EMT ch 1-23
Injection
Of the four avenues of poisoning, generally _________ is the most worrisome in terms of treatment to the EMS provider
Date and event
Short term memory is most likely intact if they can tell you ......
forceful coughing
Signs of a sudden severe upper airway obstruction include all except:
Begins in one extremity
Simple partial seizure...
Constriction of blood vessels
Stimulation of alpha adrenergic receptors results in....
Clavicle, scapula, humerus
3 bones make up the shoulder girdle, what are they....
Prone
40 year old found lying face down. How would you document his body's position?
AT a distance when patient is first seen
A general impression of the patient is formed by an EMT
Myocardial oxygen demand exceeds supply
Angina pectoris occurs when...
Your local EMS protocols
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
Be alert for personal hazards
As you enter the residence of a patient who has possibly overdosed, you should
Direct your partner to apply Manuel in line support of the head
At the scene of an MVA a single patient is in the car. No scene hazards, semi conscious, and a large laceration to the forehead, you should....
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?
the initial pain associated with an acute abdomen tends to be vague and poorly localized
This is correct regarding acute abdomen
Keep the weight as close to your body as possible
To minimize the risk of injuring yourself when lifting and moving a patient , you should
Air moves primarily in the anatomic dead space and doesn't participate in pulmonary exchange
What occurs when patient is breathing rapidly and shallowly:
Why was the substance ingested
What question would you least likely to ask a patient who ingested a substance....
Stridor
What sound indicates swelling of the upper airway...
Posterior
What term is synonymous with the word "dorsal"?
Report to supervisor after call
You're accidentally stuck with an IV needle, you should.....
Thoroughly document the entire event
Your best protection against legal liability when a competent patient refuses EMS care and transport is to:
It will not protect the EMT in cases of gross negligence
Which of the following statements regarding the Good Samaritan Law is correct?
Both pupils dilate with introduction to bright light
Which pupillary changes indicates depressed brain function....
Report the incident to your supervisor after the call
While assisting an advanced life support(ALS) ambulance crew, you are accidently stuck with an IV needle. You should:
Indirect contact
While providing care to a patient. blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician several days later. What route of transmission does this scenario describe?
allow for full recoil
between each chest compression you should:
Personal safety
The EMTs first priority is _________
1 minute
The effects of epinephrine are typically observed within _______ following administration
Hinge
The elbow is an example of a ________ joint
The study of drugs and their actions on the body
The term "pharmacology" is most accurately defined as:
Delirium tremens
49yr old male presents with confusion, sweating , and visual hallucinations. The patients wife tells you that he is a heavy drinker and she thinks he had a seizure before your arrival. The patient is most likely experiencing.....
rapid transport to a trauma center
A 25 yr old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She has signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. which is the greatest chance of survival for the patient?
Protect her airway from aspiration
A 30 yr old woman with a history of alcoholism presents with severe upper abdominal pain and vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy, her heart rate is 120 beats/min and weak, and her blood pressure is 70/50 mmhg. your most immediate action should be to....
Reassess the patient and document her response to the medication
A 31 yr old female is experiencing an acute asthma attack. She is conscious and alert in obvious respiratory distress. After assisting her with her prescribed MDI, you should:
Activities of daily living, behavior that is acceptable to the community, dressing, eating, or bathing
A behavioral crisis interferes with...
The lumen of coronary artery is narrowed and can't accommodate increased blood flow
A patient with atherosclerosis heart disease experiences chest pain during exertion because.....
Monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine
After administering 0.3mg of epinephrine via auto injector to a 22 yr old woman with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However she is still anxious and tachycardic. You should
Gallbladder
Bile is stored in what organ...
Paramedic
Cardiac monitoring, pharmacological interventions, and other advanced level skills are functions of....
Apply high flow oxygen, shock position and maintain body temperature
Care for victim of immunologic emergency who is severely hypotension should include....
Seizure
Caring for a patient with hypoglycemia, be most alert for....
Ectopic pregnancy, vaginal trauma, and spontaneous abortion
Causes of vaginal bleeding include
Ask family, officer or bystander to sign that patient refused
Despite numerous attempts to have a 40 year old man consent to treatment, he keeps refusing and won't sign the refusal form, you should....
Provide more consistent delivery of EMS care across the country
National guidelines for EMS care are intended to...
Children can't store excess glucose as effectively as adults
EMT should assess for hypoglycemia in small children with severe illness or injury because....
communicate effectively with other members of the health care team
EMTs should have a strong working knowledge of medical terminology in order to:
Cardiovascular disease
Elderly patient with nausea and generalized weakness is taking Lipitor and norvasc which suggests a history of.....
Relatively painless
Except for bleeding from outside trauma, vaginal bleeding caused by polyps and cancer is....
Adequate amounts of surfactant
Gas exchange in the lungs is facilitated by.....
Plasma
Hypovolemic Shock caused by severe thermal burns is result of loss of:
Gonorrhea
If left untreated this type of infection may lead into the bloodstream and the brain...
wash your hands with soap and water at the hospital
If you are using waterless handwashing in the field, it is important to :
Increased stability from a wider wheelbase
In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include:
respiratory arrest
In most cases, cardiopulmonary arrest in infants and children is caused by:
act almost purely to avoid punishment and to get what they want
In preconventional reasoning children,
Occipital proportional tell large and trachea flexible
Infant or small child's airway can be occluded if over extended or over flexed because.....
Located behind the abdominal cavity
Kidneys and pancreas are called retro peritoneal organs because they are.....
Abduction
Movement away from the body is:
Pressure waves through arteries caused by cardiac contraction
Palpable pulse is created by...
Cardiogenic shock
Patient has decreased cardiac output and poor myocardial contractility. This will likely lead to____?
Palate abdomen counter clockwise beginning with quadrant after the one that's painful
Patient with abdominal pain
Fluid shift from blood stream into body tissues
Peritonitis may result in shock because
Fluid accumulating outside of the lung
Pleural effusion is most accurately described as....
Gives an oral report to the emergency room physician or nurse
The official transfer of patient care does not occur until the EMT:
medical director
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:
Psychosis
The state of delusion in which the patient is out of touch with reality
Shortness of breath and BP 76/56
Treatment with CPAP most likely contraindicated in which situation....
Physical psychological
Two basic categories of diagnosis that a physician will use for behavioral crisis or psychiatric emergencies are...
Chlamydia
What condition is most likely to lead to pelvic inflammatory disease input left untreated
Rohypnol
What drug is commonly referred to as "roofies"
In older adults it's common to observe significant decrease in the heart rate in response to shock
When assessing an 80 year old for shock it is important to remember..
Place any blood stained clothing or other articles in separate paper bags
When caring for a female patient who has been sexually assaulted you should...
Sudden death can occur if patients violence is not controlled
When caring for a patient experiencing excited delirium, the emt should remember that...
limit your time at the scene to 10 minutes or less is possible
When caring for a patient with altered mental status and signs of circulatory compromise, you should:
Negligence
When caring for an 65 yr old male patient with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patients condition continues to deteriorate, and he develops cardiac arrest and dies at the hospital. This scenario is an example of:
Most elderly think clearly and are capable of answering questions
When communicating with elderly patients it's important to remember:
Dependent edema
Which is a sign commonly observed in patients with right sided heart failure....
A patient can consent to transport but can legally refuse treatment.
Which of the following general statements regarding consent is correct?
Patients breathing shallowly may require assisted ventilation despite a normal respiration rate
Which of the following statements regarding breathing is adequacy is correct?
Begin high quality CPR and apply the AED as soon as possible
You and your partner arrive at the scene of a middle aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should:
Secured to the backboard with the strongest provider at the head
You are attending to a 22 yr old female who has overdosed. The patient is unresponsive in an upstairs bedroom. The most appropriate way to bring the patient downstairs is:
tuberculosis
You are attending to a 54 yr old female patient in a homeless shelter. Patient tells you that she had the flu a couple weeks ago, and she has not gotten over it. She has been tired and keeps waking up at night, sweating. She has been coughing up green sputum occasionally and has been experiencing episodes of chest pain that get worse when she breathes. Based on the information, your patient is most likely suffering from
small infants are nose breathers and require clear nasal passages at all times
You are dispatched to a call for a 4 month old infant with respiratory distress. While you prepare to take care of this child, you must remember that:
Slander
You could be sued for _____ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.
Roll her onto her side, remove the oral airway and prepare to suction
You have inserted an oral airway and are ventilating an apneic woman with a bag valve mask device. She suddenly begins to regurgitating larges amounts of vomit. You should:
Ventilate her with a BVM
You receive a call to a residence where a man found his wife unresponsive on the couch. The patients respiratory rate is 8/breaths per 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 Vicodin, which was refilled the day before. You should....
Peripheral vasoconstriction
You suspect your patient is in shock. Skin is pale due to....
Hypoxic drive
Your patient has a chronix respiratory condition. His stimulus to breathe is triggered by low oxygen levels in the blood. This is know as the _____?
irreversible renal failure
a 37 yr old female with a history of diabetes presents with excessive urination and weakness of 2 days duration, her blood glucose level reads 320mg/dl. if the patients condition is not promptly treated, she will most likely develop:
acute myocardial infarcation
a patient tells you that he ahs a left ventricular device(LVAD). what condition should you suspect that he has experienced:
side effects
after taking Benadryl for an allergic reaction, a person begins experiencing drowsiness and dry mouth. These are examples of :
gastric distention
complications associated with chest compressions include all except:
address the patients symptoms
most treatment provided in the prehospital setting are intended to _______
has bleeding within the brain
patient who is possibly experiencing a stroke is NOT eligible for thrombolytic therapy if he or she:
after the primary assessment has been completed
the determination of whether a medical patient is a high priority or low priority transport is typically:
80 and 120 mg/dl
the normal blood glucose level is between:
the brain requires glucose as much as it requires oxygen
this statement is true regarding glucose
protect itself, go on alert, and attempt to inactivate the foreign substance
when a foreign substance invades the body, the body will _______
the conditions of many medical patients may not appear serious at first
when forming your general impression of a patient with medical complaint, it is important to remember that _________
when the patient last appeared normal
when you are obtaining medical history from the family of a suspected stroke patient, it is most important to determine: