Ch 11-12

Which of the following is NOT a part of your overall job as a paramedic? 1) Efficiently executing a patient care plan 2) Quickly identifying your patient's problem 3) Definitively diagnosing the patient's problem 4) Establishing your priorities of patient care

3) Definitively diagnosing the patient's problem

If a patient's trigeminal nerve is intact, he or she should be able to: 1) frown 2) maintain balance. 3) clench his or her jaw 4) swallow without difficulty.

3) clench his or her jaw

Which of the following scenarios is the BEST example of independent decision making? 1) Controlling severe bleeding from an open wound, establishing an IV to maintain perfusion, and contac medical control en route to the hospital 2) Selecting the appropriate patient care algorithm from your protocol book when treating a middle-aged female patient with symptomatic bradycardia 3) Definitively diagnosing a patient with cholecystitis who has right upper quadrant abdominal pain and nausea that began shortly after eating a meal 4) Contacting medical control and requesting permission to administer adenosine to a patient with a heart rate of 190 beats/min and a stable blood pressure

1) Controlling severe bleeding from an open wound, establishing an IV to maintain perfusion, and contacting medical control en route to the hospital

Which of the following statements regarding an intoxicated patient is correct? 1) While the patient is trying to explain things to you, his or her anger can escalate faster than if he or she were not intoxicated. 2) Although the intoxicated patient is a poor historian, his or her family members usually provide the information that you need. 3) You should promptly transport the intoxicated patient, because attempting to obtain a medical history will be unsuccessful. 4) The risk of an intoxicated patient's behavior turning violent is low because his or her cognitive skills are impaired significantly.

1) While the patient is trying to explain things to you, his or her anger can escalate faster than if he or she were not intoxicated.

Stimulation of the sympathetic nervous system causes: 1) diaphoresis. 2) bradycardia. 3) vasodilation. 4) warm, moist skin.

1) diaphoresis.

Your patient will MOST likely develop a good first impression of you if you: 1) look and act professional and confident. 2) tell him or her that everything will be okay. 3) address him or her as "dear" or "honey." 4) quickly determine his or her chief complaint.

1) look and act professional and confident.

Which of the following is an example of a leading question? 1) "On a scale of 1 to 10, what number would you assign your pain?" 2) "Do you think that you are experiencing a cardiac emergency?" 3) "Has anything like this ever happened to you before today?" 4) "Does the pain stay in your chest or does it move anywhere else?"

2) "Do you think that you are experiencing a cardiac emergency?"

What are Korotkoff sounds? 1) Abnormal sounds heard over the carotid arteries 2) The sounds heard when taking a blood pressure 3) Sounds that indicate a significant heart murmur 4) Sounds over an artery that indicate turbulent blood flow

2) The sounds heard when taking a blood pressure

No matter how sure he or she is of the working diagnosis, the thinking paramedic must: 1) confer with online medical control to confirm his or her diagnosis. 2) always keep part of the thought process open to other possibilities. 3) implement a treatment plan based solely on the working diagnosis. 4) remain confident that his or her working diagnosis is an accurate one

2) always keep part of the thought process open to other possibilities.

The paramedic should address a patient: 1) by using the patient's formal name. 2) as the patient wishes to be addressed. 3) by the patient's first name whenever possible. 4) in a manner that the paramedic deems most professional.

2) as the patient wishes to be addressed.

If a patient's clinical presentation is not addressed in a specific algorithm, the paramedic must: 1) focus exclusively on the patient's ABCs. 2) determine what is in the patient's best interest. 3) perform a comprehensive head-to-toe exam. 4) provide supportive care and transport promptly.

2) determine what is in the patient's best interest.

In EMS, the process of concept formation involves: 1) determining the validity of obtained data. 2) gathering information about your patient. 3) knowing which treatment algorithm to use. 4) interpreting a patient's signs and symptoms.

2) gathering information about your patient.

Bruising in the periumbilical area is indicative of: 1) a leaking aortic aneurysm. 2) intraperitoneal hemorrhage. 3) ruptured ectopic pregnancy. 4) a ruptured urinary bladder.

2) intraperitoneal hemorrhage.

The presence of rhonchi during auscultation of the lungs is MOST suggestive of: 1) asthma. 2) pneumonia 3) pneumothorax. 4) toxic inhalation.

2) pneumonia

If a patient's family member is hostile and begins shouting at you, you should: 1) remain professional and ignore the family member so that you can provide appropriate patient care. 2) tell the person that if he or she continues to shout, you will not feel safe and will need to call law enforcement. 3) have your partner physically remove the family member from the patient care area and continue your assessment. 4) firmly tell the patient that his or her behavior is unacceptable and childish, and that he or she is worsening the situation.

2) tell the person that if he or she continues to shout, you will not feel safe and will need to call law enforcement.

When assessing any patient, the paramedic should remember that: 1) the past medical history is of even greater importance if the patient has a traumatic injury. 2) it is extremely common for patients with a medical complaint to have an underlying injury. 3) some patients with a traumatic injury could also have an underlying medical component. 4) the patient's underlying medical problem can usually be identified by a rapid assessment.

3) some patients with a traumatic injury could also have an underlying medical component.

Which of the following actions has the LEAST impact on the paramedic's ability to think under pressure? 1) Taking a moment to stop and think 2) Taking a moment to scan the situation 3) Staying calm and maintaining mental control 4) Memorizing all patient care algorithms

4) Memorizing all patient care algorithms

Protocols, or standing orders, specify the paramedic's performance parameters, which: 1) allow the paramedic to function autonomously on every EMS call. 2) outline the care that is provided after contacting online medical control. 3) limit the skills that the paramedic can perform in his or her EMS system. 4) define what the paramedic can or cannot do without direct medical control.

4) define what the paramedic can or cannot do without direct medical control.

A working hypothesis of the nature of a patient's problem is called the: 1) chief complaint. 2) field impression. 3) history of present illness. 4) differential diagnosis.

4) differential diagnosis.

Objective patient information: 1) is observed by the patient 2) is precevied by the patient 3) cannot be quantified 4) is based on a fact or observation

4) is based on a fact or observation

Tidal volume is MOST effectively assessed by: 1) auscultating breath sounds. 2) noting the patient's respiratory rate. 3) looking for accessory muscle use. 4) observing for rise and fall of the chest.

4) observing for rise and fall of the chest.

Lower extremity shortening and/or internal or external rotation are findings often associated with: 1) pelvic fractures. 2) mid-shaft femur fractures. 3) pathologic fractures of the hip. 4) proximal lower extremity injury.

4) proximal lower extremity injury.