AAOS EMT Eleventh Edition Section 6:
Medical Exam
Assessment of the medical patient is usually focused on the _________. - Answer -
nature of illness
Most treatments provided in the prehospital setting are intended to _________. -
Answer -address the patient's symptoms
Most patients with an infectious disease will have _________. - Answer -a fever
Which of the following is bacterium resistant to most antibiotics and causes skin
abscesses? - Answer -MRSA
Which of the following conditions is NOT categorized as a psychiatric condition? -
Answer -Substance abuse
You and your EMT partner arrive at the residence of a 50-year-old man who complains
of weakness. Your primary assessment reveals that he is critically ill and will require
aggressive treatment. The closest hospital is 25 miles away. You should: - Answer -
manage all threats to airway, breathing, and circulation and consider requesting an ALS
unit.
When forming your general impression of a patient with a medical complaint, it is
important to remember that: - Answer -the conditions of many medical patients may not
appear serious at first.
When assessing a patient with a medical complaint, which of the following would MOST
likely reveal the cause of the problem? - Answer -Medical history / 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
When caring for a patient with an altered mental status and signs of circulatory
compromise, you should: - Answer -limit your time at the scene to 10 minutes or less, if
possible.
The determination of whether a medical patient is a high-priority or low-priority transport
is typically made: - Answer -after the primary assessment has been completed.
,In which of the following situations would it be MOST appropriate to utilize an air
medical transportation service? - Answer -61-year-old man with signs and symptoms of
a stroke and a ground transport time of 50 minutes
After sizing up the scene of a patient with a possible infectious disease, your next
priority should be to: - Answer -take standard precautions.
An infectious disease is MOST accurately defined as: - Answer -a medical condition
caused by the growth and spread of small, harmful organisms within the body.
Which of the following patients is at greatest risk for complications caused by the
influenza virus? - Answer -68-year-old woman with type 2 diabetes
The BEST way to prevent infection from whooping cough is to: - Answer -get vaccinated
against diphtheria, tetanus, and pertussis.
40. Ten days after treating a 34-year-old patient with tuberculosis, you are given a
tuberculin skin test, which yields a positive result. This MOST likely indicates that: -
Answer -you were exposed to another infected person prior to treating the 34-year-old
patient.
Hepatitis B is more virulent than hepatitis C, which means that it: - Answer -has a
greater ability to produce disease.
You are attending to a 27-year-old male driver of a car. According to his passenger, the
patient had been acting strangely while driving, then slumped forward against the
steering wheel, apparently unconscious. The car drove off the road and struck a
telephone pole. The patient remains unconscious, and physical assessment reveals
only a large hematoma on his right forehead with no other physical signs. Your patient
is a diabetic who had been under a lot of stress lately and may have missed meals. This
is an example of a: - Answer -combination of a medical and trauma emergency.
In 2009, the H1N1 virus accounted for over 200,000 deaths worldwide in the form of the
swine flu. In 1919, a similar outbreak of the H1N1 occurred in the form of the Spanish
flu. Starting in Kansas City, the virus spread rapidly worldwide, claiming up to 50 million
lives. These are both examples of: - Answer -pandemics.
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: - Answer -administer oxygen with the appropriate device.
In addition to looking for severe bleeding, assessment of circulation in the conscious
patient should involve: - Answer -checking the radial pulse and noting the color,
temperature, and condition of the skin. / When caring for a patient who takes numerous
, medications, it is best to: // take all of the patient's medications with you to the hospital
and document them on your patient care report.
The secondary assessment of a medical patient: - Answer -is not practical if the patient
is critically ill or your transport time is short.
When performing a secondary assessment on a conscious patient with nontraumatic
abdominal pain and stable vital signs, you should: - Answer -focus on his or her chief
complaint.
Which of the following assessment findings is MOST indicative of a cardiovascular
problem? - Answer -Jugular venous distention
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: - Answer -obtain a manual blood pressure.
End-tidal carbon dioxide (ETCO2) monitoring is clearly indicated for patients who
present with: - Answer -respiratory distress.
Reassessment of a patient with a medical complaint should begin by: - Answer -
repeating the primary assessment.
Which of the following medications would the EMT be LEAST likely to administer to a
patient with a medical complaint? - Answer -Ibuprofen
Patients with tuberculosis pose the greatest risk for transmitting the disease when they:
- Answer -cough.
In contrast to viral hepatitis, toxin-induced hepatitis: - Answer -is not a communicable
disease.
Which of the following statements regarding methicillin-resistant Staphylococcus aureus
(MRSA) is correct? - Answer -MRSA is a bacterium that causes infections and is
resistant to most antibiotics.
Your patient has a chronic respiratory condition. His stimulus to breathe is triggered by
low oxygen levels in the blood. This is known as the ___________. - Answer -hypoxic
drive
Which of the following must be assessed in every respiratory patient? - Answer -Lung
sounds
Crackles (rales) are caused by _________. - Answer -air passing through fluid
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