Quiz 5 & 6

Acute coronary syndrome (ACS) is a term used to describe:

A group of symptoms that are caused by myocardial ischemia.

A sign of respiratory distress seen in the neck is:

Accessory muscle use.

Which of the following will MOST reliably allow you to determine the nature of a patient's illness?

Asking questions related to the chief complaint.

When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine:

When the patient last appeared normal.

In what are of the lungs does respiration occur?

Alveoli

When forming a general impression of a patient with a medical complaint, it is important to remember that:

The conditions of many medical patients may not appear serious at first.

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:

Administer oxygen with the appropriate device.

Which of the following medications is commonly given to patients with chest pain to prevent blood clots from forming or getting bigger?

Aspirin

Narrowing of the coronary arteries caused by a buildup of fatty deposits is called:

Atherosclerosis

The head and brain receive their supply of oxygenated blood from the:

Carotid arteries.

The three major parts of the brain are the:

Cerebrum, cerebellum, and brain stem.

Which of the following is NOT a function of the sympathetic nervous system?

Constriction of blood vessels in the muscles.

Patients with tuberculosis pose the greatest risk for transmitting the disease when they:

Cough

A 30-year-old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all lung fields. His blood pressure is 90/50 mm Hg, and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen, the MOST important treatment for this patient is:

Epinephrine

Nitroglycerin relieves cardiac-related chest pain by:

Dilating the coronary arteries and improving cardiac blood flow.

Common side effect of nitroglycerin include all of the following, EXCEPT:

Hypertension

Which of the following medications would the EMT be LEAST likely to administer to a patient with a medical complaint?

Ibuprofen

Asthma is caused by a response of the:

Immune system.

You are dispatched to an apartment complex where a 21-year-old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respirations. You should:

Insert a nasopharyngeal airway and begin assisted ventilation.

The two processes that occur during respiration are:

Inspiration and expiration.

You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient exhales, and before inhaling, the patient should put his or her lips around the inhaler, take a deep breath, and depress the inhale. You should:

Instruct him to hold his breath for as long as he comfortably can.

The AED is MOST advantageous to the EMT because:

It delivers prompt defibrillation to patients with ventricular fibrillation

What is the function of the left atrium?

It receives oxygenated blood from lungs.

You are assessing a patient with respiratory distress and are unsure if the cause is congestive heart failure or chronic obstructive pulmonary disease (COPD). Which of the following clinical signs would be the MOST helpful in determining whether the patient has chronic heart failure or COPD?

Jugular vein distention

A patient with an altered mental status is:

Not thinking clearly or is incapable of being aroused

Which of the following assessments findings is MOST indicative of a cardiovascular problem?

Jugular venous distention.

It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ______ problem.

Neurologic

Which of the following is characteristic of a focal-onset aware seizure?

Normal level of consciousness

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:

Obtain a manual blood pressure.

Your EMS team is performing CPR on a 60-year-old male in a cardiac arrest. You connect the AED, push the analyzed buttons, and receive a "no shock advised" message. You should:

Perform CPR for 2 minutes and reassess.

Status epilepticus is characterized by:

Prolonged seizures without a return of consciousness

Deoxygenated blood from the body returns to the:

Right atrium

Treatment with continuous positive airway pressure (CPAP) would most likely be contraindicated in which of the following situations?

Shortness of breath and a blood pressure of 76/56 mm Hg.

The electrical impulses generated by the heart originates in the:

Sinus node

When assessing for fluid collection in the lungs during auscultation of lung sounds, you should:

Start at the lower lung fields and determine at which level you start hearing clear breath sounds.

You are caring for a 70-year-old female with signs and symptoms of an acute stroke. She is conscious, has secretions in her mouth, is breathing at a normal rate with adequate depth, and has an oxygen saturation of 96%. You should:

Suction her oropharynx and transport immediately.

Acute pulmonary edema would MOST likely develop as a result of:

Toxic chemical inhalation.

The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia:

Usually have an altered mental status or decreased level of consciousness

Which of the following cardiac dysrhythmias has the greatest chance of deteriorating into a pulse less rhythm?

Ventricular tachycardia

An index of suspicion is MOST accurately defined as:

Your awareness and concern for potentially serious underlying and unseen injuries or illness.