B.food will rapidly travel through the digestive system. C.digestion prevents accurate auscultation of bowel sounds. D.it will create referred pain and obscure the diagnosis.
A
Relative to the ankle, the knee is: Select one: A.proximal. B.superior. C.lateral. D.medial.
A
The EMT's scope of practice within his or her local response area is defined by the: Select one: A.medical director. B.local health district. C.EMS supervisor. D.state EMS office.
A
The MOST significant risk factor for a hemorrhagic stroke is: Select one: A.hypertension. B.diabetes mellitus. C.severe stress. D.heavy exertion.
A
The first rule of safe lifting is to: Select one: A.keep your back in a straight, vertical position. B.keep your back in a slightly curved position. C.spread your legs approximately 20″ apart. D.always lift with your palms facing down.
A
The frontal lobe of the brain controls: Select one: A.emotion. B.movement. C.vision. D.touch.
A
The most distal four spinal vertebrae, which are fused together, form the: Select one: A.coccyx. B.sacrum. C.ischium. D.ilium.
A
The primary function of the right atrium is to: Select one: A.receive blood from the vena cava. B.pump blood to the pulmonary artery. C.receive blood from the pulmonary veins. D.pump blood to the lungs for reoxygenation.
A
Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in respiratory distress. Your first action should be to: Select one: A.introduce yourself to the patient. B.ask the patient what's wrong. C.assess the patient's airway status. D.obtain a set of baseline vital signs.
A
When a person is standing upright, the weight of anything being lifted and carried in the hands is first reflected onto the: Select one: A.shoulder girdle. B.pelvic girdle. C.thigh muscles. D.spinal column.
A
When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes atorvastatin (Lipitor) and amlodipine (Norvasc). These medications suggest a history of: Select one: A.cardiovascular disease. B.reactive airway disease. C.non-insulin-dependent diabetes. D.bacterial infection.
A
When gathering a patient's medications, you find the following: Isordil, Lasix, Nexium, and digoxin. Which of these medications can be obtained over-the-counter (OTC)? Select one: A.Nexium B.Lasix C.Digoxin D.Isordil
A
Which of the following conditions would MOST likely affect the entire brain? Select one: A.Respiratory failure or cardiopulmonary arrest B.Ruptured cerebral artery in the occipital lobe C.Reduced blood supply to the left hemisphere D.Blocked cerebral artery in the frontal lobe
A
Which of the following drugs is not a sedative-hypnotic? Select one: A.oxycodone (Percocet) B.diazepam (Valium) C.secobarbital (Seconal) D.flunitrazepam (Rohypnol)
A
Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal? Select one: A.Beta blocker medications B.Anxiety or severe stress C.Lack of a regular exercise routine D.Internal bleeding from trauma
A
You are dispatched to an apartment complex to respond to a shooting. Law enforcement personnel are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should: Select one: A.quickly move the coffee table so you can access and treat the patient. B.obtain permission from law enforcement before moving anything. C.treat the patient where he is so that you do not destroy any evidence. D.drag the patient into a larger area so that you can begin treatment.
A
A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours. On the basis of this patient's clinical presentation, you should suspect that she: Select one: A.has a low blood glucose level. B.is significantly hyperglycemic. C.has overdosed on her insulin. D.has a urinary tract infection.
B
A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient's present condition is: Select one: A.dehydration from GI virus. B.acute myocardial infarction. C.severe septic hypoperfusion. D.a ruptured aortic aneurysm.
B
A patient's short-term memory is MOST likely intact if they correctly answer questions regarding: Select one: A.event and person. B.day and event. C.person and place. D.time and place.
B
According to the National EMS Scope of Practice Model, an EMT should be able to: Select one: A.interpret a basic (ECG) rhythm and treat accordingly. B.assist a patient with certain prescribed medications. C.administer epinephrine via the subcutaneous route. D.insert a peripheral IV line and infuse fluids.
B
Aspirin is beneficial to patients suspected of having a heart attack because it: Select one: A.dissolves the coronary artery clot. B.prevents the aggregation of platelets. C.reduces the associated chest pain. D.causes direct coronary vasodilation.
B
Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include: Select one: A.leukocytes and epinephrine. B.histamines and leukotrienes. C.adrenaline and histamines. D.the bee venom itself.
B
High humidity reduces the body's ability to lose heat through: Select one: A.convection. B.evaporation. C.radiation. D.conduction.
B
In contrast to hypoglycemia, hyperglycemia: Select one: A.is a rapidly developing metabolic disturbance. B.can only be corrected in the hospital setting. C.commonly results in excess water retention. D.is rapidly reversible if oral glucose is given.
B
In contrast to the parietal peritoneum, the visceral peritoneum: Select one: A.is supplied by the same nerves from the spinal cord that supply the skin of the abdomen. B.is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation. C.lines the walls of the abdominal cavity and is stimulated when the solid abdominal organs contract. D.is less likely to become inflamed or infected because it lines the abdominal organs themselves.
B
Older patients with abdominal problems may not exhibit the same pain response as younger patients because of: Select one: A.progressive deterioration of abdominal organ function. B.age-related deterioration of their sensory systems. C.chronic dementia, which inhibits communication. D.interactions of the numerous medications they take.
B
Signs and symptoms of an air embolism include all of the following, except: Select one: A.dizziness. B.pale skin. C.dysphasia. D.joint pain.
B
Supine hypotensive syndrome occurs when: Select one: A.the superior vena cava is compressed by the uterus. B.the pregnant uterus compresses the inferior vena cava. C.blood pressure decreases as a result of hypovolemia. D.a supine position kinks the ascending aorta.
B
The greatest danger in displaying a personal bias or "labeling" a patient who frequently calls EMS is: Select one: A.making the entire EMS system look unprofessional. B.overlooking a potentially serious medical condition. C.demeaning or humiliating the patient and his or her family. D.discouraging the patient from calling EMS in the future.
B
The main benefit of using a mechanical piston device for chest compressions is: Select one: A.its ability to be used with any patient, regardless of age, weight, or body size. B.the elimination of rescuer fatigue that results from manual compressions. C.the minimal training required to correctly operate the device. D.the elimination of the need to place a firm, flat device under the patient.
B
The physical act of moving air into and out of the lungs is called: Select one: A.diffusion. B.ventilation. C.respiration. D.oxygenation.
B
What is the correct ratio of compressions to ventilations when performing two-rescuer child CPR? Select one: A.30:2 B.15:2 C.3:1 D.5:1
B
Which of the following is an example of a primary prevention strategy? Select one: A.Teaching a group of new parents how to perform one- and two-rescuer infant CPR B.Community awareness programs that emphasize the dangers of drinking and driving C.The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash D.Protecting a patient's spine from further injury after a fall from a significant height
B
Which of the following most accurately describes hyperthermia? Select one: A.The core body temperature exceeds 99.5°F (37°C). B.The body is exposed to more heat than it can lose. C.Heat evaporates a significant amount of body water. D.The body eliminates more heat than it can generate.
B
Which of the following organs is not part of the digestive system? Select one: A.Gallbladder B.Kidney C.Stomach D.Pancreas
B
Which of the following statements regarding epinephrine administration via the intramuscular (IM) route is correct? Select one: A.The IM route should not be used in children. B.The 1:1000 concentration should be used. C.The preferred injection site is the upper arm. D.The maximum single adult dose is 0.15 mg.
B
Which of the following statements regarding rape is correct? Select one: A.Only a licensed physician can make a diagnosis of rape. B.Rape is a legal term, not a medical diagnosis. C.Rape causes more physical than emotional harm. D.The EMT should try to determine if rape occurred.
B
A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should: Select one: A.select a smaller oropharyngeal airway and attempt to insert it. B.insert the airway no further but leave it in place as a bite block. C.remove the airway and be prepared to suction her oropharynx. D.continue to insert the airway as you suction her oropharynx.
C
A transient ischemic attack (TIA) occurs when: Select one: A.signs and symptoms resolve spontaneously within 48 hours. B.medications are given to dissolve a cerebral blood clot. C.a small clot in a cerebral artery causes temporary symptoms. D.a small cerebral artery ruptures and causes minimal damage.
C
After applying a tourniquet, the injury from a patient's leg stops bleeding. This is called: Select one: A.hemiplegia. B.hematemesis. C.hemostasis. D.hemolysis.
C
After taking diphenhydramine (Benadryl) for an allergic reaction, a person begins experiencing drowsiness and a dry mouth. These findings are an example of a(n): Select one: A.untoward effect. B.unpredictable effect. C.adverse effect. D.therapeutic effect.
C
An infant is premature if it: Select one: A.is born before 40 weeks' gestation or weighs less than 7 pounds. B.is born before 38 weeks' gestation or weighs less than 6 pounds. C.weighs less than 5 pounds or is born before 36 weeks' gestation. D.weighs less than 5.5 pounds or is born before 37 weeks' gestation.
C
As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should: Select one: A.stop the move and have the patient walk down the stairs. B.guide your partner while moving the chair backwards. C.stop the move and request additional lifting assistance. D.reposition your hands and continue to move the patient.
C
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, except: Select one: A.thorough drying with a towel. B.suctioning of the upper airway. C.positive-pressure ventilations. D.some form of tactile stimulation.
C
Eclampsia is most accurately defined as: Select one: A.a blood pressure greater than 140/90 mm Hg. B.high levels of protein in the patient's urine. C.seizures that result from severe hypertension. D.hypertension in the 20th week of pregnancy.
C
In contrast to secure attachment, anxious-avoidant attachment occurs when a child: Select one: A.becomes acutely anxious in the presence of strangers or in unfamiliar surroundings. B.clings to a parent or caregiver because he or she knows that the person can be trusted. C.shows little emotional response to a parent or caregiver following repeated rejection. D.reaches out and explores because he or she knows that the parents are there as a safety net.
C
Law enforcement personnel request your assistance for a 30-year-old man who was pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a Taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should: Select one: A.quickly rule out any life-threatening conditions and then perform a detailed secondary assessment as he is being restrained. B.suspect that he is acutely hypoglycemic, consider giving him one tube of oral glucose, and transport with lights and siren. C.limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you. D.recognize that he is experiencing a complex psychiatric crisis, quickly load him into the ambulance, and transport without delay.
C
Peritonitis may result in shock because: Select one: A.intra-abdominal hemorrhage is typically present. B.abdominal distention impairs cardiac contractions. C.fluid shifts from the bloodstream into body tissues. D.severe pain causes systemic dilation of the vasculature.
C
The BEST way to prevent infection from whooping cough is to: Select one: A.routinely place a surgical mask on all respiratory patients. B.ask all patients if they have recently traveled abroad. C.get vaccinated against diphtheria, tetanus, and pertussis. D.wear a HEPA mask when treating any respiratory patient.
C
The cervical spine is composed of ___________ vertebrae. Select one: A.five B.four C.seven D.six
C
The circulation of blood within an organ or tissue in adequate amounts to meet the cells' current needs is called: Select one: A.respiration. B.metabolism. C.perfusion. D.cardiac output.
C
The primary waste product of aerobic metabolism is: Select one: A.lactic acid. B.pyruvic acid. C.carbon dioxide. D.adenosine triphosphate.
C
The term "supraventricular tachycardia" means: Select one: A.a rapid heart rate that originates from within the ventricles. B.a slow heart rate that originates from within the ventricles. C.a rapid heart rate that originates from above the ventricles. D.a slow heart rate that originates from above the ventricles.
C
Ventricular tachycardia causes hypotension because: Select one: A.the right ventricle does not adequately pump blood. B.blood backs up into the lungs and causes congestion. C.the left ventricle does not adequately fill with blood. D.the volume of blood returning to the atria increases.
C
When caring for a patient with an altered mental status and signs of circulatory compromise, you should: Select one: A.have a paramedic unit respond to the scene if it is less than 15 minutes away. B.transport immediately and begin all emergency treatment en route to the hospital. C.limit your time at the scene to 10 minutes or less, if possible. D.perform a detailed secondary assessment prior to transporting the patient.
C
Which of the following MOST accurately describes paradoxical movement of the chest wall? Select one: A.Multiple rib fractures that cause a marked deformity of the chest wall B.One side of the chest wall moves opposite the direction of the other C.Only one section of the chest rises on inspiration, while another area falls D.A marked decrease in chest wall movement due to abdominal breathing
C
Which of the following patients is at greatest risk for complications caused by the influenza virus? Select one: A.50-year-old woman with moderate obesity B.39-year-old man with mild hypertension C.68-year-old woman with type 2 diabetes D.12-year-old child with a fractured arm
C
Which of the following questions is used to determine a patient's chief complaint? Select one: A."When did the chest pain begin?" B."Do you have a history of diabetes?" C."What seems to be the matter?" D."Are you having trouble breathing?"
C
Which of the following statements regarding stridor is correct? Select one: A.It suggests the presence of fluid in the lungs. B.It is caused by incorrect airway positioning. C.It is a high-pitched, crowing upper airway sound. D.It is a whistling sound heard in the lower airway.
C
You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that he had a "bad reaction" the last time he was stung by a scorpion, and carries his own epinephrine auto-injector. You should: Select one: A.assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if he remains stable. B.apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and transport at once. C.apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to the hospital. D.apply high-flow oxygen, obtain approval from medical control to assist him with his epinephrine, and transport.
C
A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is MOST important to: Select one: A.form a general impression. B.ask bystanders what happened. C.call for an ALS ambulance. D.follow standard precautions.
D
A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should: Select one: A.quickly tend to the bleeding wound. B.approach the patient with caution. C.tell the patient that you want to help. D.calmly identify yourself to the patient.
D
A 66-year-old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious and has a patent airway and adequate breathing. You should: Select one: A.advise the patient that his behavior is unacceptable. B.conclude that the patient has Alzheimer's disease. C.carefully restrain the patient and transport at once. D.ask the daughter how her father normally behaves.
D
A patient should be placed in the recovery position when he or she: Select one: A.has a pulse but is unresponsive and breathing shallowly. B.is semiconscious, injured, and breathing adequately. C.has experienced trauma but is breathing effectively. D.is unresponsive, uninjured, and breathing adequately.
D
An EMT may administer aspirin to a patient if: Select one: A.the patient is believed to be experiencing an acute stroke. B.the patient is currently experiencing hypotension. C.transport time to the hospital is greater than 30 minutes. D.authorization from medical control has been obtained.
D
At the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should: Select one: A.place both patients in the ambulance and transport them at once. B.ask a police officer to call dispatch with his portable radio. C.make another attempt to contact dispatch from an area of higher terrain. D.use the mobile radio in the ambulance to contact dispatch.
D
Diabetes is MOST accurately defined as a(n): Select one: A.mass excretion of glucose by the kidneys. B.abnormally high blood glucose level. C.lack of insulin production in the pancreas. D.disorder of glucose metabolism.
D
During each heartbeat, ___________ of blood is ejected from the adult heart, an amount called the stroke volume. Select one: A.100 to 120 mL B.40 to 50 mL C.90 to 100 mL D.70 to 80 mL
D
Health care providers who infrequently work together can function effectively as a team if they work in an environment that supports and promotes: Select one: A.rigid protocols. B.discipline. C.competition. D.collaboration.
D
If a newborn's heart rate is less than 60 beats/min following delivery, you should: Select one: A.flick the soles of its feet. B.re-suction the mouth only. C.begin chest compressions. D.provide ventilations for 30 seconds.
D
Injury to the labia would most likely occur following: Select one: A.strenuous exercise. B.a motor-vehicle crash. C.a significant fall. D.sexual abuse.
D
Medications encased in a gelatin shell that are taken by mouth are called: Select one: A.tablets. B.caplets. C.pills. D.capsules.
D
Posttraumatic stress disorder can happen after: Select one: A.a bout with depression. B.extended periods of hyperthermia or hypothermia. C.alcohol withdrawal. D.exposure to or injury from a traumatic occurrence.
D
Subcutaneous injections deliver the medication: Select one: A.through the mucosa under the tongue. B.below the first layer of muscle. C.directly into the muscle tissue. D.between the skin and the muscle.
D
Upon arriving at the residence of a patient with a possible cardiac problem, it is MOST important to: Select one: A.request a paramedic unit for assistance. B.determine if you need additional help. C.gain immediate access to the patient. D.assess the scene for potential hazards.
D
Vectorborne transmission of an infectious organism occurs via: Select one: A.inanimate objects. B.direct contact. C.smoke or dust. D.animals or insects.
D
When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she: Select one: A.has obtained a complete set of vital signs. B.has formed a general impression of the patient. C.ascertains if the patient was ever pregnant. D.has gathered patient history information.
D
When caring for a patient experiencing excited delirium, the EMT should remember that: Select one: A.excited delirium is worsened by nervous system depressant drugs. B.lights and siren are effective in redirecting the patient's behavior. C.most patients will have low blood pressure and hyperglycemia. D.sudden death can occur if the patient's violence is not controlled.
D
When moving a conscious, weak patient down a flight of stairs, you should: Select one: A.secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher. B.assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs. C.collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher. D.place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.
D
Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct? Select one: A.It is only appropriate to perform a physical examination on a patient with a behavioral problem if he or she is unconscious or is being physically restrained. B.The physical examination of a patient with a behavioral problem often yields crucial information and should always be performed, even if the patient is violent. C.Performing a physical examination on a patient with a behavioral problem will likely cause him or her to become violent and should be avoided in the field. D.Although the physical exam can be difficult, the patient's emotional state may be determined by noting facial expressions, pulse rate, and respirations.
D
Which of the following would the EMT MOST likely be asked to do when assisting a paramedic with endotracheal intubation? Select one: A.Placement of the endotracheal tube B.Visualization of the vocal cords C.Suction under direct laryngoscopy D.Preoxygenation with a BVM
D
While providing CPAP to a patient in severe respiratory distress, you note that his heart rate has increased by 20 beats/min. He is conscious, but is no longer following verbal commands. You should: Select one: A.decrease the amount of pressure that the CPAP device is delivering. B.remove the CPAP device and apply oxygen by nonrebreathing mask. C.increase the amount of pressure that the CPAP device is delivering. D.remove the CPAP device and ventilate him with a bag-mask device.
D
You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to: Select one: A.determine why the patient was injured. B.notify medical control for advice. C.wait for law enforcement to arrive. D.provide immediate patient care.
D
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: Select one: A.ask her how long the patient has been taking his medication. B.determine if the patient is a known alcohol abuser. C.determine when he was last seen by his physician. D.obtain a description of how the seizure developed.
D
Insulin functions in the body by: Select one: A.increasing circulating blood glucose. B.producing new glucose as needed. C.enabling glucose to enter the cells. D.metabolizing glucose to make energy.
c
