Chapter 14: Medical Overview

In which of the following situations it would be MOST appropriate to utilize an air medical transportation service

61 year old man with signs and symptoms of a stroke and a ground transport time of 50 minutes

Which of the following patients is a greatest risk for complications caused by the influenza virus?

68 year old woman with type 2 diabetes

Most patients with an infectious disease will have _____.

a fever

The BEST way to prevent infection from whooping couhgh is to:

Get vaccinated against diptheria, tetanus, and pertussis

Which of the following assessment findings is MOST indicative of a cardiovascular problem?

Jugular venous distention

Which of the following is bacterium resistant to most antibiotics and cause skin abscesses?

MRSA

Which of the following statements regarding methicillin-resistant staphuloccus aureus (MSRA) is correct?

MRSA is a bacterium that causes infections and is resistant to most antibiotics

An infectious disease is MOST accurately defined as:

a medical condition caused by the growth and spread of harmful organisms within the human body

When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem?

Medical History

Which of the following conditions is NOT categorized as a psychiatric condition?

Substance abuse

Most treatments provided in the prehospital setting are intended to ______.

address the patient's symptoms

Your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the patient's circulatory status, you should direct your partner to:

administer oxygen with the appropriate device

The determination of whether a medical patient is a high-priority or low-priority transport is typically made:

after the primary assessment has been completed

In addition to looking for severe bleeding, assessment of circulation in the conscious patient should involve:

checking the radial pulse an noting the color, temp, and condition of the skin

You are attending to a 27-year-old male driver of a car. According to his passenger, the patient had been acting strangely while driving, then slumped forward against the steering wheel, apparently unconscious. The car drove off the road and struck a telephone pole. The patient remains unconscious, and physical assessment reveals only a large hematoma on his right forehead with no other physical signs. Your patient is a diabetic who had been under a lot of stress lately and may have missed meals. This is an example of a:

combination of a medical and trauma emergency

Patients with tuberculosis pose the greatest risk of transmitting the disease when they:

cough

When performing a secondary assessment on a conscious patient with non traumatic abdominal pain and stable vital signs, you should:

focus on his or her chief complaint

Hepatitis B is more virulent than hepatitis c, which means that it:

has a greater ability to produce disease

Which of the following medication would the EMT be LEAST likely to administer to a patient with a medical complaint?

ibuprofen

In contrast to viral hepatitis, toxin-induced hepatitis:

is not a communicable disease

The secondary assessment of a medical patient:

is not practical if the patient is critically ill or your transport time is short

When caring for a patients with an altered mental status and signs of circulatory compromise, you should:

limit your time at the scene to 10 minutes or less, if possible

You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:

manage all threats to airway, breathing, and circulation and consider requesting an ALS unit

Assessment of the medical patient is usually focused on the ______.

nature of illness

It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem.

neurolgic

Assessment of a patient's blood pressure with an automatic BP cuff reveals that it is 204/120mm Hg. The patient is conscious and alert and denies any symptoms. The EMT should

obtain a manual blood pressure

In 2009, the H1N1 virus accounted for over 200,00 deaths worldwide in the form of the swinge

pandemics

Reassessment of a patient with a medical complaint should begin by:

repeating the primary assessment

End-tidal carbon dioxide (ETCO2) monitoring is clearly indicated for patients who present with:

respiratory distress

When caring for a patient who takes numerous medications, it is best to:

take all of the patient's medication with you to the hospital and document them on your patient care report

After sizing up the scene of a patient with a possible infectious disease, your next priority should be to

take standard precautions

When forming your general impression of a patient with a medical complaint, it is important to remember that:

the conditions of many medical patients may not appear serious at first

Ten days after treating a 34 year old patient with tuberculosis, you are given a tb skin test, which yields a positive result. This MOST likely indicates:

you were exposed to another infected person prior to treating the 34 year old patient