Quiz 1 EMT
off-line
What type of medical direction do standing orders and protocols describe?
encouraging him to cough and transporting.
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes:
distal forearm.
A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He has possibly sustained a fracture of the:
hypoperfusion to the cells and tissues of the body.
Shock is the result of:
the cells function with adequate oxygen.
Large amounts of adenosine triphosphate (ATP) is generated when:
pulse strength.
Observations made when forming a general impression of a patient would include all of the following, EXCEPT:
cervical, thoracic, lumbar, sacral, coccyx
Select the areas of the spinal column in descending order.
administer 100% oxygen via a nonrebreathing mask.
A 51-year-old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min and regular. You should:
may cause harm or have no positive effect.
A drug is contraindicated for a patient when it:
blocks receptor sites and prevents other chemicals from attaching to them.
A medication with antagonistic properties is one that:
bilateral.
A patient has fractured both femurs. Anatomically, these injuries would be described as being:
your local EMS protocols.
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
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:
44%.
At a flow rate of 6 L/min, a nasal cannula can deliver an approximate oxygen concentration of up to:
16%
What percentage of exhaled oxygen is delivered during mouth-to-mask breathing without supplemental oxygen?
sensory
What set of nerves is responsible for carrying information from the body to the central nervous system?
expressed
What type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?
ensure that the patient can see you approaching him.
When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:
only one section of the chest rises on inspiration while another area falls
Which of the following MOST accurately describes paradoxical movement of the chest wall?
rapidly assessing a patient's respiratory status
Which of the following actions would NOT be performed during the scene size-up?
pulmonary
Which of the following arteries does NOT carry highly oxygenated blood?
dependent blood pooling
Which of the following is considered an obvious sign of death and would not require the initiation of CPR?
intravenous (IV)
Which of the following is the MOST rapidly acting medication administration route?
adequate rise of the chest when squeezing the bag
Which of the following is the MOST reliable indicator of adequately performed bag- mask ventilations in an apneic adult with a pulse?
immunity
Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?
kidney
Which of the following organs is NOT part of the digestive system?
reticular activating system
Your ability to remain awake is a function of the:
Oxygen and carbon dioxide diffuse across the alveolar walls and capillaries.
Which of the following statements regarding normal gas exchange in the lungs is correct?
A person has no voluntary control over smooth muscle.
Which of the following statements regarding smooth muscle is correct?
The ADA prohibits employers from failing to provide full and equal employment to the disabled.
Which of the following statements regarding the Americans with Disabilities Act (ADA) of 1990 is correct?
The kidneys eliminate toxic waste products from the body and control its balance of water and salt.
Which of the following statements regarding the kidneys is correct?
The MOI may allow you to predict the severity of a patient's injuries.
Which of the following statements regarding the mechanism of injury (MOI) is correct?
intranasal route.
A Mucosal Atomizer Device (MAD) is used to deliver certain medications via the:
rapid transport to a trauma center
A25-year-old unrestrained fernale 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 of the following interventions will provide this patient with the greatest chance for survival?
assist a patient with certain prescribed medications.
According to the National EMS Scope of Practice Model, an EMT should be able to:
ibuprofen.
Advil, Nuprin, and Motrin are brand (trade) names for the generic medication:
repeat the order to medical control word for word
After receiving online orders from medical control to perform a patient care intervention, you should:
deliver one breath every 6 seconds.
After the patient's airway is intubated during two-rescuer CPR, you should:
noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest.
Basic Life Support (BLS) is defined as:
widespread dilation of the blood vessels causes blood to pool in the vascular beds
Distributive shock occurs when:
It increases intrathoracic pressure, which decreases venous return to the heart and causes a decrease in cardiac output.
How does positive-pressure ventilation affect cardiac output?
Respiration is the process of gas exchange, whereas ventilation is the simple movement of air between the lungs and the environment.
How does respiration differ from ventilation?
contact the state EMS office and provide them with the required documentation.
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
between the skin and the muscle.
Subcutaneous injections deliver the medication:
Apex of the lung.
The actual exchange of oxygen and carbon dioxide occurs in the:
Foramen magnum.
The brain connects to the spinal cord through a large opening at the base of the skull called the:
inhalation.
The diaphragm and intercostal muscles contract during:
identify and rapidly treat all life-threatening conditions.
The goal of the primary assessment is to:
19 and 25 years.
The human body should be functioning at its optimal level between the ages of:
xiphoid process.
The inferior cartilaginous tip of the sternum is called the:
receive blood from the vena cava.
The primary function of the right atrium is to:
Survival rates decrease by 7% to 10% for each minute that V-Fib persists.
Which of the following statements regarding ventricular fibrillation (V-Fib) is MOST correct?
decreased physical activity, increased weight gain, and decreased insulin production
Why does the incidence of diabetes mellitus increase with age?
compressing the middle of the sternum.
You should deliver chest compressions to an unconscious adult patient in cardiac arrest by:
cardiogenic hypoperfusion.
A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is 90/50. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient's present condition is:
begin CPR until an AED is available.
A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should:
"Do you have any heart problems or take any medications?"
A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?
assisted ventilation, thermal management, and elevation of the lower extremities.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization and rapid transport, the MOST appropriate treatment for this patient includes:
crepitus
A crackling sound produced by air bubbles under the skin is called:
is unconscious, uninjured, and breathing adequately.
A patient should be placed in the recovery position when he or she:
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:
increasing the amount of delivered tidal volume.
All of the following will help minimize the risk of gastric distention when ventilating an apneic patient with a bag-mask device, EXCEPT:
supine
An intoxicated 40-year-old male is found lying face down. How would you document his body's position?
have pulmonary edema and can follow verbal commands.
CPAP is indicated for patients who
stroke volume and heart rate.
Cardiac output (CO) is affected by:
increased preload.
Cardiogenic shock may result from all of the following, EXCEPT:
respiratory arrest
In MOST cases, cardiopulmonary arrest in infants and children is caused by
hypothermia.
In an acute injury setting, neurogenic shock is commonly accompanied by:
not cutting through holes in clothing that were caused by weapons.
Maintaining the chain of evidence at the scene of a crime should include:
a cardiac arrhythmia.
Most prehospital cardiac arrests occur as the result of:
abduction.
Movement or motion away from the body's midline is called:
diffusion.
Oxygen and carbon dioxide pass across the alveolar membrane in the lungs through a process called:
Medical Director
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the
shrinkage of the brain.
The risk of bleeding in the skull, which increases with age, is MOST directly related to:
wash your hands in between patient contacts.
The simplest yet most effective method of preventing the spread of an infectious disease is to:
thoracic
Twelve pairs of ribs attach to what section of the spinal column?
animals or insects.
Vector-borne transmission of an infectious organism occurs via:
age-related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion.
When assessing an 80-year-old patient in shock, it is important to remember that:
brachial
When assessing the pulse of an unresponsive infant, you should palpate the artery.
repeat the primary assessment.
When performing a reassessment of your patient, you should first:
blood is shunted away from the skin.
When perfusion to the core of the body decreases:
tachycardia.
When the body senses a state of hypoperfusion, the sympathetic nervous system releases epinephrine, the effects of which include:
constricting
When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:
A patient can consent to transport but can legally refuse to be treated.
Which of the following general statements regarding consent is MOST correct?
cardiac tamponade
Which of the following injuries would MOST likely cause obstructive shock?
An infant's tongue is proportionately larger than an adult's.
Which of the following is an anatomic difference between children and adults?
a 61-year-old female who is unconscious with facial cyanosis
Which of the following scenarios does NOT involve the presence of any symptoms?
attempted suicide
Which of the following situations requires you to notify the appropriate authorities?
There is no vaccine against HIV infection
Which of the following statements regarding HIV is correct?
A mentally competent adult has the legal right to refuse EMS care and transport.
Which of the following statements regarding a patient refusal is MOST correct?
Anaerobic metabolism produces lactic acid and occurs when cellular oxygen is limited.
Which of the following statements regarding anaerobic metabolism is correct?
assist his ventilations with a bag-mask device.
You and your partner are treating a 66-year-old man who experienced a sudden onset of respiratory distress. He is conscious but is unable to follow simple verbal commands. Further assessment reveals that his breathing is severely labored and his oxygen saturation is 80%. You should:
anger
You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. What stage of the grieving process is this patient's behavior consistent with?
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:
apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:
seek a safe place and request law enforcement assistance.
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement "He has a gun!" Your MOST appropriate action should be to:
Transport the child immediately and have the parents meet you at the hospital.
You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13 year old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?
roll her onto her side and remove the oral airway.
You have inserted an oral airway and are ventilating an apneic woman with a bag-mask device. She suddenly begins regurgitating large amounts of vomit. You should:
apply direct pressure to the wound
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his Skin is diaphoretic. You should:
expressed
You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. What type of consent is her agreement considered?
