Test 7
Make sure to use ___________ when attempting to control vaginal bleeding
external pads
Which of the following is NOT commonly associated with an overdose of a cardiac medication?
Urinary incontinence
What is the outermost cavity of a woman's reproductive system?
Vagina
_________can cause significant blood loss and lead to hypovolemia.
Vaginal bleeding
The term "behavioral crisis" is MOST accurately defined as:
any reaction that interferes with activities of daily living or is deemed unacceptable by others.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
becomes engorged with blood.
When assessing the history, all of the following are past behaviors you want to know the patient has exhibited EXCEPT:
cooperative behavior
In evaluating a situation that is considered a behavioral emergency, the first things to consider are:
scene safety and patient response
Organic brain syndrome may be caused by:
seizure disorders
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:
1 month.
Which of the following statements regarding rape is correct?
Rape is a legal diagnosis, not a medical diagnosis.
General guidelines to follow when caring for a patient with a behavioral crisis include all of the following EXCEPT:
Rapidly transporting the patient
Which of the following is NOT considered a risk factor for suicide?
Recent marriage
Which of the following conditions or situations would MOST likely make excited delirium worse?
alcohol withdrawal
Activated charcoal may be indicated for a patient who ingested:
aspirin
Ringing of the ears is associated with an overdose of:
aspirin
As you enter the residence of a patient who has possibly overdosed, you should:
be alert for personal hazards.
The major side effect associated with administration of activated charcoal is:
black stool
The major side effect associated with administration of activated charcoal is:
black stools
Localized signs and symptoms of absorbed poisoning include:
burns, irritations of the skin
Everyone exhibits some signs and symptoms of mental illness at some point in life ____________.
but that does not mean a person is mentally ill
Signs of excited delirium include:
diaphoresis, tachycardia, and hallucinations.
Medical problems that may cause the patient to present as intoxicated include all of the following EXCEPT:
diarrhea
You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system?
Rapid eye movement
Which of the following is an example of a functional behavioral disorder?
Schizophrenia
Which of the following statements is FALSE regarding assessment and treatment of a woman who was the victim of sexual assault
You should question the victim thoroughly about the assaulter in case the police missed any details
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
Each ovary produces an ovum in alternating months and releases it into the:
fallopian tubes
When documenting a call in which a female was sexually assaulted, you should:
keep the report concise and record only what the patient stated in her own words.
Sympathomimetics are CNS stimulants that frequently cause:
tachycardia
When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to:
maintain her ABCs and transport without delay.
Potentially life-threatening consequences of pelvic inflammatory disease (PID) include:
ovarian abscess and ectopic pregnancy.
If the victim of a toxicologic emergency vomits, an EMT should _________.
use appropriate personal protective equipment and examine the vomitus for pill fragments or other clues for patient care.
Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?
Antihypertensive medications
When a psychiatric emergency arises, a patient is most likely to exhibit which of the following behaviors?
Any behaviors that are a violent threat to the patient, EMTs, or others
Substance abuse is MOST accurately defined as:
knowingly misusing a substance to produce a desired effect.
You should request the assistance of a _____ when a mentally impaired patient refuses to go to the hospital
law enforcement officer
Rape is considered a _____ diagnosis, not a medical diagnosis
legal
Signs and symptoms of staphylococcal food poisoning include:
nausea, vomiting, and diarrhea
Atropine sulfate and pralidoxime chloride are antidotes for:
nerve gas agents.
Immediately after physically restraining a violent patient, the EMT should:
reassess the patient's airway and breathing.
Bacterial vaginosis is a condition that occurs when:
normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.
Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:
oxycodone (Percocet).
Airborne substances should be diluted with:
oxygen
People with _______ may experience symptoms including delusions, hallucinations, a lack of interest in pleasure, and erratic speech.
schizophrenia
Inhalant effects range from mild drowsiness to coma, but unlike most other sedative-hypnotics these agents may often cause:
seizures
When caring for a patient experiencing excited delirium, the EMT should remember that:
sudden death can occur if the patient's violence is not controlled.
Activated charcoal is in the form of a(n)
suspension
Medical problems that may cause the patient to present as intoxicated include all of the following, EXCEPT:
syncope
Signs and symptoms of a sympathomimetic drug overdose include:
tachycardia
What does the "PID Shuffle" refer to?
A distinctive gait when the patient walks
Which of the following is an example of a psychiatric emergency?
A person violently attacking family members
increased salivation
"Nerve gases" overstimulate normal body functions that are controlled by parasympathetic nerves, causing:
lIf an abnormal or disturbing pattern of behavior lasts for at least __________, it is regarded as a matter of concern from a mental health standpoint
1 month
If the patient has a chemical agent in the eyes, you should irrigate the eyes quickly and thoroughly for at least 5 to ____ minutes for acid substances.
10
The onset of menstruation usually occurs between the ages of:
11 and 16 years
If fertilization has not occurred within about ____ days following ovulation, the lining of the uterus begins to separate and menstruation occurs:
14
A 7-year-old, 25-kg child ingested two bottles of Tylenol approximately 30 minutes ago and medical control orders you to administer activated charcoal. You should administer:
25 g
How much activated charcoal should you administer to a 55-pound child who swallowed a bottle of aspirin?
25 g
Which of the following patients is at HIGHEST risk for suicide?
33 year old man who regularly consumes alcohol an purchased a gun
The effects of bath salts can last as long as:
48 hours
EMTs are dispatched for a teenage male who is "not acting right." When they arrive, they are informed that the patient was huffing. Several cans of Freon are found near the patient. Which of the following is unique consideration for this patient?
A sudden adrenaline release can cause a fatal dysrhythmia.
A behavioral crisis interferes with which of the following?
Activities of daily living Behavior that is acceptable to the community Dressing, eating, or bathing
Which of the following is NOT a part of treatment for patients who have overdosed?
Administer syrup of ipecac
_____is a behavior that is characterized by restlessness and irregular physical activity.
Agitation
Which of the following conditions or situations would MOST likely make excited delirium worse?
Alcohol withdrawal
Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct?
Although the physical exam can be difficult, the patient's emotional state may be determined by noting facial expressions, pulse rate, and respirations.
Which of the following is considered an organic brain syndrome?
Alzheimer dementia
Common causes of acute psychotic behavior include all of the following, EXCEPT:
Alzheimer's disease.
Anticholinergic
An agent that blocks parasympathetic nerves
Cholinergic
An agent that overstimulates body functions controlled by the parasympathetic nerves
A 21-year old male was found unconscious in an alley. Initial assess: respir. slow & shallow. pulse: slow & weak. Pupils: bilateraly constricted. His presentation is MOST consistent with and OD of:
An opioid
You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation?
Ask the patient if she has developed a suicidal plan.
Which of the following is NOT a narcotic?
Ativan
When caring for a patient with a surface contact poisoning it's important to remember to:
Avoid contaminating yourself or others
Which of the following is a good guideline for physical examination of any patient?
Avoid touching without permission.
How do poisons typically act to harm the body?
By changing the normal metabolism of cells or by destroying them
Which of the following sets of vital signs would the EMT MOST likely encounter in a patient with acute cocaine overdose?
BP, 200/100 mm Hg; pulse, 150 beats/min
Food poisoning is almost always caused by eating food that contains:
Bacteria
What you can see of a person's response to the environment; his or her actions
Behavior
____________ is what you can see of a person's response to the environment.
Behavior
Any reaction to events that interferes with activities of daily living or is unacceptable to the patient or others
Behavioral crisis
Dean, a man in his 50s, is acting irrationally. His wife states that he thinks he is the dictator of a small country, and he is wearing nothing but a baseball cap and a belt with a small handgun attached to it. What is your best course of action?
Call for police backup
What is the narrowest portion of the uterus?
Cervix
Which of the following is NOT considered a sign or symptom of alcohol withdrawal?
Chest pain
Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated?
Chlamydia
A 30 yr old male ingested an unknown substance and vomits. You should:
Collect the vomit & bring to the hospital
When obtaining a SAMPLE history, which of the following is important to obtain? A. use of birth control B. date of patient's last period C. possibility of pregnancy D. all of the above
D. All of the above
Which of the following can cause vaginal bleeding? A. Ectopic pregnancy B. Spontaneous abortion C. Trauma D. All of the above
D. All of the above
You should discourage a rape or sexual assault victim from doing which of the following? A. Urinating B. Cleaning herself C. Changing clothes D. All of the above
D. All of the above
Condition of impairment in cognitive function that can present with disorientation, hallucinations, or delusions
Delirium
Which of the following is NOT a risk factor to consider when assessing a suicidal patient?
Does the patient appear to be well groomed?
Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?
Dry mucous membranes
Why might EMTs encounter a larger proportion of violent patients than the population at large?
EMTs respond to patients who, by definition, are having an emergency.
________ pregnancy and spontaneous abortion are two conditions that can cause vaginal bleeding in women who do not appear to be pregnant and who may not realize they are pregnant.
Ectopic
The mnemonic DUMBELS can be used to recall the signs and symptoms of a cholinergic drug poisoning. The E stands for:
Emesis
Which of the following is NOT considered a possible cause of a psychiatric disorder:
Emotional disturbance
What is the most common misconception surrounding mental illness?
Feeling "bad" or "depressed" means that you must be "sick."
Which of the following is a normal reaction to a crisis situation?
Feeling "blue" after the breakup of a long-term relationship
Psychological disorder that impairs bodily function when the body seems to be structurally normal
Functional Disorder
Whenever possible, a female sexual assault victim should be:
Given the option to be treated by a female EMT
Painful urination associated with burning and a yellowish discharge is associated with:
Gonorrhea
You have responded to the home of a 26-year-old woman who has reportedly taken a large number of pills in an attempt to commit suicide. As you enter the living room, you see her sleeping in her chair, and several empty alcohol containers are present. She is breathing heavily. You are able to arouse her consciousness for a short period of time. Which course of action takes priority?
Have her take activated charcoal while she is conscious.
During your assessment of a 50-year-old male who was found unresponsive in an alley, you note that he has slow, shallow respirations; bradycardia; facial cyanosis; and pinpoint pupils. As your partner begins assisting the patient's ventilations, he directs your attention to the patient's arms, which have multiple needle tracks on them. Which of the following would MOST likely explain the patient's presentation? Correct!
Heroin overdose
You receive a call for a domestic dispute. When you arrive at the scene, you find a young male standing on the front porch of his house. You notice that an adjacent window is broken. The patient has a large body, is clenching his fists, and is yelling obscenities at you. Which of the following findings is LEAST predictive of this patient's potential for violence?
His large body size
Which of the following is NOT typically linked to a psychological or behavioral crisis?
History of smoking
The ingestion of marijuana can lead to a cannabinoid hyperemesis syndrome, resulting in extreme nausea and vomiting. How are these symptoms typically relieved?
Hot Showers
When taking a history on a patient experiencing a gynecologic emergency, you should consider asking all the following EXCEPT:
How many sexual partners have you had in the past?
Which of the following effects does drinking alcohol NOT produce?
Increased sense of awareness
What is the most common presenting sign of PID?
Lower abdominal pain
What is the most common presenting sign or symptom of PID?
Lower abdominal pain (and PID Shuffle)
Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)?
Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge
The onset of menstruation is called:
Menarche
Which of the following statements is NOT true?
Most people with a mental illness are dangerous
Which of the following would NOT provide clues to the nature of the poison?
Open windows
Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
Which of the following statements regarding gonorrhea is correct?
Painful urination is a common symptom of gonorrhea in both men and women.
Illness with psychological or behavioral symptoms that may result in impaired functioning
Psychiatric Disorder
A state of delusion in which the person is out of touch with reality
Psychosis
Which of the following terms applies to a state of delusion in which the patient is out of touch with reality?
Psychosis
A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent, necessitating the placement of handcuffs. When you assess the patient, he tells you that killing someone will make his abdominal pain go away. His vital signs are stable. How should you manage this situation?
Request a police officer to accompany you in the ambulance
positional asphyxia
Restriction of chest wall movements and/or airway obstruction; can rapidly lead to sudden death.
Which of the following drugs is commonly referred to as "roofies"?
Rohypnol
Which of the following drugs is commonly used to facilitate sexual assault?
Rohypnol
_____ crack produces the most rapid means of absorption and therefore the most potent effect
Smoked
What type of physical activity may be an indicator of risk to the EMT?
Tense muscles
Physical tension is often a warning signal of impending hostility. What sign might warn you of physical tension?
Tension
Which of the following statements regarding the Salmonella bacterium is correct?
The Salmonella bacterium itself causes food poisoning.
Which of the following statements regarding injected poisons is FALSE?
They are easily diluted once in the bloodstream
Victims of inhaled poisoning will require which of the following?
Transport to an emergency department for evaluation
What warning signs can be detected from the scene?
Weapons near the patient
You are attending to a 32-year-old male patient. The patient's wife tells you that he returned from Afghanistan last year. While he initially seemed fine, lately he has become withdrawn and distanced himself from his family and friends. He does not talk about it, but she knows that he has been having terrible nightmares that wake him up. The most appropriate question to ask regarding his experience in Afghanistan is:
Were you shot at or under fire?
Which of the following questions is of least pertinence for the EMT to ask a patient who intentionally OD'd on a med?
Why did you take the medication?
Which of the following questions would be LEAST pertinent during the initial questioning of a patient who ingested a substance?
Why was the substance ingested?
Organic brain syndrome is defined as:
a dysfunction of the brain caused by abnormal physical or physiological function.
Activated charcoal administration is contraindicated in patients who have ingested:
acids or alkalis.
It is MOST important to determine a patient's weight when asking questions pertaining to a toxic ingestion because:
activated charcoal is given based on a patient's weight.
Learning to adapt to a variety of situations in daily life, including stresses and strains, is called:
adjustment
A 4-year-old, 15-kg male ingested an unknown quantity of acetaminophen (Tylenol). The child's mother states that she does not know when the ingestion occurred. The child is conscious and alert and in no apparent distress. The EMT should:
administer 15g of activated charcoal
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should:
administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
Treatment for ingestion of poisonous plants includes all of the following, EXCEPT:
administering activated charcoal
Which of the following is NOT a typical ingested poison
aerosol propellants
Naloxone (Narcan) should only be used in a patient with suspected opiate or opioid overdose who has:
agonal respirations or apnea
Delirium tremens (DTs) is a syndrome associated with withdrawal from:
alcohol.
In general, injected poisons are 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
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.
A patient who presents with rapid breathing, nausea and vomiting, ringing in the ears, and hyperthermia should be suspected of ingesting a significant quantity of:
aspirin
You and your paramedic partner are caring for a patient who ingested codeine, acetaminophen (Tylenol), and hydrocodone (Vicodin). The patient is unresponsive, his breathing is slow and shallow, and his pulse is slow and weak. Treatment for this patient should include:
assisted ventilation and naloxone (Narcan).
Your priority in caring for a patient with a surface contact poisoning is to:
avoid contaminating yourself
A general impression of the patient is formed by an EMT:
at a distance when the patient is first seen.
When caring for a patient with an emotional crisis who is calm and not in need of immediate emergency care, your best course of action is to:
attempt to obtain consent from the patient to transport
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 if tolerated
The MOST important consideration in caring for a patient who has been exposed to an organophosphate insecticide or some other cholinergic agent is to:
avoid exposure yourself
Left untreated, ____ can lead to premature birth or low birth weight in pregnant women.
bacterial vaginosis
When restraining a patient without the appropriate order, legal actions may involve charges of:
battery
After administering activated charcoal to a patient, it is MOST important to:
be alert for vomiting
After administering activated charcoal to a patient, it is MOST important to:
be alert for vomiting.
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.
If the interruption of daily routine tends to recur on a regular basis, the behavior is also considered a ______ crisis
behavioral
General guidelines for managing a patient with a behavioral emergency include:
being prepared to spend extra time with the patient
General guidelines for managing a patient with a behavioral emergency include:
being prepared to spend extra time with the patient.
The onset of menstruation usually occurs in women who are:
between 11 and 16 years of age.
Activated charcoal is given to patients who have ingested certain substances because it:
binds to the substance and prevents absorption.
A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should:
calmly identify yourself to the patient.
General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:
carefully removing any foreign bodies from the vagina.
Chlorine:
causes pulmonary edema
In rare cases, ____ causes arthritis that may be accompanied with skin lesions and inflammation of the eyes and urethra
chlamydia
Inhaled poisons include
chlorine
Often the most important intervention for a sexual assault patient is to _______ and transport to a facility with a staff specially trained to deal with this scenario.
comforting reassurance
Your _____ is the best tool to gain the patient's confidence to seek medical help.
compassion
When assessing a patient who is displaying bizarre behavior, the EMT should:
consider that an acute medical illness may be causing the patient's behavior.
A 3-year-old female ingested several leaves from a plant in the living room. The child's mother is not sure what type of plant it is, stating that she bought it simply because it was pretty. After completing your primary assessment of the child, you should:
contact the regional poison control center.
When physically restraining a violent patient, the EMT should
continually talk to the patient as he or she is being restrained
A 49-year-old male presents with confusion, sweating, and visual hallucinations. The patient's wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before your arrival. This patient is MOST likely experiencing:
delirium tremens.
The single most significant factor that contributes to suicide is:
depression
Safety guidelines for behavioral emergencies include all the following EXCEPT:
determining the underlying psychiatric disorder
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.
When documenting abnormal behavior, it is important to:
document everything that happened on the call
The first step in assessing a patient with a behavioral emergency is to:
ensure your safety
The first step in assessing a patient with a behavioral emergency is to:
ensure your safety.
It is common for young females who experience their first menstrual period to:
experience abdominal cramping, which may be misinterpreted.
It is important to remember that some chemicals ____ when they come in contact with water.
explode
The patient tells you she would really like to be transported to the hospital but refuses a physical examination. You should:
follow your system's refusal of treatment policy and respect the patient's wishes without judgment
You are called to the scene of a possible assault. Upon arrival, you are directed by police to a dark room where you find a 22-year-old woman who says she was sexually assaulted by a coworker this afternoon. The patient tells you that she would really like to be transported to the hospital but refuses a physical examination. You should:
follow your system's refusal of treatment policy and respect the patient's wishes without judgment.
Common names for activated charcoal include all of the following, EXCEPT:
fructose
Depression and schizophrenia are examples of:
functional disorders
Whenever possible, a female sexual assault victim should be:
given the option of being treated by a female EMT.
Symptoms of ______ appear approximately 2 to 10 days after exposure.
gonorrhea
____ is a highly toxic, colorless, and flammable gas with a distinctive rotten eggs odor
hydrogen sulfide
Naloxone (Narcan) would reverse the effects of:
hydromorphone (Dilaudid).
Signs and symptoms of agitated delirium include all of the following EXCEPT:
hyperventilation
Arrival at residence of young male with emotional crisis. Police officer says he's acting bizarrely, he's sitting on couch conscious but confused. He takes meds but can't remember why, skin is pale and diaphoretic, he has noticeable tremors to his hands. You should FIRST rule out:
hypoglycemia
An altered mental status may arise from:
inadequate blood flow to the brain
Most poisonings occur via the __________ route.
ingestion
Which of the following is TRUE regarding injected poisons:
injected poisons cannot be diluted
Of the four avenues of poisoning, generally ___________ is the most worrisome in terms of treatment to the EMS provider.
injection
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.
When caring for a known alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that:
internal bleeding may be profuse because prolonged alcohol use may impair the blood's ability to clot.
Which of the following is NOT considered a typical route of administration for naloxone
intradermal
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
If a woman with vaginal bleeding reports syncope, the EMT should assume that she:
is in shock.
The physical examination of a sexual assault victim should be:
limited to a brief survey for life-threatening injuries.
An overdose of acetaminophen, the active ingredient in Tylenol, will MOST likely cause:
liver failure.
People at a higher risk for suicide include all of the following, EXCEPT:
married males older than 30 years
People at risk for suicide include all of the following, EXCEPT:
married males older than 30 years.
What kind of speech may be an indicator of emotional distress
obscene speech
Before giving activated charcoal, you should:
obtain approval from medical control
Before giving activated charcoal, you should:
obtain approval from medical control.
A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should:
open the patient's airway and assess his respirations
Heroin is an example of a(n):
opioid
All of the following are examples of a functional disorder EXCEPT:
organic brain syndrome
Which of the following signs is LEAST indicative of a patient's potential for violence?
patient is 6'5" tall and weighs 230 lb
Possible causes of vaginal bleeding include all the following EXCEPT
peptic ulcer
The two basic categories of diagnosis that a physician will use for behavioral crises or psychiatric emergencies are ____________.
physical and psychological
A functional disorder is a:
physiological disorder in the absence of a structural abnormality.
When caring for a female patient who has been sexually assaulted, you should:
place any bloodstained clothing or other articles in separate paper bags.
If a patient with vaginal bleeding presents with a rapid pulse and pale or cool skin, you should:
place the patient in a supine position with her legs elevated.
When performing a physical exam on a victim of sexual assault, you should:
place the patient's clothing into a paper bag.
The presence of burning or blistering of the mucous membranes suggests ingestion of
poison
Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should:
provide emotional support and visually assess her for obvious trauma.
Patients may show agitation or violence or become a threat to themselves or others when they experience a(n) _____ emergency.
psychiatric
EMTS treating a patient of a sexual assault may not only be dealing with medical issues but with _______ as well
psychological
Signs and symptoms of chlorine exposure include all the following EXCEPT:
rales
Immediately after physically restraining a violent patient, the EMT should:
reassess the patient's airway and breathing
A technique used to gain insight into a patient's thinking, which involves repeating in question form what the patient has said, is called:
reflective listening
Treatments for inhaled poisons include:
removing the patient from the exposure
Reflective listening, an assessment technique used when caring for patients with an emotional crisis, involves:
repeating, in question form, what the patient tells you
When restraining a patient on a stretcher, it is necessary to constantly reassess the patient's:
respiration and circulation status
A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law enforcement officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The MOST appropriate way to manage this situation is to:
restrain the patient with appropriate force in order to treat his injuries.
The recommended treatment for absorbed or contact poisons includes _________.
safely removing or diluting the poisonous substance
In an apparent suicide attempt, a 19-year-old female ingested a full bottle of amitriptyline (Elavil). At present, she is conscious and alert and states that she swallowed the pills approximately 30 minutes earlier. Her blood pressure is 90/50 mm Hg, her pulse is 140 beats/min and irregular, and her respirations are 22 breaths/min with adequate depth. When transporting this patient, you should be MOST alert for:
seizures and cardiac arrhythmias.
When a female has reached menarche:
she is capable of becoming pregnant.
Alcohol is a powerful central nervous system depressant. It:
slows reflexes
Characteristics of carbon monoxide include all of the following EXCEPT:
smells like rotten eggs
You are attending to a 27-year-old patient with a history of depression. The patient's family tells you that she has been openly talking about harming herself and suicide, and they got scared when she tried to overdose on some medications. The patient did not take the pills and is alert and oriented. Despite all of your best efforts to convince her, the patient refuses to go to hospital for treatment. Based on this information, you should:
stay with the patient while you arrange for other transport options as a potentially life-threatening emergency exists.
EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I cannot remember anything, but I know I was raped." The EMTs should suspect that:
the patient was given a drug prior to the incident.
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
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.
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:
tolerance
After taking Vicodin for 2 years for chronic pain, a 40-year-old woman finds that her usual dosage is no longer effective and goes to the doctor to request a higher dosage. This is an example of:
tolerance
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:
tolerance.
What is the EMT's first priority when dealing with a patient experiencing excessive vaginal bleeding?
treat patient for shock and transport
Pelvic inflammatory disease (PID) typically does NOT affect the:
urinary bladder
Pelvic inflammatory disease (PID) typically does NOT affect the:
urinary bladder.
You receive a call to a residence where a man found his wife unresponsive on the couch. The patient's respiratory rate is 8 breaths/min, her breathing is shallow, her heart rate is 40 beats/min, and her pulse is weak. The husband hands you an empty bottle of hydrocodone (Vicodin), which was refilled the day before. You should:
ventilate her with a BVM.
Cocaine is called all of the following EXCEPT:
weed
When assessing a patient with a behavioral crisis, your primary concern must be:
whether the patient will cause harm to you or your partner
