Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

EFSC EMT > 3A > Flashcards

3A Flashcards

You may prefer our related Brainscape-certified flashcards:
NREMT® EMT flashcards
1
Q

What portion of assessing will most reliably allow you to determine the nature of a patient’s illness?

A

Primary Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A 58 YOM complains of chest discomfort and nausea. He is conscious and alert, blood pressure is 140/90, pulse 104, respirations 16. He is on supplemental O2. You are considering administering Nitrostat, patient states that he took viagra last night. What would you do?

A

Ask what he takes, how much he took, when he took it last?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

You just completed your primary assessment of a 48 YOM who complains of “feels like an elephant is sitting on my chest”. He also states that he is having difficulty breathing, you have administered 324mg of asprin and a nasal cannula is flowing at 4LPM. You are in the back of your ambulance as you begin your secondary assessment. You notice that the patient’s mental condition has deteriorated, and he is bradycardic now. What would you do?

A

Immediately Transport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In what type of patient is it vitally important to assess PMS and pupil response?

A

Neurological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Reassessment of a patient with a medical complaint should begin with?

A

ABC and primary assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When is the determination of whether a medical patient is high priority or low priority transport, is made when?

A

After Primary assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is HIV infection at the greatest risk? When deposited on the mucous membrane or directly into the bloodstream?

A

Both, blood and mucous membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the signs and symptoms of viral hepatitis?

A

Jaundice and abdominal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When do patients with tuberculosis pose the greatest risk of transmitting the disease?

A

Patient Cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The way to prevent infection from pertussis is?

A

DTAP vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What must occur for efficient pulmonary gas exchange?

A

Oxygen and Carbon Dioxide must be freely to diffuse alveoli capillary membrane.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

An alert and oriented patient has a regular pattern of inhalation and exhalation and breath sounds that a clear bilaterally upper and lower fields. What do these findings indicate to you?

A

Adequate air exchange

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is severe anxiety one of the signs and symptoms of hypoxia?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the initial signs at onset of an acute asthma attack?

A

Wheezing on expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the signs and symptoms of acute hyperventilation syndrome?

A

Tingling in extremities and rapid breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are adventitious lungs sounds in a patient with respiratory distress?

A

Abnormal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are harsh, high pitched lung sounds a characteristic of?

A

Stridor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When assisting a patient with their MDI, after they have exhaled and then address the inhaler on their lips and are taking a deep breath, what is the next instruction you should give them?

A

Ask patient to hold breath as long as they can

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A patient with CHF is in severe respiratory distress and an SPO2 of 82%, Auscultation of lung sounds reveals wide spread crackles/rales in all fields. He is A & O x 4, and obeys all commands, speaking in only 2 to 3 word sentences. What should you do?

A

Apply CPAP - monitor BP - observe for improvements or deterioration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the signs and symptoms of COPD vs CHF?

A

JVD with CHF

21
Q

What is the primary function of the left atrium?

A

Receives oxygen rich blood from lungs

22
Q

Describe the difference between the sympathetic and the parasympathetic nervous systems as is pertains to body functions?

A

Sympathetic Nervous System
- speeds up the heart rate
- Increase respiratory rate and depth,
- Constricts blood vessels in digestive system
- Dilates blood vessels in muscles

Parasympathetic Nervous System
- Slows down heart rate and respiratory rate
- Constricts blood vessels
- Dilates blood vessels
- Dilates blood vessels in digestive system
- Constricts blood vessels in muscles

23
Q

Where is the saphenous vein located?

A

Inside of the thigh, it’s the largest vein in the body.

24
Q

Name the route and connecting arteries including subdivisions of the iliac arteries?

A

Femoral arteries

25
Q

Does a patient experience pain from an AMI only when exerting themselves or can they experience it when resting?

A

CP resulting from an AMI can occur with or without exertion.
-Sudden weakness, nausea, and sweating.
-Pain, discomfort, or pressure in lower jaw, arms, back and abdominal.
-Irregular HR and syncope
-short breath/ dyspnea
-Nausea/ vomiting

26
Q

A 67 YOF with CHF and two previous MI’s wakes up with substernal chest pain x 8. She has prescribed nitrostat. She conscious, A & O x 4 with RR of 14, BP 94/64 and HR of 120. What would be the treatment for this patient?

A

Place patient in up right position

27
Q

Will the AED analyze the heart rhythm of a patient that is moving? why not?

A

AEDs cannot analyze the rhythm as well while the vehicle is in motion.

28
Q

Rescue 81 has arrived to find a patient in obvious cardiac arrest and commences CPR and attaches the AED. AED announces, “no shock advised”. What is your next step?

A

Perform CPR for 2 min and Reassess

29
Q

A 60 YOF with 9 out of 10 is being rapidly transported to the hospital code 3. Suddenly the patient becomes pulseless, unresponsive and apneic. What do you do?

A

1) Stop ambulance
2) Perform CPR 30:2 and attach AED

30
Q

You and your partner have achieved return of spontaneous circulation (ROSC) in an MI patient. ALS is 2 minutes from your location. The patient is still unresponsive with slow irregular breathing. What other treatment is indicated as this point?

A

BVM of 10-12 BPM

31
Q

What interrupts cerebral blood flow to the brain?

A

Cerebrovasodilation (CVD)

32
Q

What causes a transient ischemic attack (TIA)

A

Blood flow affected by a small blood clot causes temporary conditions

33
Q

What accurately describes a simple partial seizure?

A

Seizure that begins in one extremity

34
Q

How long will it take for a patient that has experienced a generalized partial seizure to improve?

A

5-30 min

35
Q

What is the clinical difference between a stroke (CVA) and hypoglycemia?

A

CVA is caused by lack of blood flow to the brain, whereas
hypoglycemia is caused by a lack of glucose in the brain and altered mental status.

36
Q

You have a 70 YOF showing obvious signs of a stroke (CVA). She has a copious amount of secretions in her mouth, conscious, and breathing 18 times a minute with equal chest rise and fall, SPO2 is 96%. What do you do?

A

Suction and transport

37
Q

You are transporting a patient who suffered a CVA with paralysis in an extremity. What position would you place the patient in?

A

Recumbent with paralysis side down

38
Q

What is a CVA patient who has obvious signs and symptoms not eligible for thrombolytic (fibrinolytic) therapy?

A

Bleeding in brain

39
Q

Successful treatment of CVA depends on what?

A

Time of symptoms within 3 hours

40
Q

Rescue 81 responds to a 30 YOM seizure (tonic clonic) patient. Upon arrival, the patient is no longer experiencing any seizure signs or symptoms. He is A & O x 4, appropriately following commands and conscious. He refuses transport. What part of history would be the most compelling argument for disagreeing with his decision and compel you to convince him to come with you to the hospital?

A

New onset and no prescription meds

41
Q

Name all the functions of the liver?

A

secretes bile and filters toxic substance

42
Q

Describe how the kidneys regulate blood pressure?

A

Removes sodium chloride and water from the body.

43
Q

The parietal peritoneum is located where and does what?

A

Lines the wall of the abdominal cavity

44
Q

Pain that is perceived at a distant point on the surface of the body, such as the back or shoulder or jaw, is called what type of pain?

A

Referred Pain

45
Q

Is GI bleeding a symptom of another disease or a disease itself?

A

symptom of another disease

46
Q

What are the two conditions that most often result in chronic renal failure?

A

Diabetes or hypertension

47
Q

You have a patient with past pertinent medical history of hypertension, congestive heart failure, diabetes and generalized (tonic-clonic) seizures. He currently is showing signs of renal failure. Which of the previous medical history items has most likely caused this condition? Explain?

A

CHF is the most likely cause of Acute Kidney Injury(AKI) in this case as heart failure is indicative.

48
Q

A 47 YOM is experiencing abdominal pain x 3 hours, 8 out of 10 on pain scale, GCS is 14, he has abdominal distention and is guarding. What is the most important consideration for you with this patient?

A

Monitor for signs and symptoms (S/S) of shock

49
Q

A 59 YOM presents to you with 10 out of 10 lower back pain x 15 minutes. He is conscious, GCS 15, A & O x 4, Diaphoretic and extremely restless. You identify a pulsating mass to the left of his umbilicus. What do you do?

A

Apply O2 and transport rapidly

EFSC EMT (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions