2024 EMT-JBL MID TERM EXAM
WITH CORRECT ANSWERS
When treating a patient who is trapped in a vehicle and covered with broken
glass, it is best to wear:
a.) Puncture-proof leather gloves over your latex gloves
b.)latex gloves with thick leather gloves underneath
c.)Firefighter gloves only, to perseve manual dexterity.
d.)Thick firefighter gloves over two pairs of latex gloves - CORRECT-
ANSWERSa.) Puncture-proof leather gloves over your latex gloves
The myocardium recieves oxygenated blood from the blank, which
originate(s) from the blank - CORRECT-ANSWERScoronary arteries, aorta
When the level of arterial carbon dioxide rises above normal: - CORRECT-
ANSWERSresperations increase in rate and depth
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 - CORRECT-
ANSWERSb.) assist a patient with certain prescribed medications
The AED has delievered a shock to an elderly man in cardiac arrest.
Following 2 minutes of CPR, you re-analyze the patients cardic rhythm and
recieve a "no shock advised" message. After futher resuscitation, you rstore
a palpable carotid pulse. Your next action should be: - CORRECT-
ANSWERSreassess airway and breathing and treat accordingly
When documenting a patient's description of his or her chest pain or
discomfort, the EMT should: - CORRECT-ANSWERSuse the patients own
words
The right coronary artery suppplies blood to the: - CORRECT-ANSWERSright
ventricle and inferior wall of the left ventricle
,Cardiogenic shock following AMI is caused by: - CORRECT-
ANSWERSdecreased pumping force of the heart muscle
Which of the following statements regarding nitroglycerin is correct -
CORRECT-ANSWERSnitroglycerin usually relieves anginal chest pain within 5
minutes
Most patients are instructed by their physician to take up to _______ doses of
nitroglycerin before calling EMS - CORRECT-ANSWERSthree
Dyspnea is MOST accurately defined as: - CORRECT-ANSWERSShortness of
breath or difficulty breathing.
During your treatmetn of a woman in cardiac arrest, you apply the AED,
analyze her cardiac rhythm, and recieve a "no shock advised" message. This
indicates that: - CORRECT-ANSWERSshe is not in a ventricular fibrillation
Which of the following statements regarding the pain associated with AMI is
correct: - CORRECT-ANSWERSIt can occur during exertion or when the
patient is a rest
You and you EMT partner are the first to arrive at the scene of an
unresponsive 70-year-old man. Your assessment reveals that he is apneic
and pulseless. A parametic unit is in route to the scene and will arrive in
approximently arrive in 5 min, you should: - CORRECT-ANSWERSBegin CPR,
apply AED, and deliever a shock if indicated
Sudden death following AMI is MOST often caused by: - CORRECT-
ANSWERSVentricular fibrillation
A percutaneous transluminal coronary angioplasty (PTCA) restores bloood
flow to the ischemic myocardium by: - CORRECT-ANSWERSDialating the
affected coronary artery with a small inflatable balloon
Which of the following is the MOST reliable method of estimating a patients
cardiac output: - CORRECT-ANSWERSAssess the heart rate and strength of
the pulse
Major risk factors for AMI include all of the following, EXCEPT: - CORRECT-
ANSWERSHypoglycemia
Which of the following cardiac dysrhythmias has the greatest chance of
deteriorating into a pulseless rhythm? - CORRECT-ANSWERSventricular
tachycardia
,Coomon sighs and symptoms of AMI include all the following except: -
CORRECT-ANSWERSpain exacerbated by breathing
It would be MOST appropriate for a patient to take his or her prescribed
nitroglycerin when experiencing - CORRECT-ANSWERSchest pain that does
not immediately subside with rest
Ventricular tachycardia causes hypotension because: - CORRECT-
ANSWERSthe left ventricle does not adequatly fill with blood
In contrast to the sympathetic nervous system, the parasympathetic nervous
system - CORRECT-ANSWERSslows the heart rate and respiratory rate
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: - CORRECT-ANSWERSprovide
reassurance and give oxygen as needed
Rapid labor breathing in a patient with signs and symptoms of AMI should
make you suspicious for: - CORRECT-ANSWERSCongestive heart failure
Acute coronary syndrome (ACS) is a term used to describe: - CORRECT-
ANSWERSA group of symptoms that are caused by myocardial ischemia
The MOST common error associated with the use of the AED is: - CORRECT-
ANSWERSfailure of the EMT to ensure the battery is charged
The inferior vena cava returns deoxygenated blood to the right side of the
heart from all the following areas EXCEPT the: - CORRECT-ANSWERSbrain
The illiac arteries immendiately subdivide into the - CORRECT-
ANSWERSfemoral arteries
When the myocardium requires more oxygen: - CORRECT-ANSWERSthe
arteries supplying the heart dilate.
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? - CORRECT-ANSWERSDeliever the shock
followed by the immediate resumption of CPR
You are dispatched to an apartment complex where a 21 yr old female has
apparently overdosed on several narcotic medications. She is semiconscious
and has slow, shallow respirations. You should: - CORRECT-ANSWERSInsert a
nasalpharyngeal airway and begin assisted ventilation
, Which of the follwoing statements regarding the AED and defibrillation is
correct? - CORRECT-ANSWERSThe AED will not analyze the rhythm of a
moving patient
Common signs and symptoms of acute hyperventilation syndrome include: -
CORRECT-ANSWERStachypnea and tingling in the extremities
Nitroglycerin relieves cardiac-related chest pain by - CORRECT-
ANSWERSdilating the coronary arteries and improving cardiac blood flow
Blood that is enjected from the right ventricle - CORRECT-ANSWERSflows into
the pulmonary arteries
In contrast to AMI, a dissecting aortic aneurysm: - CORRECT-ANSWERSoften
presents with pain that is maximal from the onset
Alkalosis is a condition that occurs when: - CORRECT-ANSWERSblood acidity
is reduced by excessive breathing.
Ischemic heart disease is defined as: - CORRECT-ANSWERSdecreased blood
flow to one or more portions of the myocardium.
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:
a.) apply a nasal cannula on the patient and a sterile surgical mask on
yourself.
b.) apply a sterile surgical mask on yourself and a HEPA respirator on a
patient
c.) remain at least 3 feet away from the patient and apply a surgical mask on
him.
d.) apply a nonrebreathing mask on the patient and a high-effciency
particulate air (HEPA) respirator on yourself. - CORRECT-ANSWERSd.) apply a
nonrebreathing mask on the patient and a high-effciency particulate air
(HEPA) respirator on yourself.
While transporting a woman with diabetes, you should inadvertently give
oral glucose even though her blood glucose level was high. You reassess the
patient and note that her condition did not change; she remained stable.
You should:
a.) notify law enforcement so they can file an incident report.
b.) contact medical control and notify them of the error.
c.) document the error and report it to your supervisor
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