Ch 2

Question 1

A paramedic, known for struggling with calculating medication doses, tells you that they are the fastest at applying a sling and swathe. What defense mechanism is the paramedic exhibiting?

A) Sublimation
B) Compensation
C) Projection
D) Repression

Answer 1

B) Compensation

Question 2

A patient reports they stopped smoking cigarettes three weeks ago. What body changes do you expect the patient to experience?

A) Decreased coughing and shortness of breath
B) Increased pulse and blood pressure
C) Improved circulation
D) Reduced risk of heart disease

Answer 2

C) Improved circulation

Question 3

A survey of more than 30,000 EMS personnel found that chronic and critical incident stressors may increase an EMS provider’s risk for:

A) cancer.
B) heart disease.
C) diabetes.
D) posttraumatic stress.

Answer 3

D) posttraumatic stress.

Question 4

According to the Centers for Disease Control and Prevention’s exercise pyramid, which activity should be performed two to three days per week?

A) Jogging
B) Walking to work
C) Stretching
D) Playing soccer

Answer 4

C) Stretching

Question 5

After the body is exposed to a stressor, approximately how long does it take the alarm reaction to activate?

A) A few seconds
B) 1 minute
C) 5 to 10 minutes
D) 1 to 2 hours

Answer 5

A) A few seconds

Question 6

How do saturated fats raise cholesterol levels?

A) They inhibit absorption of cholesterol-lowering substances found in certain foods
B) They are absorbed more efficiently than unsaturated fats
C) They are more prevalent and are consumed at higher rates than unsaturated fats
D) They inhibit the pathway through which excess cholesterol is normally removed

Answer 6

D) They inhibit the pathway through which excess cholesterol is normally removed

Question 7

In what year did the Centers for Disease Control and Prevention develop recommendations for prevention of HIV transmission in health care settings?

A) 1980
B) 2004
C) 1987
D) 1996

Answer 7

C) 1987

Question 8

Melatonin is secreted by the:

A) pituitary gland.
B) thyroid gland.
C) adrenal glands.
D) pineal gland.

Answer 8

D) pineal gland.

Question 9

Saturated fats should be limited to what percentage of daily calories?

A) 5
B) 10
C) 30
D) 20

Answer 9

B) 10

Question 10

The nutrient that activates enzymes, releases energy, and promotes bone growth is:

A) chromium.
B) vitamin K.
C) magnesium.
D) iron.

Answer 10

C) magnesium.

Question 11

Upon arriving at a patients house, you learn that the patient has an active TB infection. What should you do before treating the patient?

A) Clean and disinfect all frequently touched surfaces.
B) Instruct the patient to wear gloves.
C) Ask the patient to wear a surgical mask.
D) Inform the patient that you cannot touch them.

Answer 11

C) Ask the patient to wear a surgical mask.

Question 12

What should you do when exposed to a patient’s blood or body fluids?

A) Get a medical evaluation within one month of exposure.
B) Continue caring for the patient.
C) Wash the affected area immediately with soap and water.
D) Do not report the incident.

Answer 12

C) Wash the affected area immediately with soap and water.

Question 13

When assessing a patient at the scene of an emergency, a paramedic gets easily frustrated when the patient doesn’t cooperate. When the patient apologizes, the paramedic brushes off the apology and ignores the patient for the rest of the call. The paramedic is exhibiting signs of:

A) avoidance.
B) numbing
C) reexperiencing.
D) compassion fatigue.

Answer 13

D) compassion fatigue.

Question 14

When performing tactical breathing to manage stress on a call, you should breathe in for how many seconds before holding?

A) 6 seconds
B) 2 seconds
C) 4 seconds
D) 8 seconds

Answer 14

C) 4 seconds

Question 15

When preparing to come into contact with a hostile patient, it is imperative to do which of the following first?

A) Begin planning for lightning and weather-related issues.
B) Show empathy and understanding.
C) Carefully review your surroundings.
D) Listen before talking.

Answer 15

C) Carefully review your surroundings.

Question 16

When should the paramedic wear a HEPA respirator or N95 mask?

A) During procedures and patient care activities when contact with blood and bodily fluids is anticipated
B) Before, after, and between patient contacts
C) When working with a patient with TB or another respiratory illness
D) After touching blood or bodily fluids

Answer 16

C) When working with a patient with TB or another respiratory illness

Question 17

Which of the following is an example of an aerosol-generating procedure (AGP) that requires the use of appropriate PPE?

A) Bag-mask ventilations
B) Pulse oximetry
C) Glucose monitoring
D) Applying an immobilization device

Answer 17

A) Bag-mask ventilations

Question 18

Which of the following is part of the physiologic response to stress?

A) Increased rate of digestion
B) Pupillary constriction
C) Bronchial constriction
D) Mobilization of glucose

Answer 18

D) Mobilization of glucose

Question 19

Which of the following should a paramedic do in the event of a potential exposure to an infectious disease?

A) Wait 24 to 48 hours then document the situation.
B) Obtain a full medical follow-up.
C) Irrigate the area of contact with cold water.
D) Conduct an incident investigation.

Answer 19

B) Obtain a full medical follow-up.

Question 20

Which of the following statements regarding critical incident stress management is accurate?

A) It is optional, but not currently a mandatory intervention.
B) It has shown significant benefits for reducing posttraumatic stress disorder.
C) It evolved from a critical incident debriefing concept developed in the 1940s.
D) It is based on a partnership between mental health professionals and individual workers.

Answer 20

A) It is optional, but not currently a mandatory intervention.