EMS Block 2

Sublingually

How is nitroglycerin usually given by the EMT?

Be left in and secured manually to prevent movement

Impaled objects should:

Relaxes the walls of the coronary arteries.

Nitroglycerin, when given to patients with cardiac-related chest pain:

Place her supine and elevate her legs

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:

Corner of the mouth to the earlobe

To select the proper size oropharyngeal airway, you should measure from the:

ensure that you are safe

Upon arriving at a potentially unsafe scene, you should:

Is a high-pitched, crowing upper airway sound.

Which of the following statements regarding stridor is correct?

The epinephrine auto-injector delivers a preset amount of the drug

Which of the following statements regarding the epinephrine auto-injector is correct?

Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation.

A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway?

13

A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is:

Asthma

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:

Open his airway with the jaw-thrust maneuver.

A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should:

Recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs.

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 loss of vascular tone.

A decrease in blood pressure may indicate:

Intranasal route

A mucosal atomizer device (MAD) is used to deliver certain medications via the:

Responsive to painful stimuli

A patient who does not respond to your questions, but moves or cries out when his or her trapezius muscle is pinched, is said to be:

Authorization from medical control has been obtained

An EMT may administer aspirin to a patient if:

500 psi

An oxygen cylinder should be taken out of service and refilled when the pressure inside it is less than:

Mouth-to-mask technique with a one-way valve

As the single EMT managing an apneic patient's airway, the preferred initial method of providing ventilations is the:

Prevents the aggregation of platelets

Aspirin is beneficial to patients suspected of having a heart attack because it

Decreased blood oxygen.

Cyanosis of the skin is caused by:

Explain to her that you will assist her ventilations

Despite your attempts to coach a conscious young female's respirations, she continues to hyperventilate with a marked reduction in tidal volume. You should:

Naloxone administration could cause seizures in this patient.

EMTs respond to a known heroin abuser who is unresponsive. If they give naloxone (Narcan) to this patient, the EMTs should recall that:

Adequate amounts of surfactant

Gas exchange in the lungs is facilitated by:

60, 100

In the adult, bradycardia is defined as a pulse rate less than _______ beats/min, and tachycardia is defined as a heart rate greater than _______ beats/min.

A 59-year-old man complains of crushing chest pain but denies shortness of breath

In which of the following situations is a pertinent negative identified?

Reservoir bag is fully inflated

Prior to applying a nonrebreathing mask to a patient, you must ensure that the:

Phrenic Nerve

The diaphragm is innervated by the _________ nerve, which allows it to contract.

Locate injuries not found in the primary assessment

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:

Epiglottis

The leaf-shaped structure located superior to the larynx is called the:

The use of its fine adjustment capabilities in the long-term management of physiologically stable patients.

The main advantage of the Venturi mask is:

Hypoglycemic

The medical term for an extremely low blood glucose level is:

Carbon Dioxide

The primary waste product of aerobic metabolism is:

Environment

What does the 'E' in PENMAN stand for?

Gel

What medication form does oral glucose come in?

Cyanosis

When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called:

Avoid compressing both carotid arteries simultaneously.

When palpating the carotid pulse of a responsive patient, you should:

Blood glucose level

Which of the following assessments would be the MOST useful in determining the possible cause of a patient's altered mental status?

Decreases heart rate and blood pressure

Which of the following is NOT a characteristic of epinephrine?

Cyanousis

Which of the following is a late sign of hypoxia?

Asprin

Which of the following is an example of a generic drug?

Auscultating breath sounds with a stethoscope

Which of the following is the MOST effective method of assessing the quality of air movement in the lungs?

Transcutaneous

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?

Intraosseous (IO)

Which of the following medication routes would be the MOST appropriate to use in an unresponsive patient when intravenous access cannot be obtained?

Bourdon-gauge flowmeter

Which of the following oxygen flowmeters is NOT affected by gravity and can be used in any position when attached to an oxygen cylinder?

"How much Tylenol do you take each day?

Which of the following questions would you ask a patient to ascertain the "M" in the SAMPLE history?

Provide assisted ventilation

You are dispatched to the county jail for an inmate who is "sick." When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:

Give her oxygen, transport her to the hospital, and monitor her condition en route

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?

Reevaluate the rate and volume of your ventillations

You are ventilating a 40-year-old uninjured man who is apneic but has a pulse. When your partner reassesses his blood pressure, she notes that it has decreased significantly from previous readings. You should:

Remove her dentures, resume ventilations, and assess for adequate chest rise.

You are ventilating an apneic woman with a bag-valve mask. She has dentures, which are tight fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen saturation reads 96%. When you reassess the patency of her airway, you note that her dentures are now loose, although your ventilations are still producing adequate chest rise. You should: