EMT Final Exam - Test Bank

AS YOU ARE TRANSPORTING A CONSCIOUS PATIENT YOU NOTICE THAT HIS BREATHING HAS BECOME LABORED. WHICH ACTION SHOULD YOU TAKE BASED ON THIS INFORMATION?

- NOTIFY THE RECEIVING FACILITY - ENSURE A PATENT AIRWAY AND ADEQUATE O2 - CONTINUE REASSESSMENT

IN REASSESSMENT, WHAT ARE THE 3 INTERVENTIONS THAT YOU AS THE EMT SHOULD CHECK?

- OXYGENATION - BLEEDING MANAGEMENT - ADEQUACY OF OTHER INTERVENTIONS

WHEN PREPARING TO MOVE A PATIENT THAT IS USING A SPECIALTY MEDICAL DEVICE FROM HIS HOUSE TO THE AMBULANCE, WHICH OF THE FOLLOWING QUESTIONS WOULD BE APPROPRIATE TO ASK THE FAMILY?

- WHAT WORKED BEST FOR MOVING THE PATIENT THE LAST TIME HE WAS TRANSPORTED BY AMBULANCE? - HOW DO YOU NORMALLY MOVE THE PATIENT?

WHAT ARE THE CONSIDERATIONS FOR LIFTING?

...

TRADITIONALLY AN APGNAR SCORE IS TAKEN AT WHAT TIME INTERVALS ARE BIRTH?

1 AND 5 MINUTES

AFTER ACTIVATING THE AUTO-INJECTOR, HOW LONG SHOULD IT BE HELD IN PLACE BEFORE REMOVING IT FROM THE PATIENTS THIGH?

10 SECONDS

A 6 year old male, who weighs 40 pounds, ingested a bottle of aspirin approximately 20 minutes ago. Medical control orders you to administer activated charcoal in a dose of 1 g/kg. How much activated charcoal will you administer?

18 g

A 40-year old patient sustained full=thickness burns to the entire head, anterior chest, and both anterior upper extremities. Using the adult Rule of Nines, what percentage of the patient's body surface area has been burned?

27%

THE OXYGEN FLOW RATE FOR A NASAL CANNULA SHOULD NOT EXCEED HOW MANY LPM?

6

HOW MANY CERVICAL VERTEBRAE ARE THERE?

7

THE TRENDELENBURG POSITION WOULD BE USED TO TRANSPORT WHAT TYPE OF PATIENT?

A PATIENT IN SHOCK

WHICH OF THE FOLLOWING BEST DESCRIBES THE MEDICAL CONDITION OF SHOCK?

A STATE OF INADEQUATE TISSUE PERFUSION

TO BE COMPASSIONATE AND EMPATHETIC, TO BE ACCURATE WITH INTERVIEWS, AND ATO INSPIRE CONFIDENCE ARE ALL EXAMPLES OF WHICH OF THE PERSONAL TRAITS OF A QUALITY EMT?

ABLE TO LISTEN TO OTHERS

THE TRANSITION FROM CHILDHOOD TO ADULT IS KNOWN AS WHICH OF THE FOLLOWING?

ADOLESCENT

A PATIENT WHO HAS SHALLOW, SLOW IRREGULAR GASPOING BREATHS IS SAID TO HAVE _______________ RESPIRATIONS?

AGONAL

REGARDING THE USE OF EMERGENCY SIRENS, WHICH OF THE FOLLOWING IS FALSE?

AMBULANCE OPERATIONS ARE NOT AFFECTED BY SIREN NOISE

WHICH OF THE FOLLOWING DESCRIBES THE MIDLINE OF THE BODY?

AN IMAGINARY LINE DIVIDING THE BODY INTO EQUAL RIGHT AND LEFT HALVES

WHAT IS ANOHER NAME FOR AN ALLERGIC REACTION?

ANAPHYLAXIS

A TEENAGE MALE HAS FALLEN ONTO A RAILING WHILE SKATEBOARDING. HE COMPLAINS OF RIGHT-SIDED CHEST PAIN AND MODERATE DYSPNEA. EXPOSURE OF THE CHEST REVEALS A SECTION OF HIS RIBS THA TIS MOVING OPPOSITE OF THE REST OF THE RIBS. YOU SHOULD?

APPLY A BULKY DRESSING OVER THE SECTION

IN ASSESSING A PATIENT'S BREATHING, WHAT IS YOUR FIRST QUESTION?

ARE THEY BREATHING?

WHERE DO BASELINE VITAL SIGNS FIT INTO THE SEQUENCE OF PATIENT ASSESSMENT?

AT SECONDARY ASSESSMENT

WHICH OF THE FOLLOWING INHALERS WOULD NOT BE USED TO REVERSE AN ASTHMA ATTACK?

BECLOMETHOSONE

WHICH OF THE FOLLOWING DESCRIBES AN OPEN EXTREMITY INJURY?

BONE TISSUES HAVE LACERATED FROM THE INSIDE

THE PATHOPHYSIOLOGY OF __________________ IS ONE IN WHICH THE PERICARDIAL SAC FILLS WITH BLOOD TO THE POINT WHERE THE CHAMBERS OF THE HEART NO LONGER FILL ADEQUATELY, USUALLY SECONDARY TO TRAUMA.

CARDIAC TAMPONADE

YOU HAVE ARRIVED AT THE SCENE OF A CALL A "MAN DOWN." AS YOU ENTER THE RESIDENCE YOU NOTE THAT YOUR PATIENT IS MALE IN HIS MID-60S WHO IS AWAKE BUT DOESN NOT SEEMS TO ACKNOWLEDGE YOU PRESENCE. HE IS PERSPIRING PROFUSELY, HAS CYANOSIS OF HIS EARS AND LIPS, AND HAS RAPID, SHALLOW RESPIRATIONS. WHICH OF THE FOLLOWING SHOULD YOU DO FIRST?

CHECK FOR A RADIAL PULSE

WHICH OF THE FOLLOWING DESCRIBES THE NORMAL APPEARANCE OF AMNIOTIC FLUID?

CLEAR AND COLORLESS FLUID

A YOUNG FEMALE WAS INJURED IN AN AUTOMOBILE WRECK, STRIKING HER HEAD ON THE WINDSHIELD. SHE IS UNCONSCIOUS AND HER BREATHING IS IRREGULAR. SHE IS BLEEDING FROM A SCALP WOUND, BUT YOUR ASSESSMENT SHOWS THAT HER CRANIUM IS INTACT. HER VITAL SIGNS ARE PULSE 68, BP 148/90, AND HER PUPILS ARE UNEQUAL. YOU SHOULD SUSPECT?

CLOSED HEAD INJURY

IN WHICH OF THE FOLLOWING ZONES IS THE EMT EXPECTED TO BE STAGES AT THE SCENE OF A HAZARDOUS MATERIALS INCIDENT?

COLD ZONE

WHAT ARE THE SIGNS OF HYPOXIA?

COMMONLY SEEN AS BLUE OR GRAY SKIN, DETERIORATION OF PATIENT'S MENTAL STATUS LIKE CONFUSION OR RESTLESSNESS

WHICH OF THE FOLLOWING CHEMICAL AGENTS PROHIBITS THE USE OF OXYGEN IN THE CELLS?

CYANIDE

BARBITURATES MAY BE REFERRED TO AS WHICH OF THE FOLLOWING?

DOWNERS

OPERATIONS OF EMERGENCY VEHICLES MUST DRIVE WITH THE SAFETY OF OTHERS IN MIND. THIS IS KNOWN AS....

DRIVING WITH DUE REGARD

WHICH OF THE FOLLOWING BEST DESCRIBES THE EMTS INTENDED ROLE IN THE IDEAL PROVISIONS OF EMERGENCY CARDIAC CARE?

EARLY DEFIBRILLATION

DURING THE NEW EMPLOYEE ORIENTATION, THE TRAINING OFFICER MEETS WITH THE NEW EMTS AND EXPLAINS TO THEM THE MONTHLY TRAINING SCHEDULE AND THE CLASSES THEY MUST ATTEND FOR EMT RECERTIFICATION. ONE OF THE NEW EMTS ASKS THE TRAINING OFFICER WHY THEY HAVE TO KEEP TAKING EMT COURSES IF THEY ALREADY PASED THE MET EXAMINATION. WHAT IS THE BEST ANSWER?

EMS IS CONSTANTLY EVOLVING IN RESPONSE TO EVIDENCE BASED RESEARCH

A PATIENT WITH MULTIPLE LONG-BONE FRACTURES OF THE EXTREMITIES SHOULD BE A HIGH PRIORITY FOR TRANSPORT AND SHOULD BE TREATED?

EN ROUTE TO THE HOSPITAL

HOW OFTEN SHOULD THE EMT REASSESS THE VITAL SIGNS OF AN UNSTABLE PATIENT?

EVERY 5 MINUTES

WHICH OF THE FOLLOWING IS FALSE REGARDING THE PURPOSE OF IMMEDIATELY DOCUMENTING VITAL SIGNS ONCE THEY ARE OBTAINED?

FAILURE TO RECORD IS FALSIFYING THE RECORD

WHAT IS IT CALLED WHEN A PATIENT DESCRIBES HOW HE FEELS?

HIS SYMPTOMS

WHEN CARBON DIOXIDE IS NOT EXCHANGED, THE NET RESULT IS HIGH CARBON DIOXIDE, A CONDITION CALLED _____________, WITHIN THE BODY.

HYPERCAPNIA

TWO CHRONIC MEDICAL CONDITIONS THAT DIALYSIS PATIENTS FREQUENTLY HAVE IN ADDITION TO KIDNEY FAILURE ARE _________ AND __________.

HYPERTENSION DIABETES

WHICH OF THE FOLLOWING CAUSES WORSENING OF THE DAMAGE IN A BRAIN INJURY?

IMPROPER MANAGEMENT OF AIRWAY AND VENTILATION

THE MEDICATIONS THAT TRANSPLANT PATIENTS NEED TO TAKE FOR THE REST OF THEIR LIVES TO PREVENT ORGAN REJECTION ALSO OFTEN LEAD TO HIGH SUSCEPTIBILITY OF...

INFECTION

BEFORE APPLYING A NRM, THE EMT SHOULD TAKE WHAT ACTION?

INFLATE THE RESERVOIR BAG 1/3 OF THE WAY

CARBON MONOXIDE POISONING OCCURS BY WHICH OF THE FOLLOWING ROUTES?

INHALATION

YOU ARE TREATING A 54 Y.O. FEMALE PATIENT WHO WAS INVOLVED IN A DOMESTIC DISPUTE; YOU NOTICE AN ABRASION TO THE SIDE OF HER HEAD. THE PATIENT IS UNRESPONSIVE WITH A BLOOD PRESSURE OF 200/110, A PULSE OF 60 BEATS PER MINUTE, SLIGHTLY IRREGULAR BREATHING. THE PATIENT'S PRESENTATION IS MOST LIKELY CAUSED BY WHICH OF THE FOLLOWING?

INTERCRANIAL PRESSURE

WHAT DO DIALATED PUPILS LOOK LIKE?

LARGER THAN NORMAL

YOU HAVE JUST ADMINISTER NITROGLYCERIN TO A 68 Y.O. PATIENT. WITHIN A FEW MINUTES, SHE COMPLAIN OF FEELING FAINT AND LIGHTHEADED, BUT STATES THAT SHE IS STILL HAVING SOME CHEST PAIN. WHICH OF THE FOLLOWING WOULD BE THE BEST SEQUENCE OF ACTIONS?

LOWER THE HEAD OF THE STRETCHER AND TAKE THE PATIENTS BLOOD PRESSURE

CHEMICAL COLD PACKS ARE CARRIED ON THE AMBULANCE FOR TREATMENT OF WHICH OF THE FOLLOWING?

MUSCULOSKELETAL INJURIES

WHAT IS THE CORRECT ORDER OF AIR FLOW FROM THE NOSE TO THE ALVEOLI IN THE LUNGS

NOSE NASOPHARYNX PHARYNX HYPO PHARYNX LARYNX TRACHEA BRONCHI ALVEOLI

WHEN YOU PLACE YOUR FINGER IN AN INFANT'S PALM, SHE GRASPS IT WITH HER FINGERS. THIS IS AN EXAMPLE OF WHICH REFLEX?

PALMAR REFLEX

TO EXHALE, THE DIAPHRAGM AND INTERCOSTAL MUSCLES RELAX TO CONTRACT THE CHEST, WHICH CREATES A POSITIVE PRESSURE. THE IS WHAT TYPE OF PROCESS?

PASSIVE

WHAT BEST DEFINES THE EVALUATION OF THE PATIENT'S CONDITION IN ORDER TO PROVIDE EMERGENCY CARE?

PATIENT ASSESSMENT

BURNS POSE A GREATER RISK TO INFANTS AND CHILDREN FOR WHICH OF THE FOLLOWING REASONS?

PEDIATRIC PATIENTS HAVE A GREATER RISK OF SHOCK FROM THE BURN

WHAT IS THE ADEQUATE CIRCULATION OF BLOOD THROUGHOUT THE BODY, WHICH FILLS THE CAPILLARIES AND SUPPLIES THE CELLS AND TISSUES OXYGEN AND NUTRIENTS?

PERFUSION

WHICH OF THE FOLLOWING BEST DESCRIBES THE DELIVERY OF O2 AND NUTRIENTS AT THE BODY'S CELLULAR LEVEL?

PERFUSION

WHAT IS THE EMTS HIGHEST PRIORITY AT THE SCENE OF A HAZARDOUS MATERIALS INCIDENT?

PERSONAL SAFETY

WHEN CHECKING BREATH SOUNDS IN A TRAUMA PATIENT, WHAT SHOULD THE MET ASSESS FOR FIRST?

PRESENCE AND EQUALITY

YOU ARRIVE ON THE SCENE OF THE 55 Y.O. MALE PATIENT. THE PATIENTS WIFE CALLED 911 BECAUSE HE IS HAVING CHEST PAINS. THE PATIENT IS VERY ANGRY WITH HIS WIFE FOR CALLING 911 BECAUSE HE STATES HE ONLY HAS HEARTBURN AND ADAMANTLY REFUSES ANY TREATMENT OR TRANSPORT. AFTER SIGING THE PATIENT REFUSAL FORM, THE PAITEN COLLAPSES AND GOES INTO SUDDEN CARDIAC ARREST. THE WIFE IS CRYING UNCONTROLLABLY AND BEGGING YOU TO DO SOMETHING. WHAT SHOULD YOU DO?

PROVIDE EMERGENCY CARE UNDER IMPLIED CONSENTS

YOU ARE TREATING A 57 Y.O. MALE FOR CHEST PAIN. YOU HAVE GATHERED ALL PERTINENT HISTORY OF PRESENT ILLNESS, COMPLETED TWO SETS OF VITALS, TALKED WITH MEDICAL DIRECTION, AND ASSISTED THE PATIENT WITH TWO DOESES OF HIS NITROGLYCERIN. DETERMINATION OF WHETHER OR NOT THE NITROGLYCERIN WAS EFFECTIVE IS ASSESSED DURING THE:

REASSESSMENT

WHAT IS THE PRIMARY EFFECT ON THE BODY WHEN AN EMT ASSISTS A PATIENT WITH A PRESCRIBED INHALER IF THE PATIENT IS SHORT OF BREATH?

RELAXATION OF THE BRONCHIOLES

WHEN CONTROLLING THE SCENE OF AN EMERGENCY INVOLVING DAMAGED POWER POLES AND DONED ELECTRICAL WIRES, THE EMT MUST REMEMBER TO:

REQUEST APPROPRIATE PERSONNEL TO CUTE THE POWER SOURCE

WHICH OF THE FOLLOWING IS NOT A BENEFT OF SPLINTING AN INJURY TO BONES AND CONNECTIVE TISSUES?

RESTRICT BLOOD FLOW TO THE SITE OF INJURY TO PREVENT SWELLING

WHICH ABDOMINAL QUADRANT CONTAINS THE APPENDIX?

RIGHT LOWER

AN EMT INVOLVED IN AN ESPECIALLY DIFFICULT CALL, SUCH AS ONE IN WHICH A COWORKER WAS KILLED SHOULD BE URGED TO ....

SEEK HELP FROM A TRAINED MENTAL HEALTH PROFESSIONAL

EPINEPHRINE DELIVERED BY AUTO INJECTOR MAY BE INDICATED FOR PATIENTS WITH WHICH OF THE FOLLOWING CONDITIONS?

SEVERE ALLERGIES TO PEANUT, SHELLFISH, PENICILLIN, OR BEE STINGS

EXPERT CLINICIANS MAY USE DIFFERENT APPROACHES OF THINKING THROUGH PROBLEMS, BUT WHICH OF THE FOLLOWING WILL THEY HAVE IN COMMON?

STRONG FOUNDATION OF KNOWLEDGE

YOU FIND A TEENAGE MALE LYING SUPINE IN HIS BEDROOM. YOU HEAR GURGLING SOUNDS FROM THE PATIENT'S MOUTH AND SEE VOMIT WITH PILL FRAGMENTS ON THE FLOOR. YOU SHOULD:

SUCTION THE AIRWAY

FAINTING

SYNCOPE

WHAT IS IT CALLED WHEN THE HEART CONTRACTS AND FORCES BLOOD INTO THE ARTERIES, THE PRESSURE IS CREATED?

SYSTOLIC BLOOD PRESSURE

A 9-year-old girl was struck by a car while she was crossing the street and is displaying signs of shock. During your assessment, you note a large contusion over the left upper quadrant of her abdomen. Which of the following organs has most likely been injured?

Spleen

IN THE PRIMARY ASSESSMENT, WHICH OF THE FOLLOWING IS NOT AN ACCEPTABLE METHOD OF ASSESSING THE PATIENT'S CIRCULATORY STATUS?

TAKING A BLOOD PRESSURE READING

WHEN GROSSLY DECONTAMINATING A PATIENT WHO IS NOT WEARING PPE IN A HAZARDOUS MATERIALS INCIDENT, WHICH OF THE FOLLOWING TECHNIQUES SHOULD BE USED?

TAKING A LOW PRESSURE DECONTAMINATION SHOWER

WHEN USING THE AED, WHICH OF THE FOLLOWING PEOPLE IS RESPONSIBLE FOR CALLING TO "CLEAR" THE PATIENT BEFORE DELIVERING A SHOCK?

THE EMT OPERATING THE DEFIBRILLATOR

WHEN GIVING A RADIO REPORT TO THE HOSPITAL, WHICH OF THE FOLLOWING SHOULD BE STATED FIRST?

THE PATIENT IS A 55 Y.O. MALE

IN WHICH OF THE FOLLOWING SITUATIONS HSOULD AN EMT WITHHOLD RESUSCITATIVE MEASURES FROM A PATIENT IN CARDIAC ARREST?

THE PATIENT'S CAREGIVER PRESENTS A DNR ORDER SIGNED BY THE PATIENT AND HIS PHYSICIAN

WHICH OF THE FOLLOWING BEST DESCRIBES THE PURPOSE OF THE ODERN EMERGENCY MEDICAL SERVICES (EMS) SYSTEM?

TO HAVE TRAINED PERSONNEL RESPOND QUICKLY AND PROVIDE EMERGENCY CARE ON THE SCENE, DURING TRANSPORT, AND AT THE HOSPITAL

MRS THOMAS CALLS 911 FOR HER 9 MONTH OLD BABY, ELIZA, WHO IS LISTLESS AND PALE. SHE TELLS YOU THAT THE BABY OVERSLEPT THIS MORNING AND HSE HAD A HARD TIME WAKING HER UP. MRS THOMAS IS VERY DISTRAUGHT WORRYING ABOUT THE BABY. WHAT SHOULD YOU DO NEXT?

TRY TO GET SOME CURRENT HISTORY FROM THE MOTHER

IF THE BABY'S UMBILICAL CORD IS NOTED TO BE WRAPPED AROUND HIS NECK AFTER THE HEAD IS DELIVERED, WHICH OF THE FOLLOWING SHOULD BE DONE?

TRY TO SLIP THE CORD OVER THE BABY'S HEAD AND SHOULDERS

YOU ARE TREATING A PATIENT WHO HAS A PRODUCTIVE COUGH AND WHO REPORTS WEIGHT LOSS, LOSS OF APPETITE, WEAKNESS, NIGHT SWEATS, AND FEVER. WHICH OF THE FOLLOWING DISEASES IS MOST LIKELY THE CAUSE OF THE SE SIGNS AND SYMPTOMS?

TUBERCULOSIS

WHICH OF THE FOLLOWING BEST DESCRIBES STATUS EPILEPTICUS?

TWO OR MORE SEIZURES WITH TONIC CLONIC ACTIVITY WITHOUT AN INTERVENING PERIOD OF CONSCIOUSNESS

WHICH OF THE FOLLOWING IS NOT A CLASSIFICATION OF THE SEVERITY OF SHOCK?

UNCOMPENSATED

THE MUSCULAR ORGAN IN WHICH A BABY DEVELOPS DURING PREGNANCY?

UTERUS

WHICH OF THE FOLLOWING IS NOT A REASON THAT AN AED MAY INDICATE THAT THERE IS "NO SHOCK ADVISED"?

VENTRICULAR FIBRILLATION

WHEN DOES RESPIRATORY DISTRESS CHANGE TO RESPIRATORY FAILURE?

WHEN THE RESPIRATORY CHALLENGE CONTINUES, THE SYSTEMS CANNOT KEEP UP WITH THE DEMAND, AND SKIN COLOR AND MENTAL STATUS CHANGE

After removing a patient from the water, your assessment reveals that the patient is breathing inadequately and is continuously regurgitating large quantities of water. You should manage this patient by

alternating suctioining with artificial ventilations

A 30 year old woman has sever lower abdominal pain and light vaginal bleeding. She tells you that her last menstrual period was 2 months ago. On the basis of these findings, you should suspect

an ectopic pregnancy

After the delivery of the defibrillation with the AED, the patient has a return of a pulse. You should next

assess the airway and ventilatory status

A 75 year old man has generalized weakness and chest pain. He has a bottle of prescribed nitroglycerin and he states that he has not taken any of his medication. After initiating oxygen therapy, you should next

complete a focused physical examination, including obtaining baseline vital signs.

As you are performing CPR on an elderly man, his wife presents you with a "do not resuscitate" order. Your most appropriate course of action is to

continue CPR until medical control is notified

The AED analyzes your pulseless and apneic patient's cardiac rhythm and advises that a shock is indicated. You should

ensure that nobody is touching the patient

A 56-year-old man with a history of cardiac problems reports pain in the upper midabdominal area. This region of the abdomen is called the

epigastrium

A 42- year old man was ejected from his car after it struck a bridge pillar at a high rate of speed. You find him lying approximately 50' from the car. After manually stabilizing his head, your next action should be to

grasp the angles of the jaw and lift

As you are providing initial ventilations to a patient with apnea using a bag-valve-mask device, you note minimal rise of the chest. You should next

increase the volume of the ventilations

After an initial attempt to ventilate a patient fails, you reposition the patient's head and reattempt ventilation without success. You should next

initiate airway obstruction removal techniques and provide transport

An 80-year old woman has pain in the right upper quadrant of her abdomen and a yellowish tinge to her skin. You should suspect dysfunction of the

liver

A 5 year old boy complains of pain to the right lower quadrant of his abdomen. Correct assessment of this child's abdomen includes

palpating the left upper quadrant first

As you assess a 56-year old man, you note that he is pulseless and apneic. As your partner gets the AED from the ambulance, you should

perform CPR until the AED is ready to use

After assisting a patient with her epinephrine auto-injector, you should dispose of the device by

placing the device in a puncture proof container

A 56-year old man has labored, shallow breathing at a rate of 28 breaths/min. He is conscious, but extremely restless. Airway management should consist of

positive pressure ventilation

A 60-year-old woman is experiencing severe respiratory distress. When you ask her a question, she can only say two words at a time. You should manage this patient by

providing positive pressure ventilations.