EMT MOD 5

Which of the following questions would you ask a patient to ascertain the "M" in the SAMPLE history? A. "How much Tylenol do you take each day?" B. "When was the last time you ate a meal?" C. "How long have you had your chest pain?" D. "Have you ever had any major surgeries?"

A. "How much Tylenol do you take each day?"

The rapid exam of a patient that occurs following the primary assessment should take no longer than: A. 60 to 90 seconds. B. 90 to 120 seconds. C. 30 seconds. D. 120 to 180 seconds.

A. 60 to 90 seconds.

A 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate depth and her heart rate is 120 beats/min. Which of the following is NOT indicated for this patient? A. Gentle palpation of the pelvis B. Rapid head-to-toe exam C. Application of a cervical collar D. Treating her for possible shock

A. Gentle palpation of the pelvis

Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called? A. Hand-held portable radio B. Land-base repeater station C. Multiplex base station D. Mobile repeater station

A. Hand-held portable radio

Which of the following actions would NOT be performed during the scene size-up? A. Rapidly assessing a patient's respiratory status B. Notifying the dispatcher to send fire personnel C. Noting the position of a crashed motor vehicle D. Asking a neighbor to secure the patient's dog

A. Rapidly assessing a patient's respiratory status

A patient's refusal of EMS treatment and/or transport must be: A. an informed refusal. B. reported to the police. C. witnessed by a notary. D. authorized by a judge.

A. an informed refusal.

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should: A. confirm with dispatch that you received the call information. B. ask the dispatcher if the patient is conscious or unconscious. C. ask the dispatcher to obtain a medical history from the caller. D. request that law enforcement secure the scene before you arrive.

A. confirm with dispatch that you received the call information.

When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called: A. cyanosis. B. mottling. C. pallor. D. flushing.

A. cyanosis.

During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT: A. discouraging the caller from providing care until the EMS unit arrives. B. selecting and notifying the correct EMS response units and personnel. C. coordinating responding EMS units with other public safety personnel. D. screening and assigning a priority to each call based on local protocols.

A. discouraging the caller from providing care until the EMS unit arrives.

As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should: A. respond only after giving a verbal patient report to a nurse or physician. B. place the patient in a high-visibility area and then respond to the call. C. leave a copy of the run form with a nurse and then respond to the call. D. inform the admissions clerk of the situation and then respond at once.

A. respond only after giving a verbal patient report to a nurse or physician.

Which of the following patient responses would establish the "E" in the SAMPLE history? A. "I am not having any difficulty breathing." B. "I was mowing the lawn when the pain began." C. "I was in the hospital a week ago." D. "The chest pain started about 45 minutes ago."

B. "I was mowing the lawn when the pain began."

For an adult, the normal resting pulse should be between: A. 50 and 70 beats/min. B. 60 and 100 beats/min. C. 70 and 110 beats/min. D. 50 and 60 beats/min.

B. 60 and 100 beats/min.

Which of the following is the MOST accurate guide to palpating a pulse? A. Use your thumb to increase the surface area that you are palpating. B. Place the tips of your index and long fingers over the pulse point. C. Avoid compressing the artery against a bone or solid structure. D. Apply firm pressure to the artery with your ring and little fingers.

B. Place the tips of your index and long fingers over the pulse point.

An elderly patient has fallen and hit her head. Your initial care should focus on: A. gathering medical history data. B. airway, breathing, and circulation. C. providing immediate transport. D. obtaining baseline vital signs.

B. airway, breathing, and circulation.

Normal skin color, temperature, and condition should be: A. pink, warm, and moist. B. pink, warm, and dry. C. pale, cool, and moist. D. flushed, cool, and dry.

B. pink, warm, and dry.

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: A. request a paramedic unit. B. provide assisted ventilation. C. apply a pulse oximeter. D. assess his blood pressure.

B. provide assisted ventilation.

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation. A. negligence B. slander C. assault D. libel

B. slander

You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should: A. perform CPR and transport the patient immediately. B. start CPR and attach the AED as soon as possible. C. notify dispatch and request a paramedic ambulance. D. ask the family if the patient has a terminal disease.

B. start CPR and attach the AED as soon as possible.

When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT: A. gross bleeding and tenderness. B. subcutaneous emphysema. C. open wounds or eviscerations. D. rigidity and obvious bleeding.

B. subcutaneous emphysema.

Reassessment is performed to determine all of the following, EXCEPT: A. the patient's response to your treatment. B. the reason why the patient called EMS. C. whether or not the patient is deteriorating. D. the nature of any newly identified problems.

B. the reason why the patient called EMS.

A patient with spontaneous respirations is breathing: A. without difficulty. B. without assistance. C. at a normal rate. D. with shallow depth.

B. without assistance.

When you assess capillary refill time in an infant, normal color to the tested area should return within: A. 3 seconds. B. 1 second. C. 2 seconds. D. 4 seconds.

C. 2 seconds.

Which of the following statements regarding a patient refusal is correct? A. A patient who consumed a few beers will likely be able to refuse EMS treatment. B. Documentation of proposed care is unnecessary if the patient refuses treatment. C. A mentally competent adult has the legal right to refuse EMS care and transport. D. Advice given to a patient who refuses EMS treatment should not be documented.

C. A mentally competent adult has the legal right to refuse EMS care and transport.

Which of the following conditions would be LEAST likely to cause an altered level of consciousness? A. Inadequate perfusion B. Poisoning C. Acute anxiety D. Drug overdose

C. Acute anxiety

Which of the following is NOT a function of the Federal Communications Commission (FCC)? A. Monitoring all radio traffic and conducting field spot checks B. Allocating specific radio frequencies for use by EMS providers C. Maintaining communications equipment on the ambulance D. Licensing base stations and assigning appropriate radio call signs

C. Maintaining communications equipment on the ambulance

When performing a rapid exam on a supine patient, what part of the body is typically assessed last? A. Anterior chest B. Extremities C. Posterior D. Abdomen

C. Posterior

Which of the following statements regarding the mechanism of injury (MOI) is correct? A. The exact location of a patient's injuries can be determined by the MOI. B. A nonsignificant MOI rules out the possibility of serious trauma. C. The MOI may allow you to predict the severity of a patient's injuries. D. A significant MOI always results in patient death or permanent disability.

C. The MOI may allow you to predict the severity of a patient's injuries.

Treatment and transport priorities at the scene of a mass-casualty incident should be determined after: A. area hospitals have been notified. B. a physician arrives at the scene. C. all the patients have been triaged. D. the number of patients is known.

C. all the patients have been triaged.

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should: A. ask him if he frequently experiences severe headaches and nausea. B. tell him that you cannot help him unless he answers your questions. C. allow him time to think about the question and respond to it. D. repeat your question because he probably did not hear you.

C. allow him time to think about the question and respond to it.

When palpating a patient's pulse, you note that it is grossly irregular. You should: A. count the pulse rate for at least 30 seconds to ensure accuracy. B. count the number of pulsations in 15 seconds and multiply by four. C. count the pulse rate for a full minute to obtain an accurate reading. D. count the number of pulsations in 30 seconds and multiply by two.

C. count the pulse rate for a full minute to obtain an accurate reading.

A patient with profuse sweating is referred to as being: A. edematous. B. flushed. C. diaphoretic. D. plethoric.

C. diaphoretic.

When approaching a 32-year-old male who is complaining of traumatic neck pain, you should: A. approach him from behind and ask him not to move. B. assess his mental status by having him move his head. C. ensure that the patient can see you approaching him. D. stand behind him and immediately stabilize his head.

C. ensure that the patient can see you approaching him.

After performing a primary assessment, a rapid exam of the body should be performed to: A. find and treat injuries or conditions that do not pose a threat to life. B. look specifically for signs and symptoms of inadequate perfusion. C. identify less-obvious injuries that require immediate treatment. D. determine the need for spinal motion restriction precautions.

C. identify less-obvious injuries that require immediate treatment.

The chief complaint is MOST accurately defined as the: A. gross physical signs that you detect on assessment. B. condition that exacerbates an underlying problem. C. most serious thing the patient is concerned about. D. most life-threatening condition that you discover.

C. most serious thing the patient is concerned about.

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: A. apply a pressure dressing to the patient's arm. B. apply a cervical collar and suction his airway. C. open his airway with the jaw-thrust maneuver. D. tilt the patient's head back and lift up on his chin.

C. open his airway with the jaw-thrust maneuver.

Pain that moves from its point of origin to another body location is said to be: A. provoking. B. palliating. C. radiating. D. referred.

C. radiating.

If a patient develops difficulty breathing after your primary assessment, you should immediately: A. determine his or her respiratory rate. B. auscultate his or her breath sounds. C. reevaluate his or her airway status. D. begin assisting his or her breathing.

C. reevaluate his or her airway status.

After receiving online orders from medical control to perform a patient care intervention, you should: A. perform the intervention as ordered. B. confirm the order in your own words. C. repeat the order to medical control word for word. D. ask the physician to repeat the order.

C. repeat the order to medical control word for word.

Which of the following statements is NOT appropriate to document in the narrative section of a PCR? A. "The patient admits to smoking marijuana earlier in the day." B. "Significant damage was noted to the front end of the vehicle." C. "After oxygen was administered, the patient's breathing improved." D. "General impression revealed that the patient was intoxicated."

D. "General impression revealed that the patient was intoxicated."

Which of the following questions is used to determine a patient's chief complaint? A. "Are you having trouble breathing?" B. "When did the chest pain begin?" C. "Do you have a history of diabetes?" D. "What seems to be the matter?"

D. "What seems to be the matter?"

Which of the following incidents does NOT require a report to be filed with local authorities? A. Gunshot wounds B. Animal bites C. Spousal abuse D. Cardiac arrest

D. Cardiac arrest

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do? A. Ask the husband if he wants to continue resuscitation. B. Perform CPR only and initiate immediate transport. C. Make continuous attempts to contact medical control. D. Follow locally established protocols or standing orders.

D. Follow locally established protocols or standing orders.

Which of the following MOST accurately describes paradoxical movement of the chest wall? A. One side of the chest wall moves opposite the direction of the other B. Multiple rib fractures that cause a marked deformity of the chest wall C. A marked decrease in chest wall movement due to abdominal breathing D. Only one section of the chest rises on inspiration, while another area falls

D. Only one section of the chest rises on inspiration, while another area falls

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should: A. carry out the order and then carefully document it on the run form. B. obtain consent from the patient and then carry out the order as usual. C. state that you will not carry out the order because it is inappropriate. D. advise the physician that the order is unclear and ask for clarification.

D. advise the physician that the order is unclear and ask for clarification.

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should: A. attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety. B. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability. C. reassure the child's mother that seizures in children are very common and that there is nothing to worry about. D. ask the father to hold the child so you can assess him while your partner tries to calm the mother.

D. ask the father to hold the child so you can assess him while your partner tries to calm the mother.

Upon arriving at a potentially unsafe scene, you should: A. remove all bystanders. B. move the patient to safety. C. request another ambulance. D. ensure that you are safe.

D. ensure that you are safe.

As you assess the head of a patient with a suspected spinal injury, your partner should: A. prepare the immobilization equipment. B. look in the ears for gross bleeding. C. assess the rest of the body for bleeding. D. maintain stabilization of the head.

D. maintain stabilization of the head.

When providing a patient report via radio, you should protect the patient's privacy by: A. withholding medical history data. B. using coded medical language. C. refraining from objective statements. D. not disclosing his or her name.

D. not disclosing his or her name.

The "Golden Hour" begins when an injury occurs and ends when: A. you depart the scene for the hospital. B. you arrive at the emergency department. C. the patient is admitted to the ICU. D. the patient receives definitive care.

D. the patient receives definitive care.

General guidelines for effective radio communications include all of the following, EXCEPT: A. acknowledging a transmission as soon as possible. B. holding the microphone about 2 to 3 inches from your mouth. C. speaking in a clear, calm, monotone voice. D. using 10 codes to ensure radio traffic confidentiality.

D. using 10 codes to ensure radio traffic confidentiality.