Exam 2 - Section 2 & 3 Flashcards
A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is: Select one: A. 10. B. 13. C. 14. D. 12.
B. 13.
A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect: Select one: A. liver dysfunction. B. gallbladder disease. C. renal insufficiency. D. acute pancreatitis.
A. liver dysfunction.
A 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate depth and her heart rate is 120 beats/min. Which of the following is NOT indicated for this patient? Select one: A. Rapid head-to-toe exam B. Gentle palpation of the pelvis C. Treating her for possible shock D. Application of a cervical collar
B. Gentle palpation of the pelvis
A crackling sound produced by air bubbles under the skin is called: Select one: A. rhonchi. B. Korotkoff sounds. C. crepitus D. subcutaneous emphysema.
D. subcutaneous emphysema.
A patient is sitting in a chair, leaning forward on his outstretched arms. His head and chin are thrust forward. This position indicates that he:
Select one:
A. has a decreased level of consciousness.
B. is experiencing difficulty breathing.
C. is experiencing severe back pain.
D. has abdominal muscle spasms.
B. is experiencing difficulty breathing.
A patient with high blood pressure would be expected to have skin that is: Select one: A. cyanotic and dry. B. mottled and cool. C. pale and moist. D. flushed and red.
D. flushed and red.
A patient with spontaneous respirations is breathing: Select one: A. with shallow depth. B. without difficulty. C. without assistance. D. at a normal rate.
C. without assistance.
A properly sized blood pressure cuff should cover:
Select one:
A. two thirds the length from the armpit to the crease at the elbow.
B. the entire upper arm between the armpit and the crease at the elbow.
C. one half the length between the armpit and the crease at the elbow.
D. one third the length from the armpit to the crease at the elbow.
A. two thirds the length from the armpit to the crease at the elbow.
After performing a head tilt–chin lift maneuver to open the airway of an unresponsive patient who has a pulse, you should:
Select one:
A. suction as needed and insert an airway adjunct.
B. place him or her in the recovery position.
C. provide positive-pressure ventilatory assistance.
D. assess respiratory rate, depth, and regularity.
A. suction as needed and insert an airway adjunct.
An adult patient who is NOT experiencing difficulty breathing will:
Select one:
A. be able to speak in complete sentences without unusual pauses.
B. have a respiratory rate that is between 20 and 24 breaths/min.
C. exhibit an indentation above the clavicles and in between the ribs.
D. assume a position that will facilitate effective and easy breathing.
A. be able to speak in complete sentences without unusual pauses.
As you assess the head of a patient with a suspected spinal injury, your partner should:
Select one:
A. look in the ears for gross bleeding.
B. prepare the immobilization equipment.
C. assess the rest of the body for bleeding.
D. maintain stabilization of the head.
D. maintain stabilization of the head.
Clinical signs of labored breathing include all of the following, EXCEPT: Select one: A. gasping attempts to breathe. B. use of accessory muscles. C. shallow chest movement. D. supraclavicular retractions.
C. shallow chest movement.
During a 30-minute transport of a stable patient, you should reassess him or her at least \_\_\_\_\_\_\_\_ times. Select one: A. 4 B. 2 C. 3 D. 6
B. 2
If a patient develops difficulty breathing after your primary assessment, you should immediately:
Select one:
A. determine his or her respiratory rate.
B. reevaluate his or her airway status.
C. begin assisting his or her breathing.
D. auscultate his or her breath sounds.
B. reevaluate his or her airway status.
In responsive patients who are older than 1 year of age, you should palpate the pulse at the \_\_\_\_\_\_\_\_ artery. Select one: A. brachial B. femoral C. carotid D. radial
D. radial
A 37-year-old male is found unresponsive in his car. His airway is patent and his respirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication named Alupent, which he found in the backseat of the patient's car. This medication suggests that the patient has a history of: Select one: A. allergic reactions. B. asthma. C. heart disease. D. hypertension.
B. asthma.
A mucosal atomizer device (MAD) is used to deliver certain medications via the: Select one: A. sublingual route. B. transdermal route. C. inhalation route. D. intranasal route.
D. intranasal route.
Aspirin is beneficial to patients suspected of having a heart attack because it:
Select one:
A. prevents the aggregation of platelets.
B. dissolves the coronary artery clot.
C. reduces the associated chest pain.
D. causes direct coronary vasodilation.
A. prevents the aggregation of platelets.
How is nitroglycerin usually given by the EMT? Select one: A. Injected B. Orally C. Sublingually D. Inhaled
C. Sublingually
Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a drop of 30 mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. You should:
Select one:
A. wait 5 minutes and reassess her blood pressure.
B. transport her in a sitting position.
C. assist ventilations with a bag-valve mask.
D. place her in a supine position.
D. place her in a supine position.
What medication form does oral glucose come in? Select one: A. Liquid B. Fine powder C. Gel D. Suspension
C. Gel
Which of the following is NOT a characteristic of epinephrine?
Select one:
A. Dilates passages in the lungs
B. Secreted naturally by the adrenal glands
C. Constricts the blood vessels
D. Decreases heart rate and blood pressure
D. Decreases heart rate and blood pressure
Which of the following medication routes would be the MOST appropriate to use in an unresponsive patient when intravenous access cannot be obtained? Select one: A. Intramuscular B. Intraosseous C. Transcutaneous D. Subcutaneous
B. Intraosseous
Which of the following statements regarding the epinephrine auto-injector is correct?
Select one:
A. The epinephrine auto-injector delivers a preset amount of the drug.
B. The adult auto-injector delivers 0.5 to 1 mg of epinephrine.
C. The auto-injector delivers epinephrine via the subcutaneous route.
D. EMTs do not need physician authorization to use the auto-injector.
A. The epinephrine auto-injector delivers a preset amount of the drug.