EMT
Which of the following is not appropriate to document in the narrative section of a PCR
"General impression revealed that the patient was intoxicated."
Match the compression ratios
1 rescuer pediatric- 30:2 2 rescuer adult- 30:2 1 rescuer adult- 30:2 2 rescuer pediatric- 15:2
What is the best example of tachycardia
120 beats per minute
the skin consists of__________ layers, with the _______ layer being the deepest
3, subcutaneous/hypodermis
Hypoxia is best defined as
A deficiency in the amount of oxygen reaching the bodies tissues
Information included in a radio report to the receiving hospital should include all of the following, EXCEPT:
A diagnosis of the patients problem
Your patient is complaining of pain on his lateral, lower back. When you look there is bruising over his flank area. He also mentions there was slight blood in his urine. What do you suspect could be wrong with your patient
A kidney problem or injury
Which of the following statements regarding smooth muscle is correct
A person has no voluntary control over smooth muscle.
Which of the following skills or interventions is included at every level of prehospital emergency training
AED
In delivering HIGH-QUALITY CPR, which of the following is NOT correct according to AHA guidelines? a) chest compressions should be hard, fast, and at least 2 in(5 cm) in depth. b) allow as much ventilation as possible. c) allow complete chest recoil d) change compressor every two minutes or sooner if fatigued.
Allow as much ventilation as possible
What is preload?
Amount of blood returning to the heart
The spread of hiv and hepatitis in health care can be traced to
Careless handling of sharps
Where should you check the pulse on an unresponsive victim over age 1
Carotid
Which of the following is considered an obvious sign of death would not require the initiation of cpr
Dependent lividity
What skin layer contains sweat, oil glands and nerve endings
Dermis
Which of the following is effective stress management
Developing a social network
What is the name of the major muscle used for breathing
Diaphragm
Your 6-year-old patient jumped from a swing and injured his right leg. You note deformity to the right leg above the ankle. The patient most likely has a fracture to the: A. proximal radius. B. distal ulna. C. proximal fibula. D. distal tibia.
Distal tibia
The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on:
EMS research
If you encounter a patient with a mild airway obstruction and has a strong cough, what should you do next
Encourage the patient to continue to cough
If someone has a pulse but is not breathing you should immediately start cpr, true or false
False
The right atrium received oxygenated blood from the superior and inferior vena cava true or false
False
What position should you place a patient who is experiencing difficulty breathing
Fowler position
If an infant is choking you should
Hold the infant face down over your forearm and give 5 forceful back slaps between the shoulder blades followed by 5 chest compressions
Which of the following would indicate that your partner is experiencing significant stress
Isolation from the rest of the crew
In the anatomic body position your thumb would be ____ to your pinkie finger
Lateral
Match the quadrant with the appropriate organ
Liver- right upper quadrant Appendix- right lower quadrant Spleen- left upper quadrant
What is the proper name of the lower jaw bone
Mandible
A patient with unilateral chest expansion means?
Only one side of his chest rises when he inhales
Which type of question allows for the most detailed answer
Open ended
If you arrive on scene and a mother is doing cpr on her child, what is your next step
Perform a pulse and breathing check prior to compressions
After an advanced airway device has been inserted during two rescuer cpr on your 70 year old patient you should
Perform continuous compressions and deliver one breath every 6 seconds
The EMT's first priority is __________.
Personal safety
Which of the following would a paramedic be least likely to ask the EMt to do
Place an IV
CPR is in progress on a pregnant woman. Shortly after manually displacing her uterus to the left, return of spontaneous circulation occurs. Which of the following would MOST likely explain this?
Pressure was relieved from her aorta and vena cava, which improved chest compression effectiveness
If you find a patient laying face down they are said to be?
Prone
What are standing orders referrerd to as
Protocols
If your patient is unconscious but breathing at a good rate what position should you place them in
Recovery position
Which if the following most characteristic of adequate breathing in an adult
Respirations of 18 breaths/min and bilateral chest movement
The part of the brain that controls the left side of your body is the
Right side cerebrum
The____ is both the mechanical weight bearing base of spinal column and fused central posterior section of the pelvic girdle
Sacrum
You arrive at the scene of a domestic violence and hear he has a gun, what should you do?
Seek a safe place and request law enforcement assistance
Which of the following statements regarding communication with a child is correct
Standing over a child often increases his or her level of anxiety.
Cardio Output (CO) is affected by
Stroke volume and heart rate
You are being chased by a very hungry bear, what nervous system response will automatically happen in your body
Sympathetic nervous system response
Which of the following statements regarding NREMT is true
The NREMT provides a national standard for EMS testing
What happens when blood volume is lost from the body
The arteries contract to increase the blood pressure.
In relation to the wrist, the elbow is:
The elbow is proximal to the wrist
Which of the following statements regarding the heart is correct
The heart is under the control of the autonomic nervous system.
Which of the following describes the moro reflex
The neonate opens his or her arms wide, spreads his or her fingers, and seems to grasp at something after being startled.
Which of the following statements regarding the different stages of the grieving process is correct
The stages of the grieving process may occur simultaneously.
Which of the following is an example of closed loop communication
The team leader assigns the EMT a task, and the EMT repeats the request back to the team leader.
Abdominal Thrusts in a conscious child or adult with a upper airway obstruction are performed
Until he or she is unconscious
The simplest yet most effective method to preventing the spread of infectious diseases is to
Wash your hands between patient contacts
Movement or motion away from the body's midline is called:
abduction
Bleeding is normally stopped by:
activation of platelets
Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:
advise the physician that the order is unclear and ask for clarification.
When decontaminating the back of your ambulance after a call, you should:
allow surfaces to air dry unless otherwise indicated in the product directions
A patient's refusal of EMS treatment and/or transport must be:
an informed refusal
The major artery that supplies all other arteries with blood is the:
aorta
Despite your numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that the patient has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:
ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.
A 60-year-old man is found to be unresponsive, pulseless, and apneic. You should:
begin CPR until an AED is available
A patient has fractured both femurs. Anatomically, these injuries would be described as being:
bilateral
What age is considered neonate
birth to 1 month
The autonomic nervous system controls all of the following except
breath holding
You are off duty at a park when you witness an apparently healthy 12-year-old child suddenly collapse. There are no bystanders around and your mobile phone is in your car. After confirming that the child is in cardiac arrest, you should:
call 9-1-1 and then return to begin CPR on the child.
In which of the following manners should you act and speak with a patient
calm and confident
The rings of the trachea are made of
cartilage
The areas of the spinal column, in descending order, are:
cervical, thoracic, lumbar, sacral, coccyx
Ethnocentrism is defined as:
considering your own cultural values as more important when interacting with people of a different culture.
The patient care report ensures
continuity of care
What would a sunken fontanel indicate
dehydration
The phase of the cardiac cycle in which the ventricles fill with blood is called:
diastole
The area of an infant's skull that has not fused together yet are called _________.
fontanelles
The brain connects to the spinal cord through a large opening at the base of the skull called the:
foramen magnum
Bile is produced by the liver and concentrated and stored in the:
gallbladder
The body's backup system of respiratory control, which is based on low concentrations of oxygen in the blood, is called the:
hypoxic drive
What is the function of platelets
initial formation of a blood clot
Which organ is not part of the digestive system
kidneys
The vocal cords are located in the:
larynx
Which chamber of the heart received oxygenated blood from the lungs
left atrium
At the scene of an automobile crash, a utility pole has been broken and power lines are lying across the car. The patients inside the car are conscious. You should:
mark off a danger zone around the downed lines and call to de energize the electric wires
What type of medical direction do standing orders and protocols describe?
off-line
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:
offer a workplace environment that reduces the risk for exposure.
The proper depth of chest compressions on a 9 month old infant is
one-third the diameter of the chest, or about 1 1/2 inches
Anterior to the knee is a specialized bone called the:
patella
Online medical control requires __________.
phone or radio contact with the medical director
Which of the following anatomic terms is synonymous with the word dorsal
posterior
The primary function of the right atrium is to?
receive blood from the vena cava
If gastric distention begins to make positive-pressure ventilation difficult, you should:
reposition the patient's airway
What set of nerves is responsible for carrying information from the body to the central nervous system?
sensory
You are dispatched to a call for a 4-month-old infant with respiratory distress. While you prepare to take care of this child, you must remember that:
small infants are nose breathers and require clear nasal passages at all times.
Worn out blood cells, foreign substances, and bacteria are filtered from the blood by the:
spleen
Match the imaginary planes that divide the body
superior and Inferior is Transverse right and left sections is Sagittal anterior and Posterior is Frontal
Twelve pairs of ribs attach to what section of the spinal column?
thoracic
The heart and lungs are located in this body cavity.
thoracic space
A young male is unresponsive after overdosing on an opioid. He is not breathing and his pulse is weak. The EMT should immediately:
ventilate with a BVM
A patient has a blood pressure of 130/70 mm Hg. The "130" represents:
ventricular contraction
If you use a waterless handwashing substitute in the field, it is important to:
wash your hands with soap and water at the hospital.
When ventilating an apneic adult patient with a bag-valve mask device, you should deliver each breath
while watching for adequate chest rise.
