Final study guide summer 1

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By definition, infancy begins at

1 month of age

By the age of 1 year, an infants tidal volume ranges from:

10 to 15 mL/kg

What is the target heart rate for a 35 yo man with a resting heart rate of 75 beats per minute?

152 beats/min

What is the total blood volume for a man who weighs 75kg

5.3L

Which of the following is a subject finding

A complaint of chest pressure

When the paramedic observes standard precautions on a call, he or she:

Acknowledges that all bodily fluids are potentially infectious

Repeating the key parts of a patient's responses to your questions demonstrates

Active listening

Which of the following conditions or situations is the BEST example of a critical life threat that needs immediate care

Acute presentation of a chronic condition

Which of the following is an example of secondary injury prevention

Administering epinephrine to a pt in anaphylactic shock

Which of the following is the BEST example of a teachable moment?

Advising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed.

The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is

An error in patient care

A specific action intended to improve health and safety outcomes is called

An intervention

Your entire assessment of a patient should:

Appear to be a seamless process.

Patterns of living that you develop in your youth:

Are hard to modify in later life

The main goal of CQI program is to:

Assess for ongoing improvement before a problem arises

When caring for a critically ill pt, three or more sets of vital signs will allow you to

Assess trends and reassess whether the pt's condition is stabilizing, getting better or getting worse

The decline in cardiac function associated with aging is largely related to

Atherosclerosis

Which of the following statements regarding growth spurts in adolescents is correct

Boys generally experience this stage of growth later in life than girls do

Mobile Army Surgical Hospitals (MASH) saved thousands of soldiers lives during the Korean War by

Bringing the hospital facilities closer to the battlefield

Factors that play a role in determining the outcome or the likelihood of your pts survival include all of the following

Bystander care, dispatch include prearrival directions, Emergency and definitive care...

A major distinction between a paramedic and an EMT is that the paramedic

Carries out advanced pharmacologic skills

The national emergency medical services information system (NEMSIS)

Collects relevant data from each state and uses it for research

Which of the following situations would be the LEAST likely to require a critical incident stress debriefing (CISD)

Death of a 91 yo pt with lung cancer

A pt is found to have a high blood sugar level (hyperglycemia). What is the cause of this

Deficient insulin levels in the blood

________________ Is a way of buffering bad news until a person can mobilize the resources to deal with that news more effectively.

Denial

After gathering information from the patient, scene, and any bystanders, you must next

Determine which information is valid and which may be invalid

The leading cause of kidney failure in Americans 20 years of age and older is

Diabetes

Substances that release ions when dissolved in water are called:

Electrolytes

When a competent adult patient refuses medical care, it is most important for the paramedic to

Ensure that the patient is well informed about the situation at hand

What type of tissue covers and lines internal organs

Epithelial

Effective dispatch will always include accurate scene findings

False

Most states do not require paramedics to complete any education other than their initial training programs

False

Teething is commonly accompanied by:

Fever

The brain and spinal cord are connected through a large opening at the base of the skull called the:

Foramen magnum

During a 20-minute transport of a critical pt, you should make a concerted effort to reassess the pt ___________times.

Four

In EMS, the process of concept formation involves

Gathering information about your patient

When you introduce yourself to your pt and ask why 9-1-1 was called, the pt looks at you, shakes your hand, and answers your questions appropriately. From these findings, you can gather that the pt:

Has a GCS score 15

What instructions or guidance would an emergency medical dispatcher MOST likely provide to a caller

How to control bleeding and perform CPR

A major recommendation made by the 2009 National EMS Education Standards for paramedic training was the:

Inclusion of a college level A&P course as part of the training program

Objective pt information

Is based on fact or observation

Which of the following organs/structures lie(s) in the retroperitoneal space of the abdomen

Kidneys

If you want reliable answers to personal questions, you should

Manage the scene so you can ask such questions quietly and privately

Additions or notations added to a completed patient care report by someone other than the original author

May raise questions about the confidentiality practices of the EMS agency

A paramedic is considered a health care professional, and as such should:

Meet societal expectations whether he or she is on or off duty

Which of the following Actions has the LEAST impact on the paramedics ability to think under pressure

Memorizing all patient care algorithms

Which of the following statements regarding middle adults is correct

Middle adults view crisis as a challenge to be overcome rather than a threat to be avoided

The main disadvantage of patient care algorithms is that they

Only address classic patient presentations

Which of the following structures comprise different types of tissues that work together to perform a particular functions

Organs

On most runs, the two MOST important pieces of pt hx information that you need to obtain initially are the

Patient's name and chief complaint

With regard to injury prevention, effective educational techniques include all of the following, EXCEPT

Penalties

Under the instructions a good EMD, a layperson should be able to

Perform chest compressions

Any cell that ingests microorganisms or other cells is called a(n):

Phagocyte

The most important nerve of the cervical plexus, which innervates the diaphragm, is the:

Phrenic nerve

Thromboxane A2 is a short-lived compound that causes:

Platelet clumping

When responding to an emergency scene, it's MOST important to:

Proceed in a manner that is timely and safe

In order to ensure that all recorded times associated with an incident are accurate, the paramedic should

Radio the dispatcher after an event occurs

If an emergency medical responder is appropriately trained and competent, he or she should be able to:

Recognize the seriousness of a pts condition, provide basic life support care, and relay info to the paramedic

Vascular compensation for changes in blood pressure decreases with age due to

Reduced elasticity of the peripheral vessels secondary to decreases in elastin and collagen

According to the Haddon matrix, which of the following is an example of a pre-event strategy used to prevent injury of a child who is riding in a motor vehicle

Reducing driving during high-risk times

While treating the pt with chest pain, you administer fentanyl. Shortly after, you ask him if his pain has improved. This is an example of

Reflection in action

A________________ receives a weak signal and retransmits it at a higher power on another frequency

Repeater

When examining the anterior abdomen of a pt who complains of abdominal pain:

Routinely palpate the least painful area (s) first.

When reading the scene, the paramedic must remember that

Scene information becomes unavailable once transport is initiated

Which of the following physical changes occurs in adults over 25 years of age

Settling of the disks in the spine

When lifting, the paramedic should spread his or her legs ___________________ apart.

Shoulder width

When communicating medical information via radio, you should be

Simple, brief and direct

A pt with dysarthria has:

Slurred speech

It is important to become involved in a national or state EMS organization, such as the National Association of EMTs (NAEMT) or the National Association of State EMS officials (NASEMO), because:

Such organizations have an impact on the future direction of EMS

Which of the following statements are true of the EMT?

The EMT represents the primary provider level in many EMS systems

Which of the following is a significant benefit of electronic documentation

The ability of the data to be shared between healthcare facilities

When a caller requests EMS in an area that uses an enhanced 911 system

The caller's name and address or automatically display

More often than not, the paramedic will form his or her general impression of a pt based on:

The initial presentation and chief complaint

When defining an injury problem in your community, it is MOST important to determine

The most frequent causes of fatal and nonfatal injuries

The term "frequency", as it applies to radio communications, is most accurately defined as

The number of oscillations per second of the carrier wave

All of the following statements are true of inter-facility transports

The paramedic should provide ongoing assessment, pts may be experiencing acute or chronic medical conditions, transportation may be to and from hospitals, care facilities or the pts residence

Prior to submitting a patient care report to the receiving hospital, it is MOST important for

The paramedic who authored the report to review it carefully

Which of the following statements include the pertinent negative

The patient complains of nausea but denies vomiting

Which of the following statements regarding stress is correct?

The way one person reacts to stress may differ significantly from another person's reaction.

All of the following statements are true of the National EMS education standards for the paramedic

They include a college level anatomy and physiology course, the national average falls between 1000 and 1500 hours of combined classroom, clinical, and field education AND significant changes were made in 2009

Compared to adults, children have

Thinner skin

When communicating with a patient whose cultural backgrounds differs from the paramedic's, the paramedic should

Treat the patient with the upmost respect at all times

States that utilize NREMT as their mechanism require a paramedic student to have attended and successfully completed training at an accredited institution

True

Performing the functions of a paramedic prior to licensure is:

Unlawful

Which of the following hazards would you LEAST likely encounter at the scene of a motor vehicle crash

Unruly patient

When transmitting information via radio, you Should

Use a normal conversational tone of voice

Components of a thorough patient refusal documents include

Willingness of EMS to return to the scene if the patient changes his or her mind

The care plan that you implement based on your working field diagnosis of a pt is almost always defined by

Your EMS system's pt care protocols or standing orders

When providing patient care, it is MOST important that you maintain affective communication with

Your partner

Sonorous respirations are MOST likely caused by:

an anatomic airway obstruction.

The paramedic should address a patient:

as the patient wishes to be addressed.

The kind of stress that motivates an individual to achieve is called?

eustress

In contrast to infants, toddlers

have a slower respiratory rate

When organizing a community Illness or injury program, you should FIRST:

identify a lead person to coordinate the effort

If you have a bad cold, it is MOST appropriate to:

refrain from patient care.

In conventional reasoning, school-age children

seek approval from their peers and society

From an injury prevention standpoint, the term "intervention" is defined as

specific prevention measures or activities designed to increase positive health and safety outcomes

If health care providers show up to work in shape:

they are less likely to get hurt


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