EMT ( 21 ), EMT ( 22 ), EMT ( 23 ) Review Set 7

In anticipation of receiving a fertilized ovum, the lining of the uterine wall:

becomes engorged with blood

The major side effect associated with ingestion of activated charcoal is:

black stools

Which of the following statements regarding rape is correct?

Rape is a legal diagnosis, not a medical diagnosis.

The MOST commonly abused drug in the United States is:

alcohol

Your priority in caring for a patient with a surface contact poisoning is to:

avoid contaminating yourself

Signs of agitated delirium include:

diaphoresis, tachycardia, and hallucinations

In addition to ensuring his or her own safety, the E.M.T's responsibility when caring for a patient with a behavioral emergency is to:

diffuse and control the situation and safely transport the patient

Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?

dry mucous membranes

When a woman presents with abdominal pain or other vague symptoms, the E.M.T is often unable to determine the nature of the problem until he or she:

has gathered patient history information

It is MOST important for the E.M.T to remember that suicidal patients may:

be homicidal as well

Each ovary produces an ovum in alternating months and releases it into the:

fallopian tube

When documenting a call in which a female was sexually assaulted, you should:

keep the report concise and record only what the patient stated in her own words

Potentially life-threatening consequences of P.I.D include:

ovarian abscess and ectopic pregnancy

Substance abuse is MOST accurately defined as:

knowingly misusing a substance to produce a desired effect

Atropine sulfate and pralidoxime chloride are antidotes for:

nerve gas agents

Bacterial vaginosis is a condition that occurs when:

normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

Airborne substances are diluted with:

oxygen.

Which of the following is an example of a functional behavioral disorder?

schizophrenia

Signs and symptoms of a sympathomimetic drug overdose include:

tachycardia

Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct?

A physical examination for a behavioral problem may be difficult to perform but may provide clues to the patient's state of mind and thought processes

From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:

1 month.

The usual dose for activated charcoal is up to ______ for a pediatric patient and up to ______ for an adult patient.

25 g, 50 g

Common causes of acute psychotic behavior include all of the following, EXCEPT:

Alzheimer's disease

You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation?

Ask the patient if she has developed a suicidal plan.

____________ is what you can see of a person's response to the environment.

Behavior

A 49-year-old male presents with confusion, sweating, and visual hallucinations. The patient's wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before your arrival. This patient is MOST likely experiencing:

DTs.

Common names for activated charcoal include all of the following, EXCEPT:

Fructose

Which of the following statements regarding inhaled poisons is correct?

Lung damage may progress after the patient is removed from the environment

Which of the following statements regarding pelvic inflammatory disease (PID) is correct?

PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.

Which of the following statements regarding gonorrhea is correct?

Painful urination is a common symptom of gonorrhea in men and women.

Which of the following questions would be of LEAST pertinence during the initial questioning of a patient who ingested a substance?

Why was the substance ingested?

Which of the following statements regarding the Salmonella bacterium is correct?

The Salmonella bacterium itself causes food poisoning.

Organic brain syndrome is most accurately defined as:

a dysfunction of the brain caused by abnormal physical or physiological function.

During your assessment of a 50-year-old male who was found unconscious in an alley, you note that he has slow, shallow respirations; significant bradycardia; facial cyanosis; and pinpoint pupils. As your partner begins assisting the patient's ventilations, he directs your attention to the patient's arms, which have multiple needle tracks on them. This patient's clinical presentation is MOST consistent with:

a heroin overdose

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for PID?

a shuffling gait when walking

Activated charcoal administration is contraindicated in patients who have ingested:

acids or alkalis

It is MOST important to determine a patient's weight when asking questions pertaining to a toxic ingestion because:

activated charcoal is given based on a patient's weight

A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should:

administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay

A 4-year-old male ingested an unknown quantity of acetaminophen (Tylenol). The child's mother states that the ingestion occurred approximately 20 minutes ago. The child is conscious and alert and in no apparent distress. After contacting medical control, you should:

administer up to 25 g of activated charcoal

DTs is a syndrome associated with withdrawal from:

alcohol.

You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be most suggestive of dysfunction of this patient's central nervous system?

an irregular pulse

Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?

antihypertensive medications

The term "behavioral crisis" is most accurately defined as:

any reaction that interferes with activities of daily living or is deemed unacceptable by others.

In general, injected poisons are impossible to dilute or remove because they:

are usually absorbed quickly into the body

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:

ask the daughter how her father normally behaves

A patient who presents with rapid breathing, nausea and vomiting, ringing in the ears, and a high fever should be suspected of ingesting a significant quantity of:

aspirin

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:

assist her ventilations with a bag-mask device

You are dispatched to a local nursery for a 39-year-old female who is sick. When you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. You quickly feel her pulse and note that it is very slow. Initial management for this patient should include:

assisted ventilation with a bag-mask device

You and your paramedic partner are caring for a patient who ingested codeine, acetaminophen (Tylenol), and propoxyphene (Darvon). The patient is unresponsive, his breathing is slow and shallow, and his pulse is slow and weak. Treatment for this patient will include:

assisted ventilation, naloxone (Narcan), and rapid transport

You respond to a college campus for a young male who is acting strangely. After law enforcement has secured the scene, you enter the patient's dorm room and find him sitting on the edge of the bed; he appears agitated. As you approach him, you note that he has dried blood around both nostrils. He is breathing adequately, his pulse is rapid and irregular, and his blood pressure is 200/110 mm Hg. Treatment for this patient includes:

attempting to calm him and giving him oxygen if tolerated

As you enter the residence of a patient who has possibly overdosed, you should:

be alert for personal hazards

After administering activated charcoal to a patient, it is MOST important to:

be alert for vomiting

When assessing a patient with a behavioral crisis, you should:

be direct and clearly state your intentions

General guidelines for managing a patient with a behavioral emergency include:

being prepared to spend extra time with the patient

The onset of menstruation is called menarche and usually occurs in women who are:

between 11 and 16 years of age

Activated charcoal is given to patients who have ingested certain substances because it:

binds to the substance and prevents absorption

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:

calmly identify yourself to the patient

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:

carefully removing any foreign bodies from the vagina.

Which of the following conditions would most likely lead to P.I.D if left untreated?

chlamydia

Which of the following drugs is NOT a sedative-hypnotic?

cocaine

When assessing a patient who is displaying bizarre behavior, the E.M.T should:

consider that an acute medical illness may be causing the patient's behavior.

A 3-year-old female ingested several leaves from a plant in the living room. The child's mother is not sure what type of plant it is, stating that she bought it simply because it was pretty. After completing your initial assessment of the child, you should:

contact the regional poison control center.

In contrast to a behavioral crisis, a psychiatric emergency occurs when a person:

demonstrates agitation or violence or becomes a threat to himself or herself, or to others

The single most significant factor that contributes to suicide is:

depression

The first step in assessing a patient with a behavioral emergency is to:

ensure your safety

It is not uncommon for young females who experience their first menstrual period to:

experience abdominal cramping, which may be misinterpreted

Which of the following conditions does NOT typically present with vaginal discharge?

genital herpes

Whenever possible, a female sexual assault victim should be

given the option of being treated by a female E.M.T

As a woman approaches menopause:

her menstrual periods may become irregular and vary in severity.

You receive a call for a domestic dispute. When you arrive at the scene, you find a young male standing on the front porch of his house. You notice that an adjacent window is broken. The patient has a large body, is clenching his fists, and is yelling obscenities at you. Which of the following findings is LEAST predictive of this patient's potential for violence?

his large body

Assessing the blood pressure and oxygen saturation of a patient with a behavioral crisis should be performed:

if doing so will not worsen his or her emotional distress

A hypnotic drug is one that:

induces sleep

Most poisonings occur via the __________ route

ingestion

You receive a call to a residence where a man found his wife unconscious on the couch. The patient is unresponsive, her respiratory rate is 8 breaths/min, her breathing is shallow, her heart rate is 40 beats/min, and her pulse is weak. The husband hands you an empty bottle of hydrocodone (Vicodin), which was refilled the day before. You should:

initiate ventilatory assistance

A poison that enters the body by __________ is the MOST difficult to treat

injection

A 78-year-old female presents with an acute change in her behavior. The patient's son tells you that his mother has type 2 diabetes and was diagnosed with Alzheimer's disease 6 months ago. The patient's speech is slurred and she is not alert to her surroundings. You should:

inquire about the possibility of head trauma.

When caring for a known alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that:

internal bleeding may be profuse because prolonged alcohol use may impair the blood's ability to clot

The poison control center will be able to provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if the center:

is aware of the substance that is involved

If a woman with vaginal bleeding reports syncope, the E.M.T must assume that she:

is in shock

Law enforcement personnel request your assistance for a 30-year-old man who they 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:

limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.

The physical examination of a sexual assault victim should be

limited to a brief survey for life-threatening injuries

An overdose on acetaminophen, the active ingredient in Tylenol, will MOST likely cause:

liver failure

Which of the following clinical presentations is most consistent with P.I.D?

lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

When caring for a woman who is experiencing a gynecologic emergency, the E.M.T's main focus should be to:

maintain her A.B.Cs and transport without delay.

People at risk for suicide include all of the following, EXCEPT:

married males older than 30 years

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:

may be relatively painless.

Syrup of ipecac is no longer recommended to treat patients who have ingested a poisonous substance because it:

may result in aspiration of vomitus

Your unit is dispatched to the county jail for an intoxicated inmate. Upon arrival, you find the patient, a 33-year-old male, lying supine in a jail cell. He is responsive to painful stimuli only and has slow, shallow respirations. You should be MOST concerned that this patient:

may vomit and aspirate

Before giving activated charcoal, you should:

obtain approval from medical control

Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:

oxycodone (Percocet)

A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unconscious and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should:

open the patient's airway and assess his respirations

Heroin is an example of a(n):

opioid

When caring for a female patient who has been sexually assaulted, you should:

place any bloodstained clothing or other articles in separate paper bags

Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should:

provide emotional support and visually assess her for obvious trauma.

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

recognize that a poisoning occurred

A technique used to gain insight into a patient's thinking, which involves repeating in question form what the patient has said, is called:

reflective listening

You respond to a call for an unknown emergency. When you arrive at the scene, the patient's husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He further tells you that he keeps his handgun in the bedroom. You should:

remain in a safe place and request law enforcement

A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law enforcement officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The most appropriate way to manage this situation is to:

restrain the patient with appropriate force in order to treat his injuries

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:

seizures and cardiac arrhythmias

When a female has reached menarche:

she is capable of becoming pregnant

Phosphorus or elemental sodium should be brushed off of the skin instead of irrigated with water because:

these chemicals may ignite upon contact with water

A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing a(n):

tolerance

P.I.D typically does NOT affect the:

urinary bladder

You respond to a local motel for a young female who was sexually assaulted. The patient is conscious but confused. She tells you that the last thing she remembers was drinking beer at a club with her friends the night before. When she awoke, she was in the bed of the motel room. You should be MOST suspicious that this patient:

was given flunitrazepam (Rohypnol).