Chapter 15 - Medical Overview Flashcards

1
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. you were exposed to another infected person prior to treating the 34-year-old patient.

C. the disease is dormant in your body, but will probably never cause symptoms.

D. you contracted the disease by casual contact instead of exposure to secretions.

A

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

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

After sizing up the scene of a patient with a possible infectious disease, your next priority should be to:

Select one:

A. notify law enforcement.
B. contact medical control.
After sizing up the scene of a patient with a possible
C. take standard precautions.
D. quickly access the patient.

A

C. take standard precautions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
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. a disease that can be spread from one person or species to another through a number of mechanisms.

C. the invasion of the human body by a bacterium that cannot be destroyed by antibiotics or other drugs.

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.

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

Assessment of the medical patient is usually focused on the _________.

Select one:

A. field diagnosis
B. associated symptoms
C. nature of illness
D. medical history

A

C. nature of illness

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

Hepatitis B is more virulent than hepatitis C, which means that it:

Select one:

A. leads to chronic infection after exposure.
B. is less resistant to treatment.
C. is a more contagious type of disease.
D. has a greater ability to produce disease.

A

D. has a greater ability to produce disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
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 virus 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. parasitic infection.
B. pandemics.
C. uncontrolled outbreaks.
D. epidemics.

A

B. pandemics.

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

In which of the following situations would it be MOST appropriate to utilize an air medical transportation service?

Select one:

A. 50-year-old conscious woman with severe nausea and vomiting, fever, and chills of 3 days’ duration

B. 29-year-old woman who is 18 weeks pregnant, has light vaginal bleeding, and stable vital signs

C. 43-year-old man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away

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

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

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

Most patients with an infectious disease will have _________.

Select one:

A. a fever
B. abdominal pain
C. a low blood glucose level
D. seizures

A

A. a fever

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

Most treatments provided in the prehospital setting are intended to _________.

Select one:

A. address the patient’s symptoms
B. confirm the patient’s diagnosis
C. correct the patient’s underlying problem
D. reduce the need for transport to the hospital

A

A. address the patient’s symptoms

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

The BEST way to prevent infection from whooping cough is to:

Select one:

A. wear a HEPA mask when treating any respiratory patient.

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

C. ask all patients if they have recently traveled abroad.

D. routinely place a surgical mask on all respiratory patients.

A

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

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

The determination of whether a medical patient is a high-priority or low-priority transport is typically made:

Select one:

A. after the primary assessment has been completed.
B. once the patient’s baseline vital signs are known.
C. as soon as the patient voices his or her chief complaint.
D. upon completion of a detailed secondary assessment.

A

A. after the primary assessment has been completed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
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. Primary assessment
B. Baseline vital signs
C. Index of suspicion
D. Medical history

A

D. Medical history

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

When caring for a patient with an altered mental status and signs of circulatory compromise, you should:

Select one:

A. transport immediately and begin all emergency treatment en route to the hospital.

B. perform a detailed secondary assessment prior to transporting the patient.

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

D. have a paramedic unit respond to the scene if it is less than 15 minutes away.

A

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

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

When forming your general impression of a patient with a medical complaint, it is important to remember that:

Select one:

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

B. the majority of medical patients you encounter are also injured.

C. most serious medical conditions do not present with obvious symptoms.

D. it is during the general impression that assessment of the ABCs occurs.

A

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

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

Which of the following conditions is NOT categorized as a psychiatric condition?

Select one:

A. Alzheimer disease
B. Schizophrenia
C. Depression
D. Substance abuse

A

D. Substance abuse

17
Q

Which of the following is bacterium resistant to most antibiotics and causes skin abscesses?

Select one:

A. H1N1
B. Avian flu
C. Whooping cough
D. MRSA

A

D. MRSA

18
Q

Which of the following patients is at greatest risk for complications caused by the influenza virus?

Select one:

A. 39-year-old man with mild hypertension
B. 68-year-old woman with type 2 diabetes
C. 12-year-old child with a fractured arm
D. 50-year-old woman moderate obesity

A

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

19
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. administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible.

C. load him into the ambulance, begin transport, and perform all treatment en route to the hospital.

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

A

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

20
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. combination of a medical and trauma emergency.
B. medical emergency.
C. trauma emergency.
D. combination of a psychiatric and trauma emergency.

A

A. combination of a medical and trauma emergency.

21
Q

A seizure patient is having what kind of medical emergency?
A. Respiratory
B. Cardiovascular
C. Neurologic
D. Immunologic

A

C. Neurologic
Neurologic emergencies involve the brain and may be caused by a seizure, stroke, or fainting (syncope).

22
Q

If an injury distracts an EMT from assessing a more serious underlying illness, the EMT has suffered from:
A. tunnel vision.
B. index of suspicion.
C. virulence.
D. a trauma emergency.

A

A. tunnel vision.

23
Q

If a “frequent flier” calls 9-1-1 because of a suspected head injury, you should NEVER:

A. take the call seriously; don’t waste your time or resources on such a caller.

B. perform a primary assessment; he called for a head injury last week, and it wasn’t serious.

C. assume you know what the problem is; every case is different, and you don’t want to miss a potentially serious problem.

D. treat the patient with respect; he is probably lying.

A

C. assume you know what the problem is; every case is different, and you don’t want to miss a potentially serious problem.

24
Q

If your medical patient is not in critical condition, how long should you spend on scene?
A. 10 minutes or less
B. 30 minutes
C. 2 hours
D. However long it takes to gather as much information as possible

A

D. However long it takes to gather as much information as possible

25
Q

Your patient is having respiratory difficulty and is not responding to your treatment. What is the best method of transport?

A. Without lights and siren, to the closest hospital
B. With lights and siren, to the closest hospital
C. Air transport, to a special facility located 30 miles away
D. The patient does not need to be transported.

A

B. With lights and siren, to the closest hospital

Patients with respiratory difficulty generally require high-priority transport, especially if they do not respond to your initial treatment. If a life- threatening condition exists, the transportation should include lights and siren. In this case, it is appropriate to select the closest hospital with an emergency department as your destination.

26
Q

When assessing a patient with an infectious disease, what is the first action you should perform?
A. Size up the scene and take standard precautions.
B. Obtain a SAMPLE history.
C. Hand the patient off to a paramedic.
D. Cover your mouth and nose with your hand.

A

A. Size up the scene and take standard precautions.

27
Q

Your patient believes he has hepatitis and is now exhibiting signs of cirrhosis of the liver. He most likely has:
A. hepatitis A.
B. hepatitis B.
C. hepatitis C.
D. hepatitis D.

A

C. hepatitis C.

Cirrhosis of the liver develops in 50% of patients with chronic hepatitis C.

28
Q

Your patient is complaining of fever, headache, stiffness of the neck, and red blotches on his skin. He most likely has:
A. tuberculosis.
B. hepatitis B.
C. SARS.
D. meningitis

A

D. meningitis

29
Q

What should you do if you are exposed to a patient who is found to have pulmonary tuberculosis?
A. Get the BCG vaccine.
B. Get a tuberculin skin test.
C. Undergo serious therapy.
D. No precautions need to be taken.

A

B. Get a tuberculin skin test.

30
Q

All of the following are factors that increase the risk for developing MRSA, EXCEPT:
A. antibiotic therapy.
B. prolonged hospital stays.
C. exposure to an infected patient.
D. close contact with wild birds.

A

D. close contact with wild birds.

31
Q

The greatest danger in displaying a personal bias or “labeling” a patient who frequently calls EMS is:
Select one:
A. demeaning or humiliating the patient and his or her family.
B. overlooking a potentially serious medical condition.
C. discouraging the patient from calling EMS in the future.
D. making the entire EMS system look unprofessional.

A

B. overlooking a potentially serious medical condition.

32
Q

Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital?
Select one:
A. Diabetes and migraines
B. Stroke and heart attack
C. Seizures and infection
D. Cardiac arrest and shock

A

B. Stroke and heart attack

33
Q

Which of the following statements regarding hepatitis A is correct?
Select one:
A. Hepatitis A is primarily transmitted via contact with blood or other body fluids.
B. Infection with hepatitis A causes chronic illness with a high mortality rate.
C. Hepatitis A can only be transmitted by a patient who has an acute infection.
D. Although there is no vaccine against hepatitis A, treatment is usually successful.

A

C. Hepatitis A can only be transmitted by a patient who has an acute infection.

34
Q

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

A

A. Alzheimer’s disease

35
Q

Which of the following assessment findings is MOST indicative of a cardiovascular problem?
Select one:
A. Palpable pain to the epigastrium
B. Unequal breath sounds
C. Use of the accessory muscles
D. Jugular venous distention

A

D. Jugular venous distention

36
Q

Three months after returning home from West Africa, a 50-year-old man begins experiencing a fever, cough, and muscle aches. The EMT should suspect:
Select one:
A. whooping cough.
B. influenza.
C. hepatitis.
D. Ebola.

A

B. influenza.

37
Q

The secondary assessment of a medical patient:
Select one:
A. is not practical if the patient is critically ill or your transport time is short.
B. should be performed at the scene, especially if the patient is critically ill.
C. is typically limited to a focused exam for patients who are unconscious.
D. should routinely include a comprehensive examination from head to toe

A

A. is not practical if the patient is critically ill or your transport time is short.

38
Q

Early signs and symptoms of viral hepatitis include all of the following, EXCEPT:
Select one:
A. pain in the muscles and joints.
B. vomiting, fever, and fatigue.
C. jaundice and abdominal pain.
D. loss of appetite and a cough

A

C. jaundice and abdominal pain.

39
Q

A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED), and he tells you that he does. You should:
Select one:
A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED), and he tells you that he does. You should:
Select one:
A. ask him what he takes, how much, and when he last took it.

B. recall that erectile ED drugs can cause significant hypertension.

C. avoid giving him nitroglycerin and transport him at once.

D. administer his nitroglycerin and then reassess his blood pressure.

A

A. ask him what he takes, how much, and when he last took it.