E3- 50Q

The central nervous system is composed of the : A ) brain and spinal cord . B ) brain and sensory nerves . C ) motor and sensory nerves . D ) spinal cord and sensory nerves .

A ) brain and spinal cord .

Which of the following is a physical change that typically occurs in the adolescent age group ? A) Secondary sexual development begins . B) Muscle and bone growth both decrease . C) The normal pulse rate steadily increases D) The systolic blood pressure decreases

A) Secondary sexual development begins .

Which of the following questions is used to determine a patients chief complaint? A. "What seems to be the matter?" B. "When did the chest pain begin?" C. "Are you having trouble breathing?" D. "Do you have a history of diabetes?"

A. "What seems to be the matter?"

What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have? A. History taking B. General Impression C. Primary Assessment D. Secondary Assessment

A. History taking

The chief complaint is MOST accurately defined as the: A. Most serious thing the patient is concerned about. B. Most life-threatening condition that you discover. C. Gross physical signs that you detect on assessment. D. Condition that exacerbates an underlying problem.

A. Most serious thing the patient is concerned about.

With regard to the assessment of a patient's cardiovascular status, capillary refill time is MOST reliable in: A. Patients who are younger than 6 years of age B. Patients who are significantly hypotensive C. Patients who were exposed to cold temperatures D. Patients who are older than 70 years of age

A. Patients who are younger than 6 years of age

Normal skin color, temperature, and condition should be: A. Pink, warm and dry B. Pale, cool and moist C. Pink, warm and moist D. Flushed, cool and dry

A. Pink, warm and dry

Pain that moves from its point of origin to another body location is said to be: A. Radiating. B. Referred. C. Palliating. D. Provoking.

A. Radiating.

An unconscious patient found in a prone position must be placed in a supine position in case he or she: A. Requires CPR B. Begins to vomit C. Regains consciousness D. Has increased tidal volume

A. Requires CPR

You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should: A. Start CPR and attach the AED as soon as possible. B. Ask the family if the patient has a terminal disease. C. Perform CPR and transport the patient immediately. D. Notify dispatch and request a paramedic ambulance.

A. Start CPR and attach the AED as soon as possible.

Reassessment is performed to determine all of the following, EXCEPT: A. The reason why the patient called EMS B. The patients response to your treatment C. Whether or not the patient is deteriorating D. The nature of any newly identified problems.

A. The reason why the patient called EMS

Which of the following statements regarding secondary assessment is true? A. The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint B. During the secondary assessment, the EMT's primary focus should be on taking the patients vital signs and obtaining a SAMPLE history C. The secondary assessment should be performed en route to the hospital, regardless of the severity of the patients condition D. A secondary assessment should always be performed, even if you must continually manage life threats that were identified in the primary assessment

A. The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint

You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should: A. position yourself in between the patient and the gun and ask your partner to request law enforcement assistance. B. direct your partner to move the gun to a safe area and then advise the patient that his weapon has been secured. C. document the presence of the weapon, including its specific location, and continue your assessment of the patient. D. immediately cease all patient care, carefully back out of the residence, and request law enforcement assistance.

A. position yourself in between the patient and the gun and ask your partner to request law enforcement assistance.

A drug is contraindicated for a patient when it : A) is used to treat a multitude of conditions . B) may cause harm or has no positive effect . C) produces actions other than the desired ones D) is used to treat a specific medical condition .

B) may cause harm or has no positive effect

The normal respiratory rate for an adult should range from: A. 10 to 12 breaths per minute B. 12 to 20 breaths per minute C. 18 to 24 breaths per minute D. 24 to 28 breaths per minute

B. 12 to 20 breaths per minute

When you assess capillary refill time (CRT) in an infant, normal color to the tested area should return within: A. 1 Second B. 2 Seconds C. 3 Seconds D. 4 Seconds

B. 2 Seconds

At a flow rate of 4 L/ min, a nasal cannula can deliver an approximate oxygen concentration of up to: A. 24% B. 36% C. 44% D. 52%

B. 36%

Which of the following scenarios does NOT involve the presence of any symptoms? A. A 44-year-old male with abdominal pain and severe dizziness B. A 61-year-old female who is unconscious with facial cyanosis C. A 55-year-old male with a severe headache and 2 days of nausea D. A 49-year-old female with blurred vision and ringing in the ears.

B. A 61-year-old female who is unconscious with facial cyanosis

Which of the following patients is breathing adequately? A. A conscious female with facial cyanosis and rapid, shallow respirations B. A conscious male with respirations of 19 breaths/min and pink skin C. A conscious male with respirations of 18 breaths/min and reduced tidal volume D. An unconscious 52-year-old female with snoring respirations and cool, pale skin

B. A conscious male with respirations of 19 breaths/min and pink skin

A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious. He is screaming in pain and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should: A. elevate his legs and keep him warm. B. apply direct pressure to the wound. C. administer 100% supplemental oxygen. D. ensure that his airway is patent.

B. Apply direct pressure to the wound.

The most distal four spinal vertebrae, which are fused together, form the: A. Ilium B. Coccyx C. Sacrum D. Ischium

B. Coccyx

Which of the following is an example of a symptom? A. Cyanosis B. Headache C. Tachycardia D. Hypertension

B. Headache

If you cannot palpate a pulse in an unresponsive patient whose collapse was not witnesses, you should: A. Apply an AED at once B. Immediately begin CPR C. Palpate at another pulse site D. Assess for adequate breathing

B. Immediately begin CPR

Which of the following statements regarding the mechanism of injury (MOI) is correct? A. A nonsignificant MOI rules out the possibility of serious trauma B. The MOI may allow you to predict the severity of the persons injuries C. The exact location of a patients injuries can be determined by the MOI D. A significant MOI usually results in patient death or permanent death.

B. The MOI may allow you to predict the severity of the persons injuries

When assessing a 62-year-old female with crushing chest pain, you note that her pulse is rapid and irregular. You should administer supplemental oxygen if needed and then: A. Apply an AED and analyze her cardiac rhythm B. Transport at once and consider requesting a paramedic unit C. Document your findings and perform a detailed assessment D. Conclude that the irregular pulse is normal based on her age

B. Transport at once and consider requesting a paramedic unit

After performing a primary assessment, a rapid exam of the body should be performed to: A. determine the need for spinal motion restriction precautions. B. identify less-obvious injuries that require immediate treatment. C. look specifically for signs and symptoms of inadequate perfusion. D. find and treat injuries or conditions that do not pose a threat to life.

B. identify less-obvious injuries that require immediate treatment.

Which of the following questions would you ask a patient to ascertain the "M" in the SAMPLE history? A. "Have you ever had any major surgeries?" B. "How long have you had your chest pain?" C. "How much Tylenol do you take each day?" D. "When was the last time you ate a meal?"

C "How much Tylenol do you take each day?"

For an adult, the normal resting pulse should be between: A. 40 and 50 beats/min B. 50 and 60 beats/min C. 60 and 100 beats/min D. 100 and 110 beats/min

C. 60 and 100 beats/min

The rapid exam of a patient that occurs following the primary assessment should take no longer than: A. 30 Seconds B. 60 Seconds C. 90 Seconds D. 120 Seconds

C. 90 Seconds

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 the chair respiratory distress. Your first action should be to: A. Ask the patient what is wrong B. Obtain a set of baseline vital signs C. Assess the patients airway status D. Introduce yourself to the patient

C. Assess the patients airway status

When assessing the skin of an unresponsive patient, you note that it has a blush tint to it. This finding is called: A. Pallor B. Flushing C. Cyanosis D. Mottling

C. Cyanosis

Which of the following actions would NOT be performed during the scene size-up? A. Asking a neighbor to secure the patient's dog B. Notifying the dispatcher to send fire personnel C. Rapidly assessing a patient's respiratory status D. Noting the position of a crashed motor vehicle

C. Rapidly assessing a patient's respiratory status

A pulse with a consistent patter is considered to be: A. Weak B. Strong C. Regular D. Irregular

C. Regular

When palpating a patient's pulse, you note that it is grossly irregular. You should: A) Count the pulse rate for at least 30 seconds to ensure accuracy. B) Count the number of pulsations in 15 seconds and multiply by four. C) Count the number of pulsations in 30 seconds and multiply by two. D) Count the pulse rate for a full minute to obtain an accurate reading.

D) Count the pulse rate for a full minute to obtain an accurate reading.

Which of the following patient responses would establish the "E" in the SAMPLE history? A. "I was in the hospital a week ago" B. "I am not having any difficulty breathing" C. "The chest pain started about 45 minutes ago" D. "I was mowing the lawn when the pain began"

D. "I was mowing the lawn when the pain began"

In two-rescuer adult CPR, you should deliver a compression to ventilation ratio of: A. 5:1 B. 5:2 C. 15:2 D. 30:2

D. 30:2

Which of the following is the MOST reliable indicator of adequately performed bag-mask ventilation in an apncic adult with a pulse? A. Twenty breaths/min being delivered to the adult B. Decreased compliance when squeezing the bag C. An adults heart rate that is consistently increasing D. Adequate ride of the chest when squeezing the bag

D. Adequate ride of the chest when squeezing the bag

An elderly patient has fallen and hit her head. You access her level of unconscious and unresponsive using the AVPU scale. Your initial care should focus on: A. Obtaining baseline vital signs B. Gathering medical history data C. Providing immediate transport D. Airway, breathing, and circulation

D. Airway, breathing, and circulation

When you shine a light into one pupil, the normal reaction of the other pupil should be to: A. Dilate B. Not React C. Become Larger D. Become Smaller

D. Become Smaller

Irregular respirations characterized by an increasing rate and depth of breathing followed by periods of apnea are called: A. Ataxic respirations B. Agonal respirations C. Eupneic respirations D. Cheyne - Strokes respirations

D. Cheyne - Strokes respirations

Cyanosis of the skin is caused by: A. Increased blood oxygen B. Peripheral Vasodilation C. Venous Vasoconstriction D. Decreased Blood Oxygen

D. Decreased Blood Oxygen

Which of the following statements regarding oxygenation and ventilation is correct? A. Oxygenation without adequate ventilation can occur in climbers who quickly ascend to an altitude of lower atmospheric pressure. B. Oxygenation is the movement of air into and out of the lungs, whereas ventilation is the exchange of gases. C. In carbon monoxide (CO) poisoning, ventilation is impaired because CO binds to oxygen very quickly. D. In mines or confined places, where oxygen levels are low, ventilation may continue despite adequate oxygenation.

D. In mines or confined places, where oxygen levels are low, ventilation may continue despite adequate oxygenation.

What maneuver should be used to open the airway of an unresponsive patient with suspected trauma? A. Tongue-jaw lift B. Head tilt-neck lift C. Head tilt-chin lift D. Jaw-thrust maneuver

D. Jaw-thrust maneuver

In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the: A. Back of the neck B. Forehead and Face C. Dorsum of the Hand. D. Lips or Oral Mucosa.

D. Lips or Oral Mucosa.

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:Select one: A. Assess only the parts of the body that are injured. B. Detect and treat all non-life-threatening injuries. C. Definitively rule out significant internal injuries. D. Locate injuries not found in the primary assessment

D. Locate injuries not found in the primary assessment

In relation to the chest, the back is: A. Ventral B. Inferior C. Anterior D. Posterior

D. Posterior

You receive a call to a local daycare center for an unresponsive 8 month old infant. Upon arrival, you perform an assessment and determine that the infant is not breathing. Your next action should be to: A. open the airway and give two rescue breaths. B. begin chest compressions and request backup. C. immediately transport the child to the hospital. D. assess for a brachial pulse for 5 to 10 seconds.

D. assess for a brachial pulse for 5 to 10 seconds.

Cyanosis of the skin is caused by: A. increased blood oxygen. B. peripheral vasodilation. C. venous vasoconstriction. D. decreased blood oxygen

D. decreased blood oxygen

A patient with profuse sweating is referred to as being:

Diaphoretic

The MOST significant complication associated with oropharyngeal unclogging is:

Hypoxia due to prolonged suction attempts.