Chapter 14 Quiz Flashcards

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1
Q

Which of the following patients is at greatest risk for complications caused by the influenza virus?
Select one:
A. 12-year-old child with a fractured arm
B. 68-year-old woman with type 2 diabetes
C. 39-year-old man with mild hypertension
D. 50-year-old woman moderate obesity

A

B. 68-year-old woman with type 2 diabetes

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2
Q

Most treatments provided in the prehospital setting are intended to _________.
Select one:
A. confirm the patient’s diagnosis
B. correct the patient’s underlying problem
C. address the patient’s symptoms
D. reduce the need for transport to the hospital

A

C. address the patient’s symptoms

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3
Q

In which of the following situations would it be MOST appropriate to utilize an air medical transportation service?
Select one:
A. 29-year-old woman who is 18 weeks pregnant, has light vaginal bleeding, and stable vital signs
B. 43-year-old man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away
C. 50-year-old conscious woman with severe nausea and vomiting, fever, and chills of 3 days’ duration
D. 61-year-old man with signs and symptoms of a stroke and a ground transport time of 50 minutes

A

D. 61-year-old man with signs and symptoms of a stroke and a ground transport time of 50 minutes

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4
Q
The incubation period for hepatitis B is typically:
Select one:
A. 1 to 2 weeks.
B. 5 to 10 weeks.
C. 4 to 12 weeks.
D. 1 to 10 weeks.
A

C. 4 to 12 weeks.

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5
Q
The \_\_\_\_\_ is your awareness and concern for potentially serious underlying and unseen injuries or illnesses.
Select one:
A. nature of illness
B. index of suspicion
C. general impression
D. clinical impression
A

B. index of suspicion

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6
Q

When caring for a patient with an altered mental status and signs of circulatory compromise, you should:
Select one:
A. limit your time at the scene to 10 minutes or less, if possible.
B. perform a detailed secondary assessment prior to transporting the patient.
C. transport immediately and begin all emergency treatment en route to the hospital.
D. have a paramedic unit respond to the scene if it is less than 15 minutes away.

A

A. limit your time at the scene to 10 minutes or less, if possible.

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7
Q
Which of the following conditions is NOT categorized as a psychiatric condition?
Select one:
A. Depression
B. Schizophrenia
C. Substance abuse
D. Alzheimer disease
A

C. Substance abuse

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8
Q

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:
Select one:
A. you are actively infected with tuberculosis and should be treated immediately.
B. the disease is dormant in your body, but will probably never cause symptoms.
C. you contracted the disease by casual contact instead of exposure to secretions.
D. you were exposed to another infected person prior to treating the 34-year-old patient.

A

D. you were exposed to another infected person prior to treating the 34-year-old patient

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9
Q

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:
Select one:
A. perform a detailed secondary assessment, assess his vital signs, and then transport rapidly.
B. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit.
C. administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible.
D. load him into the ambulance, begin transport, and perform all treatment en route to the hospital.

A

B. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit

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10
Q
Which of the following is bacterium resistant to most antibiotics and causes skin abscesses?
Select one:
A. Whooping cough
B. H1N1
C. MRSA
D. Avian flu
A

C. MRSA

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11
Q
Most patients with an infectious disease will have \_\_\_\_\_\_\_\_\_.
Select one:
A. a fever
B. seizures
C. a low blood glucose level
D. abdominal pain
A

A. a fever

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12
Q

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:
Select one:
A. medical emergency.
B. trauma emergency.
C. combination of a medical and trauma emergency.
D. combination of a psychiatric and trauma emergency.

A

C. combination of a medical and trauma emergency.

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13
Q
Assessment of the medical patient is usually focused on the \_\_\_\_\_\_\_\_\_.
Select one:
A. nature of illness
B. field diagnosis
C. associated symptoms
D. medical history
A

A. nature of illness

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14
Q

The BEST way to prevent infection from whooping cough is to:
Select one:
A. ask all patients if they have recently traveled abroad.
B. get vaccinated against diphtheria, tetanus, and pertussis.
C. wear a HEPA mask when treating any respiratory patient.
D. routinely place a surgical mask on all respiratory patients.

A

B. get vaccinated against diphtheria, tetanus, and pertussis.

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15
Q
When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem?
Select one:
A. Medical history
B. Index of suspicion
C. Baseline vital signs
D. Primary assessment
A

A. Medical history

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16
Q
It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected \_\_\_\_\_\_\_\_\_\_\_ problem.
Select one:
A. cardiac
B. endocrine
C. respiratory
D. neurologic
A

D. neurologic

17
Q
\_\_\_\_\_\_\_\_ is a bacterium that causes infections and is resistant to most antibiotics.
Select one:
A. Meningitis
B. Tuberculosis
C. Hepatitis C
D. MRSA
A

D. MRSA

18
Q
After sizing up the scene of a patient with a possible infectious disease, your next priority should be to:
Select one:
A. contact medical control.
B. take standard precautions.
C. quickly access the patient.
D. notify law enforcement.
A

B. take standard precautions.

19
Q

The determination of whether a medical patient is a high-priority or low-priority transport is typically made:
Select one:
A. once the patient’s baseline vital signs are known.
B. after the primary assessment has been completed.
C. upon completion of a detailed secondary assessment.
D. as soon as the patient voices his or her chief complaint.

A

B. after the primary assessment has been completed.

20
Q

Hepatitis B is more virulent than hepatitis C, which means that it:
Select one:
A. is less resistant to treatment.
B. is a more contagious type of disease.
C. has a greater ability to produce disease.
D. leads to chronic infection after exposure.

A

C. has a greater ability to produce disease.

21
Q
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:
Select one:
A. pandemics.
B. epidemics.
C. uncontrolled outbreaks.
D. parasitic infection
A

A. pandemics.

22
Q

When forming your general impression of a patient with a medical complaint, it is important to remember that:
Select one:
A. the majority of medical patients you encounter are also injured.
B. it is during the general impression that assessment of the ABCs occurs.
C. most serious medical conditions do not present with obvious symptoms.
D. the conditions of many medical patients may not appear serious at first.

A

D. the conditions of many medical patients may not appear serious at first.

23
Q

An infectious disease is MOST accurately defined as:
Select one:
A. any disease that enters the body via the bloodstream and renders the immune system nonfunctional.
B. the invasion of the human body by a bacterium that cannot be destroyed by antibiotics or other drugs.
C. a disease that can be spread from one person or species to another through a number of mechanisms.
D. a medical condition caused by the growth and spread of small, harmful organisms within the body.

A

D. a medical condition caused by the growth and spread of small, harmful organisms within the body.