Exam 6 - EMS

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

black stools

a patient with an altered mental status; high blood glucose levels, and deep, rapid breathing they may have a condition know as what

diabetic ketoacidosis

in addition to ensuring his or her own safety, the EMT's responsibility when caring for a patient with a behavioral emergency is to

diffuse and control the situation and safely transport the patient

common side effects of epinephrine does not include what

drowsiness

each ovary produces an ovum in alternating mouths and releases it into the

fallopian tube

When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:

if he or she has had any recent illness or excessive stress

what is true regarding gonorrhea

painful urination is a common symptom of gonorrhea in both men and women

substance abuse is MOST accurately defined as

knowingly misusing a substance to produce a desire effect

when caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be

maintain her ABCs and transport without delay

epinephrine is indicated for patients with an allergic reaction when

wheezing and hypotension are present

bacterial vaginosis is a condition that occurs when

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

airborne substances should be diluted with

oxygen

signs and symptoms of a sympathomimetic drug overdose include

tachycardia

When administering epinephrine via auto-injector, you should hold the injector in place for:

10 seconds

organic brain syndrome is defined as

a dysfunction of the brain caused by abnormal physical or psychological function

A 75-year-old male with type 1 diabetes presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing:

a heart attack

a raised, swollen, well-defined area on the skin that is the result of an insect or sting is called

a wheal

which of the following conditions or situations would most likely make excited delirium worse? dimly lit environment limited physical contact alcohol withdrawal elevated blood glucose

alcohol withdrawal

the foreign substance responsible for causing an allergic reaction is called

allergen

in general, injected poisons 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

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 is tolerated

kussmaul respirations are an indication that the body is

attempting to eliminate acids from the blood

when assessing a patient with a behavioral crisis, you should

be direct and clearly state your intentions

in contrast to a behavioral crisis, a psychiatric emergency occurs when a person

becomes agitated or violent and is a threat to him- or herself or others

the onset of menstruation usually occurs in women who are

between 11 and 16 years of age

common signs and symptoms of severe hyperglycemia do not include what

cool, clammy skin

a 45-year-old male who ingested penicillin will have what kind of allergic reaction

delayed onset

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

actidose, liquidar, instachar, and fructose. which is not a common name for activated charcoal

fructose

whenever possible, a female sexual assault victim should be

given the option of being treated by a female EMT

when a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she

has gathered patient history information

A 25-year-old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardic. He has track marks on both arms. The EMT should:

insert a nasal airway and ventilate with a BVM

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 EMT should assume that she

is in shock

because of the stinger of a honeybee remains in the wound following a sting

it can continue to inject venom for up to 20 minutes

people at a higher risk for suicide include all of the following, EXCEPT: children with parents addicted to alcohol substance abusers married males older than 30 years those with a recent diagnosis of a serious illness

married males older than 30 years

After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic reaction, you note improvement in her breathing and resolution of her hives. However, she is still anxious and tachycardic. You should:

monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine

what would you administer to the following patient: a confused 55-year-old male with tachycardia and pallor

oral glucose

a patient with hypoglycemia will often present with what signs/symptoms

pale, cool, and clammy skin

what is true regarding r*pe

r*pe is a legal diagnosis, not a medical diagnosis

when assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the

rate and depth of breathing

immediately after physically restraining a violent patient, the EMT should

reassess the patient's' airway and breathing

You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You should:

request permission from medical control to give another dose of epinephrine

You respond to a residence for a patient who is "not acting right." As you approach the door, the patient, a 35-year-old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:

retreat at once and call law enforcement

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. Immediate management for this patient should include:

thoroughly suctioning her oropharynx

Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated immediately?

upper airway swelling

pelvic inflammatory disease (PID) typically does NOT affect the

urinary bladder

Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?

weight loss and polyuria


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