EMTKC - 11
12. Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a drop of 30 mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. You should: A) transport her in a sitting position. B) wait 5 minutes and reassess her blood pressure. C) place her in a supine position. D) assist ventilations with a bag-valve mask.
C
13. You are treating a 45-year-old woman who was stung by a hornet and has a rash. She tells you that she is allergic to hornets and has her own epinephrine auto-injector. She also tells you that she takes medication for hypertension. Her breath sounds do not reveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94 mm Hg. What should you do if you are not able to make contact with medical control? A) Administer her epinephrine, reassess her condition, and transport her promptly. B) Begin immediate transport and request an intercept with a paramedic ambulance. C) Begin transport to the hospital and closely monitor her condition while en route. D) Give her half the dose of her epinephrine in case her allergic reaction is delayed.
C
15. Which of the following statements regarding the epinephrine auto-injector is correct? A) The adult auto-injector delivers 0.5 to 1 mg of epinephrine. B) The auto-injector delivers epinephrine via the subcutaneous route. C) The epinephrine auto-injector delivers a preset amount of the drug. D) EMTs do not need physician authorization to use the auto-injector.
C
1. Which of the following is an example of a generic drug? A) Bayer B) Advil C) Excedrin D) Aspirin
D
10. Aspirin is beneficial to patients suspected of having a heart attack because it: A) reduces the associated chest pain. B) dissolves the coronary artery clot. C) causes direct coronary vasodilation. D) prevents the aggregation of platelets.
D
14. Which of the following is NOT a characteristic of epinephrine? A) Secreted naturally by the adrenal glands B) Dilates passages in the lungs C) Constricts the blood vessels D) Decreases heart rate and blood pressure
D
16. EMTs respond to a known heroin abuser who is unresponsive. If they give naloxone (Narcan) to this patient, the EMTs should recall that: A) naloxone should be administered in increments of 2 mg. B) the effects of naloxone last longer than most opioid drugs. C) naloxone should not be given if the patient's breathing is slow. D) naloxone administration could cause seizures in this patient.
D
3. How is nitroglycerin usually given by the EMT? A) Orally B) Inhaled C) Injected D) Sublingually
D
4. Which of the following medication routes delivers a drug through the skin over an extended period of time, such as a nitroglycerin or nicotine patch? A) Sublingual B) Intraosseous C) Subcutaneous D) Transcutaneous
D
8. 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) give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport. B) assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions. C) transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin. D) recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs.
D
11. Nitroglycerin, when given to patients with cardiac-related chest pain: A) relaxes the walls of the coronary arteries. B) increases myocardial contraction force. C) increases blood return to the right atrium. D) constricts the veins throughout the body.
A
17. A 37-year-old male is found unresponsive in his car. His airway is patent and his respirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication named Alupent, which he found in the backseat of the patient's car. This medication suggests that the patient has a history of: A) asthma. B) heart disease. C) hypertension. D) allergic reactions.
A
2. Which of the following medication routes would be the MOST appropriate to use in an unresponsive patient when intravenous access cannot be obtained? A) Intraosseous B) Intramuscular C) Subcutaneous D) Transcutaneous
A
5. A mucosal atomizer device (MAD) is used to deliver certain medications via the: A) intranasal route. B) inhalation route. C) sublingual route. D) transdermal route.
A
6. What medication form does oral glucose come in? A) Gel B) Liquid C) Suspension D) Fine powder
A
9. The medical term for an extremely low blood glucose level is: A) hypoglycemia. B) hyperglycemia. C) hypotension. D) hypertension.
A
7. An EMT may administer aspirin to a patient if: A) the patient is currently experiencing hypotension. B) authorization from medical control has been obtained. C) transport time to the hospital is greater than 30 minutes. D) the patient is believed to be experiencing an acute stroke.
B
