EMT-JBL Mid Term Questions and Answers

EMT-JBL Mid Term Questions and Answers .[blank] pressure is the pressure exerted by a - ANSWER-Hydrostatic .A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child's parents arrive at the scene, they demand to see him. You should: - ANSWER-advise the that their son had severly disfiguring injuries and ask them if there is anyone they would like you to contact first. .A 19-year-old male was stung multiple times by fire ants. He is experencing obvious signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give him epinephrine via intramuscular injection. Upon reassessment, you determine that his condition has not improved. You should: - ANSWER-repeat the epinephrine injection after consulting with medical control .A 22-year-old female patient is complaing of dyspnea and numbness and tingling in her hands and feet after an arguement with her fiance. Her respirations are 40 breaths/min. You should: - ANSWER-provide reassurance and give oxygen as needed .A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway? - ANSWER-Alternating 15 seconds of oral suctioning with 2 minutes of assisted ventilation .A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremeties on command, His Glasgow Coma Scale (GCS) score is: - ANSWER-13 .A 37-year-old is found unresponsive in his car. His airway is patent and his repirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication suggests that the patient has a history of: - ANSWER-asthma .A 40 yr old man is in cardiac arrest. Your partner is performing CPR. You are attaching the AED when the patients wife tells you that he has an automatic implanted cardiac defibrillator (AICD). The AED advises that shock is indicated. What should you do? - ANSWER-Deliever the shock followed by the immediate resumption of CPR .A 50-year-old male presents with altered mental status. His wife tells you that he had a "small stroke" three years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should: - ANSWER-prepare for immediate transport .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: - ANSWER-administer oxygen via a nonrebreathing mask. .A 56-year-old male is found unresponsive by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. 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 the patient's present condition is: - ANSWER-cardiogenic hypoperfusion .A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and with an oxygen saturation of 82%. When you ausculate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two-to- three word sentences at a time. You should: - ANSWER-apply a CPAP device, monitor his blood pressure, and observe him for signs of improvement or deterioration .A 67-year-old female presents with difficulty breathing in chest discomfort that awaken her from her sleep. She states that she has congestive heart failure, has had two previoud heart attacks, and has been prescribed nitroglycerin. She is conscious and alert with adequate breathing. Her blood pressure is 94/64 mm Hg and her heart rate is 120 beats/min. Treatment for this patient includes: - ANSWER-placing her in an uprght position .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 adewuate depth and her heart rate is 120 beats/min. Which od the following is NOT indicated for this patient? - ANSWER-Gentle palpatation of the pelvis .A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. You should: - ANSWER-recall that geriatric patients often have a slower absorption and elimination time, which may necessitate modification of the dosing of certain drugs .A 75-year old male with a terminal illness has died at home. As you and your partner wnter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should: - ANSWER-retreat and notify law enforcemnet personnel .A blood pressure cuff that is too small for a patient's arm will give a: - ANSWER-falsely high systolic and diastolic reading .A common side effect of nitroglycerin include all of the following, EXCEPT - ANSWER-hypertension .A crackling sound produced by air bubbles under the skin is called: - ANSWER-subcutaneous emphysema .A critical incident stress debriefing should be conducted no more than _________ hours following the incident - ANSWER-72 .A decrease in blood pressure may indicate: - ANSWER-loss of vascular tone .A mucsal atomizer device (MAD) is used to deliver certain medications via the: - ANSWER-intranasal route .A nasopharyngeal airway is inserted: - ANSWER-with the bevel facing the septum if inserted into the right nare .A pateint's refusal of EMS treatment and/or transport must be: - ANSWER-an informed refusal .A patient is sitting in a chair, leaning forward on his outstretched arms. His head and chin are thrust forward. This position indicates that he: - ANSWER-is experincing difficulty breathing .A patient regains consciousness en route from his office to the emergency department. The pateint tells you that he feels fine but does not want to go to the hospital. Under these circumstances, you should: - ANSWER-assess whether the patient's mental condition is impaired .A patient with profuse sweating is referred to as being: - ANSWER-diaphoretic .A patient with spintaneous respirations is breathing: - ANSWER-without assistance .A percutaneous transluminal coronary angioplasty (PTCA) restores bloood flow to the ischemic myocardium by: - ANSWER-Dialating the affected coronary artery with a small inflatable balloon .A positive TB skin test indicates that: - ANSWER-you have been exposed to TB .A properly sized blood pressure cuff should cover: - ANSWER-two thirds the length from the armpit to the crease in the elbow. .A ventilation/perfusion (V/Q ratio) mismatched occurs when: - ANSWER-a diaphragm in blood flow inhibits the exchange of oxygen and carbon dioxide in the lungs, even though the alveoli are filled with fresh oxygen .A young male is unresponsive after overdosing on an opiod. He is not breathing and his pulse is weak. The EMT should immediately - ANSWER-Venilate with a BVM .According to Occupational Safety and Health Administration (OSHA) regulations, an employer must: - ANSWER-offer a workplace enviroment that reduces the risk of exposure .According to the Centers for Disease Control and Prevention (CDC), recommended immuizations and tests include a: - ANSWER-tetanus/diphtheria/pertussis booster every 10 years .According to the National EMS Scope of Practice Model, an EMT should be able to: a.) adminster epinephrine via the subcutaneous route b.) assist a patient with certain prescribed medications c.) insert a perioheral IV line and infuse fluids. d.) interpret a basic (ECG) rhythm and treat accordingly - ANSWER-b.) assist a patient with certain prescribed medications .According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: - ANSWER-insert a peripheral intravenous catheter .According to the terminal drop hypothesis: - ANSWER-mental function is presumed to decline in the 5 years preceding death .Activities such as walking, talking, and writing are regulated exclusively by the: - ANSWER-somatic nervous system .Acute coronary syndrome (ACS) is a term used to describe: - ANSWER-A group of symptoms that are caused by myocardial ischemia .Acute pulmonary edema would MOST likely develop as the result of: - ANSWER-toxic chemical inhalation .After assisting a patient with perscribed nitroglycerin, you should: - ANSWER-reasses his or her blood pressure within 5 minutes to detect hypotension .After performing a primary assessment, a rapid scan of the body should be performed in order to: - ANSWER-identify less-obvious injuries that require immediate treatment .After receiving online orders from medical control to perform a patient care intervention, you should: - ANSWER-report the order to medical control word for word .Age-related in the renal system result in: - ANSWER-a decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed .Alkalosis is a condition that occurs when: - ANSWER-blood acidity is reduced by excessive breathing. .All critical life functions are coordinated in which part of the brain? - ANSWER-Brain stem .An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient? - ANSWER-Leave her on her side and use blanket rolls to immobilize her to the long backboard