EMT Quiz 2

When performing a full-body scan on a trauma patient, you note the presence of Battle's sign. This is defined as: A. bruising behind the ear. B. swelling to the orbital area. C. unequal pupils. D. fluid drainage from the nose.

A. bruising behind the ear.

Which of the following findings indicates that your patient has a patent airway? A. forceful coughing B. unresponsiveness C. audible breathing D. inspiratory stridor

A. forceful coughing

The goal of the full-body scan that is performed during the secondary assessment is to: A. locate injuries not found in the primary assessment. B. definitively rule out significant internal injuries. C. assess only the parts of the body that are injured. D. detect and treat all non-life-threatening injuries.

A. locate injuries not found in the primary assessment.

Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury? A. long backboard B. portable stretcher C. wheeled stretcher D. scoop stretcher

A. long backboard

Aspirin is beneficial to patients suspected of having a heart attack because it: A. prevents the aggregation of platelets. B. dissolves the coronary artery clot. C. reduces the associated chest pain. D. causes direct coronary vasodilation

A. prevents the aggregation of platelets.

A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. You should: A. recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs. B. transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin. C. assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions. D. give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport.

A. recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs.

After taking diphendydramine (Benadryl) for an allergic reaction, a person begins experiencing drowsiness and a dry mouth. These findings are an example of a(n): A. side effect. B. therapeutic effect. C. untoward effect. D. unpredictable effect.

A. side effect.

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

A. the reason why the patient called EMS.

When is it MOST appropriate to consider requesting additional ambulances at an accident scene? A. when you determine there are multiple patients ] B. after you have triaged all the critical patients C. when all the deceased patients are accounted for D. after noncritical patients have been identified

A. when you determine there are multiple patients

A 62-year-old male presents with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken any. After administering 100% oxygen and contacting medical control, you should: A. begin immediate transport and request a rendezvous with a paramedic unit. B. assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg. C. administer the nitroglycerin unless he has taken Viagra within the past 72 hours. D. administer up to three doses of nitroglycerin before assessing his blood pressure.

B. assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.

You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength. A. five B. four C. six D. three

B. four

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. general impression B. history taking C. secondary assessment D. primary assessment

B. history taking

The medical term for an extremely low blood glucose level is: A. hyperglycemia. B. hypoglycemia. C. hypertension. D. hypotension.

B. hypoglycemia.

When you shine a light into one pupil, the normal reaction of the other pupil should be to: A. dilate. B. become larger. C. become smaller. D. not react.

C. become smaller.

When assessing the skin of an unconscious patient, you note that it has a bluish tint to it. This finding is called: A. pallor. B. flushing. C. cyanosis. D. mottling.

C. cyanosis.

When carrying a patient on a backboard up or down stairs: A. keep your palms facing down. B. carry the patient headfirst. C. keep the head end elevated. D. keep the foot end elevated.

C. keep the head end elevated.

You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused, is in obvious respiratory distress, and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate livesaving treatment, you should: A. assess her vital signs, secure her to a backboard, and transport her immediately. B. fully immobilize her spine, load her into the ambulance, and assess her vital signs. C. perform a rapid scan of her entire body and prepare for immediate transport. D. identify the specific areas of her injuries and focus your assessment on those areas.

C. perform a rapid scan of her entire body and prepare for immediate transport.

While evaluating a patient with chest pain, your partner tells you that the patient's blood pressure is 140/94 mm Hg. The lower number represents the pressure from the: A. ventricles contracting. B. atria contracting. C. ventricles relaxing. D. atria relaxing.

C. ventricles relaxing.

When pulling a patient, you should extend your arms no more than ________ in front of your torso. A. 20″ to 30″ B. 10″ to 15″ C. 5″ to 10″ D. 15″ to 20″

D. 15″ to 20″

It is essential that you ____________ your equipment to prevent the spread of disease. A. store B. throw out C. burn D. decontaminate

D. decontaminate

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should: A. slide a long backboard under his buttocks and lay him sideways on the board. B. apply a vest-style extrication device before attempting to move the patient. C. apply a cervical collar and quickly remove the patient with a clothes drag. D. direct your partner to apply manual in-line support of the patient's head.

D. direct your partner to apply manual in-line support of the patient's head.`

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 obvious distress. Your first action should be to: A. ask the patient what's wrong. B. assess the patient's airway status. C. obtain a set of baseline vital signs. D. introduce yourself to the patient.

D. introduce yourself to the patient.

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

D. may cause harm or have no positive effect.

You are dispatched to the county jail for an inmate who is "sick." When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to: A. request a paramedic unit. B. assess his blood pressure. C. apply a pulse oximeter. D. provide assisted ventilation.

D. provide assisted ventilation.

You and your partner respond to the scene of a 49-year-old male with acute abdominal pain. As you enter his residence, you find him lying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 lb. Your FIRST action should be to: A. assess him and then move him to the stretcher with a direct carry. B. encourage the patient to walk himself to the awaiting ambulance. C. request the fire department if one attempt to move him fails. D. request additional personnel before making any attempts to lift him.

D. request additional personnel before making any attempts to lift him.