EMT Ch 14 Quiz
c. MERS-CoV
Your patient's symptoms include high fever, cough, vomiting, bloody diarrhea, and shortness of breath. Which of the following should you suspect? A. Influenza B. Hepatitis B C. MERS-CoV D. Whooping cough
d. you exclude certain possibilities for the patient's condition
"Tunnel vision" occurs when ___________. A. there appears to be no explanation for the patient's condition B. you have confirmed the field impression for your patient C. all but one possibility for the patient's condition has been eliminated D. you exclude certain possibilities for the patient's condition
b. meningitis
A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be suspected of having: A. hepatitis. B. meningitis. C. MERS-CoV. D. tuberculosis.
b. your awareness and concern for potentially serious underlying and unseen injuries or illness.
An index of suspicion is MOST accurately defined as: A. the EMT's prediction of the type of illness a patient has based on how the call is dispatched. B. your awareness and concern for potentially serious underlying and unseen injuries or illness. C. ruling out specific medical conditions based on the absence of certain signs and symptoms. D. determining the underlying cause of a patient's medical condition based on signs and symptoms.
a. obtain a manual blood pressure
Assessment of a patient's blood pressure with an automatic BP cuff reveals that it is 204/120 mm Hg. The patient is conscious and alert and denies any symptoms. The EMT should: a. obtain a manual blood pressure. b. prepare for immediate transport. c. reassess her blood pressure in 5 minutes. d. conclude that she has hypertension.
d. jaundice and abdominal pain.
Early signs and symptoms of viral hepatitis include all of the following, EXCEPT: A. loss of appetite and a cough. B. vomiting, fever, and fatigue. C. pain in the muscles and joints. D. jaundice and abdominal pain.
d. prolonged hospitalization, especially in an intensive care unit.
Factors that increase the risk for developing methicillin-resistant Staphylococcus aureus (MRSA) include: A. prior exposure to Mycobacterium tuberculosis. B. failure to be vaccinated against any strain of hepatitis. C. a history of a respiratory illness within the past 6 to 8 weeks. D. prolonged hospitalization, especially in an intensive care unit.
a. Recent travel
In addition to obtaining a SAMPLE history and asking questions related to the chief complaint, what else should you specifically inquire about when assessing a patient with a potentially infectious disease? A. Recent travel B. HIV status C. Sexual practices D. Drug allergies
b. is focused on the nature of illness, the patient's chief complaint, and his or her symptoms.
In contrast to the assessment of a trauma patient, assessment of a medical patient: A. almost exclusively focuses on physical signs that indicate the patient is experiencing a problem. B. is focused on the nature of illness, the patient's chief complaint, and his or her symptoms. C. requires a thorough head-to-toe exam that involves a detailed assessment of all body systems. D. is not as complex for the EMT because most patients typically present with classic symptoms.
a. neurologic
It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem. a. neurologic b. cardiac c. endocrine d. respiratory
d. repeating the primary assessment.
Reassessment of a patient with a medical complaint should begin by: a. reassessing the nature of illness. b. reviewing all treatment performed. c. taking another set of vital signs. d. repeating the primary assessment.
b. you were exposed to another infected person prior to treating the 34-year-old patient.
Ten days after treating a 34-year-old patient with tuberculosis, you are given a tuberculin skin test, which yields a positive result. This MOST likely indicates that: a. you contracted the disease by casual contact instead of exposure to secretions. b. you were exposed to another infected person prior to treating the 34-year-old patient. c. the disease is dormant in your body, but will probably never cause symptoms. d. you are actively infected with tuberculosis and should be treated immediately.
a. get vaccinated against diphtheria, tetanus, and pertussis.
The BEST way to prevent infection from whooping cough is to: a. get vaccinated against diphtheria, tetanus, and pertussis. b. routinely place a surgical mask on all respiratory patients. c. ask all patients if they have recently traveled abroad. d. wear a HEPA mask when treating any respiratory patient.
d. identify factors that may complicate the patient's condition or your treatment
The acronym "TACOS" is used to _________. A. rule out certain medical conditions B. determine the nature of the patient's chief complaint C. confirm your patient's priority for transport D. identify factors that may complicate the patient's condition or your treatment
a. overlooking a potentially serious medical condition.
The greatest danger in displaying a personal bias or labeling a patient who frequently calls EMS is: A. overlooking a potentially serious medical condition. B. making the entire EMS system look unprofessional. C. demeaning or humiliating the patient and his family. D. discouraging the patient from calling EMS in the future.
c. addresses the patient's symptoms more than the actual disease process.
The primary prehospital treatment for most medical emergencies: A. typically does not require the EMT to contact medical control. B. focuses on definitive care because a diagnosis can usually be made. C. addresses the patient's symptoms more than the actual disease process. D. involves transport only until treatment can be performed at the hospital.
c. influenza.
Three months after returning home from West Africa, a 50-year-old man begins experiencing a fever, cough, and muscle aches. The EMT should suspect: A. Ebola. B. hepatitis. C. influenza. D. whooping cough.
a. fever, rash, nausea, and difficulty breathing.
Typical chief complaints in patients with an infectious disease include: A. fever, rash, nausea, and difficulty breathing. B. crushing chest pain, vomiting, and weakness. C. headache, low back pain, and arm numbness. D. joint pain, muscle aches, and blurred vision.
c. attempt to elicit a verbal response by talking to the patient.
Upon initial contact with a patient who appears to be unconscious, you should: A. assess breathing depth and determine the respiratory rate. B. squeeze the trapezius muscle to see if the patient responds. C. attempt to elicit a verbal response by talking to the patient. D. direct your partner to apply oxygen via nonrebreathing mask.
a. take all of the patient's medications with you to the hospital and document them on your patient care report.
When caring for a patient who takes numerous medications, it is best to: a. take all of the patient's medications with you to the hospital and document them on your patient care report. b. let the hospital staff retrieve the patient's medical records, which should show a list of his or her current medications. c. send the patient's medications to the hospital with a family member or other person who will safeguard them. d. document the medications on your patient care report, but leave them at home so they do not get misplaced.
a. limit your time at the scene to 10 minutes or less, if possible.
When caring for a patient with an altered mental status and signs of circulatory compromise, you should: a. limit your time at the scene to 10 minutes or less, if possible. b. transport immediately and begin all emergency treatment en route to the hospital. c. perform a detailed secondary assessment prior to transporting the patient. d. have a paramedic unit respond to the scene if it is less than 15 minutes away.
a. Jugular venous distention
Which of the following assessment findings is MOST indicative of a cardiovascular problem? a. Jugular venous distention b. Use of the accessory muscles Unequal breath sounds Palpable pain to the epigastrium
c. Substance abuse
Which of the following conditions is NOT categorized as a psychiatric condition? a. Alzheimer's disease b. Schizophrenia c. Substance abuse d. Depression
C. Stroke and heart attack
Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital? A. Seizures and infection B. Cardiac arrest and shock C. Stroke and heart attack D. Diabetes and migraines
b. Ibuprofen
Which of the following medications would the EMT be LEAST likely to administer to a patient with a medical complaint? a. Oral glucose b. Ibuprofen c. Albuterol d. Aspirin
b. Is anyone else in your travel party sick?
Which of the following questions would be the MOST pertinent to ask a patient who recently returned from Europe and is now ill? A. What was the purpose of your travel? B. Is anyone else in your travel party sick? C. Will you be traveling again in the future? D. How much time did you spend in Europe?
C. Hepatitis A can only be transmitted by a patient who has an acute infection.
Which of the following statements regarding hepatitis A is correct? a. Although there is no vaccine against hepatitis A, treatment is usually successful. b. Infection with hepatitis A causes chronic illness with a high mortality rate. c. Hepatitis A can only be transmitted by a patient who has an acute infection. d. Hepatitis A is primarily transmitted via contact with blood or other body fluids.
b. Medical emergencies can appear to be traumatic in nature.
Which of the following statements regarding medical emergencies is correct? A. Medical emergencies always take priority over traumatic injuries. B. Medical emergencies can appear to be traumatic in nature. C. Medical emergencies and traumatic injuries always have distinctive presentations. D. Medical emergencies rarely precipitate traumatic injuries.
a. MRSA is a bacterium that causes infections and is resistant to most antibiotics.
Which of the following statements regarding methicillin-resistant Staphylococcus aureus (MRSA) is correct? a. MRSA is a bacterium that causes infections and is resistant to most antibiotics. b. The communicable period for MRSA is 10 days to 2 weeks after being infected. c. Most cases of MRSA transmission occur following an accidental needlestick. d. Studies have shown that fewer than 1% of health care providers are MRSA carriers.
c. The risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloodstream.
Which of the following statements regarding the human immunodeficiency virus (HIV) is correct? A. HIV is far more contagious than hepatitis B and is easily transmitted in the health care setting. B. The risk of HIV infection is high, even if an infected person's blood comes in contact with your intact skin. C. The risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloodstream. D. Most patients who are infected with HIV experience chronic symptoms that vary in duration and severity.
b. Asking questions related to the chief complaint
Which of the following will MOST reliably allow you to determine the nature of a patient's illness? A. Trending of the patient's vital signs over time B. Asking questions related to the chief complaint C. Refraining from asking open-ended questions D. Focusing solely on how the call is dispatched
d. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit.
You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should: a. load him into the ambulance, begin transport, and perform all treatment en route to the hospital. b. administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible. c. perform a detailed secondary assessment, assess his vital signs, and then transport rapidly. d. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit.
b. prepare the patient for immediate transport.
You have just completed your primary assessment of a 48-year-old man with crushing chest pain and difficulty breathing. The patient has been given 324 mg of aspirin and is receiving supplemental oxygen. As you begin your secondary assessment, you note that his mental status has deteriorated and he is now bradycardic. You should: A. continue with your secondary assessment. B. prepare the patient for immediate transport. C. insert a nasal airway and assist his breathing. D. request an ALS unit to respond to the scene.
c. administer oxygen with the appropriate device.
Your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the patient's circulatory status, you should direct your partner to: a. retrieve the stretcher and prepare for transport. b. assess her oxygen saturation and blood pressure. c. administer oxygen with the appropriate device. d. perform a head-to-toe secondary assessment.
