Exam 3 Flashcards
Albuterol is a generic name for:
A) Alupent
B) Atrovent
C) Ventolin
D) Singulair
C) Ventolin
In an acute injury setting, neurogenic shock is commonly accompanied by:
A) Hypovolemia
B) Tachycardia
C) Diaphoresis
D) Hypothermia
D) Hypothermia
In what areas of the lungs does respiration occur?
A) Alveoli
B) Trachea
C) Bronchi
D) Capillaries
A) Alveoli
Most prehospital cardiac arrests in adults occur as the result of:
A) Severe blunt trauma
B) A cardiac dysrhythmia
C) An acute ischemic stroke
D) Obstruction of the airway
B) A cardiac dysrhythmia
Most patients are instructed by their physician to take up to ___ doses of nitroglycerin before calling EMS.
A) Two
B) Three
C) Four
D) Five
B) Three
Pulmonary edema and impaired ventilation occur during:
A) Septic shock
B) Neurogenic shock
C) Cardiogenic shock
D) Anaphylactic shock
C) Cardiogenic shock
Upon arriving at the residence of a patient with a possible cardiac problem, it is MOST important to:
A) Assess the scene for potential hazards
B) Determine if you need additional help
C) Request a paramedic unit for assistance
D) Gain immediate access to the patient
A) Assess the scene for potential hazards
Which of the following blood vessels transports oxygenated blood?
A) Superior vena cava
B) Pulmonary arteries
C) Inferior vena cava
D) Pulmonary veins
D) Pulmonary veins
Which of the following techniques should you use to dislodge a foreign body airway obstruction in a patient who is in an advanced stage of pregnancy or who is very obese?
A) Back slaps
B) Finger sweeps
C) Chest thrusts
D) Abdominal thrusts
C) Chest thrusts
In addition to obtaining a SAMPLE history and asking questions related to the chief complaint, what else should you specifically inquire about when assessing a patient with a potentially infectious disease?
A) Recent travel
B) HIV status
C) Sexual practices
D) Drug allergies
A) Recent travel
A conscious and alert 29-yearold female with a history of asthma complains of difficulty breathing that began after her morning jog. The temperature outside is 40’F (5’C). On exam, you hear bilateral expiratory wheezing. After providing supplemental oxygen, you should:
A) Place her in a recumbent position to facilitate breathing
B) Contact medical control and administer an antihistamine
C) Call medical control and ask how to proceed with treatment
D) Determine if she has been prescribed a beta-agonist inhaler
D) Determine if she has been prescribed a beta-agonist inhaler
A patient should be placed in the recovery position when he or she:
A) Is semiconscious, injured, and breathing adequately
B) Has experienced trauma but is breathing ineffectively
C) Is unresponsive, uninjured, and breathing adequately
D) Has a pulse but is unresponsive and breathing shallowly
C) Is unresponsive, uninjured, and breathing adequately
When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. This means that the patient has:
A) Normal breath sounds
B) Abnormal breath sounds
C) Diminished breath sounds
D) An absence of breath sounds
B) Abnormal breath sounds
At the onset of an acute asthma attack, patients commonly experience difficulty breathing and:
A) Audible stridor
B) Rales and rhonchi
C) Profound cyanosis
D) Expiratory wheezing
D) Expiratory wheezing
Upon initial contact with a patient who appears to be unconscious, you should:
A) Assess breathing depth and determine the respiratory rate
B) Squeeze the trapezius muscle to see if the patient responds
C) Attempt to elicit a verbal response by talking to the patient
D) Direct your partner to apply oxygen via a nonrebreathing mask
C) Attempt to elicit a verbal response by talking to the patient
Angina pectoris occurs when:
A) A coronary artery is totally occluded by plaque
B) Myocardial oxygen demand exceeds supply
C) One or more coronary arteries suddenly spasm
D) Myocardial oxygen supply exceeds the demand
B) Myocardial oxygen demand exceeds supply
The MOST common reason that many people experiencing AMI do not seek immediate medical attention is because they:
A) Are elderly
B) Are in denial
C) Cannot afford it
D) Do not trust EMTs
B) Are in denial
Which of the following medications is commonly given to patients with chest pain to prevent blood clots from forming or getting bigger?
A) Furosemide (Lasix)
B) Aspirin
C) Oxygen
D) Metoprolol (Toprol)
B) Aspirin
The secondary assessment of a medical patient:
A) Should routinely include a comprehensive examination from head to toe
B) Should be performed at the scene, especially if the patient is critically ill
C) Is not practical if the patient is critically ill or your transport time is short
D) Is typically limited to a focused exam for patients who are unconscious
C) Is not practical if the patient is critically ill or your transport time is short
The right coronary artery supplies blood to the:
A) Left ventricle and inferior wall of the right atrium
B) Right ventricle and inferior wall of the left ventricle
C) Right atrium and posterior wall of the right ventricle
D) Left ventricle and posterior wall of the right ventricle
C) Right atrium and posterior wall of the right ventricle
Which of the following is NOT a BLS intervention?
A) Abdominal thrusts
B) Chest compressions
C) Cardiac monitoring
D) Automated defibrillation
C) Cardiac monitoring
If gastric distension begins to make positive-pressure ventilation difficult, you should:
A) Reposition the patient’s airway
B) Suction the patient’s oropharynx
C) Insert an oropharyngeal airway
D) Increase the rate of ventilation
A) Reposition the patient’s airway
Gastric distension will MOST likely occur:
A) In patients who are intubated
B) If you ventilate a patient too quickly
C) When you deliver minimal tidal volume
D) When the airway is completely obstructed
B) If you ventilate a patient too quickly
Which of the following maneuvers should be used to open a patient’s airway when a spinal injury is suspected?
A) Jaw-thrust
B) Tongue-jaw lift
C) Head tilt-neck lift
D) Head tilt-chin lift
A) Jaw-thrust
An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are clear and equal on both sides of the chest. These findings are consistent with:
A) An obstructed airway
B) Adequate air exchange
C) Respiratory difficulty
D) Respiratory insufficiency
B) Adequate air exchange
Cardiogenic shock may result from all of the following, EXCEPT:
A) Heart attack
B) Increased afterload
C) Increased preload
D) Poor contractility
C) Increased preload
Deoxygenated blood from the body returns to the:
A) Right atrium
B) Right ventricle
C) Left atrium
D) Left ventricle
A) Right atrium
Which of the following is MOST characteristic of adequate breathing?
A) 22 breaths/min with an irregular pattern of breathing and cyanosis
B) 20 breaths/min with shallow movement of the chest wall and pallor
C) 24 breaths/min with bilaterally equal breath sounds and pink skin
D) 30 breaths/min with supraclavicular retractions and clammy skin
C) 24 breaths/min with bilaterally equal breath sounds and pink skin
The iliac arteries immediately subdivide into the:
A) Femoral arteries
B) Peroneal arteries
C) Anterior tibial arteries
D) Posterior tibial arteries
A) Femoral arteries
Clinical signs of compensated shock include all of the following, EXCEPT:
A) Cool and clammy skin
B) Absent peripheral pulses
C) Restlessness or anxiety
D) Rapid, shallow breathing
B) Absent peripheral pulses
Prior to attaching the AED to a cardiac arrest patient, the EMT should:
A) Contact medical control
B) Dry the chest if it is wet
C) Perform CPR for 30 seconds
D) Assess for a pulse for 20 seconds
B) Dry the chest if it is wet
Which of the following will MOST reliably allow you to determine the nature of a patient’s illness?
A) Trending of the patient’s vital signs over time
B) Asking questions related to the chief complaint
C) Refraining from asking open-ended questions
D) Focusing solely on how the call is dispatched
B) Asking questions related to the chief complaint
Hepatitis B is more virulent than hepatitis C, which means that it:
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
C) Has a greater ability to produce disease
CPR will NOT be effective if the patient is:
A) Prone
B) Supine
C) Horizontal
D) On a firm surface
A) Prone
Typical chief complaints in patients with an infectious disease include:
A) Fever, rash, nausea, and difficulty breathing
B) Crushing chest pain, vomiting, and weakness
C) Headache, low back pain, and arm numbness
D) Joint pain, muscle aches, and blurred vision
A) Fever, rash, nausea, and difficulty breathing
The two processes that occur during respiration are:
A) Ventilation and diffusion
B) Inspiration and expiration
C) Diffusion and oxygenation
D) Oxygenation and ventilation
B) Inspiration and expiration
In contrast to the assessment of a trauma patient, assessment of a medical patient:
A) Almost exclusively focuses on physical signs that indicate the patient is experiencing a problem
B) Is focused on the nature of the illness, that patient’s chief complaint, and his or her symptoms
C) Requires a thorough head-to-toe exam that involves a detailed assessment of all body systems
D) Is not as complex for the EMT because most patients typically present with classic symptoms
B) Is focused on the nature of the illness, that patient’s chief complaint, and his or her symptoms
A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be suspected of having:
A) Hepatitis
B) Meningitis
C) MERS-CoV
D) Tuberculosis
B) Meningitis
To protect vital organs, the body compensates by directing blood flow away from organs that are more tolerant of low flow, such as:
A) The skin
B) The heart
C) The brain
D) The lungs
A) The skin
The BEST way to prevent infection from whooping cough is to:
A) Ask all patients if they have recently travelled 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
B) Get vaccinated against diphtheria, tetanus, and pertussis